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PRE 2010 DOCSCity of Fridley SUBJECT PeRMI p 13388 13388 AT THE TOP OF THE TWINS 1 p BUILDINGP L R M IT ' L......COMMUNITY DEVELOPMENT DIV. LLB dddJJd99 RECEIPT NO: PROTECTIVE INSPECTION SEC. %} ; CITY HALL FRIDLEY 55432 NUMBER REV. . DATE PAGE OF APPROVED 8Y 812-580-3450 910-F15 JOB ADDRESS 6200 Rice Creek Drive. N.E. 1 LEGAL , LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED oesCR, g1 Rlce Creek Estates 2nd Addition. SHEET 2 PROPERTY OWNER _ MAIL ADDRESS ZIP PHONE Pine. Tree Builders Ince 8535 Central Avenue M is 5543 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING :residential 7 CLASS OF WORK ! 1 : NEW .. ❑ - ADDITION ' ❑ ALTERATION ❑ REPAIR ❑ MOVE '❑ REMOVE 8 DESCRIBE WORK< constructln'eLr. home 33 x 42 with garage 22 x• 24 A.�nintf local Utiliti call 9 CHANGE OF USE FROM , TO TELEPHONE ELECTRIC STIPULATIONS SEWER (approx. ll'-deep) 1.: Provide-truss design -7' N. of M. HL. (N. Inv. 908.76) .2.-.Provide a • veri fi cati: on survey- Wye El ev 908..79 3.j-Provide a hard surface drive Top of footing 911.79 (minimum) 4. 'Landscape Water 10' N of newer service Note: The City does not guarantee accuracy. of utility locations. tions. , SEMATE PERMITS REQUIRM FOR WIRING1 -IMPORTANT-w NOTIFY THE FRIDLEY ENGM HEATINO.1- PLO— 1 �1NG �N� �1(� DIVISION REGARDING CURT 'REMOVAL AND REPLACEMENT SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING TYPE OF CONST. wood frame OCCUPANCY GROUP P AD OR AIR CONDITIONING, THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED ZONING SO. FT. CU. FT. 23 488 $ IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 516 & OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 1190 5,160 ANY TIME AFTER WORK. IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT 1 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 $35,890 $17.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SACCHARGE PROW ION OF ANY OTHER ST OR LOCAL LAW REGULATING CON- STRU TION O HE PE�i RM C OF CONSTRUCTION. $53.00 350.00 PLAN CHECK FEE. TOTAL FEE '��`' ' $420.95 NATURE OF CONTRACTOR OR AUTHORI ENT IRATE! _ HEN PROPER Y XALIPATED THIS IS' YOUA PERMIT ,BLS i SP TATE SIGNA RE OFOWNE tlFOWNERBUILOERf IDATEI �a lfi� T Y Jc PS o CITY OF FRIDLEY APPLICATION FOR POWER 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 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: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 B x $10.00• $ AIR CONDITIONING 0A OOF ra $ P/- FAN HEATING SYSTEMS See Fe Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $1® ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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 A Minn. �. 19� OWNER KIND OF BUILDING USED AS i TO BE COMPLETED ABO ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. . DESCRIPTION OF FURNACE/BURNER BEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR Total Connected Load BURNER - Trade Name Capacity Sq. Ft. EDR Company Signed B Tel. No. BTU HP Kind of Fuel Size No. PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES- NO. RATE TOTAL Number Fixtures .... a ........... x mo $ 0-60 1/'Q Future Fixture Opening .... ® ...... ~-� x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin ................ a ... x $3.25 i � Water heater ;Up to 99.000 BTU) ® o • • x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Hogtor .............. a $2.00 $ GAS FITTING FEZ8. NO. RATE TOTAL / lot 3Fixtures .••••••••••••.• x$2.00 $ -2 Addfflomal Fixtures................ x $ .75 $ Gas Range to 199.WO BTU ........ a ... x $5.00 $ State Surcharge $ .50 REPAIRS S ALTERATIONS—Rotor to Cddo-!! Description o. a o o o o. o. o.. n e o ®.. o .e... a o o •a.. . .. a oLf TOTAas. FEE City of Fridley: The undersigned hereby makes application for a permit for the work herei, specified, agreeing to do all work in strict accordance with the City Ordinance and ding of the Department of Buildings. and hereby declares that all the fact and representations stated is this applicatiooa}e/tr a and correct ^� Owner u U vii v� ams Find of Building Used as C�CeI�.JQJCJLI� To be completed about Eatimated Cost, $ Old Building Permit No. Permit No. (10 lI``�� Signed 6 By Business Phune No '5' a ROUGH FINAL /a - /,j �t9+t'+�p:-•'R* . �q rr. _•.a�+A ^r.+!^Gr N ,.fit Cgs- �^.^�'-py^nw� �'s,., .A.¢lr, �''�¢...Ae'1'y-.r 4, �gPerFr ••rre+�,�.+•� i�'�,a'a�o$L'rr "as 'tl �rs+Cs�>:a H ..n.oad �a.a�s'„ti 1ii•......edo�wi�z '�asadvoEb'a��s �*giGuG�B.wa<i�i'�g ra'rr�:ii�u�bCy66bC{+a'i 3 cm�waD:ka-riS.t$ttc. �,}67S .L WCL Ev:eJ d Daldi=_ PARTIAL. RATE SCHEDULE G7tAVM WARM A17: RAIM TOTAL rurnace Shell & iiuc't work $10.00 � Replaarment of P`.lrnare 6.00 g Repairs & Alterations-- up to $500.00 600 $ Repairs & Alterations each add. 5500.00 3W $ ES3 cat WAIUI AIR F1:rrare ShcIl & Duct Work to 220,040 BTU each add. 80.000 BTU Replacement of Furnace Repairs & Alterations—up to $500.00 Repairs At Alterations each add. $500.00 STEAM o: HOT WATER SYSTEM Dept. of Bldg%. Flumw M0 -.',•'.M City of Fridley: The undersigri d hereby mattes application for a permit for the work hereie specified agreeing to de all worts :n strict accordance with the City OrdLtaace_ and ruling of the Depaitment of Ruildirms, and hereby declares that all the farc2 and reNresentatiuns stated in this appbcation are true and correct 3.W $ Owner 6.00 S Kind of 6.00 $ Used a• 3.00 $ Furnace Shell & Lines --to 400 sq. tt F.DR Steam .10.00 S Furnace Shell & Line --to 640 sq ft. EDR Hot Water 2000 S. Each add 300 sq. ft EDR Steam ion $ Each add. 320 sq. ft EDR Hot Water 3.00 $ OIL SUENER—to 3 gal. per hour 6.00 S. over 3 gal. per hour—See ree Schedule GAS BURNER Cup to LQ9,000 BTU) 5.00 g over 193.000 BTU S" Fee Schedulo GAZ FITTING FEES: NO RATE TOTAL Ist 3 nxtures xS 2.00 3 , Additional Flrtures x .78 Gas Range W 399.0c — Z$ 5.00 $ AIR -C a'" Z;1—nOXIrQr •iza t, n.Ac=,J siii, ma AL 1 trRATI V N 3 & A-PhiRS State Surcharge e . .50 Sarso Too Eck Tr,T.aL r= To be completed about Estimated Cos;, S Ql44.NeWjW1ding Permit No. .- — pormit No._ i3wv _171021 OF WOE HFAA77NG or POWER M AN"Tr Stearn, Pot Fater, Warm Air—No� Trade Name Size Ata- Capacity—._---- -- Sr,. rL. F_D.R Total Connected I.asd j C KIM of FUe BURNER -- Trra?k Name_... SL -e P10 Calwcity `•-�i. FL E.D R BTU - 0 . ar Suburban Air Conditioning Co. rpolls, Minnesota 55432 ttKaenaxs—otaa2 SUBJECT PERMIT O. City of Fridley ®14E ' AT THE TOP OF THE TWINS BUILDING PERMIT ' r R CEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 8/24/78 JOB ADDRESS 6200. Rice Creek. Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Rice Creek Estates 2nd Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Allen 6200 Rice Creek Drive 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rite -Way water Proofing 571-0137 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 Drain Tile 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 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..55 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- STRUCTION$18.60 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $20.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HE PMJVDATED THIS IS YOUR PERMIT ?'01 Ll BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (HEW, ALTERA T I ows, ADDITIONS, OR REPAIRS) OWNER: ��I n/ • � G Z- TIV BUILDER: l l � N � • Address: �a 2j!�® /,?& r&S�flrp,44�- Address: Tel. No.:/ No. PC, age/ Street: , • LOT: BLOCK: ADDITION: etc_ CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach 'to this form A.;o Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: evsi/-�F/z Estimated Cost: $ x" -7/a® Ito Be Completed: So Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: fI q `/ i99,5 SIGNATURE: G` Stipulations: Pr�.�► e I • a '�� e SUBJECT - P _ City of Fridley 17 3 0 9 AT THE TOP OF THE TWINS BUILDING PERMIT r REC COMMUNITY DEVELOPMENT DIV./ r PROTECTIVE INSPECTION SEC. A CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/31/83 JOB ADDRESS 6200 Rice Creek Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. $ 1 Rice Creek Estates 2nd Addn. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Dan Allen 6200 Rice Creek Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof welling 9 CHANGE OF USE FROM TO STIPULATIONS `"Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1,850 $.90 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- $31.00 STRUCTION OR THE FORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Ail $31.90 S16NATURE 60 CONTRACTOR OR JCUTHORIZED AG T IDATEI DATED THIS_IS YOUR PERMIT "WHEN A° /0 SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) BLDG P OAT CITY OF FRIDLCY Effective Aug. 1, 1981 ' APPLICATIM FOR RESIDENTI& BUILDING PERMITS (New. Alterations, Additions, or Repairs) OWNER: :D,9,t/ 1911e Al ADDRESS: 6, -,?00 /�1 ca- ��P�e, D2 r, TEL k0: 0 U I L D E R ADDRESS: vim rv: %� rr TEL 110:`7��9 Construction Location STREET NO: STREET: LOT: BLOCK: ADDITION: 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. DESCRIPTIOR OF CO;STRUCTI014 Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ Type of Construction: L l Estimated Cost: $ Rb Be Completed: Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: $ $ SEE PEVF.ii SE' SIDE OF SIIF.I:T Zine undersigned hereby makes application for a permit for the %:ork herein specified, agreeing to do.all work ire strict accordance with the City of Fridley Ordinances acid rulings of the Dej%irtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: Jd - 3/- e.-� SIGNATUTE : Stipulations: �C 00 01, SUBJECT VII 7 NO - City of Fridley N2 18341 AT THE TOP OF THE TWINS BUILDING PER M _ r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 . � ` CITY HALL FRIDLEY 55432 1 J\ NUMBER REV. DATE PAGE OF APPROVED BY ---_ ,; 612-571-3450 910-F15 3/24/86 JOB ADDRESS 6200 Rice Creek Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. $ 1 =Rice Creek Estates 2nd Addn SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Dan Allen .6200 Rice Creek Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gilbertson Construction 7704 Riverdale Drive, Brooklyn Park 55444 560-6943 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 Construct a 14' x 10' Deck and a 10' x 15' 3 Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS ca, Gp tj Q� ®,ice '•� v tl� yy p _Lh1114 ic NiY d v s 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 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 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 $3,700 $1.85 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- $ 44.50 TR CTION OR tHE P RFORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTALFEE aX� $11.13 $57.48 ATE OF CONTRACTOR AUTHORIZED AGENT I(DATE) UR 1 WHEN PROPERLY. TED TH S IS YOUR PERMIT rL)IDOR SIGNATURE OF OWNER ]IF OWNER BUILDER] (DATEf BLDG ]NSP TE 01, NEW [ ]` City of Fridley Effective 4/1/84 ADD?;. [ J._ R-1 AND R-2 ALTER. [ Building Permit Application Construction Address:_2c-1C6 Legal Description: Owner Name & Address: D- lle&' TIL 6,d �2 �i t v�= Tel. # Contractor:e /��° f �c�+ �oa�� - Tpl. # Address: 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 iy` Width /01 Hgt/Ground f� Sq. Ft. r Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: _ $ _ $ See Back Page for Explanation DATE:APPLICANT: Tel Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ® Fee Schedule on Reverse Side $ 25$ of Building Permit Fee $ $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ Lao- Agreement Necessary [ ] Not Necessary [ ] s 00 7 ?" ,ewo 6200 Rice Creek Drive Fridley, MN 55432"` ugust 10, 1990 Mr. Mark Winson City of Fridley Public Works Fridley City Hall 6431 University Ave. N.E. Fridley, MN 55432 Dear Mark: Please accept my apology for not responding sooner. As you may or may not remember, my inquiry was concerning the curb of my driveway, which is quite high. This makes entry difficult and causes damage to cars and the driveway. Since this and similar driveways were approved by the city, I sought some help from your department to rectify the situation. You offered (as did John Flora earlier) to arrange for the curb (at approximately $13.50 per foor cost to me) and I would arrange for the asphalt work (also at my expense). However, you also suggested waiting until the spring/summer of 1991 when the curbing will cost 15-200 less with your paving contractor working that year on city streets. That is the course of action I will probably take and will contact you next spring. I truly hope that similar work done for others in the future is more effectively inspected by city staff. Sincerely, Dan Allen cc: John Flora SUBJECT PERMIT NO. City ®f Fridley 2 0 6�34 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. V PROTECTIVE INSPECTION SEC. �q �((�' r e , � /_1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-345.0 910-F15 10/18/90 JOB ADDRESS 6200 Rice Creek Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Rice Creek Estates 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Allen 6200 Rice Creek Drive N.E. 571-0137 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Shep's. Construction 2177 Shadywood Road, Wayzata, MN 55391 471-7006 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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Kitchen Remodel 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plane TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 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 $750.0.00. $3.75 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99.00. S CTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $7,50 10,25 WHENOPERLY V L IS IS YOUR PERMIT SIGNATURE OF QOINTRACTOR OR AUTHORIZED AGENT (DATE) SP FATE �m�- SiGNATURE OF OWNER)IF OWNER BUILDER) IDATEI NEW [ ] Effective 8/16/90 ADON [ ] R-1 AND R-2 ALTER] Building Permit Application Construction Address: %ZCDC) Gde- De Legal Description: Owner Name & Address: D^t\,) Tel. # � 7 � • %6 3 7 Contractor: 504 �E F S Tel. Address: _ e-tT 7 i"Y^ Y Zl\ C- - ,-5 J 3 i 1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ati 11• •) • 1•'••• lyl LIVING AREA: Length Width Height Sq. Ft. QRRAGE AREA: length Width Height Sq. Ft. DECK AREA: Length Width Hat/Ground Sq. Ft. OTHER: Corner Tot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: vt ecce AES-rCQ®F—(_ Estimated Cost: $ 765?�CD c--42> Approx. Coppletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: 9t) APPLICANT: �� Tel. # °171- IML-) Permit Fee $ Q® Fire Surcharge $ 9,50 State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ F r ROTAL $ J O � of Je- STIPULATIONS: CITY USE CNLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � ae ®®emstl®C) 6)(17 V CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. Mew Fixtures Future Fixtures Old Opening, New Fiatu•re Beer Dispenser Blow Off Basin Catch Basin Rain Mater Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Not Nater Heater Gas Range Gas Dryer RATE TOTAL $ 5.00 S 3.50 S 1.50 S 4.00 g 5.00 $ 5.00 S 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 S 10.00 S 10.00 Effective May 1, 1990 Job Address 6p, 0 0 /\ ,t C yp �` Q e/ D t/` Department of Buildings City of Fridley Tel. 0571-3450 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. OWNER 1 / B (,A �Ct A KIND OF BUILDING USED AS R e "� TO BE COMPLETED ABOUT ESTIMATED COST C OLD - NEW BUILDING PERMIT NO. PERMIT NO. ( d S Company J L C -r- b t, S Signed By t $ Tel. No. 227- / S Back Flow Preventer R0quared. . . Yes ( ) No ( ) Type S 5. UO 5 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fee $ State Surcharge (515.00) TOTAL FEE ROUGH INSP. Date FINAL INSP. S - Date APPROVAL FOR PERMIT !11NIM04 FEE FOR ANY PLUMBICGE IS $ ilS.00,.) PLUS THE $.50 STATE SURCHA �j h a m is U x d Wdter d e lei hC 01 ee ci a W tr Heater w � u t e C 9 g -c+ w Y N YI 9 °. M w M O c .+ 4 '� y 3 i� v 'as 'lec a u a FA 7i o w ra w u a� 3 ti 0 lot l 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. Mew Fixtures Future Fixtures Old Opening, New Fiatu•re Beer Dispenser Blow Off Basin Catch Basin Rain Mater Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Not Nater Heater Gas Range Gas Dryer RATE TOTAL $ 5.00 S 3.50 S 1.50 S 4.00 g 5.00 $ 5.00 S 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 S 10.00 S 10.00 Effective May 1, 1990 Job Address 6p, 0 0 /\ ,t C yp �` Q e/ D t/` Department of Buildings City of Fridley Tel. 0571-3450 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. OWNER 1 / B (,A �Ct A KIND OF BUILDING USED AS R e "� TO BE COMPLETED ABOUT ESTIMATED COST C OLD - NEW BUILDING PERMIT NO. PERMIT NO. ( d S Company J L C -r- b t, S Signed By t $ Tel. No. 227- / S Back Flow Preventer R0quared. . . Yes ( ) No ( ) Type S 5. UO 5 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fee $ State Surcharge (515.00) TOTAL FEE ROUGH INSP. Date FINAL INSP. S - Date APPROVAL FOR PERMIT !11NIM04 FEE FOR ANY PLUMBICGE IS $ ilS.00,.) PLUS THE $.50 STATE SURCHA �j SUBJECT PE Cit of Fridley y 23 TN AT THE TOP OF THE TWINSrREC BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. ' L � PROTECTIVE INSPECTION SEC. r � , NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 ,'' 612-571-3450 910-F15 8/18/95 JOB ADDRESS 6200 Rice Creek Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Rice Creek Estates 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Allen 6200 Rice Creek Drive NE 571-0137 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jack Pixley Sweeps Inc 4179 149 Ave NW, Andover MN 55304 422-0481 City 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 O NEW ❑ ADDITION Ej ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reline masonry fireplace chimney 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 1 I 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 $1.48 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,952 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANYTHER ST E OR LOCAL LAW REGULATING CON - TR CTION OR THE ERFORM N E OF ONSTRUCTION $74.75 Fire SC $2.95 PLAN CHECK FEE TOTAL FEE ^ ® $79.18 4pSIGNATU Ep'F CONTRACTOR RAUTHORIZED G NT IDATEI HEN PROPERLY ALIDATED THIS IS YOUR PERMIT BLDG INSP 0& TE SIGNA RE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN' [ j ALTER (] Construction Address: Legal Description: Owner Name & Address: Contractor: 4-k Effective 8/l/95 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application o o A1ce (2i-ee-At Dr; _ D All eK &0, "^-) Tel. # s"7/ - of 3 eers , %►.e . _ MN LICENSE # v Address: I19 9 - / ` -1 III A� 1w, �o , I �l'I N. ss � o Tel. # V2-7- -0 P/ 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': Uh9th'�- .-.Width 'Height''' Sq. Ft:* - $ GARAGE AREA: Length Width Height Sq. Ft. SAC Charge DECK AREA: Length Width Hgt/Ground Sq. Ft. $5.00 (State Licensed Residential Contractors) OTHER:�f��.�, /��_�sonry FP U11J-,ho41 C14 .4 111$ Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ S� —1 - 1L, -2,r UW (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 F = t $ _ $ DATE: , j g, 'q 5- APPLICANT: Tel. # ITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .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 [ ] TOTAL STIPULATIONS: ff'?a-0X8'1 01 SUBJECT(FtIfRMIT NO. City of Fridley 2503 7 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �� r v / i NUMBER REV DATEP P AGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/7/97 JOB ADDRESS 6200 Rice Creek Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Rice Creek Estates 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Allen 6200 Rice Creek Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Contr 6331 Riverview Ter NE, Fridley 574-9966 4051 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 fel REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Sq) Tear -off 9 - CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1,897 $.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- $59.50 Fire SC $1.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $67.35 SIGNATUREOF CONTRACTOR OR AU ORIZED AGENT (15ATEi EN PROPERLY LDG INSP VALIDAT561THIS IS YOUR PERMIT P DAT SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 01 NEW [ ] Effective 1 / 1 /97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 6 Legal Description: Owner Name & Address: DAIv , t t E ry 4'�oo A; G -e c zc-etc• D R , Tel. # Contractor:.. # -e b 4-kS - , AICs MN LICENSE # h Sj Address: Tel. # S7 c! —?5?e 6' 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 GARAGE AREA: Length Width Height DECK AREA: Length idth Hgt/Gn OTHER: -3 S Wer Construction Type: TFAP- D FF R � Estimated Cost: $ Sq. Ft. Sq. Ft. Sq. Ft. (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: S' 7 APPLICANT: a Tel. # 5'? Y 57Z,,, STIPULATIONS: CITY USE ONLY Permit Fee $ 09, ,� 6 Fee Schedule on Reverse Side Fire Surcharge $ �. 90 .001 of Permit Valuation (1/10th%) State Surcharge $ �/.� $.50/$1,000 Valuation SAC Charge $ $950 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 ( ] TOTAL $ S STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ,r} /' JOB ADDRESS C Z (10 1-, ► e e- Cf vec (c U RATE SCHEDULE �1 OWNER ac� f I/e (A - Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 $qa (Side Vent - Fill Out Back) 00 ESTIMATED COST a460 PERMIT NO. �� Gas Piping (Needed with new furnace, $ 10.00 $ but pot rep aceme DESCRIPTION OF FURNACE AND OR BURNER Gas Range 61? $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 $ 2) Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. H EATI� CO CEMWNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: L Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No (. ) 3. Has no foreign . objects lodged within Yes O 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: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. ,D 6431 University Ave NE dQ Fridley, MN 55432 %� 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 k MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Urinal h :iii'!•: Tray "" ::...:. : Shower :: ;� �.��:<:. r �:;:.,::.:::. :�lti�i•:`:�:::-: Drain :�tlt« : . -. Auto.W Gas iii i:Yi ti$JC: •; •.. �::<��<. Washer �i �- ,::.::.::. Range },�.::{,"�r:``r Water Heater Stories �Qi�<= `: ...... •i?:{f{: :::: '�;::�::: :Gas Elec Basement m t • = ::ii?i$:i::vv:?:: Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: 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 11LORIIIIIIIIIII.fijy2 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 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL JOB ADDRESS_ 5 fJUvAJ15Z 66W11J 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 ALLEN, DANIEL 6200 RICE CREEK DRIVE N.E. FRIDLEY, MN 55432 (763)571-0137 Building Used As V—e6 -ia"C_ 4z— f IJ EsUrnated Cost `Uva PERMIT NO. o�8j PLUMBING SIGNED BY, Approved By $ .50 ✓��_TEL N041 2 " 71133 _ Rough -In Date Final Date i u ► ii a •: :► u= � :iil � �� "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A- MINIMUM SIZE 9 SQ INCHES. V GiYOP FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 May 25, 2001 Mr. Daniel Allen 6200 Rice Creek Drive NE Fridley, MN 55432 Re: Final Inspection at 6200 Rice Creek Drive NE Contractor: Norblom Plumbing Dear Mr. Allen: A plumbing permit was issued on July 6, 2000 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the State Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, a "1I1 �11 -101_ CITY OF FRIDLEY INSPECTION DIVISION Al° do m 6431 University Ave NE Fridley, MN 55432 Effective On January 1, 21 APPLICATION FOR POWER PLANTS AND HEATING, SLING, VENTILATION, 572-3604 REl°RIGIEIiATION AND Alia OMMIENa MQ SYSTEMS AND � DEMES Q JOB ADDRESS fin® ,� C.0 A� a Residential Rate Furnace Shell and Duct Work, Romer- OWNER TOTAL i Also f�@placemeret Furr►at� $ 3D.00 $ BUILDING USED (tide Vent - Fill Out Back) Gas Piping (Needed with rww furnace, $10. ESTIMATED (QST �� PERMIT but not relplac ement) $ Gas Range $10.00 $ o Gas Dryer $ 10.00 $ No. of Trude N , ng Units_ Circle On® (Steam) (Hot Water) (farm Ai "Air-Conditioning - All Sizes$25.00 $ Side No.- BT HF E® Total Connected L All biers/Repairs do Alterations {u,IS1 (C} 1% Of Value of Appliance or Work � $'� Burner Trade Harm Size-No. A- Corrdall�lrrdu�trlel � OTU HP EDR � 1.25% of Value of Appliance or Work The undersigned hereby makie, application for armitf Pe for the work Fairs State Surcha specified a sgrWng to do all we k in strict aocordare with the City Codes rulings of the Building WmW% and hereby declares that all the facts arc V TOTAL FEE representations stated in this application we true and correct. 6DATE 4LSd O-Ll) MY NR T HEATING CO re) PLODS TRUE 3-Nn STATE sdl6ac��r S TEL N C �/— 3 3— REINSPECTION FEE $47.00/Hr *Air CfJ Conditioners can not be placed in a side yard without � mitten Permission frorn adjoining property owner. Approved ByRough-in Date F=inal pate Z' � IREPL ACFMFNT sa mraAr•e AM CfiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 May 25, 2001 Ms. Carolyn Allen 6200 Rice Creek Drive NE Fridley, MN 55432 Re: Final Inspection at 6200 Rice Creek Drive NE Contractor: Care Air Cond & Heating Dear Ms. Allen: A mechanical permit was issued on July 6, 2000 to install a chimney liner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh Building PLUMBING Permit No.: Inspections 763-572-3604 RESIDENTIAL APPLICATIONVlec'd: d: CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE 61 - / _5-_1_i) 0 YOUR E-MAIL ADDRESS /� SITE ADDRESS i.7 ?-A) Pic, (rye k 0�.a,r, NE +.e . Mtj -5-" THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: GL r� 1 l.1 ►n I 1 vI ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: Tr ✓LI Ovey-etCk Plumbing SUBMIT A COPY OF `i- # 0i L) �' EXP DATE 4-31-10 YOUR STATE STATE LICENSE r LICENSE, BOND AND STATE BOND # EXP'DATE CERTIFICATE OF ADDRESS: si%l F_ Matl�i CITY An6k4 STATE P AJ ZIP 5T30_? INSURANCE PHONE -? & ? - 5- 7a - 0 FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK Paul L A40iAx"g. eae.Q .!�t FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER M,,EOTHER TER j'� §.. H��'� 0. "k ��i' 7 i " � ( it All R� it ISI C (I t r7 l pf ct�.$�IQal la h'; II'114 , 9 SII �,II 1 ,Nutnber I' 1;1ill4kr',.' I'�iI1 "FwFl1, �1 Ill a ry ij 6 r l�iumber ofixtur' �fi X111 `_ 1 ti 1 dol I �gz adi h r� 411'1' l'!T�`h 7,w �'ial`6 .P p U!�e iY r (' 11 r' I� J G I ISI SII ,yIn^:1 5� ai X113 d ,PL�x p' 1 ��y�� II hI dN 3 ,i ^C 6 1 ,r8yT�Pa 1 k. l I'"i� N ' moi. f ;Nber4lIIirAA r�T�,� U M1p111�' "I �hi!Irlei_ lia��I o'� U II ii AJ } 1 1i11111,"A ktlu loi�1, ti�h`' � r State Surcharge 0a,l Il ' I- �'' tiil F SII }^r j1�,i, Bill III IYr aIIP P''G�119Hh�t�Im it V1�i a,�!�l„14''6h II�i _ —M$4�.QV Total �1S , s THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will in accordance with the approved plan in the case w c -- eview and a 1 f 1 49/ SIGNATURE OF APPLICANT PRINT NAME DATE APPROVAL INSPECT PLEASE NQTE£ S T1' T' ANIS . WU7tis City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977