PRE 2010 DOCSDate:
City, ®f Fridley, ice° n..
BUILDING PERMIT
Sept. 14, 1967
Charles Johanson
Builder
Same
Address 160 Hartman Circle Address Same
LOCATION OF BUILDING
z IT
N9 9451
No. _485 Street Rice Creek Blvd. � part of Lot
Lot 8 _ Block R 1 Addition or Sub.Division Holiday Hills, 2ud Addn.
Corner Lot ._ Inside Lot _ x Setback 35 &25 Sideyerd 12-20
Sewer Elevation i 843.86 846.86
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Duelling Front 52 Depth 26' Height 20' Sq. Ft. 1352 Ft. 27,040
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Era= Est. Cost� $mss OO.Si...—___.. To be Completed
SEWER LOCATION -2 52.6' South of Manhole
WATER LOCATION 42.6' South of Manhole
In consideration of the issuance to me of a permit to construct the building d above,l
agree to do
the proposed work in accordance with the description above setfor�i at in wjrth ail provisions of
ordinances of the city of Fridley. �/ �/ /J
$100.00 Sew4if`Connec
In consideration of the payment of a fee of $---4-1,-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 aad his agents, employees anc� workmen, in all work.
done in, around and upon said building, or any Bart thereof, shall conform in all respects to the ordinaaces of
Fridley, Mizmesota location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits permit may be revoked at any time upon violation of any of the provisions of said
ordinaaces.
CLARENCE BELISLE Building Inspector
NOTICE:
This permit doss not cover the condrucilon, hu t Batten for wiring, phunbing, gas hestb& rarer or water. Be sure to sm
the Building Taspectar for soperate permits for these Rena.
APri ICM ; CYC T FOR B71171 D MIG PE XITLT
CITY 0. FRUIXL—a; h-IN-iESuTA
OWNER'S NAME Charles E. Johanson Bjr%.D,ER Charles E. Johanso
'160 Hartman Circle IbU Hartman Circle
ADDRESS —F.fidil i 32 ADDRESS Fridley. Pjinn SeaA,4,)
LOCATION OF BUILb! G
N0. STREET . t P 0G-'.QICc �,i�V PART OF LOT*I
5
LOTBLOCK ADDITION OR SUBDIVISION .>
CORNER LOT INSIDE LOT S SETBACK 3 Ji! j SIDE-YA / d- -- z d
SEWER EL VATION�FOUNDATION ELEVATION'
Applicant attach to this form Two Certificates of Survey of Lot and proposed
bulldi�ng location drawn Qn these Certificates.
DESCRIPTION OF BUILDING
To Be Used Ad: 2
&
Front Depth Height
Sq. it. Cu. Ft, 27�b
Front Depth Height
-- . Sq. Ft. - Cu. Ft.
Type of Construction
To Be Completed
Estimated Cost ' / (�O e7.0
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 a, 7 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
e''U''
"? /
y ai
a'zr..�
City of Fridley
Application for Plumbing and Gas Fitfiing Penn it
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
C
wr
ugh
Number Fixtures ......................
x $2.00
_ 12
Future Fixture Opening ................
Z �Z
4n2
�8 z
(ate} i
O �
Catch Basin ............................
0
00
(�90
F
N
WATER HTR.
GAS
ELEG
Base
'
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $2.00
Additional Fixtures Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
1st
2nd
_
3rd
4th
Future Connection Openings
New Fixture, Old Openings I
Connected With
Sewer
Cesspool �
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $2.00
$
Future Fixture Opening ................
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
C� C�
$ °
New Ground Run Old Bldg . ............
x $3.25
$
Electric Water Heater
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $2.00
Additional Fixtures Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS—Refer 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 application, are true and correct.
Kind of Building-/-�L(�fL-(
Used as
To be completed about
Estimated Cost, $ weli
ew.
/ ���
Old— uilding Permit o.
No Permit
Signe
By 2ZZ
Business Phone No '`
ROUGH
FINAL
ED
191—t;'.
Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and 6y
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 ® 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
00
L)
GAS BURNER (up to 199,000 BT .......................
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 .... I ......
x$ 5.00
$
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE $T
Dept. of Bld�ga. Phone SSI) -3450
Location
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.
Owner
Kind of Building �j�
Used as 1/ ,
To be completed about
Estimated Cost, $
Oldew Building Permit No. f,,Permit No. *'9
/
HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No /
Trade N ame�i/!s�� Size No '7e J — -& 4 420
20
Capacity. Sq. Ft. E.D.R. BTU H.P.
Total Connected Load ')— 3, 73 f 11, Kind of Fuel
BURNER — Trade Na - Size No- /,2 Q. 000
Capacity Sq. Ft E D.R BTU H.P.
(REMARKS -OVER]
Signed W --v' �— - , ..r,
$y
az Business Phone No 2111- 41
Compliments of North Central Public Service Co.,
BEAT LOSS CALCULATIONS P OWN
DEPARTMENT QV BUILDINGS VILLAGE
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows Doors Reference Out. Wall Int. Walll Ceiling I Roof I Floor Kind I How Applied
Yes—NO I Yes—No 19........
atom I Length qWidth I I Height 11 r FL I 1--0 Room I Length 1 Width /. ° Height
Windows and
Doors—Crackage and Area
_
No.
Width
of pane
Height No. of
of pane lights
Lineal ft.
of crack
Area
sq. ft.
Area
sq. ft.
je
t9lip
Br
Coef.
Btu
In$ltration
Coef.
Coef.1
Btu
Infiltration
40
b F C}
Glass
%
Net exp. wall
Exp. wall
(�
J(®'
In
Net exp. wall
171
r 11
e%
Int. wall
Net exp. wall
0�
Ceiling-
S
77
Floor
F10or
Ceiling ''
/ %
16791
Total Btu.
24, IR
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area. J II
Fl. 1lI" _ - Room I Length r/7 Width B I Height
Windows and
Doors--Crackage and Area
_
No.
Width
of�pane
HeInt
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
je
Coef.
Btu
In$ltration
Coef.
Btu
Infiltration
Coef.
Btu
Infiltration
%
Net exp. wall
(� ®
9L 0
Glass
J(®'
In
C
Exp. wall
go
.
Net exp. wall
0�
;99 V2
Int wall
77
Floor
Ceiling ''
/ %
% :—
�z
Floor
1/0
33&.
Total Btu.
t; Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I Fi_ 112 n Room 1 Leni;th L Width Height
Windows and
Doors-Crackage and Area
_
-No.
Width .
of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
je
Coef.
Btu
In$ltration
Coef.
Btu
Infiltration
Coef.
Btu
Infiltration
Net exp. wall
Exp. wall
;t co C)
-Glass
®2
In
Exp: wall
Ceiling
Int. wall
_Net exp. wall
0�
Ceiling
;99 V2
Int. wall
Total Btu:
Floor
Ceiling
7
Total Btu.
�z
*';Flour a
33&.
e`Total Btu,
sq. ft. E.D.R. or, sq. ins. W.A. Leader area
Windows ,and
Doors--Crackage and Area
_
No.
Width
of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
je
Coef.
Btu
In$ltration
Coef.
Btu
Infiltration
Coef.1
Btu
Infiltration
Net exp. wall
Exp. wall
;t co C)
Glass
®2
In
Exp. Wall
Ceiling
Int. wall
Net exp. wall
0�
Ceiling
;99 V2
Int. wall
Total Btu:
Floor
Ceiling
Floor
Total Btu.
j
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room I Length Width Height
Windows and. Doors—Craekage and Area
_
No.
Width Height
of pane of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Area
sq. ft.
je
Coef.
Btu
In$ltration
Coef.
Btu
Infiltration
Exp, wall
Glass
Net exp. wall
Exp. wall
Int. wall
Net exp. wall
Ceiling
Int. wall
Floor .
Ceiling
Total Btu:
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area. 1
Fl: I Room I Length Width Height
Windows and
Door"rackageAnd Area
_
No.
Width
of pane
Height
of pane
No. of Lineal ft.
lights of crack
Area
sq. ft.
je
Coef.
Btu
In$ltration
Glamis
Exp, wall
Net exp. wall
Int. wall
Ceiling
Floor .
Total Btu:
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
s
Compliments of North Central Public Service Co.,
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips
A.SJLV.E.
Guide
Reference
19........
No.
Construction No.
No.
WindowsI
Doors
Out. Wall
Wall)
gelling
Roof
Glace
Yes—No
Yes—No
�.
ILnt
I
1__Eloor
Fl I Room I Length e Width
Height
I/q3
0
Windows Doors—Crackage and Area
Windows and
Total Btu. g
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
j Fl. I,� e v e i -j A Roam I Length // Width 0 Height
Windows ani
1
Doors—Crackage and Area
No.
No.
Width
of pane
No.
Width Height
of pane of pane
No. of
lights
Lineal ft.
of crack
Area
&C)
Glace
�.
Exp. wall.
Net exp. wall
-30
I/q3
0
b
Coef.
Coef.
Btu
Infiltration
9a
Coef.1
Btu
Infiltration
Glass
Total Btu.
Glass
Net exp. wall
Exp, wall
9 yO
j �x® 0
Glass
Net exp. wall
0
Total Btu.
Ceiling
Int. wall
Exp. wall
Floor
Ceiling
Int. wall
v°Z
C Elf
Floor
Net exp, wall
Ceiling
Total Btu.
!�
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Floor
Int. wall
% d2 U
Ceiling
Floor
C
g
Total Btu. g
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
j Fl. I,� e v e i -j A Roam I Length // Width 0 Height
Windows ani
1
Doors—Crackage and Area
No.
No.
Width
of pane
Height No. of
of pane lights
Lineal ft.
of crack
Area
sq. ft.
1 17
&C)
Glace
�.
Exp. wall.
Net exp. wall
-30
I/q3
0
Int. wall
Coef.
Coef.
Btu
Infiltration
9a
&0
&
Glass
Exp. wall
Glass
Total Btu.
Glass
Net exp. wall
Exp, wall
9 yO
7 7 6
Int. wall
Net exp. wall
0
Total Btu.
Ceiling
Int. wall
2 9
Floor
Ceiling
Int. wall
v°Z
C Elf
Floor
gaq
Ceiling
Total Btu.
!�
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Floor
TM- Room I Length ®A Width H Height
Windows an Doors—Crackage and Area
_
No.
Width Height
of pane oP pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Infiltration
1 17
&C)
Glace
�.
Exp. wall.
Net exp. wall
-30
I/q3
0
Int. wall
Coef.
Btu
Infiltration
`oj
(�
&0
6
Glass
Exp. wall
G
Total Btu.
Glass
Net exp. wall
Ceiling
i<
7 7 6
Int. wall
' a
0
Total Btu.
Ceiling
J/10
2 9
Floor
Int. wall
-270
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
i Insulation
X1nd How
Room I Length j Width f,
Doors—Crackage and Area
Height
No.
Width Height
Of pane of pane
I I
I i -
jCoef.j
Area
sq. ft.
Btu
Infiltration
1 17
&C)
Glace
�.
Exp. wall.
Net exp. wall
-30
I/q3
0
Int. wall
Glass
Ceiling
(�
`oj
(�
Floor
6
/
/ G
Total Btu.
Glass
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ceiling
Fl.I �� oom I Length - Width Height
Windows and Doors--Crackage and Area
No.
Width Height
Of pane of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Area
sq. ft.
Coef.
Btu
Infiltration
Glass
Coef.
Exp. wall
(�
Net exp. wall
/
a P %
Int. wall
Glass
Ceiling
✓��
7 7 6
Floor
0
Total Btu.
_ %� 0-1.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FL I g, Fk- o m I Length idth Height
Windows and Doors—Crackage and Area.
No.
Width
of pane
Height
of pane
No. oP
lights
Lineal ft.
of, crack
Area
sq. ft.
Coef.
Btu
Infiltration
ce'd
'79-0
Glass
✓��
7 7 6
Exp. wall
(w
Net exp. wall
19
Int. wall
Ceiling
j
! G
Floor
% d2 U
Total Btu. o�-
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
s
--- 97-84-879001 �0PL I CiT! 0it F0 R PUJh1A l 14u AN 0 GAS F l T'f I NG PE It' I I IF --
1 •61
a U
G l)
jib- --- —• --- �_ ��®� _' •�.�® .e�.�-
Cm :r.ecL�d WiLh Sewer
a1 Nr.w 9latuttt, Old OpknlcJ Ida ler
f'rtiRT 1;,L tr, 1 E '�CIiL11-Lr-
'1.11�9111Nt 1.1X1111tG kATES lad. RATE
I IAL,,(99
1litutr FLAture 61,cnlnl
lase tut:a, Old Ghgr,d;
last�n h Ij
t99Let Itaae(;r - Lo 9y,000 6'111
1 UUa 000 611J tee 15 0u0 BTU
41tur a..ftenec
",- ulu1111.2 l6.ln Ula buLldir®]
LICGLsle Nater 11teLer
AS 1.11 rIPaG hEES;
lht 1 PtnLure3
:R.1dll1unA1 F'LALu(e2
t.,a N.,1,•J� [;e 199,006 6IU
1:Il,alltti 4 AI.TEKATIONS
1°1:4t Wo.ou .
ea,.h c+.9.1. jIJU:UO q( lract.ion
x
X2.00
x
X2,00
$
a
61,Cer
®x
X10.00
a
-�
qt
X5,00
IIC®ter
I ®°'
.ee
1 �
n9
a
vt
e�
Ll.lec
® � �v � !, � � `A° °4• e7 yJ
df
�
N
6
m
de
nide furnace; i
jib- --- —• --- �_ ��®� _' •�.�® .e�.�-
Cm :r.ecL�d WiLh Sewer
a1 Nr.w 9latuttt, Old OpknlcJ Ida ler
f'rtiRT 1;,L tr, 1 E '�CIiL11-Lr-
'1.11�9111Nt 1.1X1111tG kATES lad. RATE
I IAL,,(99
1litutr FLAture 61,cnlnl
lase tut:a, Old Ghgr,d;
last�n h Ij
t99Let Itaae(;r - Lo 9y,000 6'111
1 UUa 000 611J tee 15 0u0 BTU
41tur a..ftenec
",- ulu1111.2 l6.ln Ula buLldir®]
LICGLsle Nater 11teLer
AS 1.11 rIPaG hEES;
lht 1 PtnLure3
:R.1dll1unA1 F'LALu(e2
t.,a N.,1,•J� [;e 199,006 6IU
1:Il,alltti 4 AI.TEKATIONS
1°1:4t Wo.ou .
ea,.h c+.9.1. jIJU:UO q( lract.ion
TOTA1.
53.00
$1.00
x M.00 �
ss, oo° 5.00
52.00 _AQQ
SLAL4 5urcharc3a g .50
Tor/.L 1I.L s 8,00
9�L11rb1•r.^•tTr., ..
Job rtddrtss 485 "ice Creek Blvd.
DeparLnlCnt cf bULldig,a �1
Ci Ly of I'ridley «
Tel, 11571-3.150
Tito-kindoralgnad h;rt:9=y rrakea ag,plication f.,r e -enttL C:r CPIu mak Lerclr,
Specified e3reelny .LJ dc* all work in strict eeacr imr;a� �1'tt. tt, City Cudt u
and rulin(Is of tilt) Ger:artmc,nL of ®alldin,a, „rd «@re[.s ,ie la(ci. that al9
t11e fauLit nod r,:prun nt1Lt®nS StaLad Jr. thin Ut,. alcatien aeq teLAG and durr,A,
1 rediuY, ;:n. 2-11-80 19
GIINCR Lafond
KT11D ®P' CIUILGTL'3 fraple
USED AS res. _
TO BE COMPLETED ue w 2-18-8o
m ESTIMATLO COS.'r _ 125.00
OLD -• NEW UUILDItau PLI,1•111 110. FEIe %: 6n)
Campany
signed By MINNEGASCC
°rel. lid,
ROUGH IIISP.
Da to -
0 . 00 o
Dat(
M-PRUV AL 1.1 11 FEIuII'r e�
11IPIIP11111 1'Lt 161% MY 1°LU1:uT114 PE It :IP Is 57,50 PLUS. e,5® ,gi.TY 6t/1LQl/lltl:K �
x
X2.00
x
X2,00
$
Ss.00
$5.00
®x
X10.00
® x
X5.00
tt
X5,00
TOTA1.
53.00
$1.00
x M.00 �
ss, oo° 5.00
52.00 _AQQ
SLAL4 5urcharc3a g .50
Tor/.L 1I.L s 8,00
9�L11rb1•r.^•tTr., ..
Job rtddrtss 485 "ice Creek Blvd.
DeparLnlCnt cf bULldig,a �1
Ci Ly of I'ridley «
Tel, 11571-3.150
Tito-kindoralgnad h;rt:9=y rrakea ag,plication f.,r e -enttL C:r CPIu mak Lerclr,
Specified e3reelny .LJ dc* all work in strict eeacr imr;a� �1'tt. tt, City Cudt u
and rulin(Is of tilt) Ger:artmc,nL of ®alldin,a, „rd «@re[.s ,ie la(ci. that al9
t11e fauLit nod r,:prun nt1Lt®nS StaLad Jr. thin Ut,. alcatien aeq teLAG and durr,A,
1 rediuY, ;:n. 2-11-80 19
GIINCR Lafond
KT11D ®P' CIUILGTL'3 fraple
USED AS res. _
TO BE COMPLETED ue w 2-18-8o
m ESTIMATLO COS.'r _ 125.00
OLD -• NEW UUILDItau PLI,1•111 110. FEIe %: 6n)
Campany
signed By MINNEGASCC
°rel. lid,
ROUGH IIISP.
Da to -
0 . 00 o
Dat(
M-PRUV AL 1.1 11 FEIuII'r e�
11IPIIP11111 1'Lt 161% MY 1°LU1:uT114 PE It :IP Is 57,50 PLUS. e,5® ,gi.TY 6t/1LQl/lltl:K �
June 15, 1995
Joseph Garthofner, Jr.
485 - Rice Creek Road
Fridley, MN 55432
RE: Noncompliance of Fridley
Following Property:
Location:
Legal Description:
Property I.D. #:
Dear Mr. Garthofner:
City Code 105 (Weeds) on the
485 Rice Creek Road
Lot 8, Block 1, Holiday Hills 2nd
14-30-24-21-0034
Fridley City Code 105 (copy enclosed) states that it is unlawful to maintain
land in the City upon which weeds, grass, or rank vegetation exceeds ten (10)
inches in height; or other noxious growth exists as outlined in the
ordinance. This was enacted to protect the health and safety of the
community and its residents.
A recent inspection of the above referenced property revealed conditions
which are not in compliance with this ordinance. It is important that you
take appropriate steps to correct this situation immediately.
I will conduct a reinspection on or shortly after June 26, 1995, at which
time full compliance is expected. Should this deficiency still exist, I will
instruct the City's Public Works Department to abate the condition.
In the event the City abates the condition, you will be served a notice in
writing indicating the work performed and the costs and expenses involved.
The total amount must be paid to the City within 30 days after this notice or
before the following October 1, whichever is later. If this is not done, the
costs and expenses shall become a lien in favor of the City; and a 15%
penalty will be added to the amount due as of the date, with the total costs,
expenses, and penalty thereupon to be certified to the County Auditor for
entry on the tax books as tax against the land.
Please call me at 572-3595 if you have questions or wish to discuss this
further. Thank you for your cooperation!
Sincerely,
Kurt Schneider
Weed Inspector
KS:da CE -95-131
'Y
SUBJECTITN•
%!2?
City of Fridley
Q11
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEI.
6
COMMUNITY DEVELOPMENT DIV.
L
r 1 PROTECTIVE INSPECTION SEC.
1 r
1 r r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/24/97
JOB ADDRESS 485 Rice Creek Blvd NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
8
1
Holiday Hills 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Garthofner, Joe 485 Rice Creek Blvd NE
571-8439
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Phalen Siding & Trim 1528 Lincoln Ave, St Paul, MN 55105 731-2092 6216
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 Xf] REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install soffit & Fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
Ventilation to meet the State Building Code.
I ,F
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
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
$1 700
$ 85
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 S AT pR LOCAL LAW REGULATING CON-
$54.00
Fire SC $1.70
S HE ERFORMA OF CONSTRUCTION,
PLAN CHECK FEE
TOTAL FEE
License SC $5.00.55
SIGNA URE0 CONTRACT OR AUTHORIZED ENT (DATE)
OPE LY LIDATED T IS YOUR PERMIT
SIGNATURE OF OWNER) iF OWNEF BUILDER) IDATEI
8 G )NSP
MATE
'Y
NEW [ ]
ADDN [ l
ALTER [ ]
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor: /� 4
Address: lr..)- e
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 1/1/97
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
C� ` "
BUILDING PERMIT APPLICATION
W
0, �✓����
eCe "+%
r/-- 74-�s f
Tei. # 4 7/ I
MN LICENSE #
Tel. # -2 ? `.— 5 Z—
T—
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length
Length
Length
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Construction Type: Estimated Cost: $
90 _2�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _
L / Tel..# ��� G Z -
DATE• APPLICANT:
CITY USE ONLY
Permit Fee
$
`'� 00
Fee Schedule on Reverse Side
Fire Surcharge
$
1. %D
.001 of Permit Valuation (1/10th%) r
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$
UCS
$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 [ ]
L's—S7
TOTAL
$—L—
STIPULATIONS:
9
suBiEtr `
PER
City of Fridley
9131
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
1 �
COMMUNITY DEVELOPMENT DIV.
1677
r PROTECTIVE INSPECTION SEC.
1 i
NUMBER
REv
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55-652
612-571-3450
910415
4/1/99
JOB ADDRESS
4$5 Rice Creek Blvd NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
1
Holiday Hills 2nd Addn
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Joe Garthofner 485 Rice Creek Blvd NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Richard Hastings Co 6331 Riverview Ter NE Fridley,
MN 55432 574-9966 4051
a 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
0 NEW 0 ADDITION 0 ALTERATION f REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof House & Garage (19 Sq) Tear -off
9 CHANGEOFUSEFROM TO
.STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday
thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE 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
1 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
$1,628
$.$1
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-
$54.00
Fire SC $1.63
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
n
PLAN CHECK FEE
TOTAL FEE
License SC
$5.00
$61.44
SIGNATURE OF CONTRACTOR OR AUIXORITED AGENT iD TEi
VALIDATED THIS ISyYOUR
ZEN��PROPE
BID( NSF"
�PERMIT
DATE
S,GNATURE OF OWNERdF OWNER BUILDER, IDATE
9
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
NU
ConstructionAddress:S'
�.
Legal Description:
Owner Name & Address: -To f (,—A Prrh L Tel. #
Contractor: 14 A-St6 d c- S c-` MN LICENSE #_ e> 5 %
Address: v E Z v < <� ��`� Tel. #
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 5q. Ft.
OTHER: l �
Construction Type: f5AP— m FF- + 1ZE K -0®F Estimated Cost: $ / ( , C28
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: e % APPLICANT: Tel. # 6-7
CITY USE ONLY
Permit Fee
$ . 00
Fee Schedule on Reverse Side
Fire Surcharge
$ 3
.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
$
STIPULATIONS: