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PRE 2010 DOCSCity Fridley, ey, a BURDING PERAUT N® 7045 Date: —---= Owner: Builder Address - Address -- ® _ OF UI�DYG tNo. StreetAa art Lot -1.._ Block Addition or Sub -Division of Corner Lot _ Inside Lot Setback ___ - Sideyard Sewer Elevation 9 12 L _Itundation Elevation 3 roso OF P=a0T11V& DESCRIPTION OF BUILDING To Used _ Front Depth_ Height Sq. Ft. Cu. ra" Front Depth Heighto Sq. Ft. Cu. Ft. ke Type ofetion Est. To be Completed j In consideration of the 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 ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to 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 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 uponvis►iation of any of the provisions of said ordinances. - A � 11 NOTICES This pormh does not cover the construction, installation for whdng, plumbing, gas boating, sewer or wow. Be sore to nes She Building h"Imsor for separate permits for these Items. City of Fridley, 31inn. 6431 University Ave. N. E"., Minneapolis, Minn. 55432 BUHM.Ll. \ V T Owner: Y c Kochauer Builder Address . — Address LOCATION ® BUILDING No...-2.4Fi._._ Street Part Lot _ _10 Block 4 _—Addition or Sub- ivision � Corner Lot ____ inside Lot�_— Setback _ r Sewer Elevation – _ Foundation d\tc To be Used as: lxa e l l ig..._._.�A Elaxage Type of Construction PTI®N OW BUILDING i 501 th Heigh 12' Sq. Ft. Cu. Ft. 21,.39E ' De 6' Height int Sq. Ft.SQ S t Cu. Ft. _ 5850.: e t. Cost To be Completed Sept. 1972 Stipulations: Owner hereby a ees t t the Cit of Fridley will be held blameless in lieu of footing tests on baseme t that as er ted in 1964 with no frost protection. Provide a verifying survey and a and sur ace driveway. In consideration of the issuanceme of a permit t4 construct the building des Ridd above, I agree to do the proposed work in accordance with description ab177 set forth and with all all�provi;�tons of ordinances of the city of Fridley. f W n A 4 6 StateSurcharge In consideration of the payment of a fee of $_5l _-00 permit is hereby granted to Camp Cons 'tjt' ion 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 Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildirgs within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to no the Building Inspector for separate permits for these items. IV W APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:O, �c d [° 49- V Pte' BUILDER: ADDRESS : ff f /}� �� ���� ��� ADDRESS: y NO • . A Y( STREET • i cve v < -/j /J/t! d LOT: /0 BLOCK: �ADDITION: /7 . c CORNER LOT: INSIDE LOT: SETBACK: e''— SIDEYARD• Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. r DESCRIPTION OF BUILDING To Be Used As:v Front:. Depth: i3 Height: f Square Fe 17 Cubic Feet: I J (1 - as f Front: �6 Depth: C Height: / Square Feet; 5��3 Cubic Feet: �� SLE -0-- R Type of Construction: a "" 'e Estimated Cost: $ ©act `i +` To Be Completed: e,%T /5 ` i The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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 • (See Reverse Side For Additional Information.) u y r j f_ 4 U City of Fridley SUBJECT PE , 13454 AT THE TOP OF THE TWINS PERMIT r DEVELOPMENT DIV. BUILDING 1 L IRE®PTNO.______COMMUNITY 1 � PROTECTIVE INSPECTION SEC. � C CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 4/13/76 JOB ADDRESS 246 Rice Creek Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Everet Madsen 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pine Tree Builders 8535 Central Avenue N.E. Blaine 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 El NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK WARKINVII, Construct a 581 x 34' Dwelling and a 281-x 281 GarageBefule 699419 TELEPHONE - ELECTRIC - GAS Etc. 9 CHANGE OF USE FROM TO REQUIRED BY LAW STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide truss design. Area under garage not to be used as living area; now or in the future. Water & Sewer Locations: See attached map with copy of survey. THE CITY OF FRIDLEY DOES NOT GUARANTEE THE ACCURACY OF UTILITY LOCATIONS AND ELEVATICr6,::-, THIS DATA IS FOR INIFOI';AAATION9 PUI:'POSEs OI\,LY Ahf� PERSONS USING IT SHOULD VLEIFY THE INFORMA1I0t4 Y � SITE. ®IMR®RTANT-- SEPERATE PERMITS REQUIRE® FOR 1�1 f NOTIFY THE FRIDLEY ENGR. HEATING; PLUMBING AND SIGNS. DIVISION REGARDING CURES FlEMOVAL AND REPLACEMENT AT DIRIVEA,10Y OPENINGS.. 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 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 R-1 1806 + 784 49,952 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 TYPE OF WORK WILL BE $37.56 WITH WHETHER SP CIF EDNING HEREINIOR NOT. THE GRANTING OF AOMPLIED PERMIT $75,120 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- $92.41 $350.00 STRUC ION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $479.97 SIGNATURE OF ONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS ISYOUR PERMIT � Aad JAlt/(�X i a- X f' 7 - /3 - / (,_ BLDG. INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) _ OFNa P, `NT t m ,. � rJ'��ss Y 11�,L� rrt ai1��1d'JLTP�Yr4lxr AA t�o x rtf Il'gtLtc4Cle !e�l T;.{1kLW11'6�1rY.; I� To 4 s bol tt t d -- ri th bu z g z t i FI ,art 3 bor t-v;i'.N I a-.,, , l;.Ln All 6th 'site add4 Wcra.r,cQr ,�+:ru-'' Dated LINEAL FI" (?F . o ft. �' b0 v r -OT WALL 013A LL CO NST RUIC-Ms )N , U'r va ue, x area 14i x Sc7.°.t.,w..1.re,.�.� .Q.., eeet ,.t yid,. /`, 2f U, _ from q Fa.%r S t Gh e'. V ft'. Io. a - ,.t . a....�.., ; -�tt''♦{Tit' lit t w'Jrly't14ab.r�+.�w�lbr jj}} 1 ;` - N !.wu.+�.+..w .rw ft tea,.,..... w +.w.r....r•......�.yr......... 4 �:�l���i,a : rtu ft. Vt K.i t?t3 ,s�p tfr�q.`t. e• f _ y q +. } ,X' :s q . f t e u>11 S q P `t • a+FR*M..< ....:....e�..,a�.r, }} 1 t ios6 e?��t Vc �rY X�C levet sq. ft. 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P ..,t ^4`A'+" _L� .w ,.¢ d.#. �� ia4o i �, s s.. -,.b.l % N ,� .,� A S +1vSr s - 4 r ><��`. 1„+ `t L R r ,( i y tF P ! r: F tt t ¢ ; ISt�: d d `-.'4 { - t ✓ :'S kks 7j 1 - I k -S p h f # i a 1 . S 7 ff' to a r x y�� y ! a �-ka s3r'1 k b *i xyl [ {. ;w'rrlrrc Mfrs•-.&*IAi'Fiir�.i< ..c:@'7.a..F.�L31'-51: 7+2.FDiff..�-it . �;E,-9.e.. ♦ ,• . .. - .._,.s ._ *._ _ A r� • �, ,,.., T",,, r.r'J.,.�..- =..�> �.r •~-+.•.•„� 1. •” ...-,!• :Y .-�..+j y " ..�� �...^. �• �•..n. i1— i•q e^. .. , :� ... l P .,.., F'; .vr`=!-,7777..,- .., � �'... 7 , •S.� is s.w:c..... ... a wY+•.-.. 4 �..6:, :.•..t. ....ao..., �� "cei7w•., ': ci: �2 � - _aav:... ,, 77:77-awt�..: 'chi ta..•a. y C?tAF'tTi! WARM P..^,4: :i.r i -Z T-101TA .. S`.c12 Z.- - ;rorh 410.00 2 of c ,:r :ar< 6.00 v It A::r:3:.f nr,r- tip to S: `iO.Or1 61X3 S Rc;2: . L -A-ra"ons e_ch add. 3504.100 3(,") 3 ��..'.(^� i:.L�'✓ %..moi ' r ~.are sl..Cll ?; ^.:; : rWnr''x to I.."4,"03 B'IV M� add. CO3r,•?'J B"I" i.,.i. & ...:!•�-:i ._--t; to 5500.40 ... Lc A'Ie otio:,s each add. $500.00 S=ix C.: XO r ha L.3 SYS l :.:u•+ . 640 Y, :t. EMR Hot Water Eac^' Add EDR S!cn,-n ZzCh add. 32^. 3r,.:t E^R :'rot irate: c::. 3O=N'ZF:—to 3 gal. pCr hour over 3 gal. per hour—Sec Fee Schedule CAS:a'��.' 1 r� (;:7 :.^.L y w BTU) oma: 12" LC7 ' Sr: F.^o Schrd::3o MPf.J 71. J Is. 3 F:xtsres G:.3 Reno: t;D e.=7777.: i.:'.0 ST'"';''3 rZ.."a. ..S,1000 S City of ' '.T"nr �:rdcrsi�:"cd hereby makr.zra;lca::ea :a- a Y:: -:It :o: •� c �:o-'z *e:� spccuf;ttid 3$ '.y 'a CC all -A,-714 1771 S' ict a^CO^,e3TCc ui• .he C.••:7, C--f- ind :"-a^.d r:lir.g.of 'he ^;a: ^rpt ' 3 :;: as, and hereby dc:l--::s 11=2 a.1 a :ate and slated 1n ihis app'. c2ufm arz tmue and Qwr: cr 3. W 5 6.r"O 3 Kind of 1J:>ed as 33.00 loco S, :' on .Q,, 3.00 S 5.03 3 N0 RALirr. TOTAL xo 20.00 r .^s =a 5.070 State Surc:-targe 7490 . T n be cor•:pieIed ab: u' Estima`ed ///� tio...._-_.iCo .g Rz"IMNG or P0�3:_?. wa°.,:.-•, F's —. AL ---NO Trade 'N*a:ne- c IYo 41_ Capacity __. _ _ _. G. ' = D w- Tota -I Cc^.^.ccted NO— Suburban Air Con2itloning Co. t., 8419 Center Drives Minneapolis, Minnesota 5W2 cii''Y. of F�to1ay . Aipplic-aal n 9ce Plum�.ed •----- - Debt. of B1doz. F'hono S1_'*•34W . DESCRIPTIOIi OF Work -4- 2ivas5.is l:i-d a_�d Locr_ion o: Ftmh,:ea t Raw F -zt%,. . Old Cr,.sr^.S's Ce: pool City o1 Fndley.. The undersigned hereby makes appl cation for a permit for the vc:k hemi specified, ag;ceing to do a1 wcrk in st-Ict accorcan:e with the Cit;! C: i.• -%r=e and ruling of the Department of BuiId.'ng3, and hereby declares that 24 the fact ° and representations stated in this app'Fcati= are true and correct- rFr Zidley, b:inn Owner a Kind of Build ng Used as To be completed about Estimated Cast. S -� d" PARTIAL RATE S�H�DULE � Old Aew. u :ding Permit No. L^u:33Itt FI:CTU?E RATES: KO. RATE TOTAL ,�lJf ' / � a • U p Sia::ed Nurr.ber Fixtures ................. x $2.G0. Future Fixture Opening ............ x $1-50 S, _. E Businc.•ss Phone Xi 279? L12 7 ::ew Fixture Old Opening... • • ••. • • • x 51.50 $____�.� .• _ Catch Basin ...................0 x $3.25 $ NV:ter lieater '(1p to 993.004 BTU) • • • • / x $3.00 $ �` U . • ROUGH • New Ground Run Old Bldg....:..:. .—.._-. x :3.25 $ .. . V&ctric .Watar I:aatar. .............. s 42.03 $ Fl;:IAL !2 _ 7 'SAS YZ -NNc FEES: Ni 0. ROTE TOTAL • 1st 3 Fixtures ... • ........ • • .. .. • x $2.00- Add:ticnal Fixtures ................ __. x .75 5----- Gas. R -.^.ie to 1D3.400 BTU ......... •. X $5.00 v . Pr�.`?A:°S xLTEP.AT10rS—P.n1or So Coda .50 State Surcharge .I)e ;czljt:on • ..... • ......... ........ •.... • • •........ar TOTAL FTEE c 7, $� • • M •; i o o i< a ~ u w%T(4 HTit. to i; i� M1'� lv B 3.r I Ir �< 2nd I �. 31 F I LJ3.d 4th t Raw F -zt%,. . Old Cr,.sr^.S's Ce: pool City o1 Fndley.. The undersigned hereby makes appl cation for a permit for the vc:k hemi specified, ag;ceing to do a1 wcrk in st-Ict accorcan:e with the Cit;! C: i.• -%r=e and ruling of the Department of BuiId.'ng3, and hereby declares that 24 the fact ° and representations stated in this app'Fcati= are true and correct- rFr Zidley, b:inn Owner a Kind of Build ng Used as To be completed about Estimated Cast. S -� d" PARTIAL RATE S�H�DULE � Old Aew. u :ding Permit No. L^u:33Itt FI:CTU?E RATES: KO. RATE TOTAL ,�lJf ' / � a • U p Sia::ed Nurr.ber Fixtures ................. x $2.G0. Future Fixture Opening ............ x $1-50 S, _. E Businc.•ss Phone Xi 279? L12 7 ::ew Fixture Old Opening... • • ••. • • • x 51.50 $____�.� .• _ Catch Basin ...................0 x $3.25 $ NV:ter lieater '(1p to 993.004 BTU) • • • • / x $3.00 $ �` U . • ROUGH • New Ground Run Old Bldg....:..:. .—.._-. x :3.25 $ .. . V&ctric .Watar I:aatar. .............. s 42.03 $ Fl;:IAL !2 _ 7 'SAS YZ -NNc FEES: Ni 0. ROTE TOTAL • 1st 3 Fixtures ... • ........ • • .. .. • x $2.00- Add:ticnal Fixtures ................ __. x .75 5----- Gas. R -.^.ie to 1D3.400 BTU ......... •. X $5.00 v . Pr�.`?A:°S xLTEP.AT10rS—P.n1or So Coda .50 State Surcharge .I)e ;czljt:on • ..... • ......... ........ •.... • • •........ar TOTAL FTEE c 7, $� • • w July 29, 1976 Mr. Darrell Clark 6431 University Avenue N.E. Fridley, MN 55432 RE: Proposed lot line changes between the properties titled to: EVERETT MADSEN MARGRETWMURPHY 246 Rice Creek Blvd. and 250 Rice Creek Blvd. Fridley, MN 55432 Fridley, MN 55432 Dear Mr. Clark: Mr. Herman of the Assessor's Office recommended our contacting you in regard to changing the property line dividing our two properties. The rough sketch attached indicates our desired change to the existing lot line as starting at a point 36 ft. towards the creek on the existing property line and intersecting Margret Murphy's back property line at a point 34 ft. east of the existing iron that presently marks the division of the back side of our two lots. At your convenience please contact Everett Madsen, phone #336-,8641, and we can set up an appointment to come to your office and discuss the necessary steps to be taken in effectuating this change. It is understood that Everett Madsen will be liable for any and all charges incurred due to this change, so we would appreciate your best estimate in that regard. 'ncerel Y' ,7 veret a sen Margret Murphy EM/MM/hhk Enclosure �aT��S .4 r4 rNi a p' c� 04 r SUBJECT PERMIT City of Fridley 1614 8 AT THE TOP OF THE TWINS BUILDING PERMIT rp • ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. iCITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/4/81 JOB ADDRESS 246 Rice Creek Blvd. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 1 Rice Creek Plaza North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Everett Madsen 246 Rice Creek Blvd. N.E. 574-9068 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 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 E NEW Cj( ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 16' x 12' deck 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood 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 500.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .5O 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- 7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 8.00 SIGN RE OF ON- ACT AUTHO ZE A T (DATE) NPROPER Y VA A D THI I Z7 ;9m _,O-SIGNATTIRE OF O NE IIF N ILDE ) iDA E� BLDG INSP DATE r CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEM41TS (New, Al aerations, Additions, or Repairs) OWNER: ADDRESS.:C9 TEL NO: �- 7 BUILDER. 4 - ADDRESS: TEL id0: Construction Location STREET NO: C9 STREET: LOT: Q o BLOC:: ADDITION: �• Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form ttgo Certificates of: Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION front: / Depth: Height: / Squane. Feet_: Cubic Feet: • Front: Depth: Height:C3 Ci Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $ To $e Cbrapleted: Alt. A Alt. B Proposed.Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Me undersigned hereby makes application for a permit for the work•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 MTE: SIGNATURE: St:ipulat:ions : PQ,,,4- e City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMIT NO 1712 r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t i �__j CITY HALL FRIDLEY 55432 612-571-3450 NUMBER 910-F15 TREV. DATE 5/10/83 PAGE OF APPROVED BY JOB ADDRESS 246 Rice Creek Blvd. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 9 4 Rice Creek Plaza Nq, SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Everett Madsen 246 Rice Creek Blvd. Fridley 55432 574-0068 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. 6 USE OF BUILDING Residental 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a Tbree seasoni)orch. 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR. ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 S2.35 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. PLAN CHECK FEE TOTAL FEE O C RO 0 ZED 4NT (DATE) WHEN PROPERLY V LIDAT D THIS IS YOUR PERMIT A BLDG INSP GATE SIGN URE OF OWNER IIF OWNER DER) ATE J CITY Of FRIDLEY Effective Aug. 1, 1961 APPLICATIM FOfi RESIDENTIAL BUILDVIG PERMITS (News Alterations. Additions. or Repairs) OWNER: I/C 7-7-4� .5 S /I/ ADDP.ESS: gg TEL NO: 6we ell • STRICT NO s 0 BUILDER: 4-.F ADDRESS: TEL NO: Construction Location STREET: LOTS D BI.ODC:s ADDITION _ Corner Lots Inside Lots Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF COIJSTRUCTION II Front: �� Depths 1l n Height: cam,, s ®'-CVA°"` Square Feet: 4l(J Cubic Feet: Front: Depth: Height: Square Fest: Cubic Feet: TYpe of Constructions 1 Estimated Cost: S -q)'04!° - 7b Be Cbr-pleted: Alt. A Alt. B Proposed Driveway Width if New Opening Is Desired: SEE R%VER.SE SIDE OF SHEET Zile undersigned hereby makes application for a permit for the %.*rk herein specified, agreeing to do ,all work bs strict accordance with the City of Fridley Ordinances and rulings of the Dejx%xtznent of Buildings, and hereby declares that all the facts and representations stated in thi ®r- s� stipulations: CERTIFICATE OF SURV R10E GREEK c_ BLVD. o Oe-rNo ens iron monume-m* I hereby certify that this is a true and correct representation of a survey of the boundaries of: Lot 10, Block 4, RICE CREEK PLAZA NORTH ADDITION, Anoka County, Minn. _ And of the location of all buildings, if any,thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this 1st day of April, 1976. A 00 ��¢�_ Revised 5-24-75 Minn. Reg. No. 1094— Snow house uMde-r- C-ons-tr'. SCALE PREPARED FOR: DeMars-Gabriel Land_ Surveyors- BOOK 3030 HARBOR LANE NO., MPLS., MINN.. 55441 9F -51 Pirie Tree Builders, Inc. TEL. SSI -0908 FILE 455 A CITY OF FRIDLEY Effective Date January 1, 1991 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 replacNment furnace) $ 20.00 Gas Piping W-�,(/a $ 10.00 (piping need with ner fur ca) Gas Range $ 10.00 Gas Dryer $ 10.00 $ 6L.0 - ea & • Air Conditioning (all sizes) S 10.00 S All Others/Repairs and Alterations 10 of Value of Appliance wwor W rk S `✓ lam' COMMERCIAL/INDUSTRIAL 10 of Value of Appliance or Work State Surcharge �� $ REINSPECTION FEE $30.00. Rough Insp. Dated Final Insp. /fid Date Approval for Permit S S .50 s MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. N Job Address e9l T Building Inspection Div. 6431 University Ave HE Fridley MN 55432 Tel. No. 572-3604 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 tha facts and representations stated in this application are true and correct. 2 t , 192 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT + "` �✓ ESTIMATED COST V 3 Ogg (OLD NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER' PLANTS, Steam, Hot Water. Warm Air No. % Trade Name Size No. Capacity Sq. Ft. EDR BTU f1l'd UP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By� Tel. No. 5�3 -7 e V 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 ()j No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes (X) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes No ( ) 6. Has Total heating BTU's of /� S', a G d All other BTU's 00 C) TOTAL Rema rk s Company Signed By Da to / CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance -� $10.00 16-00 Water Heater -Electric $ 7.00 Water Heater - Gas $10.00 /6.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer. Required ( )Yes () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance JOB ADDRESS ",!i > - x!.! J 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 facts and representations stated in this application are true and correct. Owner �'le �- Building Used As�-�� Estimated Cost PERMIT NO. /`� 2 PLUMBING COMPANY CZ SIGNEDcSY TEL Approved By Rough -In Date Final Date - - I / State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ 2C .ice PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On August 1, 1995 APPLICATION FOR PLUMBING AND CAS FITTING PERMIT MARK NUMRFR nF FIXTHRFS TO BF INSTAL t Fn nN FAr.W FI nnR PLUMBING FIXTURE RATES: NO. RATE TOTAL 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** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 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 Appii nce State Surcharge .50 JOB ADDRESS teller c� The undersigned hereby makes application 1br 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 facts and representations stated In this application are true and correct. %- 2- % , 1995 Building Used As Estimated Cost PERMIT NO.— RI PLUMBING COMPANY e c" Sl� � s SIGNED BY A TEL N0. 7 7 3 S_ f Approved Bye Rough—in Date Final Date mnIG.mvnr . V.L. .y�7 r�,� 1 r 4\d�llGiii�lV'1l�Ai7 f GI'1 ff111 1\ TOTAL FEE $ 1�2= PLUS '[HE 50 STATE SURCHARGE **COMBUSTION AIR.SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 4- i 1 it X41 i 11 'i fd I,E i a : . • ®�1'��1„`-s.:..! an � r'N � i!�' �I �, � , �r ,! n�i ,I � I� ��I.li��i!:..:'Mr.,.''�I'�e�'�Sli+''�u,_iiw,h'r__ ® •.� �i— ��1�' �1i�1��y!�i!{u�v'=��i.�i�iW I:::!I!�I�' �I:. � MIN i!. II. �.:' �I�'_+�:iMINIM" , .'-141,. .!A��_ �! •• . r r'L ; 5 #�'.i tiiii 1:1'l��y ,I' I'i'' i!'!�' Ji:ii i 111116i�_ 9�1�41__ � �. !' .E}x :1y� j tall !IIf,�� P �: !:�; : i�!iy�,�;; PLUMBING FIXTURE RATES: NO. RATE TOTAL 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** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 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 Appii nce State Surcharge .50 JOB ADDRESS teller c� The undersigned hereby makes application 1br 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 facts and representations stated In this application are true and correct. %- 2- % , 1995 Building Used As Estimated Cost PERMIT NO.— RI PLUMBING COMPANY e c" Sl� � s SIGNED BY A TEL N0. 7 7 3 S_ f Approved Bye Rough—in Date Final Date mnIG.mvnr . V.L. .y�7 r�,� 1 r 4\d�llGiii�lV'1l�Ai7 f GI'1 ff111 1\ TOTAL FEE $ 1�2= PLUS '[HE 50 STATE SURCHARGE **COMBUSTION AIR.SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. m SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 13739 Ir I R I • COMMUNITY DEVELOPMENT DIV. _ r ~ PROTECTIVE INSPECTION SEC. CITY MALL FRIDLEY 55432 NUMBER REV DATE PAGE OF A ROVED B 612-571-3450 910-F15 JOB ADDRESS 246 RICE CREEK BLVD 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 10 4 RICE CREEK PLAZA NORTH ADDITION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE EVERETT MADSEN 246 RICE CREEK BLVD FRIDLEY MN 55432 574-9068 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 8 DESCRIBE WORK REMODEL BATHROOM AND ADD NEW DECK 9 CHANGE OF USE FROM TO STIPULATIONS SEE NOTATIONS ON PLANS 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 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 12,000.00 6.00 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- 187.25 12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 205.25 SIGN TUREOF NT TOR OR AULN6 I DAGENT E WHEN ROPERLY VA ATED THIS IS YOUR PERMIT BLDG _SPIDATE -L 9 -2f Si TUR FO NERC O RBUILOERi IDATEI m ,....... , v„.,.:,•.... ,. ....•< .... a......,c ..: >oa........ a,.,,v.•s ,...,:..> �. > s s.::. c .c :. .. c :. . .. ..... .... . ..........n..„ ..�.,.......... t ... ,., .. ,. •. .., , 1 Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER 14 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 074 e/ C-16 clor)9 `E A '91 , Legal Description: Owner Name & Address: �I/1"O” 14A95A&Tel. # Contractor: Address: MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Width Height Length Width Height Length Width /® Hgt/Ground Comer Lot [ ] Inside Lot bQ Type of Construction: Approx. Completion Date: Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Ft. Yd Setback Side Yard Setbac Estimated Cost: $ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 9 _APPLICANT• Tel. #I, 2zl- A Z- f Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: s 26 42 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 ] 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 March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater- Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance JOB ADDRESS Y6 4 C -C- O`✓(f 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 facts and representations stated in this application are true and correct. /- z-_3—/'ffU '1996 Owner Lams_ 0+ - Building Used As 27) Estimated Cost - PERMIT NO. PLUMBING COMPANY SIGNED �4i�� ��� TEL N0. 7 -) _� 3- ?N Approved By Rough -In Date Final Date State Surcharge $ .50 MINIMUM FEE OR ANY PLUMBING/ TOTAL FEE $' :. PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. ftp SUBJECT City of Fridley C1 2 5 7 8.3" AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. • COMMUNITY DEVELOPMENT DIV. L______ PROTECTIVE INSPECTION SEC. F � i CITY HALL FRIDLEY 55432 �._._1l.' �•i NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 2/4/98 JOB ADDRESS 246 Rice Creek Blvd NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10 4 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Everett Madsen 246 Rice Creek Blvd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Millworks Construction 2725 Nathan Lane, Plymouth MN 55441 544-7577 20062275 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 Bathroom Remodel 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WING, HEATING, PLU,�r13tlVG AND SIGNS.: 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 1 I 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 $3,000 $1.50 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. $74.75 Fire SC $3.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $84.25 TURE OF JPNTR ORIZ ENT - IDATEI WHEN PROPERLY IDATED THIS IS YOUR PERMIT lkDZINSP GATE SiGNATUREOF OWNERIIF OWNERS ILDERI' NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: —6 Legal Description: Owner Name & Address: Contractor: Address: %� J LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 01cc Effective 1/1/98 LICENSE #,,?DQ,2,? 7,57 Tel. # 5W-7 7:7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type-ba`'Sh lAnw. Estimated Cost: $�D (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ 0511 U// AW TOTAL $ 12 STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 3 .001 of Permit Valuation (1/10th%) State Surcharge $ / ,V $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ cel $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 $ 12 STIPULATIONS: SUBJECT PERAOTNO. City ®f Fridley 2 7 5 4 8 AT THE TOP OF THE TWINS BUILDING PERMIT r . 1 16COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 19/3/98 JOB ADDRESS 246 Rice Creek Blvd NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE E. Madsen 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Millworks Constr. 2725 Nathan Ln Plymouth MN 55441 544-7577 20062275 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 ❑ ADDITION ❑ ALTERATION 2a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof garage (10 S 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 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 1 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 $857 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF NY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTION OR E PERFORMANC Of CON CTION.$32.00 Fire SC $.86 - �?PLAN CHECK FEE TOTAL FEE 5 NATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY V DATED THIS IS YOUR PERMIT BLDG NSP '3—W GATE S-GNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW ] ADDN ] ALTER [ ] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Owner Name & Address: Tel. # Contractor: 11�4 0 kS S - MN LICENSE # 2Q2�2 —,R;2 25— Address: Address: 7.22 5 t4. Tel. # 5'Ve — %577 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: leo 1A') eC:A^ - 'LVA -r A L,$S O-Wc , C -7AV (e-cc� 4 i Construction Type: Estimated Cost: $ C ) (Fee Schedule on Back) g� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: CTel. CITY USE ONLY Permit Fee $ 3 2 0 C) Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 6V $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: C,5 SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 7RECEIPTNO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � 4 9I'9 1 . � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APP OVED BY 612-571-3450 910-Fl 5 5/28/99 JOB ADDRESS 246 Rice Creek Blvd. NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 1 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Evertt Madsen 574-9068 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Millworks Constr. 2725 Nathan Lane Plymouth MN 55441 544.7577 20062275 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 O NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Raxaafxkaasaxxxdx axa a New Roof 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. See stipulations on plan. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8000 $4.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR FOCAL LAW REGULATING CON- STRUCTION THE PE ORMANCE OXCO'NT CTION $153.25 Fi rol SC $8.00 PLAN CHECK FEE TOT L FEE S- Li ce s $5.00 70.25 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT (DATE, HE PR P L ALIDA THIS IS UR P RM/ KDG IN SP n► DATE S.GNATURE OF OWNER OF OWNER BUILDERI iDATEi C,5 NEW [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: )L4! Contractor: ��u-trvs JJ Address:7� Effective 1 / 1 /99 Tel. # MN LICENSE Tel. #� X577 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 Hgt/Ground Sq. Ft. OTHER: Construction Type: ] Estimated Cost: $. a Quo (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: Tel. # CITY USE ONLY Fee Schedule on Reverse Side $ t,VO .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%) •o� 5 J SuB,,ECTRi IT NO. City of Fridley 33925 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. y ...... r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910-F15 9/29103 10B ADDRESS 246 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Everett Madsen 246 Rice Creek Blvd NE 763-574-9068 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rosenquist Construction Inc 2526 24 Ave S, Minneapolis, MN 55406 612-724-1256 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20340250 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Install EPDM membrance on main roof area and porch roof 9 CHANGEOFUSEFROM TO STIPULATIONS Install per manufacturer's specifications. 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 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 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 $89000 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4.00 DOES NOT PRESUME TO GI E AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTH R STATE OR LOCAL LAW REGULATING CON - $153.25 Fire SC $8.00 RUCTION 00, HfrPERFCfAMANCE OF CONSTRUCTION PLAN CHHKFEE TOTALFEE c se SC $5.00 $170.5 SIGNATURE OF ON'RACTOR OR AUTMORIZEOAGENT IDATEI HEN PROPERLY VALIDATED THIS IS YUR P RMIT S-GNATURE OF OWNER iIF OWNER BUILDER, IDATEI B DG INSP /1 It J NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION Construction Address: '3� `f (a k i e e C t e 4 k 3/ud LUC Legal Description: Owner Name & Address: F u e r +t' i'yi au�aA� Tel. # Contractor. Av5eng ries I- C onsrt c.4 ^, TA -)C, _MN LICENSE# Address:A59,4, a yfih 140'e,SoLtfk I-%nheeLaei,s Tel.# 60, -7� 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 a Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: _7n5It11 6. ?,D m f)1.P Rf- /nx,A.. noof cL"A-o e"hd POfr oaf Construction Type: R �e 'r a dy n s Estimated Cost: $ 2? d ® ®. &�P_ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ Tel.#763-2`/���3%Y- DATE: �c' ' o3 APPLICANT:��i� ����� Call (763) 572-3604 for Permit Fees if mailing in application. 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 Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $/,53. J S+' CITY USE ONLY - TOTAL -$ Z 7O • a C_ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] CITY OF FRIDLEY PERMIT NO.: 2004-00302 6431 UNIVERSITY AVENUE NE FRMLEY, MN 55432 DATE ISSUED: 03/08/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 246 RICE CREEK BLVD NE PIN : 143024220053 LEGAL DESC : RICE CREEK PLAZA NORTH ADD : LOT 10 BLOCK 4 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : FIREPLACE VALUATION NOTE: INSTALL GAS PIPING FOR MAJESTIC FIREPLACE APPLICANT HEATING PERMIT MINIMUM FEE 25.00 MASTER GAS FITTERS STATE SURCHARGE, MECH FLAT 0.50 2263 N MCKNIGHT RD S TOTAL 25.50 NORTH ST PAUL, MN 55109- (651) 748-8277 OWNER MADSEN EVERETT E & JANET M 246 RICE CREEK BLVD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does i I.ot presume to give authority to violate or cancel the proviions of any other state or local law regulating cons n or a perf ante of construction. Applicant Date Bldg Insp Da v , SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ?Q, CITY OF FRIDLEY INSPECTION DJViSION Etter five ,)auuary 1, 2liU3 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR OOWER PLANTS AND HEATING, COOLING, VENTILATION, cn (763) 572.3604. REFRIGERATION AND AIR CONDrTrONI'NG SYSTEMS AND DEVICES FAX (763) 571-1287 m RATE SCHEDULE Com` JOB ADDRESS !& AC Old O�X)E- Residential OWNER V� re �i% J5en Q Rate TOTAL ll Furnace Shell and Dudt Work, Burner • BUILDING USED AS rrJS e.StAgelT Also Replacement Furnace /� A� (Side Vent - Fill Out Back) $ 30.00 $ �, ESTIMATED COST /00.06' PERMIT NO.0 0' 0'� 'CoGas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Co DESCRiPTIt9N OFF RNACE AND OR BURNER Gas Range $ 10.00 ; Gas Dryer No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 14.40 $ Trade Name Size No. Air Conditioning - All SizesBTU HP EDR $ 25.04 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name "e cSize Noe4y& c rDV30 QX) 1% of Value of Appliance or Work $ BTU 3�! Qric Hp EDR w Commercial/Industrial •1ns,�l/ �iJ�s�-�e Gct,.t �'�e�lczce /�S 1.25 of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE representations stated in this application are true and correct. �,� u 2 DATE M1 IIAAtJ1411 FEE FOR ANY HEATIN -/ OOLIIVC/VENTILATIQN_ HEATING COLLAS el l�S ets $EFRIGERATION/AIR CONDITIONING PERMIT IS $25.40 //�� PLUS THE $150 STATS SU CHARGE Signe �¢!L G - TEL # loSi--Ne- 94'177 REINSPECTION FEE $47.00/HrFAX — -'Air Conditioners can not be placed in a side yard without Approved By Rough -in Date Final Date D�/ written permission from adjoining property owner. / M FILL OUT BACK S1DE O T Gx 1/ERIFICATION ON REPLACEMENT FURNACE CD CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 k AX: ( 763) 571-1257 ADDRESS 246 RICE CREEK BLVD NE PIN 143024220053 LEGAL DESC RICE CREEK PLAZA NORTH ADD LOT 10 BLOCK 4 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING PERM 0.: 004-00654 DATE ISSUED: 05/12/2004 VALUATION : $ 4,000.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. INSTALL A RUBBERIZED ROOFING MEMBRANE (CARLISLE'S SYSTEM) ON GARAGE. INSTALL PER MANUFACTURER'S SPECIFICATIONS. MN LICENSE #20340250 STATE LICENSED CONTRACTOR 1 APPLICANT ROSENQUIST CONSTRUCTION INC 2514 24 AVE S MINNEAPOLIS, MN 55406- A/771 ' MADSEN EVERETT E & JANET M 246 RICE CREEK BLVD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons o} or erformance of construction. ADD AW, Date S -i/ -®i BUILDING PERMIT FEE 97.25 FIRE SURCHARGE 4.00 STATE SURCHARGE, VALUE 2.00 LICENSE SURCHARGE 5.00 TOTAL 108.25 PAID WITH CHECK # 5477 C - AT AT T\T- dTTfl --- R1/ T1 l\T="TTT AATT C1t�1n TT]T-T1 A nr%XM ULL !>L\!>LL L L1U1111U LW�VLLWL LVL\ ♦1 VL\Ll V LLLLJL\ llL[>1T YL/vvivari+✓ �a✓v . �..r. e a (�' "--� NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp,� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION AO' Construction Address: c e C r e e 13 c . /'UC . Legal Description: Owner Name & Address: E V re 4 +- Maels e Tel. # Contractor: PQ® S-0 n �1 J s f h S ji- r "C ILd 6' Poo MN LICENSE #. RO-3 66?S-D Address: OL 9 / 9 ;t Li "" A- —e- S ® h. Tel. # 60 Attach to this application, a Certificate of Survey of they L 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: Leng Width Hgt/Ground Sq. Ft. i OTHER: /h&))' � '' rr i' sLir Construction Type: r a) w Estimated Cost: $ $4/6 ® 0. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: S -,p -OV APPLICANT: 'Todel tV e i I a q AS Tel. # 263 -A Va - i 3 e/ k Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ IDS -�� STIPULATIONS: IT) CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 kAX: (763) 571-1287 ADDRESS : 246 RICE CREEK BLVD NE PIN : 143024220053 LEGAL DESC : RICE CREEK PLAZA NORTH ADD : LOT 10 BLOCK 4 PERMIT TYPE : HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION PERMI NO.: 2004-00869 DATE ISSUED: 06/09/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. GAS PIPING TO NEW RANGE TOP; COLD AIR RETURN # A/C UNITS 0 VALUE OF APPL OR WORK # FURNACES 0 # GAS DRYERS # GAS RANGES APPLICANT MADSEN EVERETT E & JANET M 246 RICE CREEK BLVD NE FRIDLEY, MN 55432 OWNER MADSEN EVERETT E & JANET M 246 RICE CREEK BLVD NE FRIDLEY, MN 55432 0 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant 1--� 0 Date Bldg Insp. HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS PIPING FEE GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 9518 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 150 0 15.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 15.50 CITY Of FRIDLEY BUILDING INSPECTION 631 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-5711287 RATE SCHEDULE Residential Fumace Shell and Duct Work, Burner & also Replacement Fumace Gas Piping (New Furnace, Fireplace, Insert) Gas Range PIPE TV A/0 W R'6111% rL IV "0 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ $10.00 $ $10.00 $-66-C-10 JOB ADDRESS 69 4 0 6P 6e~ U fi Owner A��gfJrf IV0104 0�tl Building Used Ash $10.00 $ ESTIMATED COST PERMIT NO DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning - Ail Sizes $25.00 $ BTU HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater ��r �P G U cvyp? ,SPR 9 $ 7" The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct State Surcharge $ HEATING CO $ �J p Signe Tel #���? T �� TOTAL FEE REINSPECTION FEE $50.00/1-IOUR FAX # Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () 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 IMIN CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763)571-1287 ADDRESS : 246 RICE CREEK BLVD NE PIN : 143024220053 LEGAL DESC : RICE CREEK PLAZA NORTH ADD : LOT 10 BLOCK 4 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-00870 DATE ISSUED: 06/09/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS 2 APPLICANT MADSEN EVERETT E & JANET M 246 RICE CREEK BLVD NE FRIDLEY, MN 55432 OWNER MADSEN EVERETT E & JANET M 246 RICE CREEK BLVD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 40.00 STATE SURCHARGE; ELEC FLAT 0.50 ELECTRIC FORM FEE 1.00 TOTAL 41.50 PAID WITH CHECK # 9518 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building $ Sty BUILDING Plan Review Permit No.: '5;' Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Date Rec'd: J�- d' DATEYOUR E-MAIL ADDRESS $1550 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS 444 C g j--. V19 ft + 6 ft = ft x $21 =$_ THIS APPLICANT IS: OWNER ❑CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: //p ,0 Fee Determined by Engineering TENANT ADDRESS: �fG C G C�dP( %�1�z'I L r L STATE ZIP Total Due PHONE: Make checks payable to: City of Fridley Attach Stipulations CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE_ZIP WITH APPLICATION PHONE FAX PROPERTY TYPEINGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 'SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: CO f 44 AfX 5�f f�%� O%' `' /D /Al SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING 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 ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ JV0.00 OCCUPANCY TYPE Permit Fee $ Sty See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ;;L0 .001 times the total job valuation Surcharge $ !M .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 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; that the work will be in accordance with the approved plan in the case of all work whihTwuires review and approval of plans. SIGNATURE OF APPLIC PRINT NAME / `DATE /� `i f)onr-I a Building PLUMBING. Permit No. Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: ti DATE /// b /® '�' YOUR E-MAIL ADDRESS SrIE ADDREss 211(, �/ e C- CdE Efs THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY NAME; r_7f1_OWNE ADDRESS: #6 X / 6-ef Gf EE e\ 9L ti°i� .CITY /�� �� STAT��ZIP�Y-2 TENANT PHONE: CONTRACTOR NAME: tom' i SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW XREPLACEMENT DETAILED DESCRIPTION OF WORK A 15-IE� 5 ///�k_ h&oO 0 PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.shouldreflect only the cost of laboro ) ���or�imder�$300$15.00. or cost between $300 to $500 =cost of labor, a° X.05= >fO"ROJECTS WHERE LABOR EXCEEDS 000 -FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERENOTED- 1FIXT S --.(INDICATE TOTAL NUMBER OF EACH BELOW) BATH S1NKILAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ GAS PIPING omo crrrucDm) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET BACKFLOW PREV. ($15) _ _ WASHER LAUNDRY TRAY —WATER HEATER ($35) ^ FOR IRRIGATION DISHW _ _ _ WATER METER —OTHER xr Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ 3 . Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 6 Lb State Surcharge = $ .50 Total = $ 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 aljxork which -requires review and approval of plans. SIGNATURE OF APPLIC PRINT NAME,✓/i��/ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977