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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Owner: Builder MRAd- Address Address OF WING Agallo. Street --- i - _ _ P Lo _. _ Lot a _ Block'. Addition or Sub-Divisi� --—+ It W Corner Lot _ Inside Lot _ ' " Setback S,ideyard' Sewer Elevation _ _ _ Foundation Elevation DESCRIPTION OF BUILDING_ T Used Front Depth Height 4j Sq. Ft. f Cu. Depth eight Sq. Ft. Cu. t Dep �.�� �. . Type of,, nstruction Est*. 'x""'1'0 be Completed 3 In consideration of the issuance .to me of it permit :to construct the Ibuilding described above I agree to do thu prnposed work in accordance with the description above set forth and in compliance with a'll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $, permit is hereby granted to— +q construct the building or addition as described above. Thispermit 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, alteratio aintenance repair and moving of buildings within the city limits and this permit may be revoked at any u f any of the: provisions of said ordinances. Building Inspector AdW r NOTICE: Thk permh idoses rot cover the construction, insh"oo for wiring, phmibh►g,, ga.heating, nwer or'WdW. Be sun to ass the Building InspWar for separate pwWb for rheas Neem. Y:- 4+ 1 APPLICATION,FOR BUILDING PERMIT CITY OF FRXDtEY,.MINNESOTA OWZ BUILDER, ADDRESS e X'714DDRES LOCAT16N No. Lot Block Addition or Corner Lot Inside Lot Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION of Lot Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates.. To be used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height, Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be I Completed The undersigned hereby makes application fora 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 application are true and correct.. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit 61 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TO L Number Fixtures ...................... x $1.50 $ o� 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 $ O d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL _ 1st 3 Fixtures .......................... 7z x $1.50 $ ' Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE Dept. of Bldgs. Phone SII 4-7470 A �- 1 Location �(e2' 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 all the fact and representations stated in this application are true and correct. / Fridley, Minn— � "® 19�o Owner Kind of Building 4 r Used as To be completed about Estimated Cost, $ Old—New. Building Permit ROUGH r 9 ' 0 FINAL -980-42 2M yq� � � � i� � 8�8Z O� J (9 0 Z �U' • P • N WATER HTR. GAS ELEC. 3 F in c a '�c QZ V < U�' •� (�9 aS O Base ist 2nd 3rd 4th • Future Connection Openings Connected with 1Sewer * New Fixture, Old Openings 1 Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TO L Number Fixtures ...................... x $1.50 $ o� 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 $ O d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL _ 1st 3 Fixtures .......................... 7z x $1.50 $ ' Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE Dept. of Bldgs. Phone SII 4-7470 A �- 1 Location �(e2' 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 all the fact and representations stated in this application are true and correct. / Fridley, Minn— � "® 19�o Owner Kind of Building 4 r Used as To be completed about Estimated Cost, $ Old—New. Building Permit ROUGH r 9 ' 0 FINAL -980-42 2M Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices 91, 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. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ 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 BTU) ....................... 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 Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 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. Fridley, Minn_ 19 Owner Kind of Building�- Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. permit No. o7- f® DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Water, Warm Air—No Trade Name 4 zr Size No Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load/Kind of Fuel BURNER — Trade Name �� Size No Capacity Sq. Ft.'E.D.R BTU H.P. a (REMARKS -OVER) Signe B � „, 42 2M Business Phone No 560-3450 1111a 'y of j ANOKA COUNTY 6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55421 August 3, 1967 Mr. Wayne Goldenstein 2860 132nd Avenue N. W. Coon Rapids, Minnesota Re: 280 Rice Creek Blvd. Michael Kuzyk Residence Dear Mr. Goldenstein: I received a call from.Mrs. Kuzak again today regarding a fireplace which was built in tbair home. You have received numerous letters in regard to this matter and as yet it has not been corrected. These letters date back as far as June, 1965. If this matter is not corrected within 10 days this will be turned over to the City Attorney. Incidently your license has not been renewed for 1967-68 making any work you are doing in Fridley in violation of Ordiance 104. If you have any questions in regard to this please contact me in my office. Thank You. Yours very truly, CL CE BELISLE Building Inspector City of Fridley CBfbs ­�.� � 1 , . ll., �, ­ , , , _1'a. I � , I'� . . . .c _� . ., `� *;.�� ­. j* 7 , i , i -, � . ., ., r� i � - , ;�, ,� 11 , , . " .. :. - ,,, ,�t I- . . I ", : �, , . - ',�, ­', . ..� , ; .. - — I I 1- ".., �, I. , �i " � .. I , - , , � � , . , t " �" , . �,, �­ � � " � ­� ". , , ": - . , . ,-, , , , : . . . � � . . . . , a—I -,1,-V . "I ': - , , � - i I I I " * ?, , . �, I . ...", , " I �4,�)­'?,�� t , , �, , W " �, % � ­J� �. I � ,. .11 I " , � - .��, .— , .1 - . .­ , ., 'k , I � ,";",�,::�.�-;�.'�.�,:,,'�,,,�, .".. . .� ,-,:; .J� I - j� � ,� C -'� . " � , �. ! 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"' "�?, ,' , f , �, , �_:' � ': , , , . 'i . '. .,.,� . �' . '_ ... " :,; I � I f!",,_L _ , , , _ , �; �. . ... 1, � . ..- �",,' I '' & .. - . , ,,. I�v 4..�' , " . , .. . I , . . .., I I - _ - I _��_,_.,_.,� . ,--, Ito: � . - � . . '. - .. � . ., 1b, 280 Rice'Creek Boulevard . , ... 1. :Fire * I ai p , - �,,, .­­� , , �,� W,��;, �' , I ,,, � � V' �,­. , "., ',!,,_.,� ,,I,, ,..,­�,��., , . _�. , � '. . �. -�-,� "-, . � . , ' ,!ir-_,. Michael Kuzyk"R6 ., sidenca.,,,,�� � . I. , � '. . '' , , 1� I , I * . - 1; , 'i '. 4 ,,, , I , ,-, " I I - . . C v , '...'.."., �.. ­-, - .1. " .. �, ,. ,.. . ., �.. " , � ­ 1, t,,; ,­ ��` I � ..� , , * , , . - -n '_ "., -:.:,.: ,­ . ­_ , .' Wayne Go'Idenstein :Job' ,, -, , 11.1 ".. �� , I !-I.. -�, �, 1 1. - �'. � - .i'? ,�_�4, 1:1 1, " - . ,�, � �,�:,, _. , �'. ,: - ­ — 1.4, � I - I �zl �, : 'r J�.­,. ',,,f �, ,­ ,-, , � � , I 7� � I . ,� . I "I, I � I f ,; *, , , , . - I- ­ . I , ,v ­- , �,.-,, , . I . .j �,� . " . '. I . 7 41 I I - . � _ � , 1; -1 I I , - . - , .0 , , ,,, , � � I I . I * 4� i. I " -1 1. � , , , , ? ,` ` ;. ',,.-- �� I I , ^ . I . ", , A, ,� � ,� m I , �', , .. .... Vii:: , � ,4, � I � I , . � - ,�. , " I -� - :, ...... I I . - ", �­. , -,.�i %, � � ., - �1. . I , .1 ,�. . ,;� . : . - � - � , :, . I . j ,� "I ,� � ,,;� ." ,:, : . � I . - �, I I � . � � 6 �.', `� , :i I , , - " ; I " . . 1. . .. � .1 I . . I I ;,. " ": , .. ear. Mro -GIbbs j � :,": - , .,�;. , ` i -, '. .1 . � I . . I I , I : , � � � i " . -1 *­ I,' . a.3 -.r i4:r I . � . . .,� �._ 4 ? , ! -". : D - . _�- , ... . �4 , , i �.. ,� , I , .. I I .1 . I :, I : ­;.., ... � . ­ I -L:-,'_ :,�- � ;. � - . � ... 11 "I %. . .�'­ C - .... , I I . . ". .- . ... ... � , '' %� . " � ; ­ _..;�! ,;- - . ­ , Last fall,' 1, believe you,were, acting * in ths-Intirests of ..,. ...­­ "'. J�-,:.' " � � I I I 1. � " , - - ,�r , '' I . 6, ''.", �.t ,)4, .1 " � I. A,.�.!, - � � , I �'.. :". 1. . , I ­X��. '..".." �,, ' ' I � Mr. Kuzyk in reference to this fireplace smoking in Mr,,,.Goldenste , ,. '_,__;� I - "V,_'.. ­. _�q ­ I I I , . , � ;, . . - A,i, - I � . ,. *� - ., , "C"",-, " ''­2,�,:�, -i� -. ;- " ' ., .1 " , , . � .. �� , , , I - . , "" , , '"'I -11 .. i , � - - - - J, ­. --,c,,- - - , , �,�­:;'.`,L­ at, that did a small of. work in an effort to ready` the :.. . -, .. ,., . , ,I I ,* -L"- .k. � ;,?, i .., . I I . � . . � 11- I I 1. ­ .-�,��.,,�­­�,�j,',.'4,'s 1, ?.,: ,,­­V��j� -,,_-,L' situation and suggested We leave it and how�'it'%�6rked,i, ,,Obvious 1.�1-111'! I;"!. ­1�1 . ­!'ji 1. . . . � ..� - . � - I I'll. f, i . , I. _,�...­,. r, , % , .� ­­ . * ­� . I I 1, � I _:;�_ �. "I.... . , .. � �t t. - ... ,,:- ­ . �­: � �, . W , _ . �:';'.' I", . 1: . � I .� . .11 ��-: i � . . I I - , � � .. �. I '*� .. .... .. i.,-'. � ,�. I..,' t does not work, � I - I.. �,- .11, I . � 1. � 1. I L ! 14'1 � �.I. I "': I . . , . ­ * 11 I � � �'. I - * � ­ :1 _4 �:� 1�­�, Ii -1 . : ,: �... .... '' 1. . .. - I I I., I.. � . I ­ ,­�� , I , , . . '� , , , I.,:, 'O'. - w, . - which - - ,`,�.��­­,.,`�­.'- - . . I ,,,, � �­'A;, , ,:� on the even o l 18th, Mr. Kuzyk called .­'�_�­'.f."." - " , I. "'I �. , (,�� * , � I..": �1'1, - , , 1'�, � J, f �, , � " .,. ��_ ��', '! . ' coming 1, ?"', � , � p­4-� Z�,.t _, .t:, �,�',"� " t ime they had a fire in'the,basement fireplace and was c I ,"�-" R"", � I RE;* -0 -'_!, I I - � Al. r � � j�,,, . � ... i I '!, �,-'_�,,-� �_, I—- - "___ ­_­ 11'' , that: ,�-��* .. ,----,�. into the upstairs 'rooms from the upstairs, f ireplace*� , There ' was '. at I ,;. . , ,�� '. ., , '". _90, �_. - �­ 't�� , " ,,I,,. r.,�­2',,v�x, . � the. . . fireplace., . �._, ,Y�­­, �Ig.;�.: . L. , . 'i'�'�._'�L;��.�.",,�*11'��.�.�, - ., _ , y. , �,�,,� ..". � ­ I -io the am6ke had'.,to be '' - ,� �, , � I 4 v - �, �, ��",­, on the flue on the upstairs.fireplace- h . ,� time a cap _ .1� I -%­�'. - I i: ,---,-.? 11 -i- upstairs . . 1. .1 . � . � �..).. I I . - i . '.'..i _:'.�. _ " ".. ­ 1. I h - This `­;." _:. " 4, �,�,_ �­ ­ 11-, .,�_ , A."', , 1: �"­;, trav chimney., � ,.. - , .'­ ,',­­','1�7,t_�_­ , "I � x ','j­ee.to..the other inside of't a chimney.,­ ,�', 11 � � .: ­�_�,R, � I". " ­ ., �,,,% �,�;,, �, - i, � I I , ,;,. . 111�, � a' health ism "-e f"`­I`z� ...I.cannot.be,tolera'ted a it serious � 1, ­ ". 4 _'�, -�, !" ­.�, , - I ... . . _� , ., I I ,;,,. '.":,�'.o�'.` " �,,�.-_' a �, ,'­. ,,,,r',,",�,,��,,;,.,,��.;,:,.:��.�,.r,�..�, i,4,1,�.,�,,- - "`;­�'A' - , . , ,f,!'L4­ - � opinion; . that. it'. poor I construction that.the, chimney ' ­ ' "I ­ . ."�, , � _, �1�, . . ' , I `� - ` ,-, *� - . . 'the .t . _1�3..­,: .... .. .,;�,:, �. ,1�41 �,,!�� , , , I ". " �i-,,, �­ . I . � "'." . -opened, up, and' a :complete seal.be-installed.between' two . .,.'�. � " � .. � . . . I . � , " ; .. , . , I . - , , "� � .1. � . , . ­ , � , . _.I. , - - I " . - , . . , , j..I. �1'1. ., � , , . , � , . . ,� . . 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" I . 11 � , _,.i. 7 — , , . I : �­ �,, - . � � : , I 1� _- - 1. �". . - , i -.I tl-. , . . , � , , "' ". , . .�' � , , , `11 I -, � :.1 .,:: . . 1 , , , .�, . , , . I , � - , _ _;�,4�4 . ,*, . . . I - ,.��,�_ : -, , .. '1� �� , ., . . �. , I t - .1 t � , . 'I' - , 7" , , .. I .- � , , , , ; .1� ." .1 .- � - . �, � I ;. - ", . � , . ; , -, . . , , , � , . , . I . I . .. . .. I , , ': �� �, .1 , I - .1 , , - ., � . , - k - . , , : . . , � - . , - . I . f " , , � . I ,: , � � . - I . , . , � � 1. * � �i I, .�, .1 �. . . , ,.� � , , . , . . � .. 4 � , . . . ; � . � I � I � I I : � . " . I , .1 . . . .� I ,�. I � I . I I � .1 ;. .:.� . � I I , �� � I . .. . .. I � `� . � I " _w -N '6211 Vniverolty..Amenlue ever Cr Rice locuaol:w z t., z V, :.Mrs'�*'Utyk stating tlbat' th'ST: -s i kheir . . I . . � :. - h u . pstairs..- itoplik, ce-4 go jug -,U t t ik 00 etwte . was , a.ur.:.'rea - ptijroxilliato yo : tw:,or.,, - Id a I care ks�'ako )46i : perhaps.-" take . vt,ihu;;situation. bt'* b*ious y - It- didn'trvork4iid �inte; hem be back ' ow this -,job lett-6t e aud ive' brim "til Januart 1±4tht4_,.8et:bick;*- �'4 Simere. 5 280 Rice Oreek Blvd Fridley, Minnesota November 299 1965 Oity of Fridley Building Inspector Mr. Allen G. Jensen Dear Sir: In reply to your letter dated November 23, 1965 I hereby give permission to Mr. Golderistein to repair our fireplace* in th®'manner he desires, so that it.conforms to the building oode. Sincerely yours, / �G; MIOHAEL KUZYK I I i � wm:�­.. *, . I , � . - ,.-', 1. - ,,'-, - I I .1 ! � ,?,- � - ,., __ I , .�-.� � , , - , , .,t, , .- ,�` -,;, t-,,., .. �,.,,, ,,� O., ,,,,,�:, � .- - - ,"9. ,.� 1, , � , � ,. 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I. i * - 1 ,�,17 , -, I I - _+a•, " - . , - I...", . - "�. - , �,` 1� t, I -�. 1:1, ,!, ,�. It ,q��., y,rmf:�,� �,V� ; ,� I - .�, 2 ;-, lflt!1414-,-11811�1� "'. . ­ -;�, , I'm *:", , �-­­t',n :..., ­- iiz. ", It, , i.�,*, , I , , A ,-Irl �,_�, I- - P- - . fl�­,.:i,-,,!-_`,��A�i � ,,� j,", ,,:�.-, - , *.:.; ". . - . N ..q ,:1,"'.,�.",� "'i. -C., , . - - .", �, -I,,- : . , -Lt.'� ., -r'. t --:3', ,­; , I 4:� .�, - , - I. 1� . , �..: -, * " - - . ,� - -i��7­.;�� ... .... ,'. , ,�� , I - . . I , : I , �: .,:* .�,_,�f, , tv ' .- 11:1. ,.�-,�`, . 1, : � , - �. _*' : 0�'�',"!:.6 .-.�, . . _ , - ", . %* ,�.:,,. : I �. � I , I . . I . . .. J f REPORT OF INSPECTION OCTOBER 20, 1965 ' 280 Rice Creek Terrace '+ Kuzyk Residence GOLDENSTEIN INSPECTION THIS DATE SHOWS OWE HAS ATTEMPTED TO SEAL HOLES BELOW DAMPER AND ABOVE BASEMENT FIREPOT, A FIRE WAS STARTED IN BASEMENT. SMOKE POURS INTO THE UPPER CHIMNEY BETWEEN THE _ JOINTS Or EL,U LII�R AND BELOW THE � ,s BOTTOM VLU LINER ON THE NORTH SIDE WHICH $N'OICATES LEAKAGE FROM LOWER CiiI46Eyi TO ALL AROM OR AT LEAST FROM FRONT 'L'0 NORTH INTO UPPER :CHIMN'EY, SMOKE COMES INTO LING ROWI INDICATING THE LEAK IS LOW IN THE LOWER CHMM, UNDER CERTAIN C00ITIONSj, SMOKE COMES INTO CLEAN OUT AREA, nUES ARE CAPPED AND PROPEIMY SEPARATED ON TOP 0r+ CHIMNEY, WHEN CEM �-O /?/ 6� OUT DOOR CO IS OPENED, MORE SMOKE COMES =0 LMING ROOM& WOOD - BOARDS ARE NSXP TO FLUE LINER XX CLEAN OUT ARU. �F V101ATION OF SECTION 37.02-6 (B) ON LIMING OF CHIMNEYS UBC -64 f: Raw ' T • Gtr f i,t1 x R MAI N1-1+ a, T f >�( k:' III �iI F l. "�• 3 280 Ries Creek Terrace Xuzyk Residenee G=ENSTEIN VMS ARE CAPPED AND PROPLIMY SEPARATED 00 TOP OF MMEY. WMM MZAN� OUT DOOR h u rt 1'i 1' MORE BROKE YE. MO LWMG x G M ; O 1965 REPORT OF INSPECTIM OCMER 20, 2$0 Rice Creek Terrace Ruz k &eeiden TM FLUES ARE CAPPED ROW. v r 'r VIOUTIM OF SECTION 37.02-6 (E) ON LnMW OF CHMMEYS - UBC -64 r HALL, SMITH, HEDLUND, DUSTER, .FORSBERO AND FEIKEMA . AT nOMWVO AW LAW L L.=1«n L.I,.b ma.gnL oe one where we. could charge a mis- demeanor for violation of the building code. Here the fireplace was built improperly and we definitely have a fire hazard. The Building Inspector could sign the com- plaint and it could run against Wayne Goldenstein. When we discussed the previous building code violations, I think you and I concurred that where we had no violation directly relating to health and safety, that we might not get too far. If you agree that this is something that might be tried, would you plan to prepare a complaint and have the Building Inspector sign.it and notify Mr. Kuzyk so that he -could appear as a witness. Yours truly, Wyn WS rac cc: Mr. Allen G. 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City of Fridley SUBJECT PE 2(1 0201 AT THE TOP OF THE TWINS BUILDING PERMIT 11 r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC.e1 �/ u�J 1 = CITY HALL FRIDLEY 55432 L J 7 J NUMBER REY. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/2.0/89 JOB ADDRESS 280 Rice Creek Boulevard N.E. 1 LEGAL DESCR. LOT NO. 3 BLOCK 4 TRACT OR ADDITION SEE ATTACHED Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 571--0041 Allan Patchin 280 Rice Creek.Boulevard N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Western Remodelers 2520 .West Larpenteur? &t. Pauli PIN 645-1411 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 CA REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (:30 Squares) 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be 2nd laxer but not 3rd. S'017 170 roq ods ort On all new roofs or tear -offs and replacement roofs. fro Loge U>r°s °agoState 15 lb. Coderequires fpo o��' bo ;gat? afs and r mopped betinstalled to a -point 24, inches Z"70" 10/* N/from exterior wall llmembrac►� sae of other t0 °f IS>b�oot /. r a r° appro ed ►lnderiaymet °fs, the 'DO�ot brae. ase of A/1' her 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 JSTALLS 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 $x-/500 $e75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIOOF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S R C O OR THE PERFORMANCE OF CONSTRUCTION. $35,00 P N CHECK FE'E TOTAL FEE �� 4 _/ _57 $35.75 SIGNATURE O NTRACTORORAUTHORIZEDAGENT (DATEI IT NWHEN PROPERLY VAL TED THISV�7 L BLDG INSP SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) NEW [ ] Effective 5/1/88 ADDN [ ) R-1 AND R-2 AL's [ ) Building Permit Application Construction Address: Legal Description: Owner Name &Address: Tel. Contractor: (A/� % ���1 L�-,i�1 �� �o� S Tel. Address:. - 1i60woz5r T UB s% 4Q20 tei Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. • :,ti ol 5 is y lo • W M i Y, vy •.• Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTTER: f? I;D /9 j�- Corner lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ % /� Width + 6' See Back Page DATE: ✓- APPLSCANTj Tel. # 'S ,S CITY USE CNLY Permit Fee $ OCA State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ e�� 9L - STIPULATIONS: Fee Schedule °-on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [•] Not Necessary [ ] SUBJECT City of Fridley 211 3 7 AT THE TOP OF THE TWINS BUILDING PERM ITC iR&£E PT440, _;' - _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. qq NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/25/91 JOB ADDRESS 280 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Rice Creek Plaza South. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al/Jean Patchin 280. Rice Creek Blvd NE 571-0041 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Custom Remodelers Inc. 8729 Central Ave NE, Blaine MN' 55434 784-2646 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct basement bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan Nl li E Q). TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $9,200 $4.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY .01 ER STATE OR LOCAL LAW REGULATING CON- $117.00 Fire SC $9.20 RUCTION O ERF M E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $130.80 GNATURE CONTRACTORO� ORZEDAGENT ID EI N PROP R I TED THIS IS YOUR PERMIT 'a G INSP DATE SiGNATURE OF OWNER OF OWNER BUILDERI IDATEI CITE' OF FRIDLEY NEW [ 1 ADDN [ J ALTER ( ] TEL: 612-571-1287 Oct 25 , 91 9:14 No . 002 P.04/05 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building permit Application Construction Address: :290 Legal Description: e4 Effective 111/91 , Owner Name & Address: �Lf C//e��,� Tel Contractor: Tel. # Address: W�E9 ZVI 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: A�� � T Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ,��ss a�cn� ref Estimated Cost: $L. C%ZO O Approx. Completion Date: _-'�fz:go Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT -, Tel. Permit Fee $ 11 ', 06 Fee Schedule on Reverse Side Fire Surcharge $ 9,a'3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $_. $650 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL STIPULATIONS: C1a.©e t1 7 xr�yrc 7,04 r.. Land P/annin9 6875-919hmy #'S N.E. Land Survetfi, MinneaPnGs 32, Soils Testing ENGINEERING, INC. Minnesota Civil & Alawppal SUnseI44066 If, �ineerin9 En yineers Sur veyom -- certificate of survey for 5 cALA t., : 5o, 10T 3)SLOC V, 4 - r I,- r C j< �' A 7ot� •• �^'''~ -- a V1oka Coun . PA AnnaS040 — r /hereby cerfify #Ad Ibis is a b-ue and carred mpnemdaf an o.'a sarvetf rhk bwndo es oboie &sc,46ed /mid, and of'/fie /acgfian qra// 6,iildin9s , &reon , and ell risible enunvchmenls , l'ony, � n ar art sold lond. As surreyed htf me ffus _ cby ltj jx A.O. /9S i. SUBURBAN ENGINEERING, INC. 1 EagTeers 6 Surreglors 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 Water Stories Closet Urinal Bath Tub Shower Wash Sink Tray rink. Floor Drain Catch Auto. Gas Gas Basin Washer Ap I. Range Misc. Fixt. Water Heater Gas Elec Basemen [Fount. Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS'`/L New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader _ $ 7.00 /( ,1991 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas _ $10.00 Building. Used As / 'c . Gas Range $10.00 Gas Dryer $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $5.00 PLUMBING COMP Y������ Reinspection Fee $30.00 SIGNED BY TEL NO. � T' ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance 7 Z Approved By a�j Rough - n Date Final Date � Cl State Surcharge $ .50 ').0 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.§Q STATE SURCHARGE ADVANCE SURVEYING & ENGINEERING CO. 5300 Highway 101 Minnetonka, MN 55345 Phone (612) 474 7964 Fax (612) 474 8267 November 29, 1994 Ms. Jean Patchin 280 Rice Creek Boulevard NE Fridley, MN 55342 Re: Elevation'of lowest floor at 280 Rice Creek Blvd. a Dear Jean: We have determined the elevation of the lowest floor at 280 Rice Creek Boulevard in Fridley, Minnesota. We find the elevation of that floor to be 842.77 N.G.V.D. This was determined from two benchmarks furnished by Fridley, the top nut of a hydrant at 290 Rice Creek Boulevard = 852.95 and the top nut of a hydrant at 260 Rice Creek Boulevard = 848.63. The difference we measured between these reference points was within .02 feet of the record value. We understand from Kurt, in the City of Fridley Engineering Department that the base flood in this area on Rice Creek reaches an elevation of 828.00 and thus your lowest floor is far above that level. Sincerely, ADVANCE SURVE G & INEERING CO. JAmes H. Parker, P.E. &-P.S. No. 9235 Federal Emergency Management Agency Washington, D.G. 20472 Mrs. Jean and Mr. Alan Patchin 280 Rice Creek Boulevard N.E. Fridley, Minnesota 55432 Dear Mrs, and Mr. Patchin: MAR 2 2 1995 IN REPLY REFER TO: Case No.: 95-05-918A Community: City of Fridley, Anoka County, Minnesota Community No.: 270013 Map Panel No.: 0003 B T-218-70-0 This is in response to your request dated October 26, 1994, requesting that the Federal Emergency Management Agency (FEMA) determine whether the following property is located in a Special Flood Hazard Area (SFHA), an area that would be inundated by the 100 -year (one -percent annual chance) flood. Property Description: Lot 3, Block 4, Rice Creek Plaza North Addition, as recorded in Plat Map No. 203509, filed in the Register of Deeds Office on October 8, 1959 and in the Recorder's Office on December 29, 1994 Street Address: 280 Rice Creek Boulevard, N.E. Community: City of Fridley, Anoka County State: Minnesota On February 10, 1995, we received all information necessary to process your request. After comparing this information with the National Flood Insurance Program (NFIP) map for the City of Fridley, Anoka County, Minnesota, we determined that although portions of the property would be inundated by a 100 - year flood, the existing structure would not. This structure is correctly shown outside the SFHA on the current NFIP map. The structure is located in Zone C, an area above the 500 -year flood level, where flood insurance is available at low rates. Because portions of the property are in the SFHA, any future construction or substantial improvement on this property remains subject to Federal, State, and local regulations for floodplain management. The southern portion of this property is located within the FEMA -designated floodway for Rice Creek. The FEMA -designated floodway is the area that must be maintained in an unobstructed condition in order to prevent unacceptable increases in flood levels. Therefore, no construction may take place in a FEMA -designated floodway that would cause any increase in the 100 -year flood level. Also, since the FEMA -designated floodway is adopted and enforced by the community, any proposed revision to the FEMA -designated floodway must be submitted to FEMA by community officials. The community should contact MAR 2 2 1995 7 Mr. Eric Berman, Engineer, Mitigation Division of FEMA's Region V Office at (312) 408-5543 for guidance on the data that must be submitted in order to revise a FEMA -designated floodway. It should be noted that this property could be inundated by a flood greater than the 100 -year flood or by local flooding conditions not shown on the NFIP map. Also, although we have based our determination on the information presently available, flood conditions may change or new information may be generated that would supersede this determination. If a flood insurance policy has been issued under the NFIP covering a building on the aforementioned property and that policy was required by the mortgage company in conjunction with Federal flood insurance requirements, then flood insurance coverage is no longer required under those Federal requirements. Accordingly, if a lender imposed the flood insurance requirement, that lender will have to determine whether or not to continue that requirement. The lender may determine, as a business decision, that it wishes to continue the flood insurance requirement in order to protect its collateral security on the loan. If the lender decides to release the borrower from the flood insurance requirement, and the insured decides to cancel the policy and seek a refund, then the NFIP will refund the premium paid for the current policy year, providing that no claim is pending or has been paid on the policy during the current policy year. The insured must obtain a written waiver of the flood insurance requirement from the lender to provide to their property insurance agent or company that is servicing their policy. The agent or company will then process the refund request for the insured. Even though the structure is not located in an SFHA, as mentioned above, it could be flooded by a flooding event of greater magnitude than a 100 -year flood. In fact, more than twenty-five percent of all losses in the NFIP occur to buildings located outside the SFHA in Zone B, C, or X. More than one fourth of all policies purchased under the NFIP protect buildings located in these zones. That risk is just not as great as the flood risk to buildings located in SFHAs. In order to offer flood insurance protection to owners of such buildings, the NFIP offers two types of flood insurance policies: the Standard Policy and the Preferred Risk Policy (PRP). The PRP is available at low cost for buildings located outside the SFHA with little or no loss history. Information about the PRP and how one can apply is enclosed. The Standard Policy is available for all other buildings. Individual flood risk situations and insurance needs should be discussed with an insurance agent or company before making a final decision regarding flood insurance coverage. This response to your request is based on minimum criteria established by the NFIP. State and community officials, based on knowledge of local conditions and in the interest of safety, may set higher standards for construction in the floodplain. If the State of Minnesota or the City of Fridley has adopted more restrictive and comprehensive floodplain management criteria, these criteria take precedence over the minimum Federal criteria. MAR 2 2 1995 3 If you have any questions or if we can be of further assistance, please contact Helen Cohn at (202) 646-3457, or by facsimile at (202) 646-4596. Sincerely, Michael K. Buckley, P.E., Chief Hazard Identification Branch Mitigation Directorate Enclosure cc: Region 6,3 ZONE AB tip: j �� ' xt % INITIAL IDENTIFICATION: of a 31 MAY 17, 1974 )(_)D HAZARD BOUNDARY MAP REVISIONS: MAY 14, 1976 W i ZONE B LOOD INSURANCE RATE MAP EFFECTIVE: W s .. MARCH 2, 1981 C tk 834 " T, LOOD INSURANCE RATE MAP REVISIONS: _RICE CRE - / � EK BpULEVAR�, � ZONE B NATIONAL FLOOD INSURANCE PROGRAM RM10 L I , R1� E 30 "x UNI ERSITV iIi ZOB FLOOD INSURANCE RATE FIRM ATE MAP ;F CITY OF 4 FRIDLEY, ZONE B $'� � `" � ,` II MINNESOTA ANOKA COUNTY SERVICE ROAD HICKORY ZONE B - 827 �� PANEL 3 OF 4 CI RCLE BURL/NGTON I ZONE B ,.b SII COMMUNITY -PANEL NUMBER 210013 0003 B EFFECTIVE DATE: MARCH 2, 1981 federal emergency management ages, federal insurance administrate R F u °R ZONE B r DRIVE I i , 4 82 LOCKE LAKE DAM` AND SERVICE ROAD �qRr ZONE B MAN ZONE B \ ZONE B c COMMUNITY -PANEL NUMBER 210013 0003 B EFFECTIVE DATE: MARCH 2, 1981 federal emergency management ages, federal insurance administrate d L APPROXIMATE SCALE 500 0 500 FEET NATIONAL FLOOD INSURANCE PROGRAM FLOODWAY FLOOD BOUNDARY AND FLOODWAY MAP CITY OF FRIDLEY, MINNESOTA ANOKA COUNTY PANEL 3 OF 4 (SEE MAP INDEX FOR PANELS NOT PRINTED) - COMMUNITY -PANEL NUMBER 210013 0003 B EFFECTIVE DATE: MARCH 2, 1981 federal emergency management agency federal insurance administration 7 4�y o y 3.' z n �w r� k�3 h � w• tf' SAA G; jot F E,Ali {� -----' RN110 -111 ��l I ' Land Planning(Y (toff ro 4m 6BrS-Highway *SGS ,V.E. '' Land Surveyir►g Minneapa/s32, Soils Testing ENGINEERING, INC. minnesafa Civil & Municipal SUnvi44066 fn ineerin / y 9 En ineers E Sur ve oris certificate of &a Fo: E !!M G S V E L 0 P,,d`EN',T r0. q` ?'T°' ✓ oto ' d - I (Orl S P 4 L C, l° : 50 AV) o K A C o L4 V1 \! a 1Ylne 4PJ'f Q '�' /hereby whry Met this is a /rue and tarred represenfotion o�'a survey 10M dbu.►dar es qr* eborr &scr4wd land, oad 4W beehen va// bQdin9s, #xreen , ad od risible mavachmenfs , il'any, fi wn or ar mid /and. As curvet ed fig me /1u5 - doy A.o�- SUBURBAN ENGINEERING, INC. ° Eriginetrs fr' Surreryors by SUBJEtT PERMIT 9.- City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 2 9 0 5 2 ECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. iJ r PROTECTIVE 1 "9 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/23/99 JOB ADDRESS 280 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 4 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alan Patchin 280 Rice Creek Blvd NE 571-0041 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tabor & Sons Inc 10547 Terrace Rd Blaine, MN 55434 789-1902 20014248 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 O ADDITION ❑ ALTERATION 1 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage (28 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 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 $2,399 $1'20 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. $74.75 Fi SC $2.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION elf PLAN CHECK FEE OT TL FEE Licens C $5. $83.35 SIGNATURE OF CON7RACTC OR AUTHORIZED AGENT IDATEI _ EN RO t Bl IN SP V LIDA THIS is OUR PERMIT JJ� �1 " rlAtE S,GNA TURF OF OW NER iIF OWNER BUILDERI IDATEI „� NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Oq 90 R `C e C f e$�< 1 U� Legal Description: S'^9 k h6VV%(' Owner Name & Address: A (-,Q k,' Al a460 �) C e & -eek g i viD Tel. # 5 71-00c/// , Contractor: lo®r MN LICENSE # Address: j0�� -1 4-crr-.c s 4Q d 6Ae,5�C Tel. # -7.419 -19oZ- LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: / ;cr o 1- F Ad r-egw co1 Estimated Cost: $ s I ver C. � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: 3 0 3 d9 � APPLICANT:Ct-Lo,�Tel. # 797 -/700 - CITY r97 -/700 - STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /.,).0 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ - c) D $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: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work 3 Effective On January 1, 2000 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO IV✓I`rrl *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner.] a F Rcl F/ Signed ,I_CW TEL # FAX # Approved By Rough -In Date Final Date 1 JOB ADDRESS ; 2 6 R -`c 1 1 A' /E OWNER 9z'e' s . I,°•. Rate TOTAL BUILDING USED AS Ze1.G1-"-14; $ 30.00 $ ESTIMATED COST 6,CV O'd PERMIT NO. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heatin Unit Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name �� i ;`�� /®� $, Size No. �'� o-6 BTU aC � HP" EDR $ 25.00 $ Fuel AJ'* -+ Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO IV✓I`rrl *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner.] a F Rcl F/ Signed ,I_CW TEL # FAX # Approved By Rough -In Date Final Date 1 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT, VENT CONNECTOR AND C'OMRIIRTION AIR V RIFT ATION When rais _ing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( ) No( ) The venting system is plastictPVC 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 ex�ng combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new comb s ion air. it will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When installing a naw v _n ing s item, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date : CITY OF FRIDLEY PERMITo.�2004-01940� 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 10/21/2004 572-3604 FAX: (763) 571-1287 ADDRESS 280 RICE CREEK BLVD NE PIN 143024220045 LEGAL DESC RICE CREEK PLAZA NORTH ADD LOT 3 BLOCK 4 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 13,622.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 12 WINDOWS WITHIN EXISTING OPENINGS. STATE LICENSED CONTRACTOR 1 APPLICANT US VICO INC 2925 DEAN PARKWAY MINNEAPOLIS, MN 55416 - OWNER PATCHIN ALAN E & JEAN C 280 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 regulatingeQnstAction or the performance of construction. BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 14548 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 237.25 13.62 6.81 5.00 262.68 CCT -18-2004 10:54 CITY OF FRIDLEY R5595 P.01/04 'v_vv 11 CITY OF FRIDLEY Effective 411/2004 ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3MM4 Bldg Insp ALTER 11 SINGLE FAMILY ANI) DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Z Sr 6 L _ C /_,_ e ,A, 3 /,/J �= Legal Descdptlon: Owner Name & Address: /91A., _e dr p_ f� '� Tel. # Corfiractor:v s ��e a MN LICENSE # 2- � 3 Z_ Address: 2 q° 7_5 PC C_ Pgr / CW J �� �s 5� �/� � Tel. # 0 r,>- Z &-®-a ;;, Attache to this application, a Certificate of Survey of the bt, with thte 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; IfA d%", Ur ,, )¢ ,v s Constructions Type-_ke it f,, e I,. --a /) fl,t J®.,s � Estimated Cost $__j3,6 2 `z Driveway Curb Cut Width Needed: Ft + a Ft C Ft x $ = J '�� d`1u DATE:U- _ APPLICANT: �i �'�,� �S �1� Tel. # 0 Call! (763) 372-N04 for Permit Fees if mailing in application. Fax to 763-5714287 N using credit card and we will call You for Card number. CITY USE ONLY - Permit Fee4 $ --�C Fee Schedule or reverse Side Plan Review Fire Surcharge $ s� $ FC 65% of Permit Fee .001 of Permit Valuation (1/10th%) State Surcharge$ -f $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curti Cut Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $_L_, , Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary (I Not Necessary [ l TOTAL $ STIPULATIONS. CCT -18-2004 10:00AM FAX: ID:PCMERLEAU PAINTING PAGE:001 R=100% Building BUILDING Permit No.: 65% of Building Permit Fee $ -j ,a'; Inspections $ RESIDENTIAL APPLICATION Received By: $ $5.00 (State Licensed Residential Contractors) $ 763-572-3604 $1550 per SAC Unit (Plans to MWCC for determination) CITY OF FRIDLEY Date Rec'd: DATE YOUR E-MAIL ADDRESS SITE ADDRESS $ Fee Determined by Engineering $ THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR 9 PROPERTY OWNER/ .NAME: 1V ADDRESS: I/ CITY STA �PtLIP�3� TENANT PHONE: CONTRACTOR NAME: / STATE LICENSE 4 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX INGLE FAMILY/NEW CONSTRUCTION ' SIZE PROPERTY TYPE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ,WSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REP MODELING DESCRIBE WORK BEING DONE: rJ SIZE OF IMPROVEMENT LENGTH WIDTH HEIG T Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: 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 2. Two sets of construction plans WAVDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONO 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ _ ' OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ See Back Page for Fee Schedule $ 65% of Building Permit Fee $ -j ,a'; .001 times the total job valuation $ ® .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ 9 Make checks payable to: City of Fridley Attach 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 worki h requires revieyv and approval of plans. SIGNATURE OF APPLICANT d— PRINT NAtyIB J�( � —q (�Q r- DATE From: City of Fridley To: 6127242018 Page: 314 Date: 4/2412007 2:24:23 PM Building MECIiANICAL Permit No. Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DEMARR 24 2,� DATE `� _ Zit - CJ YOUR E-MAIL AD KESS SITE ADDRESS !1 , •C.0 C- cc c �L- v THIS APPLICANT IS: ❑ OWNER 12CONTRACTOR PROPERTY NAME: ADDRESS: � ® IZ c_P �"e'��lc- ITY �tgc� ��v STATES OWNER/ TENANT -S PHONE: f h - "5:11 - ®6 ,-I 0_ CONTRACTOR COMPANY NAME: ) Le—f, , j A \ CONTACT PERSON: :a) I E\�--a \" SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE `' ` f�_ ���TATE►�ZIP 6 LICENSE WITH ADDRESS:L$�L,, I ST- Sub-Nc A CITY e®.®����c] APPLICATION PHONE 617.72-4- ISS01 FAX PERNIIT TYPE 01 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW 0 REPLACEMENT ❑ ALTERATIONIREMODEL DETAILED DESCRIPTION OF WORK —Te, 5-� �( `-- * fa k,. -A- 43�!t S fie-' \ ® G PER MS I6B.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 should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FMURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Indalled MFG: MODEL: SIZEIBTU MFG: MODEL: SETATU MFG: MODEL: SIMBTU )WC $25.00 (GAS) SI 5.00 —GAS RANGFIOVEN $10.00 —FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR _FIREPLACE _BOILER $35.00 _FURNACE $35.00 —GAS UNIT HTR $10.00 LINER 510.0 DRYER $10.00 _POOL HEATER 535.00 _CHIMNEY _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 : •: :. �-.: .�?.,R:'t .-7.q: ... ., -.7�n•�p:•�y+CMi::.;:;:.::•::-:=:•::••i::-••::>•-::••:::•::::-'::;::z:::ziz:;.?.;;:;`<;:;22;';'::??-:4:"..'.••...'.:�:'F:•.:.F`.#{:::T%�:......:�tk?,�-f.�.ztT.,�., Permit Fee $ 2rj .' Number of fixtures @ $10.00 _ x $10.00 = $ Surcharge $ .50 Number of fixtures (a $15.00 _ x $15.00 = $ TOTAL DUE $ '2_5 Number of fixtures a) $25.00 _ x $25.00 = $ Number of fixtures (u7 $35.00 _ x $35.00 = $ State Surcharge = $______!0_ 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 ordinanc and odes the C' of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an api for at d ork is not to start without a permit; that the work will be in accordance with the approved plan in the case of all rk ch u' view and approval of plans. �y PRINT NAMEDATE SIGNATURE OF APPLICANT _3a Fig City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No _- - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY 8004 1&1 P%dojdj—ftjjL I/ YOUR E-MAIL ADDRESS (`�Il F 19-M M SITE ADDRESS 980 lzn l c G L r e g k gI VA - THIS APPLICANT IS: ❑ OWNER RCONTRACTOR PROPERTY NAME: -i . Pa � cc ',2 , OWNER/ ADDRESS: $ O F. is e e rcpt X31 ✓v� CITY Pi d< <<� STATE M-1ZIP TENANT `k- PHONE: X26 „3 - S/ 1% '?'k- 7 CONTRACTOR COMPANY NAME: Hearth A Homo redwKdWIM tno SUBMIT A COPY OF amt dome CONTACT PERSON: t leans t1-i10i1MM YOUR STATE STATE LICENSE # 2700 N. Rath Afro. EXP DATE LICENSE WITH ADDRESS: 851/833-2581 CITY STATE ZIP APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: KNEW ❑ REPLACEMENT ® ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK i r► q I( &43 �; rc p 1 a c L % y g (� W1&.%5 %% 11 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 should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: aeA L /b MODEL: 4t'r SIZEBTU— MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU _A/C $25.00 ,_FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 _ LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 m Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ 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 1 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 k which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME KL�tr• �r. s L:e- DATE-2/1'ro/a Z S City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977