PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT No 3754
,31
Date: .......................................
Owner ....................................... Builder ... .►.`L�f..1.. .. ...... ...... ....... ...
Address ...................................... Address .............................................
C LOCATION OF BUILDING
No. ............ Street J1... .................... Part of Lot .............. ...............
Lot ba .... Block ... 3 ........... Addition or Sub -Division Xl(.�.
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
To be Used as:
r
10,04 ..... Front , W.C'Depth lk .e Height ! 1-i�� Sq. Ft. &&Q Cu. Fbla gt ?Cl PO (=
.... .Front`Depth �.�:`� Height .1.v.: � ~ sq. Ft..� ctL Ft. .... �
Type of Construction . .. Fast. CX � 0'*.. To be Completed ....................
In consideration of the issuance to, me of a permit to construct the building desribed 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 city of Fridley.
.d........ ............................
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 with-
in 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 or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
�l.
City of Fridley
Application for plumbing and Gas Fitting permit
DepL of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Band. and Location of Fixtures
Locatfon✓k
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
12)
Number Fixtures .......
x $1.50 $
e'
Future Fixture Opening ................
x 1.200 $
New Fixture Old Opening ..............
Z
W
0
Catch Basin ............................
x 3.25 $
Z
Water Heater (Up to 200,000 BTU) ......
x 2.00
WATER HTR.
New Ground Run Old Bldg . ............
x 3.25 $
0
GAS FITTING FEES:
NO. RATE
TOTAL
tiZ
x $1.5o $
Additional Fixtures ....................
x .50 $
<
x 2.00 $
ZaF
0(N
N
ELEG
Base
1st
2nd
3rd
4th
* Future Connection Openings
Connected with
* Fixture, Old Openings I
Sewer
E]New
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures .......
x $1.50 $
e'
Future Fixture Opening ................
x 1.200 $
New Fixture Old Opening ..............
x 1.Oo $
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:
NO. RATE
TOTAL
1st 3 Fixtures ..........................
x $1.5o $
Additional Fixtures ....................
x .50 $
Gas Range to 200,000 BTU ..............
x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE
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, hfinn^
a 4
Owner 19
Kindof Building 19—
Used as
To be completed about
Estimated Cost, $
O1d�Newuilding Permit
By
Business Phone No-
Connection
o
Connection Permit No. ..................................... .........
Water
Jw
Sewer
,*
�w
Meter Deposit
.0131�.Jj IM -8-58
City of Fridley
Application for Plumbing and Gas Ming Permit
Dept. of Bldgs. Phone SU 4-1
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures Location ® 9
ca
NO. RATE
TOTAL
Number Fixtures ......................
x $1.50
$"
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
U'
Z
r
�
N
WATER HTR.
GAS
ELEC.
Base
1st
2nd
3rd
4th
—
• Future Connection Openings
New Fixture. Old Openings
%:onnecsea wun
PARTIAL RATE SCHEDULE
Sewer [t3
Cesspool El
PLUMING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ......................
x $1.50
$"
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Beater (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
NO. RATE TOTAL
x $1.50 $
x .50 $
x 2.00 $
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, Blinn- 19
Owner ' °
19—
Kind of Building _�
:= 119—
Used as
'e
To be completed about
Estimated Cost, $ `�
Ol , New. Building Permit
Description................................................$
TOTAL, FM $ B A 11 POST IM -12-58
Business Phone No. �¢ "
CITY OF FRIDLEY Effective Date May 1. 198E
r
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
QFSTnR16TTLT.
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
* Air Conditioning (all sizes)
All Others/Repairs and Alterations
li of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
le of Value of Appliance or Work
State
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00-
PLUS
15.00PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
S
A
$ .50
KIND OF BUILDING�`"�l
�
��jj
USED AS 1�' &V e
RATE
TOTAL
Job Address d I C ep Cr 42 PIt !/ rr-q C e
ESTIMATED COST
$ 20.00
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
OLD - NEW BUILDING PERMIT N0. PERMIT NO.
City of Fridley
$ 10.00
$
Tel. #571-3450
$ 10.00
$
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
$ 10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
$ 10.00
$
/
Fridley, Minn. 3//3 / f 0 , 19,
OWNER �� e 9 -e—
State
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00-
PLUS
15.00PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
S
A
$ .50
KIND OF BUILDING�`"�l
�
��jj
USED AS 1�' &V e
/// fjj9
TO BE COMPLETED ABOUT
q
ESTIMATED COST
OLD - NEW BUILDING PERMIT N0. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name W -SA? I- Size No. -7-r
Capacity Sq. Ft.I�EDR BTU HP
Total Connected Load 4- 17 > % y Kind of Fuel AJ I
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company
R—JJ?4420 8-fi-Ahb9A118bL—
OYALTON HEATING C OL
Signed By
Tel. No. Brooklyn Park, MN 55443
Fill out back side for stack verification on replacement furnaces
CHIMNEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney
or stack;
1.
'Has .been. carefully. examined
Yes(,
No ( )
2.
Is free from rust or deterioration
Yes
(No ( )
3.
Has no foreign objects lodged within
Yes
( No ( )
Yes
( No ( )
4.
Is securely supported
5.
Meets all current Code requirements for size and
total_ RTU connected
- Yes.
(- -No
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema YCr acCk 00 f a�—
Company
Signed By
Date i3 S�
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SUBJECT
r City of Fridley
0=4
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
L
r� PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
10/27/94
JOB ADDRESS 290 Rice Creek Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR,
10
3
Rice Creek Plaza South
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bob Bogie 290 Rice Creek Terrace NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Integra Builders Inc 4259 Arthur St NE Columbia Heights MN 681-8114 20019839
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 p MOVE ❑ REMOVE
R
8 DESCRIBE WORK
Reroof House & Garage (21 Sq) 2nd Layer
9 CHANGE OF USE FROM 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
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
$1,155
$.58
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHEF STATE OR LOCAL LAW REGULATING CON -
TR CTION OR TH PERFO MANCE CONSTRUCTION
$29.00
Fire SC $1.16
PLAN CHECK FEE
TOTAL FEE
K-,fll
License SC
$5.00
$35.74
SIGNATURE OF CONaRAGTO RAUTHORIZED AGENT (DATEI
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
ail
BL INSP
jh? j
0ATE
SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI
NEW { ] Effective 1/1/94
ADDN [ ] CITY OF FRIDLEY
ALTER [7 SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstivctionAddress:
Legal Description:
Owner Name & Address: Tel. -#
Contractor: E I L ` NIIv LICENSE #�'0 / 965%
Address: vZ, �, (, f 6 Tel. # -X I �l (�%
--�
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/Ground Sq. Ft.
OTHER: _-; -JO LA0� l/
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $
Approx. Completion Date:
`(Cost on Back)
k -
Driveway Curb Cut Width Needed: Ft. + 6,04 = Ft x $ — $
DATE: r0 � -- 114APPLK ANT. Tel. #
Permit Fee
$ oN, Leo
Fee Schedule on Reverse Side
Fire.Surcharge
$ %
..001 of Permit Valuation (1/10(h%)
State Surcharge
$
$.501$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$
$5A0.(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:
:.ITY OF FRIDLEY INSPECTION DIV.
343VUniversity Ave NE i D]
Fridley, MN 55432 a �/ ��°Sy APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604 i
Effective On Jan 1, 2000
I
MARK NUMBER
OF
FIXTURES
TO BE INSTALLED ON EACH FLOOR
Old Opening, New Fixture
Urinal :moi
Shower
$ 5.00
Wash
d..Floor
DrainSto
Auto.
Washer.
Gas
Gas
Ran a
ieateej
.es
Gas Elec
Basement -
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas** _�
$10.00 /0 6
------------
$10.00
Gas Dryer**
$10.00
Floor 1
Type
$15.00
Floor
I 2
r 3
Floor
•-
Floor 4
PLUMBING FIXTURE RATES:' NO.
RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas** _�
$10.00 /0 6
Gas Range`*
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $2a..0
JOB ADDRESS 541YE i"S 61401 I—
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
BOEGE, ROBERT �� D , 20_
290 RICE CREEK TERRACE N.E.
FRIDLEY, MN 55432
Owner (763) 571-3631
Building Used As____1=�f��JIY Com,
Estimated Cc
PLUMBING
SIGNED B
Approved By
00
�. PERMIT NO.
TEL N0. fZ-SZ7-4AQQ�__5
Rough-In Date Final Date
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACKSIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
BTU Input Fan Assisted or Nate
venting has been examined and is free from rust, deterioration, obstructions,
BTU Input Fan Assisted or Nat
and is securely supported and firestopped where required.
Yes () No ( )
The venting ,system is. plastic/PVC and meets all current codes and manufacturer
Total Btu Input
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 existina combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes ( ) No ( )
When required to Install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications.
Yes ( ) No ( )
When Installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes( ) No( )
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 Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input Fan Assisted or Nate
Appliance #2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
BTU Input Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance#2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe) —
HEATING CO:
Signed By: Date:
Cf1YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 21, 2003
Mr. Robert Boege
290 Rice Creek Terrace NE
Fridley, MN 55432
Re: Final Inspection at 290 Rice Creek Terrace NE
Contractor: Norblom Plumbing Co
Dear Mr. Boege:
A plumbing permit was issued on December 27, 2001 to install a water heater at your
address. According to Section 4715.2800 of the State Plumbing Code, a final inspection
shall be conducted on the work authorized by this permit. As of this date the inspection has
not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. 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.
DJ/mh