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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. N? 2923 57 Date G ��..�.�l................. �' Owner.. �......... . ..... Builder ..� ... .......... ............. c �a Address .® /... °.........� .............. Address ®. ........... . ate`. t . LOCATION OF BUILDING b No. �p,�f Part of Lot ....' ............. . .. .. Street .. .. .... ........... Lot ... /0 ........ Block ... /........... Addition or Sub -Division &.14k .. . � � r Corner Lot ............ Inside Lot ...... ^. Setback ....�:. #r Sideyard _ ";. DESCRIPTION OF BUILDING To be Used as: ✓�/ • Front .. Depth. height Sq. Ft. �� (. �;. J Cu. Ft. to Front ®� Depth e fi� .. Height .... Sq. Ft.Cu. Ft........ . Type of Constructi Est. Cost . , .... • , To be Completed ... �,4RAN 1W.Wffl PIP1 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 in compliance with all provisions of ordinances of the village of Fridley. X.. ....... .. ...... In consideration of the payment of a fee of $. ,%.15ermit 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 with- in the village limits and this permit may be revoked at any time upon violation of -y of the provisions of said ordinances. �7 R d" �'i - • • ..IN ..�' /I.FS f � • � .R�LUll�lls lOjJGli NOTICE: This permit does not cover the construction, installation or alteration for wiring, p ng, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these i ems. SUBJECT PE712958 City of Fridley 1 ® AT THE TOP OF THE TWINS BUILDINGPERMIT r RECEI . `L ______ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � CITY HALL FRIDLEY 55432 `-_-- NUMBER REV. DATE PAGE OF APPROVED BY A `, L J` 612-560-3450 910-F15 5/22/75 JOB ADDRESS 201 Rice Creek Terrace N.E. 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. lO 1 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard A. Kroger 201 Rice Creek Terrace N.E. 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 N07 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION EX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Fire Repair 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 R-1 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. $6,000 3.00 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-. $36.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $39.00 RAI;TORO UTiORIZEDAGENT (DATE) AT THIS WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT A k,,�-�-___S_1G_P;7kT/URFCO /f SIGNA RE OF OWNER IIF O N R BUIL 1 IOATEI BLDG INSP DATE ✓ - - APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME�,a?-d , BUILDER ADDRESS: to DRESS: NO:. �.��/ STREET: LOT: BLOCK: / ADDITION: iL C`�c`� .'%L -)e/-) 'So �iJPJiV' CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of.Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 1— I Front: Depth: Height: Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: $ 6,066 To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of )Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE - (See Aeverse Side For Additional Information.)' 6 Z( !C)o City of Fridlay • Applicrition fc7 Plumbing c.d Gaz M'S'ag Permit Dept. of Bldga. Phone M-3450 DESCRIPTION OF V1011 Numbaer. Kind and LoccS;en o4 Fixtures LocsR� O 1`< z ~ i 1? x r < Yt1 "z g u= O V V i V R N WATER HTR. GAS ELM .� ° °� < s Bate I Ist tad _ 3rd 4h • Future Conncc! ca Opoaings Conroctod with Cl?Sous eSo-war Fixture, Old Openings Ce2.pool C] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ — x $2.00 $ Future Fixture Opening ........... x $1.50 $—_. New Fixture Old Opening.......... x $1.50 $___ Catch Basin .................... x $3.25 $ Water Ilea ter 'Up to 99.000 BTU).... x 53.00 $ New Ground Run Old Bldg.......:. x $.3.25 $ E!octric Water Haatar...... ........ s $2.00 $ ;AS FITTING FEES: NO. RAT TOTAL 1st 3 Fixtures ............ • . x $2.00 $ . Additional Fixtures ................ x $ .75 $ Gas Range to 199.000 BTU ........... x $5.00 8 PXPArRS do ALTERATIONS—Rater to Code City of Fridley: The undersigned hereby makes application for a permit for the- work herei specified, a., reeing to do all work in strict accordance with the Cit' Cr•dinance and ruling of the Department of Builci:ngs, and hereby declares that all the fact and representations stated in this appL'caSion are true and correct Fridley, Minn Owner T Kind of Building - Used as Y To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. r Signed By Business Phone No�� �— ROUGg FINAL .50 State Surcharge Description.........................................5 TOTAL I= EF: $ — AP�;i PIlcan for Pl;� I�-9 C d GOS .4d* r- 43 a iS Dept. of Bldas• Phone DESCRIPTION O? VIOIZ NuinL r. Y.ird and Locr2 on of Fixtures • Furi a Cor :oti'.:a Opocinrs e Xsvr Fi:-turs. Old Oponings PARTIAL RATE SCHEDULE Savaz Cc=pool PLUMBING FIXTURE RATES: . 3 Number Fixtures ................ 1 yy 3 M � x $1.50 $—L_,� New Fixture Old Operting..... :.... u< 7 3 j V U H V ? N. WATER NTR. GAS [LE G Bare 15t 3 Fixtures ............... x $2.00 $ . ,Additional Fixtures................. x $ .75 $ Gas Range to 19.9.000 BTU ........... x $5.00 $ 1st 3:d • Furi a Cor :oti'.:a Opocinrs e Xsvr Fi:-turs. Old Oponings PARTIAL RATE SCHEDULE Savaz Cc=pool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 S Future Fixture Opening ........ • ••• x 51.50 S _. � x $1.50 $—L_,� New Fixture Old Operting..... :.... Catch Basin .................... x $3.25 S Water Heater 'Up to 99,000 BTU).. • • _'X S3•00 $ New Ground Run Old Bldg. x $3.25 S E'lectAc Flatar Hsatsr.............. a $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL 15t 3 Fixtures ............... x $2.00 $ . ,Additional Fixtures................. x $ .75 $ Gas Range to 19.9.000 BTU ........... x $5.00 $ �� ;c 42_ C/' City of Fridley: The undersigned hereby makes application for a permit for the work here! specified, agreeing to do all work 1n strict accordance with the City O:dira tee and ruling of the Department of Build:aps, and hereby declares that all Lhe fact and representations stated in this app::cation are true and correct Fridley, 9riaa -7-23 19�� Owner ' At Kind of Building h^c1 �E_ Used as ' r—_ I I L r- To be completed Estimated Cost, $ 20E Old—New. Building Permit A'o. Peron No. By _. Business Phone NO `7 2 ROUGH ° FINAL C Z I— ® C • P.rPAIBS & ALTERATIONS—Rater to Code .50 State Surcharge .Description ...... ° . s ..... • ...... • . ° °... .. • °.....° ..$���- TOTAL FEY• +�_ p'':.:r..�� ..,c•2+. e,.� `�^'r9 z�.-ti.•.e .,-. t: *i .4 �,,.-. w� C�.�^ ��_ ...,� �"^ .^.+.,e.�°s,... ,,� ;'. ^' ._ fF3 `6'^.—F'-.�... «.,.��. _:p +:.ami-; ... y'.,rd is k.. s. ..:.j t �i .....,.., .... i.:.s.«i ut n�a. ..ea a..•ry� 't�y„•`•L.,,; �.'s..a .ia U ....L.. e.. .r..�s ., s'd� a,:i :_ e., �_ �P°i v...J �.me..8 .� ' ,C'V„S� � wvr:�,r:JE+ViirJrr � Oia���iD��a6iJa er:ti: Ltb'S.i 4J itvti;t.,y GRAVITY W.XnM JIM: WHIM 'ti0°;1IM Fumzce she:I a Dvurt Work ... ... Replacerrerit of F'°t:rnarx �= Repairs & Alterations --up to $�500.00 600 $ Repairs & Alterations each add. 1500.00 300 � MECE°L W R:"2M Ate% Furnace Shell & Duct Work to 220,05:0 BTU ..$10 OD • § ea -ch add. W.V.0 BTU . ......... 3M $ s�n°-lac-_=,ent of rurnace 5.00 & Alterations --up to ;500.00 6.00 $ il-;;afrs & lteratio-..s each add. $500.00 3.fJ $ STEAM or HOT WATER Z-YZTZA' Furnace -Shell & Lines --to 400 sq. ft. T_'.DR Steam $10.00 $ Furnace Shell & Line --to C40 sq. ft. EDR Hot Water 20.00 $, Each add 200 sq. h. EDR Steam xm $ Each add. 320 sq. ft. EDR Hot Water 3.00. $ OIL BUIRN R—to 3 gal, per hcur 6.00 over 3 gal. per hour --See Fee Schedule G.F-S BUrl-WER (up to ID903 BTU) U-3 ov�<- 2 r3,dJt2 Bs' M See rea Etch'xdula GAS 3P23°TI2LG :oda RATE TOTAL Ist 3 Fixtures X$ 200 S Additional F9 ;tures x ,73 Gas Range to 1€D=0 sw U* $ — State Surcharge .50 l.,Y. 1 i rl , L: iii G .moi Z X.,4 -17 _Is— TOw&L F� -tr � 7TH p lit. of B? lgz. pho w &M-123 City of Frridley: The undersigned hereby makes application for a permit for the work herein specified. agreeing to do all work in strict accordance with the City Or�e: and ruling of the Department of Buildings, and hereby deck res that a1I tko fad and representations stated in this appiicatiot3 are true and corracL Fridley. Mr an i r d7 / _ Kind of Building To be completed about. Ac Estimated Cost, $ _- :2. fl Old --New. Building Permit No. Permit No. iir.RTING or POWER igY.AIMS,--.Stam, Hot Fater arrn -No /` i Trade Ivamy Cr/ e Size No Capacity._._. — Sq. "F t. L.D.R Bru a Hmp Total Connected Load Xf-d of lust BUMMER — Tra& IlaSize Xo Cap&city sq. FL EM Rgk"u7 Md NEGASDO 53-84-S-915.51 City of Fridley r Applice,lan for Plumbing C'Md GOSi'��yt�:� Pbt - Dept. of Bldgs. Phone 360-3450 DESCRIPTION OF x:011;: 201 N. F. Rice Creek Terrace Number, Kind and Loce2?en of Fixtures R" i rutwo eozzac:iza Oponinga SmTros Naw Fixture, Old Opqaings Ccrzpool PARTIAL RATE SCHEDULE ;UMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ —x$2.00 $ Future Fixture Opening ............ x $1.50 $ -• New Fixture Old Opening.......... x $1.50 N Catcti Basin .................... x $3.25 WATER MTA. � x $3.00 $ New Ground Run Old Bldg....:. • :. x ".25 $ Electric Water Hoat.er...... ....... . s $2.00 V$ 9 N GAS ELfC n •3 a S . d .+ �� Gas Range to 199.000 BTU ........... . . x35.00 5 .-2 t I ns all G s ri 171 tti z A rutwo eozzac:iza Oponinga SmTros Naw Fixture, Old Opqaings Ccrzpool PARTIAL RATE SCHEDULE ;UMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ —x$2.00 $ Future Fixture Opening ............ x $1.50 $ -• New Fixture Old Opening.......... x $1.50 Catcti Basin .................... x $3.25 $ Water Heater 'Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg....:. • :. x ".25 $ Electric Water Hoat.er...... ....... . s $2.00 $ 'AS FITTING FEES: NO. RATE TOTAL 1st3Fixtures ......•••••••••••• x$2.00 $ . Additional Fixtures .............. x $ .75 $ Gas Range to 199.000 BTU ........... . . x35.00 5 City o1 Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Or•diranet and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct, Fridley, Minn 5-8-75 15..._ Owner Ouintena Freeberg Kind of Building Frame - Used as Res. To be completed about . 5-15-75 Estimated Cost, $ 16.o0 Old--XUWXBuilding Permit No. Permit No. Signed By MINNEGASCQ -- Business Phone No ROUGH FINAL i 1 7- _-_Z ZPAIRS & ALTERATIONS—Rafor to Code .50 Sate Surcharge Description .......Install• Gas• Urill .......... 5.00 • TOTAL FEE $--- ' €z s— A'" Surdlarge :fir City of Fridley SUBJECT 13413 AT THiE TOP OF THE TWINS BUILDING PERM1T �` i COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY = "1 CITY HALL FRIDLEY 55432 IL i"" e ,�� 612-560-3450 910-F15 3/24/76 JOB ADDRESS 201 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 1 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Kriker 201 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Aladdin Pools 4738 42nd Avenue North 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 Constructla in ground pool 9 CHANGE QF USE FROM TO STIPULATIONS As per Health Inspector's letter to be sent. REQUIRED FOR SIEPERATE p-ERMITS SIG P�,U�A�I�6G A�iD tjEATI3G, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Concrete THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 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. $4200 2.10 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 1-041- LAW REGULATING CON- $27.00 STRUCTION OR THE PEA FORMANCE OF CO RUCTI PLAN CHECK FEE TOTA FEE �G G $29.10 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG. INSP DATE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT , A ATE) -. SIGNATURE OF. OWNER pF OWNER BUILDER) (DATE) e - •��tj•Lll./fit 1V1V 1•VJC 1C1:JI Ij-LA I dJ\L., nua".%A .....,., OR AUDITION.BUILDING PERMIT •' MINNESOTA CITY OF FRIDLEY, ; • I 011MER' S NAI.it: Al C r,rb 7T i� BUILDER; dclJ Li d L_ 5 • C e, L�p pY ,ADDRESS : %n a ADDRESS: p?o 1 - !11 leg, • • TREET: STREET:- c { • z u �-� ° / •ADDITION: LOT: l® BLOCK: -ADDITION: mt CORNER LOT: INSIDE LOT : SETBACK: -- SIDEYAI'.D : k Applicant attach to this fora. n -7o Certificates. �f Survey -of Lot and.proposed building location di -Awn on those Certificates. DESCRIPTION' OF BUILDING �{ e ' To Be Used As: r Front: Depth: Height: /�Wy . - Squa:ce feet: Cubic.Feet: Front:' Depth: Height: _ Square Feet; Cubic Feet: Type of Construction; v Z'? � Estimated Cost: yrs C�c� a To Be Completed: The undersigned hereby makes application -for a permit for .the -work herein specified, agreeing to do all work in strict accordance with the City of - Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • DATE: � SIGNATURE •(See reverse Side For Additional Information.)' •,�, U 0 ,b MEL ANOKA COUNTY 6431 UNIVERSITY AVENUE NE March 25, 1976 Aladdin Pools 4738 -42nd Avenue North Minneapolis, Mn. Re: swimming Pool at 201 Rice Creek Terrace X.E. Dear Sirs: 560.3454 or. ` 3 FRIDLEY, MINNESOTA 55432 This letter is to reiterate our conversation -of March 24, 1976 and to make clear this departments requirements for the swimming pool construction at the above address. l� As discussed, two (2) skimmers approved by the National Sanitation ,j . Foundation will be provided. 2 �-As discussed, three (3) inlets of approved design for fresh arid/or repurified water will be provided. 3�7'- As discussed, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F< and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-6 hours. 5. A deck, a minimum of 3 feet wide and sloped away from the pool, must be provided around the entire perimeter of the pool. 6. 'The diving area will be acceptable provided there is no overhead obstruction. 7. A fence or other suitable barrier, a minimum of fou:: (4) feet high, ;,j,�,, hat affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and 5 latchiTrT devices which are capable of being locked. 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10:J All electrical lines must be 10-20 feet or more away from the pool P surface. 11�!-The pool fill spout must be air gapped or protected by a vacumn breaker. 12,1 Suitable safety equipment to include but not limited to a ring buoy and rope that is 132 times the pool diameter, and shepards crook pole must be provided and maintained with the pool at all times. e „Aladdin Pools March.25, 1976 . �. Furthermore;, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved.contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, STEVEN J. OLSEM Environmental Officer SJO/mh CC: Mr. Richard Kroker 201 Rice Creek Terrace N.E. b Page 2 cilli Ajlplicc5lion for Pluxrbn r9 ar:, -11S 4ib'i$i-41•9 Peral:•11 ------ Dept. of Bldgs. Phone=x•3480 D£SCRIPTIOIi OF WoMr. LOC2ti Numb4r. Kind and Locr,ion of Fixtures • FuaWe Cc::ui. a C$4r r_r Na%r 1 m!uro. Old 074nirsa PARTIAL RATE SICHIEDULE 50 -War 0 C< ---pool p City of Fridley:. The undersigned hereby makes application for a permit for t1he• work herei specified, a6reeing to do all t? O ^ work in strict accordance with the Ci:dir-%ce and ruling of the Department of Buildings; and hereby declares that a3I the fact and representations stated in this applicatiofl are true and correct, . rridlee_ Minn �5 ^ 2 7F p )% 19- Owner [' , 1 - Kind of Bti1d'ng Used asTo be completed about —/h, % Cf %f, --- - Estimated Cost. Old ---New. Building Permit No. permit No. UMBING FIXT'Jl?E RATES: ITO. RATE TOTAL Sig:ted - e-- Nurn,ber FixtureS .... o ........... e� QO g % $2 �.s wATER NTrt. o !`< a By 5.��1 d Iz g3�t o 5< 7 u 7�7 < z r N cAs nEG •� - Wzter Beater 'Up to 99,000 BTU?. • • • x $3 00 $ ROUGH — Ground Run Old Bldg....:.... _ x ;3.25 5----- .% iloctric Water Hoatzr.............. s $?.W $ p QRS FITTING Flus: NO. R; T7Z TOTAL ° - x $2.W $ Ist 3 Fixtures .................. --- �- - AdditicnaI Fixtures ................ B3S2 . Gas R3.nge to 199.000 BTU ........... x $5.04 L 'Surcharge .50 State XLTERATIOIi3—P.afmr to Code TOTAL gT�.E S 1•: 3:d_ • FuaWe Cc::ui. a C$4r r_r Na%r 1 m!uro. Old 074nirsa PARTIAL RATE SICHIEDULE 50 -War 0 C< ---pool p City of Fridley:. The undersigned hereby makes application for a permit for t1he• work herei specified, a6reeing to do all t? O ^ work in strict accordance with the Ci:dir-%ce and ruling of the Department of Buildings; and hereby declares that a3I the fact and representations stated in this applicatiofl are true and correct, . rridlee_ Minn �5 ^ 2 7F p )% 19- Owner [' , 1 - Kind of Bti1d'ng Used asTo be completed about —/h, % Cf %f, --- - Estimated Cost. Old ---New. Building Permit No. permit No. UMBING FIXT'Jl?E RATES: ITO. RATE TOTAL Sig:ted - e-- Nurn,ber FixtureS .... o ........... e� QO g % $2 �.s Future Fixture Opening ... • • • • • • • • x $1.50 $ • _. By Busincss Phone New Fixture Old Opening... • .: • • • • x $1.50 $_.___ Catch Basin .................. a . x $3.25 •� - Wzter Beater 'Up to 99,000 BTU?. • • • x $3 00 $ ROUGH — Ground Run Old Bldg....:.... _ x ;3.25 5----- .% iloctric Water Hoatzr.............. s $?.W $ p QRS FITTING Flus: NO. R; T7Z TOTAL ° - x $2.W $ Ist 3 Fixtures .................. --- �- - AdditicnaI Fixtures ................ x 5 .75 $ . Gas R3.nge to 199.000 BTU ........... x $5.04 L 'Surcharge .50 State XLTERATIOIi3—P.afmr to Code TOTAL gT�.E S CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN SS432 572-3£04 Effective On August 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS r -20I x. New Fixtures Old Opening, New Fbdure 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 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10:00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or:Appliance State Surcharge TOTAL FEE The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct, 1995 Owner GrZ tir C25 X r Building Used As ?el-- s / ,dr ti r Estimated Cost PERMIT NO. PLUMBING COMPANY_ /`Z D 0 >4 L 4)og SIGNED BY � TEL N0. C% CI' Sal Approved Bya/2 Rough—in Date Final Date .50 Tt vv mw••wy,t $ a0,.o PLUS THE $ SQSTATE SURCHARGE **COMBUSTION AIR -SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. r p �! LEE OUR - I e!k s��'(���j 1 1-1.14i 'F�.!i. P ����{pI i� K • • �t �� � 1�.���'9P�!��L�illi�!���i�l ;� :: i � i , � A ��..4ii�` - �-�..: 9��::}=' i�ih,� •P�p�:,: i:n;y or sa:_E 'x .: �:!„f1. ;' Hide p y, PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS r -20I x. New Fixtures Old Opening, New Fbdure 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 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10:00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or:Appliance State Surcharge TOTAL FEE The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct, 1995 Owner GrZ tir C25 X r Building Used As ?el-- s / ,dr ti r Estimated Cost PERMIT NO. PLUMBING COMPANY_ /`Z D 0 >4 L 4)og SIGNED BY � TEL N0. C% CI' Sal Approved Bya/2 Rough—in Date Final Date .50 Tt vv mw••wy,t $ a0,.o PLUS THE $ SQSTATE SURCHARGE **COMBUSTION AIR -SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHE!2= Effective On August 1, 1995 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,'. 1 - - — — REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Z C 76 g6 Residential Rate TOTAL Furnace Shell and Duct Work, Burner – Also Replacement Furnace $ 30.00 $30-00 (Side Vent – Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning – All Sizes All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercialli ndustrial 1.25% of Value of Appliance or Work The .undersigned hereby makes application;for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 41 / Z `7 ,1995 OWNER P%� o/ C tA'A 7;? BUILDING USED AS ESTIMATED COST '42� C'O PERMIT NO. $ 25.00 $ DESCRIPTION OF FUEWACE AND OR BURNER State Surcharge TOTAL FEE $ No. of-Heatin Units Circle Ocie (Steam) (Hot Water) (Warm Air) Trade Name C )OX) -1 Size No. W_T003/V i® �® BTU 909W® AP4 HP EDR $ Fuel •7" Total Connected Load Burner Trade Name Size No. BTU ' _HP EDR 0050 MINIMUM FEE FOR'ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY`��COA Signed By eC� Tel No. _0& (o Approved By Rough–In Dete Final Date FILL OUT BACK SIDE OR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND SICK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (-J'No ( ) 2. Is free from rust or deterioration Yes (t. -f 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 0 TOTAL BTU's 0 7. Has a liner been provided for water heater Yes () No 8. Has combustion air been provid forcrr heater Yes () No Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: 1-0 13c) 17r '�} n HOUSE HEATING TL••:;T KLLUKU ADDRESS_ CN Cre-ec<.T-e/—APT.FLOOR CITYffld(� UBUnn_.._..N OCCUPANT 3ernym v U y �(Aw n1jwre HEAT LOSS DATE 11TC. INST. SOLD BY�d11p ��_— INSTALLED BY�---- ciacczicaa, Mork By JffieGJ/5L1 Cas Linc By. U� � TYPE OF HEAT: CA FA411W STEAM ShCE 11TR. UNIT 11TR.- OTHER CAS DESICH CONVERSION HA};fi bp,� I�'D�C Ca�M�hlB-�2 IT eri�'� MAKE OF. BURNER _ A 300"/C/ —�Io - j- 1,�%/��o Serial Sf39� 7-c, 3• Z 3 3 Max. BTU Rating XNPUT-4t@!e 4D,00c) M• .E OF FURNACE Model CONTROLS Q y4 TIIERJ t0:, i., vV Heat Plug Vent Size Valva L") � KIND OF LINEA SIZE NONE _._. Limit 210 Draft Hood Rcrulator Limit Setting, Filters; Fan Setting ��- Chimney Pilot Type Chimney Pilot Make T— Size L���Sx f Number_,_ Location: 'Inside Outsidc Construction Pilot model Smoke Bomb Wiring ?110 t aiming q,47 = Draft Tes t Tag VViAY51i L.W. Cut Off Door Preanure LiEhtinE Inst. Pressure -5(V f�Percent CO2 Date Tented Input CFNQDIda) Percent 0� Company Tcatinr 18AP,0111 _ Tq� Stack Temp. f � 10 Percent CO llama of Tester �l�t%pad�S Building AND MATERIALS: BUILDING Permit No.: F I Inspections TOTAL JOB RESIDENTIAL APPLICATION OCCUPANCY TYPE Received By: 763-572-3604 .mss CITY OF FRIDLEY Plan Review Date Rec'd: DATE ?✓ S— YOUR E-MAIL ADDRESS 1 1' �'� I� Maa3+ �f 9 ` "✓G �� SITE ADDRESS 40 i t2i ce C �e e k Te,c r��e THIS APPLICANT IS: ❑ OWNER _VCONTRACTOR $ PROPERTY OWNER/ NAME: Ter4`4n �rwAroa�sc� License Surcharge ADDRESS: Ata l Ra �e C c�Rkk '1'eM®•� e CITY TATEA"ZIP -S TENANT SAC Charge PHONE: CONTRACTOR NAME: $ / STATE LICENSE # oic� a o -I �30'�=`+� EXP DATE V&00 ft + 6 ft = ft x $20 = $ SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 241 It 1 SaLf L-� r N L..' CITY i g&VKS .... STATE►"ZIP.'5S-W1 WITH APPLICATION PHONE Cola- FAX PROPERTY TYPE )TZSINGLE FAMILY/NEW CONSTRUCTION SIZE $ ❑ TWO FAMILY/NEW CONSTRUCTION STORIES Total Due PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS Make checks payable to: City of Fridley Attach Stipulations ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR >JtEMODELING DESCRIBE WORK BEING DONE: K'Vc� SIZE OF IMPROVEMENT LENGTH /5" y al WIDTH "1 a 11 HEIGHT `— Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 10. OgDO OCCUPANCY TYPE Permit Fee $ .mss See Back Page for Fee Schedule Plan Review $ / 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation – Minimum $.50 Fire Surcharge $ lei>,e® .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 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 fo 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 whrpUires Ie and approva ans. SIGNATURE OF APPLICANT T NAME & d ��LAJ t JI —Si Ci DATE g,13/® �— CITY OF FRIDLEY MOVING [ ] DEMO k] PERMIT APPLICATION 64 31.0nii,ersity Ave NE Fridley MN 55432 RECI) SEP 2 8 2007 (763) 572-3604 FAX (763) 571-1287 1M) 1- 0f 1 --- Job Address: Legal Description: Owner & Address: l dam- J 1 K7 Tel. #-76S 'S -7? -8(92 - Contractor: 7L.8(9ZContractor: Z-(DS'T-. 0" PcAs r 1A (. Tel. # Address: . ---1A - State License # SvO5'-1- & �0 DESCRIPTION OF BUILDING HOUSE: Length Width Height Sq. Ft. Cu. Ft. GARAGE:Length Width Height Sq. Ft. Cu. Ft. OTHER: Length 2— Width Height �% Sq. Ft. Cu. Ft. Estimated Cost $_0/Lj-Z�D. 06 Approx. Completion Date l - 30 - CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL BEFORE Moving Route: /-1 w —10 �'1✓kf 'i`� lei ��. C Q 7� i APPROVALS) REQUIRED PRIOR TO I F 0 Bldg Official Engineering Fire Marshal Conditions Conditions ❑ Water Bill Paid: Yes[ ] or Collect[$ ]Signature The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL DEMOLITON DEBRIS INCLUDINGFOUN�AION& SLAB, SHALL BE REMOVED FROM SITE. 9 Date Mo Wrecking Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction ...... $1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: ' ZPO o OD MINIMUM $2 . Office Use Only: A-) 1 SAC -D form pled I Effective 3/29/07 �i� a 1 J �� J r✓ / �� c L� CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 " APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner . Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr Effective On January 1, 2002 $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE %® HEATING COr6`�Ie- ��� . Signed TEL # FAX # /I *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. rt> IW AJ _42526f Approved ByAa— Rough -In Date Final Date < < NN_ JOB ADDRESS 020/ sc �ng_ OWNER TOTAL BUILDING USED ASs•`� ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name - e-10 Size No. ' BTU ,_24�. HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE %® HEATING COr6`�Ie- ��� . Signed TEL # FAX # /I *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. rt> IW AJ _42526f Approved ByAa— Rough -In Date Final Date < < NN_