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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: Oct. 25, 1967 Owners Charles Johanson Builder Same Address 160 Hartman Circle Address Same Fridley, Minnesota LOCATION OF BUILDING 3577-'71 N9 9523 No. 442 Street _ _ Rice Creek Blvd.' part of Lot 2 Holiday Hills, 2nd Addn. Lot .._._8 Block Addition or Sub -Division ____._._.. Y Corner Lot Inside Lot _ _ . X.__.._ Setback _ __3.51.--- Sideyard -5 � Sewer Elevation ____.._$_44.21 _RIPRRW 847.2k Top of Footing DESCRIPTION OF BUILDING To be Used as: %je l 1 i ng Front 44' Depth 26 Height —20' _.._..20' Sq. Ft, 1.268 CtL FL 24,5 6 0 Garage Front 22' Depth — 22' Height . 10' Sq. Ft. 484 cu, Ft, 4840 Type of Construction Frame Est. Cost �19, 000 _._ To be Completed 411 j68 SEWER LOCATION - 6.5' North of Manhole WATER LOCATION - 16.5' North of Manhole In consideration of the issuance to me of a permit to consPr;i%g d abofve, I agree to do the proposed work in accordance with the description above se _ ompall provisions of the city of Fridley. In consideration of the payment of a fee of $ 44.00 , permit is hereby 6" to_ _ Charles Johanson 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 upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit do" not cover the condruction, hnftWon for whing, plumbing, gee heating, sewer or water. Be sure to no the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDINGY PEMMIT CIVI OF FRIDLEY, MINNESOTA OWNER'S NAME ­—_ChadeLEaohanson BUILDER Eharles [-. Johanson 160 Hae[man Circle: 160 Hartman Circle ADDRE, S S n; q9 ADDRESS o, _5432 LOCATION OF BUILDING NO. STREETSC PART OF LOT— LOK. BLOCK 01N. ... ADDITION OR SUBDIVISI ON CORNER LOT INSIDE LOT 4— SETBACK SIDE -YARD. A n1V^'kT t�'r V 7 A M V -f% SEVIER ELEVATION v, 'M&.LvN Applicant attach to this form Two Certificates of Sute.;'�f L rloz%nd proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used Ad: A� Frontept -70 7 Depth Height Sq. Ft._ Cu. Ft. 'z�S60 Front � Depth Sq. Ft. ye Cu, Ft.—#9X16 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 correct. DATE &1,9 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). C, �1 Application for rower Plants and Heating. Cooling, Ventilation. Refrigeration and �' I1 Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560.3450 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 AIR 00 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 v GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TQTC+AL 1st 3 Fixtures ...................... x$ 2.00 $� G 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 $ 12,00 3 c/o ®10 Location Q---Ae– zo —2 — 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, Owner Kind of Building U Used as To be completed about Estimated Cost, $ lJ � 194. iJ Permit No. 1� Permit No. /05 7.:4 HEATING or POWER PLANTS–Steam, Hot Water, Warm Air—No —L� Trade Nam Size No /Q3 rS'/ 2 - Capacity Capacity. ---- Sq. Ft. E.D.R. BTU H.P. Total Connected Load � �� Kind of Fuel BURNER — Trade Nam Size No /®• �° Capacity Sq. Ft. E.D.R (21 BTU H.P. (REMARKS—OVER) Signed e az Business Phone No- �o S^� Compliments of North Central Public Service Co., HEAT LOSS CALCULATIONtS DEPARTMENT OF BUILDINGS Weatherstrips A.SJLV.E. Construction No. Guide Windows Doors Reference Out. WallInt. Wall _ Celline Roof I Floor Yes --No I Yes ---No 19........ I I Fl. Room I Length .�2 V Width 2, Height Windows and Doors—Crackage and Area _ No. No. IWidth of pane Height of pane No. of lights Lineal ft. I of crack I Area sq. ft. /3 ilt— Ag Coef. Coef.1 Btu Infiltration Infiltrationf Glass C1 Coef. Btu Infiltration Exp. wall too tM y 1 0 Glass Exp. wall S- y 6 y 537- .3 S -�- Exp, wall % i Ceiling Int. wall Floor Net exp. Wall Ceiling 1,23 1/ Floor Int. wall F ' Ceiling 1 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I i Fl. I R zi-rL Room I Length C, Width ;;- Height E Windows and Doors—Crackgge and Area _ No. Width of pane of lights Linealft. of crack Area sq. ft. Area sq. ft. /3 EHelghtNo. Ag Coef. Coef.1 Btu Infiltration Infiltrationf Glass Coef. Btu Glass Q Exp. wall too Exp. wall y 10 Net exp. wall Net exp. wall Exp. wall S- y Int. wail Int. wall ' Net exp. wall f % i Ceiling Int. wall Floor Floor Ceiling Total Btu. Total Btu. Floor Required sq. ft. E.D.R. or sq. iris. W.A. Leader area I Room I Length /-:5 Width JO Height 557 Windows and Doors—Crackage and Area _ No. Width of pane I Height of papne No. of lights Lineal ft. of crack Area sq. ft. /3 Ag Coef. Btu Infiltration Btu Infiltrationf Glass Coef. Btu Infiltration r Exp. wall too o Glass 10 Net exp. wall p Exp. wall S- y Int. wail % Net exp. wall f % i Cl Int. wall Floor Ceiling Ceiling Total Btu. Floor 3 F Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Insulation How Fl. I ,.1 Room I Length j 9 Width I t Height Windows and, Doors—Crackage and Area _ No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. /3 Coef. Btu Infiltration Btu Infiltrationf Glass Coef.1 Btu Infiltration r Exp. wall Exp. wall o Glass Net exp. wall Net exp. wall Exp. wall S- y Int. wail % Net exp. wall f % i Cl Int. Wall Floor Ceiling Ceiling Total Btu. Floor 3 F Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl. I t-?., ;. ;;...Room I Length 12. Width / Height Windows and rs—Cmekage and Area _ No. Width Height Of pane of pane No. of lights Lineal ft. of crack Area sq. ft. e t. A Coef. Btu Infiltration Btu Infiltrationf Glass 0 Glass r Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wail % Int. wall Ceiling "9' Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl. I k.` I' Room I Length .2 > Width / 'I- Height R Windows and Doors—Crackage and Area _ No. Width Height ofypane of pane No. of lights Lineal ft. of crack Area sq. ft. Coef. Btu Infiltrationf Glass Exp. wall Net exp. wall % Int. wall Ceiling - Floor TOW Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area `I Compliments of North Central Public Service Co., HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H V.E. Construction No. Guide Windows Doors Reference Out. Wall Int. Wa Yes --No I Yes—No 19........ ll I Ceiltnl Fl. 11 oa - .,a _ Room I Length $?' Width 16 Height 9�' Windows an Doors—Crackage and Area _ No. No. iWidth of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. Infiltration Glass bJ Exp, wall 11 0 Net exp. wall 6 Coef. Btu Infiltration ClCoef. Coef. Btu Btu. Infiltration Exp. wall Int. wall Glass Net exp. wall Glass Exp. wall Int. wail s Net exp. wall Exp. wall Total Btu. Int. Wall Floor Ceiling Net exp. wall Total Btu. Floor / ®/ Int. wall Ceiling Floor` Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. I Room I Length Width Height Windows and Doors—Crackage and Area _ No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. Pt. Infiltration Glass bJ Exp, wall 11 0 Net exp. wall 6 Coef. Btu Infiltration Floor Coef. Btu Infiltration Exp. wall Int. wall Glass Net exp. wall Ceiling Exp. wall Int. wail Floor Net exp. wall Ceiling Total Btu. Int. Wall Floor Ceiling Total Btu. Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Width Height Windows and Doors—Crackage and Area _ No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. Infiltration Glass bJ Exp, wall 11 0 Net exp. wall 6 Coef. Btu Infiltration Floor Coef. Btu Infiltration Exp. wall Int. wall Glass Net exp. wall Ceiling Exp. wall Int. wail Floor Net exp. wall Ceiling Total Btu. Int. wall Floor Ceiling Total Btu. Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leaaer area 1 Roof I Floor Fl. Insulation Kind 1 How Room I Length Width Height Windows and Doors--Crackage and Area _ No. Widtheight of pane of pane No. of Lineal ft. lights of crack Area sq. ft Infiltration Glass bJ Exp, wall 11 0 Net exp. wall 6 Coef. Btu Infiltration Floor Glass Glass AAY Exp, wall 7 41V Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling Int. wail Floor Ceiling Total Btu. Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Width Height Windows and Doors—Crackage and Area _ No. Width of pane Height of pane No. of Lineal ft. lights of crack Area sq. ft. Infiltration Glass bJ Exp, wall 11 0 Net exp. wall 6 Coef. Btu Infiltration Floor Glass AAY Exp, wall 7 41V Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. I Room I Length Width Height Windows and Doors—Crackage and Area Coef. Btu No. Width of pane Height No. of Lineal ft. Area of pane lights of crack sq. ft. Infiltration Glass bJ Exp, wall 11 Net exp. wall Int. wall Ceiling i Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I City of Fridley Application for Plumbing and Gas RMng Perndt Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures �i � � � �i r Z Fz e� 8� Z iT} i 5O � J (Wg Uy' i • • N WATER HTR. -GAS ELEG Base l l' 1st 2nd 3rd 4th Future Connection Openings New Fixture, Old Openings I Connected with Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 $ / Future Fixture Opening ................ ''f x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ..:... x $3.00 $ New Ground Run Old Bldg . ............ Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 199,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code — x $3.25 $ 8 $2.00 $ NO. RATE TOTAL —x$2.00 $ 2-' WU —x$.75 $ — x $5.00 $ 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. Owner Kind of Building A Used as To be completed about Estimated Cost, $�%� ` ®� Old—New. Building Permit No '� Permit No. f Signe 01 By . -,;r Business Phone ROUGH FINAL Description ................................................$ TOTAL FEE $� 42 CITY OF FRIDLEY Effective May 1, 1990 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also sa21acement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations It of Value of Appliance or Wor COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work RATE k TOTAL Job Address 442 Ri rP rrPek Rlyfl Fri dl e -v $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ 10.00 $ Tel. #571-3450 $ 10.00 - $ 14.00 $ $ 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. $ 10.00 $in_nn Fridley, Minn. July 5 19M OWNER Shawn & Lynn Lovett S KIND OF BUILDING Frame USED As Residence $ TO BE COMPLETED ABOUT ESTIMATED COST $ 1 s 900. 00 State Surcharge $ .50 TOTAL FEE $15.50 Reinspection Fee ($15.00) Minimum Fee Rough Insp. Installing Carrier Date 38TKO30 212 ton A/C Final Insp. Date Approval for Permit _MINIMUM F'EE FOR ANY "BEATING" PE ff4._1 IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written Permission from adioinhig) rx:ulhbur. OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load BURNER - Trade Name Capacity Size No. Sq. Ft. EDR BTU HP Kind of Fuel Size W. Sq. Ft. EDR BTU HP Company Dependable Heating & A/C Signed By Tel. No. 757-5040 fill out back side :or stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. 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 ccnnected Yes ( ) No ( ) 6. Has Total heating BTUs of All other BTU's TOTAL Rema rk s Company _ Signed By Date City of Fridley SUBJECT d7_7 94 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? � CIPT NO. • _____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. + LA 0 r I Y 1 /---1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By � 1.j 612-571-3450 910-F15 4/20/95 JOB ADDRESS 442 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 1 Holiday Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian/Heidi Anderson 442 Rice Creek Blvd NE 571-5121 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. T W Remodeling 9323 Magnolia Ln N, Maple Grove MN 425-9073 1489 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 O ALTERATION O REPAIR O MOVE ❑ REMOVE 6 DESCRIBE WORK Construct a 24' x 24' Addition to Dwelling 9 CHANGE OF USE FROM TO i STIPULATIONS See notations on plan. WARNING Before digging call for all Utility locations 454-0002 REQUIRED BY LAW 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 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 $41,339 $20.67 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 TOTAL FEE / License SC $5.00 $429.51 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPE VALIDATED T HIS IS YOUR PERMIT 9 e, L 9 r w ` — BLD INSP QA E_ — S,GNATUREOFOWNER IIFOWNER BUILDERI IDATEI NEW [ ] Effective 1/ 1/95 ADDN CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 3 Building Permit Application Construction Address: tyz 41Ce- e'ez l< Legal Description: Owner Name & Address; Tel. #71—�/a� Contractor: _�i'7®%� r®✓� /l�a�%© �iyE/c MN LICENSE # /�19'f Address: Tel. # �12 `"- �� 7,3 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 2 y ` Width -;?t1' Height Sq. Ft. 7� GARAGE AREA: Length DECK AREA: Length OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Side Yard Setbacks Type of Construction: g#A4 1.z FM! c K tyv©TR&(.C- Estimated Cost: $ 2 S'S� Approx. Completion Date: y / (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ 1/ 3 3 I DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control CITY USE ONLY $ 2.0 Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ c2j,67 $.50/$1,000 Valuation $ $850 per SAC Unit $ 5, cc) $5.00 (State Licensed Residential Contractors) I Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: $ 2 r� Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, —71 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS % V ,� k6' C_ 2 A. RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30,00 $ representations stated in this application are trueandcorrect. (Side Vent — Fill Out Back)91 96 Gas Piping (Needed with new furnace) $10.00 $ / I,%r�' A (�Gasnge $10.00 $ ��- f� OWNER /,3 2 1,1,11z 50� BUILDING USED AS LL_ Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO.,,,_a� *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BUBNER All-Others/Repairs, & Alterations (LIST ON BACK) 100 of Value of Appliance Work ____ or $g No. of Heating Units Circle One (Steam) (Hot Water) arm Air Trade Name #iz 4- /N — 6 l ra Size No, 6 0 0, j,-)o> X/ Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load -ro State Surcharge $.50 Burner Trade Name Size No. lBTU l `li &I33 TOTAL FEE $ HP EDR HEATING COMPANYX, A) WA /z-5,, /V /� / f % � /" / Cvrr� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. �,— , PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE F R STACK VERIFICATION ON�" 1 0 written permission from adjoining property owner, REPLACEMENT FURNACE TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIlVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. 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's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: F 011, SUB.,ECT P NO. City ®f Fridley 29552 AT THE TOP OF THE TWINS BUILDING T PERMIT � C[DMI R I REIPT NO. COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � 1 r S CITY HALL FRIDLEY 55432 L J` NUMBER REV DATE PAGE OF APPROVED By ' 612-571-3450 9t0 -F15 5/25/99 JOB ADDRESS 442 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 8 2 Holiday Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cameron 011ila 442 Rice Creek Blvd NE 571-5389 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK CjC NEW 0 ADDITION O ALTERATION 0 REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Construct a 23' x 11' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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. krims �� Retoredlgging ca!! all utility for locations 454-0002 REQUIRED 13Y LAW' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING; THIS PERMIT BECOMES NULL AND' VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THATI HAVE RE D AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AN CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,378 $1.19 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. 83.25 F SC $Z.38 STRUCTION OR THE PERFORMANCE F CONSTRUCTION e PLAN CHECK FEE T L FEE 11-1 / 86.82 AUTH'ORI2E0 AGENT �DATE� P O I THIS I�R PERMIT ;��ACJOR B C --NSP gArE d OWNER BU4 DERi iDAT �, F 011, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: v/ 4,2v Cres' lg�v°l Legal Description: /o,, k Owner Name & Address: C� v1��. ('�� '� Tel. # Contractor: A gy St ! MN LICENSE # 7f -1d6 Address: $ 3, 25' Fee Schedule on Reverse Side Tel. # $ J, 3 9 Attach to this application, a Certificate of Survey of the State Surcharge $ , lot, with the proposed construction drawn on it to scale. SAC Charge $ $1050 per SAC Unit DESCRIPTION OF IMPROVEMENT $ LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length ;Z-3)Width %1 Hgt/Ground 661_ Sq. Ft. 3 f 1J OTHER: Agreement Necessary [ ] Not Necessary [ ] s 74'�a %® / S ?o Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ � h DATE: ✓ " ;�70 APPLICANT: CITY USE ONLY Tel. # 7`l 7-/G6 i Permit Fee $ 3, 25' Fee Schedule on Reverse Side Fire Surcharge $ J, 3 9 .001 of Permit Valuation (1/10th%) State Surcharge $ , $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ bjz STIPULATIONS: e u9 (8/ 1 °" a 147"il /l x " $ X�c w)41/i CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ILIC EDULE Residential Rate TOTAL Furnace Shell and Duct Work;.Burner - Also Replacement Furnace $ 30.00 $ 30 0o (Side Vent • Fill Out Back); Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range � $ 10A0 $ r (/(-l✓ Gas Dryer. / $ 10.00 $ *Air Conditioning • All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $_ State!Surcharge 50 TOTAL FEE $_�• �� MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE MC ARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB AD Effective On May 10, 1999 OWNER / BUILDING USED AS car�°Z ESTIMATED COSI'®� dv PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name&Aru Size No. BTUJ�_Vl0an HP EDR. Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR 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 rulings of the Building Division, and hereby declares that all the facts'and representations stated in this application are'true and correct. HEATING CO a" -U r Signed 6 DATE Approved By Rough -in Date Final Date J_l Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CI 1NEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or_stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes O No ( j 3. Has no foreign objects lodged within Yes O No ( ) 4. Is securely supported Yes (:) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes( No ( ) 8. Has combustion air been provided for water heater Yes O No (.) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: ® H.B. Fuller Company ' Industrial Coatings Division Q( ®® 2900 Granada Lane v Oakdale, Minnesota 55128 612-481-9558 FAX: 612-481-9047 Vt l amA&& &4 �e qC� � �i yl� ✓►ice c'e 1✓ie i Ulf ��oG""�✓� � �l//.� /�'��c� SPO ne S e, 4 ,3C le v e a AX, 174;e 041 7_# 7c f ene �e_ Meg A Pt as Aw/ e C-L4 Kle Af 7 & �v z el zi '4t GLA _5' D �% S u /4 , 7-- /6 .A 2 s- PT 7 1 + ejj t4 °moi`.' Building $ BUILDING Permit No.: Inspections �. 65% of Building Permit Fee cam° RESIDENTIAL APPLICATION Received By: 763-572-3604 ( (.0005) times the total job valuation — Minimum $.50 /� U CITY OF FRIDLEY Date Rec'd: DATE -(G ` YOUR E-MAIL ADDRESS .001 x Permit Valuation (1/10%) SITE ADDRESS P'r' ee C -el G /_) &- License Surcharge THIS APPLICANT IS: DOWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: a -_ r" o // $1450 per SAC Unit (Plans to MWCC for determination) ADDRESS: 'J�12 1•r �e G � / CITY /eS7% r STATIz�%ZM 1 J i/Z TENANT ft + 6 ft = ft x.$20 = $ PHONE: W - X77/ - S? ef S Erosion Control CONTRACTOR Nom: STATE LICENSE # EXP DATE $ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX T6 SINGLE FAMILY/NEW CONSTRUCTION SIZE Total Due PROPERTY TYPE , Make checks payable to: City of Fridley Attach Stipulations ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 'ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWD&AIT]G POOL TYPE OF WORK: I ❑ NEW ❑ ADDITION 1NrMAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: b Z SIZE OF IMPROVEMENT 0 $' �tifA LENGTH WIDTH HEIGHT Sq. Ft. ROOFING? ❑ HOUSE ONLY NUMBER OF SQUARES JU ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: 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 WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINGn B97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ A OCCUPANCY TYPE n r s Permit Fee $ f See Back Page for Fee Schedule `� �fo� ;�E Plan Review $ �. 65% of Building Permit Fee cam° Y } N J Surcharge $ ( (.0005) times the total job valuation — Minimum $.50 /� U '� Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x.$20 = $ 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 I ch requu review d. approval of plans. �` a J _ (� ?,_.-. C SIGNATURE OF APPLICANT L2 . 1- PRINT NAME '^ ` �� DATE