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PRE 2010 DOSCF0 SUBJECT IT NO. City of Fridley® 13371 AT THE TOP OF THE TWINS D[ D� A I T (' BUILDING -11, i � R'v 1 r L I COMMUNITY DEVELOPMENT DIV. INSPECTION 7��s� r � � PROTECTIVE SEC. 1 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L""ilk" j 612-560-3450 910-F15 11/30/76 JOB ADDRESS 6211 Rice Creek Drive N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Rice Creek Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Briar Homes 8535 Central Avenue N.E., Blaine, Mn. 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 WQRK ❑ NEW ❑ ADDITION ElALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 6 DESCRIBE WORK —IMPORTANT— Construct a 26' x 40' Dwelling and a 24' x 26' Garage NOTIFY THE FRIDLEY ENGR. DIVISION REGARDING CURS 9 CHANGE QF USE FROM TO REMOVAL AND REPLACEMENT STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. NOTE: Application submitted before January 30, 1976. SEWER LOCATION (Stubbed In) 145' North of Manhole (N. Invert Elev: 908.76) WYE ELEVATION: 909.34 TOP OF FOOTING: 912.34 WATER LOCATION: 9.7' North of sewer service. NOTE: City of Fridley is not responsible for accuracy ofWMtions. I lip, WN Before digging cst'i local utilities SEPER,ATE PERMITS REQUIRED M=GR WIRING, TELEPHONE - ELECTRICGA' Efc, HEATING, PLUMBING AND SIGNS. r , . TYPE OF CONST. C $ LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ,ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A -PERIOD OF 120 DAYS AT R-1 1201 + 624 23,604+6240 ANY 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $36,930 $18.47 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANYOTHERSTATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $55.21 $350.00 PLAN CHECK FEE TOTAL FEE ' 423.68 ,PSGNATUREOFC TRACTOAUTHORIZED AGENT (DATE) .... WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �► C1u� P ,C -� 4 6 BLDG WSP DATE - S ATURE OF OWNERI WNER BUILDER) (DATE) F0 APPLICATION FOR RESIDE TIAL, ALTERATION, OR ADDITION BUIL ING PERMIT CITY OF FRIDLEY, INNESOTA OWNER'S NAME : \Y� 1 r2BUI DER: ADDRESS : S11 CIA(L"-"' ADDRESS: NO:. 6^? 1l STREET °______ y LOT: _ BLOCK: ADDITION: A CORNER LOT: INSIDE LOT: —�SETBACK: � SIDEYARD d' Applicant attach to this form Two Certificates of Survey of Lot and propose'. building location drawn on these Certificates. DESCRIPTION OF BUILDING �To Be Used As: ar, Front: a� Depth. ` C> Ileight Square Feet: Cubic Feet: Di Front: "�t_ Dupth: height: �d Square Feet; kr Cubic Feet:_ e� Type of Construction: LN,o Estimated Cost:�._ To Be Completed:_fs C) 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 declarers that all the facts and representations stated in this application are true and correct. /i DATE: SIGNA _ (See Reverse Side For Additional Information.) D Or /a7- tZ/o - a k .2 1 - ,/10/ k a2-. Co 02? IfZ, 6d t 1 , Base S PLDM>IIRTG FIl[Ti1O!� g,,.w-fEge—.._.�— TOTAL 0 Number Fixtures ...... • ......... x $3,®p :/P .6 � Future Fixture Opening .... ® ...... d x $1.60 $ New fixture Old Opening .......... x $1.60 $ Catch Basin .................... x $3.26 $ Water Beater 'Up to 99.000 BTU) .... _ x $3.00 $ A, New Ground Run Old Bldg......... x $3.25 S Electric Water Heatw .............. a $2..00 $ GAS FITTING FEES; NO. RATE TOTAL ' CIO lot 3 Fixtures .......... • • • .. x $2.00 $ v) Additional Platures ................ x $ .76 $ Gas Range to 199.006 BTU ............ x $6.00 $ State Surcharge $ .50 REPAM A AL TIO ter to C"e _ Demiption o .. 0 . a . . . . 0.. m .. o ... o w.... . . ..... . o.. ... a .....� TOTAL 1M $ ' r C . City of Fridley: The undersigned hereby makes application for a permit for the work hereil specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and mresentations stated in this application are /true and correct Fridley. Kind of Building- . A M. Used To be completed about Estimated Cost. $ J� Old Ne Building Permit No. Permit %17�A ROUGH L - ig �R IQ L 0 x C4 4 N 4 eea w w 44 14. N 44 om N tR Ca n co ca co o :a ai jai vi a o a w 0 id N o a � A H N (ti F 0 N to .4 o w a: 1 �C g s � s 4 0 t � d Q 0, C4 f 73 ® ►moi Nd o �p q u � Rj J W V.G y C4 u f..x gyp, E t �2ct ✓ 6+Oy tQ o v a 'a a y .i U ncc cc �R IQ L 0 x C4 4 N 4 eea w w 44 14. N 44 om N tR Ca n co ca co o :a ai jai vi a o a w 0 id N o a � A H N (ti F 0 N to .4 o w a: 1 �C g s � s 4 u t � d Q 0, C4 73 ® ►moi a w u o H� 1 �C 0, C4 ® ►moi a w u o � o L too V P SUBJECT PERMIT N City of Fridley 9 6 4 3 2 AT THE TOP OF THE TWINS BUILDING PERMIT _ r I. CEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. n/ r PROTECTIVE INSPECTION SEC. 1 i CITY HALL. FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F1510-16-81 OB ADDRESS 6211 Rice Creek Drive 1 LEGAL LOT NO. ' BLOCKACT R OR ADDITION SEE ATTACHED DESCR. 2 2 PRice Creek Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Michael and Barb Roadh 6211 Rice Creek Drive 571-3450 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Fire Place Construction Co. 7311 Izaak Walton Road 944:2922 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW p ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8. DESCRIBE WORK new fireplace 9 CHANGE QF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. Masonry 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 ING S TYPE OF WORK WILL BE DH ETHER 3,000.00 1.50 SPECIFIEDANCES NOT. THE GRANTING OF AOMPLIED PERMIT WHT 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 OR T E PERFORMANCE OF CONSTRUCTION. Rs A -in PLAN CHECK FEE TOTALFEE 40.00 SIGNAATUREOFCONT TOR OR AUTHORIZED AGENT (DATE) HEN PROPERLY A ID,ATED THIS IS YOUR ERMIT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) " BLDG INSP DATE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEMITS (flew, Alterations, Additions, or Repairs) OWNER: Ay 16 Arn ADDRESS: ('/,1/.� TEL NO: !` 7/ 3/' J` 4f) BUILDER: ADDRESS: TEL 140: onstruction Location STRI T NO: ?� �l l STREET: 1� LOT: BLOCK: ADDITION: s %_� Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: A05; t?..� y �=� ��'% % .,C:b�' r Estimated Cost: $ Rb Be Completed: / (r' — 7, � �_. 1� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ * $ SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the Cork 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. DATE: 4(P - a - SIGNATURE: Stipulations: J �� SUBJECT P RMIT City of Fridley ® 173 94 AT THE TOP OF THE TWINS BUILDING PERMIT r 06 REC COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I � i , CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY L _J` 612-571-3450 910-F15 4/26/85 JOB ADDRESS 6211 Rice Creek Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 2 Rice Creek Estates 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Barb Roach 6211 Rice Creek Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Franklin Builders 786.5 Beech Street N.E., Fridley, MN 572-9874 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Ej ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161-x 121.3 Season Porch addition and a 41 x 81 Deck (,Remove existing deck) 9 CHANGE OF USE FROM TO STIPULATIONS ( AIN Before digging call local utiliffe3 TELEPHONE - Ei NTRIC - GAS Efca REQUIR :L: �`LAW SEPARATE PERMITS REQUTR FooWIRW48'j HEATING, WBIGAN SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,,, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,600 $1.80 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 PROV SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $56.50. T THE PERFO E OF CONSTRUCTION. �TIONR LAN CHECK FEE TOTAL FEE �`- "14.13 $72.43 S NAT RE OF CONTRA 5pKOR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR ERMIT ai�l� - BLDG ]NSP DA SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) - NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address Legal Description City of Fridley Effective 4/1/84 R-1 AND R-2 Building Permit Application Owner Name a Address: Kq &,6 _ Tel. # Contractor: 29,& ela4- Be, ilWe®`S Tel. # .522-'9-9q Address:.2E6 L B,4 •��_ ,mss" �'/��_ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF I"ROVEMENT f LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length 1qr Width �� Hgt/Ground �i Sq. Ft. OTHER: na Corner Lot [ ] Inside -1G Lo Ft. � . ��ck Side Yard Setback 610 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. #,S-`�2-FE"7 F Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer !lain Charge TOTAL STIPULATIONS: CITY USE ONLY $ —J �� Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ �� ® $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] I N CERTIFICATE OF SURVEY FOR: Pine Tree Builders, Inc. i C T)" NT NOTIFY THE FRIDLEYNGR. DIVISION REGARDING URS REMOVAL AND REPLACE ENT AT DRIVEWAY OPE IN Description;* Lot 2, Block 2., RICE CREEK ESTATES 2ND ADDITION, Anoka County, Minn. is a true and -4�is� Z70&Vn & CoUntry I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and of the location of all buildings, S94 rVe."Ori if any, thereon, and all visible encroachments, if any, from or on said land. V Job No. 2-74 Book — Page _" SUBJECT PE City ®f Fridley 20788 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 , RECEIPT COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r ! 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/29/91 JOB ADDRESS 6211 Rice Creek Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 2 Rice Creek Estates. 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Roach 6211 Rice Creek Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing Inc. 289 Liberty Street NE., ,Fridley 780^3561 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 ❑ NEW ❑ ADDITION ❑ ALTERATION p REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (26 squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd, 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 80 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 $1 350 $,68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT P 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- Fire SC $1,35. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $33.00 PLAN CHECK FEE TOTALFEE $35.03 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEIw WHEMROPEY A D HI$ I$ YOUR PERMIT d BLDG INSP 0A SiGNATURE OF OWNER 0F OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/91 ADEN [ ] R-1 AND R-2 ALTER (,j Building Permit Application cmwtruction Address: 6 -)- // A,'e e- axe ems' A-, regal Description: L a, h'� -i C' Owner Name & Address: Arte eoc, c# !v 212Pc'e 6,eeeA" �� 'Pe1. # Contractor': Sic e� # -3 S Address: ,2 Attach to this application, a Certificate of Survey of the lot, with the proposed omwtruction drawn on it to scale. LIVIM AREA: Length Width Height Sq. Ft. GAPJM AMMA: length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Grourid Sq. Ft. on=: 6 Corner lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yarn Setbacks Type of construction: 'ee A00I-'- Estimated Cost: $ - Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DAZE: APPUCAM: Tel. # r Permit Fee $ Fine Surcharge State Surcharge SAC Q=4e $ Driveway Escrow $ Park Fee $ Sewer main Q:arge $ TOM $ 2s Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Detend ned by BViroer; rig Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRES// RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ , 00 representations stated in this application are true and correct. (Side Vent — FIII Out Back) Z .30 1997 Gas Piping (Needed with new furnace) $10.00 $ OWNER, Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST PERMIT N0. ,S� gs ` *Air Conditioning —All Sizes $ 25.00 $ �5�. (�? DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) arm A' Trade Name d j;A,,� Size No. U 70 3U _70'a) Commercial/Industrial BTU_ o HP EDR 1.25% of Value of Appliance or Work $ Fuel_ NA i. GAs Total Connected Load State Surcharge $ .50 Burner Trade Name TOTAL FEE`J$ S . SO MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BTU _ Size No. HP EDR SUBURBAN AIR HEATING COMPANY8419 CENTER DRtVE MINNE AP_OLS, MN 55432 Signed By4-6100 Tel No. Approved By 4 Rough—In Date FILL OUT BACK SIDE TACK VERIFICATION ON REPLACEMENT FURNACE Final Date List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHEWNEY AND STACK VERIFICATION The undersigned hereby verifies that the -existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No { ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: IN MA FA 40 suejEcT IT NO. City of Fridley 30060 AT THE TOP OF THE TWINS BUILDING PERMIT f TN0. COMMUNITY DEVELOPMENT DIV. / r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/16/99 JOB ADDRESS 6211 Rice Creek Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 Rice Creek Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barb F Mike Roach 574-9618 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jansick Inc. 6480 Squire Dr NE Fridley 55432 574-9679 8618 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 ❑ NEW ❑ ADDITION ❑ ALTERATION A3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Window replacement 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meetf the State Building Code - in each sleeping room and on each level of the house. 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 ESO 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 IPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $3800 $1.90 DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO S ANY OTHER STATE OR LOCAL LAW REGULATING CON- S TRUCTI THE PERFORMANCE OF ONSTRUCTION $97.25 Fire SC $3.80 PLAN CHECK FEE FE License 5.0 /TOTAL 07 9 S� TURE OF CONTRACTOR OR RUTH QED AGENT iDATEi EN OPER IOATED BL INSP T - IS YOUR PERMIT DATE S-GNATURE OF OWNER,6 OWNER BUILDER1 IRATE) AUG -16-1999 NEW[ ] ADDN [] ALTER I ] 14:43 FROM CITY OF FRIDLEY TO 5741330 wrecuve x dvryy CITY OF FMLEY SWGLE FAMILY AND DUPI XIM R-1 AND R-2 BUILDING PERMIT APPLICATION .. .. i / - w' I - Legal Description: P.01/02 Owner Name & Address: _ o -/ "Alu, 'E4c'q Tel. # 77 z - 9VI9 Contractor: 'IONSIce Inc • MN LICENSE # Address'.. /, g6,e so u I � e ,oz—a-- Tel. # LIVING AREA: GARAGE AREA: DECK AREA.: OTER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale, DESCRIP'1'YON OF IlMPROVENWM Length Width Height Length Width Height Length Width Hgt/Ground Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ Permit Fee $ �s Fire Surcharge $ J• �� State Surcharge $ _ /o SAC Charge $ License Surcharge $ S-, 6 0 Driveway Escrow $ ]Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation Sq. Ft. Sq. Ft. Sq. Ft. $1050 per SAC Unit $5.00 (State Licensed Residential Cofactors) Alt. "A" or Alt. 19" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] $ Q2-Z— f CITY OF FRIDLEY PERMIT NO.: 2004-01484 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-36U4 YAX: (763) 571-12157 ADDRESS 6211 RICE CREEK DR NE PIN 133024440099 LEGAL DESC RICE CREEK ESTATES 2ND LOT 2 BLOCK 2 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- L11101�131:7 ROACH MICHAEL J & BARBARA J 6211 RICE CREEK DR NE FRIDLEY, MN 55432 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 worl 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 performance of construction. Applicant Date Bldg Insp Date, ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building $ BTJI]LDING See Back Page for Fee Schedule Permit No.: - Inspections . j u RESIDENTIAL APPLICATION Received By: 763-572-3604 /. 5t, ' .001 times the total job valuation Surcharge LoJJJN 2 2007 '75 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ 5.6D DATE G� % YOUR E-MAIL ADDRESS SAC Charge SITE ADDRESS [p vC // /CL= (.6PPP�' 4� X., e , THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ ft + 6 ft = ft x $21 =$ Erosion Control PROPERTY OWNER/ NAME: $450 Conservation Plan Review TENANT ADDRESS: c�sU=SaZlIA4to CITY/A/-6 STATE&IP �F?Z Fee Determined by Engineering PHONE: %w/ —6 7 5e ;Pg<1 $ CONTRACTOR NAME: [_%ri✓ c1C�r /e/ C Total Due STATE LICENSE # 911lee, EXP DATE q&35 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: &IVsa:�) . e CITY STATE zip. WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ ASEMENT FINISH ElROOF ❑ DRAIN TILE .� DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 16�6/ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT __Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OFWINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ /cj OCCUPANCY TYPE Permit Fee $ o See Back Page for Fee Schedule Plan Review $ . j u 65% of Building Permit Fee Fire Surcharge $ /. 5t, ' .001 times the total job valuation Surcharge $ '75 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5.6D $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ q&35 Make checks payable to: City of Fridley Attach Stipulations 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 co es of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for pe it and work 4 not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whi s review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME `i 6,*�/5/C/, BATE 'C% A / Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: V 763-572-3604 Date :OCT 13 2011 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 DATE l /3-07 YOUR E-MAIL ADDRESS // &,J I e£ lzi E X 102 SITE ADDRESS / c THIS APPLICANT IS: 0 OWNER r OLONTRACTOR PROPERTY NAME: /NA" �c ADDRESS: !/02 /% ZG E (flef - fC 04 CITY OL fi STATE ZIP SSV -L2 OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: 4S?� fiQ95 CONTACT PERSON: DA4NJ 7 e r- GI "I'7" SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: d.)-y,L LtJ1 CITY f1jc> J�• �iJZ STATE ZIP 0/4 APPLICATION PHONE �s1 , a 18 _ 3(,c, 3 FAX 121&GLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE PERMIT TYPE TYPE OF WORK: W 0 REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK q;J:5tAj1 FEES ARE BASED 16N $1&.00 PER2+IX I URE, EXCEr'f, %MhkN,6TE =FIXTURES: =(INDICATE TOTAL NUMBER OF EAL I BELOW IIFANDBOO X. T-4 t} ER�,pYIIIE T SS CALC'S PEI 1 AL 2006 SIZEIBTU � ment Installed MFG: J MODEL: - MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 L _ _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10-00', _BOII.ER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 $10.00 VENTILATOR $15.00 � 'xf2f �� L � /"-�✓ a � de K t" 3 f^��'�` � � � ,�, �� x'�� x _: �, t b !" ; X% �� „ t J "� � � ✓a "�"'''. �'. � a. �' - �a � >a � , �� ."�° L �'� '-y' � d � c � r ✓' �3 4: �.�?t - � � �� £ ��r t' ky ate.: �� 9A •t 3„k�iLLX..,.” £ � k*� thy+ � `^�„�+. 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 d work is not to start without a permit; that the work will be in accordance with the approved plan in the case all rk which req s v' approval of plans. 1 % D % � R4 SIGNATURE OF APPLICANT . PRINT NAME ATE -7/15' APPROVAL INSPECTORS SIGNATURE DATE K City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977