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PRE 2010 DOCSDate: Owner: Address Builder_Z�Z" ° Address N? '7191. /,o -LO ION �0� LDING tt t No. Street a ic.�i Lot __ Block z Addition or Sub-DivisJ Corner Lot . Inside Lot _ `�� Setback J _ __ Sideyard ZZ l011r-� t Sewer Elevation 93 I.4 4 Emmarm Elevation 3 % , ( 3 T -"e or- Fo 0rAl b DESCRIPTION OF BUILDING To Used Front / ®� Depth Height Sq. Ft. cu. Ft d i DepthHeight Sq. Ft Cu. Ft Type o Construction Est _ _ To be Completed In consideration of the issuance to me of a permit to construct ding -described above, I the proposed work in accordance with the description above set fp in compli with ordinances of the city of Fridley. 71 In consideration of the payment of a fee of !td� , 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 WWI ordinances. /2A 1,z4, Building Inspector NOTICE: Thb permit don not corer the construction, Indalbtion icor Vi& plumbing, gas heating, sewer or water. Be sure to see the Buihdng Inspector for separaN permits for these hams. City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location • Future Connection Openings wnneczeu WLM Sewer' New .Fixture, Old Openings Cesspool j] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. j 12 Number Fixtures ....... .............. o $1.50 �- G� 7Z U ai �jC i7Z�u < 3 �U' •� w �U' a� Z (�y O • P t N WATER HTR. GAS ELEC. Base ' x 3.25 % l 14 1st I 2nd 3rd 4th • Future Connection Openings wnneczeu WLM Sewer' New .Fixture, Old Openings Cesspool j] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RA Number Fixtures ....... .............. x $1.50 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) ......— x 2.00 New Ground Run Old Bldg. ............ x 3.25 GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code TE TOTAL $ ® sz $� NO. RATE TOTAL — x $1.50 $ x .50 $ — x 2.00 $ City of Fridley: P). The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applkation are true anad� correct. Fridley, Minn 196+ Owner Kind of Building Used as To be completed about `�s ) d? A Estimated Cost, $ ` OW,Ne Building Permit No- Permit No.. `� Signe By Business Phone N ROUGH FINAL Description ................................................$ TOTAL FEE .46D.42 2M Application for power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ 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 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—to 400 sq. ft. EDR 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 $ V ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH Dept. of Bldgs. Phone SU 4-7470 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. 1 LL Fridley, Minn 1 19 Owner �� a Kind of Building.+ Used as To be completed about Estimated Cost, $ , ? SID Old ew. uilding Permit No. Permit No. C)--- DESCRIPTION OF WORK HEATING or POWER PLANTS—StewOot Water, }Yarm Air—No Trade Name $ AS Size No 44 . .6 t3 r7 �� Capacity. 9.�� Sq. Ft. E.D.R..BTU H.P Total Connected Loa d—�� �� Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P FINAL (REMARKS -OVER) Signed vA By C>� 42 Business Phone No Ddb .... •.,42 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling I Roof Floor Yes—No I Yes—No 19— Fl.l�; Room 1 Length'- f Width l 7 Height II FI Windows andboors—Crackage and Area d KoomI Length Width Height No. of Lineal ft. Area No. of panne of pane lights of crack eq. ft. Width height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Height Windows and Doors—Crackage and Area Coef. Btu Infiltration Glass Exp. wall Infiltration Net exp. wall Infiltration Int. wall i4 Ceiling�' ,. Floor Infiltration 1 otal Btu. /,g) 440 b Required sq. ft. E.D.R. or sq. ins. W.A. Leader area If : rl.l Mez d KoomI Length Width Width height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pan. of pane lig/fits of crack sq. it. Infiltration Btu Infiltration Glass i4 sz Coef.1 Btu Infiltration Net exp. wall C -)a V-0 lint. wall Glass Net exp. wall Int. wall Ceiling . S Exp. wall / P tr Floor Net exp. wall 0 C) ey Int. wall Ceiling 0 Vsr Floor Total Btu. 4 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 -.5-- F1.1 Fl.l P2 -4 Room I Lenath I t Width 1 LL Height 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. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. s Kbef.1 Btu Infiltration Btu Infiltration Glass i4 sz Exp. wall -=<9)L Net exp. wall Exp. wall lint. wall Net exp. wall Int. wall Ceiling . , D Floor / 7btal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FRIDLEY, MINN. Insulation Kind How Applied -D-_— I r ---.L A D t- l ILUL ; n U -:..L. Mi .e_ Windows and Doors--Crackage and Area Width height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. s Coef. Btu Infiltration f f i4 ID Glass -=<9)L J Exp. wall Net exp. wall Int. wall , D Ceiling / P tr Floor Total Btu. 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I / fa Fl.l k a -ti, Room I Length / � Width ""7 o Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. 9,14 e4 Coef. Btu Infiltration ID Glass -0.00 Exp. wall Net exp. wall f Int. wall / P tr Ceiling Floor Total Btu. L-0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Ai i, 9 kLa, Room I Length K* Width /Ca Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack sq. ft. Z Coef. Btu Infiltration Glass -0.00 Exp. wall Net exp. wall f Int. wall Ceiling Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /� Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. a 2 6(Z �j . Btu HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips Infiltration A.S.H.V. Guide O Construction No. Insulation Windows I Doors Reference Out. Wall Int. WaII Ceiling Roof Floor Kind How Applied Yes—No Yes—No /6 19_ Net exp. wall ®( F1.1 J1::;A_%A v Room I Lensrth 14 f ® Width 1Gi Height II FI.I ��t �- Room I Lenathf/_4-"0Width%`1. Heisrht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of paneEpne lights of crack sq. ft. 6(Z �j . Btu Coef. Btu Infiltration Coef. Btu Infiltration m O Exp. wall Glass Net exp. wall cj Ln 1 S22– 41060 Exp. wall Ceiling /6 CIO Net exp. wall ®( c) 1 013 00 0 Int. wall �� Ceiling ®-fz Floor Total Btu. O 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 )( QTS L 7tLK/ Room I Lensrth i a Width/ 2 Heisrht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. a= Ide �C! ZLCoef. . Btu Coef. Btu Infiltration A> �® Glass m a Exp. wall 5-0 d Net exp. wall cj Ln 1 560 Int. wall Int. wall Ceiling /6 CIO Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIA 12Ac„P Room I Lenath L WidthJ 1,4 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lighte of crack sq. ft. a= Ide �C! ZLCoef. . Btu Infiltration Glasso Exp. wall good Z, 6 Net exp. wall A> Int. wall ® Ceiling Glass . Floor Tbtal Btu. 19-11 2,® Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 :2_ % Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lighte of crack sq. ft. a= Ide �C! Coef. Btu Infiltration . Coef. Btu Infiltration Exp. wall ® 72Z Glass . D 5-0 d Exp. wall Net exp. wall. Floor 2z Int. wall Ceiling Floor �� Total Btu. M161C Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Lenath Width Heistht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration . Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length Width Heutht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane Ilghte of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............$10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 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 ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water ................ 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH See Fee Schedule U $ TOTAL FEE $ 0, Dept. of Bldga. Phone 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 6e and correct. Fridley Minn 19 �3 Owner (�Z� Kind of Building Used as To be completed about Estimated Cost, $ ® ® O. v Old—New. Building Permit No. Permit No. ft) Ile fil DESCRIPTION of woRa A +- �t)OITIONYNG or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name— Size Size No Capacity T d °� Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signe By ALJ 48 Business Phone No -9-5 _P�5_3 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE N PLUMBING FIXTURE RATES: W 7 W RATE b Number Fixtures o x K 0 Water 0 x � Aa New Fixture, Old Opening � � fa W q W u ro» p, Oa k 01 $ Heater Water Heater - to 99,000 BTU 4J x H W 8.00 H r s4 3 o $ 0 � x ani $ New Ground Run Old Building L4 0 N 0 •11 .0 4-( -.Hi W .�C .0 0 0 0 chi • 1i 4J W 4 4J N NM ti W .�. O 4J 0 O ro� ro caa $ ro 3 u 0 caw a vi s w ro ro U R7 a 4 9 ro C7 Gas Range to 199,000 BTU ro +' o as lec U a MCa y First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE 101a 8 .5 0 ed X 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU 1 x $.� $ 8.00 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8 .5 0 REINSPECTION FEE ($10.00) Job Address 181 Rice Creek Terr Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. Jan 13, 1981,19 OWNER Wajzner KIND OF BUILDING Frame USED AS .Dwell TO BE COMPLETED ABOUT Jan 16, 1981 ESTIMATED COST 225.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. 6t19 Company F i nar Plumbing Signed By a& 2zaz�� Tel. No. 561 2 2 0 ROUGH INSP. Date FINAL INSP. J '�'� Py Date APPROVAL FOR PERMIT 1 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7..50 MA SUBJECT P City of Fridley a y 160 AT THE TOP OF THE TWINS BUILDING PERMKI r RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. 1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 1/14/81 JOB ADDRESS 181 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 1 Rice Creek Plaza South Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE S. S. 1 agner 181 Rice creek Terrace N.E. 571-3523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stuart Construction 4611 Lyndale Avenue North 529-96161 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 Remodel Bathroom 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REWIRED FOR WIRING4. HEATING, PLUMBING i NI) SIGNS. f 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 ] 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 $2, 5O0 $1.25 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- $15.00 STRUCT NOR THE PERFORMANCE ONSTRUCTION. PLAN CHECK FEE TOTAL FEE Lv $16.25 SI NATURE O:CONTRACTORORAUT ORI2EDAGENT (DATE)' WHEN PnROPERLY VALIDATED THIS IS YOUR P RMIT BLDG INSP DATE GN URE V 0' 5W ER BUILDERI (DATE) MA CITY OF FRIDLEY APPI..I(:l1TIO:d f'OI; 1)1:SI101TIAL BUILDING I'EM41TS (New, Alterations, Additions, or Repairs) . OWNER: �� � � - ��•� GUILDER: P ADDRESS: ��� �° ��.� ��—ADDRESS: TEL NO: _ ��" '� TEL 'NO: Construction Location ' STRMT NO: STREET: L07.: � � • BLOCK: � ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION front: Depth: Height: Squane. Feet: Cubic- Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: .�� � ��° Estimated Cost: $ -- To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Ilie undersigned hereby makes application for a permit for the N:nrk* 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 statedhi this application are true and correct_ DATE: hvf SIGNATUrZ: Stimulations: I`.VS SUBJECT PER City of Fridley 19 3 9 - AT THE TOP OF THE TWINS I I I L D I� I %� D[ D M I T BUILDING i Du 'vv I" LR � 1 • COMMUNITY DEVELOPMENT DIV. e ;.. ------I PROTECTIVE INSPECTION SEC. fid' 1 s� 1 i1 1 /---11 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/20/88 JOB ADDRESS 181 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 1 Rice fireek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Buzz Wagner 181 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LfCENSE NO, Feyereisen Construction 4037 West. Broadway, Robbinsdale 537-4566 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 AD REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (26 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd.. Install ridged galvanzied valleys. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITION) G. THIS PERMIT BECOMES NULL A D 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 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 $1,300 $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VISIO SOF NY O STATE OR LOCAL LAW REGULATING CON- $22.00 T UCTION R HE PE CQNSTRUCTION. k _ `LO _ P AN CHECK FEE TOTAL FEE .65 SIGNATURE OF CONTRACTOR OR AUT RIZEDAGENT (DATE)' �- WHENPROPERLY V A ED THIS IS YOUR PE��/IT �� SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG )NSP '/OAT NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 j ALTER. [ Building Permit Application Construction Address Legal Description -R1 L- F— (fPEIL. 7v— . Owner Name & Address: -5UZZ \A,/A-6. ►J E 9- Tel. # �7 -7 1 9? -57 - Contractor: 7 F-e'1'C—fLGIS �S �o.JS-c2v` k i Tel. # Address: 4P7-77-7 _ LLa��w_o-tel _V,68t!- ) --,5v>^#-� 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. 2-1P SCav^VZ Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback ' Side Yard Setback Type of Construction: 7"0 ``E'1z..067P-1 Estimated Cost. $ Approx. Completion Date: `t Proposed Driveway Width If New Opening Is Desired: Alt. A Alt B See Back Page for Explanation a DATE: 2® APPLICA(.- a Tel.co —D— CITY USE ONLY Permit Fee $ .1'r)•O o Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $ -5,5Q per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ Agreement Necessary [ ] Not Necessary [ ] _ �2. �C� STIPULATIONS: CITY OF FRIDLEY Effective Max 1, 1990 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Job Address 181 Rice Creek Terrace RESIDENTIAL ` RATE TOTAL Furnace Shell and Duct Work, $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 Burner (Also replacement furnace) City of Fridley Gas Piping $ 10.00 $—% Tel. #571-3450 (piping needed with new furnace) The undersigned hereby makes application for a permit for the work herein Gas Range $ 10.00 S specified agreeing to do all work in strict accordance with the City Codes $ 14.00 $ and rulings of the Department of Buildings, and hereby declares that all the Gas Dryer facts and representations stated in this application are true and correct. Air Conditioning (all sizes) $ 10.00 S Fridley, Minn. Nov. 29 19 90 All Others/Repairs and Alterations OWNER S.S. Wagner It of Value of Appliance or Work $ OF BUILDING SincTle-Family KIND Residence COMMERCIAL/INDUSTRIAL USED AS 1% of value of Appliance or Work $ To BE COMPLETED ABOUT November 30, 1990 ESTIMATED COST 0 0 0 0 0 State Surcharge $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. rn TOTAL Reinspection'Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date Final Insp. Date Approval for Permit n MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS S.50 STATE SURCHARGE *Air Conditioners can not be placed in !aide yard without written permission from adloin►ng Fwigiibor. HEATING or POWER PLANTS, Steam, Hot water, warm Air- No. Hot Water Trade Name Vailliant Size No. GA92-120, 000 Capacity 120 0;00 . Sq. Ft. EDR BTU HP _ Total Connected Load 87038 Kind of Fuel Nat Gia S Heat Loss BURNER - Trade Name Size No. Capacity Sq. Ft;: EDR BTU HP Company P D Mechanical C Signed By - Te1. 533-2218 Fill out back side for stack verification on replacement furnaces a Rema rk s •`l Company P & D Mechanical Cont. Signed By Date 4 , Nov. 2-9,1990 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,x) No ( ) 2. Is free from rust or deterioration Yes (x) No ( ) 3. Has no foreign objects lodged within Yes (x) No ( ) 4. Is securely supported Yes (x) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (x) No ( ) 6. Has Total heating BTUIs of 7" stack All other BTU's TOTAL Rema rk s •`l Company P & D Mechanical Cont. Signed By Date 4 , Nov. 2-9,1990 SUBJECT P City of Fridley 21880 AT THE TOP OF THE TWINS BUILDING PE MIT i � R _____ - COMMUNITY DEVELOPMENT DIV. D PROTECTIVE INSPECTION SEC. / ll NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/26/93 JOB ADDRESS 181 Rice Creek Terrace NE i LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Rice Creek Plaza South. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Connie Wagner 181 Rice Creek Terrace NE 5718282 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kitchen & Baths 4051 Hwy 7, St Louis Park, MN 920-8603 7642 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION J7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove & replace wallboard/tile in bathroom 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 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.�OQQ $,50 WIT NETHER SPECIFIED REIN OR NOT. THE GRANTING OF A PERMIT 1 S N T PRE S ME TO E AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIO S OF ANY OT R STATE OR LOCAL LAW REGULATING CON - $25.00 Fire SC $1.00 STRUC I R ORMANCE OF CONSTRUCTION'.' PLAN CHECK FEE TOTAL FEE /-,� 4NR;HE & lq- License SC $5.0Q. $31,50 SIGNATOR OFCONK ACTORORAUTHO AGENT 16ATV WHEN P-FIOp^Y VALI AT THIS IS YOUR PERMIT LOG INSP GATE SIGNATURE OF OWNER IiF OWNER BUILDERI IDATEi + w NEW C ] ADDN [ ] ALTER [ ] Construction Address: Effective 1/1/93 CITY OF FRIDLIM. ; SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Legal Description: Owner Name& Address: � S (J)a Tel. #.5-71-2 Z - Contractor:%� j j ��it� '-qr �jq �G%_ S MN LICENSE # Address: CSS/ 7 ©Z7a 7jq Tel. # Me 23 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. DECD AREA: Length Width Hgttfjround Sq. Ft. T OTHER: e) < 19'WD% 0 r a ? a // li6z7.0ol 415- °- Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: + 6 Ft = DATE: �� APPLICANT: Side Yard Setbacks Estimated Cost: $ lej�?D (Cost on Back) Ft x $ = $ CITY USE ONLY Tel. # Permit Fee $ 025 UU Fee Schedule on Reverse Side Fire Surcharge $ A ®® .001 of Permit Valuation (1/10th%) State Surcharge $ , ,5-0 $.50/$1,000 Valuation SAC Charge $ $750 per SAC Unit License Surcharge $ ;a D C) $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: M 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 :;.>e... Stories �nal ...... Uri i Showerwer Wash . . .......Floor i.TaY ....Auto Drain Was er •�• Gas Ran e t r Heater Gas E ec t� Basement Floor 1 Floor 2 Floor r 3 Floor 4 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 NO. RATE TOTAL JOB ADDRESS $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4:00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 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 I% of Value of Fixture or Appliance State Surcharge TOTAL FEE / ' 3 -, 1993 P Owner Building Used As Estimated Cost PERMIT NO. PLUMBING COMPANY SIGNED BY TEL N0. Approved By Rough -In Date Final Date 74 7-'7 -S $ .50 MINIMUM' FEE -FOR ANY PLUMBING/GAS PERMIT IS $15.00 $� �' PLUS THE $.50 STATE SURCHARGE SUBJECT PER »— City of Fridley r I 'i 5 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. i �• ______ COMMUNITY DEVELOPMENT DIV. 1 L PROTECTIVE INSPECTION SEC. 7e�--3 r i i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/2/97 JOB ADDRESS 181 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED 12 1 Rice Creek Plaza South Addition SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wagner 181 Rice Creek Terrace NE 571-8282 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. First Choice Exteriors 2405 Annapolis Lane N #240, Plymouth 55441 4266 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 553-1918 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION [R ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install bay window where existing window was - no header change 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $3,400 $1.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF A OTHER STATE LOCAL LAW REGULATING CON- $87.25 Fire SC $3.40 STRUCTI O T E PERFORMANCE F CONSTRUCTION. PLAN CHECK FEE Licen SC $5 0 TOTAL FEE $97.35 SIGNATU EOFCONTRACTORORAUTHORIZEDAGENT IDATEI N AO ALIDATED IS I�UR PERM -77s SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) BLO& INSP gaTE NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Effective 1 / 1 /97 =z' Owner Name & Address: Tel. # Contractor: %�5 _ ����a�s MN LICENSE#�-!�� Address: Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width _ Hgt/G ound Sq. Ft. OTHER: . /� a" Construction Type: o� Estimated Cost: $ 1% (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:�-'�- % % APPLICANT: Tel. # S5 52'/%/ CITY USE ONLY Permit Fee $ 57Fee Schedule on Reverse Side Fire Surcharge $ D .001 of Permit Valuation (1/10th%) State Surcharge $ 1,76) $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $--,45—. DD $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Pian Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT _0PffR­MIT NO. City of Fridley 2 9 3 0 5 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. SEC. f PROTECTIVE INSPECTION E . , � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY L +\ 612-571-3450 910-Fl! 4/27/99 F/ / JOB ADDRESS 181 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 12 1 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sehastion Wagner 181 Rice Creek Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Feyereisen Construction 3404 Zane Ave N, Crystal, MN 55422 535-6024 6594 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION Ck REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (26 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $2,228 D OT PR E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OVIS NS F A Y OTHERS TE OR LOCAL LAW REGULATING CON- TI $ Fire SC $2.23 TRUCTI N 0 TH FO NCE OF CONSTRUCTION e PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.09 IGNaTUREOFC N:RACTORORAUT RIZEDAGENT IDATEI WHEN PROPER VALIDATED THIS IS YOUR PERMIT ii SIGNATURE Of OWNERIIF OWNER BUILDER, (DATE, B G,NSD f✓�AfEG NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 0 Lr—E is -Tie , Legal Description: Owner Name & Address: Tel. # Effective 1/1/99 06 Contractor: MN LICENSE # Address: `��'�� Ay& N, Tel. #� �Z " 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 idth Hgt/Ground Sq. Ft. OTHER: �+ G Construction Type (L- ® /C---S,(LOO Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ 0.11 APPLICANT: )A-v`"Z> Q- q Tel. # STIPULATIONS: L--- CITY USE ONLY Permit Fee $ %,�! Fee Schedule on Reverse Side Fire Surcharge $ c2 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 5-- Oe $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 $ 8.3-02 STIPULATIONS: L--- .:IDLC-yNE ECTION DIV. 6431 -,University Fridlev '"nq 55432 572-3604, FAX (763) 571-1287 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: Urinal 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 () N Type APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR u o. Wash �il?�I� Floor �a��>: Drain W as ><. Shower li�k<< Trav a1#[:�,t<....,.. I�as-,t _-.. . NO. RATE TOTAL JOB AD EltaLitve U11 J611 1, ' UU6 Gas ;>: Water Heater Ranoe Gas Elec $ 7.00 No The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. 48 $7 2 7.00 dA $10.00 Owner $ 7.00 . $10.00 Building Used As $10.00 $10.00 Estimated Cost n0 PERMIT NO., / $15.00 PLUMBING COMPANY VACZ94!� 6414t"I�(S_ — Reinspection Fee $47.00/Hr SIGNED BY TEL ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Fin State Surcharge $ .50 MINIMUM FEE OR ANY PLUMBING/GAS PERM TOTAL FEE 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 THESELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APFLICATION WILL BE RETURNED r.OMMQN VFNT, VFNT r.QNNFCTQR AND CQMR1 ISTIQN AIR V RIFICATIQN When reIn acinn an PAstingf uri anc-e, 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. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (.) No ( ) The existing r-nmhi ,_conn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to jnc+all a n= _omf, iction air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No When inntalling a new renting nyctem, 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 Typp and S07P_/Common Vent and Veda Conn _r_tnr Information 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 s. Appliance #1 Vent Connector Height ft Length ft Diamefer 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 �e G7YOF' FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 June 15, 2004 Mr. Sebastian Wagner 181 Rice Creek Terrace NE Fridley, MN 55432 Re: Final Inspection at 181 Rice Creek Terrace NE, Fridley Contractor: Shiloah Water Co. Dear Mr. Wagner: A plumbing permit was issued on April 8, 2003 to install a water softener 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. Sincerely, D EN Building ector DJ/mh CITY OF FRIDLEY PERMITo.: 2004-00745 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/19/2004 ►63) 572-3604 FAX: (763) 571-1287 ADDRESS : 181 RICE CREEK TER NE PIN : 143024230013 LEGAL DESC : RICE CREEK PLAZA SOUTH ADD : LOT 12 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 5,000.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL 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. RESIDE HOUSE & GARAGE STATE LICENSED CONTRACTOR 1 APPLICANT MIDWEST ROOFING SIDING WINDOWS INC 313 JEFFERSON HWY CHAMPLIN, MN 55316- (763) 427-9696 WAGNER SEBASTIAN S & C M 181 RICE CREEK TER NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating Mstructioppy theporf6rmance of construction. Bldg Insp BUILDING PERMIT FEE 111.25 FIRE SURCHARGE 5.00 STATE SURCHARGE, VALUE 2.50 LICENSE SURCHARGE 5.00 TOTAL 123.75 PAID WITH CHECK # 17786 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY �A4 aOOOJ Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION��o I ,y�, /�'' Construction Address: 191 CreeK T Legal Description: Owner Name & Address: 6InSS �il%��-/ Tel. # �6 ?�y Contractor. �?/�+-s� MN LICENSE # SOD 10)77 Address: I� C' �w=Q ITel.# LMNG.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: pies) Estimated Cost: 00 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: 1; - l APPLICANT: �l TSP-te l Tel. # 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ 1 s S� STIPULATIONS: M11 -9 -ml, Building $ BUILDING See Back Page for Fee Schedule Permit No.: 6, - 01 Inspections RESIDENTIAL APPLICATION Surcharge Received By: 763-572-3604CIT' (.0005) times the total job valuation - Minimum $.50 OF PRIDLE'S� $ Date Rev'd:'" .001 x Permit Valuation (1110%) License Surcharge DATE e) _ YOUR E-MAIL ADDRESS 55.00 (State Licensed Residential Contractors) SITE ADDRESS ?. ' THIS APPLICANT IS: O OWNER =oNTRACTOR S PROPERTY OWNER/ NAME.. itJ Erosion Control TENANTADDRESS: ®- e"CITY ! STATE_ZIP3 �, Park Fee PHONE. CONTRACTOR NAME. 1 STATE LICENSE # e2d Q 393& 7 EXP DATE Agreement necessary ( ) Non Necessary ( ) SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS' 11100 J e W eVSOVI M. CITY nn STATEA6-5-5aJ(- WITH APPLICATION PHONE PROPERTY TYPE GLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMILYAIEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION O GARAGF1511ED 81W7DOWS O BASEMENT FINISH O ROOF O DRAIN TILE O DECK O SIDING C OTHER O SWIMMING POOL TYPE OF WORK:v NE O ADDITION� ANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT / P LENGTH WIDTH HEIGHT S . Ft. ROOFING O HOUSE ONLY NUMBER OF SQUARES O ROUSE & GARAGE BASEMENT REMODFLINQ SUBMIT: GARACr.S O ATTACHED GARAGE 1. 2. rFloorPlan Proposed floor plan PROPOSED SIZE: O DETACHD GARAGE 3. List of saucaral members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O vinyl OSoffit ADDITION, & PORCHES SURAT: O Aluminum O Trim 1. Site Plan/Smey shoaling du existing st=ares ❑ Other O Fascia and proposed project. WINDOWSj 2. 3. Taro sets of construction plans Energy calculatiors IN EXISTING OPENINGS QYa ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF _ OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (/- (USING THE.V97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S % 60 Z-3 OP OCCUPANCY TYPE Perrnit Fee $ N 5 3 .y S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge 5 (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $ -701 .001 x Permit Valuation (1110%) License Surcharge 5.00 55.00 (State Licensed Residential Contractors) SAC Charge _$ _S S 1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow S ft+ 6 ft= R x S20 = S Erosion Control 5 $450 Conservation Plan Review Park Fee Fee Determined by Engineering Sewer Main Charge _$ _$ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1 (o Make checks payable to: City of Fridley Attach Stipulations 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 which requires review and. approval of plans. SIGNATUREOFAPPLICavT -M�.G a�' tAiAdPRINTNAMEMCtr6KC4- CtOLiV"DATE Imm J Building Inspections 763-572-3604 DATE Is SrrE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PEPIWM TYPE CITY OF FREDLEY YOUR E-MAIL ADDRESS l i Z r rip L 1.4 C -L- �j D OWNER )CONTRACTOR ADDRESS:_ f Z) t r---L.R -C o PHONE: -7k 3 - S i 1 - 9Z& 2-- COMPANY' NAME: SEDGIMCK HEATING 8 AIR CONDMONING LLC CONTACT PERSON: 8910 Wentworth Ave__ Permit Received By: Date Rec'd: ATE!1LZIP STATE LICENSE # evui a �vc+yyyas�• -_ -- ADDRESS: (952) 881-9 STATE ZIP, PHONE IBJ SINGLE FAMILY 0 TWO FAMILY 0 NEW REPLACEMENT FAX 0 TOWNHOUSE 0 ALTERATION/REMODEL ri � � • ' • • • • it��1 �'. '_. ;��_ fir. i�',11���1t�1'�PI1�F PER MS 16B.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. FIXTURES: RMICATE TOTAL NUMBER OF EACH BELOW) Z J Td Equipment Installed MFG: D 0(1 SP1 O� MODEL: 13 /4 P o 3o SIZEIBTU MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEIBTU XA/C $25.00 _FIREPLACE (GAS) $15.00. GAS RANGEJOVEN $10.00 AIR TO AIR EXCHANGEER $15 ,.,_FIREPLACE (WOOD) $35.00 —NEW � T GRILL $1 0. 100 BOILER $35.00 FURNACE $35.00 CHIMNEY LINER $10.00GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 25- 'Sa 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 which review and approval of plans. SIGNATURE OF a City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 b /b6 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. TMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346:0603.2 a. ACOA Manual D NOW: Centerpoint JEnerV Mechanical Code Guidelines software may be used for combustion and make up air, calculations Building PLUMBING Permit No. :�� � Inspections RESIDENTIAL APPLICATION Received"By:" y.763-572-3604 CITY OF FRIDLEY ° DATE YOUR E-MAIL ADDRESS SITE ADD s Sd„u e_d Sebastian Wagner THIS APPLICANT IS: E30 WNFR OWNER 181 Rice Creek Terrace PROPERTY NAME: Fridley, MN 55432 OVERT TENANT ADDRESS: 7635718282 STATE ZIP PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE #-150r6 EXP DATE YOUR STATE ADDRESS. .rI'ti CITY �' 11Y STATE,&u& S w - LICENSE WITH • PHONE 7 - yo3 FAX Ir 12 APPLICATION PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY :0TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK &lpro PER MS 16B.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. (Mis.should_reflect only.the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = >•FO"ROJECTS WHERE LABOR EXCEEDS•Si00,711ES ARE BASED ON $10.00 PER FI)TURE, EXCEPT."MUIEREMT.E 3F:F MnM,,. INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/IAV _FLOOR DRAINS _ SHOWER _ WATER PIPING , _^ BATHTUB GAS PIPING (xzw cmmcEw) _ SWIMMING POOL _ WATER SOFTNER ($35) _ _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($ 15) _DISHWASHER _-LAUNDRY TRAY ,LWATER HEATER (S35) FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,00 = $ Number of fixtures @ $35.00 �_ x $35.00 = $_35'.0q TOTAL DUE $ State Surcharge = $ 50 Total = $ O THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply fora 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 all ork which requires review and approval of plans:/ p� , SIGNATURE OFAPPLIC NAME je- /!/O/C/ow DATE � �l � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 411-7.17 13�.�.1+�.irxg �LILIU1 Ptmi inspections RESIDENTIAL APPLICATION 763-5'7213604 CITY OF FRIDLEY 10 YOUR E-MAIL ADDRKM SI'rE;ADDRESS L.1$I ice—�t✓eK �ercaC-e- THIS APPLICANT IS: ❑ OWNRR 11110 .IR IMUrOR C'ItOPERTYi OWNER/ NAME:_, 5. TENANT ADDRFS8:_ „ iC'r f�6K%BIftRCtAI]Y . �ridl ,,, PHONE. 7&3 6-7 % U -1a C;ONTiZCTOR NAME W avtdoW `once -�'S ATE—ZIP-5-96:L/31P ,iMSN I' A WPY OI{ YOUR STATS LICrfNSH WHE APPI41CATION E PROPRTY TYPE STA'G'E LICENSK N , GXP PA'1'r -.3 - f . AuuRESS:11® Lope 05& Road , S+e• �� Y CITY,.. 6a pII()NF O 15j 90 6 W 01067 FAX Q 67 906- 17q6 -'j Y® - i-0 _❑ StN(iLri r•AWRLY/NPW CONSTRUCT1t.IN .- 0 TWO FAMn.Y/NEW (70t4STRUCTION STORI IM _. pkRNflT TYPE d ADDITION 0 r,AR� (YVS Eti U — 0 WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAM TILE Q BECK ❑ SIDING ❑ O'13IlrK 0 SWIMMING POOL TYPE OFIWORK: MNEW ❑ AXIITION 11 MA.INTENAN(MaUrAlk Q U-1401.31-1ING DESCK1133 WORK BEING DONE. C'�� C2 on e w Iny w Fri -e?�i,S — r'PI T - SIZE O iMO, KOVEMENT LENGTH WIDTH HEIGHT S. Ft; Bmm(; ` 0 HOUSE ONLY NUMBER. OF SQUARES Ll HOUSE & CIA.ILAU}s 13ASE71� "NN T REM1C)17G lfCi _ 1. ipose Plue ❑ A C'rACI IEV c:, ARACiE lla( 'A18k 2. Proposed IIoo Pr plan PROP03PD SIIZZE: . t] bE'CACHF.D GARAGE 3. Leat of struo rut inembm to',ba uacd PkOPOSL'I) I IEiGHT: ,•,` til i1NG FOR NEW C:UNSTRU( r(ON INCLUDING DK S, ❑ VhrylC�Sotrit �GJ r)N )R(l- 0 Trim ®it �. t. Site Plrns/Su A sltowtng ttta ertistang i�itucxum ❑ Alumittwu L7 OtIler_ E_Mweia and proposed 2. Two sets of C. project. imtruction plans 3. Energy C:rj lations IN ItMSTINO gpuMNOS Ates []No LOCATION OF WINDOWS q— n V Ok POR N1iW OIIBNINGS•UPSCRIBb SIZE'OF _, 013FININO C:HJ�NGES & TI'L 1OF WINDOW TO BE JNSTALLVJ: S NUMB R OF WI WOWfi � .----^ ALL;FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABORAMID MATT ALS. (LYSING THE 1947 U.B.0 FEE SCRED111,E) TOTAL JOB VALUATION $ 1,R-7--00 OCCUPANCY TYLE Permit Fee $ See Sack Page for Fee Schedule Plan Review $ ___ 65"/0 of Buildni,g Permit Fee times the total job valuation Fife Surcharge $ .001 $ 0005 x Permit Valuation Minimum $.50 SUrch rge y$ $5.00 (State Licumsed Residential Contractors) License Suroarge $1(175 per SAC Unit (Plans to MWCC for detennio tion) SAC Charge! $ _fix $21= $_ _ $ + G ft _ Curb Cut Escrow _ —h — $450 Conservation Pian Review Rrosion Control $ $ Fee Determined byLogineering Pari tee Sever Main. Charge S Agreement necessary ()Non Necesstuy ( ) a• --� --t ►:-7 make eheeks Drivable to:Clty —of Attach Sti ulatinn§, 11i1S IS AN APPLicATION FOK A PFRWr-NOT VALID UNTIL PROCESSED 1 hereby apply for a building permit and [ ackno�+ledge that the infonnation above is 00". fete and occur wtrfortnarzce with Ilse ordinances end codes of the City of Fridley and with the M mtesota Construction Codes; permit but only an application for a permit And work is not to start witbout a permit; that the work will be in : pla`-I in the case of all work which requires review ndprava 1 of plans. j� h �L / m;�57a SI(3NXl,LtRL' OF APPLI( ANC — that thQ work ME be in I understilmd alis is not o rdance with the Approved Td Wd90:00 L00Z EZ LeZTTLS29L: 'ON Xdd balplad .to: 64IO: W0;-�u