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PRE 2010 DOCSCity ®f Fridley, Man. BUILDING PERMIT 0 Date: — July 112 1967 Owner: Charles Johanson Bider Address 160 Hartman Circle Address Same Same LOCATION OF BUILDING (fv `'� N® .9353 No. 437 Street Rice Creek Blvd. Part of Lot Lot — A -- Block 1 Addition or Sub -Division Holiday Hills tad Addn, Corner Lot — Inside Lot _.._ X Setback 35' —_ Sideyard 10' -6' Sewer mevation --847.63 850.63 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 461 Depth 28' Height 20' Sq. Ft. 1288 CIL Ft Garage & Front 26 Depth 23 'Height Sq. Ft. 9___�46L"5�. Ft. Laundry Frame 25 000 11/1 67 Type of Construction Fit. Cost � $ � ___.—..___ To be Completed SEWER LOCATION - 86' North of Manhole WATER LOCATION - 10' North of Sewer In consideration of the issuance to me of a permit to constru building led above I agree to do . the proposed work in accordance with the description above set asci pan with a'll provisions of ordinances of the city of Fridley. $100.00 Sewer Conn ion. Charge In consideration of the payment of a fee of $ 47.00, permit is hereby granted to Charles Johanson to construct the building or addition as described above. This permit is granted upon the express condition that thele to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of ssaaiid ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit does not cover the construction, Installation ter wiring, plumbing, gas heating, sewer or water. Be sure to an the Building Inspector for separate permits for these items. AFr,JCA't'2.f1.i FOR BUILDING Mll:' _6T C%'i'i OF, M%YX2Yj, NiNNESOTA OWNER'S NAME d &sL _Btj.1-DER ADDRESS ADDRESS LOCATION OF BUILDING 110. % STREET ra 9 { `PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION %►mss � �hr.fa CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION � T � � � FOUNDATION ELEVATION Applicant attach t�ihis form Tejo Certificates of Survey of Lot and proposed building location draita -on thes�-i')Certificates. DESCRIPTION OF BUILDING To Be Used Ad L®4 FrontDepth p Height Sq. Ft. go_ Cu. Ft. _ P c Front to Depth Height i o - cu. Ft. Type of Construction — Estimated Cost To Be Completed, The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in 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 carr ct. m DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side . ' Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIRej o $ / Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule J� �o GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAb 1st 3 Fixtures x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ /2/ 00 Dept. of Bldgs. Phone 560-3450 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. A Fridley, _ Minn19 15 Owner Kind of Building r Used as To be completed about Estimated Cost, $ / �72 > Old New. wilding Permit No. Permit No. �/ a 113'*16AI-0-4 .�, • .' HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No— Trade Name Size No_Z6 %e2 d Capacity ® Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Nam Size No- % c ®° Capacity Sq. Ft. E.D.R BTU H P. (REMARKS—OVER) Signe 041111�142 Business Phone No- 2 z_ � 22� PERMIT for Power Plants and Heating. Cool. ing, ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of e bleating Plants to be installed--altered—repaired Make Oil fired ; Coal fired—, Gas fired; Gas Authorization No. Remarks Approved Final Inspection Date , 19_ Inspector Permit N° � 4'70 3 Fee $ Z.- Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. / 19M Location ao uE� Kind of Buildi How Occupied Work to be Commenced—, 19— To be Completed ,19� 7 Estimated Cost, $ Dld ew, Building Permit No. Permission is hereby granted to to install--erect—use the material and devices described in the above statement. This permit is granted upon a express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office o f the Inspector of Buildings.104�az BM 11-67 V 2 �`z- , Inspector of Buildings CITY OF FRIDL EY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N0, Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction RATE x $3.00 x $2.00 x $2.00 x $5.00 x $5.00 x $10.00 x $7.00 x $5.00 x $5.00 TOTAL -71 x $3.00 $ x $1.00 $ x $10.00 $ $5.00 $ $2.00 $ a State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. /I? 19 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD )NEW BUILDING PERMIT NO. PERMIT NO. Company -e l,11 9 5/ �h Signed By</-Q v Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT / MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 N yN, y o K ro Water mm q m q u p w Heater y -0 N N (d?4 R -� k N ro C N X +1 N 14 .0 q °r N N2 ro a U o as lec y U 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N0, Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction RATE x $3.00 x $2.00 x $2.00 x $5.00 x $5.00 x $10.00 x $7.00 x $5.00 x $5.00 TOTAL -71 x $3.00 $ x $1.00 $ x $10.00 $ $5.00 $ $2.00 $ a State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. /I? 19 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD )NEW BUILDING PERMIT NO. PERMIT NO. Company -e l,11 9 5/ �h Signed By</-Q v Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT / MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 June 23, 1976 Don Gustafson 437 Rice Creek Blvd. Minneapolis,14N 55432 Re: Swimming Pool at 437 Rice Creek Blvd. Dear Sirs: TELEPHONE ( 612)571-3450 This letter is to make clear this. departments requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, four (4) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. 5. A deck, a mimimum of 3 feet wide and sloped away from the pool, must be provided around the entire perimeter of the pool. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. A fence or other suitable barrier, a minimum of six (6) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall -be equipped with self-closing and self -latching devices which are capable of being locked. 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and:plumbing installations shall be.inspected and approved by the City Inspection Department. 10. All electrical lines must be 10-20 feet or more away from the pool surface. 11. The pool fill spout must be air gapped or protected by a vacumn breaker. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1;� times the pool diameter, and shepards crook pole must be provided and maintained with the pool at all times. Page 2 Don Gustafson June 23, 1976 Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, STEVEN . OLS Enviro a Officer SJO/bak c.c. Professional Pool Assoc. P.O. Box 1099 5645 Glen Avenue Minnetonka, MN 55343 -- - 1 _.. I� I; -* cl -W � a 1aa xw(7a-:;� AITo---d . City of Fridley SUBJECT P®1360 AT THE TOP OF THE TWINS I� I G D[ D A A I T r B U I L 'V rLR'v1 CEIPT NO. ` ___ COMMUNITY DEVELOPMENT DIV. ~ r PROTECTIVE INSPECTION SEC. J� , OS/ NUMBER REV DATE PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 612-560-3450 910-F15 6/23/76 JOB ADDRESs437 Rice Creek Blvd. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Holiday Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Gustafson 437 Rice Creek Blvd. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Vossum Bros Prior Lake 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USEOFBUILDING residential _T_CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK install 24 x 34 swimming pool 9 CHANGE OF USE FROM TO STIPULATIONS As per letter dated June 23, 1976 SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING A -NO SIGNS► SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Concrete THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $5,000 2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 30000 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 32®50 SIGN OR HORIZED AGENT (DATE) HEN PROP ALI DATED THIS IS YOUR PERMIT �+F�ONTRAC BLDG. It o DATE ' SIGNATURE OF OWNER NER BUILD 1 ATEI APPLICATION FOR RESIDENTIAL, ALTERATION, 96 87, OR ADDITION BUILDING PERMIT tj4- CITY OF FRIDLEY, MINNESOTA OWNER ` S NAME (0 h 6 t) a ILDER : _ V (SSS ADDRESS: ADDRESS: I oQ_ L_ A Zr NO: 43:7 STREET: LOT: BLOCK: / ADDITION: G �,�� ftLL.S 7 V1 b I kq DjD �- CORNER LOT: INSIDE LOT:__4_SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: o �'6nt: a Depth: 7 Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: ('� we'(e,iT T Estimated Cost: ®®„ To Be Completed: j -Y& The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stxict 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.) J -Z rCITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 'r TELEPHONE ( 612)571-3450 June 23, 1976 Ile F Don Gustafson 437 Rice Creek Blvd. Minneapolis,MN 55432 Re: Swimming Pool at 437 Rice Creek Blvd. Dear Sirs: This letter is to make clear this, departments requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, four (4) inlets of approved design for fresh and/or repurif ied water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. S. A deck, a mimimum of 3 feet wide and sloped away from the pool, must be provided around the entire perimeter of the pool. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. A fence or other suitable barrier, a minimum of six (6) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and self -latching devices which are capable of being locked. S. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and :plumbi.ng.installations shall be.inspected and approved by the City Inspection Department. 10. All electrical lines must be 10-20 feet or more away from the pool surface. 11. The pool fill'spout must be air gapped or protected by a vacumn breaker. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1' times the pool diameter, and shepards crook pole must be provided and maintained with the pool at all times. 40vUTIpN Q�. Bin = z L) M ; No, ^? ,., ITTg 196 F r• Page 2 Don Gustafson June 23, 1976 Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free.to contact me at 571-3450, ext. 170. Sincerely, STEVEN OLS Enviro e Officer SJO/bak c.c. Professional Pool Assoc. P.O. Box 1099 5645 Glen Avenue Minnetonka, MN 55343 iond i'laimaq acy NE, ald Sur"T"y vkv/ v lf� 37. SoWs Testliq ENGINEERING, INC. A [IN rAeerify En Ineers E y ,Surveyors. X-firate ofsuvve�w for C, :j L c It, 1. } —/* I F, L E7 A S E t r �. >; I --,- ------ -- .__---__- 4 - ----- -- he-rebil cerhAy ffivt M15 ts o true and oy7td reresefdahn el'a 5wvetl elhe &wodm4es 4"& abope zkwvbed 4wv, drd '16r kc q hon 4,ill bwjd.;ys Ar rr wi &xad ri 5, ble enr rvaechm eds , �;'Omj , � Or 07 suit/ lmd. As .surveyed � nX- fArS SULIURBAN WGINEEIZINCY, INC. jw 0 SUBJECT FP IT NO. - City of Fridley AT THE TOP OF THE TWINS ' x 125745 BUILDING PERMIT Ir? � EtPTNO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 163 t 1.1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/29/97 JOB ADDRESS 437 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Holiday Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lisa Peterson-Kinuven/Kevin Kinnven 437 Rice Creek Blvd NE 571-7596 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lambert Construction 12741 Jefferson St NE, Blaine MN 55434 754-5648 20061962 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION j7 ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement Finish 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR MIRING, HEATING, PLUMBING 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 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 $13,000 $6'50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TAL FEE Lice e SC $ 00 $211.75 SIGNATURE OOFFCONTRACTOR ORAUTHORIZED AGENT iDATEI HE PR LY VAVD TED THIS IS YOUR PERMIT -2-?7 �l 8 G )NSP OA SIGNATURE OF OVVNER OF OWNER BUILDER) (DATE) NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �'I I ConstructionAddress: 1/Crer,r gtr f;fiwrY A � Legal Description: Owner Name & Address: G,`A rork,5a.v_ kmwye,,, &,,V,,uc,- Tel. #—s--1 1--W 96 Contractor: L 4177 orifi MN LICENSE # Z co , 6 Address:1271-11 �e ��i�S O, es Sr 111 Tel. # i 5'-% 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: S� 2o�.�-r /l�.7oaf L Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # TOTAL $ �� STIPULATIONS: CITY USE ONLY Permit Fee $ ^ %� Z< Fee Schedule on Reverse Side Fire Surcharge $ ,1.�. �' .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ e $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 Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Appliance or Work $ -RESIDENTIAL ` RATE TOTAL Furnace Shell and Duct Work, oeryry C Burner (Also replacement furnace) $ 20.00 $ Gas Piping $ 10.00 $ (piping needed with new furnace) State Surcharge $ .50 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ PERMIT NO. TOTAT, FEE * Air Conditioning (all sizes) $ 10.00 $I61, All Others/Repairs and Alterations ($15.00) $ 18 of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL Job Address - 37 R G C e E r 61y Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley. Minn. , 19_ OWNER `� 7— 4A.J KIND OF BUILDING _ o � e( USED AS 19 of Value of Appliance or Work $ TO BE COMPLETED ABOUT ESTIMATED COST _3eZ>or_> State Surcharge $ .50 95 $ OLD - NEW BUILDING PERMIT NO. PERMIT NO. TOTAT, FEE Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER / �gy L 5 Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. '* Date / ��sC..._ No. a � - Trade- Name Size Final Insp. t% Date Capacity Ft. EDR BTU HP Approval for Permit ",/� (�Sq. Total Connected Load E ill _ % Kind of Fuel A16- BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 Company e– ,–S PLUS $.50 STATE SURCHARGE .tom Signed By Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Date CITY OF FRIDLEY INSPECTION DIV. �� Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OFFIXTURES TO BE INSTALLED ON EACH FLOOR Wash i '+ ...; Floor '6 Auto. ;��i�j Gas Cyt c . >s Water Heater yM'.� / ' Stories Urinal Shower Tra Drain Washer Ran a Gas e y Cse#. Tuan t»< Qt33>`' `t. Basin;:.:. Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** NO. RATE TOTAL Gas Range** _ Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 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 Appliance State Surcharge TOTAL FEE 1 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. 3 16 , 1998 LI Owner'IS Q Building Used AsSWIM Estimated Cost ® PERMIT NO. / `�0 20 K^V& Pots PLUMBING COMPANY SIGNED B 1L TEL No. 2. Approved ByA4 Rough—In Date Final Date_ $ .50 mn��mvm -r-r- rvn r�"., ,'_" '.n',u/ $®_ PLUS THE $.50 STATE SURCHARGE **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES IT IS $20.00 c�xL SUBJECT PE City of Fridley 0 9 T60 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. 0 1 � i i ��"'�•� CITY HALL FRIDLEY 55432 NUMBER REV I DATE PAGE OF APPROVED BY _-_-� L 612-571-3450 910-F15 6/10/99 JOB ADDRESS 437 Rice Creek Blvd 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION 1 SEE ATTACHED DESCR. 4 1 Holiday Hil l 2nd AdditionSHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lisa Kinnunen 571-7596 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Right Way Roofing 14050 23rd Ave N PlYmouth 55447 557-R678 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 X® REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage 30 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Pft ermit Inspection Cards Will Be ,'ailed T® Homeownor To Post 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 $2622 $1.31 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 FEEL FEE Licen $5,f/ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ,DATE,EN Y VALI D THIS IS YOWR PER IT 8 G 11NS MATE S,GNATURE OF OWNERdF OWNER BUILDER, IDATEI NEW , [ ] Effective 1/l/98 ADDN , [ ] CITY OF FRIDLEY ALTER [ ) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION b6 ConstructionAddress: e[ Ce C reg ,K ) t1d OX40 Legal Description: r 44C f Owner Name & Address: Ll,sa Al n n u nen �4 -37 0l e CYee &Wtl!el. # 5-72`752(a Contractor: i' wrw epoPin MN LICENSE Address: l e/01 D cQ ;� ycl tjj4rnc_v_f_h Tel. # SS -7 -8L -7 p 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: re- s® s', . Construction Type: re- Y ®® Estimated Cost: $ (,Q, CM (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: (q - -7 - q9 APPLICANT: aa --12d7 4 K. f Glha rC/ Tel. # 55 7 - g(9 78 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 53.d5 - CITY USE ONLY $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (11110th%) $ / 3 ( $.50/$1,000 Valuation $ _ $1000 per SAC Unit $ - $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � a3o�