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PRE 2010 DOCSSUBJECT PER City of Fridley ®+ 1�62 AT THE TOP OF THE TWINS BUILDING PER IT P COMMUNITY DEVELOPMENT DIV. it• R �Y E✓ i PROTECTIVE INSPECTION SEC. CITY HIiLL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV L 612-571-3450 - 910-F15 7/23/84 JOB ADDRESS 1490 Rice Creek Dr. N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Heather Hills 3rd Ada. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Star Homes 7691 Central Ave. N.E. Fridley 55432 780-5500 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 l NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 52t x 281 house and.a 221 9 CHANGE OF USE FROM TING PLUMBING AND SIGNS. STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. WATER LOCATION: Approx 10.6' W. of sewer service and 63.3' S.W. of San. M.H. SEWER LOCATION: Approx 10' deep.in street, 34' W. of M.H. (W. Inv. 914.06) WYE Eley. 915.08' Top of Fobting - 918.08' (minnimum) A,wi ku anAnogii D/W Depression Cast: NM N/A - Existing surmountable Curbing � ,. DOES Nor �wcKal:+r � .0'S9 - 01810313 - 3NOW3131 kCv- Op UT�(T�I LOCATIONS AND ELEVATIC, 581111l�f1 19301 1183 Bll1$2I(� 810138 C"P NFOR1AAPURPOSES Pt1RP0" S ONLY Ai�,., UNN," ` �iM'�tILD TM AATI-4w n'� SIT! TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frme _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 R-1 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 $52.10 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $104,000.00 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-. $545.50 $425'5.00 STRUC OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE A $136 8 $1,158.98 SIGNATURECfOFCONTRACTOR OR AUTHORIZED AGENT IDATEI WHE. PROP RMaTHIS IS YQ PERMIT s a, �y 20 �;--g.LOG WSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application �___�_....�...,, ea,:..ea�• ��/ �� �( i`C t _��"--ere ../��•, Legal Description: 4®"f / �Lo c lC /.� h-�i �'- l-74 r' Lf� Owner Name & Address: �ra y-" LL J 'j.. -,.c Tel . # Contractor: Tel. # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length WidthHeight Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Inside Lot Ft. Yd. Setback Side Yard Setback l' /_Jr Type of Construction: Estimated Cost: $(�� Approx. Completion Date: /l// Af `� 2,0d Alt. A Alt B Proposed Driveway Width If New Opening Is Desired:' See Back Page for Explanation DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee ;7 APPLICANT: ' �:r� Tel. # CITY USE ONLY $ S49Sc $ !3 8 $ sla. Y) $ QSj ®0 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit ' Fee Determined by Engineering Sewer Main Charge . � Agr TOTAL STIPULATIONS: eement Necessary [ ] Not Necessary[ ] 0 % d ! o car t 00 ll other (Tobo Cm 01' MUMING JR KPA R' P. Y? au'* tted withlldt namit aftni i to® ) fattly dV0llle —.X. antractor* Own* r * of 31to dress Date — _ H ,dXXAL SFT. Of a , ft. above grade TOTAL EXPOSED PAQUF. WA!(.L C M3T stail. reference from ttached sheets INDOWS: "U" ak* 4 type w a w q w q R w w q )ORS: ske 4 R w R un type type w M MUCTZO}V: "U" value it area "U" sq* w q. -U:• q "U w--..rte^..�.._.e " x s o . �.w.....�.�KU" x ,4q . X S;. "Uw x sq. "U " 6J scribes Opelningswuw x sq. va I us x a roa "Un C5S RUw._,.,. �x n.a�rw." • J x sq* w q. i�..w.a.�- w U 11 X Sq. "u x sq. "uR x U sq. x sq. value x area '273 S.' 22 WAU ARM SW . ft. - (U)(j ft. = (U)0 °TA L A RFA : Izl., Q, sq. Gail reference "u" owl rt. (u) 0 x sq. (U)(� ft. .. (U)(1� scribes Opelningswuw x aq* in roof. ft. ,. (U)(A ft. ZEE ft. ,. (u) (A f ti• *� (U) (A ft. (U) (A ft. (U)(A "Um -,"U" x sq. ft, (U) ( A "u ",,,,.,,,.,�. x 3q . f ti . 3 i,yin (U) ( A x sq. ft.mmmmmmmmumm�. (U)(A ►TAL (U)(A1 VALUES TOTAA ?"" 3, Sq• ft.`ZOo, Z(U)( :VIDED By TOTAL 'BALL AREA d � RAGE "u" ,185,E or less for 1 & 2 family dwellings ,23 -,M or leas for All other buildings Ota/CEILIAIO: ft'(U)(A ft• °TA L A RFA : Izl., Q, sq. Gail reference "u" f roes " x sq. tache+d shoots. "'.....'"Uw w x sq o scribes Opelningswuw x aq* in roof. wuw x aq. ft. (U)(A ft. ,a (U) (A ft'(U)(A ft• f&• er (U)(A (U)(A CAL (U)(A) YALUES2y2B LSWAMMM 12 igq. ft. Zo�ZB�(U) 11DED BY TOTAL ROOF/ "' A ° CEILING AREA (Z68 :RAGE "Uq ,r0�4-: for veatblatod roofs .0 for All other construition, � .S V R vim' Y FOR a, MWASIANC14% 011.0 CGNroMAc. RICE - 3B4 M o il • i w aE 9 A F � � � j l ® �J,•'R z i �s �•. v 07- 7-H.4, OT40 TTH.4,Ro #40140 s i T<m v� •��vok.� L'ou.v a" y� �c l r A ®rmorwx !/PON Ow,*- 4,Aoe-v T % —o4w o O Z%Civ-07WS IRoN ONs/MLNT ,.sK�T C''APF�EC>' f?G S 1,0832V. � r it rr(Jf�T�.i ��y /rloaw+►�T ntJn7' cl�-xj P r I hereby certify that the survey, plan plat, preliminary plat or report %%us prepared by me or under � my direct supervision unci that I am a duly Registered [And .`purveyor under the laws of the State of innesota. rN Date, Job.No. BooK R37 �,1 �''i'•> "°5 �:7. `"d s� t "(77", CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures_ > m Future Fixtures $ 3.50 u Old Opening, New Fixture is w $ Water dl $ 4.00 0 Blow Off Basin $ 5.00 rz. b'�{ y� u� q�gp $ Rain Water Leader p, w Im Hydraulic Valve Heater w d Sump or Receiving Tank ..Ri1i N c G7 N ccs O "c a u Gas Range ani $ 10.00 $ Gas Dryer u D $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 y A Appliance g $ �� State Surcharge $ .50 o as lec v�i ($15.00) TOTAL FEE $ 5j".1S-Cj w° lst t l l 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures_ $ 5.00 $ -e�� Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater ® $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 14 of Value of Fixture or Appliance $ �� State Surcharge $ .50 Reinspection Pee $ ($15.00) TOTAL FEE $ 5j".1S-Cj Ettective Aug. 1, lyul Job Address /L/7® R [ 6 G f a �— '< b A, Ick (U ) 6-' 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 Fridley, Mn. 4 a , 19 ;� OWNER�� KIND OF BUILDING w USED AS TO BE COMPLETED ABOUT�DC ;Z (, ESTIMATED COST % 0'a T OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company e r- j o+E t f Signed By Tel. No Hx<a ® $� FINAL INSP. / 2- - Y'5 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE QESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer a Air Conditioning (all sizes) All Others/Repairs and Alterations It of Value of Appliance or Work COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work RATE $ 20.00 $ 10.00 S 10.00 S 10.00 $ 10.00 State Surcharge Reinspection Fee ($15.00) Rough Insp. Date Final Insp. J_'2_? ®,� Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE I Effective Auq, 1, 19H1 TOTAL Job Address Z -y2®- A` e d ff i)jl— $ Department of Buildings, 6411 University Ave. N,E., Fridley, MN 55432 City of Fridley Tel. 0571-3450 $ The undersigned hereby makes application for a permit for the work herein specified agreeinq 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. $ Fridley, Kinn. 19fyf OWNER _s �CE(✓ / i�e�1G��E/1C $ KIND OF BUILDING USED AS $ TO BE COMPLETED ABOUT ESTIMJITED COST 3 '�5-©o ° L $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT llo. s 3®° $.�e� DESCRIPTION OF FURHACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, ars Ai[ No. Trade Name 0C.&/-1' size No. �'S-g551Qn Capacity Sq. Ft. EDR BTU /�� HP+ Total Connected Load Kind of tuel U Y (Cs,S BURNER - Trade Name Size No. Attach stack verification fors with replactsment furnace permits *Air Conditioners can nest la• placed in side yard witliout written 11•rmisslon from adjoining neighbor. Capacity Sq. Ft. EDR BTU HP Conpany Siqned By ZL� �� Tel. No. 7,517� —L5_494/ r HEAT LOSS CALCULATION ® TEMP. ®IFF.. Customer Name r<� row gd-vde S Type Construction City Windows Storm Sash Dealer Na 'ENAL`IARLF Walls _ Ins. StreetvdCoiling Ins. City -- ��r-oi�✓Il�a-a - Floor 1 FI.1 ,Room 1 Length Width Height J FI.1 Room L h tl Width ja He t Windows and Doors-Crackage and Area g® �7 9� 69 No Width Height No. of Lin"I ft. Area of pen* of psn Lights of crack sp. h. 75 Z __Iroof.1 Btu Infiltration -42 Glass Ase Exp. wall Glass Net exp. wall Int. wall j Ceiling Floor 35 �97— Total Btu. J%tzac ) ., AnWz,. Windows and Doors-Crackage and Ara g® �7 9� 69 No. WidthMtight No. of Lin"i ft. At" M of ea Lp of track on. ft. No. W'dth H��gnt No. of Lirvoof ft. At" of .rata of=Lights of crack M. ft. Coof.1 Btu Coef. Btu Infiltration I of i ltrat ion G lau a Glass a°Z Exp. wall Net exp. wall Int. wall Exp. wall Floor Net exp. wall -To Int. wall Floor Ceiling .3 F loon Total Btu. _ s� I Gey A C I I � � A. i06. fa-- 11 ORMth /'.Q WWiAth `Yl N ieht IN Winflnws and Doors-Crackage and Arm g® �7 9� 69 No. WidthMtight No. of Lin"i ft. At" M of ea Lp of track on. ft. Nn Width Hght No. of Lasses ft. Arlo 4 n.ma ofr,One Lights of crack p. ft. Coof.1 Btu Infiltration Coef. Btu I of i ltrat ion G lau a 777 Exp. wall Net exp. wall Int. wall S Floor Ceiling/ -To Floor Total Btu. windows and Doors-Crackage and Arse g® �7 9� 69 No. WidthMtight No. of Lin"i ft. At" M of ea Lp of track on. ft. 7�7iof n,,. Coof.1 Btu Infiltration -� Glass ` Exp. wall Net exp. will Int. wall Ceiling Floor Total Btu. FL1 Room Windows and Doon No. Infiltration Glass Exp. wall Net exp, wall Int, wall Width and Area Btu Floor Total Btu. k1:11 R-1 Rnnrnl l mm*h ,,Z Width A Heiaht Windows and Doors-Cradcaga and Area Width me" No. of Linsei ft. Arlo Nn. of Dam o9 rat L' ra b of ack sit. ft• P Coef. Btu I of iltrat ion 4117 Glass 3 Exp. wall Net exp. wall A/ Int. wall Ceiling Floor II Total Btu. 1 .365'1 r Customer Name City Dealer Name .— Street City — . let HEAT LOSS CALCULATION ° TEMP. ®IFF. Type Construction Windows Storm Sash Walls _ Ins. Ceiling Ins. Floor Room I Length Width I O Height Windows and Ooors—Crackage and Area w � PPJ No Width Height, No. of Lineal ft. Area nt pans of pans Lights of Creek aq. ft. I I Lae lCoef.1 Btu Infiltration -- Glass Exp. wall' ` Net exp. wall Int. wall Ceiling 1 F loor Total Btu, FI.I iA� Room I Length & Wi Windows and Doors—Crackage and Ara No I W'dth i .L.E. Ecf L.ne*5tt, I 1coff.1 Btu Infiltration Glass Exp. wall /491 Net exp. wall Int. wall Ceiling F loor Total Btu. _ W.mlows a d Doors—Crackage and Ara w � PPJ Nn Width H�sght No. of Lineal h. Are* nt .no of pane L hts of Crack q. ft. pLights I I Lae COO. Btu Inf filtration -- G lass ` Exp. wall Net exp. wall e%3 Int. wall Ceiling 1 Floor FI.I Room I Lanath Width Haight Windows and Doors—Crackage and Area Width Malght No. of Lineal ft. Ate* No. of Of en L b Of cfasll - sq. ft. Coef. Btu Infiltration Glow Exp. wall Net exp. wall Aq)e Int. wall Ceiling Floor Total Btu. I FI_I Roam Larmth Width Heiaht Windows and Doors—Crackage and Area No. Width 1fsi0ht No. of Lineal ft. Area of pone N M Lightsof crack sq. ft. Coef. Btu I of iltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. I FI I Ream I Lanoth Width Haieht Windows and Door—Crac age and Ara No. WWthIfalfht Ne. of Lineal h. Ano of pans of tea L is Of Crack sq. ft• Clef. Btu Infiltration Glass Exp, wall Net exp. wall Int. wall Ceiling Fhw Total Btu. I� Total Btu. I � Y� C[TYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE- N.E.. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 August 27, 1985 Star Homes, Ltd. 7691 Central Avenue N.E. Fridley, M 55432 Re: Final Inspection at 1490 Rice Creek Drive N.E., Fridley Dear Sirs: A final inspection was made on August 27, 1985 of the above address and the following items were noted which must be completed before the structure can be finaled out: 1. Provide a handrail on the front steps by September 16, 1985. 2. Secure the sump basket cover by September 16, 1985. 3. Provide the City with a copy of the verifying survey by September 16., 1985. We will expect the above items to be completed by the scheduled date when a reinspection will be conducted to determine compliance. If you have .any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. C - Chief Building Official DGC/mh CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NI IMRFR OE FIXTURES TO RE INSTALLED ON EACH FLOOR Stories Urinal S ower TraY •:.:#:::.:..::: •• Qr in ash r : .� an e`��#W .. " eater Wat@rHFloorWash c Gas Ei e as B e en m t Rain Water Leader $ 7.00 Sump/Receiving Tank- $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas Floor 1 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer' Required ( )Yes () No Type •$5.00 0 FI or 2 Floor 3 X 211, El4 FI 00 r PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 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 /0-00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer' Required ( )Yes () No Type •$5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE JOB ADDRESS /'-/90 k r c.i C 2 f-0 4 1�) R_ 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. q - j•a Owner —ro r''' PE to. 5/^A Building Used As Estimated Cost 3 �• �� PERMIT NO. PLUMBING COMPANY te m's Ou A L Y T y i°L u n ,6,,J G SIGNED BY ,- TEL No. Approved B Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE 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 JOB ADDRESS J 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 Sizes All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE Effective On August 1, 1995 The undersigned hereby makes application for a permit for the work herein 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 $ representations stated in this application ar true and correct..-- ,ir1 1> ja 0 (P/ ,199'x' MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. s�Yr Vi.0y'.-wY1 _� 5-7A - 13 BUILDING USED AS ESTIMATED COST'17N5_170 - 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 BTU HP HEATING COMPANY ___)�� Signed By. Size No. EDR Tel No. Approved By � Rough—In Date Final Date FILL OUT BACK SIDE FORSTACK VERIFICATION ON REPLACEMENT FURNACE[ CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) 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 7. Has a liner been provided for water heater Yes () No ( } 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: HEATING CO: Signed By: Date: -OK9 -06- / SUBJECT City of Fridley 2929 4 AT THE TOP OF THE TWINS BUILDING PERMIT r? RT NO. v__��__ � �COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. oU qq +'�•1 CITY HALL FRIDLEY 55432 '•j NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/26/99 JOB ADDRESS 1490 Rice Creek Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 1 2 1 Heather Hills 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Persma 1490 Rice Creek Drive NE 572-9334 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Brent Darr Construction 12601 Able Cir NE, Blaine, Mn 55434 386-5029 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20134193 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION] REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage (28 Sq) Tear -off 9 CHANGE OF USE FROM 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 an 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,399 $1.20 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- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fire SC $2.40 PLAN CHECK FEE TOTAL FEE L �*� Lic nse SC $5.00 $83.35 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE- WHEN PROPERLY V I,IDATED THIS IS YOUR PERMIT �(J �¢ ®, I1 BLD -NSP MATE S,GNATURE OF OWNER OF OWNER BURDERI (DATE- NEW [ ] Effective 1 / 1 /99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: IM R i c e G i - e e P& �- Legal Description: Owner Name & Address: 1'o Vq P it pn of Tela # % 33 Contractor: B re p' h a Ue, Got-5+r&tc j 1'0+ MN LICENSE # a0 1 3 4 » 3 Tel. # 61 a- 3 U Address: 1.260.1�gE C'4 Lk ��41�� � ��/2Y 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: Le Wi th Hgt/Ground Sq. Ft. � OTHER: �" 1� U Construction Type: At X00 r Estimated Cost: $ 99 (Fee Schedule on Back) .Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: - �- 6- APPLICANT: �isz�. Tel. # K I d 3 F 6 5"L9 --r Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee CITY USE ONLY $ ' e �� Fee Schedule on Reverse Side $ ?.410 .001 of Permit Valuation (1/10th%) $ 1.020 $.50/$1,000 Valuation $ $1050 per SAC Unit $ 6_,00 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering Sewer Main Charge $ . -Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: 04/02/2004 FRI 13:21 FAX ELDER JONES 1@001/001 NEW L ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [) 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg [nap ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (783) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: 14 10 � ,CI1 0�, - � ; L k--,, Legal Description: OwnerName&Address: Z�1-f �� �P;�2,t ft Te1.�'�(o3•S�o?- 933y Contractor. MN LICENSE#;�()1W 1 3 Address: RENEWAL BY ANDERSEN Tel. * (pS I' R (Dq - q 4-4-+ 1920 COUNTY ROAD "C" WEST ROSEVILLE, MN 55113 !cats of Survey of the i drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height - Sq. FL GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len��gthnp Width HgVGround Sq. Ft OTHER. �DJc.Qr� I n� �, A A ' n t . n ►. c.{: ,► „_ l,-)., U,.t f. Construction Type: Estimated Cost $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if maTing in application. Fax to 763-577-7287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Cr1Y USE ONLY - $ • aS Fee Schedule on Reverse Side 65% of Permit Fee $ 1 .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1350 per SAC Unit $ 5.00 $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 [ ] $ )OT -1:01 STIPULATIONS: BuEilding BUILDING $ Permit No-� - (p $ Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY Date Rec'd: rrQ-1 DATE c�Ci � YOUR E-MAIL ADDRESS C QC • CCJYV l SITE ADDRESS THIS APPLICANT IS: ❑ OWNER &ONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: CITY STATE—ZIP PHONE: �j � y p 2 T r�r • / 3Jy CONTRACTOR NAME: Renewal By Andersen SUBMIT A COPY OF STATE LICENSE 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, N N 55113 _CITY STATE ZIP WITH APPLICATION PHONE ❑ SINGLE FAM License #20130983 651-264-4777 PROPERTY TYPE ❑ TWO FAMILY.._.. PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED NDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION NTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONEjQaCN=C,Q Cj2g?n'n2 — SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• 3. Proposed floor plan 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. WINDOWS IN EXISTING OPENING es ❑No LOCATION PF 2. 3. Two sets of construction plans Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due OCCUPANCY 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 ( ) $ vZcoe I( Make checks payable 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 applicatio or a permit rk is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w ich uires r and approval lans.&(0,6CO3S0rJ ,� �/j SIGNATURE OF APPLICA NAME DATE �9�y W $ 24 $ $ c OCCUPANCY 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 ( ) $ vZcoe I( Make checks payable 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 applicatio or a permit rk is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w ich uires r and approval lans.&(0,6CO3S0rJ ,� �/j SIGNATURE OF APPLICA NAME DATE �9�y W s ,1/26/2007 FRI 13:56 FAX 651 264 4079 Renewal By Andersen -)-)-j Kara Benson q,ayo- 2014/019 0 1i V ' 1C pq all 3 2014/019 0 1i Building BUILDING Permit No.: Inspections- RESIDENTIAL APPLICATION Received By 763-572-3604 $ c9 . ®® ® 201 CITY OF FRIDLEY •Y DATE, YOUR E-MAIL ADDRESS �jSCi� d@ ec1 r o c SITE ADDRESS I ® •CIL c L� B -A $1550 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR ft + 6 ft = ft x $21 =$ PROPERTY OWNER/ NAME: t`!1'Yl 1 "e'(S mo"— Park Fee ADDRESS: n CITY STATE ZIP TENANT Agreement necessary ( ) Non Necessary ( ) PHONE:_ NAME: t Renewal By Andersen Make checks payable to: City of Fridley Attach Stipulations CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 STATE ZIP WITH APPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NE` _ 651-264-4777 PROPERTY TYPE ❑ TWO FAMILY/NEW ❑ ADDITION G ❑ 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: 11 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. 2. Existing Floor Plan 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 AD &_PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structure ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 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 FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ THE 1997 U.B.0 FEEOCCUPANCY TYPE Permit Fee $ t49- 2� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ c9 . ®® .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 Vicense Surchaz e $, $5.00 (State Licensed Residential Contractors) arge .. $ ®—" $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations AN APBLICATION 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 iI conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not. permit but only an applicaYEXZ--)�419 it and work is not to start without a permit; that the work will be in accordance with the approve( plan in the case of all wors revie d approval oof plans. /n / SIGNATURE OF APPLICANT I1 N'4MEA Wa 1aa y%Se%DATE IIGi �J