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PRE 2010 DOCSCity of Fridley�'ro13582suedEcr PERMIT NO. AT THE TOP OF THE TWINS BUILDING PERMIT r RECEI COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 F/6 P 1 / 1 = . i �'•'4 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L•"' ,`j 612-560-3450 910-F15 6/10/76 JOB ADDRESS 6160 Rice Creek LDrive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Rice Creek Estates c�NQ. SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Richard a. Ferber 620 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pinetree Builders 8535 Central Avenue N.E., Npls. 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK X ❑ NEW I ❑ ADDITION ❑ ALTERATION ElREPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK —IMPORTANI.- Construct a 331 x451 Dwelling and a 241 x 261 Garage NOTIFY THE FRIDL SEPEOATE. PERMITS REQUIRED FORWIRI G%. DIVISION REGARDING C 9 CHANGEQFUSEFRO' It/�•}�1141 . PLUMBING AND �11J1� i . 1T 11GGl11� 1 11V1.# PLUMBING 1�1 AT DRIVEWAY 4PENIN STIPULATIONS Provide 'a hard surface driveway. Provide sod in the front and side yards. Provide,a verifying survey before capping. 17.51 Minimum setback on side yard street side. Provide truss design. Show design of header with ceiling beam bearing on. All bedrooms must have escape windows. SEWER LOCATION: (Approx. 121 Deep) 691 North of Nanhole (Inv. 909.75) WYE ELEV: 909.48 WATER LOCATION: 9.81 South of sewer service "TuTARIMING Tlie CITY OF FRIDLEY DOES NOT GUARANTEv 'TIE ELE;vAIIC Before diggIrIg call focal diltles C CURACY OF UTILITY LOCATIONS AND :. PU^POSEa �- LY ra•' -ELECTRIC •GAS Etc. DATA IS FOR INFORMATION • TELEPHONE ,....ONS USING IT SHOULD VEIiIPY THE REQUIRED gY LAW ic" i .H SITE, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 1235 + 624 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 $42,015 i $21.01 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC HARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. - ST RU ION OR THE PERFO ANCE OF CONSTRUCTION. 59.76 $350.00 PLAN CHECK FEE TOTALFEE 430.77 SIGNA URE OF CONTRACTOR OR AUTHORIZED AGEN (DATE) - VALI,DATEb THIS IS YOUR PE/REMIT �WgpHEN(J,P��/,p��PE_R(LY�, BLDG. INSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) GR. ARB IENT S. c 9 q cy q p- a o m �s7t• r+ a`f`"`.i�c,atTo n fc. P9'ub:t_i>.o� marl �,::n Fi!bii2'� Dop;. of Bldgs. Phone SFO.3450 DESCRIPT1OIt G: VIOL% l.,ocpt?oa wid Lc-.1'icn Of sovar ?fav Fit gin. Old Ors --.c City of P•idlcy, The undersigned hereby makes apptscation for a permit ier the- -work he. Specified, a,;rccint to do a1 work in strict acro dance with theCi;p G`:dir-m" and z,Ii g of the Depar rent of B :i: -?'n s, and heresy dec:a: es 'that a:I 'the Y; and represcrtztions stated in °his app:icz#.iM are true arx! co::e-ev "` r idley, B�inn ° 1� t.. PARTIAL RATE 5CIHEDULE ' `^ PATS � wArta Hrfi. 1< � � 1 � � r �i � G_ � � •. c � � f x { # �U � �V a jJ V O p w i rwS UCC. F~,;.ure Fixture Ol,cr.ing ............ x SIM 5 _. ::ew Fixt:::e O;;f Opering.. o • • • • • • • y -.-- •--• , x a -- I ft ,cO..25 . �.0 G` heater 'Up to .OGO BTU). • • • Water heat� x e3irO � --- lea Ground Run Old Bldg. ... , .... X $3.25 � 3 NO. TOThL AS FITTING FEES: �-Ci� . x S'.S2.0$ 3:d y x IV $ Additicnal Fixtures ............... ----- .75 G:.s R.; :ge to li:,�.O;O BTU ........... X S5.00 y sovar ?fav Fit gin. Old Ors --.c City of P•idlcy, The undersigned hereby makes apptscation for a permit ier the- -work he. Specified, a,;rccint to do a1 work in strict acro dance with theCi;p G`:dir-m" and z,Ii g of the Depar rent of B :i: -?'n s, and heresy dec:a: es 'that a:I 'the Y; and represcrtztions stated in °his app:icz#.iM are true arx! co::e-ev "` r idley, B�inn ° 1� t.. PARTIAL RATE 5CIHEDULE L :3I1fC Fl;{TJR :PATES: NO. PATS TOTAL I�'UU !%'=fiber Fixtures ... • ............ F~,;.ure Fixture Ol,cr.ing ............ x SIM 5 _. ::ew Fixt:::e O;;f Opering.. o • • • • • • • y -.-- •--• , x a -- Catch Basin ..................... -- ,cO..25 . �.0 G` heater 'Up to .OGO BTU). • • • Water heat� x e3irO � --- lea Ground Run Old Bldg. ... , .... X $3.25 � 3 NO. TOThL AS FITTING FEES: �-Ci� . x S'.S2.0$ Iit 3 Fixtures ............ • • • • • x IV $ Additicnal Fixtures ............... ----- .75 G:.s R.; :ge to li:,�.O;O BTU ........... X S5.00 y Owner - Kind of Buil dino Used as To be completed abut OiZ1 Estimated Cost. $----2L Q - - 'Pe:ait';o. V Old --New. Building Permit No. Signc a ROUOFi FINAZT �r np .a ?..r.?.1:c3 �c x'_TEF.A:IOY.S—P.afez lo Cc -d4 . .:z0 Stage Su cha y^e .I^.e:cri;.t:an ........................ ,.............. • « .�� Busink.= PhWre �`:; .r.1^ -J 9�_•"-'�� . ey.-�•... �,.� f: .-'!!.. p,e.., �i C:.� '.?: �'A . ,c.�y` ...S.ed °',•-�' y ^tee ��..yy ��+• :'.. ., s.-:::... �.� ti `i..sr ...� i i'...+ss�J c...o r:w•..r..au.s�y , i ,y`6r erg:, 1 •W ...:L:. o. J.«k<.i4'i�:s:.s....ub� dnw�:..�''i.0 t..u.� :�, ®-+s �" W.4}o-;°;�s $,,..«..�,-„,.�y �; 1�`a-•.•-yA .,.f.,,._S” j'� ,.;,,a 4 PARTIAL IZAT . SCHEDULE .'u nzce SheII & Duct Work ... ... ..... ..$10.0b *.— ReplaceraerAt of Furnare 6.00 S Repairs & Alterations ---up to $500.00 6,00 S Repairs & Alterations each add. 1500.00 300 Furnace Shell & Duct Work to 120,00.0 BTU ear -h add. 90,000 BTU . .. ...... i' rT JC�2riF]t of rurnace .....tc .:Iterations --up to $500.00 Iiz;zIrs; & Alterations each add. $500.00 .e.'Y"F.&M or HOT VIAT :1'i ZY31=; _2 3.trJ � $.00 6.00 $ 3.00 $ Furnace Shell & Lines --to 400 sq. ft. MR Steam :10.00 $ Furnace Shell & Lin€ —to f,40 sq. ft. EDR Hot Water 10.00 S. Each add 200 sq. h. ED,'R Steam a. N-1 $ Each add. 320 sq. ft. EDR Hot Water 3.00 OIL BURNMR—to 3 gal. per hcur over 3 gal. per hour—See Fee Schedule Gp S Btl':: ' t (up to M,_1.030 BTU) 5M g r e (1 ^nsx"' r H-0,000 M sae F"sckc-dula GJIS FIT -1110,; = .::Zai: NO RATE TOTAL Ist 3 Fixtures xe� 200 $ CC Additional FIx ures x .75 Gas Range to Ilr3,= a3 &M $ M Call°. 1TL1G` -:1-.G PA;$ JI.L sa�V vim✓ MEPMRtiS noucH State Surcharge .50 c. - *pt. of City o? Fridley: The undersigned hereby makes application for a permit for aie work here^.r• specified. agreeing to do all work in strict accordance with the City macer anis ruling of the Department of Buildings, and hereby declares that all the facu and representatiuns stated in this application are true aced correct. Fridley. R,r:an — �r- 15 2L � , . , � / � 1. Owner Kind of Building Used as To be completed about. _ Estimated Coat $ Old ew. aw1ding Permit No: Pe mit No. 661-f% SiE IMNG or POWER7 MS Steara, Hot Water, Warm Air—No 141 Trade Name .L` �1� �! Size No_ Capacity—.__.— F. rr.D.R '� BT€1 Total Connected Load Fri of Fiml. C"a BURNER — TYade Narxte Si ,e Zdo Capacity Sq. Ft. LD R B'fiJ ira"AMS-OV22) i Citty ® r ict e ANOKA COUNTY 6431 UNIVERSITY AVENUE NE October 6, 1976 Mr. Ed Dropps Pine Tree Builders 8535 Central Avenue N.E. Minneapolis® Mn. 55432 Re: Final Inspection at 6160 Rice Creek Drive N.E. Dear Ed: 560-3450 FRIDLEY, MINNESOTA 55432 During the final inspection of 6160 Rice Creek Drive the following items were noted which must be completed before the building can, be finaled out; 1. Provide. sod in the front and side yards. 2. Supply.'-� inch anchor bolts in the garage sill plate.; 6 feet on center and within 12 inches of the end of any member. 3. Provide permanent support for bottom of deck stairway. We will expect the above items to be completed by October 28, 1976 when a reinspection will be made to determine compliance. If you have any questions about these items, please contact me at 5713450. Sinc ly, i RON HOLDEN Building Inspection Officer RH/mh CC: Mr. Richard Ferber - SUBJECT PE O. City ®f Fridley 16194 AT THE TOP OF THE TWINS BUILDING PER IT r RE NO. • _ COMMUNITY DEVELOPMENT DIV. d PROTECTIVE INSPECTION SEC. / �� t � � t t 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/19/81 JOB ADDRESS 6160 Rice Creek Drive N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 l Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard & Eleanor Ferber 6160 Rice Creek Drive N.E. 571-4424 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. CFT7 TAT T+'.T2T.flT.T:Y Home .Place Builders. {G91��-NC,ia'T� Z1~G�T..-.•..�-,.rte,.,.). . 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 11312 Fairfield Road, Minntonka, MN'55356 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 1611.x 12.5" Addition to House. 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING2. HEATING, PLUMBING SAND SIGNS. WARIeNev Before digging call local utilities TELEPHONE - ELECTRIC . GAS Etc, REQUIRED BY LAW 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 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 $6,700 $3.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $42.00 NONE PLAN CHECK FEE TOTAL FEE 5 . 5 SIG R FCON ACTOR o, AUTH DA , T (DATE) WHEN ITROPERLY A AT D HI YOUR PERMIT ATURE OF OfVNER IIF OVMER BUI ERI IDATEI SP DATE CITY OF FRIDLEY APP1_I(.A'rI0'4 FOR RESIDi-NTIAL BUILDING PCRf•1ITS (Neer, Alterations, Additions, or Repairs) 01-111ER:r° 2J ' fl," " ADDRESS: 4r,; le TEL NO: T' BUILDER: ADDRESS: TEL 110: > ��. •� . Construction Location ` ST=T NO: d STREET: LOT: Z BLOCK: ADDITION: j Corner Lot: >4` Inside Lot: Sethck: Sideyards: Ap-jlicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: �� ! Square. Feet: -.00 Front: Depth: /Z X' Height: Cubic Feet: Depth: Height: • 1 Square - Feet: Cubic Feet: a ' vlab_ Type of Construction: LJ. -j rr6me— Tb $e Completed: Estimated Cost: /L/ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE RF°VFRSE 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 represen Cations stated in this application are true_ and correct DATE: SIGNATUPE : Stipulations: j� SURINEY FOR: Pine Tree Builders, Inc. c� in 9C 7 C) o Dar10-mss Iron Monumen-�- Descriptions Lot 12, Block 1, RICE CREEK ESTATES 2ND ADDITION, Anoka County, Minn. Revised 8 - 2(. -`t(. +C) show Mouse under corzs�rruc-Viom /' I hereby certify that this is a true and correct representation of a survey of Job No. C)—ow.& COLSrt trLf the boundaries of the above described land and of the location of all buildings, 2 if any, thereon, and all visible encroachments, if any, from or on said land. Sit rVey0r.1 Book — Page Land Surveying • Site Planning As surveyed by me this 1-1jh day of P'4 • • 19M. 9 - 'le Civil Engineering 8816 70th Av. N. 0 94 at Boone Av. N.1 Scale Br -)oklyn Park. MN 55428 Phone 533 73.10 Minn. Reg. No. �.9 6 i 110 L I -v Q) Houses �; Under i 00 -+ I . �s t' Cons } r, r d; I n I C'j I o R1 CE GREEK in 9C 7 C) o Dar10-mss Iron Monumen-�- Descriptions Lot 12, Block 1, RICE CREEK ESTATES 2ND ADDITION, Anoka County, Minn. Revised 8 - 2(. -`t(. +C) show Mouse under corzs�rruc-Viom /' I hereby certify that this is a true and correct representation of a survey of Job No. C)—ow.& COLSrt trLf the boundaries of the above described land and of the location of all buildings, 2 if any, thereon, and all visible encroachments, if any, from or on said land. Sit rVey0r.1 Book — Page Land Surveying • Site Planning As surveyed by me this 1-1jh day of P'4 • • 19M. 9 - 'le Civil Engineering 8816 70th Av. N. 0 94 at Boone Av. N.1 Scale Br -)oklyn Park. MN 55428 Phone 533 73.10 Minn. Reg. No. �.9 SUBJECT PERM 0. City of Fridley ® 18474 AT THE TOP OF THE TWINS BUILDING PERMIT _ ' RE • ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � 9 � � 1 � ) `---- j CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 6/5/86 % JOB ADDRESS 6160 Rice Creek Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Rice Creek Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard/Eleanor Ferber 6160 Rice Creek Drive N.E. 571-4424 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 XO ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove. existing deck: Add 22" x 201 Ground Floor Deck with a 6' x 9' Upper Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. All post footings msut be 42" Deep. ARN1N t�SL SIRED f OR Before digging Cali local utilities S�P NRA � ING AND SIGNS- TELEPHONE - ELECTRIC - GAS E(C. VWVg,R1NREQUIRED BY LAW 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 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 $1.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,400 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $44.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $11.13 $57.33 . SIGNAT RE OF CONTRACTOR OR AUTHORIZE AGENT (DATE) WHEN PROPERLY V (DATED THIS IS YOUR PERMIT GNATURE OF OW NERIIF OWNER BUILDER) (DATE( BLDG )NSP fjAT NEW City of Fridley Effective 4/1/86 ADDN. R-1 AND R-2 1 Building Permit Application [ ] [ ALTER. [ 7 Construction Address: Legal Description Owner Name & Address: Contractor Address: C -el I Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 6 e0q Length Length Length DESCRIPTION OF IMPROVEMENT Tel. 4 s /- L%y� 1 Width Height Sq. Ft. Width Height Sq. Ft. Width �— Hgt/Ground & Sq. Ft. --� ' fid10 x-- :!-Orx 10 Corner Lot j�] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: / S i®u Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ �o Fee Schedule on Reverse Side Plan Check $ ��e 1 25" of Building Permit Fee State Surcharge $ -100 $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ =� STIPULATIONS: A'A 0 y FOR. Pine Tree Builders, Inc. ;•t ' 126.02 I + 1 10 50t I -o Flouse I -�I 140r ;Under �' �i' O 11� 1-4-QJConSir, ( (%j l -r- a' v' in • �, _ -" ✓ 45.25 � -- C) in 6t_ 2(1 o0 a 4 3:05 �5 �l 58.61 p. I POCE CREEK SO.%i .?0' a V t7 Pill, Y 'raUt•rr, Of/, )oh— q. -Sr) o Denotes Irvin Monument 1s Description: Lot 12, BlocK 1, RICE CREEK ESTATES 2ND ADDITION, Anoka County, Minn. Rr-V ISed 8 - 2G --7(0 +0 show house under cortsNruc*ion h-t:•bv ceiraly that this IS a true and correct representation of a survey of Jab No t,.nnadar,.•a of the atw%e described land and of the location of all building,, Z'Nl. ' '"� raaa'.•o�., and all visible encroachments, if any, from or on said land. _ ►— r,Y rh.f _ _,1-1�! 1L_ day of Sea — .1911` 9 - 78 anima Scale SUBJECT PERMIT-N'8`---, City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 6 r RECEIP V�1 ' • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. / I . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/10/94 JOB ADDRESS 6160 Rice Creek Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 1 Rice Creek Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Frisch 00EKKKKKU19MIXIAMM Same 571-2643 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc 7401 Central Av -7543 4840 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 O NEW ❑ ADDITION ❑ ALTERATION ❑X REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof South 1/2 upper main roof 7 SO Tea -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with t e 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 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $525 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 $.53 STRUCTION PERFORMAN E OF CONSTRUCTION $17.00 n LAN CHECK FEE TOTAL FEE AJIM40A411T,.R1ZEDZENTLicense SC $5.00 $23.03 SIGNATURE OF ONTRAC IDATEi WHEN PROPER VALID TED THIS IS YOUR PERMIT BL 'NSP �� OATE SIGNATURE OF OWNER OF OWNERBUILDER) iDATEi NEW [ ] Effective 5/26/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY ANDDUPLEXES R-1 AND R-2 �3 Building Permit Application Construction Address: /��(� �� 0—er k k ile Legal Description: Owner Name & Address: Tel. # Contractor: D & D Home Improvement. Inc MN LICENSE # 4840 Address: 7401 Central Avenue N.E. , Fridley, MN 55432 Tel. # 784-7543 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks _ Type of Construction: 7Qenp°2t Estimated Cost: $ a Approx. Completion Date: %� ' Jgwe !/its -'� �745704&tnr (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: ZTel # Permit Fee $�. D D Fire Surcharge $ 3 State Surcharge $ 5� SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 1� j � c3 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: SUBJECT PERMIT NO. City of Fridley 3 5 93 AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. �• COMMUNITY DEVELOPMENT DIV. ______ r 1 L PROTECTIVE INSPECTION SEC- tI CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/1/95 JOB ADDRESS 6160 Rice Creek Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Rice Creek Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kurt Frisch 6160 Rice Creek Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Cross Windows & Siding 500 E Travelers Trl #500, Burnsville MN 55337 894-5770 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 q_ REPAIR ❑ MOVE ❑ REMOVE 11�� 8 DESCRIBE WORK Install vinyl siding 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 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 STALLS I GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $15,200 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- PR THE PERFORMANCE OF CONSTRUCTION $237.25 ,STRUCT.iON �{ PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT TEi WHEN PROPERLY ALI DATED THIS IS YOUR PERMIT . /: /' /' BLD INSP �/� VV DATE SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI NEW ( ] Effective 8/1/95 ADDN (] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application �69Y% Construction Address: , %0 k Cc r-� � , t' - Legal Description: — Owner Name & Address: ,5 cls Tel. L Contractor: C ro 5 S 0i —MN LICENSE # Address: L; 1, Tel. # %cLI -- S°7 0 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: v; �+�rte° Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ / o T (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft => Ft x $ _ $ DATE: Tel. # q7y--5-?70 STIPULATIONS: CITY USE ONLY Permit Fee $� �� Fee Schedule on Reverse Side Fire Surcharge $ /C-2 0 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] �� 0`�- TOTAL $ STIPULATIONS: SUBJECT ER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. JV 1 . I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/9/97 JOB ADDRESS 6160 Rice Creek Drive NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 1 I Rice Creek Estates 2nd I SHEET 2, PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Frisch 6160 Rice.Creek Drive NE 571-2643 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D & D Home Improvement Inc 11773 Magnolia St NW, Coon Rapids MN 55448 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 757-7780 4840 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 Reroof House & Garage (20 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 BO 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 $1 668 $.83 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 PROVISI F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 54.00 Fire SC $1.67 STRU ION O THE PERFO NCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE a.//' '. . I License SC $5.00 $61.50 SIGWATUREOFCONTRA TOR OR AUTHORIZED AGENT f(DAT41 f WHEN PROPERLY/yAjIDATELD THIS IS YOUR PERMIT BLOGfINSP GATE S,GNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW C ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: P! + Legal Description: 0 Effective 111/97 9L 66 65 9 - Owner Name & Address: �01& 0 �%�� - Tel. #�- Contractor: & 0 RnmiTmT roup -pent, i-nc MN LICENSE# 4840 Address: 117 2 3 Ma.-t-rizet NW I r nnn Rapids 5544$ Tei. # 757-778x} Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width /� Hgt/Ground / Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:_ Estimated Cost: $_- �o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $ DATE: l® �� APPLICANT: - Ay(4_u Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: c) CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.501$1,000 Valuation $950 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 [ ) 'IT'S OF FRIDLEY INSPECTION DIV. 431 University Ave NE "rid ley, MN 55432 763) 572-3504, FAX (763) 571-1287 n Effective April 1, 2004 KAAOW All 1AYIP1`R nl: 1=1xT111?GC T11 RIF IN'4TAI I Fn ON FACH FI MR 'I_UMBING FIXTURE RATES: NO, RATE TOTAL JOB ADDRESS low Fixtures $10.00 )Id Opening, New Fixture $10.40 }u <,:; A � Wash - •:.L:;:�;:;-:.:-�!>'!yrrl ''. JFo, Floor : Auto. ` .::'= 'o Gas y ]�.,'i: : + Wager treater } :ain Water Leader :<� A pump/Receiving Tank :j.ra; Tra : '(}( �` Drain ."> r Washe t:: ->Ran a spa Elec [_Stories _'f:: iJrinal:a.r: Shower- $10.00 tack Flow Preventer Required ( }Yes No -- --Gas Ja«%A ,O:NA�.�� F( {j'. 0Od.1�a1.CCY.�ti 1:5+-�:'Yi�?Gd - o.. %+�4%�n2'wK4�Yy:}TO!>l'�::v}j(.^Y. ti_:Fd:=;::3'Yr_�?:.<' '<JixC>i%tC��O-+c+'�^L>' S=•'.7k��.Yf.?k'r.'^ QLt?.C-i,.'Q�,_�!i!>Yvi/NQ�_'•+:�t Basement ,-,{oC ..�.�.G..G.:•n... AaLt•�+>:_Yt9:% <C\U_ivWL"Nf�.:w..�. ��:ZJJ':-SAY �.j�� ::.>:xrY.atV';('i �!dTY�eCt-?.:.mow) [?Y.+...:wy�_ T. •y' .::' ;Y-.Q.� 1 X}.i y>�!A.xl--wU+?.GOCT% .^,Floor m:CPf \>: yN>:O.J <{4tijOvQL1JY_R rxl ]Ys._...n]•>>.. -$i Q10`-_<^Yy>'jL .t>.%�XvN%Sy'. 'N>,CK:ry.%•>:%L 9i_'rcl n_IN'fd:0'iiTifd Fly� oor � %-) ��:_J if:XCf :L': .y%Ry%L�Yi>.. '�vTdi:�tZJ'G�i):v. O*rAir,}+<i4'�YG,'I.YA� Xll>;Lj>Ln'iQ{VyQt ):4i?:4Y.J?Yf?1�aM. Zi•."<La�!':ry:ci ::. /LHJ:>::).. "fes: :Vi''t:A:.-4)_'G o�=��..ya%'os`!,?i�f`' M} :xir.L �?=:cr,'+i::.,)`�::nx ':ffYC limwLj.:.• Floor 3 'Xd%A;aia Xx.. y� '%:jji�))vi:.riv:v: %!iXj.-:i:.X� riVJP'•:'aj>v_' hi,. �:i'l.<J?YN[-X� 'Lv,Y��-:}<GL�ij::: t�id?I%iCf<d;]u :�0 S):�i�]df 0rv,Y Floor 4 ..Y>LO�-Y.?Sd-Y!: f"�i].J)COIt. �'I:n KOY �[C IQ:.: .v W .. _ .:: �:_'}4>� _t e.:l. }. )Y.Y<✓'Y. .... J.... R_...... 'I_UMBING FIXTURE RATES: NO, RATE TOTAL JOB ADDRESS low Fixtures $10.00 )Id Opening, New Fixture $10.40 leer Dispenser $10.40 Ilow Off Basin $10.40 :atch Basin $10.00 } :ain Water Leader $10.40 A pump/Receiving Tank $10.00 — - Vater rea In pp lance - LL dater Heater -Electric $35.00 O Vater Heater X060 $35.00 5 �� )as Range*" $10.00 Sas Dryer** $10.00 tack Flow Preventer Required ( }Yes No Type $15.00 17 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. DATE- 2 2Z;3 .20- !_ BUILDING USED AS Wa-0`--0— ESTIMATED COST C PERMIT NO. m teinspection Fee $50.0011 -Ir SIGNED BY m kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1-1 1.25% of Value of Fixture or Appliance v Approved By mState Surcharge $ .50 r MINIMUM FEE FO TOTAL FEE $-35, OF IHE IMPROV I ,,OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. mop TEI_.NO/1,2�1--nl,cj 4336 Rough -In Date Final Date "PROVIDE COMMON VENT INFO ON BACK SIDE 08/24/2004 13:21 6513651332 H.P.iPIPEWORKS PAGE 03 ��+� a►-ee�r�N e • e r CITY OF FR I AL.EY P-03/03 i FILL IN COMPLETELY FOR REPLACEMENT FYEL SUItNING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND goMBU"ON AL VERIFI TION When reatacina an existing fumac:e, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstruc=tions, and is securely supported and firestopped where required. Yes (} No' t The venting system is plastic/PVC and meets sill current codand manufacturer specifications including sizing, length, number of elbows and terminatidn. Yes No( ) The undersigned also verifies that the replooement unit is a lifted assembly {I and meets the current codes and manufacturer's specificatio s. This dbes include AGA-GAMA Category l Cerrtral Furnace Venting Tabs for fan assisted and natural draft appliances. Yes () Not } ti T(ie exWlna comb 'ort air is sized and installed to meet the current codes and manufacturer's specifications. YeSV4,No When required to install a Rew cornbustion air it will be siz d and installed to meet the current codes and manufacturer's specifications. Yes () No( } When irkstal ing a new venting sy$tern, the undersigned he by verifies that it is a listed assembly and meets the current codes and manuTp ureft,, specifications. This does include AGA-GAIVIA Category I Central Fumq1ce '7 Wnting Tables for fan assisted and natural draft appliances. Ye No ( ) 6 It the common vent and vent connectors sized and installed c�arrectty after an appliance has been removed from the common vent andv rated separately as per current codes. Yes)VL No( ) "11 Appliance #1 Type U Input Fan Assisted or Nat. Appliance #2 Type &U Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tota! Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft iameter In Type Appliance 02 Vent Connector Height ft Length ft iameter _fin Type Appliance #3 Vent Connector Height ft Length ft iometer in Type HEATING CO: Signed By: Date TOTAL P.03 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMIT �020�04-014�06�' 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 08/24/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6160 RICE CREEK DR NE PIN : 133024440097 LEGAL DESC : RICE CREEK ESTATES 2ND : LOT 12 BLOCK 1 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER. # ELEC WATER HEATERS 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 1 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 200 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 H P PIPEWORKS 3670 DODD RD STE 100 PLBG FIXTURES (EXIST OPENINGS) 0.00 EAGAN, MN 55123- WATER TREATMENT APPLIANCE 0.00 (651) 365-1340 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE GAS DRYER FEE STATE SURCHARGE, PLBG FLAT 0.00 0.00 0.50 OWNER BALIOGLU MEHMET K 6160 RICE CREEK DR NE TOTAL 35.50 FRIDLEY, MN 55432 PAID WITH CHECK # 9581 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the per on of construction. Applicant Date Bldg Ins p Dat@ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building C1c.\ois-) MECHANICAL Permit No.: 015 " InspectionsRESIDENTIAL APPLICATION Received By: , 763-572-3604 CITY OF FRIDLEY D ' DATE RV.q (,_ST QL ( 'a00 3 YOUR E-MAIL ADDRESS SITEADDRESS, 61L.0 THIS APPLICANT IS: ❑ OWNER JVCONTRACTOR PROPERTY NAME:�e-wt0A �r�s `1 0 � STATE 6�l�LIP S�' ADDRESS: L,`Up'ie-e C'rei ('Ut. CITY i �2, OWNER/ TENANT PHONE: -163 - S®a-° lSR 6 �- 1o%%- as - 4SOk CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN 7INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE Bny "COON' -'RAPIDS STATEMN zIP55433 APPLICATION HONE763 - 757 -- 6202 FAX 763--757--6701 PERMIT TYPE WSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK• ❑ NEW `REPLACEMENT ❑ ALTERATION/REMODEL DETAILED D S RIPTION OF WORK -Z ns�cjk A i +r PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: ��7Di SIZ)�% MFG: � l►.l�l. MODEL: ft PPL __ 6`36 SIZEBTU MFG: MODEL: SIZEBTU _LA/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 $35.00 _GAS UNIT HTR $10.00 _BOILER _LFURNACE LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS _DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500.: ` PERMIT FEE FOR PROJECTS- OVER $500: Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 - �-- x $25.00 = $ Z?'S.�D Number of fixtures @ $35.00 t x$35.00=$ 3S.0b State Surcharge = $ .50 Total = $_10-0. _S0 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 plan in the case of all work which requires review and approval of plans. SIGNATURE OFAPPLICANT L NAME ROGER HOFFHEIN DATE PLEASE NOTE: SEPARATE PERMITS'ARE REQUHtED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977