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PRE 2010 DOCSCity of Fridley, Minn. PERMIT E �' 30, 1'965 Date7::D:E;�E�. Owner: Builder Address Address V (9:,,1:2 4 ) M- IDLEY, l MME SOTA 55432 .�==, LOCATION OF BUILDING No. Street ....._810 CULK 1lOtIE — Part of Lot _ Lot _ _ _ _ _ _ Block Addition or Sub -Division _ _ _ ROLIDAY HILLS, 210 ADDITION corner Lot _ Inside Lot _ _ Setback 35.' _ Sideyard .__ 10' Sewer Elevation 845.00 MMRkWn Elevation 848.00 TOP OF FWTING DESCRIPTION OF BUILDING To be Used as: DWELLING Front —.L2 52 Depth 25 Height 2O Sq. FL 13, 000 Cu. Ft 26, 0 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction FRAME Est. Cost — $17, 000.00__ To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in conipliance with ail provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $6' 00 , permit is hereby granted to CHARLES E. J©IIANSON to construct the building or addition as described above. This permit is granted upon the0reoscondlt1o n that the person to whom it is granted andhisound and upon said buildingorBrthereof, shFriMinnesota reg ng location, construction, alteration, maintenance, repair and moving of buildings within the City limits anadMe permft may b revoked at any time upon violation of any of the provisions of said ordinances. WRSNCE BELISLE Building Inspector NOTICE: This permit does not eo"r the construction, hwallafion for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Impostor for soparato permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF MDLEY, MUMMOTA OWNER'S NAME , . Rh PNK' S z 14- � /'1 of-� �..._.r �..�... ADDRESS ,/',,e1, „P c®/,;? ezz_- ADDRESS LOCATION OF BUILDING M PART OF LOT LOT__,7 BLOCK ADDITION OR SUBDIVISION CORNER L INSIDE LOTrSETBACK SIDE -YARD V 5 °b SEWER ELEVATION FOUNDATION ELEVATION°? e�� / a Applicant attach to f'h�Ye £o�rm Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used Ad: �5 s > Front Depth A_6` Height Sq. Ft.Aa H..`'�. ..`�Cu. Ft. rti Front Depth Height Sq. Ft. .,� �� Cu. Ft,. Type of Construction Estimated Cost ��% e I& 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 B4-tldings, and hereby declares that all the facts and representations stated in this application.are true and correct. SIGNATURE 1,_/4, (Schedule of Fee Costs can be found on the Reverse Side) t Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgaa. Phone SM -3450 GRAVITY WARM AIR: RATE TOTAL Location Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ City of Fridley: Repairs &Alterations—up to $500.00 .................. 6.00 $ The undersigned hereby makes application for a permit for the work hereir, specified, agreeing to do all work in strict accordance with the City Ordinances Repairs & Alterations each add. $500.00 ............... 3.00 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. MECH. WARM AIR 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 GAS BURNER (up to 199,000 BTU) ....................... 5.00 $� over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $—1- V e ROUGH FINAL— Fridley, Minn 19 Owner�'�? eicrr�z�—ems Kind of Buildings ' Used as To be completed about a, / e , / !� Estimated Cost, -New. Building Permit No. `s` Permit No. DESCRIPTION OF WORK HEATING or POWER Warm Air—No Trade Nam ®-�s'�� Size No 7&f or Capacity 111A 4 Coo Sq. Ft. E.D.R BTU H.P. Total Connected Load -7-I S Kind of Fuel01 BURNER — Trade Names Size No -12-0,®0 0 7- Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed ae Business Phone No- 5-2 Ddb '<..az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind Yes—No Yes—No 19_ Room I Length / Width Height II Fl_I i z - —o-1 Remm I L.enoth lI r Windows and Doors—Crackage and Area Coef.1 Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. � ;? / i C -L7- ° Infiltration Coef. Btu Infiltration Ff 601 S� Glass 11,766 16 Ceiling Y& Exp. wall v`00 I %Int. Net exp. wall Net exp. wall Int. wall f 76 Int. wall f 00 Ceiling Floor 110 "71 Floor ® b Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l ,d'-- A—, I t,- Room I Lenath ii Width 3Z*' Heiaht PV Windows add Doors--Crackage and Area Coef.1 Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. z ly. 12 -L7- Infiltration Infiltration Coef.1 Btu Infiltration Ff 0 S� Glass 11,766 16 Ceiling Y& Exp. wall v`00 I %Int. Net exp. wall Net exp. wall Int. wall / 76 Int. wall 33 61 Ceiling Floor 110 "71 Floor ® b Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ;L Fl.l * Room I L.enath 1 Cl Width let I-Ieiaht Windows a d Doors—Crackage and Area Coef.1 Btu Width Height No. of Lineal ft. Area No. of pane of pane liggahts of crack eq. ft. I -L7- Infiltration Infiltration 6 j -4-C Glass Ff , j' S� Exp. wall Glass 16 Ceiling Y& Net exp. wall wall v`00 I %Int. Ceiling3136 Net exp. wall Int. wall -' 1-16 1:2 Floor 33 61 l btal Btu. ft. E.D.R. or so. ins. W.A. Leader area FRIDLEY, MINN. Insulation How Applied Heiaht Windows an Dors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. WidthHeight No. of Lineal ft. Area No. of pane of pane llghta of crack sq. ft. Coef. Btu Infiltration Coef. Coef. Btu Infiltration 610, 40 .20 Glass 16 Ceiling Y& Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall -' L 1.42— Ceiling Ceiling Floor 110 "71 7720 Total Btu. . , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' Fl.l k s "' Room I Lenath P71 Width f Height 5 - Windows and Doom—Crackage aind Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall 610, Net exp. wall Glass Int, wall Ceiling Y& Exp. wall Floor �y%( Net exp. wall ® y� Int. wall 3 Ceiling I g Floor /V6 Total Btu. 1 9q 79 Required sq. ft. E.D.R. or sq. ins. W.A. leader area FI.I R A TL Room I Length 9 Width -�; Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int, wall Ceiling Y& Floor �y%( Total Btu. Required sq. ft. E.D.R, or so. ins. W.A. Leader area ` D J6 .41 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide ndowsI Door Reference Out. Wall Int. Wall 'Ceiling Roof Floor i—No Yes— 19_ oo Length idth `Height Fl. Ca4„°� dows and Doors—Cr ka and Area dth Height No. o Lineal ft. Area of pane lig a of crack eq. ft. FA i��� M> EW4WAW A rA mmWA :err �/I \qi� p. wall Net exp. wall Int. wall Ceiling Floor T 1 Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ET A� Room l Length W Width /a Height � Windows and Doors—Crackage and Area 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. WidthHeight No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. MYp� y� Coef. Btu Infiltration Coef. Btu Infiltration Coef. Btu Infiltration �� S- Exp. wall 6 Glass Net exp. wall �{ �� 0 Exp. wall Ceiling Floor `7 Net exp. wall Int. wall yOG j� Ceiling �j �f I ,°� 14 Floor J/ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI I Al -700. R......, I t ...e.6 �:d.l. Windows and Doors—Crackage altd Area 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. MYp� y� Coef. Btu Infiltration Coef. Btu Infiltration e, &® / O Glass �� S- Exp. wall Exp. wall Ceiling Net exp. wall Net exp. wall Int. wall �/ j (® 4' Int. wall ! e Ceiling Floor `7 Floor yOG Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FRIDLEY, MINN. Insulation Kind How Applied t _ _ _.L _ b A 1Y/:.1►L M LJ -:..L. Windows and' Doors—Crackage and Area 1 Width freight No. of Lineal ft. Area No. of Dane- -� of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. LlO` q Coef. Btu Infiltration Coef. Btu Infiltration e, `® Glass Exp. wall Net exp. wall Int. wall / $ Ceiling Exp. wall Ceiling Floor Net exp. wall Int. wall s2 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l ®., 1 Room I Length Width .�5— Height eP Windows and Doors—Crackage and Area 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. LlO` q Coef. Btu Infiltration Coef. Btu Infiltration 4. d Glass Int. wall Exp. wall Ceiling Net exp. wall Int. wall Ceiling Soo Floor `7 % , Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area 1 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ` Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area C I T Y O F F R I D L E Y 6431 University Ave. N. E. Fridley, Minnesota 55421 Bacon Electric Co. 6525 Central Ave. N. E. Minneapolis, Minnesota Gentlemen: August 5, 1968 RE: PE IT SHORTAGE 473 Rice Creek Bldd. Your permit.for the above captioned address was short the following: KW $3.00 Dryer 3.00 W B 1.00 Disposal 1.00 $8.00 We would appreciate it if you would kindly give this matter your preferred attention. When sending in the above amount, kindly place it on a regular Minnesota State Affidavit so that we may properly process this permit. Thank you. LE :bks Yours very truly, LEONARD EICHMILLER Electrical Inspector City of Fridley 7-8l�-1�16b51 - WIT OF f KIULV • • APPLICATION FOR PLUMBING AND GAS FITTING PERMIT ' Job Address 173 Rice Creek blvd.- ,Department lvd;,Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for A permit for the +cork herein specified agreeing to do all work in otriet accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and represAntations stated in this application are true and corree' Fridley, Mn. 5-3-79 19 OWNER MICKELSON KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE a ESTIMATED COST 10.00 'LUMING FIXTURE RATES: NO. U . TOTAL 0 ir,usber Fixtures Water $3.00 a7 h Future Fixture Opening N $2.00 H M n }�1�, • O a row a W ' Neater Signed By V •1 $5.00 [. Water Neater - to 99,000 BTV C C7 il• 4 M d R • �� $ :) Water Softener x $7.00 $ „ S• x " $ n o x g V11 Date ' SAS FITTING FEES: W U 1st 3 fixtures x• 53.00 $ Date Additional Fixtures x $1.00 $ ' Gas Range to 1990000 BTU x $10.00 S �_- APPROVAL FOR PERMIT '• ''FPAIRS fi ALTERATIONS First $100.00 $5.00 $ �' each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLU9 S.50 STATE S9RCHA= State Surcharge $ TOTAL FEE $ 8.00 •, • RP.T/iQ4oPmvn.r o..c. ' R) -Future Connection Opening Connected with Sewer "0) - New Fixture, Old Opening Water Job Address 173 Rice Creek blvd.- ,Department lvd;,Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for A permit for the +cork herein specified agreeing to do all work in otriet accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and represAntations stated in this application are true and corree' Fridley, Mn. 5-3-79 19 OWNER MICKELSON KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST 10.00 'LUMING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT. NO. PERMIT N0.• ir,usber Fixtures X $3.00 Future Fixture Opening x $2.00 $ Company New Fixture, Old Opening X $2.00 $ MINNEOASCO • ' Signed By Catch Basin x $5.00 $ �� Water Neater - to 99,000 BTV X 45.00 $ Tel. No. 100,000 BTU to 199,000 HTV x $10.00 �� $ ' Water Softener x $7.00 $ „ ttew Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water.Heater x $5.00 .;. $ Date ' SAS FITTING FEES: FINAL INSP, 1st 3 fixtures x• 53.00 $ Date Additional Fixtures x $1.00 $ ' Gas Range to 1990000 BTU x $10.00 S �_- APPROVAL FOR PERMIT '• ''FPAIRS fi ALTERATIONS First $100.00 $5.00 $ �' each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLU9 S.50 STATE S9RCHA= State Surcharge $ TOTAL FEE $ 8.00 •, • RP.T/iQ4oPmvn.r o..c. ' SUBJECT PERMIT NO. City of Fridley o V 17 6 4 1 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. v----__ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J> 612-571-3450 910-F15 8/3/84 JOB ADDRESS 473 Rice Creek Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Holiday Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clell Mickelson 473 Rice Creek Boulevard N.E. 571-1056 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. J & M Pools axid Supplies Inc. 13900-71st Avenue N., Maple Grove 420-5997 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16'x32' In-ground Swimming Pool (26,000 gallons) 9 CHANGE OF USE FROM TO STIPULATIONS See letter dated 8/3/84 frcm.Environmental Officer. WARNING SEPERATE PERMITS REQUIRED FOR WIRING, � Before digging call local utilities HEATING,. PLUMBING PLUMBINGANDSIGNS, TELEPHONE- ELECTRIC -GAS Etc. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $8,000 $4.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AU ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ST E OR LOCAL LAW REGULATING CON- $68.50 STRUCTION R THE PERFORM CE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 'r $72.50 SI A REOFCOR A THORIZEDAGENT (DATE) WHEN PROPERLY LI DATED THIS IS YOUR PERMIT 2 BLDG WSP I D TE _-:P-atk SIGNATURE OF OWNER (IF'OWNER BUILDER) IDA NEM [, City of Fridley Effective 4/1/84 ADDN. [ l �R-1 AND R-2 I ALTER. [ ] Building Permit Application Construction Address: �� cP 6l J Legal Description: Owner Name Address: �' �� C -P e L - i Tel. # Contractor: �-� YA DO 1,S ) -A�PLr !� C - Tel . ` Address: Z3, 00 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/Group Sq. Ft. OTHER: ZY1 /S 9-11` c_ � LP' Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard .Setback Type of Construction: Estimated Cost: $ .3 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: ' �� APFLICANT• Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Tel. # 99, Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $425 per SAC Unit ' Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 August 3, 1984 J A M Pools and Supplies Inc. 13900 - 71st Avenue North Maple Grove, MN 55369 Re: Swimming Pool Construction at 473 Rice Creek Boulevard N.E. Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, two (2) 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 of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. J & M Pools and Supplies Inc. August 3, 1984 Re: 473 Rice Creek Blvd. N.E. Page 2 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 overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 times the pool diameter and shepherds crook pole must be provided and maintained with the pool at all times. 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 of the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJ 0/mh CC: Mr. Clell Mickelson 473 Rice Creek Blvd. N.E. Lao - L, a is -.,/ s, A/ CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT EYtective Aug. 1, 19a1 Job Address 1/ 3 rye ie d EEE 131—UP 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 appl tion are true and correct 14 j j c Fridley, Mn. , 19 CJ OWNER k1eh�j=L ✓�f� RIND OF BUILDING USED AS TO BE COMPLETED ABOUT RATE SCHEDULE(X)ST >, mON PLUMBING FIXTURE RATES: NO. u TOTAL OLD UILDING PERMIT NO. w New Fixtures Water $ % Future Fixtures S 3.50 S E 9:M�M -4O Old Opening, New Fixture $ 1.50 m $4 W 14 W M S Neater 49mi 01 �N C Gl Blow off Basin .�i $ Catch Basin $ 5.00 $ Rain Water Leader .Cd $ ROUGH INSP. Hydraulic valve $ 5.00 $ Date Sump or Receiving Tank $ 5.00 $ Water Treating Appliance o $ FINAL INSP. 9 $ 5.00 $ 8 u�a� Gas Range $ 10.00 $ 5 Gas Dryer lec $ u o� 'A a"w° li of Value of Fixture or Appliance r. $ State Surcharge c� Reinspection Fee $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 ($15.00) TOTAL FEE $ � �,�� PLUS THE $.50 STATE SURCHARGE let 2nd �. 3rd 4th (R) = Future Connection Opening Connected with Sewer (�) = New Fixture, Old Opening Water EYtective Aug. 1, 19a1 Job Address 1/ 3 rye ie d EEE 131—UP 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 appl tion are true and correct 14 j j c Fridley, Mn. , 19 CJ OWNER k1eh�j=L ✓�f� RIND OF BUILDING USED AS TO BE COMPLETED ABOUT RATE SCHEDULE(X)ST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD UILDING PERMIT NO. JA PERMIT NO. %� l New Fixtures $ 5.00 $ % Future Fixtures S 3.50 S Company Le P Old Opening, New Fixture $ 1.50 S Signed By Beer Dispenser S 4.00 S Tel. No. J Blow off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ ROUGH INSP. Hydraulic valve $ 5.00 $ Date Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ FINAL INSP. Hot Water Heater $ 5.00 $ Date Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT I " ALL OTHERS AND/OR REPAIRS AND ALTERATIONS li of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 ($15.00) TOTAL FEE $ � �,�� PLUS THE $.50 STATE SURCHARGE SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 28052 r � N COMMUNITY DEVELOPMENT DIV. V�� r PROTECTIVE INSPECTION SEC. NUMBER NEV DATE PAGE OF APPROVED BY ,'� CITY HALL FRIDLEY 55432 L J� 612-571-3450 910-F15 10/1/98 JOB ADDRESS 473 Rice Creek Blvd. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 lHolidayHills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David & Deb Reinisch 571-5056 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ron Miller Constr. Inc.971-3514 6154 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 3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 19 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1628 $.81 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- STRUCTICW OR THE PERFORMA OF CONSTRUCTION Fire SC 1.63 PLAN CHECK FEE TOTA FEE 4t'� SIGNATURE OF CONTRAZTORORAUTHCRIZED AGENT IDATEI 1 1.44 EN ROP L VALID E THIS, IS Y UR PERMIT _ BL INSP I `iy , �O OAIC S,GNA TUBE OF OWNER IF OWNER BUILDER I IDATEI r , NEW [ ] Effective 1/1/98 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIONz1 73 2d,61ucl, ConstructionAddress: b i S Legal Description: Owner Name & Address: , cr De / S Zj Tel. # ze 05 Contractor:% �, �6-�%�' , MN LICENSE Address: .5.3 . S L f L P Tel. #- i%-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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �zz / >ri� ,'/ 9 Z7 Construction Type: Driveway Curb Cut Width Needed: Estimated Cost: $ ��� '�8 (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ DATE: - -ffl APPLICANT: ZTel. # -21-5-S—_111 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee CITY USE ONLY $ Ub Fee Schedule on Reverse Side $ 1, 3 .001 of Permit Valuation (1/10th%) $ 61 $.50/$1,000 Valuation $ $1000 per SAC Unit $ 5,66 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ TOTAL STIPULATIONS: Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2001 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 JOB ADDRESS 73 lZoo, Cr„Llc f-q,v> RATE SCHEDULE OWNER DA -9- Residential Rate TOTAL Furnace Shell and Duct Work, Burner - �0 6 BUILDING USED AS f�- Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ESTIMATED COST PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (arm Air, Gas Dryer $ 10.00 $ Trade Name C/aJ-✓ic! Size No. �S 0� BTU 1C�,or� HP 1�(C EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel /1/A*_ Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING CO4/L Signed TEL # � Approved By Rough -In Date Final Date t® 6/ D COMBUSTION AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing 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 plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( No () . The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes) No ( ) When required to Install a new combustion air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes k No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes r No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input. 2 Fan Assisted or Nat Appliance #2 Type BTU Input 2®. Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Ila Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date Building PLUMBING Permit No.: L 6i Inspections 763-572-3604 RESIDENTIAL APPLICATION'' 7 eec CITY OF FRIDLEY Da#e�d: DATE 9 2 % L.6 7 YOUR E-MAIL ADDRESS SITE A DA S Cn.. g g - THIS APPLICANT IS: ❑ OWNER )j�.ONTRACTC David Reinsch Rice Creek Boulevard Ne PROPERTY:473 -N�Fridley,MN 55432 OWNER/ ADDRESSNANT: 7635 15056 STATE ZIP PHONE: CONTRACTOR NANIE: SUBMIT A COPY OF STATE LICENSE#! Sb, EXP DATE YOUR STATE ADDRESS i 1 / CITY .��reg �l STATE,&tAIP ;C �f W LICENSE WITH PHONE 7- *1013 FAX C I Z T Z 7-117t? APPLICATION - PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW XREPLACEMENT DETAILED DESCRIPTION OF WORK 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 = FOR3'ROJECTS WHERE LABOR EXCEEDS!5500;TEES ARE BASED ON $10.00 PER FXrURE,-EXCEnWHERE NdiMD :.�ES:-.(INDICATE T.OQTAL ' NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING —BATHTUB —GAS PIPING (xmw cmuawt) _ SWIMMING POOL WATER SOFTNER ($35) ~_ _ CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET BACKFLOW PREY. ($15) —DISHWASHER =LAUNDRY TRAY LWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,PO = $ TOTAL DUE $ Number of fixtures @ $35.00 �_ x $35.00 = $ 36'.Oo State Surcharge =rwillbe Total =THIS 1S 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 wo 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 ork which requires review and approval of plants. A: Allorillool 5714 1-07 SIGNATURE OF APPLIC PRINT NAME DATE 7 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977