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PRE 2010 DOCSCity of Fridley, PERMITBURDING N° 6896 Date: Z- cq�r Owner: Builder Address Address NG L®�N' No. Street � . BUILDIPart of t Lot - t T __ Block Addition or Sub -Division . �' _ a Corner Lot _ - Inside Lot -- Setback ......... Sideyard Sewer Elevation !D! k _ _ en Elevation d► t DESCRIPTION OF BUILDING To Used Front Depth ;U64 _ � Height2121—Sq. Ft. / C a. Ft. g��`F -&— Front Depth Height Sq. Ft. Cu. Fel--�- Type of tuction Est. To be Completed In consideration of the issuance to me of a permit to constrc theproposed work in accordance with the description above set i ordinances of the city of Fridley. In consideration of the payment of a fee of ndaim gene vae'11 pr=onnss oto f W Is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time uponviolin of any of the provisions of said ordinances. --'\- I / 1 P-171Ir,MM�7•T NOTICE: Tide permit does not cover the construction, hutatlatien for whine, Plumbing, gas heating, sewer or water. Be wre to ace the BuNiog Inspector for separate permits for these Ihmm City of Fridley Application for Plumbing and Gas Fitting Permit Dept, of Bldgs. Phone SU 4,7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 Z e� apc Z Z O W New Fixture Old Opening .............. w z • • WATER HTR. GAS ELEC. Base Z x 2.00 I a x 3.25 $ 1st 2nd 3rd 4th • Future Connection Openings I * New Fixture, Old Openings I IJ Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $c�? d U New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU ............. NO. RATE TOTAL — x $1.5o $ Z' — x .50 $ — x 2.00 $ 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 etare true and correct. Fridley, Minn � — 7 ® 197/ C �i Owner Kind of Buil ing Used as To be completed about Y If Estimated Cost, $� Old New. uilding Permit ROUGH FINAL 42 Business Phone • 1 City 1�'Fridley,t' 1 • BURDING PERIMT Date: July 7.. 1965 Owner: Wm. Manson Budder Chas. E. Johanson Address 570 Rice Greek Blvd, Address 160 Hartman Circle LOCATION OF BUILDING No. 570 Street Rice Greek Blvd. Part of Lot Lot 3 _ Block - 1 Addition or Sub-Division$©lj-da AiUs Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation ___ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. cost _ . $122000.00 To be completed Storm damage repair In consideration of the issuance to me of a permit to construct b g A�ce bove I agree to do the proposed work ffi accordance with the description above set fo in coth provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of 0.00 permit is here74/granted to Chas, Johanson to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof,: shall conform in all respects to the ordinances of Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings 6 within the city limits permit may be revoked at any time upon violation of any of the provisions of said ordinances. Alen Jensen Building Inspector NOTICE: This permit dos not saver the construction, Installation for rank& plumbing, gas heating, sewer or water. Be sore to we the Building Inspector for separde pwndft for these Items. APPLICATION FOR BUILDING PERMIT CITY OF`FRIDLEY, MINNESOTA 11 � OWNER'S"NAME o 41 BUILDER �,a - 4 C a l P ADDRESS.-- ADDRESS LOCATION OF BUILDING No. Street Part of Lot LOT S BLOCK 1____.ADDI!rION OR SUBDIVISION aNt Corner Lot�Inside L Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Tw6 bertificates of Survey of Lot and proposed, building location drawn on these Certificates.: DESCRIPTION OF BUILDING To be used as:' Firont ' Depth - Height Sq. Ft. Cu. Ft. Front Depth Height. Sq: Ft`. Cu. Ft. .. Type ,of Construction Estimated Cost To be completed The undersigned hereby makes application for a permi.t..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. (Schedule of Fee Costs can be found on the.Reverse SaAe). e� � r 11 SUBJECT PERM City of FridleyTo 12653 AT THE TOP OF THE TWINS BUILDING PERMIT r • COMMUNITY DEVELOPMENT DIV. U. ------ r � � PROTECTIVE INSPECTION SEC. 1 . � -CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7/29/74 JOB ADDRESS 570 Rice Creek Boulevard 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR: 3 1 Holiday Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wm. R. Manson 570 Rice Creek Boulevard N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Custom Pools 701 East Excelsior Avenue,Mpls. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING )9:d; Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ . MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 32' inground pool 9 CHANGE QF USE FROM TO STIPULATIONS Letter received from property owner at 580 -69th Avenue N.E. stating he has no objection to the pool being 10 feet from the north property line of this lot. Pool subject to Environmental Officer's approval and stipulations TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Alum./Vinyl 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 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 $6,000 3.00 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- $36.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 3FEE 9.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHE VA TE HIS IS YOUR PERMIT BLDG. INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) 11 July 29, 1974 TO WHOM IT MAY CONCERN: I have no objection to the swimming pool, that is to be installed at 570 Rice Creek Boulevard, being only 10 feet from the North property line. 4,/ CHARLES E. JOON 580 - 69th Av a N.E.' Ir APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � qoA OWNER'S NAM: BUILDER.. � ✓�S ®/yI ADDRESS: T-,749 //�P t"�P��f� �/ -ADDRESS: 70/ NO:. ��i STREET:_-- 'Z -Q --- LOT : BLOCK: ADDITION: Q QCX cam/ CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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: ',✓ Front : Depth: �' ` Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet, Cubic Feet: ,leUS�%,gte� AZI&/�/�r6'" lii/,%�/s Type of Construction: Veln�l /f 13oh' Estimated Cost: $ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in st-kict 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: L� �' O �'� SIGNATURE (See Reverse Side For Additional Information.) '7Nl 'ON /iJavg tllgdgvn gnv 17,017-v O,v �'----sr t aeav /�ai�aa ms sp' I �.ostaa .m u •�auv, fi `s uaury3ca arm asjyisu /p pn�o `�afay{ `sr�cnp/rn� /Ivi'IN&"/ D JO t�� fcivasaVda� PaAJoa PWaiuJ o Sirsar{f �°aJ/ fir. f' f ear a ray J SG -1AV tea" 560-3450 ANOKA COUNTY 6431 UNIVERSITY AVENUE NE July 30, 1974 FRIDLEY, MINNESOTA 55421 Mr. Tim Hannon Custom Pools 701 East Excelsior Avenue Minneapolis, Minnesota Re: Swimming Pool at 570 Rice Creek Blvd. Dear Mr. Hannon: This letter is to reiterate our phone conversation of July 26, 1974 and to make clear this departments requirements for the swimming pool construction at the above address: 1491. As discussed, two (2) skimmers approved by the National Sanitation Foundation will be provided. As discussed, three (3) inlets of approved design for fresh and/or repurified water will be provided. As discussed, 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. is department recommends a turnover rate of AC7 - 8 hours. I A__143 /" — _A fence or other suitable barrier, a minimum of four (4) feet high, that affords no externatl hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and �J� , latching devices which are capable of being locked. �'^� ` 15�- . An automatic chlorinator should be provided with a suitable test kit. ,.07. All electrical lines must be 10 - 20 feet or more away from the pool surface. All electrical and plumping installations shall be inspected and �, approved by the City Inspection Department. ��--The pool fill spout must be air gapped or protected by a vacumn breaker. �0. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, shepards crook pole, must be provided and maintained with the pool at all times. Swimming Pool 570: Rice. Creek_ Blvd. Page 2 Furthermore, these and any other requirements must meet the provisions of the Fridley tity Code, Section 115, Swimming Pools. The building permit is approved .contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 560-3450, Ext. 41. SJO/nth CC: Mr. Wm. R. Manson 570 Rice Creek Blvd. Sincerely, 9 STEVEN J. OLSON Environmental Officer 4W�^4 — of�/,v 33 °d �S?9 SUBJECT P City of Fridley 20663 AT THE TOP OF THE TWINS BUILDING PERMIT - r _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 3 O / r CITY HALL FRIDLEY 55432 It'-'- NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/8/90 JOB ADDRESS 570 Rice Creek Boulevard NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Holiday Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Alferness 570 Rice Creek Boulevard N.E. 572-8130 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sawhorse Builders 4740 - 42nd Avenue North, Robbinsdale, MN 55422 533-0352 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 B DESCRIBE WORK Construct a 367 s.fe Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on flan. t WARNING Before digging tali fat X11 utility Iec� Ibrl� D SEPARATE PEL?�i 11'S REQUIRE FOR 454002 WIRING, HIEATING, PLU9'A1&iNG AND SIGNS,, REQUIRED BY LAW . TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 $20650 $1e33 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- $54.00 ST UCTION OR THE PERFORMANCE,6F CONSTRUCTION. PLAN CHECK FEE Fir C $2.65 TOTAL FEE 57.98 SIGNATURE OF CONT AU HORIZEDAGENT (UXIEI WHE PROPER IS IS YOUR TVJWED x�pPERMIT AAA SP MATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 8/16/90 ADEN [ ] R-1 AND R-2 ATTER [ ] Building Permit Application Construction Address: S�4 /`l -C- • /�/GC-- 4C + S A-- -_75L..✓d . legal Description: 45LZ. . /-Aez�IDa Y - ✓ • Owner Name & Address: Lr1.��2Y-.�%L�� �/�S.S � 0-1+6 ° Tel. #X 72 - Contractor: ..;9A "/tel 9--- '6 Lh rr.S Tel. # S 3:5 - ®3Si- SL741o 412N®• 11 ✓e- • /fo . , ,moo f.3/3 °,JS !. 44 tv • SS�zi. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DiESCRIP OK OF :DalKVEMENP LIVING AREA: length Width Height Sq. Ft. GARAGE AREA: lenge Width Height Sq. Ft. DECK AREA: length Width Hgt/Grotn-jd �° Sq. Ft. ' Q W7 OAR: Co r o� ��®•CF mer lot [ ✓� Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Coupletion Date: 4 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ idth + ' See Back Page DATE: /�• %• 9'� APPUCANT: o #X33 CM USE DBE CMLY Permit Fee $ Fee Schedule on Reverse Side R�v Fire Surrharge $_�, .001 x Permit Valuation (1/10th %) 14 State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $600 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Nat Necessary [ l T= s m r 7 . sTIPUTATIONs: /y.� Y I!� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On August 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fbdures MEN, l� is -u !�� ,'Mw • • • •$ 4.00 FI B $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7,00 - _ $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance p11 Water Heater --Electric $ 7,00 Water Heater - Gas** i , y!n, r ri :.'i :" Vin; ��! n r , !'� II ���� !�i !�!�, •!t �* A � ;;,! P � q�� �`` tt�jj�� ; „ 11 • • � ����! '', � �" _!�� `�" �'��._�Itru:.§.��..�:�� i�IJ14'1�_� i .. �� � `��_�' 41:�"��dii!!.ii.���_ 0 MIME ,n PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fbdures $ 7.00 Old Opening, New Fbdure •$ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7,00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater --Electric $ 7,00 Water Heater - Gas** _� $10;00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes { } No Type $15.00 JOB ADDRESS 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 Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. Owner Building Used Estimated Cost PERMIT NO. PLUMBING COMPANY Reinspection Fee $42.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or,Appliance State Surcharge TOTAL FEE .50 $ -2e sZ-) Approved By TEL N0. Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBINGJGAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR: SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All All Others/Repairs & Alterations (LIST ON K) 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On August 1, 1995 State Surcharge 5Q TOTAL FEE APa® MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Burner Trade Name Size No. BTU... ' HP EDR HEATING COMPANY G Z2T efOl Signed By , Tel No. REINSPECTION FEE $42.00/Hr Approved By Rough -In Date Final Date *Air Conditioners can not be placed In a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE JOB ADDRESS®-s7�//� G��' 1 U2 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 $ 30.00.• $ representations stated in this application are true and correct. $ 10.00....'$ OWNER / �Z $10.00 $ BUILDING USED AS $10.00 $ ESTIMATED COST �, PERMIT NO. $ 25.00 • $ DESCRIPTION PTION OF FFUU N&QE AND �OR BURNER $ No. of Heating Units f Circle One (Steam) Hot Water) (Warm A)r) _Tradtlame /-�&4 Size No. BTU HP EDR s Fuel h l Total Connected Load . eeo State Surcharge 5Q TOTAL FEE APa® MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Burner Trade Name Size No. BTU... ' HP EDR HEATING COMPANY G Z2T efOl Signed By , Tel No. REINSPECTION FEE $42.00/Hr Approved By Rough -In Date Final Date *Air Conditioners can not be placed In a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: i1ALTERATfJIONS Berg Done: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (\,Y/No ( ) 2. Is free from rust or deterioration Yes (v -)No ( ) 3. Has no foreign objects lodged within Yes (\No ( ) 4. Is securely supported Yes (No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes "No ( ) .6 Has total heating BTU's of All other BTU's TOTAL BTU's M2- decd ZT� 7. Has a liner been provided for water heater Yes () No 8. Has combustion air been provided for water heater Yes ( No () Remarks: i1ALTERATfJIONS Berg Done: HEATING CO: Signed By: Date: CI7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 LICENSE AGREEMENT The undersigned Gary Alferness and Diana Alferness , being the fee owners of certain property located in Fridley, Minnesota, at 570 Rice Creek Blvd Fridley MN 55432 , and legally described as: 14-30-24-21-0003 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: )L41 dgtL.ice y Gary Ahfemesv Diana �r �s , Subscribed and sworn to before me this, -2L day of k '19 '' �•._ MARY MARGARET SMITH NOTARY PUBLIC -MINNESOTA ANOKA COUNTY �� My Commission Expires Jan. 31, ZMl Building $ BUILDINIG Permit No.: a6 -G A inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Fire Surcharge CITY OF FRIDLEY Date Rec'd:3 dle U DATE 3 a ® YOUR E-MAIL ADDRESS 1 0 d is 1 d L i' � O! 1'Q S . c 01y) Li SITE ADDRESS 510 Ki 1( Stv-0 Atf $ T HIS APPLICANT IS: ❑ OWNER '¢CONTRACTOR PROPERTY OWNER/ NAME:tAl-perness TENANT pp �^ ADDRESS: $ ti-61VLi tff CITY T �i' d If STATIV)'VIP v5 y 3 pl PHONE: 1 O CONTRACTOR NAME:_ RENEWAL BY ANDERSEN Jbdia SUBMIT A COPY OF STATE LICE 1920 COUNTY RD. "Cn WEST _ ftp) 3k '5' - L b 7 YOUR STATE LICENSE ADDRESS:_ ROSEVILLE, MN 55113 CITY STATE ZIP WITH APPLICATION PHONE 6551-264-4777 �o F LICENSE #20130983 PROPERTY TYPE ❑ JRIEs PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED MATI.4130WS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEWn�I� ❑ ADDITION l�tvIAINTENANCMEPA ❑ REMODELING DESCRIBE WORK BEING DONE: rtCQ d /1.� 1 I SIZE OF IMPROVEMENT LENGTH WIDTH HEIG T Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2• Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. Vc'INDOWS dourS, 2. Two sets of construction plans IN EXISTING OPENINGS Owes ❑No LOCATION OF WIND.&WS 11.41-M Pout) 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & PD .� TYPE OF WINDOW TO BE INSTALLED NUMBER OF WOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 111M OCCUPANCY TYPE Permit Fee $ 1 12,19 Plan Review $ Surcharge $ 3 . 15, b Fire Surcharge $ -2.00 License Surcharge $ 6.00 SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ -7 See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks vavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved Canin the case of all work which requ' es ipview and approval of plans. ATURE OF APPLICANT PRINT NAME TIM SCAQ4k- DATE 31;A;?/D7 Building BUILDING Permit No.: 6`7 -OLIt 3 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY n ' DAT'DQ r—(2r YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: 11OWNER 1ACONTRACTOR PROPERTY OWNER/ NAME: AOf LA TENANT �' ADDRESS: CITY -� STATE_ZIP __ r� PHONE:�rr V/� - 7'O • NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 r STATE ZIP WITH APPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/N0 PROPERTY TYPE ❑ TWO FAMILYINEW G 651-264-4777 _ ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: S CAit i1 i b SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sy Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used ❑SIDIN nyl ❑Soffit FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Aluminum ❑ Other ❑ Trim ADDITIONS. 1. & PORCHES SUBMIT: Site Plan/Survey showing the existing structur ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL r LES ARE BASED VN VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE J"7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATIONS fV'1'IT1PAIV1V TVDC Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ iii 7 5 $ � 6 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev Attac 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 conformance with the ordinan and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an app, catiorVfor a permit ork is not to start without a permit; that the work will be in accordance with the approve plan in the case of all work w 'ch rewires re and approval offs.„ �