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PRE 2010 DOCS:ure SUBJECT - PER City of Fridley 12861 AT THE TOP OF THE TWINS BUILDING PERMIT r PT NO ` COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / �5 i' /'-'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,`J 612-560-3450 910-F15 1/31Z75 JOB ADDRESS 1561 Rice Creek Road N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. $ 3 Harris Lake Estates SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Brickner Builders, Inca 6245 Ben More Drive 786-9871 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. .Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 42' x 35' Dwelling,and a 241 x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a verifying survey before capping. Provide a hard surface driveway. Dig to natural soil or provide soil tests. r SEWER LOCATION (off Rice Creek Road): Approx. 157' E. of Manhole (Inv. Elev: 892.75) Wye Elev: 897.70 Approximately Top of Footing: Expose service at property line to determine top of footing elevation. WATER LOCATION (off Squire Drive): 36.6' N.E. of power pole. 88.8' W. of S.W. corner of-Stru .. RATE PERMITS REQUIRED FOR WIRING, e iaA PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 1302 Tot ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION l 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 $31,690 15.85 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. $59.00 $325.00 PLAN CHECK FEE TOTALFEE 399.85 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) - HEN PRO EHL V ID TED IS IS YOUR PERMIT . �&2 BLDG )NSP _ DATE IGNATURE OF OWNER (IF OWNER BUILDER) (DATE) :ure is APPLICATION FOR RESIDENTIAL, ALTERATION,.. OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: _BUILDER:4�' ADDRESS: ADDRESS :.6y_r 1286 - 98111 NO:. STREET: 6Ce. C& LOT: rL BLOCK: 3 jkDDIT Lof 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: _4 Front: Depth: eight: Square Feet: Cubic Feet: Front: < Depth:e Height: Square Feet; —Cubic Feet: Type of Construction: Estimated Cost: To Be Completed: 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. DATE: ✓SIGNATURE: (See Reverse Side For Additional Information.) 1,. " "j 0i 6 'Tb k" ol, iL V? ve, 77"43 , C)CL 1i I OR W Land Planning S"W(f W',qfr,;t Land Surveying, r''/I hI#Q � 44 Am Sails Testing fi- 1 Civil Engineering Municipal Engineering Engineers & Surveyors Certificate of Survey for K��� 3 • 1250 � _ p./o. KF0 WORSE Cn Fo 5 s $0.6 . o i 1D� Q �7 � 46/ � t� I o CAUTION RCE CREEK BOND 6875 Highway No. 65 N. E. Minneapolis, Minn. 55432 Telephone 784-6066 Area Code 612 COWST CO. -ret => "VISION SAFETY CONTROL ZONE" DO NOT PLANT OR PLACE ANY- THING IN THIS AREA WITHOUT AP- PROVAL OF THE CITY OF FRIDLEY. LOT BLOCK Anoka Countyy 1 hereby certify that this is a true and correct representation df a survey of the boundaries of the above described land, and of the location of all buildings by thereon, and all c 0. vble encroachments, if any, from or on 19 - said land. As surveyed me this day of —A. o PENOTES IRAN MOPiUN9ENT SUBURBAN ENGINEERING, INC. Engineers Surveyors {1.,,Riy' }%C��'�jAsyy�`�[�{/1��n�1j f{'j}�/�/{�� MU DANDI �. t /F��©]r}�. b ? Y_1,01 Dll1Nk Mme' V ...�YM • , Y.. VEMENT A Z MIS It -0 roo rtow 6� Applicaflon for Plumbkg =d C7= FXMg Pennit Dept. of Bldga. Phone 560-3430 DESCRIPTION OF W011 : Locatiou, Num�cO r, Kind and Loon of Fixtures --v N W PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. / x $2.00 $ d. Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening.....:.... x $1.50 $,__ Catch Basin .................... x $3.25 $ Water Beater 'Up to 99,000 BTU) - .. - x $3.00 $ -3 New Ground Run Old Bldg......... x $.3.25 $ Electric Water Heater..... .... s $2.00 $ :;AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures _--.�— x $2.00 $ 2 Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ..... . . . . .. x MOD 8 - REPAIRS & ALTERATION --A®for to Code City of Fridley: hi 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 ruling of the Department of Buildings, and hereby declares that all the tact and representations stated in this application am true and 7correct' ftdley, Mina . 1g Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. 7" Signe BY Business Phune No ROUGH �n FINAL .50 State Surcharge .Description .................. ...... . ...... . . ..... ..- . .3 TOTAL M 3 �s� O V Z 0 WATER MTN, ELM h ► O w o. O l7 V of V �; — Base Ist 2nd 3rd 4th Futuro Conae►e4ion Oponirgs Connected vM Scor t Now Fixture. Old Openings Ccaagool (l PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. / x $2.00 $ d. Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening.....:.... x $1.50 $,__ Catch Basin .................... x $3.25 $ Water Beater 'Up to 99,000 BTU) - .. - x $3.00 $ -3 New Ground Run Old Bldg......... x $.3.25 $ Electric Water Heater..... .... s $2.00 $ :;AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures _--.�— x $2.00 $ 2 Additional Fixtures ............... x $ .75 $ Gas Range to 199.000 BTU ..... . . . . .. x MOD 8 - REPAIRS & ALTERATION --A®for to Code City of Fridley: hi 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 ruling of the Department of Buildings, and hereby declares that all the tact and representations stated in this application am true and 7correct' ftdley, Mina . 1g Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. 7" Signe BY Business Phune No ROUGH �n FINAL .50 State Surcharge .Description .................. ...... . ...... . . ..... ..- . .3 TOTAL M 3 �s� 560-3450 Cit y of grialle�f ANOKA COUNTY 6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55432 August 7, 1975 Star Electric Lower 441 - 8th Avenue N.V. New Brighton, Minnesota 55112 Re: 1561 Rice Creek Road e/ Gentlemen: After making a final inspection at the above captioned address. on August 5, 1975, the following correction must be made: 1. Put running boards under Romax Cables in garage. Please take care of this matter as soon as possible. Yours very truly, I$ONARD EICHMII&ER—. Electrical Inspector LE/cs 560.3450 cit Of lyrdlT ANOKA COUNTY 6437 UNIVERSITY AVENUE NE October,6, 1975 FRI LEY, MINNESOTA 55432 LE/mh m CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 November 23, 1993 Mohamed and Fathia Mohamed 1561 Rice Creek Road N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 1561 Rice Creek Road Dear Mr. and Mrs. Mohamed: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 1561 Rice Creek Road revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Discontinue outside storage of water heater located at the curbside. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about December 1, 1993, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls CE -93-578 SUBJECT PERMIT NO. City ®f Fridley AT THE TOP OF THE TWINS BUILDING E R M I T C/ qqdn6 RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By J 612-571-3450 910-F15 4/7/94 JOB ADDRESS 1561 Rice Creek Road NE LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED 1 LEGAL DESCR. 8 3 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fayez Mohamed 1561 Rice Creek Road NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mastercraft Construction Inc 4601 E724-3755 A?85 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE 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 Fire restoration - no structural damage 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in the basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS 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 $42,000 $21.00 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- $362.50 Fire SC $42.00 OR THE FEPFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE _U14 License SC $5.00 $430.50 W EN PLY VALIDATED THIS IS YOUR PERMIT SIGNATURE OFC CKTRACTOR OR AUTHORIZED AGENT (DATEI BLDG'INSP ryATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ]. SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application. Construction Address Q5'(/— T/Ce. c ee4- c/ . 0 Legal Description: Effective 1/1/9.4 Owner Name & Address: /P' /f rE Z. &I a t+ 141 Tel. # Contractor: If ° 49 e A- 0& 0�- r MN LICENSE # 4P Address: `� f 5- e 0 IL q 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Gro/und _ _ OTHER: /2e 0- f c-4uio Corner Lot [ ] Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: 9,;®4 e, f b-tt, Estimated Cost: $ Approx. Completion Date: '•` / '� (Cost on Back) Sq. Ft. Sq. Ft. Sq. Ft. Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ DATE: 3 " 3 l ' 9 N APPLICANT: `/�h��� ea c� Tel. # d Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY $ Fee Schedule on Reverse Side $ , . 00 .001 of Permit Valuation (1/10th%) $ e $.50/$1,000 Valuation $ $800 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary [ ] STIPULATIONS:A m .p; " GLS G�c.A-7,� M-4-111 4--17f-elw e CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE j Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT V 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 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 Water Heater — Gas Gas Range NO. Gas Dryer _ Back Flow Preventer Required ( )Yes () No Type _ RATE $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 TOTAL JOB ADDRESS / re-' / j�/ �G G� ��� %� R1) The undersigned hereby makes application for a perm it for the work herein 0 , 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. Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ '� 199 Owner ��j/�/� /I d �/ 40 A 0 � n Building Used As a� Estimated Cost _L PERMIT NO. PLUMBING COMPANY A01 Z//?_A _/ /o/le A IV' ✓'3 %/I< SIGNED BY TEL N0. ?.2 L4Approved By 1' Rough—In Date Final Date qy' MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PER City of Fridley 24336 AT THE TOP OF THE TWINS BUILDING PERMIT f 1 1 �ECEIPT N -------COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC. r 1 � i '3p "1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/9/96 JOB ADDRESS 1561 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 3 1 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Gruebulz 1561 Rice Creek Road NE 586-0816 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS I GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,310 $1.16 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- $74.75 Fire SC $2.31 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $78.22 SiGyJ1SURE OF CON TRACTOR OR AUT ZED AGENT (DATE] �A EN PROPERLY VA ATED THIS IS YOUR PERMIT /DG ' ,I SIGNATURE OF OWNER of OWNER BU�LDE R� IDATEI B iN P GATE NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: r� :, q j2 /r C Legal Description: ry r--7 . 9 , Z.� Owner Name & Address: v �, 1 ]� ?-�. Tel. # s- to o Contractor: 113' by 1) MN LICENSE # Address: �— Z., 1 R ; L — �- C I- Tel. # s— �- L a , Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft.. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: $ Driveway Escrow $ Erosion Control Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Park Fee Type of Construction: Estimated Cost: $ c;,,?/6 Approx. Completion Date: (Cost on Back) Driveway 1Curb Cut Width Needed: Ft. + 6 Ft = DATE: `2 ( 9 f It & APPLICANT: Permit Fee $ 74/' 17. - Fire Surcharge $ j State Surcharge ' $ /. 16v SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 0. STIPULATIONS: Ft x $ CITY USE ONLY Fee Schedule on Reverse Side IN -1 .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] GiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 - (612) 571-3450 • FAX (612) 571-1287 September 23, 1996 Donald Gruebulz 1561 Rice Creek Road N.E. Fridley, MN 55432 Dear Mr. Gruebulz: Thank you for having Barry Riesch and myself at your property on Wednesday, September 18, 1996. Enclosed is the copy of the Certificate of Survey which was approved when the home was constructed in 1974. Please prepare a site plan showing the proposed location of the carport, its dimensions, and its distance from the Rice Creek Road and Squire Drive lot lines. Please note that you house is 35.5 feet from the Rice Creek Road .property line and 47 feet from the Squire Drive property line. have checked our records and have determined that there is a 7-1/2 foot boulevard along Squire Drive between the curb and the property line. Because Squire Drive is considered the front yard, there is a 35 foot setback from it and a 17.5 foot setback from Rice Creek Road. These are the setbacks from which you will need a variance. I have also enclosed a brochure about our 5% Doan program. I encourage you to evaluate adding onto your garage to accommodate the collectors cars that you would like to store on your property. While I understand that you are concerned about the view from your neighbor to the north, a garage addition would maintain the same building lines as the existing structure, whereas a carport in the corner of the property may seem out of place. Despite your decision, however, you will need to obtain a variance. Please let myself, Michele McPherson, or Scott Hickok know about your intent for your application, and let us know if we can help you in any way. My phone number is 572-3590; Michele's is 572- 3593; and Scott's is 572-3599. Sincerely, Barbara Dacy, AICP Community Development Director BD/dw C-96-207 CITY OF FRIDLEY INSPECTION DIVISION 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 AJnew fur ace) � Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (UST ON BACK 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $10.00 $10.00 $10.00 $ 25.00 State Surcharge TOTAL FEE Effective On January 1, 1998 JOB ADDRESS I S Lo I et C,2_ &f e - The undersigned hereby makes application for a permit for the work herein 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 $ representations stated in this application are true and correct. t ctgq .� —3 ,' $ $ .50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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. OWNER L—)o Vl- BUILDING USED AS____i JA rCJ G ESTIMATED COST �7J b b • lD PERMIT NO. 3 9 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 Burner Trade Name Size No. BTU HP EDR BLAJNE WG- AC ELECT., INC. 13562 CENTRAL AVE. N °E• HEATINMP Y ANO , MN 55304 Signed 11 el No, 115 1— Lo Z 0 0 Approved By Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAINE HJTG. A C ELECT., INC. 93552 CENTRAL AVE. N.E. CHDJNEY 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: %} D1 re c�iyt- List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAINE HJTG. A C ELECT., INC. 93552 CENTRAL AVE. N.E. CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES V'� JOB ADDRESS � CQ R i r � ,� k ���� RATE SCHEDULE Residential Rate TOTAL OWNER Furnace Shell and Duct Work, Burner - 00 BUILDING USED AS_ VA CSl°1Pe t Also Replacement Furnace $ 30.00 $� (Side Vent - Fill Out Back) ESTIMATED COST PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ - Gas Range but not replacement) $ 10.00 DESCRIPTION OF FURNACE AND OR BURNER "1 No. of Heating Units� Circle One (Steam) (Hot Water) arm Air Gas Dryer $ 10.00 $ Trade Name �� Size No. �a BTU '10 000 HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel cqi7n Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE $ So representations stated in this application are true and correct. DATE on MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 inc I PLUS THE $.50 STATE SURCHARGESigned TEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough-In Date4���FinalDate written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes `/y No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Ye&)K No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes�j No When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace �, Venting Tables for fan assisted and natural draft appliances. Yeses No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input 67 Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type � � Vent Height _ Diameter inches Appliance #1 Vent Connector Height pp g Length ft Diameter i Type Appliance #2 Vent Connector Height,%�ft Length �ft Diameter rn Type��c5$C— Appliance #3 Vent Connector Height ft Length ft Diameter in Type MA HEATING CO:�� Signed By: Date : - �"��� CITY OF FRIDLEY PERMIT NO1� ,2004-01634 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/23/2004 5 -/Z -36U4 FAIN: 17631 ADDRESS : 1561 RICE CREEK RD NE PIN : 133024410053 LEGAL DESC : HARRIS LAKE ESTATES : LOT 8 BLOCK 3 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : DECK VALUATION : $ 8,509.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 12'X 16' DECK. STATE LICENSED CONTRACTOR 1 APPLICANT PATIO ENCLOSURES INC (1676) 2123 OLD HWY 8 NEW BRIGHTON, MN 55112 OWNER GRUEBELE DONALD R & KATHLEEN A 1561 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 wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law re la t con tion or the performance of construction. Applicant Date � Bldg Ins Date j l� BUILDING PERMIT FEE 167.25 PLAN CHECK FEE 108.71 FIRE SURCHARGE 8.50 STATE SURCHARGE, VALUE 4.25 LICENSE SURCHARGE 5.00 TOTAL 293.71 PAID WITH CHECK # 5793 SEPARATE PERMITSREOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NOV-04-1999 11:05 FROM CITY OF FRIDLEY TO 6516312521 P.01i02 NEW[ ) Effective 5/10/99 .5 108 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 C4 3 V BUILDING PERMIT APPLICATION Construction Address: to 1 L e- Cf cep. ® � Legal Description: Owner Name & Address: _6-ju w- i e- Tel. # Contract Address: LIVING AREA: GARAGE AREA: DECK AREA: mkm— MN LICENSE # Tel. # )f the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF M1 PROMIENT Length Width Height Length Width Height Length l 'Width l �e Hgt/Ground L 1- ` Sq. Ft. Sq. Ft. Sq. Ft. qc'-), 1 Construction Type:�® ' lop Estimated Cost: $ 0 ®®� ®G9 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $, DATE: 0k13 APPLICANT:Ug-ATel. j 0 - CITY USE ONLY Permit Fee $ tca. 0� Fire Surcharge $ State Surcharge $ e -a mrgPAN �a*` License Surcharge $ Driveway Escrow $ Erosion Control $ 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 Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ] TOTAL STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 S PERMIT NO.: 2004-01709 DATE ISSUED: 10/05/2004 ADDRESS : 1561 RICE CREEK RD NE PIN : 133024410053 LEGAL DESC : HARRIS LAKE ESTATES : LOT 8 BLOCK 3 PERMIT TYPE : ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL TWO CIRCUITS. # 0-100 AMP CIRCUITS 2 SUPERIOR HEATING AC & ELECTRIC 2132 2 AVE N ANOKA, MN 55303 (763)422-1721 1 AEIL GRUEBELE DONALD R & KATHLEEN A 1561 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 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 In Date STATE SURCHARGE, ELEC FLAT 0.50 ELEC CIRCUIT FEE (0-100 AMPS) 40.00 TOTAL 40.50 PAID WITH CHECK # 1396 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1% U U -X A. CITY OF FRIDLEY PERMIT NO.: 2004-02083 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/17/2004 572-36U4 FAA: (763) 571-1251 ADDRESS : 1561 RICE CREEK RD NE PIN : 133024410053 LEGAL DESC : HARRIS LAKE ESTATES LOT 8 BLOCK 3 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS 2 APPLICANT WALLRAFF ELECTRIC CO. 674 MC CALLUM DR. NEW BRIGHTON, MN 55112 (651)636-8515 OWNER GRUEBELE DONALD R & KATHLEEN A 1561 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 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 STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 40.00 TOTAL 40.50 PAID WITH CHECK # 13123 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY PERMIT NO.: 2004-02012 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/26/2005 5'/L -36U4 VAX: ("/63)5"/1-1287 ADDRESS 1561 RICE CREEK RD NE PIN 133024410053 LEGAL DESC HARRIS LAKE ESTATES LOT 8 BLOCK 3 PERMIT TYPE FEE ADJUSTMENT PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION : $ 2,127.00 NOTE: THIS IS AN ADDITIONAL AMOUNT TO BUILDING PERMIT #2004-01634 ISSUED 9/23/04. THE GRUEBELES DECIDED TO MAKE THE PORCH AN ADDITIONAL 4 FEET WIDE MAKING THE TOTAL OF 12' X 2U AND THIS PERMIT COLLECT THE DIFFERENCE WHICH IS $49.26 IN FEES AND AN ADDITIONAL $2127.00 IN VALUE. APPLICANT PATIO ENCLOSURES INC (1676) 2123 OLD HWY 8 NEW BRIGHTON, MN 55112 OWNER GRUEBELE DONALD R & KATHLEEN A 1561 RICE CREEK RD NE FRIDLEY, MN 55432 BUILDING PERMIT FEE 28.00 PLAN CHECK FEE 18.20 FIRE SURCHARGE 2.04 STATE SURCHARGE, OTHER 1.02 TOTAL 49.26 PAID WITH CHECK # 5889 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 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.