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PRE 2010 DOCSCity ®f Fridley, Minn.. BUILDING PERMIT Date; Dec. 27, 1968 Owner: Charles Johanson Builder Address 580 69th Ave. N. E. Address Same Same No 10070 gs-nv 5' 411)9 LOCATION OF BUILDING No. 4-M Street _ Rice Creek Blvd. part of Lot Lot 9 Block 2 Addition or Sub -Division __ _ Holiday Hills 2nd Addn. Corner Lot — Inside Lot — x Setback 35' _ ` Sideyard 10' - 10' Sewer Elevation 843.62 jMjM I zZkw3j= R46 62 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 50' Depth 2716" Height 20' Sq. Ft. 1350 Cu. Ft. Garage Front 24' Depth 26' Height _10' Sq. Ft. 624 Cu. FL 6240 Type of Construction Frame Est. Cost _125 , 00qTo be Completed SEWER LOCATION - 91' South of Manhole WATER LOCATION - 81' South of Manhole In consideration of the issuance to me of a permit to construct th building des above, I agree to do the proposed work in accordance with the description above set r" and in compli c wIth all provisions of ordinances of the city of Fridley. s $100. 0 Sewer Conno tion Charge In consideration of the payment of a fee of $ 5 0. 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 the person to whom it is granted and his agents, employees and workmen, in all work donee 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 thus permit may be revoked at any time, upon violation of any of the provisions of said ordinances. f 0 Clarence Belisle NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sura to see the Building Inspector for separate permits for these Rome. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OW_N'EFi IS NAME BUILDER?�R rSZ_90HANS®N ONS ES E, JOHANSON ING. 580 69th Avenue N. E. ADDRESS 580 69th ADDRESS -.Fridley U00501a 55432 FrldleY, Minnesota5 LOCATION O t LDING NO o STREET LOT BLOCK ADDITION OR SUBDIVISION CCP2'\M LOT INSIDE LOT SETBACK �� SIDEYARD / SEWER ELEVATION TOP OF FOOTING 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: R.r$ . Front -5-6 Depth Height Square feet 43fir? Cubic Feet Tl r Front Depth L Height Li �/ C1 Square feet 4 2 % Cubic Feet G � Type of Construction F,- hg!2 Estimated Cost .5_4) 93 To Be Completed � :2 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�� " SIGNAUIURE=��,,,V' C�gz - (Schedule of Fee Costs can be found on the Reverse S Original PERMIT for Power ants and Mooting. Cool- ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants `!Z-e�� to b itl ltered—repaired GMakeSize 7- ` - /f ; Oil fired—,- Coal fired—,- Gas fired --A--; Gas Authorization No. Remarks Approved Final Inspection a - 19— Inspector Permit AT° 4599 Fee $ �> Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., , 19_T Owner aqlll� Location �'�� Kind of Building ��'� How Occupied Work to be Commenced—, 19 To be Completed—, 19— Estimated Cost, $ ? / &--v -® Old -New, Building Permit No. P� n -t o Permission is hereby granted to X ,i��' 41---° to install— nerect—use the material and devices described ithe above statement. This permit is granted upon the 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 specificstio w set forth in the approved application for this permit on file in the office of the Inspector of Buildings. a Inspector of Buildings 42 ant 11-67 V N?48`70 OriginalPermit r M 1116.9 N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for I F M I inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., DESCRIPTION OF WORK II Number, Kind and Loca4ion of Furfures Stories r to z x m Y Z tll ra Y F' z; w 3 K Z ° y Z U 3 Z M U � W WATER HTR. GAO ELEC. b U :3 7 M F 4 m z 0 d K ; H a 0 C LL 2 ryJ 0 LL O 6 6 U m Q O m x a LL Q Q Basement [ _� 1st�- 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted — (�-o - to do the plumbing and gas fitting in the building described in the sta went hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. <z 'M_s-ss-v City of Fridley a'2 ,19-4E2 i Owner Location Kind of Buildin Used as To be Completed .19— Estimated 19____ Estimated Cost O -New.,) Building Permit No. Inspector of Buildings. City ®f Fridley ApplaWan Dept. of Bldgs. Phone SM -3450 DESCRIPTION OF WORK Number, Kind and Location of Fbstures s PLUMBING FIXTURE RATES: NO. RATE TOTAL �Q aF x $2.00 pj 1n Future Fixture Opening ......... .... x $1.50 $ New Fixture Old Opening . ..... . .. x $1.50 Catch Basin ... ....... ... I.... .. x $3.25 $ t i N WATER HTR. GAS ELEC. Base Electric Water heater z $2.00 $ GAS FITTING : NO. RATE TOTAL lot 3 Fixtures ......., ................. x $2 00 Additional Fixtures . ..........•....... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ lot 2nd 3rd -- 4th eutuso Connection Openings Now Fixture, ON Openings I Coanedul with Cesspoolsown ❑ s PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..... ...... x $2.00 $� f Future Fixture Opening ......... .... x $1.50 $ New Fixture Old Opening . ..... . .. x $1.50 $ Catch Basin ... ....... ... I.... .. x $3.25 $ Water Heater (Up to 99,000 BTU) .... x $3,00 $ – 00 3, New Ground Run Old Bldg. x $3.25 $ Electric Water heater z $2.00 $ GAS FITTING : NO. RATE TOTAL lot 3 Fixtures ......., ................. x $2 00 Additional Fixtures . ..........•....... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—defer to Code Description TOTAL FEE 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 applicatio; are true and correct. . Owner Kind of Used as To be ce Estimated Cost, $ Old Ne wilding Permit No. 10.., Q '7 6 P®shit I X 76 Signe d��. eK� By Business Phone No ROUGH FINAL , 12 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 AIR ®® Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ AO 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 �b GAS BURNER (up to 199,000 BTU) 90 5.00 $0 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ ®® Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH ff FINAL $ /6 ®� See Fee Schedule $ TOTAL FEE � � Dept. of Bldgs. Phone 560-3450 �f Location f 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 C3 .'A A A , A Owner Kind of Building � c Used as 1/ �a g`� �r� .o✓ To be completed about Estimated Cost, $ / 00 -New. Building Permit No. _ f�� 7a Permit No. HEATING or POWER , Warm Air—No 6'7/ -Fr® Trade Name Size No Capacity Sq. Ft, E.D.R BTU H.P, Total Connected Load C?" ®0 Kind of Fue BURNER —Trade Name_( Size No- Capacity. (REMARKS—OVER) Sq. Ft. E.D.R. BTU H.P. SigneduA�' Business Phone No- IFARTIAL RATE G M06. HaTs Tar" �t ................Opmft s ...®......am Opntim ..........� .............®...®.® FIX Weew Mawr 'Up to opm mw a am New r - D ........ • a$9.0 nfttv&wRtwuwAw@� .............. a an Tm" q� eN3 rmtwn............. a .. s A. f p �p�.......... an nwo BD9.......... to om vm ..... b ..... s no oL- State aulchalsB .50 5.00 ................ TorAL I= 5-50 kCla S -Au Si rcheirge .S®.. IFARTIAL RATE G M06. HaTs Tar" �t ................Opmft s ...®......am Opntim ..........� .............®...®.® Weew Mawr 'Up to opm mw a am New r - D ........ • a$9.0 nfttv&wRtwuwAw@� .............. a an Tm" q� eN3 rmtwn............. a .. s A. ®®_, p �p�.......... an nwo BD9.......... to om vm ..... b ..... s no oL- State aulchalsB .50 5.00 ................ TorAL I= 5-50 kCla S -Au Si rcheirge .S®.. 0 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 x $3.00 $ M $2.00 $ > N $ ro $5.00 o x X o x Water of m N $ x $5.00 u � •c4 m q x �v s4 ¢, , $1.00 $ Heater 0 •.i 4J }; y 'i m r. N H a -d 54 4J S4 O P a: .0 r.� M O LL FC 14 7-I d iR O i.' •H .0 +� •••I N X C. .0 m C. r •••1 8 30 O O O •.i 4J N � 4J N m O N 47 O v D m 3 A U2 - w U w� 3 rd o as lec raA 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 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 $ x $3,00 $ x $1.00 $ x $10.00 $-_- State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) $5.00 $ $2.00 $ $ .50 Job Address ® C c C"C II Department of Buildings 1i 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. OWNER KIND OF BUILDING USED AS s 11�- �� F. si p /'� gy- TO BE COMPLETED ABOUT -7 ` 2 V ESTIMATED COST &6C/, OOLDNEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. - 2- 3 7 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 SUBJECT P City of Fridley 2 o s s 2 AT THE TOP OF THE TWINS BUILDING PERMIT r 0 COMMUNITY DEVELOPMENT DIV. `� _ v PROTECTIVE INSPECTION SEC. (!� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 6/18/91 JOB ADDRESS 448 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Holiday Hills 2nd At SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Haines 448 Rice Creek Boulevard NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr. 6331 Riverview Terrace NE 574-9966 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 fgl REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (26 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I 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 $1,.352 $.68 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 ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $33.00 Fire SC $1.35 CTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $35.03 SIGNATURE OF CONTRACTOR OR AUVHORIZED AGENT (DATE) �WPROPERL V ED IS IS,,,��YOUR PERMIT . BLDG INSP 7L�d'� Ir's°` DA � - SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NSW [ ] Effective 2,/1/91 ADEN [ ] R-1 AND R-2 AMER [ ] Building Permit Application cmwtxuctian Address: i�y O x" Cly C, LZ a 25- '- 3` V 1) - legal Dersaiption: ?p 132 eek I) o Z; b A X A , L L s Z A-® A �rfP owner Name & Address: -To ,V Contractor: , c A R /-+�� S�r'n� s Tel # S 7 S� ~ 9'�C� Address: 'R -y t" C Attach to this application, a Certificate of Survey of the lot, with the proposed canstniction drawn an it to scale. D�SCStIPrI�J OF 7!cs 5 hoVEMM LIVIIaG AREA: length Width Height Sq. Ft. GRPJ E AREA: Length Width Height Sq. Ft. DECK AREA: length Width Hgt/Ground Sq. Ft. aaHER• Corner lot [ ] Inside lot [ ] Ft. Yd Setback Side Yazd Setbacks Type of Construction: R j;� ?- v a F Estimated Cost: $ Approx. Caaapletian Date: S g. Prgxsed Driveway Width If New Opening Is Desired: Width + 6' See Back Page DAZE: SPP ANT:/j` Tel.v�elspl Permit Fee $. Fire Surdu-rge State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Qmrrge $ STIPULATIONS. 4 QTY USE C HLY Fee Schedule an Reverse Side .001 x Permit Valuation (1/10th $j $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by EtV; ram- *gig Agreement Necessary [ ] Not Necessary [ ] Building BUILDING Permit No. ZA -D 15 �X Inspections RESIDENTIAL APPLICATION Received By: �' 763-572-3604 CITY OF FRIDLEY Da � d 16 763-502-4977 FAX $ 65% of Building Permit Fee EFFECTIVE 7-1-2010 $ DATE Ik. ' 2oi® YOUR Ep-MAILADDRESS ranae—Q f_ / nArthru remOOteCB, SITE ADDRESS. are C e e l< 61 VQl . .0005 x Permit Valuation Minimum $5.00 THIS APPLICANT IS: ❑ OWNER j11CONTRACTOR _ ° PROPERTY OWNER/ NAME:—Mary AnnMinas_® $ ADDRESS: I RI Le ci' x 161 y r- CITY R STATE"ZIP 3 TENANT Curb Cut Escrow PHONE: 740 - 571-0997 CONTRACTOR NAME: North rue '?efn o e h'/14 $ SUBMIT A COPY OF STATE LICENSE # �� '`j EXP DATE 63 -31- 2 ®12 YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS:®®%V/'L' ®LlL 'E �-V7• 5_-6 CITY % STATE ZIP �. INSURANCE PHONE & 17Z- 0® 3 FAX7-- $ PROPERTY TYPEINGLE FAMIL SIZE Total Due $ TWO FAN /NEWCONSTRUCTION STORIES Make checks Davable to: Citv of Fridlev Attach Stipulations PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH jZROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION IAMAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Rem ®y9e and in Sialy 0-5,2,hCt4 rQ & SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 2-7 )KHOUSE & 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: IDING 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 FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 $ 6000. ® OCCUPANCY TYPE Permit Fee $ e(' ` See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $5.00 License Surcharge $ _ ° $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks Davable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all Jae uirq es review and approval of plans. K �%, ' �'t 4 SIGNATURE OF APPLICANT 1�'l/l.� PRINT NAME i""� '�' DATE G—%Q APPROVAL INSPECTOR SIGNATURE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK SUBJECT City ®f Fridley 'd 22211 AT THE TOP OF THE TWINS g U I L ®I N G PERMIT = iP RECEIPT NO. COMMUNITY DEVELOPMENT DIV. •r PROTECTIVE INSPECTION SEC. 7 NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 10/29/93 / JOB ADDRESS 448 Rice Creek. Blvd NE I LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 2 Holiday Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Mary Ann Haines 448 Rice Creek Blvd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. T W Remodeling 9574 Teakwood Ln N, Maple Grove MN 55369 49.4-3142 1489 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 Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10.x 101 Deck 9 CHANGE OF USE FROM TO STIPULATIONS Seenotations on plan, 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 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 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 $4,000 $2.00 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 OTHER STATE OR LOCAL LAW REGULATING CON- $63,00 Fire SC $4,00 STRUCTION OR THE PERFO NCE OF ONS R CTION. PLAN CHECK FEE TOTAL FEE e 9'=9cp License SC $5.O $74.00 .NATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PWP VALID D THIS IS YOUR PERMIT ALDG 7NSP DATE SiGNATURE OF OWNER 0F OWNER BUILDER) (DATE) NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Addres Legal Description: Effective 5/26/93 Owner Namq& Address: 1+0 v- MA ICE AIJIU SAI NC 5 Tel. # Contractor: E_)'10 2 L j JJ 6_, MN LICENSE # roO l Address: 1577q 7-e-IILI,joo7 LIJ /0, & j�o �f7I�J 69 -Tel. # %y-3/ � ®ooa 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 1Z Width /o Hgt/Ground Sq. Ft. Corner Lot [ I Inside Lot [ ) Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ V0 o,� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ o�� DATE: C� �� APPLICANT: Tel. #7'� ,d o Z—, Permit Fee $ '�� 00 CITY USE ONLY Fee Schedule on Reverse Side Fire Surcharge $ 0 0 .001 of Permit Valuation (1/10th%) State Surcharge $ Z C cD $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ . CO $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ Conservation Plan Review $450.00 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ j Not Necessary [ ] TOTAL $__21L0 0 STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV, Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Hummoralm The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 20.00 $ C2,66- representations stated in this application are true and correct. MAR 2 9 1994 '199,:x. $10.00 $ OWNER �JOI� Iif In f Hr) o( -� : ig(°:s ---- $10.00 $ Gas Dryer $ 10.00 $ Air Condiilonin�—Afi�Slzes $10,00 $ All Others/Repalm & Alterations (LIST ON BACIq I% of Value of Appliance or Work $ Commercial/industrial 1% of Value of Appliance or Work $ State Surcharge so TOTAL FEE s �' MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.54 STATE SURCHARGE REINSPECTION FEE $30.00 BUILDING USED AS ESTIMATED COSTk0 a0J PERMIT NO. : 1r DESCRIPTION• 1 No, of HeatingUnits Circle On igam) WU arm Air) Trade NameX C$ Z0VMSize No. BTU Q HP EDR Fuel Total Connected Load Burner Trade Name BTU HEATING COM Signed By HP Size No. EDR Richmond & Sons Elec., Inc. dba: Golden Valley IItg. & Air Cd. 5152 West Broadway Tel No. By Rough—In Date Final Date 7 *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: TOTAL BTU's Remarks List Alterations Being Done: Richmond & Sons Elec., Inc. db ir0 5'1821. est SfoadWaV Crystal, M'iN 55429 HEATING COMPANY phane 535-2000 Signed By Date ;�° MAR 2 9 1994 1. Has been carefully examined Yes No ( ) 2. Is.free from rust or deterioration Ye No ( ) 3. Has no foreign objects lodged within Yes No J ( j 4. Is securely supportedYes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ) No ( ) 6. Has total heating BTU's of v U v All other BTU's TOTAL BTU's Remarks List Alterations Being Done: Richmond & Sons Elec., Inc. db ir0 5'1821. est SfoadWaV Crystal, M'iN 55429 HEATING COMPANY phane 535-2000 Signed By Date ;�° MAR 2 9 1994