Loading...
PRE 2010 DOCSCity of Fridley, 1Vlinn. BUEWING PERMIT N s o s W MIA, WA VA M �nt aa� Owner: Builder Address Address r° +�I MICAT G No.± Stree ,� of t Lot Block _ dition or sub -Division . Comer . Lot _ Inside Lot Setback Sideyard M Sewer Elevation _ __ _ _ Foundation Elevation P DESCRIPTION OF BUILDING Front Depth �;�Height .�.._........... Sq. Ft. Cu. Ft. Fro Depth H t Sq. Ft. Cu. Ft. ofVstmetion Est. obe Com eted TyleCompleted In consideration of the payment of a_ fee of $ %0010permit is, hereby granted to to construo"I ie building or addition as described ,above. This permit is granted upon the express condition that the peason to whom it is granted and his agents,.; employees and workmen, in, alb work. done in, around and upon said building, or any part `thereof, shall conform in fall respects to the ordinances of Fridley, M3tmesota regarding location, construction, -alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at' any time upon vioc say of the Provisions of said ordinances. ff LW -1- �`A mqwll� NOTICE: 'Ibis perch doss not cover the eondrnefloe, InstaWan for. whiny, phmtbiny, on hoatm& sewer or wmr. Bo sure to we the BOA* IMspectar for soperate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA AddressBuilder A ae,62,XA .1 Address LOCATION OF BUILDING 9 No . Streeter �� �f'art of Lot Lot t,. Block Addition or Subdivision Corner Lot Inside Lot k - Setback / Side -Ya d / s SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To bK used as: Front �7 D�eight JI epth _ 1 U Sq. Ft, Cu. Ft. r� APO Front pepth ,��-_Height O Sq. Ft./ Cu. Ft. Type of Constructi �— Estimated Cost1-��r 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 oaf Buildings, and hereby. declares that all the facts and representations stated in this application are true and correct. DATE z SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Perndit Dept. of Bldgs. Phone SII 4 - DESCRIPTION OF WORK Number, Kind and Location of Fixtures Locatio � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 3U RATE �� Number Fixtures............. 12 �^ i~zu O �Z �� aaZ U O� < J �` �jwU C�9dO 0 z F t N WATER HTR. GAS ELEC. Base x 3.25 $ Water Heater (Up to 200,000 BTU) ......2x 2.00 $ d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ /-5 1st 3 .50 1 Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Polars Connection Openings New Fixture, Old Openings I Connected with Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures............. Z x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ....................... I.... x 3.25 $ Water Heater (Up to 200,000 BTU) ......2x 2.00 $ d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ /-5 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code City of Fridley: I 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. /77 r Fridley, Minn. i-� 19� Owner + Ltv u- Kind of Building Used as To be completed about�� Estimated Cost, $ Old—New. Building Permit No Signe By Business Phone ROUGH �6 FINAL Description ...................................TOTAL FEE $ �_® e2 2M 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 .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam 8.00 $ GV ce Shell & Lin 640 ft 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL a Dept. of Bldgs. Phone SU 4-7470 n Location �/o �' C 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 Gty,", 4/41 • , 19 Owner Kind of Used as To be completed about �° f S—s 49 �-' Estimated Cost, $ e� Old—New. Building Permit No. �f Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam,Hot Water Warm Air—.go Trade Name. SizeNo-�� Capacity Z9 o ® U Sq. Ft. E.D.R ✓ . 7-4— BTU H.P. Total Connected Load Z4 - Kind of Fuel-aZ71C-1� BURNER — Trade Namee Size No / oz -1 Capacity 16' G ®� Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe By 42 2M Business Phone No- U C Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Location S_ -r_ `/Q 44� 490Z d4az' Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell &Duct Work to'1 ,000 BTU ............ 8.00 each add. 80,000 BTU • ...................... 2.00 $ Replacement of Furnace ........................... 5.00 $ Repairs & Alterations—up to $00.00 ................. 5.00 $ Repairs & Alterations. ,each ;aid: $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines=to 4W—;q. ft. FUDR Steam ...... 8.00 $ Furnace Shell & Line 840*; ft. EDR Hot Water ... 8.00 $ - Each add. 200 sq. ft. EDR Steam ..................... 2.50 $ Each add. 320 sq. ft. EDR H<i *ater .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........ 5.00 $� over 3 gal. per hour -See Fee Schedule GAS BURNER (up to 400,000 BTU)- ....................... 5.00 $ i-? - GAS FITTING FEES: '.� -- NO RATE TOTAL. 1st 3 Fixtures .... .....,-............. x $1.50 $ Additional Fixtures .. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING k"6v"go FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL TOTAL FEE J". 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. Kind of Used as Fridley, Minn- KE_ - , 1 To be completed about Estimated Cost, $ Old Building Permit No. 6 Permit No. ESCRIPTION OF WORK r ice.' HEATING or POWER PI.ANTS--Steam, Hot W ter, Warm Air—No 6 Trade Nam Size No Capacity—Sq. Ft. E.D.R BTU H.P. Total Connected Load �� Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.13b, RBAN HIATINO Bpi H.P. 8419 CENTER DRIVE N. E. MINNEAPONe&1 Signe By ` A z 2M Business Phone No (REMARKS -OVER) 11 STATF. OP MINNESOTA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATERS, SOILS AND MINERALS ` r 1 APPLICATION FOR PF.RI14IT TO PLACE NATURAL ROCK RIPRAP POR SHORE PROTECTION PURPOSES WITHIN PUBLIC WATERS �. y �' .� `� �%� 'C -'�- '-ems L/�1 : �:��i- rl • % 7 %�,P t �( i the owner app,ie��fint or type mai ing address c of land in Cov't Lot klk quarter section A Y / Ox hlel section township no. O , range --t- county , �� � l.�. ,� f J� fire no., ox nna or address of project site which is riparian to %.C -w (/�,E'-f�v applies pursuant to Minnesota Statutes Chapter 105 and name of mater body other applicable statutes for a permit to place natural rock riprap (not broken up concrete rubble or building debris) for shore erosion protection on the banks of public waters along 4Q() feet of shoreline, in accordance with all data, maps, plans, and other information submitted herewith and made a part hereof. Such riprap placement will necessitate encroachment (filling) into public waters of no more than feet measured horizontally water - ward from the waterline. The rock fill will 'rise to a height of ,g 'feet measured vertically from the waterline and will have a finished slope ratio of c__ horizontal to - Z. -'ei_'� vertical. The average 27 diameter of the natural rock to be used is inches. TITCTTRT/`ATTnM Explain why this project is needed: PROJECT SITE. DATA 1. Have you obtained technical advice on this erosion problem? Q no [ yes Technical person consulted:?/ name address Z. Indicate the ownership of the waterfront properties abutting your property (if unknown so state). name �� /�t,? �• .�%✓,. �2v�J name" / 3. Sketch a plan anda cross section (side view) of the project area (SHOWING: Property boundaries and dimensions, proposed work area with dimensions from property boundaries or other identifable points, water depths within and beyond the proposed work area, present, experienced and anticipated water flucuations, and route by which invest- igators can reach the property). (attach additional sheets if necessary) (Continued on reverse side) I w -211D A. T)escribe the underwater material (muck, sand, rock, etc.) and depth to firm bottom. 'T S. Describe the,upland (shoreland) soil (muck, sand, rock, etc.) and type and amount of vegetation present. NOTIFICATION I have supplied a complete copy of this application to: n a i 1) %✓ %L'- // • 6- - 7 5 , name of waters a ssti-ici date address 2) nam& of city or toamship/ date address Applicant declares that information submitted herewith and statements made herein are a true and correct representation of the facts, and that the filing of this application and information with the Commissioner of Natural Resources is prima facie evidence of the correctness thereof. Y '�c' t ATTACIfi'IF.NTS Dated this �j da of �'�//t. � 19-75 Q $15.00 filing fee other (specify) signature -6f app scant Phone: �,7 9S� 7--m area code - locaZ number LEAVE BLANK - DEPARTMENT USE ONLY ORDER APPROVING OR MODIFYING APPLICATION On the basis of the foregoing application, Permission is hereby granted to place natural rock riprap not to extend more than 3.5 feet measured horizontally waterward from the waterline of the named public water along 150 feet of shoreline all subject to the terms and conditions hereafter stated: . 1. This permit shall not release the permittee from any liability or obligation imposed by Minnesota Statutes or local ordinances and shall remain in force subject to all conditions and limitations now or hereafter imposed by law. 2. In all cases where the doing by the permittee of anything authorized by this permit shall involve the taking, using, or damaging of any property, rights or interests of any other person or persons, or of any publicly owned lands or improvements thereon or interests therein, the permittee, before proceeding therewith, shall obtain the written consent of all persons, agencies, or authorities concerned, and shall acquire all Property, rights and interests necessary therefore. 3. This permit is permissive only. No liability shall be imposed upon or incurred by the state of Minnesota or any of its officers, agents or employees, officially or personally on account of the granting hereof or on account of any damage to any person or property resulting from any act or ommission of the permit- tee or any of its agents, employees, or contractors relating to any matter hereunder. 4. This permit shall terminate on June 30, 1976 SEE SPECIAL PROVISIOP3S ATTACHED Commissioner of Natural Resources Dated:��— . C� 7�Zjr By: .' ADM 1.* 1000 DEPARTMENT YatUral Resources Idetro Region Waters - 6 TO Rice Creek, Anoka Co. FROM Ronald D. Harnack Regional Hydrologist SUBJECT: P.A. 76-6130 (Johnson) STATE OF MINNESOTA Office Memorandum DATE: Nov. 20, 1975 Discussions with R.C.W.D. personnel indicate that there is urgency in getting this permit approved. Thh bank is quite steep and is threatening the house. The bank is about 14-16 feet high and only 14 feet from the house. The applicant has two alternates which are both acceptable (see plans . It is recommended for approval with the following conditions: (1) Adequate filter material (gravel -sand) shall be placed behind the rock or ties to minimize filtering of fines and to permit adequate drainage of the soil. (2) Alteration of the stream shall be minimized to base preparation to provide proper footing for rock baskets. (3) Applicant shall comply with all provisions of R.C.W.D. Approval Recommended. No Fee RDH/seb c.c. Mike Thesing City of Fridley Rice Creek Watershed District N ' MEMO FROM: r ' RICHARD N. SOBIECH .Public Works TC 190 Director MEMO N0. REPORT BY: 11/7/75 DATE 11/5/75 SUBJECT: DNR Permit Application for Private Work; 540 Rice Creek ` Boulevard (❑X See attached Appl,icationi REMARKS: ❑ Review & take appro- priate action W � UX] Review & comment LL ❑ Note & discuss with me '� ❑ Work with CEj Rush, immediate action desired Make reports, w/background material as complete as poss- ible. Make interim report if necessary. LU Action completed, no z further review needed 0 v ❑ Further action necessary ❑ See attached letter ❑ Interim report What effect will this have on Fridley? Provide any recommendations you might have. Also, have Jerry Boardman review the application for possible, effects on the flood plain. COMMENTS: eAlLE "L u�- u C� DATE: SIGNATURE A w -211E 4. nescribe the underwater material (muck, sand, rock, etc.) and depth to firm bottom. 1) .444j 5. Describe the upland (shoreland) soil (muck, sand, rock, etc.) and type and amount of vegetation present. 1-4 e_ -A4 / - �Z C NOTIFICATION I have supplied a complete copy of this application to: name of watershed district date address name o cit o township date ac ress Applicant declares that information submitted herewith.and statements made herein are a true and correct representation of the facts, and that the filing of'this application and information with the Commissioner of Natural Resources is prima facie evidence of the correctness thereof. ATTAC141ENTS Dated this day of s oG Pim 19 Q $15.00 filing fee / Q other (specify) signature/ f applicant Phone: /' / -,2- - S`7 q Z� d area code - locaZ number WATERSHED DISTRICTS Tr J `` �`-� I- .r' 4 1 31 i J ��� i 1 120 -j ---L- -� 1T_r-tJ_-_ 4 1 2E1 t 1 2 25:�P 1 I 7 1. High Island Creek 2. Two Rivers 3. Joe River 4. Stockton-Rollingstone- Minnesota City S. Coon Creek 6. Nine Mile Creek 7. Crooked Creek 8. Lower Minnesota River 9. Okabena-Ocheda 10. South Buffalo 11. Bear Valley 12. Roseau River 13. Warroad 14. Cooks Valley 15. Pelican River 16. Cormorant Lakes 17. Minnehaha Creek 18. Upper Minnesota River 19. Wild Rice 20. Belle Creek 21. Valley Branch 22. Turtle Creek 23. Red Lake 24. Buffalo Creek 25. Riley -Purgatory Creek 26. Middle Des Moines 27. Prior Lake -Spring Lake 28. Middle River -Snake River 2.9. Lac Qui Parte-Yellow Bank 30. Thirty Lakes 31. Yellow Medicine River 32. Rice Creek 33. Rush Creek + W-LU1 r , C. Any possible effects of the"proposed project on water resources, navigation, fish and wildlife, conservation, pollution, and the general public interest. NON O D. Any recommended modifications in the proposal or gther alternative ways of achieving the desired objective which would reduce undesirable effects. Hoge E. Any pertinent factual data available concerning the water body or the proposed project, r4- N a F. Reasons for any known local objections°. Please complete Section II of this form and return.to the address shown in the lower left corner of this page within fifteen (15) days,=or-inform the department if addi- tional time is needed. SECTION II (TO HE COMPLETED By CITY, TOWNSHIP, OR WATERSHED DISTRICT)- The ISTRICT) The applicant named.on..the-opposite side of.thia.form submitted a copy of his water permit application on h(oy .r 19 7.5, It has been reviewed and the following':`, comments are submitted for consideration by the Department of Natural Resources. METRO REGION HEADQUARTERS Waters Section 1200 Warner Road RETURN TO: St. Paul, Minnesota 55106 (612) 296-7523 - 1onsatiUnit Di "on of WatP oils $Mineral's DEPART IATURAL RESOURCES Cent a Buildir_g 000 . Paul, Minnes 5155 Dated if -//d f -//v 19 75 Gov't Official's name: —P-.tc RArz-e .' oto 4 ccA (Pry r t pe) Signature TitleLL Address (0 4 3 t tjn,u�-rztj ry Ave A(. 7 :--�-F- -V k4' YJ It SUBJECTISER O. City of Fridley 0 144'7 AT THE TOP OF THE TWINS BUILDING P E RM T Ir? RECEIPT NO. ___ _ COMMUNITY DEVELOPMENT DIV. -------- ~ m r PROTECTIVE INSPECTION SEC. , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 11/17/77 JOB ADDRESS 540 Rice Creek Boulev and 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 6 1 Holiday Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Earl Johnson 540 Rice Creek Boulevard 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Economy Builders 6725 - 14th Avenue South 341-3867 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 Ej ADDITION [j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 28' x 16' Addition to dwelling and remodel interior and add fireplace 9 CHANGE OF USE FROM TO 'STIPULATIONS Addition to be 20 or more feet from North property line. WUNING SL= RATE PERMITS REQUIRED FOR WIRING- 8dere d4ft call IM1. utilities HEATING, PLUMBING AND SIGNS. TELEPHON - tLECTRIC - GAS Etc. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCOUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �OOd Frame 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 R-1 448 5376 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 I 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 $ 11,450 $5.72 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM TO GIVE,- AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF Y OT ER STA L LAW REGULATING CON- $26.88 STRUCTION OR TH PE OMA OF N ON. R PLAN CHECK FEE TOTAL FEE r 1 $32.60 SIGNATURE OF CONTRALTO RAUTHO GENT (DATE) N PROPERLY VALIDATED THIS IS YOUR PERMIT .. [:�,y � i1-07-0)7 LDG - DATE If T.111.1 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) ,, CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: Uc biz Address: 5 Address: Tel. No. ��1 -3�6 No. ,� � � Street: LOT: (Q BLOCK: �_ ADDITION: & CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form T<ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: -9 3 Front: �' r Depth: /�� Height: Square Feet: .— Cubic Feet. S3f7C iP0 Front: Depth: Height: A i p Square Feet: Cubic Feet: 1 U 61 Type of Construction: Estimated Cost: $ To Be Completed: yy.,,>-k-t t F7 g- Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side fo,�Tdj , n -oration. DATE: /t— Il -111 SIGNATURE: Stipulations: A T� ro�� CM- al��c �-�� qU��juL� cal, LINDSAY G. ARTHUR, JR. JOHN T. CHAPMAN RONALD M. MICHAELSON DENIS E. GRANDE ROBERT W. KETTERING, JR. JEROME J. SIMONS. JR. CHRISTINE M. LEICK THEODORE J. SMETAK ROBERT F. STRAUSS �+ COLBY S. LUND ELLEN L. MAAS KIRK A. STUBSEE BRIAN J. LOVE JAMES D. ECHTEN KAMP**• JEFFREY M. HUCEK LEO G. DALY MATTHEW B. NEWMAN *••* ARTHUR, CHAPMAN AND MICHAELSON, P. A. ATTORNEYS AT LAW 1219 MARQUETTE AVENUE MINNEAPOLIS, MINNESOTA 55403 (612) 339-3500 October 19, 1984 Darrel Clark Chief Building Official Fridley Civic Center 6431 University Avenue Northeast Fridley, MN 55432 Re: Dear Mr. Clark: Our File No.: 6482 * ALSO ADMITTED IN WISCONSIN +• ALSO ADMITTED IN ILLINOIS *** ALSO ADMITTED IN IOWA ****ALSO ADMITTED IN NEW YORK On October 17, 1984 I spoke in person with someone from your office concerning obtaining copies of building inspection records for an addition built to a home located at 540"'Rice Creek Boulevard Northeast in Fridley. At that time I was told that all such records were sent to the state for microfilming and would be returned to your office in several weeks. When they are returned I would ask that the following inspection records be copied and sent to my office. 540 Rice Creek Boulevard Northeast, Fridley, MN .� 1. Permit #14,478 building permit (addition), 11/17/77 Economy Builders. 111,2. Permit #12,551 electrical permit, Date: 4/21/78 and Please include with the records a bill for the cost of copies and the same will be promptly paid. Thank you for your kind attention to this matter. Sincerely, ARTHUR,P,.CHAPMAN & MICHAELSON, P.A. Steve Ostlie SO: lrc A26 -iW�:_ 0a vot-(_ Pe 5/5/78, Earl Johnson. ✓3. B4711605-12/19/77 4-4. B49,712-5/2/78 E49,713-5/2/78 B49,732-5/4/78 7. P50,645-7/11/78 Please include with the records a bill for the cost of copies and the same will be promptly paid. Thank you for your kind attention to this matter. Sincerely, ARTHUR,P,.CHAPMAN & MICHAELSON, P.A. Steve Ostlie SO: lrc A26 -iW�:_ 0a vot-(_ Pe f NO City of Fridley SUBJECTPREFF4 2 4 4 :4 4 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ' ' �i L ______I COMMUNITY DEVELOPMENT DIV. r I PROTECTIVE INSPECTION SEC - ��� 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/9/96 JOB ADDRESS 540 Rice Creek Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 1 1 Holiday Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lynda/John Ellis 540 Rice Creek Blvd NE 572-3753 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Garlock French Roofinjz 2309 Snelling Ave M 1s. MN 55404 722-7129 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 REPAIR ❑ MOVE ❑ REMOVE X B DESCRIBE WORK Install Carlisle Mech. Fastened EPDM Roofing 9 CHANGE OF USE FROM TO STIPULATIONS Install per manufacturers specifications. 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 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 $15.45 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $30,915 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- ire SC 30.91 STRUCTIO OR THE PERFORMANCE O CONSTRUCTION $403.75 PLAN CHECKFE /O7TL FEE n e SC .00 455.11 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PR VALI AT THIS I$ Y UR I INSP 0 EM DATE SIGNATURE OF OWNER pF OWNER BUILDER) IDATEIG NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: _ .SVC7 A16'- Rice Lv e Py i�; �y i . Legal Description: Owner Name &Address: Tel. # % Contractor: &AVAQr� - MN LICENSE # Address: 2 501 S W c (� „a v l�yP f S . S-s-►�o y Tel. # '7 z� -'� tz 9 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. I OTHER: - v� 5 i v a T C G� Y i s 1 E 1�I> va Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 11 Type of Construction: Estimated Cost: $?.� Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x _ $ DATE: `C-1-1 G APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 1 = G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 LICENSE AGREEMENT The undersigned John Ellis and Lynda Ellis 'being the fee owners of certain property located in Fridley, Minnesota, at 540 Rice Creek Blvd Fridley MN 55432 , and legally described as: 14-30-24-21-0006 hereby grant to the City of Fridley, Minnesota, and that the City's employees, a license for the purpose of gaining access across the above-described property to a retaining wall and other structures adjacent to Rice Creek. This license is only for the purpose of allowing the aforementioned persons access for maintenance purposes. This license is intended to last ten (10) years from the date of its execution, and is not transferable or useable by any persons other than those designated herein. By accepting and using this license, licensee hereby agrees to repair any and all damage caused by the City or its employees while using this license on the above-described parcel. Signed: John Llli Lynda El Us Subscribed and sworn to before me this g6g;±-day of ,,6o u MARY MARGAHEi SNIITti '.'(' NOTARY PUBLIC -MINNESOTA c AN"A COUNTY My commission Expires Jan. 31, 2000 From: 6127229754 Page: 2/3 Date: 6/9/2010 2:44:19 PM Building I3 CJILt)ING ��,�t N�..rqR Inspections RESIDENTIAL APPLICATION Received syi- 763-572-3604. 763-5024977 �I�X OF �RIDLL� F! Eff-aCTIVE 1440to DATE C.i YOUR R MAiL ADDRESS og& /0 SiTE ADDReis THIS APPLICANT IS: a OWNrR )CoNTRAcrro PROPERTY OWNER/ NAME: ZU aw&--`11f �r TENANT ALIDRESS. Yal `/Pie &re�ITYri�s�" STATE++ 7.IP� PHONE: %►l CONTRACTOR NAME SUBMIT A COPY OF rATF YOUR STATE UCLNSE $ LI(E-Ns� � .� 13S{P DATIi AND CER17FICATE OF ADDRESS: i !srf _ CiT,Y_sTATIE&Ai—)ZIF -FAX - !D'�' INSURANCE PHONE-6f..Z ' % - -- 7 PROPERTY TY)PS (3 SINGLE FAMILY/NEW CONSTRUCTION sac • TWO FAMILYMEW CONSTRUCTION STORIES PERMiT TYPiE 0 ADDITION Eip-Mar,-/SHED Q WiNDOWS Q BASEMENT FiNiSH 40017 Q DRAIN TILE P f] DECK 0SIDING il(OTHrR fq //77.VC Q SWIMMING POOL TYPE OF WORKI P NHW HOME CONSTRUCTiON ® ADDITION JMMALMINANCUREPAiR D REMODELI'NO DESCRIBE WORK BEiNG DONE' r a. ,W g6&rh -e SIZE OF IMPROVEMENT I.ENG1 H iLYM HWOf-fT 1' C RDOF7NG Q HOiJSE ONLY NUMBER CIF SQUARES [3 HOUSE & OARAOF BASEMENT REMiJDPJ�[NG SUBMIT: ... -� 1. i .GARAGES, © ATTACHED GARAGE 2, Proposed floor plan PROPOSED SIZE: O DETACHED GARA43B 3. List of structural members to be uwf PROPOSED HEIGHT: slnxnrG FOR NF.W CONSTRUCTiON INCLUDING DECKS. Q Vinyl i 39olPt Aawligh[L & P9wal suB_[urr; E3 Alulmimm 0 Trim I. Site ffan/Stnvay shawvingthecxistit srrucmres E3 Optr Cl FesoGt and ro cot, A�P� A J 2. Two wn of omsttvedon plans WINDOWS 3, Energy Calculations IN EXISTING OPENINGS OYes QNo LOC'A`rIONOlt WINDQWS FOR WINDOWS -• PROVIDE U-VALiJEAND OR FOR NEW OPENIiVGS-DESCRIBE Si7_E OF MANUFACTURE 977iCKER ON WINDOW. OPENING CHANGE$ & TYPE OF WINDpW TO BE INSTALLIM NEJM Eft OF WiN S ALL FEES AIRFr BASE ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS; (USING Ti'lE 1997 U.B.0 FEE SCHEDULE) 'OTAL JOB YAI.UATI111Y An OCCUPANCY TYPE Permit Fee $ See Book Fags for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum S.50 License Surcharge $ �;, 00 $5.00 (Sttctc Llcenscd Residential Contz=tors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft a• 6 ft 0 ft x $24 - S /Erosion Control $ — -- - $450 Conservation Plan Review ?uric Fee S - - Foe Determined by Engineering Sewer Main Charge g Agreement nweasary ( ) Non Nooessmy ( ) 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 rodos 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 work which requires review and approval of plans. / J SIGNATURE OP APPLICANT /�--' PRINT NAMF-V _ _ 4' DATE D