PRE 2010 DOCSCity of Fridley
P
ZRM
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AT THE TOP OF THE TWINS
PERMIT
BUILDING
COMMUNITY DEVELOPMENT DIV.����'�
r � � PROTECTIVE INSPECTION SEC.
1 . i
CITY HALL FRIDLEY 55432
IL'--- ,'1
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
112/20/76
10B ADDRESS 1510 Rice Creek Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
4
Rice Creek Estates Second SHEET
2 PROPERTYOWNER MAIL ADDRESS
ZIP PHONE
Pine Tree Builders Inc. 8535 Central Avenue, Mpls.
784-6013
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
l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE,
8 DESCRIBE WORK
Construct a 32' x 26' Dwelling and a 23' x 24' Garage
WARNI
SEPERAT'E PERMITS REQUIRED Fop WIRLNG Before digging call local
9 CHANGE QF USE FROMH /►'{' NG, PLUMBING ANU SIGNL
� 9
STIPULATIONS Provide truss design. Provide vapor barrier in ceiling. Provide a
hard surfaced driveway. Provide sod in the Front and side
yards. Provide a
verifying survey before capping.
SEWER LOCATION: 23' West of Manhole (Inv. 909.75
v
WYE ELEV: 909.84'
TOP OF FOOTING: 912.84 Minimum
WATER LOCATION: 10.1' West of Sewer Service
WMNING
'ts,e
Before digging call local utilities
cI;Y 0"FoilpLr` Docs + oT Guaa�vt ; ;ne
<.CLURACY
TELEPHONE • ELECTRIC. OAS Ete.
Of UTtlf'1'10 LOCI.ItiONS AND EIEVATdO1vS.
THIS, DATA IS MR INMMATM 8t1 MUS ONLY AM)REQUIRED
�� LAW
U&M R SHOUM H&M OW IMINA1tON
ON We SAE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Farme
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
1192+460
32,180 Tota
ANY TIME AFTER WORK IS COMMiENCED.
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
$53,975
$26.99
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.-
STRUCIION OR THE PERFORMANCE OF CONSTRUCTION.
1$128.72 y,
I w:�j p
$350.00
PLAN CHECK FEE k,
TOTAL FEE
$537.89
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT!
/C, Q 1�
SLOG INSP
s I�J �� /c/ -Q 6 -3 k2
OATE
Sl * AT E F OW ERIIF OWNER BUILDER) (DATE)
Utilities
AS Etc.
L AW
APPLICATION FOR R1iSIDENT1IAL, AL' E1,'ATI0N,
OR ADDITION BUILDING 111:1 N11T
CITY OF FRIDLEY, MINN.I:SOTA
OWNER'S NAME :_P(UE Te M 111A,11�CM -.rkc. BUIL_ R: WJi +-z)i&L U& Z -r
n '
ADDRESS: � 5 e Fhl4 RAL A11F ADDRESS:
NO:. t `Z' t O S TRE ET: e C.+ got D t,
LOT: BLOCI;: ADDITION: &Z e� �fe-
CORNER LOT:INSIDE LOT: ETP Cl<: , + �SIDWARD:
Applicant attach to this form Tv7o Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As • (; �! 4601°" �dA4M AkX '
�t"r=- S - P" Front: 3 Z Depth: Height:
Square Feet: Cubic Feet: aP�
Front: 713 Depth: Height:
Square Feet; L100 Cubic Feet:
a
Type of Construction: "-Q 00 0 f�Y1n/V Estimated Cost:-$ - !�i� k rn_
To Be Completed: AS AP
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to, do all work in strict accordance with the Ciiy of.
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representrin
is statod in this appl ic;it:i.olk
are true and correct. /'1
DATE: II- b�13 v 2 10 SICNATURE:
(See Reverse Side For Additional Information.)
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CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE p�
GRAVITY WARM AIR: RATE TOTAL Job Address 1✓ / y y
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:
Furnace Shell & Duct Work to 100,000 BTU $12.00 $
each add. 50,000 BTU 4.00 $ h D
Replacement of Furnace 7.00 $
Repairs & Alterations -up to $500.00 4.00 $
Repairs & Alterations each add. $500.00 4.00 $
STEAM OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
$12.00 $
each addn. 50,000 BTU
4.00 $
Boiler only up to 100,000 BTU
7.00 $
each addn. 50,000 BTU
6.00 $
OIL BURNER- to 3 gal. per hour
$10.00 $
each add. 3 gal. per hour
10.00 $
GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $
(over 199,999 BTU see Fee Schedule) $
GAS FITTING FEES: z
1st 3 Fixtures x . $ 3' 00 $
Additional Fixtures �$
Gas Range to 199,000 BTU x $10.00 $
AIR CONDITIONING
FAN HEATING SYSTEMS
VENTILATING SYSTEMS
ALTERATIONS $ REPAIRS__)
ROUGH INSP.
Date
FINAL INSP.
Date
APPRLV;T L FOR PERMIT
$
See Fee Schedule $
S
State Surcharge $ .50
TOTAL FEE $BGG
REINSPECTION FEE
($10.00)
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
mle�_100014�
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, Minn_ -7 — / S' , 1977
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST 0
OLD - NEW BUILDING PERMIT NO. PERMIT NO.. Y/�!
DESCRIPTIO14 OF FURNACE/BURNER
HEATING or POWER
PLANTS, Steam, Hot Water,arm Air No.
Trade Name c�-�'WI/�'7� Size No.
Capacity 0 L�7� e� Sq. Ft. EDR BTU L HP
Total Connected Load Kind of Fuel
BURNER - Trade Name 144,� Size No.
Capacity Sq. Ft. EDR BTU HP
;suburban fair Conditioning Co
Company 8419 Center Drive
Minneapolis, Minnesota 55432
Signed By
Tel. No.
CITY OF FRIDLEY�
APPLICATION FOR PLUMBING AND GAS FI'TTING PERMIT
PARTIAL RATE SCHEDULE
PL'u:•:3ING FIXTURE RATES: NO. RATE
Fixtures x $3.00
211t..re _ixt..re Opening x $2.00
New Fixture, Old Opening x $2.00
Catch Bcsin x $5.00
Water :cater - to 99,GOO BTU y. $5.00
100,0S0 BTU to 199,000 BTU x $10.00
.:ater Scftener x $7.00
...w Groun.- R -n Old BLildir,g x $5.00
Electric :rater Heater le x $5.00
GAS FITTING FEES:
1st 3 fixt:;res x ;
CITY OF FRIDLEY
APPLICATION FOR POKIER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE'
GRAVITY WARM AIR:
RATE
TOTAL
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$
each add. 50,000 BTU
4.00
$
Replacement of Furnace
7.00
$
Repairs _& Alterations -up to $500.00
7.00
$.
Repairs & Alterations each add. $500.00
4.00
$
STEAM OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
$12.00
$
each adds. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OIL BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures x
$ 3.00
$
Additional Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00
$
AIR CONDITIONING �1
$
FAN HEATING SYSTEMS See Fee Schedule
$
VENTILATINTG SYSTEMS i
$
ALTERATIONS $ REPAIRS_ i
$
State Surcharge
$
.50
TOTAL FEE
$
/Q• ��
I PGUGH INSP.
FINAL INSP.
Date ��JJ
APPROVAL FOR PER,:IT / 4,9
REINSPECTION FEE
(.$10.00)
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
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 Coes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Frid ey, Minn. C � �°A2l -' 19�
OWNER
KIND OF BUILDING a� //�] all ,
USED AS
TO BE COMPLETED ABOUT °
E�l
ESTIMATED COST
OLD - NEW UILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
-y 7
Tracie Name Il /(iyl.(;� Size No. r,[oZ /
Capacity Sq. Ft. EDREDDRR BTU HP
Total Connected Load
BURNER - Trade Name
Capacity
Kind of Fuel
Size No.
Sq. Ft. EDR BTU HP
Company L �l�Jlf%1
Signed By C/y��j -y/LiY J?
Tel. No. dC� �1 �6/"
May 19, 1977
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
Pine Tree Builders
2001 - 105th Avenue N.E.
Blaine, Mn. 55434
Re: Final Inspection at 1510 Rice Creek Drive N.E.
Dear Sirs:
A final inspection was made on May 18, 1977 of 1510 Rice Creek Drive N.B.
and the following items were noted which must be completed before the
structure can be finaled out;
1. Provide sod in the front and side yards by September 10, 1977.
2. Provide City with copy of verifying survey immediately.
We will expect the above items to be completed by the scheduled dates
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.
Sincerey�
RON HOLDEN
Building Inspector
RH/mh
SUBJECT
PER IT N
City of Fridley
6 g
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
r
RECEIPT NO.
�� ______ COMMUNITY DEVELOPMENT DIV.
r i PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
,.J 612-571-3450
910-F15
1/4/83
JOB ADDRESS 1510 Rice Creek Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
4
Rice Creek Estates 2nd Add. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Timothy J. Dess 1510 Rice Creek Dr. Fridley- 55432 571-0668
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION EX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Remodel basement
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,500.00
$.75
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$25.00
PLAN CHECK FEE
TOTAL FEE
25.75
SIGNATURE OF CONTRACTQR OR AUTHORIZED AGENT
- PIH PROPE LY L D E HIS IS YOUR PERMIT
y' /(DATE)
G INSP DATE
SIGNATURE OFO N UFO ER BUILDERI (DATE)
CITY OF FRIDLEY Effective Aug. 1, 1961
APPLICATIV4 FOIE-ACSIDENTI/k• BUILDING PERMITS
(RE%i -Alteration , Additions. or Repairs
ADDRESS:
TEL 110: ' J -71-o66,8
BUILDER:
ADDRESS: s4t-(E
TEL 110;
Construction Location
- STRMT NO: J_S-/o STREET: '��� C' ESC 0e/f"S
LOT: � BLOCK: 4 ADDITION: X ' e L- 0'V cb '4-2>':)
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth: Height:
Square Poets Cubic Feet:
Front: Depths Height:
Square Feet: Cubic Feet:
Type of Construction:
To Be Clompleted: �lci.c' rN5
Estimated Cost: $
Alt. A Alt. 8
Proposed Driveway width If New Opening Is Desired:
SEE REVERSE SIDE OF SHEET
Wie undersigned hereby snakes 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 DeZk-irtment of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE: SIGNATUZZ:
Stipulations;
e
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 NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
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
Gas Range
$10.00
Gas Dryer
$10.00
Back Flow P(eventer 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 $ iSoA:50
JOB ADDRESS /5_/D 6ee.
The undersigned hereby makes application for a permit forthe 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 &1�_n kju't'lo
Building Used As
Estimated Cost Q PERMIT NO.
PLUMBING COMPANY ,)e
SIGNED BY TEL N0.
Approved . y_ Rough—In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
193.E
SUBJECT
P 0.
of Fridley
25041
AT THE TOP OF THE TWINS
BUILDING PERMIT
Ir?City
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEG.
9
r � �
CITY HALL FRIDLEY 55432
NUMBER __[REV
DATEP
AGE OF
APPROVED By
612-571-3450
910-F15
5/7197
JOB ADDRESS 1510 Rice Creek Drive NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
4
Rice Creek Estates Second
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Tim Dess 1510 Rice Creek Drive NE
571-0668
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Renewal By Andersen 350 73 Ave NE, Fridley MN 55432
571-7816
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20040630
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 8 windows and 1 door
9 CHANGE OF USE FROM TO
STIPULATIONS
Replacement bedroom windows must meet the State
Egress Code.
Install smoke detectors to meet 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 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
$6,692
$3.35
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$124.75
Fire SI;, $6.69
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$139.79
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
9L INSP
OA TE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
ITY OF FRIDLEY TEL: 612-571-1287 Mar 20,96 9:48 No.001 P.`01402
NEW [ I Effective 3/1/96
ADDN [ ] CITY' OF FRIDIXY
ALTER i ] SINGLE FAMILY AND DUPLF,XES R I AND R-2
�D/
Building. Permit. Application
ConstructionAddress: JS 10 V-kCC— CZUE/C Q� .
Legal Description.
Owner Name & Address: TI M 00 S S I'S- I U 410E a (JR... Tel. # 5—)l • CGOR)
Contractor: aF—N NX- M AnO - MN LICENSE # 200 V6_3C�J -
Address:3Sb `M �12 POE: N .E +moi k rk-� 0" Tel. # X71 l I&
�i
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EWROVEM72ff
LPANG AREA: Length Width Height Sq. Ft.
GARAGF, AREA: Length Width Height Sq. Ft.
DECK AREA; Length Width _ Hgt/Ground Sq. Ft.
OTHF.R: �^Oc.AC.E 8 Ali � Qjv-( S I N 4cm�E W tc3U4 r' 1 rS Su --Cr- rtir rtjVVS
= l er4T►cl CtiorL
Corner I.ot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:. _ Estimated. Cost: $ X20=--'
Approx. Completion Date:
(Cost:. on . Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft=. Ft x S = $
DATE: S • { '-91. APPLICANT: 'T" 1 r'Yt _S ciA ��. f h Tel'. # V�4.2�5�
Permit Fee
Fire Surcharge
Stale Surcharge
SAC Charge
License Surcharge.
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
/y P CITY USE . ONLY
$ Fix Schedule on Reverse Side
$ A01 of Penntt Valuation (1/10th%) .
$_ 3151" $.50/$1,000 Valuation
$ $900 per. SAC Unit / J`
$ CA $S.IJO (Stale Licensed. Residential .Contractors) .
$_ Alt. "A" or Alt. °B" _Above
$ $450.00 Conservation Plan Rcvicwtl
$ Fee Determined by Engineering.
$ Agreement Necessary Not Neccss . ary
$ j39�q
Elder -Jones
Building Permit Service, Inc.
ELDER -JONES BUILDING
PERMIT SERVICE, INC.
1120 EAST 80TH STREET
BLOOMINGTON, MN 55420
PHONE: (612)854-2854 =
FAX: (612)854-2703
We at Elder -Jones Building Permit Service, Inc. are
acting as an agent for Renewal by Andersen. If there
are any questions, or if permit has to be piC)ked up in
person, please give us a call at the number above. If
permit can be mailed back to us, we have enclosed a
self-addressed envelope.
Thank You,
Tim Schenk ext. 140
Jolene Connors ext. 134
Elder -Jones Building Permit Service, Inc.
1120 East 80th Street • Bloomington, Minnesota 55420-1498 -
6124854-2854 FAX: 612-864-4909
APR -08-1997 1125
» r•
•ok.,td'%jQ
612 430 5662 P.02/02
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spi, 01
Received Time Apr, 8. 10:04AM ' s • 'Print Time
Apr. 8. 10:05AM TOTAL P.02
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS, AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
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.
Burner Trade Name
BTU
HEATING COMPAN
Signed B
9 Y
j�-
Approved By
Size No.
HP EDR .
Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
JOB ADDRESS I S I O- R i CeCr e e.k N.
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
/v,O
$_-I&
representations stated in this application are true and correct.''
(Side Vent - Fill Out Back)
,1997
Gas Piping (Needed with new furnace)
$10.00_
$
- -- -- -
OWNER. M OSS
Gas Range
$10.00
BUILDING USED AS `J�(o me,_
Gas Dryer
$10.00
$ :.
ESTIMATED COST Z PERMIT NO. ,f -J 96
*Air Conditioning - All Sizes
$ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name �eYri�S�G�r Size No.
Commercial/Industrial
BTU 44d4o 4o HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load /D f`= 2�
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
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.
Burner Trade Name
BTU
HEATING COMPAN
Signed B
9 Y
j�-
Approved By
Size No.
HP EDR .
Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CH NINEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or stack:
- 1.
Has been carefully examined .
Yes
. No
O .
2.
Is free from rust .or deterioration
Yes
No (
)
-3.
Has no foreign objects lodged within
Yes (JCj
No (
)
4.
Is securely supported
Yes)
No {
)
5.
Meets all current Code requirements for size
and total BTU's connected
Yes (fA
No (
)
CIlYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
January 14 1998
Mr. Jeff Norberg
16010 Quay St NW
Andover, MN 55304
Re: Construction Without Obtaining a Building Permit
(Reroof at 1510 Rice Creek Drive NE, Fridley, MN)
Dear Mr. Norberg:
According to Section 106.1 of the 1994 Uniform Building Code as
adopted by the City of Fridley, no building or structure regulated
by this Code shall be erected, constructed, enlarged, altered,
repaired, moved, improved, removed, converted, or demolished unless
a separate permit for each building or structure has first been
obtained from the Building Official.
You have been notified of your need to obtain a building permit and
have failed to comply as of today's date. As a result, a special
investigation fee will now be added to the permit, equal to the
permit fee. The City of Fridley will give you 30 days in which to
comply before turning this matter over to the City Attorney for his
legal consideration.
Please contact me at 572-3603 if you have any questions on this
matter.
Sincerely,
� w
BARRY RI CH
Building nspector
BR/mh
CIlYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
January 12, 1998
Mr. Jeff Norberg
1510 Rice Creek Dr
Fridley, MN 55432
NE,
Re: Construction Without Obtaining a
(Reroof at 1510 Rice Creek Drive
Dear Mr. Norberg:
Building Permit
NE, Fridley, MN)
According to Section 106.1 of the 1994 Uniform Building Code as
adopted by the City of Fridley, no building or structure regulated
by this Code shall be erected, constructed, enlarged, altered,
repaired, moved, improved, removed, converted, or demolished unless
a separate permit for each building or structure has first been
obtained from the Building Official.
You have been notified of your need to obtain a building permit and
have failed to comply as of today's date. As a result, a special
investigation fee will now be added to the permit, equal to the
permit fee. The City of Fridley will give you 30 days in which to
comply before turning this matter over to the City Attorney for his
legal consideration.
Please contact me at 572-3603 if you have any questions on this
matter.
Sincerely,
16-ez"'Z,z /1',6J
B Y IESCH
Building Inspector
BR/mh
SUBJECT
City of Fr
Fridley275778
AT THE TOP OF THE TWINS
BUILDING
PERMIT
P
RECEIPT NO.
�
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
1 . i
CITY HALL FRIDLEY 55432
NUMBERDATE
REVV
PAGE OF
APPROVED B
612-571-3450
910-F15
1/28/98
JOB ADDRESS 1510 RICE CREEK DRIVE NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
4
Rice Creek Estates Second SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tim Dess 1510 Rice Creek Drive NE
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 ❑ ADDITION ❑ ALTERATION? REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage (22 Sq) Tear—off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State
Building Code.
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
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$1,834
$.92
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 SC $1.83
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$59.50
PLAN CHECK FEE
TOTALFEE
$62.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi
WHEN PROPERn VALIDATED THIS IS YOUR PERMIT
,ti _woeINS
P
OAYE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE
NEW ( ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: /5-/0 At(
Effective 1/1/98
Legal Description: /-®j d2 �W W glee -le E5 Z n Sec ems- 40
Owner Name & Address: :7!-M pe s / U let Tel. #
Contractor: _ MN LICENSE #
Address: � t.__ t f .-- Tel. # ``tri 7—z 2577
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.
OTHER: A e -^11C o 14 �`i S
Construction Type: Estimated Cost: $`/
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. # 4�? %— (ZS %
�Dl
CITY USE ONLY
Permit Fee $ r Fee Schedule on Reverse Side
Fire Surcharge $ % • cr� .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
per SAC Unit
SAC Charge $ $1000 P �
License Surcharge $ $5.00 (State Licensed Residential Contractors) `� I
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.0,0 Conservation Plan Review
b En
Fee D termined
Park Fee $ g y Engineering
g
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
g
TOTAL $
STIPULATIONS: