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FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
CITY COUNCIL
ACTION TAKEN NOTICE
Gloria Egan
6425 Able Street N.E.
Fridley, MN 55432
Dear Ms. Egan:
June 9, 1993
On June 7, 1993, the Fridley City Council officially approved your
request for a Lot Split, L.S. #93-04, to split a lot into three
separate parcels as follows:
Parcel A
The West 145 feet of the South 230 feet of Lot 5, Auditor's
Subdivision No. 22. Except the South 30 feet thereof as taken for
road purposes.
Parcel B
The East 91 feet of the West 236 feet of the South 230 feet of Lot
5, Auditor's Subdivision No. 22. Except the South 30 feet thereof
as taken for road purposes.
Parcel C
That part of the South 230 feet of Lot 5, Auditor's Subdivision No.
22 lying East of the West 236 feet thereof. Except the East 5 feet
thereof, also except the South 30 feet thereof as taken for road
purposes.
This property is generally located at 1601 Rice Creek Road N.E.
Approval is based on the following stipulations:
1. A park dedication fee of $750.00 per lot for Parcels B and C
shall be paid at the issuance of a building permit.
Gloria Egan LS
June 9, 1993
Page 2
2. One driveway per parcel shall be permitted.
3. A permit shall be obtained from the County prior to work
commencing in the County right-of-way to install curb cuts and
driveways.
4. Sewer and water service shall be provided to Parcel C.
5. If determined by the City, a conservation plan and fees shall
be submitted prior to issuance of a building permit.
I will need to stamp the deed prior to recording the property
conveyance. Please contact Michele. McPherson or I prior to
recording. A copy of the resolution is enclosed.
If you have any questions regarding the above action, please call
me at 572-3590.
Sincerely,
Barbara Dacy, AICP
Community Development Director
BD/dn
Please review the above, sign the statement below and return one
copy to the City of Fridley Planning Department by June 23, 1993.
Concur with action taken
SUBJECT
PERMI
City of Fridley2
2 4
AT THE TOP OF THE TWINS
r
BUILDING PERMI T
_ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r I
CITY HALL FRIDLEY 55432
IL""
NUMBER
REV
DATE
PAGE OF
APPROVED BY
,'j 612-571-3450
910-F15
11/3/93
JOB ADDRESS 1619 Rice Creek Rd NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
Pt. 5
Auditor's Subdivision #22 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tollefson Homes Inc. XXXXXXXMNX 311 Sunrise Ln Ch lin 55316
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same 867-4141 1365
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
Construct a 54' x 26' Dwelling and a 32' x 201 Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS See notations on plan.. Provide a hard surface driveway. Provide sod in
the front and side. yards. Provide a verifying survey before capping.
SEWER & WATER LOCATIONS; Check with City Engineering Department.
WARNING
THE CITY OF FRIDLEY Before digging call for
DOES NOT GU
ACCURACY OF UTILITY THE all utility locations
LOCATIONS
THIS DATA IS FOR INFORMATOON AND EL V 454-0002
RLNVET
,gyp
AND PERSONS USING THIS lNPORPUR ONLY REQUIRED BY LA
VERIFY
IT ON THE SITE. ON SHONLY
TYPE OF CONST.
OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. 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
STALLS GARAGES
VALUATION
SURTAX Fire SC
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$139
$69.50 $139.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
f000
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-
$776.00
$750.00
STRIATION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
�//
I
License SC $5.00
$1,739.50
+TUBE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WH OP VALIDATED THIS ISYOUR PERMIT
t
;:�
LD SP nATE
NATURE OF OWNER I IF OWNER BUILDERI IDATEI
L __j
NEW [ J Effective 5/26193
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 161Z
1Z
- n+q OF Cr �jLLT F � 7 t QF t °�� DI fZ9R Sve'tiJItIISlDc1
Legal Description: -.j®. z -z, (,10 t(c L -,yrs o -F c ter- z �b `
Owner Name & Address: Tel. #
Contractor: MN LICENSE # CM uz,&5-
Address: Tel. # ( q i 4fl
Attach to this application, a Certificate of Survey of the Ij;c/z (54,51,z,40
lot, with the proposed construction drawn on it to scale. 517ti-f ; 72 j,5t,- 2,415)
DESCRIPTION OF 11"ROVEMENT i3"i-r _ 81 z (;l* i
LIVING AREA: Length -h
Width 7
Height �6
Sq. Ft. �-,Zp
GARAGE AREA: Length
Width ''�
Height q
Sq. Ft.
DECK AREA: Length
Width
Hgt/Ground
Sq. Ft.
OTHER:
Corner Lot [ J Inside Lot Ft. Yd Setback
Type of Construction: �Q ,o t-6wL!�
Approx. Completion Date: _ II 9 4 -
Driveway
Driveway Curb Cut- Width Needed:
Side Yard Setbacks.
Estimated Cost: $ TJO
(Cost on Back)
Ft. + 6 Ft = Ft x $ _ $
DATE: 10 1117 . APPLICANT: Tel. # G
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ 72L CV
Fee Schedule on Reverse Side
$ /,39,00
.001 of Permit Valuation (1/10th%)
$ 0,5-0
$.50/$1,000 Valuation
$ 76'0.00
$750 per SAC Unit
$ 5.00
$5.00 (State Licensed Residential Contractors)
$
Alt. "A" or Ah. "B" Above
$ -
Conservation Plan Review $450.00
$
Fee Determined by Engineering
$
Agreement Nor [ J Not Necessary [ J
STIPULATIONS:
I
r
11'IU"10:c 1-:11VlIL'Y OF -LAO -R. 111" C(xd1'UT�'l'IUII
uY.11111
Mm
SPIV, A1)DRRSS I r
co�:'lt�nc'la��.T//r 5 •.� vnzti rlloirn.
Determine V.urki lle 3dul;re foo tr. p 0.1' orleh.
1. lb tal exposed wall urea......1�i ! I;'_, sq* ft. X---41"-
2,
---41" 2. 'Ib tal roo-f/oollilie na.•en.4 D sq. ft. x e07 . 2
Deternliul: "U" Value of each wall set-piont
a. 6�'•,)'f XIOU 11
.352
'ib Lttl u.: i ouud wr111 ar.,ar. above fluor
- � ' �-
n.
b,
•:.
d.
e.
i'..
L'..
'lb tal
'Ab tal
'lb Lu.l
'Ib :ta1
'lb taI
'lb t:aI
'!b tat
wall t.ialdtjvj ar'ea......... ...............................
dour arc -L, ................. ..............................____---
H11ding door uruu• ...... ...............................
firoplacu Wuli nsoll............ ...••....••.••....•.••..•
wall fria1111ijL, area (e.ivol-1.1'U .to) ).... L .:...................
ne L wall urea labovu floor ...............................
rim joist um.a................................. .. ... .. ..
�-,'� ) 4-
) -
l —
--
/Uig •G�
j��.', . �1
14
d• X IOU it
'lb Ln.l ex po nu1 t f'ounda'tion area
11.
i.
J.
k.
1.
'1b 1,111
ToLul
'lb Leal
'Ila -tul
'lb taI
fou uda 1.1un door lt.r't:1t.... • .............................. •
fuundation V111d0W UrOZIL (ilLClLtdes eliding dooru).........
no t foundu Lion area nl,uve: E,1•ade.............. 0 ..........
wall framine: area (uvernge IWO).........................
net. 1vall frml1ing tlrQet............ • .... • ......... • • • • ....
_'_�
(l..' •S•
•; X.
3
.; ?D, n(+
Deternliul: "U" Value of each wall set-piont
a. 6�'•,)'f XIOU 11
.352
= Y
- � ' �-
' 1 "4-
_
lqj 11
d• X IOU it
e. — xIOU 1'
.191
A
h. X IOU 11
i. _ti�12.1 X'v"
--I) "p
'3............................................'lb
Lal
/ZK-gdl
If i tclu #3 io Uie oamu an, or leer, lJuar1 item
#1, you
have meL Ute illtunL of S -W 6006 (,z)?.
to(t rO6;/QeIling area P.O..1 0 0 a
A
Teri4i.ne IV )f value .for,.pa,94 roof/boiling sogmoxit
in, ...... ....
F. Ila. gig
n, 03
x
007-f-, 1
77
4*00 00 so* .1. 09*01000 %bta�.
LO tea. of #4 is the' fi>r 1-10-,,, less than #21 you have met the i�tept of SDC 69.06(9)1.
iC`iCI1;c.. Tedi Al terna to luilding Faivqlopci Dooign
-Uiod, the vAX4ep pstablip -by the sumke wtal wivolope systoni me
44 phall not be greater thVUI.-Wq WFA Of #.2.
2.
U
4.
;�' yr `I xi?
M
-.Tqtal expooed roof
/9eq pg -:* area
p0: are (average
` 0
to(t rO6;/QeIling area P.O..1 0 0 a
A
Teri4i.ne IV )f value .for,.pa,94 roof/boiling sogmoxit
in, ...... ....
F. Ila. gig
n, 03
x
007-f-, 1
77
4*00 00 so* .1. 09*01000 %bta�.
LO tea. of #4 is the' fi>r 1-10-,,, less than #21 you have met the i�tept of SDC 69.06(9)1.
iC`iCI1;c.. Tedi Al terna to luilding Faivqlopci Dooign
-Uiod, the vAX4ep pstablip -by the sumke wtal wivolope systoni me
44 phall not be greater thVUI.-Wq WFA Of #.2.
2.
U
4.
;�' yr `I xi?
M
2�J
SUBJECT
PER
City of Fridley2
2 2f 8 1
AT THE TOP OF THE TWINS
BUILDING PERMIT
i �
C
�•
COMMUNITY DEVELOPMENT DIV.
___
Vy e
r � s . PROTECTIVE INSPECTION SEC.
fV
1 . i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
1/6/94
10B ADDRESS 1619 Rice Creek Road NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
pt 5
Auditors Sub. #22 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tollefson Homes.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Twin City Fireplace Co 1525 West River Rd N, Mpls, MN 55411 588-0791 8055
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
Install top vent gas firelace Heat & Glo ST-42-GTV
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install per manufacturers specifications.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
I
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 COMPLIED1.00
$2
$
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
F000
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-
SC $2 OQ
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
45.00
Fire ,
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$53.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN'PpRR0P R Y VALIDATED THIS IS YOUR PERMIT
a
BLDG NSP f)ATE
SIGNATURE OF OWNER0F OWNER BUILDER) (DATE)
NEW Effective 5/26/93
ADDN [ ] CITY OF FRIDLEY g
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: I en 19 ��
Legal Description: --
Owner Name & Address:
Tel., #gLjq s� i
Contractor: ��',, i„ l.c� p cue MN LICENSE # �S
Address: I� l'��T Tel. # SSS -a 9
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
DESCRIPTION OF IMPROVEMENT
Width Height
Width Height
Width Hgt/Ground
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date: —
Driveway Curb Cut Width Needed:
DATE: 1,5 - ,q q
Ft. Yd Setback
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard Setbacks.
Estimated Cost: $ 2,66-o
(Cost on Back)
Ft. + 6 Ft = Ft x $ _ $
APPLICANT: Tel. # -6 7�
'5' av
Permit Fee
$ S .
CITY USE ONLY
Fee Schedule on Reverse Side
Fire Surcharge
$ 00
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /'00
$.50/$1,000 Valuation
SAC Charge
$
$750 per SAC Unit
License Surcharge
$ 00
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
Conservation Plan Review $450.00
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ STIPULATIONS:
SUBJECT
City of Fridley
2 2 2 9 5
AT THE TOP OF THE TWINS
BUILDING PERMIT
REIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
9�
r � �
1 ` �
CITY HALL FRIDLEY 55432
NUMBER
PAGE OF
APPROVED By
612-571-3450
910-F15
1R'E71)ATE
2/2/94
JOB ADDRESS 1619 Rice Creek Rd NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
Pt 5
Auditor's Subdivision #22 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tollefson Homes
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Twin City Fireplace Cc 1.525 W River Rd N, Mpls., MN 55411 588-0791 8055
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 O MOVE ❑ REMOVE
8 DESCRIBE WORK
Install "0" clearance wood burning fireplace with. Class A chimney, lower level
9 CHANGE OF USE FROM TO
STIPULATIONS
Install per manufacturers Kwxx kwx xioxxx specifications.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. 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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,800
$,60
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
VISIONS OF ANY O .HER STATE OR LOCAL LAW REGULATING CON-
$ 41.00
Fire SC $1, 80
STRUC OR THE PE FORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
'q<<
—�
License SC $5.00
$48.40
SIG ATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERL VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER I iF OWNER BUILDERI IDATEI
BLDG INSO DATE
NEW IEffective 5/26/93
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: l co l bL-9- Je--'k-S
Legal Description:
Owner Name & Address:l p az=Z5— s,1� Tel. #
Contractor: MN LICENSE # 6S
Address: / S a S GtJ. � l2� 1�k.�-� t S S s��l Tel. # S-fi-077 1
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER: \11 t.
73-3b-Hd-
Corner Lot [ J Inside Lot [ )
Type of Construction:
Approx. Completion Date:
Driveway Curb Cut Width Needed:
DESCRIPTION OF IMPROVEMENT
Width Height
Width Height
Width Hgt/Ground
Ft. Yd Setback
Sq. Ft.
Sq. Ft.
Sq. Ft.
I
Side Yard Setbacks.
Estimated Cost: $ 19" o ry
(Cost on Back)
Ft. + 613t = Ft x $ _ $
DATE: APPLICANT: — l e&, -J Tel. #
CITY USEONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ f, ; D
.001 of Permit Valuation (1110th%)
State Surcharge
$ C
$.50/$1,000 Valuation
SAC Charge
$
$750 per SAC Unit
License Surcharge
$ —S7.
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
Conservation Plan Review $450.00
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [
TOTAL $n - �i STIPULATIONS:
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. NIN 55432 • (612) 571-3450 • FAX (612) 57 1 -1287
March 10, 1994
Mr. Jerry Tollefson
Tollefson Homes Inc
311 Sunrise Lane
Champlin, MN 55316
Re: Final Inspection at 1619 Rice Creek Rd NE, Fridley
Dear Mr. Tollefson:
A final inspection was conducted on March 4, 1994 of the above
address and the following items were noted which must be completed
before the structure can be finaled:
1. Provide sod in the front and side yards by June 15 1994.
2. Install window well for basement egress window before
occupancy.
3. Provide a hard surface driveway by June 15, 1994.
4. Provide a permanent front step before occupancy.
We will expect these items to be completed by the scheduled dates
and reinspections called for.
If you have any questions on this matter, please feel free to
contact me at 572-3602.
Sincerely,
GARY' R. FORD
Acting Building Official
GRF/mh
NEW [ ] Effective 1/1/94
ADD, r-4 [ ] CITY OF FRIDLEY
AT, -TER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 3
Building Permit Application
Construction Address: 1(( � P_ tc.0 CCK. 06
Legal Description:
Owner Name & Address: ; ue-scio Tel. #
Contractor: MN LICENSE #
Address: alt �� rc �scr c-N-AMPLt" P111- 553ico Tel. # _
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
Corner Lot [ ] Inside Lot [ )
Type of Construction:
Approx. Completion Date: _
DESCRIPTION OF IMPROVEMENT
Width
Height
Width
Height
Width
Hgt/Ground
Ft. Yd Setback Side Yard Setbacks
Estimated Cost: $
Sq. Ft.
Sq. Ft.
Sq. Ft.
(Cost on Back)
Driveway Curb Cut Width Needed: No Ft. + 6 Ft = Ft x $
DATE: 4- 9 4- APPLICANT: Tel. # 17 q ( 4-1
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
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NEW [ 1
ADDN CITY OF FRIDLEY
ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:--_—`1-
Effective 1/ 1/94
Leval Descrintion: --
1399
wner Name & Address: ypj C�! a Tel. #
Contractor: /o s/e r.-3 Hcb.... Q j MN LICENSE # 3
Address: ,C. -'S3oc Tel. # x'17— c/j4/
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 Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Corner Lot [ ) Inside Lot ( )
Type of Construction:
Approx. Completion Date: _
Ft. Yd Setback Side Yard Setbacks
Estimated Cost: $
,Driveway Curb Cut Width Needed: A.
DATE: APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
(Cost on Back)
Ft. + 6 Ft = ZZ- Ft x $ / 3. S® _ $ 2,97
Tel. #
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / 10th %)
$.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 [
CITY OF FRIDLEY INSPECTION DIV.
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
Urinal
o er
i Wash
Tr
Da
Auto
Washer
`Ga s M '•' e���<
'. Ran e
e
ater eat r
W H
ecs
Gas EI
Basement
1
Floor 1
Floor 2
Floor r 3
Floor 4
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 () No
Type—
$7.00
ype
$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
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$ .50
E
JOB ADDRESS ke.'e
The undersigned hereby makes application fora 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 fads
and representations stated in this application are true and correct.
199
Owner L
Building Used As ST
Estimated Cost PERMIT NO.
PLUMBING COMPANY it b,,,Ai� 5;?-C0i_C-e_
SIGNED BY TEL N0.
Approved By (; u Rough–In Date Final Date
r� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
$ PLUS THE $.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
672-3604
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — Aft Sizes
All Others/Repairs & Alterations (LIST ON BACK)
I% of Value of Appliance or Work
Commercial/industrlal
1% of Value of Appliance or Work
Rate
TOTAL
$ 20.00
$ , D�
$10.00
$ JL.a
$10.00 $
-�
$10.00 $
$10.00 $
$
State Surcharge
TOTAL FEE
RMINIM
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATiON
REFRIGERATIONIAIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed In a side yard without
written permission from adjoining property owner.
_1.
Effective On January 1, 1993
JOB ADDRESS
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
represdntations stated in this application are true and correct.
/f '�?5 ,1993
OWNER Ile-�5 ®B'1 t .A e,76i
BUILDING USED AS
ESTIMATED COST. 0 0 , 0 PERMIT NO. f ��
No, of Heating Units_ Circle One (Steam) (Hot Water arm Ai
Trade Name f Size No.
BTU °, 0 C n HP EDR
Fuel A) 6- Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY l Y �CLc'�!? �✓% G
Signed By I I I
IP . �R jAkAh4V No. q 3 � 7797
Approved B {� Rough—In Date Final Date . C
Pp Y �F � �
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
r CHIMNEY 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
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date __
`
SUBJECT
City ®f Fridleyr?
2864®
2TCP
A_T HE TOP OF THE TWINS
BUILDING
P E R M I
M NITY DEVELOPMENT DIV.
N®1-.572-O
_T
o •v _
r PROTECTIVE INSPECTION SEC.
1 � �
NUMBER
REV
DATE
PAGE Oi
APPROVED BY
CITY HALL FRIDLEY 55432
L 612-571-3450
910-F15
11/24/98
JOB ADDRESS
1619 Rice Creek Road NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Pt. 5
Auditor's Sub. #22
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tim Vescio
-
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Four Seasons Roofing &e
-
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP HONE LICENSE NO,
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK � REPAIR O MOVE - O REMOVE
O NEW O ADDITION O ALTERATION
8 DESCRIBE WORK
Reroof house and garage (35 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
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
I
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
$2999
$1.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PRO SIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST UC 10 OR THE PERFORMANCE OF CONSTRUCTION
74.75
FA SC $3.00
PLAN CHECKF7,
7TVTAFEE
Lic e C
SIGNATURE OiC • A A C TOR OR AUTHORIZED AGENT IDATEj
HE PRO
THIS IS
BL Qt-- r-0
Ole25
WVA5`D
ry "
f TE
S-GNATURE Of OWNERof OWNER BUiLDERI (DATE,
NEW ]
Effective 1/1/98
ADDN [ ]
ALTER [ J
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Estimated $
0�9�!
BUILDING PERMIT APPLICATION
on Back)
ConstructionAddress:
ti ' y`
Ft x $
Legal .Description:
/I R , c- e (2 ir eet
y
Owner Name &Address:
, Te VYA Lig e
Tel. # -74-
Contractor: 7VU V ,5:� 50k
kms;; ai 4 -ma -Ai e" 7lf MN LICENSE #
Address:
z-p-�1 r 4y le N. ®
Tel. # `U/b
Attac 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 Hgt/Ground
Sq. Ft.
OTHER:
-15
Construction Type: Lwr
Cost:
Estimated $
0�9�!
(Fee Schedule
on Back)
Driveway Curb Cut Width Needed: Ft.
+ 6 Ft =
Ft x $
_ $
DATE:` APPLICANT:
y
Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ s—
$ , oo
$ A Sb
$
560
I
$ ld�7
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / 10th %)
$.50/$1,000 Valuation
$1000 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 [ ]
Building
Inspections
7.63-572-3604
DATE (o - /-a - 0`d
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITU
APPLICATION
lei
CITY OF E r
YOUR E-MAIL ADDRESS
❑ OWNER CONTRACTOR
Permit No.:
Received By:
. C. to
ki
NAME: .L. S L l
ADDRESS: d 1 g t G L �6"t-a. �- CITY�o a ,�STATEZIP �S' 3 oL
PHONE:
COMPANY NAME: e
CONTACT PERSON:
STATE LICENSE # EXP DATE _
ADDRESS: "go I�10�t✓1 S -E " STATEIyO" ZIP g s °L
PHONE I C 3- l J q- -114 FAX
PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: O NEW )REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK rA4�A(1 �t-p(�ct /►�'�����*e
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor)
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FDaURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) SIZEIBTU
Equipment Installed 1�i�- MFG: r 0 Rf� i LP" MODEL: VV iSdB° u
pt- MFG: P QAA.a d— MODEL: 4A .4 ® 3 SIZElBTU
MFG: MODEL. SWE/BTU
A/C $25.00 _FIREPLACE (GAS) $15.00 . _GAS RANGE/OVEN $10.00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_BOILER $35.00 G FURNACE $35.00 _GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
_DUCT WORK $1000 _GAS PIPING $10-00
VENTILATOR $15.00
WRW
Permit Fee Number of fixtures @ $10-00 x $10.00 = $
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ (9 (5 Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work whicchy requires review and approval of pians.
SIGNATURE OF APPLICANT l kk(: J PRINT NAME QAj0 a _.DATE
a/6,0 --
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
T, --A,;: ?63-502-4977
Building MECHANICAL Permit No.� v --a71
Inspections RESIDENTIAL APPLICATION Re
763-572-3604 Date-Rec'd:
763-502-4977 FAX CITY OF FRIDLEY
EFFECTIVE 2-19-09
DATE11 YOUR E-MAIL ADDRESS
SITE ADDRESS - wq IC e �0-b
THIS APPLICANT IS: ❑ OWNER 130_ZNTRACTOR
PROPERTY
NAME:
ADDRESS: 1 AF(C6iG V2Q CITY -C a 1 (iC.i-,-�4 STATE A111 ZIP55 f S
OWNER/
TENANT
PHONE: 7(p 3 5O'Z - Fr5 9 -Z—
CONTRACTOR
CONTRACTOR
COMPANYVNAME% Inc.
CONTAr E & Hearth & Home
SUBMIT A COPY OF
2pd0
YOUR STATE
STATEe,.. eva_ EXP DATE
LICENSE WITH
ADDRES800011I0, MN 65113 CITY STATE ZIP
APPLICATION
86'FAX
PHONE
PERMIT TYPE
-n SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
ANEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK l u5-rAt(, 5,ig2cT g, XT 6715 1 aj -a-r Ai77) 1.� o
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
Equipment Installed MFG: - L Cj MODEL: ,S2 X -- SIZEBTU 5 %%r G6 0
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
_A/C $25.00 iAFIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00
_
CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 4GAS PIPING $10.00 _VENTILATOR $15.00
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a per it and wor is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work
'ha
��r
apdapproval of plantSIGNATURE OF APPLIC PRINT NAME
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 • FAX: 763-502-4977