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PRE 2010 DOCSCity of Fridley P SUBJECT ® 15003 AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 11/3/78. JOB ADDRESS 6191 Rice Creek. Drive N. E. 1- LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 3 Rice Creek Estates 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE J. Russell Sullivan 5871 4t1i Street N.E. 571-4328 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESSIWC CITY ZIP PHONE LICENSE NO. OF FRIDLEY ooECCURACy NOT!� OF LMUIY LoS 5 ENGINEER MAIL ADDRESS THIS DAyA IS MR 64FORMA11014Iqg A1VId O tlE�ATION j. I-ItInSE NO. ONLY AN. 6 USE OF BUILDING ON THE s W °`'`�'� THE 114F(��TION Residential 7 CLASS OF WORK C NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 331 x 482411 Dwelling and a 22' x 30' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide sod in fine front and side yards. Provide a verifying survey before capping. Provide truss design. Reduce kitchen dining cantilever to 2' or provide adequate support. Provide proper drainage for sunken garden or eliminate. WATER LOCATION: 10' West of Sewer Senn ice. SEWER LOCATION: 681 E. of Sanitary Manhole (CL of R.C.R.) Inv. 908.30 WYE ELEVATION: 908.04 TOP OF FOOTING: 911.54 Minimum DRIVEWAY DEPRESSION COST: N/A WARMlam WON digging call local ntmties SEPERATE PERMITS REQUIRED FOR WIRING8, TELEPHONE • ELECTRIC 'GAS Etc, HEATING, PLUMBING AND SIGNS. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 R 1 9984 + 660 33, 912 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. $ 49,903 $24.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 135.65 $400.00 STRUCTI OR THE PERFOR NCE OF CONSTRUCTION. N -k)t PLAN CHECK FEE TOTALFEE ' , �, r>b��� ��" v i9 $ 33.91 $594.51 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT I � 6. I �$ BLDG. INS ATE - SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) • =f° CITY OFT FRIDLEY , 1y. /APPLICATION FOR RESIDENTIAL BUILDING PEMITS (IVL"•W, ALTERATIONS, ADDITIONS, OR REPAIRS)oe OWNER: o BUILDER: Address: 5-R7/ NE �Lqj Address: Tel. No.: Di- � no.: (P Street; � �Y' �i'' OE LOT: , BLOCK: ADDITION:'-��� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form T`ao Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING , To Be Used As : t� � Fronto 7° Depth: Height: a Square Feet: =&Lll Cubic Feet: �4e � Front: Depth: 3 19 Height:, ✓® Square Feet: ® Cubic Feet: Type of Construction: Estimated Cost: $ To Be Completed: f'V _Ily - 71 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SETREVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side fo additional information. DATE: ,L20 / - /0 7S SIGNATURE: Stipulations: CP&2Gy 6_VL_QM_Li CZO VOI)S C�A3. Stc- jPL-kB.i , (3k Petav,na PO upr%w CJ zL wj;KIC 6 1 Piz rk VK I r lu. P.t. 33.1T1 . . roe. on z CITY OF FRIDLEY APPLICATION FOR PWMBI'NG AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Nuaber Fixtures �_ x $3.00 $ o c o � x x d New Fixture, Old Opening water is m m o $5.00 $ w e •°i w $5.00 S 100,000 BTU to 199,000 BTO V a w g x Heater $ ° x $5.00 [ Electric Water Heater x $5.00 3 GAS FITTING FEES: a 1st 3 fixtures ay $3.00 $ _3 `a w C3 c A +i x $10.00 c REPAIRS & ALTERATIONS x j each add. $100.00 or fraction y�M0e $ State.Surcharge $ .50 ro Oog -x $ �r 49roroN (510.00) u a r -4 ra $4 a C4 .4 w It 6 w .t 3 O � t� O �as kec Id IIA R. ,I I i 1st 11I 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (+j m New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Nuaber Fixtures �_ x $3.00 $ o c Future FixtureOpenin g � x $2.00 `D New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU �_ x $5.00 $j vL 100,000 BTU to 199,000 BTO x $10.00 $' Water Softener x $7.00 $ New Ground Iain Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures �_ x $3.00 $ _3 `a Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 .$5.00 $ each add. $100.00 or fraction $2.00 $ State.Surcharge $ .50 TOTAL FEE $ �r REINSPECTION FEE (510.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the°facts and roprosontations stated in this application are true and correct Fridley, Mn. OWNER KIND OF BUILDING r GP 5, USED AS es; LZe-ffc-e-- TO BE COMPLETED ABOUT ESTIMATED COST 3(poo � OLD -NEW ILDING PERMIT NO. PERMIT NO.. S Company Signed jam, Tel. No. 6 4Ltmuun ROUGH INSP, Data FINAL INsP. A " Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS 5.50 STATE SURCHARGE March 25, •:1 ov""A�' C� x 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Mr. J. Russell Sullivan 6191 Rice Creek Drive N.E. Fridley, MN 55432 Re: Final Inspection at 6191 Rice Creek Drive N.E. Dear Mr. Sullivan: A final inspection was made on March 20, 1980 of the above address and the following items were noted which .must be -completed before the structure can be finaled out; 1. Provide City with copy of verifying survey by April 15, 1980. 2. Post house numbers on structure by April 15, 1980. 3. Provide sod in the front and side yards by June 15, 1980. 4. Provide a hard surface driveway by June 15, 1980. We will expect the above items to be completed by the. scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh G7YOF FRIDLEY FRIDkj-- JNJr IPJI gbNTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (613)571-1287 Owner/Occupant 6191 Rice Creek Drive N.E. Fridley, MN 55432 Dear Owner/Occupant: A recent inspection revealed that a bush at the northwest corner of your property appears to be causing a vision obstruction at the intersection of Rice Creek Drive and Briardale Road. It extends into what is called the "vision safety zone" (see attached definition) restricting a clear sight path for motorists at this intersection. Please take appropriate action to bring you compliance with the enclosed ordinance. I will this property on or about March 26, 1990, at which is expected. Feel free to call me at 572-3595 questions or wish to discuss this further. cooperation! Sincerely, Steven Barg Planning Assistant SB:ls C-90-95 r property into be reinspecting time compliance should you have Thanks for your CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 W, MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Urinal sa��th:>:: �i� Wash Tray `�5i~ify'I�... loo F r Drain `:'<' :��h..:. Auto. Washer ���'<'•. # >:;. Gas Ga .�1.��..:•.:.�:. Rane e ' e Wat r Heat r Gass ElecStories Basement Floor 1 Floor 2 Floor 3 Floor r 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4:00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance U State Surcharge $ .50 �v TOTAL FEE JOB ADDRESS CQ 1 ( e `Q__'V_-1-1— (C t` 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. ,1993 Owner wl 'EE�x-eys Building Used As t` S g_& <o_ _e . Estimated Cost 0 PERMIT 1 l a' 3e PLUMBING COMPANY Attn: J99;= M nnegasco # SIGNED BY 700 W. Linden Avenue 12.�Rox 165 TEL N0. Minneapolis, MN 55440-1155 �7 r Approved B Rough—In Date Final Date ! , pp Y 9 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS. THE $.50 STATE SURCHARGE SUBJECT P \ City of Fridley ( 22217 ' AT THE TOP OF THE TWINS B U I L D I N G P E M I T i RE EIPT NO. � • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC., r I i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/1/93 JOB ADDRESS 6191 Rice Creek Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Rice Creek Estates 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Adams 6191 Rice Creek Drive NE 571-5595 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rak Construction 16221 Verdin St NGT Andover MN 55304 434-4210 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 Ck ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace three windows (LR, DR & KIT) 9 CHANGE OF USE FROM TO :1 STIPULATIONS provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,000 $2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P'10NS OF ANY OTHE ATE OR LOCAL LAW REGULATING CON- $72.00 Fire SC $5.00 RU ION OR T PE RM CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE el��tt License SC $5.00 $84.50 SIGNATUREOFCOI .R TOR OR AUTHORIZED AGENT (DATEI W ROPERLY VALIDATED THIS IS YOUR PERMIT 41 LD S r)Ai SIGNATURE OFOWNER oFOWNER BUILDER) IDATEI -' NEW [ ] ADDN j ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �,qlq l 4-e & P �),f-i v e, F i t Legal Description: Effective 5/26/93 Owner Name & Address: �Tmj "t4,75, &�Lr(ems Tel. #J -7/ -f5 -q5 - Contractor: J-7/-55ysContractor: RA(�On54ruLh m MN LICENSE # Address: / �o c)- /yerdtl I . !x/ t) 6V' -r Tel. # /-/3 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/Gr/ound Sq. Ft. OTHER: *t&l at/ GC.l4, Le,�/,lCeGl Corner Lot j j. Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge APPLICANT: $ ®0- 7Z $ Sv o0 $ Z� $ Side Yard Setbacks Estimated Cost: $ U00. (Cost on Back) Ft. + 6 Ft = Ft x $ _ $ Tel. # (a(javu - KaVJ Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) P -i -v r u1- $.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 I j Not Necessary sd TOTAL $ q y STIPULATIONS: 01 SUBJECT PER City of Fridley 19 3 8 7 AT THE TOP OF THE TWINS BUILDING PERMIT _ r ECEIPT NO ______ COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. - /'""I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/12/88 JOB ADDRESS 6191 Rice Creek Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Rice Creek Estates 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE The Church of God Parsonage 6191 Rice Creek Drive N.E. 571-3204 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 J7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 8' Deck and Steps to Rear of Dwelling (Remove existing steps) 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. ng �ij a°cal 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 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 $550 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN* HECK FEE TOTALFEE 3.75 $19.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY VA ATED THIS IS YOUR PERMIT �� BLDG )NSP SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI BATE, 01 NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: Legal Descr Owner Name Contractor: Address: City of Fridley Effective 4/1/86 �R-1 AND R-2 Building Permit Application Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT qjzMEM AREA: Length Width_� Height `-Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 'o 0(0.11 2q- 5La. Cl L� Corner Lot [ ] Inside Lot/ [ ] n Ft. Yd. Setback Side Yard Setback Type of Construction: �.7/ r1--ir Estimated Cost: $ A-6-0 Approx. Completion Date: ll') Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE:4 APPLICANT. Tel. S 71— CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $ 550 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 CERTIFICATE OF SURVEY FOR: S//L L / �;! S 13Z1/1- 7- SU/? VE 4 R/Af?OAL E' o Denotes iron monument o Denotes offset stake x 000.o Denotes existing elev. (000.o) Denotes Proposed elev. --. Denotes surface drainage Proposed garage floor elev.= — L2.TIr -94_172— X, 3_9 — N89'0s9o9'vv O o;p 1 � t NB9 0•6910A"W -ZETA G 0E-SC'R//='1T/01V Z707-1 4�7LOC,<-3 Proposed lowest floor elev. = Proposed top of foundation elev. _ BENCH MARK: hereby certify that this is a true and correct representation of a survey of File No. the boundaries of the above described land and of the location of all buildings, wO�/ DEMARS - GABRIEL if any, thereon, and all visible encroachments, if any, from or on said land. LAND SURVEYORS, INC.Book — Page r As surveyed me thisay of 3030 Harbor Lane No. r16 25-3--17Plymouth MN 55441 -`` Phone: (612) 559-0908� Scale / ai Minn. Reg. o. SUBJECT City of Fridley2 9 9 7 3 AT THE TOP OF THE TWINS D[ R� A I T BUILDING P r C 'v, RECEIPT NO. `a: ------COMMUNITY DEVELOPMENT DIV. •r PROTECTIVE INSPECTION SEC. 6aJ/ 1 � NUMOE.REV DATE �AGE OF AVPROVED BY i CITY HALL FRIDLEY 55432 L J` 612-571-3450 910415 8/3/99 / JOB ADDRESS 6191 Rice Creek Drive NE I LEGAL LOT NO. BLOCK TRACT R ADDITION SEE ATTACHED DESCR. 1 3 Rice Creek Estates 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim $ Marilee Adams 571-5595 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO P.K. Construction 34445 Teal Ave. Taylors Falls MN 5508 651-481-8800 8800 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 9( ADDITION 0 ALTERATION 0 REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Construct a 111 x 141 deck 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan WAINMt digging call W p. Betote all utility locations 454-0002 REQUIRE®, 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 SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r $1450 .73 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- STgUCTIOHE PERFORMANCE OF CONSTRUCTION $54.00 Fire SC $1.45 PLAN CHECK FEE TOTAL F -9- 3 License -,80$5.0 6 8 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEi EN ROPE LIDATEJI T S IS Y R RMIT- r BLOC * -NSP OA TE S-GNATURE OF OWNEROF OWNER SUILDERi MATE,, ,ru 1.23 •' 99 10:35 PK CONSTRUCTION FAX 257-3926 P. 1 JUL-23-1999 10:09 FROM CITY OF FRIDLEY IU aoaa�oacvrx Isr'" 11 Effective 5/10/89 ADDN' [ ] c TX of FRIDLEY e-0 --17ALTS C ] SINGLE FAMMY AND DUPLMM R-1 AND R-2 BUILDING PERMIT APPLICATION 1-1 Construction Address: 6/9�e�r : �I Je A Legal Descriptiow -- 0%%er Name & Address:t�i w. M �`l� /�e% r�r Tel. # -moi l - Con actor'. A k�Cy�.r � ro. �7-io►� MN LICENSE # $9� Address-3kgys �e�l �� T o•,� 911-4i`'t h sso8� Tel. # �'° � _. ` Mm Attach to this application, a Certificate of Survey of the Crl i d,S/ , -Vi--3379L lot, with the proposed constmction drawn on it to scale. LIVING ARTA: GARAGE AREA: DKK AREA: OTHER; DESCRIMON OF DdPRt,1VEMRNT L gth Width Height Length Width height Length -J� _ Width 1 T•igt/Ground Sq. Ft. Sq. Yet. Sq. Pt, /59' ,e'7n —, consuvedon Type.. C c 4,�,- - - d a c% Emoted Cost: $ mp Driveway Curb Cwt Width Needed: Ft. + b Ft = Ft x $ $ 6Sl - Yo/, DATE: APPLICANT: Tet, # Cjj,J UST ONLY Permit Fee $ d rl% Fee Schedule on Reverse Side Firc Surcharge $ ✓`! .001 of Permit Valuation (lllftA) State ftchuge $__,V' $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit Uc,cnw Surcharge $ $5.00 (State Licensed Reskiential Contractors) ]driveway P,scrow $ Alt. "A" or Alt. "B" Above Erosion, Control $ $450.00 Conservation Plan Review Pack Pee $ Fee Determined by En&eering Sewer Main Charge $ ,Agreement Neeossary [ ] Not Necessary [ TOTAL SMUT AIIONS: ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 x631572-3604 FAX: (763)571-1287 6191 RICE CREEK DR NE 133024440101 RICE CREEK ESTATES 2ND LOT 1 BLOCK 3 HEATING RESIDENTIAL ADDITION/ALTERATION PERMIT N,6- 2004-01136 d DATE ISSUED: 07/19/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, RUUD, 70,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 # FURNACES 1 # GAS DRYERS VALUE (FOR MINIMUM CALC) APPLICANT SHARP HEATING & AC INC 7221 UNIVERSITY AVE FRIDLEY, MN 55432- (763)572-0459 OWNER CHRISTENSEN M & ADAMS JAMES- E 6191 RICE CREEK DR NE FRIDLEY, MN 55432 0 # GAS RANGES 0 5000 HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 PAID WITH CHECK # 14583 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 wort 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 consoction or the performance of construction. 01k SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 01 CITY OF FRIDLEY BUILDING INSPECTION O Effective 4/1/2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �6B ADDRESS (p Of- ezk_ bT RATE SCHEDULE Fee Total II Residential Owner JI'm �"G��'/'r1.S Furnace Shell and Duct Work, Bumer & also Replacement Furnace $35.00 $ ®D Building Used As LS -1 J- _ �� �14 ai Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST 5-()50 .0© PERMIT NO 03 Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units_ Circle One (Steam) (Hot Water) Warm Air) Trade Name Au u't Size No. o -76*5;-, *Air Conditioning - All Sizes $25.00 $ X5,00 BTU -10-000 HP EDR Fuel -AA-f- Gas Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR Burner Trade Name BTU HP Size No. EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ ; 5l) HEATING CO Sharp Heating & AC Inc $ b 0.5D Signed Tel # 763-572-0459 FAX# 763-572-0164 Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by _ Rough -in Date Final Date L al City of Fridley MN FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Ye () No( ) When required to install anew combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Ye No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No( ) Appliance #1 Type BTU Input OD Fan Assisted or t Appliance #2 Type BTU Input D at Appliance #3 Type BTU Input Fare Assisted or at Total Appliances Total Btu Input70o� Common Vent Typ _ ""/ Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector. Height ft Length ft Diameter in Type HEATING CO: Sharp Heating & AC Inc Signed By: Date