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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 4110 Date: ......... __ .. ..-�------- ---_...._.------_._._ Owner:'._...._._ _� ........_..... .. �.......... Builder ....._........ ...... .. _......._.._....._— ._..._.._ __ Address Address OCATION BUILDING No..�.---- Street ... ...... .........._--• •- .-.._.... --. Part of Lot Lot ._... _............._......._. ...... Addition or Sub -Division .......................... Corner Lot .................................... Inside Lot Sewer Elevation Setback . .......................... ................ Sideyard ........... Foundation Elevation .................. DESCRIPTION OF BUILDING To be Used as: y !. Height . Sq. Ft.... Cu. �. Front . - Depth /.. Front . P r Depth �®�.." Height O Sq. Ft:?4 .1r..�_.' Cu. Type of Construction ........._........._...................._............_. Est. Cost ............ .... .................. .............. ........ To be Completed .............. ............ I.................... In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and/P compliance wil all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $... permit is hereby granted to .............. ....._............................-......._.. ._..._.... _... ....... -..... ......... ....................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. City of Fridley Application for Pluni ing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Gj vat c Qj Z ]- 6 O J �U' t9 Z i t F t N WATER HTR. GAS EIEC H am-' a: R �� Q � O Base G / 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer El New .Fixture, Old Openings J 1 Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ q Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... Z x 2.00 $ goo New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code City of Fridley: a 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 ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, P Owner Kind of Building � OJT Used as To be completed about ✓/ / s 4 Estimated Cost, $ QJA--New. Building Permit Permit No. Signe By Business Phone No JUN 10 1960 ROUGH FINAL - Description ................................................$ TOTAL FEE 42 2M 7-59 19962 %6 �I Application for Poorer Tants and Heaeting. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ....... I.......... Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ Ka a 2.00 $ 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ `® over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: a r Dept. of Bldgs. Phone SII 4-7470 1 ,6 ep,/ Loc- on zap LGl z City of Fridley: 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 ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn_ � { H�— 2- 19 Owner a�l�!L-'��' ° 195— Kind of Building — - , 195— Used as To be completed about Estimated Cost, $ Old Building Permit No.�,/ DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, W No. Trade Name dn r Size No aa&'DS�'�.� J� Capacity. ✓ Sq. Ft. BTU H.P. Total Connected Load � �� ®� Kind of Fuel kl-*� 14— BURNER — Trade Name�Size No -AU AQ 0,,-Z 2-- Capacity Sq. Ft. E.D.R 42 oid� BTU H.P. SUBURBAN H ONIG & SHLLT METAL 8419 CENTER DRIVE N. E. Signed MINNEAPOLIS 24 MIR& By / �•r7 11 POST IM -12-58 Business Phone No- `�.��9�? �s6 42 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall I Int. Wall Ceiling Roof Floor Kind How Applied 'e ToN <Ni—No 19,E ,0.-5/6' I v - /rte FLl _"_ ` Wifith /A/ 14.iabt a / 11 f FI I zp - ✓ Rnnm I I Pnoth /®`9 idtlh 1v"/ HeiahtQ / Windo and Doors—Crackage and Area Doors—Crackage and Area Width Height No. of Lineal t . Area No. of pane of pane lights of crack sq. ft. 7! No. of Lineal ft. Area llghts of crack sq. ft. O 2Zv� Coef. Btu Coef. Btu Infiltration Infiltration -;to Glass 2KI ,61 Exp. wall y , Net exp. wall Glass p Int. wall Net exp. wall Exp. wall Ceiling /® ® 2- Floor ®/ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 2� / Fl.Room I Length Width Height Windows an Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Width Height No. of pane of pane No. of Lineal ft. Area llghts of crack sq. ft. O 2Zv� Coef. Btu Infiltration Coef.1 Btu Infiltration o, y Exp. wall �. v® Coef.1 Btu Infiltration y , Exp. wall Glass Floor Net exp. wall Exp. wall /, /® Int. wall Net exp. wall ®/ Ceiling Int. wall Z2L Floor Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Room I Length / 3 / Width 7/ Height A'/ Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Width Height No. ofLineal it. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Coef.1 Btu Infiltration o, y Exp. wall �. v® Glass Glass y y Exp. wall Exp. wall Floor Net exp. wall Net exp. wall /, /® Int. wall Int. wall Ceiling Ceiling Z2L Floor Floor 1 btal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I /Z - -•I----- -- Windows and Doors—Crackage and Area - Width Height No. ofLineal it. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall �. ®20 Net exp. wall 0 Glass y y �� Exp. wall Floor Net exp. wall /, 0 d/ Int. wall Ceiling Z2L 40 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.) W, Room I Length /-??' / Width/zi -- Height .e/ Windows and Doors—Crackage and Area Width Height No. of Lineal tt. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall �. Net exp. wall 0 Glass Int. wall y Ceiling Exp. wall Floor Net exp. wall /may Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / m I ,A — 12....... I r --- th /1 to' Q/idth moi/ 14.ioht Sr f Windows and Doors—Crackage and Area Width Height No. of Lineal tt. Area No. of pane of pane lights of crack sq. ft. 6 Coef. Btu Infiltration Glass f - Exp. wall �. Net exp. wall 0 Int. wall Ceiling Floor 1 otal Btu, 1 1V,�V, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1/� SUBJECTR�A711T' Nb-<_ City of Fridley ° 24307 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 'r �` DEVELOPMENT DIV. -------COMMUNITY I L PROTECTIVE INSPECTION SEC. r IP CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 6/21/96 JOB ADDRESS 1627 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR- Pt 6 1 Auditor's Sub. #22 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Skoe 1627 Rice Creek Road NE 572-1230 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (18 Sq) 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be 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 1 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 $1,116 $.56 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 IOTA F E $ V93 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT (DATE) W EN OPFALIDA71 D IS IS YOUR PERMIT ev r>lAte"2 SIGNATURE OF pWNE RIF OWNER BUILDER, IDATEI B ,NSP r)aTE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 3/1/96 r I N• ConstructionAddress: 6; C' E,_ C e eV k.a , Legal Description: �-e Owner Name &Address: a�Ld S k o e (oa R1' -f k R L Tel. # `7 `2 Contractor: Q U J �4:p VN MN LICENSE # Address: i G` l ['� i r .e Ln e P k R cL Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:�koos-(-- -Qqj ad 1 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $// Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: `® aU (, S ko Tel. #.57A— I a 3 O CITY USE ONLY Permit Fee $ % (. Z,s Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 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: t / SUBJECT P O. - City of Fridley 33081 AT THE TOP OF THE TWINS BUILDIV2PSMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 5542 J\ 763-571-3450 910-F15 9/12/02 JOB ADDRESS 1627 Rice Creek Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt 6 Auditor's Subdivision #22 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Skoe 1627 Rice Creek Rd NE 763-572-1230 J CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install egress window in basement bedroom 9 CHANGEOFUSEFROM TO STIPULATIONS Window to meetthe State Egress 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 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 $1'000 $.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $35.75 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL F $40.25 SljD&ATURE OF CON'RACTOR OR AUTHORQED AGENT [DATES N P PER LIGATED T S IS Y UR PERMIT S-GNaTURE OF OWNE ,iF OWNER BUILDER, � -,DATE, I BLDG 4SP OAtE t / NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ I SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �-7 Rtce' c creek 131 Legal Description: -ss6 ! "4� gko c, Owner Name & Address: i g:7 Tel. Contractor. S r -(-F7 MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type Q+atjper- FcYlr'e WrQouEstimated Cost: $ two®® =� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: C� APPLICANT: � �.d/� /��• d4Tel. #76 3 5 7A -7f 2SO Call (763) 572-3604 for Permit Fees If mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ 39) 2 S Fee Schedule on Reverse Side Fire Surcharge $UO .001 of Permit Valuation (1/10th%) State Surcharge $ S D $.50/$1,000 Valuation SAC Charge $ $1200 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: M