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PRE 2010 DOCSCity of Fridley SUBJECT ® 1463 THE TOP OF THE TWINS PERM Ip,AT r BUILDING RECEIPT NO. RE `L _ _ COMMUNITY DEVELOPMENT DIV. PROTECT VE r VE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 '%j NUMBER REV. DATE PAGE OF APPROVED BY 612660-3450 910-F15 4/14/78 JOB ADDRESS 1470 Rice Creek Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Heather Hills 3rd SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Commercial Erectors 814 - 9th Street South 332-7343/571-8865 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS THE CITY OF FRiDLEYZIP PHONE LICENSE NO. �f7L� N.OT dUARArWEE �► KA THE IW[O , LICENSE NO. 5 ENGINEER MAIL ADDRESS,;� 'THIS pAT15 FOR INFORMATION PURPOSES OMiY PERSONS � AND 6 USE OF BUILDING ON TIDE SITE.ATI®N Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION [IREPAIR ElMOVE 11REMOVE X❑ 8 DESCRIBE WORK Construct a 48' x 26'4" Dwellin and a 24' x 2614" Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide sod in the ,f`q(A front and side yards. Provide a verifying survey before capping. Maintain 27' setback to foundation wall due to 3' overhang. Provide combustion air to furnace. Provide truss design by May 20, 1978. Variance granted 2/14/78. SEWER LOCATION: (Approx. 9' Deep In Street) 23.5' E. of Manhole (INV. 920.0.5) WYE ELEV: 919.35 TOP OF FOOTING: 922.35 Minimum WATER LOCATION: 8.2' W. of Sewer Service, 49.1' S.E. of Manhole, 35.5' N.W. of 14" Cottonwood DRIVEWAY DEPRESSION COST: N/A WARM SEEPIERATIE PERMITS REQUIRED POR WIRING. 80f0re digging call local utilities HEATING, PLt9I BfNG AND SIGNS. r�lrE�Ho�� ®���c��cc - ��s �Ir. RMI n SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPAN (7cU0OAD VENTILATING OR AIR CONDITIONING. Wood Frame 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. $42,955 $21.45 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 O LOCAL LAW REGULATING CON, $104.48 $400.00 SUIONTHE PFRFORMIj�CE CONSTRUCTION.PLAN CHECK FEE TOTALFEE Is$ l $552.07 E OF CONTRACTOR -0 AUTHORIZED AGENT (DATE) WH P E Y ALIDATED THIS IS YOUR PERMIT BLDG. INS15 IATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01, 10 Address- ddress2. 2. Legal d i 3. Zoning 4. Lot Width 5. Building Width Ile 6.. Front Setback ?p '1 7. Total Use 4 C- 8. Lot ,Coverage 9. Easements 14. 11. Variance Soil �. ' 12. Contractor , j 13 . ' Phone 896 45- ,. 14. Architect 15. Dom'' nage ' -rte Energy Ashrae . t�'� 17. Utility Locations 18..Specials 19. AooO"- .. Driveway � opening. I Truss Design_- ].. Combustion Air 22. 23. .. 24.,- 4.:25. 25. r i CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OW14ER: (�fY7/I D�'p°� Ca Q ✓fig � BUILDER: Address: 14 Address: Tel. No.: P '� �rJ / - aa�.S No. "V-90 Street: �G� £ /' beld<cc LOT: ._'< BLOCK: ADDITION: 3? CORNER LOT: INSIDE LOT: b"I SETBACK: � � SIDEYARDS: /0 '°% 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: 'V Height: 'Qo Square Feet: Cubic Feet. Front: _ =�/ 1 Depth: .24'-� "/ Height: Square Feet: 2,9 Cubic Feet: 7 Type of Construction: Estimated Cost: $ To Be Completed: A J Alt. 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 ,4� is application are true and correct. See reverse side for additional. -,in,& ation. DATE: �;,? — / %--7 9 SIGNATURE: Stipulations: Is m -'/' y8 '. - - A 0 Surveyors Certificate COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors 1446 County Road J, Mpls., Minn. 55432, 784-9346 Lot 3, Block 2, Mr. Mike O'Bannon Heather Hills Third Addition 5209 Fillmore Street NE Fridley, Minnesota Minneapolis, Minnesota 55421 .: �� 3 CREEA� DRIVE At q a s8.a , --Z'1Ao'eryrou7d allAly eammerW z �� yD tI T i—� . i dmalnoye easemer71 i3I. 00 0 (,'..r'�R� r°t ® a� r ERVDLEY BOARD OF APPEALS MEETING DATE LEGAL DESCRIPTION: Lot 3, Block 2, Heather Hills; Third Addition, Anoka County, Minnesota. SCALE: /" = SO' 9t�G o denotes lrgfl Before dig9ii;27 r.,2'91 local util" TELEPHONEm EI^ET?yG e GAS Etc: I hereby certify that this survey, plan or report was prepared by me or i r �, BY `�' supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. _ 361.3 Reg. No. Date Job No. al Z,,(J fQ� rf2Es�ro.v C)G 5 � 0 0 G- ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the'ENERGY CONSERVATION DESIGN CRITERIA of the STATE.BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION: OWNER/CONTRACTOR: • ADDRESS :�`� A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area(average 10%) 6. Total net wall area above floor(average 90%) 7. Total rim joist area Subtotal: Total exposed wall area above floor. 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA PHONE: r B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area GRAND TOTAL EXPOSED ROOF/CEILING AREA �.tit D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = &I,, tem II Item I 13X 'E. j)etermine the "U" value of each segment (1-9) and multiply by the area as follows: i x "U" _ 2.f/ 45 5� x "U" I' 3 ✓ ._� Jr� x fluff 4.� x Ifull lk� 5. x „Ufa 7. ✓ x %full s._ x fluff _ 9, ✓� x ••U° Ob 9 = r= ADD 1-9 FOR TOTAL WALL SEGMENTS =/� ITEM III _ •F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: / 3 ` q 10. Ido 9, x "U" ' °y _ `C6 . ? of 11. �.��� x fluff 12.yL(2- x f -U -f ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV " S G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I 02173. / + Item II �/e J. Add Item III + Item IV— C4 K. If the sum of Items III and IV are less than.Items I and II, you have met the intent of the Code for total envelope system. ti The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. By: DATE: X? . v CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures >. $3.00 Future Fixture Opening -_ x $2.00 U x k m x Water d t°� 0 .y'i 100,000 BTU to 199,000 BTU n $10.00 H *11 m AQ x ro sa a w $5.00 Heater xC Cmy yy u W 3 o w 3 o as lec Wri aea w° u�i Uoa f `a� 1st 2nd 3rd 4th (R) m Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures q x $3.00 Future Fixture Opening -_ x $2.00 New Fixture, Old Opening x $2.00 Catch Basin x $5.00 Water Heater - to 99,000 BTU x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener x $7.00 New Ground Run Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: r 1st 3 fixtures j_� x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS & ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) TOTAL $ $ T7 $ —3-0® A Job Address 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 application are true and correct OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - UILDING PERMIT NO. J/PERMIT NO. 100 e Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT degO MINIMUM FEE FOR ANY PLUMBING PERMIT Is $7.50 PLUS $.50 STATE SSE / CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES. PARTIAL RATE SCHEDULE 1470 GRAVITY WARM AIR: RATE TOTAL Job Address , Q A. -_k - 6`-L - L Furnace Shell & Duct Work $12.00 $ Replacement of Furnace '7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ ®' specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $_'' and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. STEAM OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING div e each addn. 50,000 BTU 4.00 Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ �� � �� TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ f-, each add. 3 gal, per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ OLD NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ o. HEATING or POWER PLANTS, Steam, Hot Wat r=WA=Air� AIR CONDITIONING $ < Trade Name C�°+d22�"�' Size No. /� FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS $ Capacity Sq. Ft. EDR BTU HP ALTERATIONS $ REPAIRS $ State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE " BURNER - Trade Name d°z' Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Data 010.00) FINAL INSP. C►PanY ,�-"���a',t ..�� Date Signed By APPROVAL FOR PERMIT Tel. NO. � V s MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 643.1 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432 TELEPHONE ( 812)571-3450 t > October 17, 1978 11 Mr. Mike O'Bannon Commercial Erectors Inc. 5298 Fillmore Street N.E. Fridley, MN 55421 Re: Final Inspections at 1411 Kerry Circle, 6170 Kerry Lane, and 1470 Rice Creek Drive N.E. Dear Mr. O'Bannon: Final reinspections were made on the above addresses on October 16, 1978 and the following items were noted to be incomplete; 1411 Kerry Circle 1. Provide handrails to lower level. 2. Provide a verifying survey. 3. Install joist hangers on deck. 4. Adjust deck rail to 9 inch maximum spacing. 5. Plumbing work has not been finaled out. 6170 Kerrv. Lane 1. Provide verifying survey. 2. Replace insulation under windows in lower level as they still leak. 3. Lower window wells at east side of house. 4. Reduce deck rail to 9 inch maximum spacing. 5. Provide joist hangers on deck. 6. Protection needed for air combustion intake on fireplace. 1470 Rice Creek Drive 1. Firerock garage header. 2. Provide vapor barrier in basement. 3. Call for plumbing final to get water meter sealed. We will expect all of the above items to be completed by October 31, 1978 when reinspections will again be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Since , RON HOLDEN Building Inspector Iii/mh 141 �o � e� Surveyors Certificate COMSTOCK & DAVIS, INC. Consulting Engineers and Land Surveyors 1446 County Road J, Mpls., Minn. 55432, 784-9346 SURVEY FOR SURVEY OF Mike O'Bannon >- Li Lot 3, Block 2, Heather .Hills 5209 Fillmore St. DTE 2 Third Addition, Anoka Co., kin. Minneapolis, M. 55421 W Q Y .J Ll RlC'E C°RFEK DR. 550.00 80 D Ao� };�it cb y--t- � N �� Ni 8- .h 3.3 `r . ^p• .N N v � v � •d Q V i sv � � r tj • N 13 tv R= 364t.%3' L-- 3.38' •d^ i LEGAL- DrESCRL?TION Lot 3, Block.. 2, Heather Hills,Third Addition, Anoka County, Minnesota. SCALE: 1" = 50' ® Denotes iron monument found I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. 10832 ,Tune 5, 1978 4010 Reg. No. Date Job No. OF 01 SUBJECT ' P IT NO. City of Fridley 28594 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ` RECEI�NO ` COMMUNITY DEVELOPMENT DIV. y _ _ INSPECTION SEC. 4 r PROTECTIVE I NUMBER REV DATE PAGE OF APPROVED BY I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/16/98 10B ADDRESS 1470 Rice Creek Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 3 2 Heather Hills 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kevin Rosenblum 502-0395 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO All American Roofing & Rem. 4112 97th Ln NE Blaine 55434 86- 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 R REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 CONSTRUCTIONZONING 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 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 1714 .86 DOES N07 PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHAR E PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 56.75 Fire S $1.71 a PLAN CHECK FEE TOTA F �1-14-qf e 2 I NATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI N P OP 9LoCfsNsP of- OA IS IS YO PER /I DATE S-GNATURE Of OWNERof OWNERBUILOERI IOATEI OF 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: I L4-1 0 R i c e c v e e c{ D R 0 Legal Description: Owner Name & Address: Ie' -c u ,v, 1R o s "-- " bls vy4 Tel. # 50-z- 03 `(5 Contractor: AL,tr MN LICENSE # S i t, o Address: 41 1 a q n t,, L ri Tel. # "1* c -4?(,-7(o Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF DIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: `Tf l 2 -® F F 1r•e w o o q je) �i -7�X, Construction Type: Estimated Cost: $ 4 ® as , oo (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 1 I- l 1,- q I' APPLICANT: g —Tel. #- r7 g L- d.& 7 4 CITY USE ONLY Permit Fee $ f`� Fire Surcharge $ P State Surcharge $� SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ �/r�z STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] 01 su6JECT N O. City of Fridley 32576 AT THE TOP OF THE TWINS ? BUILDING P C D AAI T r � C"'v 1 RECEIPT NO. : • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612_571-3450 910415 5/9/02 JOB ADDRESS 1470 Rice Creek Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Heather Hills 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ann & Mike Martin 1470 Rice Creek Drive NE 763-502-9492 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Shaffer Home Improvements 2714 Arthur St NE, Minneapolis, MN 55418 612-385-4654 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20222243 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW J2 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 16° Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATEERIyR EGUIRE FOR.. Before digging WIRING, H ®nom a, 4, ® a ®r� UMRI p�EW SEPARATE PERMITS ARE REOUIRED 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 ABANDONEO 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 1[{,530.56 $7.27 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 - TR TR Fire SC $14.53 TI HE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE. TOTAL FEE J Licens C $,5 0 $,V8.05 SIGN E OF CONTRACTOR OR AUTHORIZED AGENT IOATEI EN ROP Y ALIDATED HIS Is YLPR PEWIT �— SIGNATURE OF OWNER OF OWNER BUILOERI IDATEI �A�BLD INSP - raAit 01 6, ji't( NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1170 Rick CizizqIC, b 2tvF Legal Description: In&Crk Z; P94 h4us SCI katmo,u , A—c:W4 Cv. -/Lim Owner Name & Address: AAA) xM'a Ner.0 IY70 &-,PCe*Ck-'i)A kOtgq M.0 Tel. # 1(03• Svc - T/9 -2 - Contractor S1Wslp1=FR XrXC&=d1&jrS MN LICENSE # ,,1oaAa2 y� Address: k)y AeWN2 S7 NC �'1 ARz,s�� sSY�B Tel. # W-s8S"-y(v*`i Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LPANG AREA: Length / (P Width l9 Height S 13' Sq. Ft. GARAGE AREA: Length Width Height Sq. FL DECK AREA: Length Width Hgt(Ground Sq. Ft. OTHER: Construction Type: Ue)of�!, Peg&tt Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: APPLICANT:5-RAF-F4HP2ca,4rus�urS Tel.#1.2-385=yG��f &5'1.2s7 - lS1161 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL s CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 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 RATE SCHEDULE Residential Rate Furnace Shell ad -Duct Work, urner - Also Replacemen $ 30.00 -- Skie.Vent - Fill Out Back) Gas Pipin (Needed with new furnace, it $ 10.00 but not replacement) Gas Range $ 10.00 Gas Dryer $ 10.00 *Air Conditioning - All Sizes $ 25.00 Ali Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge IC61IF,1111112:11 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. Effective On January 1, 2001 JOB ADDRESS 44-70 191 k 01 eek rl ✓c OWNER TOTAL , BUILDING USED AS $ 3_®. ESTIMATED COST ® PERMIT.NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 1..1�k83 �C1�D DATE HEATING CO n r Signed TEL # 76 "Y,3i�'77 Approved By Rough -In Date Final Dat BACK SIDE MUST BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND 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 manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it 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 ( ) 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 Appliance #2 Type Appliance #3 Type Total Appliances — BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 HEATING CO: —4R–�ftj. '7� � Signed By: Date SUBJECT City of Fr 33650 � AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � �• ______ COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. � p J REV DATE PAGE OF APPROVED BY- CITY HALL FRIDLEY 55432NUMBER """"� 763-571-3450 910-F15 6/27/03 / / JOB ADDRESS 1470 Rice Creek Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Heather Hills 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael Martin 1470 Rice Creek Drive NE 763-502-9492 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 12' x 14' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See rotations on plan.. FARMING Before digging call for EMARATE PERMITS allIty REQUIRED FOR: ®cations 02 NG AND EQ AVS PLUMBIINd SIGNS SEPARATE PERMITE 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 Nor 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 SAMEM TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES 3OVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $2,086.56 $1.04 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- Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 SC $2.09 PLAN CHECK FEE 1 TOTALFEE TRAC;TO AUTHORIZED AGENT IDATEr $86.38 SIGNAT RE OF yyH PR PERLY VALIDATED THIS IS YC(VR PERMIT j OAtE 'S.fdATURE OF O�,MER,.1114bWNER BUILDER, IDATEr BLDG rN5 NEW ADDN ALTER CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 11116 F l c -C ppwvc . rP-i>7y,F-,t Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 5714287 Fax Lou Legal Descdp 'on: r S Ag'47-rNfA�� ug 3Ro r Tion Owner Name& Address: M rc_ /1q7o picL c,egiK oge. Tel. #(74 91 1a z-129 -2� Contractor: MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREJ DECK AREA: OTHER: Construction T Driveway Curb DATE: Call (763) 572-31 call you for card Permit Fee Fire Surchan, State Surche SAC Charge License Surc Curb Cut Es Erosion Coni Park Fee Sewer Main Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height .9 Sq. Ft. Length %• Width rT- Hgt/Ground �Le f� Sq. Ft. to S F '+ Estimated Cost: $ —_S-� Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ ® 03 APPLICANT: 111 r c Wi4-✓_Tr7^► Tel. # 760 S -a z '9 `/92- )4 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will number. TOTAL $ �� CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ]