PRE 2010 DOCSCity ®f Fridley, Ngnm �o 7534
MUDING PERMIT
Date: May 251 1965
Owner: C. E. Swanson Builder Alan Construction Inc.
Address 312 Rice Creek Terrace Address 1$54 Zachary Lane, Minneapolis
LOCATION OF BUILDING
No. 312 street Rice Creek Terrace N. E. Part of Lot
Lot 1 _ Block 2 Addition or sub -Division Rice Greek Ter m2 3rd. Add,
Corner Lot _ Inside Lot Setback _ _ _ Sideyard
Sewer Elevation _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft:
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. cost _...._s. '300sem.__.. To be Completed
Storm Damage Repair
r
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
nano of the city of Fridley.
In consideration of the payment of a fee of $M-00. , permit is hereby granted to Al an Cnnat=Ct-i on Inc.
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 location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and permit may be revoked at any time upon violation of any of the provisions of said
ordinance&
NOTICE:
16 permit does not emer the conshuatioe, hwidWen for wM & phnubinB, gn 6eaft, sewer or water. Be sore to see
the Bvfldhw inspector for separate peraft for these hems.
t 1 4
t •
A
APPLICATION FOR B. - ING PERMIT
CITY OF FR,IDLZYy 1ENNESOTA
OWNER'S NAME C. E. Swans®rx _ BUILDER, Alan Construction Inc..
ADDRESS —312 Rice Creek Terrace.,, Fridley ADDOSS4�50 Zachary Lane, Kinneapo is
LOCATION OF BING
No.
Street
Part of Lot.
Lot
Block Addit.iost
or Subdivision-
C
Corner Lot Inside Lot SetVatk Side Yard
SEWER.ELE"VATIpN FOUNDATION ELEVATION
Applicant attach to thin form, Two Certificates of. Survey of Lot and proposed build-
ing location drawn oa these.OA-t'tificates.
Tar be used as:
DESCRIPTION OF BUILDING
d
Front Depth Height
Sq. Ft Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction , Rnm d -e &&repair Estimated .Cost $1,300.00
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work iii 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.
_jScmxh4 a of Fee Costs can be found on a Reverse Side).
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
P
16 9079 8
r
• _____ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 i � CITY HALL FRIDLEY 55432
612-571-3450
REC .
G
NUMBER
910-F15
REV.
DATE
4/28/83
PAGE OF
APPROVED BY
JOB ADDRESS 312 Rice Creek Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
2
Rice Creek Terrace 3rd SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Fern Swanson 312 Rice Creek Terrace N.E. 571-4317
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK _
❑ NEW El ADDITION ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE QF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$800
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$15.00
PLAN CHECK FEE
TOTALL F 50
SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT (DATE)
VHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG WSP 0,9T E
SIGNATURE OF OWNER IIF OWNER BUILDER) '� )DATE)
01
CITY OT FRIDLEY Effective Aug. 1, 1981
APPLICATICKI FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: F s o BUILDER: L
ADDRESS: , Gly �:�= k �� ADDRESS:
TEL N0: _ 5-:21—q017 TEL NO:
Construction Location
• STR=T NO: STREET:
LOT:
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
Front:
CONSTRUCTION
Depth:
Height:
Square Feets
Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic feet:
Rype of Corstruction:_ Estimated Costa S
'!b Be Completed:
Alt. A Alt. 8
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the vork herein specified,
agreeing to do ,all work Iss strict accordance with the City of Fridley Ordinances and
rulings of the Delkirtment of Buildings, and hereby declares that all the fact, and
represents►tiens stated in this application are true and correct.
DATE: SIGMTDFE:
Stipulations:
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
QESIDENTIAL ` RATE TOTAL
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
18 of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
18 of Value of Appliance or Work
$ 20.00
$ 10.00 S
$ 10.00 $
$ 10.00 $
$ 10.00 $
$
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 $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
S
$ .50
$
Job Address 3 �a "R -\u
Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432
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 arej true and correct.
-" Fridley, Minn. / , 19 Wz�
OWNER
KIND OF BUILDING
USED AS �Og\ ren Ay l
TO BE COMPLETED ABOUT `- 1 � - %A
ESTIMATED COST Ao5.03
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 16
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name �'B�eQ� Size No. �SS (0C3
Capacity Sq. Ft. EDR BTU C) k, HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company
Tel. No.
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 ( ]
4.
Is securely supported
Yes ( )
No ( )
5. Meets all current Code requirements for size and
total BTU connected Yes ( ) No ( )
6. Has Total heating BTU's of
All other BTU's
TOTAL
Remarks
Company
Signed By
Date
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL RATE
TOTAL
/t
Job Address 3 `� `kce C ma, k 2
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.00
$
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping $ 10.00
$
Tel. #571-3450
(piping needed with new furnace)
Gas Range $ 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
Gas Dryer $ •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.
• Air Conditioning (all sizes) $ 10.00
$ 1®
Fridley, Minn. o oi�i , 19�o
All Others/Repairs and Alterations
OWNER �:-QIrr vOaa1�(�
li of Value of Appliance or Work
S
-
KIND OF BUILDING11;�a
COMMERCIAL/INDUSTRIAL
\s
USED AS �(r ASS' C(cf> C 1'2j
It of Value of Appliance or Work
$
TO BE COMPLETED ABOUT t o •
ESTIMATED COST \' c).®C )
State Surcharge
S 50
-357
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL !`EE
Reinspection Fee ($15.00)
$
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
Date
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name 0-,A `far Size No. 21a—\ ®c �+ •
Final Insp. r
Date
Capacity a m5r\ Sq. Ft. EDR BTU DO HP
Approval for Permit
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00•
Company
PLUS $.50 STATE SURCHARGE
Sign
Tei- No. '79\-D,"\
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
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 ( )
4.
Is securely supported
Yes ( )
No ( )
5. Meets all current Code requirements for size and
total BTU connected Yes ( ) No ( )
6. Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
a
Company
Signed By
Date
..
SUBJECT
PERM Ij=N0_
City of Fridley
30124
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
B® A
f!1
f PROTECTIVE
i CITY HALL FRIDLEY 55432
NUMIRER
pEV
DATE
PAGE OF
APPROVED BY
......
1 612-571-3450
910415
8/25/99
JOB ADDRESS 312 Rice Creek Terrace
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
2
Rice Creek Terrace - 3rd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Fern Swanson
3 CONTRACTOR Contr. MAIL ADDRESS ZIP
PHONE LICENSE NO
Richard Hastings/ 6331 Riverview Ter. NE Fridley 55432 574-9966 4051
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 ❑ ALTERATION Ox REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (25 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2185
$1.09
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
83;25
FjA SC $2,19
PLAN CHECK FEE
T FEE
of
Licer Itz_nz
91.53
SIGNATURE OF CONTRACTOR OR HORIZED AGENT IDATEI
HE P VALID D THIS IS YOUR PE
S.GNATUREOF OYVNERJF OWNER BUILOERI IDATEI -
BLAG INSP
-It
NV
NEW[ J Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAAHLY AND DUPLEXES R-1 AND R-2 1
BUILDING PERMIT APPLICATION ®� ®�
Construction Address:
Legal Description:
Owner Name & Address:
Contractor: eC't AR
Address:7�
Attach to this applicati
lot, with the proposed
Tel. #
MN LICENSE #: ,S
Tel. # 57
a Certificate -.of Survey of the
struction -drawn nn it, to scale.
OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: 2-5 5"'s.
Construction Type: C ,Fk ?- p C -i j-- g_ ?off F
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE: 8A-5&? APPLICANT:
Estimated Cost: $
Ft x $ = $
Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$S�
Fee Schedule on Reverse Side
Fire Surcharge
$ l
.001 of Permit Valuation (1/10th%)
State Surcharge
$ (J
$.50/$1,00 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ r . Cj G
$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 [ J Not Necessary [ J
TOTAL
$
STIPULATIONS:
Building
BUILDING
Permit No *.2 =� 15
Inspections
RESIDENTIAL APPLICATION Received By: i
763-572-3604
65% of Building Permit Fee
Fire Surcharge
CITY OF FRIDLEY
Date
763-502-4977 FAX
Surcharge
$
EFFECTIVE 8-19-09
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
DATE
YOUR E-MAIL ADDRESS 1
T
SITE ADDRESSJ Q
R, ,,'_<
$2000 per SAC Unit (Plans to MWCC for determination)
THIS APPLICANT IS:
❑ OWNER WONTRACTOR
PROPERTY OWNER/
NAME:
$
TENANT
�-
ADDRESS: __3 O&C �`-/'" / CITY
STATE /y1^ -'ZIP
$
PHONE:
Fee Determined by Engineering
CONTRACTOR
NAME:
^^ ,/��
Total Due
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # o D b-31) 62!q� EXP DATE
AND CERTIFICATE OF
ADDRESS: e,-,
ITY ilk h STATE, i -!/ZIP
INSURANCE
PHONE 2Io — `� FAX
PROPERTY TYPE
8Tr_NGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION 0 GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ J&DOF ❑ DRAIN TILE
❑ DECK SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
J,F2�AINTENANCEOR.EPAIR
13 REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING
HOUSE ONLY
NUMBER OF SQUARES
'IIHOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
S`DING
FOR NEW CONSTRUCTION INCLUDING DECKS,
Vinyl
t
ADDITIONS & PORCHES SUBMIT:
❑ Aluminum
t
1. Site Plan/Survey showing the existing structures
❑ Other
is
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
ING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION S� L OCCUPANCY TYPE
Permit Fee
$
1 G.'� 3 (n
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
U
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
-5'0 0
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
i'` (®.1�4 C�
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 on site; that the work will be in accordance with the
approved plan in the case of all work whicha fres review and approval of pl ns.
SIGNATURE OF APPLICANT Z-11 PRINT NA.:�®i✓ DATE�p �2 ,r� �j