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PRE 2010 DOCSNumber Fixtures r, x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU % x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fittin Fees: 1st 3 Fixtures x $2.00 -2-et) Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Code State Surcharge .50 TOTAL FEE $ The undersigned hereby makes application for a permit for the work herein specifiedo agreeing to do all work in strict accordance with the City Ordinances and rulinj of the Department of Buildings, and hereby declare that all the facts and representations stated in this appRlicat,ion are true and correct. 53 -8h -S-915.51 ( 3 Number Fixtures x $2.00® Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Basin x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees.* lst 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU 1 x $5.00 5.00 Repairs & Alterations See Description: Code State Surcharge mass -- 'Surcharge .500 .50 TOM FEE $ 5.50 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and rulinj of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. oe r PI'Signat re 0V'MWGA�" �` Date Z - 2 City of Fridley242'7 SUBJECT r?l AT THE TOP OF THE TWINS PERMI t i BUILDING RECEIPT NO. COMMUNITYDEVELOPMENT DIV. INSPECTION �� r PROTECTIVE SEC. 1 = � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 1/25/74 JOB ADDRESS 1581 Rice Creek Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 37 Z 1 Harris Lake Estates SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE The Rottlund Company, Incorporated 4220 Central Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK IX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 261 x 401 & 41' Dwelling and a 24' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a verifying survey before capping. Provide a hard surface driveway. Provide two fire alarms where indicated on the plans. Locate water stopbox on the southwest corner property line of lot. SEWER LOCATION: 258' East of Manhole (E. Inv. 892.75) Wye Elevation: 900.39 Top of Footing: 904.00 Minimum WATER LOCATION: 10' West of sewer service. (If stopbox is located to the west of the west property line, relocate it so its east of the west line.) SEPERATE PERMITS REQUIRED FOR WIRING$ SEPARATE PERMITS ARE REQUIRED FOR L CTRICAL, PLUMBING, HEATING, T C OCCUPANCY GROUP OCCUPANCY LOAD 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 1066+914 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 30,252 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $28,574 14.29 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 LAWOrEGULATING CON- STR OR THE PE RMANCE O ONSTRUC N. 56.00 300.00 PLAN CHECK FEE TOTAL FEE _3 $370.29 S ATURE UF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT /- - 7� 4, SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) BLDG. INSP DATE APPLICATION FOR RESIDENTIALa ALTERATION, V CITY OF FRIDLEYo MINNESOTA OWNWO ADDRESS -. q2- 7 o /'11,, .4 ., Al.',& PMESS .9 !/0 7-0 def__e&1& ZA 4� ES COM= LOT: SETBACKs T,%— SIDEY4 RD- 36- a=ach to CM -a f=4 5bo Certificates of Svof Lot and proponed tzA442M Jv"tion d=m ma t4mmoe Certificates, DESCRIPTION OF BUILDING lub Be u0Q4 m. I a4u 1p 4.4 Vth cubla rqeq:,Vl 7,1. 71 Depth, Z4' Height. Rqua'XIA -Feet,$ Cubic Feet9q Rva 09 couotruc(Acuas i='v A m e Estimted cost: Is—do - up Z�Q amp�ftdq -J-v A02 9 -2 C =d=@ JSned he=by =4e,% &MX:&ca?,1vm fog. a pe=it f ow the wovk herein a$zealng -go domXt ups In mt�ict accordance with the City of jpf Oa Dapmvtend (?f Eutldinzav =4 hereby 611sW � all the to uVresentationo ted tbl apTcation aua 9=0 =4 540 U A, eo . (OGG Revwoe We ra:� 4dag"a X InfowRatim?) �77 P _0 40 Irl -r Id C -tT - o tS-4 APPLICATION FOR RESIDENTIAL, ALTERATIONN OR ADDITION BUILDINQ PERMIT" CITY OF FRIDLEY, MINNESOTA ADDRESS: 5Z2- 2 o ad&;*kA-( A&r.. Ar,& ADMESS: V-7 7-o4-= Al A Azi, '404 ST RWi t d WT; 30 :2 IONI 7A di/4 y ZA lee- OMMM LOT; XMIME LOT; ETBACK; SIDEYARD: + ®v Antiomt attach to thU fom_&o Certificates of Suing X of Lot and propoved UdIding jocation dr wn 471 these Certificates, DESCRIPTION OF BUILDING '* . TO Be timed As S 0/a SCAA;l y Ww o -e- yw*w"— t& Depth Height: rfr! h. square Feet; Cubic-, Foet-;_ F q - I ) v A tf. Frouto.Depth, 2-:g — z + f i'" �4 square Feet -Z-4- Cubic Feet,-_ Cost: $ EstimatedCo TYPO Of C0A4t=Cti'On4 � 4X4 To as "Jotedl -J—V Aee 12,-71 The uWarpigned hereby m*es application for. a perMit for the wprk herein #paalftod, agreeing to do all work in stttct accordance with the CAty of Mdley 07WUmmcem 4a4 TuUpas pf Oe Department pf Bui;43.W, SrA hereby dealar" t*lt all the Ifacts and representationsvAatedii " l- tbiq appItication A, e( aws true av4 correct, /4 --.7U STMATURE: Z(' ov- �' (oft Raverve spe For odmatua infortqation.,) 106/ 'oo C 4 1W S bo w k a ''?". �. , .. P i.• t � i �7t�1 #�e4 �' �m �'',�q� ��t ` i _ -jg' • ' .. ,. x K'`•-y �''" b� ,x } �� ; � fir' givekvdwlmd.p,�pp [�♦ qqe� �F.1}� .q� N' �tY3Y i'd'Y Y'1 S'Y31iY M��S qN{ 1 440 oulsfineorm -surveyors iQ� .#eb�� ' • D;f�p 6�'�a:.: BYi€sa�*:v:`s'' pk l, D. � • r G =: ; a a - ELM. v . l 1q 2eGIA-41D Gino Q(&$4 0; . D f �4-11 RlC CREEKROM Al.: r 5 L -37, Al BLOCK 4 k 777 •J f t r F b bore V:4c rt, At 6 Ohio Is v gra 0' and, t'oan�"' �.Wlo6 Y ti d S rsc�' . 4od, old A&X 0tdotn of-601 .building%, SiR ,k�i $ ,,� .., 6� .AfT Ina m1 rte$. �' W 4f��<Y y�Rl�ry�'�NF AY� ��Y M { ... � ... •.R w. � 'h, o^' 'm" L f Y .�1 � ^ L 06 b 16 rf S7-er IS Z6�3e--/1779c-, 7";7 17- Sc� �-ams i Pr e �icaf�All �' PDWer Piwh andCoaling, Ventilation. R iNn . a !+U® Air Cendltioning Sydem and Devica PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ................ .. $10.00 ; Replacement of Furnace .. ..... ........ .. 6.00 >� Repairs & Alterations—up to $800.00 6.00 $` Repairs & Alterations each add. $500.00 3.00 $—_ MECif. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 C"090 -- f 090each each add. 60,000 BTU .................... .. 3.00 i Replacement of Furnace .. .... 8.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $800.00 .... .. .... 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 9.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour &00 $ over 3 gal, per hour ---See Fee Schedule OAS R (up to 199,000 BTI) ... . 8.00 $--So ®® over 199,000 BTU See Fee Schedule GAS FITTING NO RATE TOTAL 1st 3 Fixtures x$ 100 Additional Fixtures x .78 $ Gas Range to 199,000E a= AIR CO>SDITiOMMG FAN HEATING SYSTEM See Fee Schedule TING SYSTEM FIM ALTERATIONS !& REPAIRS TOTAL ROUGR (SURCHARGE $—.50) Dept. of BMdgL Phom 980-3480 ,.r In I / City of Fridley: The undersigned hereby makes application for a permit for the work :hereir specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and /e Fridley. Mian- - e 1t a 2'' 1;iLTAPy! %fl'A E LW/,/il,k Kind of Building Used as To be completed about Estimated Cost, $____ __-� OI New. uilding Permit No. Permit No.-- 1 4 DESCRIPTION Or WORK (REMARKS -OYER) BY- I�io c�r Hit G P ASR CC, N,9, CO. A 545-1 554,16 izi r % (o! ` ®AU C C&A _ -,.-` I - EAT LOSS CALCULATIONS HEATING &AIR CONDITIONING Cd.ANEAPOLIS, MINN. Weathersfrips A.S.H.V.E. Guide Reference 19 Construction No. Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No qFl. Room Length Width Height F1.49111111 6 Room Length � Width/0 Height Windows and Doors—Crackage an Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crac sq. ft. 3 Windows and Doors—Crackage Width Height NO' of pane I of pane and Area No. of Lineal ft. Area lights of crack sq. ft. Coef Btu Coef Btu Infiltration Infiltration 0 Glass �� Glass Exp. wall -3�2 XExp. wall 2® Net exp. wall -30 /01 j 3, OLO Net exp. wall Int. wall Int. wall. Ceiling Ceiling le � ® � �✓� Floor Floor Total Btu. Total Btu.. Required sq. ft. E. . or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room Length / Width Height Fl. %®e0gc�j oom Length Width Height Windows and Doors—Crackage and Area Windows andboors—Crackage Width Height NO of pane of pane and Area No. of Lineal ft. Area lights of crack sq. ft. No. Width Height No. of Lineal ft. Area of ane of pane lights of crack sq. ft. Coef Btu Coef Btu Infiltration ile0 Infiltration Y61113-2 D Glass Glass Exp. wa I I Exp. wa I I `% Net exp. wall 760 Net exp. wall Int. wall Int. wall Ceiling 10 /16 /® Ceiling .336 Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Lea er area FI Room Length Width Height FI. -*—/ 9,CD Room Length Width/2 Height Windows and Doors.—Crackage and Area Windows and Doors—Crackage Width Height No. of pane of pane and Area No. of Lineal ft. Area lights of crack sq. ft. No. oWidth Height No. of Lineal ft. Area f pane of pane lights of crack sq. ft. 12 01® 3Zj Coef Btu Coefj Btu Infiltration �. ® Infiltration Glass Glass Exp. wall E Exp. wall Net exp. waI I ® Net exp. wall 10 Int. wall Int. wall Ceiling/toC) Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 41/ IF HEAT LOSS CALCULATIONS HEATING & AIR CONDITIONING CO. MINNEAPOLIS, MINN. Weathefs�rips . A.S.H.V.E. Guide Reference 19 Construction No. Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes -No Yes -No FI.' Room Length Width Height FI. Room Length _5— Width Height Windows and Doors-Crackage and Area Windows and Doors-Crackage Width Height NO' of pane of pane and Area No. of Lineal ft. Area lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef Btu Coefj Btu Infiltration Infiltration 1A Glass Glass �® Exp. wall -"-&Rio Exp. wall Net exp, wall 9�? Net exp. wall 11471 0 J 9-70 Int. wall Int. wall. Ceiling ® ® Ceiling Floor Floor �' �� 6 Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I.61?Room LengthZZ Width Height FI. Room Length/.� Widths' Height Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. f Lineal ft. Area No. of pane of pane liohhtos of crack sq. ft. Coef Btu Coef Btu Infiltration / Infiltration 90 :700 Glass Glass Exp. we I ®CK 4 Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall. Ceiling Ceiling Floor ®%%� Floor 3 Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I. g Room Length Width Height Fl. Room Length Width Height Windows and Doors.-Crackage and Area Windows and Doors-Crackage Width Height NO' of ane of pane and Area No. of Lineal ft. Area lights of crack sq. ft. Width Height No. of Lineal ft. Area NO' of pane of pane lights of crack sq. ft. 3 &Var Coef Btu Coef Btu Infiltration Infiltration Glass J- .9 ®® Glass Exp. wall 3 Exp. wall Net exp. wal l'� Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor `� Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq, ins. W.A. Leader area 01 SUBJECT P . City of Fridley ® 12465 AT THE TOP OF THE TWINS BUILDING PERMIT i � • CO `�. ....... C0 DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. I � � i A III CITY CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By ---- s J` 612-560-3450 910-F15 JOB ADDRESS 1581 Rice Creek Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 37 2 Harris Lake Estates SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Harris Lake Estates 3 C005V fL tA1Q MAIL ADDRESS ZIP PHONE LICENSE NO. d®Rm*4vag Construction 4220 Central Avenue —4—ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Stucco 9 CHANGE OF USE'FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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_1 625 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. SO. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $50Q .OQ . 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 PERFORMANCEQCONSTRUCTION. 5.00 PLAN CHECK FEE TOTAL FEE ' 2 $5.50 SIGNATURE OFC TRACTOR OR AUTHORIZED AGENT (DATE) E P P RLY VALI AT THIS IS YOUR PER I Clarenc y SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG. (NSP DATE 01 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FI:IDLLY, MINNESOTA OWNER'S NAME: BUILDER: ADDRESS: ADDRESS. - 'NO." . DDRESS: NO;. STREET: /3'8 / Ai� L LOT: ADDITION: v ' r CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD; .Applicant attach to this form Two Certificates of Survey of Lot and proposed buildixig location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: 2Jr Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: 1 Estimated Cost: To Be Completed: The undersigned hereby makes application for a permit for the work herein, specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that -;11 the facts and representations stated in this application are true and c• orr,-c t . (See Reverse Side For Additional Information.) V i IMVis• t '*'x 9 Gs:' g +: i `�€ a r ; q . ,{ a GRATM WARM AMR: MATZ AL Furnace Shell & Duc4 Work .. ... . $10.00 $— Replacement of Furnace 6.00 O - Repairs & Alterations—up to 0M.00 5.00— Repairs & Alterations each add. 000.00 300 WARN AM Furnace She11 & Duct Work to 120,000 MV .110.00 f— V each add. 68, . .. ...... 3.W 8;— Repilacementof Furnace 6.00 L-- $L -- Repairs & & Aherationsr--up to $M.00 6.00 $L— Repairs Alterations each add. $5M.00 3.00 — — Furnace Shell & Lines—to 400 sq. ft. FZR Steam $10100 $.- Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam R-00Each add. 320 sq. ft. EDR Hot Water 3.00 OIL BURIM—to 3 gal. per hour over 3 gal. per hour—See Fee Schedule GAZ lF ( up to 199M BTIM6.00 S� over 188,000 BM See Few • VJW FIMRG a NO RA'T'E TOTAY. 1st 3 Fixtures $$ 2.00 $-- Additional Fixtures x .75 E— Gas Range to lid x$ 6a00` $ 8ov iM sebodub TOTAL SO City of Fridley: The undersigned hereby snakes application for a permit for the work . specified, agreeing to do all work in strict accordance with the City ev- and ruling of the Department of Buildings, and hereby declares that all the facts - and representations stated in this application aretrue and erect. y Fri ey, 18= ` r 0 Owner -1- 0r!lJ Kind of Building ..--- . F j�1 m E., Used as - _ 3!! To be completed about Estimated Cast, $ U1d-{Nee�v. wilding Permit No. _— permit No. Mass—orat RAY It WVMTER HEATING 4637, CH1CA(s'0 AVE. 0=561MINN969TA 04% TIMOR ,, • 2 = From The Desk Of G� MEMORANDU'M CM 84 RICHARD N. SOBIECH PUBLIC WORKS DIRECTOR I DATE: 12/78 �^' �-�, TO REPLY DUE SUBJECT: e 2 Traffic Problem at 581 Rice Creek Road Please be advised at the referenced address, the property has been subjected to cars either missing the turn or deliberately driving onto the property. Would you review the area for additional signing or objec markers? Perhaps a double arrow indicating to those north bound on Benjamin hat there is not a through intersection might be appropriate. S/j W19e'Tef-/.S7 c; T/dA) U i. w rt�o Cc�r92iPi9 iv 7' � ff �9®®i7— ,�u� f3 e- --5-455 s. Z., 61*17- DGtJ �t> l /T LC)d JL n ��9�/r� G.�C�•J 61,11J 7Lo -r a 0, ,b �QL L v Ci �vLe►afi�i� /s �GPL.JB�/c�.ei'T� �u yP�y �2a�,e6001�-it-''7- 9,,r;2 / J .�S r o wn.EX o mac' "eC . 9 -.z� -. City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT 4 PERMIT y 5228 r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 � CITY HALL FRIDLEY 55432 612-571-3450 :RE C _ 9_') 7e� NUMBER 910-F15 REV. DATE 16/1/79 PAGE OF APPROVED BY 10B ADDRESS 1581 Rice Creek Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 37 2 Harris Lake Estate SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Namie Jr 1581 Rice Creek Road Fridley, M61 55432 —John 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK El NEW k ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a t by 141 porch - 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 28O sq. ft. 2240 Cu. ft. ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,500. 00 $1.25 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- PERMIT FEE $ 15.00 SAC CHARGE AIM STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE a '3.7Sf $20.00 SIGNATURE OF CONTRACTOR O ORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 6/1/79 6/1/79 SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) BLDG INSP DATE 7 CITY OF FRIDLEY , APPLICATIOII FOR RI'SIINJITIAL BUILDING PERMITS (NE -W, -AL1-LRATIOIJS, ADDITIONS, OR RC -PAIRS) —7 Address: �� Address _/. . -Tel. No.j'/ street: C/cnv LOT: _ BLOdK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form 1Vo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: /0,C) Depth: Height: , Square Feet: Cubic Feet: 'Front: Depth: Height: Square Feet:' Cubic Feet: Type of Construction: ,��.�✓<,z- Estimated Cost: To Be Completed: Alt. A Alt. B Pr®posed Driveway Width If New Opening Is Desired _ $ $ (SEE REVERSE .SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional infp tion/ DATE: SIGNATURE: Stipulations: PfEn.M*z--.k —050— � � t''�'•Et�`}J�Mi". Y3 r d�?s y �j` 4S 007! Mlgh.rar Noes Xt. �, •°� a�� X� � :, � :, f r MlkgAa,ap�ilp7 � • � SS432 `^ itf9sidoori'W totwptw4t 704 -4066 - Su r 04.4066 Sur "rte .Uortffaxe Loan SurV for PJ -T ;T f r • f SpP f .T � ik AT. E 411, 'ilii'. �� _ � is ro ,}• f tn.0 t � � � t • ,.� `„ . �.. • 1 ¢ 1 Suµµ FRAME rs Botc 4 @P }kit �' , M1 �., � �7�V it , r it JT � yh Qi• a` 1 ' aryl rt a, 3 1 , �•'' CYr iia �,�y, �•✓ + 7 s/: >, `i. _.f' Jar k -•� y�' �" d � iy'x \\ �C4 • .� (x771 r . t t 9 .Y •fr'y'k, a A ,i k .q Dot MY 's S. r`rr, �: o- A o°.♦ ♦ �•� Y g �� 1 ��'' � °"��f' �'ak.�r � ma � `�"r ju � ,' iY yx8 w 1 ', t i , .s •.� e � � R � dA ,� �'vG � r:� � , , K �^ � � x.,.' ' ye'�` t � a 1 ��4 .- • ,.d "'�,' �, +$� � j "..jy'A' ,b'p'i tr 4k; LOC 04 - � ' :� ��` � : � ,. - ,. � � arc..•, '� i s{13", i ��"�Re tests - �. 1 '- � .�� . a � r � -•i - .. i�t Y t.:* 1nr i 6 Fg.` F�y1�6s�3_ � "a' '�' y,. ' E y` .: 4 i 0.yjljq' ,�hgp��b\,•fie` -.s- ri � i 4y 6 i t � •ny4 a p P � t LA*E "EvrATEA-., 1, tol,aa' riwa� u �ro`ar �o _s.<. s®i �svrtta+ err eeY' i1 "'4! ala fpsi .0 a a♦f Ps°, •�'a�'0. $� ^7i iii'QQg7 .+ii6i1l:0•:#»KrO7olOhQs N. U Y R, ` Y=" 7:im4413it,,pJ* 00 • � v D 1 .+w f� :E o Ate. of wotA pove at / t��! of lr�nf . pA a rti� MOO it Jigs Coo'- Y� �. iwry>,°"a �� $" �� ' � +�I• �� ' '� � � �. �► • lima 1pa . ,TA� :! sFs. •� : F INC.�- �{ t r " .. a,,' 1 P5"•d•'. , t•;fy , r: -?, :. r �.'� i 4 y i, . 'j.`,� �•'c' 4 ., K ,a . r ick:'w ' :y-' 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR s urinal � S o er � • h ray T Floor Drain Auto. WashSton' er : ' .Ran G s : a% <>Gas ... Watereater Elea t Basement a IN Floor 1 Floor 2 F loor3 I r Z� Floor4 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 IN01 Gas Dryer _ Back Flow Preventer Required ( )Yes () No Type _ RATE $ 7.00 $ 4A0 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance TOTAL JOB ADDRESS �! il, State Surcharge $ .50 TOTAL FEE $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ,1993 Owner% Building Used As Estimated Cost �� PERMIT NO. a'J1_38, PLUMBING COMPANY SIGNED BY TEL N0. Approved / Rough—In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE GNQF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 December 21, 1994 Owner/Occupant 1581 Rice Creek Road N.E. Fridley,MN 55432 Re: First Notice of Noncompliance at 1581 Rice Creek Road N.E. Dear Owner/Occupant: 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 7365-67 Able Street N. E. 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 an appliance located near the curb. 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 shortly after January 3, 1995 to determine compliance. If you have questions regarding this matter, please contact me at 572-3595. Thank you for your cooperation. Sincerely, Steven Barg Code Enforcement Officer SB: da CE -94-594 f�� v M1��eds7e' 'r CITYOF FRIDLEY FRIDLE MgU StCJ,PAL1��VER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 Kwei Tsang and Hoa Chen 1581 Rice Creek Road Fridley, MN 55432 RE: First Notice of Noncompliance at 1581 Rice Creek Road N.E. Dear Property Owners: 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 1581 Rice Creek Road N.E. revealed that not all Code requirements are presently being met. Listed below are items which do not comply with the City Code: 1. Fridley City Code requires that all solid waste must be kept in secured containers stored in the side yard, rear yard, or garage. I observed refuse containers stored improperly at the curb. On the day of collection, refuse haulers are required to retrieve containers from a location adjacent to the home/garage. 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 shortly after September 6, 1996, to determine compliance. If you have questions or would like to discuss this violation, please contact me at 572- 3595. Thank you for your cooperation! Sincerely, Kurt Jensen -Schneider Code Enforcement Officer KJS:ls CE -96-292 f G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 25, 2001 Ms. Susie Tynjala 1581 Rice Creek Road NE Fridley, MN 55432 Re: Final Inspection at 1581 Rice Creek Road NE Contractor: Centraire Inc Dear Ms. Tynjala: A mechanical permit was issued on January 31, 2001 to install a furnace and air conditioner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh CITY OF FRIDLEY INSPECTION DIViSION l 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, but not replacement) Gas Range Gas Dryer *Air Conditioning- All Sizes All Others/Repairs & Alterations (LIST 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 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2000 JOB ADDRESS 6: � OWNER TOTAL n BUILDING USED ESTIMATED COST PERMIT NO. $ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) arm $ Trade Name 4��' e4,/' Size No. y4& BTU . d1,Aly HP EDR $ Fuels Total Connected Load 0 3 � 17 Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE l — -;2 9 --0 1 HEATING CO ��i o �' �-yle-a Signed e TEL Approved By -Ir Rough -In Date Final Date 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 (X) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer IU/A- 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 W No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No CO When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes CC-) 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. Yes () No ()0 Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented A1,1' separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input 24Zan Assisted or Nat Appliance #2 Type BTU Input "R411V� Fan Assisted o Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances c9- Total Btu Input r Common Vent Type r " Vent Height 9 *' _ Diameter _ inches Appliance #1 Vent Connector Height ft Length ft Diameter 14 in Type c, Appliance #2 Vent Connector Height .g ft Length _,L_ft Diameterq n Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: r(? Signed By: Date: —b City of Fridley SUBJECT P 34002 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. J t✓ PROTECTIVE INSPECTION SEC. 1 ; CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Of APPROVED By 763-571-3450 1 910-F15 10/28/03 JOB ADDRESS 1581 Rice Creek Rd NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 37 2 Harris Lake Estates SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Samatar 1581 Rice Creek Rd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sears Home Improvements 5512 Lakeland Ave N, Minneapolis, MN 55429 763-502-9990 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20090017 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House 9 CHANGEOFUSEFROM TO STIPULATIONS Per-Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. 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 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 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 $11,000 $5.50 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- STR CTION OR THE PERFORMANCE OF CONSTRUCTION $195.25 Fire SC $11.00 'A --19-03 PLAN CHECK FEE Licens SC $5.00 TOTAL FEE $216.75 SIGNATURE OF CON TRACTOR Op uTW6RIZED AGENT tDATE, N PROPERLY VALIDATED THIS IS YOURPERMIT _ BL G "NSP I!)' FIATE SZNATURE OF OWNEROF OWNER BUILOER, IDATEi 10/28/2003 14:52 NEW ADON ( , ALTER 7637670801 Construction Address: Legal Description:` , Owner Name & Address: Contractor _ 7930YES STEVE)KAUFMANN PAGE 01/01 CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION 0 C. Tel. # an MN LICENSE # Z c�_�i Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction .drawn on it to scale. d '+: DESCRIPTION OF IMPROVEMENT LIVING AREA: - Length Width Height... Sq. Ft. GARAGE AREA: Length Width Height Sq, FL DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost U C-1 G, G Driveway Curb••Cut;width=Needed:• .... Ft. + 6 Ft = Ft x DATE: ��Q. APPLICANT, Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. r' CITY USE ONLY - Permit Fee $ / S Fee schedule on Reverse Side Fire Surcharge . , 01 ,9of Permit Valuation (1/10th%).. :p� State Surcharge g $ C) i : , u.:......:.:. $.5"1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $5.00 (State L!gwl3ed. Residential Contractors) Curb Cut Escrow Erosion Control $ $ Alt, "Kar Alt. " B" Above Park Fee $ $450.00 Conservation Plan Review Sewer Main Charge Fee Determined -by Engineering Agreement Necessary [ ] Not Necessary I J TOTAL. $ ... BTIPLiI_A7'ION• CI71'OF ' FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 June 15, 2004 Zahra Samatar 1581 Rice Creek Rd NE Fridley, MN 55432 Re: Final Inspection at 1581 Rice Creek Road NE, Fridley Contractor: EMC Services Dear Zahra Samatar: A plumbing permit was issued on October 30, 2003 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. CinrPrPly DJ/mh 6431 University Ave NE Fridty, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Ll it -,u.6 — i, JCAiI i, c_uU..' PLUMBING FIXTURE RATES: NO. RATE TOTAL 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" Gas Dryer" Back Flow Preventer Required ( )Yes O NC Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS / S*8 1 A c e G -e e_k ,_GQ /Vic The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Building Used ZR4411- Estimated Cost PLUMBING COMPANY 4� C SIGNED BY /a /a9 ,200-3 0+744- COMBUSTION +744. G PERMIT NO. �e�viCes Approved Byc Rough -In Date TEL N0. 7 1 X d �S Final Date ® 4 $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $ -®- 3 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE e THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED tMMMQN VENT, VFNT DNN TDR AND .DMB 1STIDN AIR VFRIFICATIDN 1. When tEgjlarjna an existing gran _ , 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 () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. 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. The exiS inn t-nmhi ,stinn air is sized and installed to meet the current codes and manufacturer's specifications. When required to inetall a new rnmhuctinn air; it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) Yes( ) No( ) Yes() No() Yes( ) No( ) When inc ailing a new venting gnystem, 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. Yes () 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( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input 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 ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date Building $ BUILDING See Back Page for Fee Schedule PermitNo.: — 0 � inspections RESIDENTIAL APPLICATION surcharge Received By: 763-572-3604 (.0005) times the total job valuation — Minimum $.50 CITY OF FRIDLEY $ Date Recd: DATE t 6YOUR E- ADDRS _teO $ SITE ADDRESS I i t- k,6 AC Charge THIS APPLICANT IS: ❑ OWNER DEeNTR.ACTOR $1450 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ NAME: Z 0h P Q Q In 9114 r TENANT ADDRESS: I'm L R 1 U C r LL t CITY 1 l STATS—s Lr 3, PHONE: —7 6 31 150 7 - a4 et 0 ark Fee CONTRACTOR NAME:_ The Home Depot A.H.S. Inc. Jodi L11ALr SUBMIT A COPY OF STATE LIc 3200 Cobb Galleria Pkwy. S? 3 4S ' 4 0 (4 YOUR STATE LICENSE ADDRESS: Atlanta, GA 30339 CITY STATE ZIP WITH APPLICATION PHONE 763-542-8826 RIES o Two A License #20268257 .oE Make checks payable to: City of Fridley Attach Stipulations PROPERTY TYPE PERMIT TYPE ITADDITION ❑ GARAGE(SHED CHOWS ❑ BASEMENT FINISH ❑ ROOF 0 DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR O -P, -,MODELING rt DESCRIBE WORK BEING DONE: 10 wiptlow rL Q l SIZE OF IMPROVEMENT LENGTH WIDTH IGHT Sq. Ft. ZOOFING 0 HOUSE ONLY DUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 3ARAGES O ATTACHED GARAGE 1. 2• Existing Floor Plan Proposed floor plan 'ROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used 'ROPOSED HEIGHT: >IDING FOR NEW CONSTRUCTION INCLUDING DECKS, I Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 7 Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures 3 Other ❑ Fascia and proposed project VINDOWS 2. Two sets of construction plans N EXISTING OPENINGS 2Y6 ❑No LOCATION OF WINDOWS 3. Energy Calculations >R FOR NEW OPENINGS -DESCRIBE SIZE OF )PENING CHANGES & 'YPE OF WINDOW TO BE INSTALLED A l ' NUMBER OF WINDOWS (� ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1.997 .B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ I OCCUPANCY TYPE 'ermit Fee $ ('a 1.2 See Back Page for Fee Schedule 'Ian Review $ 65% of Building Permit Fee surcharge $ 94, T 13 (.0005) times the total job valuation — Minimum $.50 'ire Surcharge $ q, 1 1p .001 x Permit Valuation (1/10%) .icense Surcharge $ 6. a 0 $5.00 (State Licensed Residential Contractors) AC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) ;urb Cut Escrow $ $ + 6 ft = $ x $20 = $ .rosion Control $ $450 Conservation Plan Review ark Fee $ Fee Determined by Engineering ewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) 'otal Due $ 9, a q Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in cnformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a ermit 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 Ian in the case of aR.work which requires re and. approval of plans. �GNATURE OF APPLIC PRINT NAME/ %Yi l DATE