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PRE 2010 DOCSCity of Fridley SUBJECT P � 13297 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. L r , PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE ^ PAGE OF APPROVED BY 612-560-3450 910-F15 11/3/75 JOB ADDRESS 1580 Rice Creek Road N.E. 1 LEGAL LOT NO. BLOCK TRA CT OR ADDITION SEE ATTACHED DESCR. 1 1 Rice Creek Estates SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Pinetree Builders, Inc. 8535 Central Avenue N.E., Mpls. 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 X 8 DESCRIBE WORK 24' Construct a Al' x 24' & 26' Dwelling and a 24' x 24' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a hard surface driveway.. Provide a verifying sxnvey before capping. Provide sod in the front and side yards. —1 LOCATION: ' Wye 153' West of Manhole on BenjamAWTIFY THE FRIDLEY ENGR. SEPRAT&AMMIWIREOQUIRED FOR WOVG. DIVISION REGARDING CURB TM �JAr •�� , " REMOVAL AND REPLACEMENT 9 ov a on Bn ..,. 903.66 AT DRIVEWAY OPENINGS, WATER STOP 'BOX: 141.3' West of MOW Before digging call local utilities TELEPHONE - ELECTRIC • GAS Etc. REQUIRED BY LW 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 1148 13,776 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 $31,200 15.60 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- STRUC ION OR THE PERFORMANCE OF CONSTRUCTION. $41.82 $325.00 PLAN CHECK FEE TOTALFEE 1 2&7 382.42 SIGNATURE OFCONTRACTOR OR AUTHORIZED AGENT (DATE)- WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG. INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) a ,70 RATION, -APPLICATION FOR RL'SI'DL'NTIAL., ALTE OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NMIE : Ar Vn V,_� BUILDER : . ADDRESS: L A -u v ADDRESS : /%p d' LS V 3 t4 NO:. S �C STREET. IAT: BLOCK: _ -- - ADDITION: CORNER LOT: INSIDE LOT: V SETBACK: - SIDEYARD: Applicant attacl- to this foray Zteo Certificates. )f Survey.of Lot and.proposed building location drawn.on these Certificates. DESCRIPTION OF BUILDING To Be Used As: i uct Front:-- Depth: A q" '4 7 P Height: Square Feet: Cubic.Feet: Front:' Depth:. Height: Square Feet; 1160 Cubic Feet: Type of Construction: t,eJ 000- Ff! 441 C Estimated Cost: a 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 represent s stated in this application are 'true and correct. • DiATE: SIGNATURE:��% (See Reverse Side For Additional Information.)' • TNC MA CY 00 10 U. F �o n _ 0 03 -�� otIh 'h fpc)tll MOO Z Xfoil � -L t 'k g h OLLS z nz II � 08 �i �.� u::a �..:.:. };' k ... s. .«.:� L �.. .a::, 4.•........a �r.D ...a....,y� 'na. •4✓..+.. >.D 47 ii ..:v.. c. w.ro.., .'iy r�GJn{ y7.4uva.iAW'+b oJJ.ia tifi�iti�YtYa"ii 4tdJ'ti:bVS.+"J 4isV:a-0 PARTIAL PLATE SCI MDULE GRAVITY W'J.ziW 111I'r2: 1,1173 TOSS LL. }; =zce She:l & Dam' Work ... ... ..... .. $10.03 � Replacement of F1:risart 6.00 � Repai-s & Alterations ---up to $.500.00 6.00 $ Repairs & Alterations each add. 1500.00 300 UECEL WAMM tai Futrnace Shell €a Duct Work to 130,000 BTU ecth add. 60.01 BTU . ......... '-7r,lacen ent of rurnace Sc Alterztions—up to $500.00 :i_; al7s & Alterations each acrd. $500.00 STEkY± or Nt3 T WA.' MR ZY2T1_—w Dopt. of DUC-3. $hccw City of F,t:dley: 1-1 aeel le� The undersigned hereby 'makes application for a permit for the work herein- ipecified. ' agreeing to do all work in strict accordance with the City 0rdinaneer' and ruling of the Depastmcnt of Buildir:.�s, and hereby decla:ez that an tie fact and representations stated in this application are true and correct. .$1003 . 3.W $ Owner 6.00 Kind of 6.00 $ Used: as UO Furnace Shell & Lines—to 400 sq. tt. MR Steam $10.00 $ Furnace Shell etc Line --to 640 sq. ft. EDR Hot Water 10.00 $, Each add 204 sq. ft. Ella Steam .xml $ Each add. 320 sq. ft. EDR Hot Water 3.00. $ OIL BURNMR-to 3 gal. per hcur 6.00 $. over 3 gal. per hour—See Fee Schedule GAS BU: KEfi (up to Uss1,3J BTU) b.f,3 3 overIc`rv,C 0 BTU bas Foo sch~ dula TN GAS FITTING FZX5: N10 RATE TOTAL 1st 3 nxtures x$ 1.00 S Additional Fixtures x .75 Gas Range to IM,,,,= 5.0& $ — AM C0:T'1:)z1.:11C1N11.G FAUX iia a'=1z S 0 i'""._a.f ' � r..: is �": Co G I`.T=- PLT iaYO2.13 & IRE*r'AIM /-l3-7"_ State Surcharge pp .50 R+ TO-4 ZL FIS To be completed about EstimateCost $ zx- Cl ew Building Permit No. Pormit No. HMUTING or POWER PL.11aMS--Stearn, Not Water, Warm .Sir—No Trade Name Size Nor -w- ! fte' Capacity.--_._ . — Sq. Ft. EZ.R BTU ® X.P Total Connected Load FJffi of fila 13URNi:,1i — Tri Name Sisrs No Capacity so.. yt PIZ R B'�gI is MARUs--ovsal Suburban Air ConditioWhg Ca 5419 Center ®rive Minneapolis, MinneWW rah � 922 go City e4 fridloy #A Apple tian far PIUM11119 CI'd GM, FIV ;S' PO Dept. of Bldgs. phone SM -3450 - DESCRIPTION OF WOM0. l.ota %� j 0 // Q Numb-cr: Kind aced Locreon of Fixtures ■ gz lu r � 01 j 7 ,$J , W 7 0 �N Z 7 4 2 • r 0 w ",.,TER HTR. cis uEC No, 1 J Base lit 2rd 3rd • Futvsa Caaasoc:S: a C-'%Qnin,TS t Marr Fixture. Old Oppozangs Cctzp'ool City of Fridley:. The undersigned hereby makes application for a permit for the work herel 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 representations stated in this application are true and correct' Fridley, Minn T . lg-�•-% S Owner Kind of Building Used as - - - — --- —' — To be completed about a °- PARTIAL. RATE SCHEDULE Fstiinated Cost, $ Old --New. Building Permit No. NI -r" SLUM. RING FIXTURE RATES: NO. RATE TOTAL Number FiXtureS r • . e • o . • .. • • ... • x $2.00• $ ^ 0 U Future Fixture Opening • • ......... x $1.50 s -• BYE �` C �' c�� '� � . -New Fixture Old Opening......... • x S1.50 ate.__ o . Busins�ss Phune Noe...�..,. Catch Bash • e . • • • e • • • • • r • • • • • • x $3.25 $ Water heater !L'p to 95,000 BTUs.... x $3.00 $ �> - ROUGH New Ground Run Old Bldg....:.... " $.3.25 $_---------- Eloctric Water Heater.a $2.00 $— GAS FITTMG FEES: NO. RATE TOTAL � 1st3Fixtures .....••••••••••�•• --�--x$2.00 i-- ==-=-- Additional Fixtures ............... x $ .75 S Gas Range to 199.000 BTU ....... x $5.00 $ ?."MRS & ALTERATIONS- Rafor 4o Code .50 Stats Surcharge TOTAL FEE 3 S a S d,L�vwHFi } F�`W. x 6431 UNIVERSITY AVENUE M.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 August 17, 1976 Mr. Ed Dropps Pine Tree Builders, Inc. 8535 Central Avenue Minneapolis, Mn. 55434 Re: Final Inspection at 1580 Rice Creek Road N.E. Dear Mr. Dropps: A final inspection was made on August 13, 1976 of the above address. The following items were rooted and must be completed before the construction can be finaled out; 1. Install house numbers by August 27, 1976. 2. Install sodin the front and side yards by September 22, 1976. 3. Submit a verifying survey by August 27, 1976. If any.problems arise that will prevent you from completing these items by the appointed dates, please contact us. Reinspections will be conducted on or about the appointed dates to determine compliance. Sincerely, �"'? �` RON HOLDEN Building Inspection Officer RH/mh • KO. RATE TOTAL U.Of � !G .. • ' 53—S4-9915051 Number Fixturessees ••••••••••••'• — . • . �arlic:�rfia� , ut�r �'lu�r� WC3 G m 0 21s PCrin ' ... . . $—.»-- • Dopt. of Bldga, Phono 5.�J•3SS0 . DESCRIPTIOIT 0: V101tl: Lo:.mt: 1580 icice creek Road ?iuz:tS.:. Y.isd s_nd L."r.ion of Fixtures x .3.00 eeater'UP S - • New Ground Run Old Bldg.:.. :.. • • e x .3.2 5 City of Fridley'. s �' ' t 7 � . z $ � mis � _ � r� 1 i . e � • V 2 100.1 C $ r 7 7 " ► k W,irs NYS. . • ass nrG3 Me undersigned hereby makes applScacion for a permit for the—work 9 acco:da.^.ct with the Citr O:+d:r M 5' � g a � : o (� � < 3 s u o . Iu $ x specified, a� ccing to do all work laa�triet A hereby declares that a:I trh( Es:r I on ec ra s 2 rd 3:d _--. N - CC s HAW i'lutu". Old G-rsrir:ss PARTIAL RATE SCHEDULE and ruling of the Departr:.e::t of UU11 .ate. an • and represertzticns stated 12 this appJcauoo are true and coned* , i SUBJECT PER City of Fridley 18932 AT THE TOP OF THE TWINS BUILDING PERMIT R COMMUNITY DEVELOPMENT DIV.( r PROTECTIVE INSPECTION SEC. '+9 �1 Cy i ; CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J` 612-571-3450 910-F15 5/7/87 JOB ADDRESS 1580 Rice Creek Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Rice Creek. Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barbara Hansen 1580 Rice Creek. Road N.E. 571-•8019 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Glen SAmuelson (NOT LI:CENS.ED IN FRIDLEY) 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 6 DESCRIBE WORK Construct a 12 x 16 (192 sf k Deck —t- �1_b Orz 5g. oar 9 CHANGE OF USE FROM TO STIPULATIONS WARNNG Betar digging call utilities .local TELEPHONE ELECTRIC a GAS Etc, REQUIRED By LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $1,500 $.75 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 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $ 6.25 $32.00 SIGNATURE OF CONTRACTOR OR AUT O IZEDAGENT (DATE) ►^ W N PROP LY I T THIS IS YOUR PERMIT p IGNATUREO NERIIF B L I IDATEI BLDG INSP DATE NEW [ ] ADDN. [ 7 ALTER. [ ] City of Fridley Effective 4/1/86 R-1 AND R-2 • Building Permit Application Construction Addr, Legal Description: w / Owner N6me & Address: S Tel. Contractor: l -�.(l �J PQM l A C,�—SD's bbl f15I- A � Tel . # 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 Width Width Hgt/Ground Sq. Ft. �! OTHER: 1C(L14`'q (-- � , 6% 0 e6 V Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setbac Type of Construction: Estimated Cost: $ d Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Tel. 4 Fee Schedule on Reverse Side 25% of Building Permit Fee $•50/$1,000 Valuation $525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] v '5-6 c. 10 �®.6 s J3�- i CERTIFICATE OF SURVEY FOR: ` Pine Tree Builders, Inc. N RICE CREEK ROAD 0 25.02 1S-, Fouhdntion (1 N .19 r 6 4fO - kat _ Denotes iron monument Drainage_ Easement a•"; i _ Description: Lot 1, Block 1, RICE CRFEK ESTATES, Anoka County, Minnesota Rev tsed 12 -1-Z5 To Show /' Founda-tion Irl- 1Qco 7' own & Country I hereby certify that this is a true and correct representation of a survey of Joh Nn. the boundaries of the above described land and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. 25-1 urvec�or� Book - P,ige Land Surveying • Site Planning As surveyed by me this _—_1t12day of Civil Engineering 8816 70th Av. N. it 94 at Boone Av N.1—T--- y--� �-••------- 1- - �-�'Q=--------- - Scale Brooklyn Park, MN 55428 Phone 533 7340 Minn. Rey. No. _1L444_____-__ 1" = 40 SUBJECT P RMIT N . City ®f Fridley 21817 AT THE TOP OF THE TWINS BUILDING PERMIT r i R � ` COMMUNITY DEVELOPMENT DIV. 1 v SEC. /3,9 3 r PROTECTIVE INSPECTION NUMBER REV DATE PAGE OF APPROVED BY 1 CITY HALL FRIDLEY 55432 "'J 612-571-3450 910-F15 4/28/93 JOB ADDRESS 1580 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 Rice Creek. Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeanne Fisher 1580 Rice Creek Road NE 571-2753 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Rome Inprovement Inc. 7401 Central Ave NE, Fridley 55432 784-7543 4840 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 Ek REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (15 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can he the 2nd layer but not the 3rd. 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 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 $79.5 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2.�-qQO �'�-;re�i' $. 79 STRUCTIO THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License 5'C $5.0.0 $2.7,24 . IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI HE R RLY V IDA D THIS IS YOUR PERMIT jG INSP DATE `�� SIGNATURE OF OWNER IIF OWNER BUILDERI IDAI NEW [ ] Effective 3/1192 ADDN (] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: l3-�ra helt� 15elne"�- Ah� Legal Description: Owner Name & Address: cru --A ilk �-jAm Tel. # Contractor: D & D Home Improvement, Inc MN LICENSE # 4840 Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: jig�r/r�� stimated Cost: $ 7,7 Approx. Completion Date: 1S�— A5 .3pW--! (COST on BACJC) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $ 2� TOTAL $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] l 01 SUBJECT-.. P City of Fridley 0 2 8 920 AT THE TOP OF THE TWINS BUILDING PERIVCIT r R ` ------ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. O r E PROTECTIVE 1 • � NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 -__•�,�r��t;•� L 612-571-3450 OW415 2/17/99 JOB ADDRESS 1580 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 1 Rice Creek Estates SHEET 2 PROPERTY OWNER MAIL A,ODRESS ZIP PHONE Jeanine Fischer 1580 Rice Creek Rd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D & B Home Improvements 4901 105 Ln, Circle Pines, MN 55014 784-2922 7773 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 Q ADDITION ❑ ALTERATION JD REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage (18 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 SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS IGARAGES 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, 542 $.77 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI 0 VIOLATE OR CANCEL THE PERMIT FEE SACC RGE PROVISIONS OF ANY OTHER ST L CAL LAW REGULATING CON. 51.25 $PLAN F SC $1.54 STRUCTION ORT%ERFORMI TRUCTION CHECK FEE T T L FEE .' Lice C $5. $58.56 SIG A Ro, �J HE PR D,THISFOUR PERMIT01 4 S,GNATURE OF OVVNER,IF OWNER BUILDER, (DATE, a 8 DG INS FTATE l 01 17Z M11TA ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION qq�� ConstructionAddress: ��0 Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: I I Tel. # LICENSE # _,7�-.� _ ® Tel. # �� Attach to this application, a Certificate of Survey of the SO / 9( lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Widths Hgt/Ground L Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: f `R 4"le Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR Idb'WER PLANTS AND HEATING, COWLING. VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential- - Furnace Shell and Duct Work, Burner . Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with neva furnace, not replacement) Gas Range T Gas Dryer *Air Conditioning • All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% o(Value of Appliance or Work .ommercial/Indus trial 1.251% of Value of Appliance or Work Rate $ 30.00' $10.00 $ 10.00' $ 10,00' $ 25.00 State Surcharge TOTAL FEE tEINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without mitten permission from adjoining property owner. Effective On January 1, 2002' JOB ADDRESSZ-5 0/Le � _ VIC OWNER JAmeL :V-69la-44irr - TOTAL _ -- BUILDING USED AS tG1>�L.INg- ESTIMATED COST PERMIT NO, '115 � DESCRIPTION OF FURNACE ANO O,��NER ---__ - $ No. of Heating Units_ Circle 0 (Steam) of Water ar ( (H ) rn Ai $ Trade N me.- Size NoIJ& Vk - • Z -f. eTU v HP EDR SOa Fuel Total Connected Load Burner Trade Name Size No. $ BTU _HP EDR N�i/Ot A - le _3 ";.q aZ -Iv v $ 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 $ .50 rulings of the Building Division, and hereby declares that ail the facts and representations stated in this application are hue and correct. DATE HEATING CO ,//a y! Signed TEL # FAX # ' Approved By Rough -in Date` Final Date � �� 16A Building $35.50. PLUMBING Permit NoA1q qV0 91 Inspections ____. BATH SINK/LAV RESIDEN'T'IAL APPLICAT10N Received By: � 763-572-3604 BATHTUB _ GAS PIPING (NEED CITY LIC) —SWIMMING POOL � WATER SOFTNER ($ _ CITY OF FRIDLEY 201 763-502-4977 FAX BACKFLOW PREV.($I ) —DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION EFFECTIVE 2-19-09 DATE 03/12/10 YOUR E-MAIL ADDRESS wnelson a@larsonplumbing.com SITE ADDRESS 1580 Rice Creek Rd NE THIS APPLICANT IS: ❑ OWNER NCONTRACTOR PROPERTY NAME: Krlstyn lvy TENAN J TENANT ADDRESS: 80 Rice reek Rd NE CITY_ Fridley sTATEMN ZIP 55432 _ — PHONE: 763-571-9375 CONTRACTOR NAME: Larson Plumbing Inc SUBMIT A COPY OF YOUR STATE STATE LICENSE # 58757-0341) EXP DATE LICENSE, BOND AND STATE BOND # EXPDATE CERTIFICATE OF ADDRESS: 3095162nd Lane NW CITY Andover STATE MN ZIP 55304 INSURANCE PHONE 763-427-7680 FAX 763-427-9448 PERMIT TYPE IN SINGLE FAMILY ❑ TWO FAMILY 11 TOWNHOUSE TYPE OF WORK: d NEW 9 REPLACEMENT DETAILED DESCRIPTION OF WORK Replace Water Heater FEES ARE BASED ON $ €0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. ____. BATH SINK/LAV FLOOR DRAINS — SHOWER WATER PIPING BATHTUB _ GAS PIPING (NEED CITY LIC) —SWIMMING POOL � WATER SOFTNER ($ _ _CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV.($I ) —DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER _OTHER 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 1 understand this is not a permit but only an app)icolon for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the a of all wor hick uires review and approval of plans, SIGNATURE OF APPLICAN PRINT NAME Amy Arvldson DATE 03/12/10 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977