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PRE 2010 DOCSes N� SUBJECT PT NO. City of Fridley 13'76 AT THE TOP OF THE TWINS �f? BUILDING PERMIT ' ' CEIPT NO COMMUNITY DEVELOPMENT DIV. L INSPECTION PROTECTIVE SEC. 2 a-7 NUMBER REV, DATE PAGE OF APPROVED BY=^ 1 ��--1 CITY HALL FRIDLEY 55432 IL A " ,'� ---- 612-560-3450 910-F15 9/20/7 JOB ADDRESS 1551 Rice Creek Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE The Rottlund Co., Inc. P.O. Box 32082, Fridley, Njn. 571-2060 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. i 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 58' x 29' Dwelling and a 20' x 2219" garage WARIIIN S AERATE PERMITS REQUIREQ ��'. IR Before digging an iml utilft • 9 CHANGE OF USE FRC&Lo 0/s PUR A� ,100 A y pS. REQUIREp am STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. SEWER LOCATION: (Approx. 9.5' Deep) 30' East of Manhole (E. Inv. 892.75) WYE ELEV: 893.64 TOP OF FOOTING: 896.94 Minimum WATER LOCATION: 10' East of Sewer Service, 43.5' N.E. of Manhole --IMPORTANT— nye am oW WIN& 000 NOGUAWN W ACCURACY Of U1fKR'1! lOCAIXM N UWAVC#g�. NOM THE FRIDLEY LNGR. t:.,S DATA IS FOR WORMAI'iON PURPOIIRb omy MwD DIVISION REGARDING'CURS PUSONS uMG N SMOM VkM tW &MRMATION REMOVAL AND REPLACEMENT ON THE SRI), AT DMVEWAY OPENINGS.- TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HE VENTILATING OR AIR CONDITIONING. Wood. Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1335 31,300 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $41,320 $20.66 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- STRUCT) N ORr THE PERFgRMAN E OF CONSTRUCTION. 125.20 350.00 PLAN CHECK FEE TOTALFEE' YA'/� d 7-1 I PO Ae A 31.30 $527.16 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) H PSR/O�PERLY V//fA'LIIID�/AaTEDD T1JH'IS IS YOUR PERMIT �ENp N BLDG INSP DATE SIGNATURE OF OWNER (IF -OWNER BUILDER) (DATE) es N� 1 CITY -OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME: BUILDER: 7 _�� iu k / ab Z;yty. ADDRESS: ADDRESS: P. 6 8®)e 32602— NO:. 2602— NO:. Is f STREET. / 0 is ey, - i LOT: —BLOCK: ADDITION: &®r rr _s I–A lVe efESZOZ3, _C CORNER LOT: INSIDE LOT:— SETBACK: 3 SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 5'� 9/� r4AAf I Y J�� S Front • U Depth • ,--; % ` Height: Square Feet:_ /V,2 Z_ Cubic Feet: a'ar,of f- Front: Q6, Depth: Z ;? f i Height: Square Feet; LIS � Cubic Feet:_ Type of Construction: OEVA e– Estimated Cost: $ 39, Zd a> o c To Be Completed: /2 -- 3 6 71, 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. j TE: %4 SIGNATURE:s� (See Reverse Side For Additional Information.) Irc " �o.3, �� ff THE FM ''rDtXYa ENGR. -- �I��i AEO�RCM�iQr-CtJRe AY DKIW tAY OMMIat WARNING Debt >wfig Cali local utllibes Rf IR10 8Y1W—_ N 75.6 /07-7 a o N e Smit t, li-,*s � h' �° � �� � r �><°Ro.. � ��a.c� St's` Cay �• THE CITY OF FRIDLEY DOES N ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. N PURPOSES ONLY AND � � wf" THIS DATA IS FOR INFORMATIO EL PERSONS USING IT SHOULD VERIFY THE INFOL"'RON ON THE SITERimd it n�r-� (�r ... r t Ov • L' r M ✓� j LOT 7 �j LV K h kms LAY. E ng 4,,,'.0 �-Oart4 t he,eb1 crrtlly shot th s '% u true pnd correct reptesentotton of o survey o; the boundortes of the above described fond, and of the loratton of all butldtngN theteon and al! visible encroachments, of ony, from o* oet. said land As surveyed by me thts__duv of �- ,y A D SG-`. ;R3tr kQt1' ?AE%- T SUBURBAN ENGINEERING, INC. Ingtneers Surveyors - U��J ti.1t`jkTL y 1�It.: i ��7L��C�11 by :u• t ° 'S( S �r q p �r �o ` /�i 6$'S �+�a+«oy tom= a5 ►+ t 4a 1rst, t r�f 6 d d F 55432 , .t� i /7/ C v;'i E-o.ner'•nq Triephone :84-6066 F.�unortpo? Fngrnc•rrnq Engineers Surv(syors Area Code 612 Certificate of Survey for ff THE FM ''rDtXYa ENGR. -- �I��i AEO�RCM�iQr-CtJRe AY DKIW tAY OMMIat WARNING Debt >wfig Cali local utllibes Rf IR10 8Y1W—_ N 75.6 /07-7 a o N e Smit t, li-,*s � h' �° � �� � r �><°Ro.. � ��a.c� St's` Cay �• THE CITY OF FRIDLEY DOES N ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. N PURPOSES ONLY AND � � wf" THIS DATA IS FOR INFORMATIO EL PERSONS USING IT SHOULD VERIFY THE INFOL"'RON ON THE SITERimd it n�r-� (�r ... r t Ov • L' r M ✓� j LOT 7 �j LV K h kms LAY. E ng 4,,,'.0 �-Oart4 t he,eb1 crrtlly shot th s '% u true pnd correct reptesentotton of o survey o; the boundortes of the above described fond, and of the loratton of all butldtngN theteon and al! visible encroachments, of ony, from o* oet. said land As surveyed by me thts__duv of �- ,y A D SG-`. ;R3tr kQt1' ?AE%- T SUBURBAN ENGINEERING, INC. Ingtneers Surveyors - U��J ti.1t`jkTL y 1�It.: i ��7L��C�11 by wvol CITY OF FRIDLEY > — z 3 3 00 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE S S i /L GRAVITY WARM AIR: RATE TOTAL Job Address 1-2 < Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes . each add. 50,000 BTU 4.00 $ y. V.) and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ O /l 19 Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. , STEAM OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 $ / Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ 7 ` 3IL BURNER- to 3 gal. per hour $10.00 $ TO BE COMPLETED ABOUT __/ / ? o c; v each add. 3 gal. per hour 10.00 $ ESTIMATED COST :2 *GAS BURNER- from 100,000 BTU to 199,999 BTL' $10.00 $ i U v OLD - Ili BUILDING PERMIT NO. PERMIT NO.. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures _� x $ 3.00 $ 3. u Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS _5 $ State Surcharge $ .50 TOTAL FEE $ � 9. ja ROUGH INSP. REINSPECTION FEE Date C$10.00) FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. _ Trade Name Size No.� c l" Capacity Sq. Ft. EDR BTU opt, _HP Total Connected Load , Kind of Fuel ti 1 BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU GEO. S 5�o�;�CV�. 4ia; XEN! Fa P:ti� �_. SCS �- I F i 3Signed By 1(1013 �� 55� s5 MI11REAPOL!• , M'ATel. No. 545,16i1 HP CITY OF FRIDLEY APPLICATION FOR PLJJMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m NO. RATE TOTAL N x m $ GG v �_ x K o New Fixture, Old Opening Water $2.00 $ Catch Basin x $5.00 $ u 0 $5.00 A 100,000 BTU to 199,000 BTU + +a3v w w Water Softener x Heater $ New Ground Run. Old Building ro $5.00 G Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x u $ jc Additional Fixtures x $1.00 $ '� N $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 0 State Surcharge $ .50 0 O O 4J N 1J N N $� AS.i w asai UM oNm as lec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ GG Future Fixture Opening �_ x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU _� x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run. Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ jc 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 5-0 TOTAL FEE $� REINSPECTION FEE ($10.00) Job Address 3 / /� 1 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 OWNER A,a KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. ROUGH INSP. Date FINAL INSP. 1.- 7� 3 Date APPROVAL FOR PERMIT lr dley, Mn. PERMIT NO. Company I y� t Signed By �, / jj Tel. No. 7aj MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7..50 560-3450 Citty of gridle ANOKA COUNTY 6431 UNIVERSITY AVENUE NE January 28, 1977 FRIDLEY, MINNESOTA 55432 The Rottlund Company, Inc. P.O. Box 32082 Fridley, Mn. 55432 Re: Final Inspections at 1551 Rice Creek Road N.E. and 1640 Camelot Lane N.E. Dear Sirs: Final inspections were made on January 28, 1977 at the above addresses and the following items were noted which must be completed before the structures can be finaled out; 1551 Rice Creek Road N.E. l.• ,.'Cnsulate under tub fixtures for firestop 2. Install 3rd stud in northwest corner of garage wall 1640 Camelot Lane N.E. 1. Provide joist hangers under foyer 2. Provide strap over headers to top plate on north window downstairs 3. Double joist hangers on hearth joists downstairs 4. Tape hole in garage ceiling S. Insulate under tub for firestop We will expect the above items to be completed by February 14, 1977 when reinspections will be conducted to determine compliance. If you have any questions on the above items, please feel free to contact me at 571-3450. Sincerely, PON HOLDEN Building Inspector RH/mh CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND $ .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE $ 4.00 ' GRAVITY WARM AIR: RATE TOTAL Job Address _ ice cLE L -IL Zzi, Furnace Shell & Duct Work $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: lst 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN AT EMS $12.00 $ 4.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ S x $ 3.00 $ x $ 1.00 S x $10.00 $ VENTILATING SYSTEMS See Fee Schedule .ALTERATIONS & REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date l` APPROVAL FOR PERMIT �' 0 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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 fare true and correct. Fridley, Minn.,J iinn. �/ t'X . 19-1, P3 OWNER I / r- rw _ I l C e ��C�11 1 11_® �ff1✓/ _ _ _ RIND OF BUILDING :t rTj M L USED AS TO BE COMPLETED ABOUT 112 g V 4 e ESTIMATED COST` / ��� � OLD NEW BUILDING PERMIT NO. PERMIT N0. DESCRIPTION OF FURNACE/BURNER R , Steam, Hot Water, Warm Air- No. Trade Name Fere, Size No. Cmc 30. Capacity Sq. Ft. EDR BTU v®�f*!iJ' �) HP JS 2)Z Total Connected Load BURNER - Trade Name Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP Company sta V t op r i 1tl Signed By _ Tel. No. 2 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 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer fir Conditioning — All Sizes All Others/Repairs & Alterations (UST ON BACK 1 % of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work JOB ADDRESS ZSS>/ 19 A I C 4 �­ (7,_&C_ /L State Surcharge TOTAL FEE .50 �S- MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner Trade Name Size No. BTU HP HEATING COMPANY Signed B Approved By *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE written permission from adjoining property owner. REPLACEMENT FUR EDR 3horp Pleating and Air Conlitionin• 4 Central Ave. NE / (612 572_ "'V n 11011 Tel No. _ Rough—In Date Final Date STACK VERIFICATION ON The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 30.00 $ representations stated in this application are true and correct. ',2611997 $10.00 $� y / OWNER ���� �L ,,� �°'"- � � ,.�,Z f10�� $ 10.00 $ BUILDING USED AS $10.00 $ ESTIMATED COST_/�C� '� PERMIT NO. $ 25.00 $ .�� �� DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load State Surcharge TOTAL FEE .50 �S- MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner Trade Name Size No. BTU HP HEATING COMPANY Signed B Approved By *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE written permission from adjoining property owner. REPLACEMENT FUR EDR 3horp Pleating and Air Conlitionin• 4 Central Ave. NE / (612 572_ "'V n 11011 Tel No. _ Rough—In Date Final Date STACK VERIFICATION ON CH MINEY AND STACK VERIFICATION The undersigned hereby verifies that the. existing chimney or stack: 1. . Has been carefully examined Yes O No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Yes No No Yes () Yes ( ) No Yes ( ) No ( ) Yes () No ( ) Yes () No ( ) SUBJECT RMIT NO. City ®f Fridley '11�( 26630 AT THE TOP OF THE TWINS P y K U I I L, I G BUILDING LJ id E R M I T / 1 � L _ _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV DATE PAGE OF APPROVED BY { CITY HALL FRIDLEY 55432 j 612-571-3450 910-F15 7/9/98 JOB ADDRESS 1551 Rice Creek Rd. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrell & JoAnn Cedarhelm 571-1523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jack Pixley- At the Safe Chimney Co. 4179 149th Ave. Andover.NN 55304 422-0011 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 422-0481 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION )7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Chimney Repair 9 CHANGE OF USE FROM TO STIPULATIONS Flashing per state building code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 1 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 $1,164 $.58 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $1.16 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $40.25 PLAN CHECK FEE TOTAL FEE $41.99 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY LIDATED THIS IS YO R PERMIT o m BLO INSP v DATE SIGNATURE OF OWNER OF OWNER SUILDERI IDATEI JLN-23-1998 AODN E l ALTER [ 14'16 FROM CITY OF FRIDLEY TO CITY OF P=LEY SrNGLE FAMILY AND DM%BXES R-1 AND R-2 BUII.DLN'O PERMIT APPLICATION 4220011 P.01r04 Effective 1/1/98 CommetionAddress: / 5' S'/ 8 f ee C -eels° Legal Descriptiom _.. ek im n e ca ®1 P 1 a l� r Owner Nares & Address: MN LICENSE # k Attach to this application, a Certificate of Survey of the lot, with the proposed conshuction drawn on it to scale. D>ESCREMON OF rk"OVEDAM Tela LIVING AREA: Length Width Height � Sq. Ft. GARAGE AREA: Lmgth Width _ Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: , :anstrWdon Type: j rn ri e Re qi r Estimted Cost: $ (Fee Schedule on ,Deck) kiveway Curb Cut 'Width Needed: Ft. + 6 Ft = Ft x $ $ )ATE: _..% 9" 9� APPLICANT.- J -a e k Pi X ) e Tel. #baa - 0 ®// Cm. USE 0NY�Y 'ermit Fee $ • 1015""Free Schedule on Reverse Side iire Surcharge $ • .001 of Pemit Valuation (1110th%) We Surcharge $ `_ $.501$1,000 Valuation AC Charge $ $]Aim per SAC Unit lcense Surcharge $ $5,� (State Licensed Residential Coturactora) Driveway Escrow $ Alt. "A' or Alt. "lB" Above ,roskm Control $ $450.00 Conservation Plan Review ark Fee $ Fee -Determined by Engineering ower Main Charge $ Agreement Necessary [ l Not Necessary C ) TOTAL $ 27 ["TL'ULATiONS. d rue --2:3-4710 SUBJEtr P IT NO City of Fridley 2984 3 AT THE TOP OF THE TWINS BUILDING PERMIT (_R r E , C O COMMUNITY DEVELOPMENT DIV. `� Dom/ r PROTECTIVE INSPECTION SEC. '�F aJ NUMBER NEV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 7/9/99 10B ADDRESS 1551 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel & Joanne Cedarholm 571-1523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Banner Roofing 6001 L ndale Ave S Ste C M is MN 55419 - 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 O ALTERATION V( REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2272 p $1.14 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 THE PERFORMANCE OF CONSTRUCTION $83.25 Fire Sri 2.20 PLAN CHECK FEE TOTAL FEE L' se SC $5.00 1$91.59 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDAtt, HE PR ERLY VA IDATED THI IS YOUR PERMIT s SIGNATURE OF OWNER,iF OWNER BUILDERI I ATEI SLOG 44— Y2v C. )ATE NEW - • [ `J ADDN [ ] ALTER # 2oge 11 5I1tgq erg?s5 Effective 1/1/99 CITY OF FRIDLEY SINGLE FAMELY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress• %��� �< e c ere e/. Legal Description:..... _rea2 Owner Name & Address: Aa 1711 -1- -Toa np e, dam Av An,4 Tel. # 5-11 -IS-23 Contractor: 90,0,w4. 161041"'1 MN LICENSE # �9,0,019e qY Address: l /gid/��t� fe Sce e Tel. # 1579 -976 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF WROVF.WNT LIVING AREA: Length Width Height Sq. Ft. . GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: . s' Construction Type: ~ ,� ��i,� Estimated Cost: $� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ftx $� =$. DATE: APPLICANT: Tel. # �NLNR16 Permit Fee Fire Surcharge'�$ State Surcharge //,5( $ � SAC Charge - $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge— $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $:50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ 7 Not Necessary [ TOTAL $1 o5 7 -- C 'r�_76Cl_. 9z_®A? [PULATIO CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 1551 RICE CREEK RD NE PIN : 133024410052 LEGAL DESC : HARRIS LAKE ESTATES : LOT 7 BLOCK 3 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK PERMIT O.:2004-01324 DATE ISSUED: 08/13/2004 VALUATION : $ 1,192.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 12'X 8' DECK. STATE LICENSED CONTRACTOR 1 APPLICANT PATIO ENCLOSURES INC (1676) 2123 OLD HWY 8 NEW BRIGHTON, MN 55112 CEDARHOLM DARRELL J & J M 1551 RICE CREEK RD 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 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regqa constrpction or the performance of construction. Applicant V DateA__,_ BUILDING PERMIT FEE 44.85 PLAN CHECK FEE 29.15 FIRE SURCHARGE 1.19 STATE SURCHARGE, VALUE 0.60 LICENSE SURCHARGE 5.00 TOTAL 80.79 PAID WITH CHECK # 5760 SEPARATE PERMITS REQUIRED FOR WJRK OTHER THAN DESCRIBED ABOVE. e A 41-381 NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg I sp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fad BUILDING PERMIT APPLICATION Construction Address: U:Ll ,)ice exte k led Legal Description: , Owner Nam Address: --LCAA) �o � � (�' ��JI"el. # tllg '.2'0- Contractor. Y04' ,�b MN LICENSE # R C -Z& Z& Address: 2 /1,.3 O)c.( ,,.)y ��, �J &7c7� AM) --5—S1/gZ Tel. # 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: LengthWidth Hgt/GroundSq. Ft. OTHER: ou die 01J Construction Type:1 u e K Estimated Cost: $� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # & D Call (763) 572-3604 for Permit Fees if mallin in appaa- Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee y�/.s-$ L��l , Fee Schedule on Reverse Side Plan Review '�. i�' $ d 65% of Permit Fee Fire Surcharge / `9 $ 4 .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharg rcl $ . ®C� $5.00 (State Licensed Residential Contractors) Curb Cut 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 �C. �$ c" STIPULATIONS: