PRE 2010 DOCSCity of Fridley, Mian..
BUILDING PERMIT N® '02
Owner: ....!.._ :. ... r...... _ Builder
_. __......._.
Address.._._.._..._...._...._.__..___..___._..._... ._..__�.._._ Address _...---._...._.._.__..____._......_..___ __..._..__.... _.._......._......._._....
S L TIO �B�.IILDING
No. -./':. ..� Street .. _.....: .._ .,...... _........... Parof Lot ..... -
f26` _........... _... .....................
_...
...... Addition or Sub -Division .
A
Lot...._...... ....._........ Block ....._....... ............._......._. _ _..:.. ' �',t - ._........._.....
Corner Lot ..... . ............................. Inside Lot ........... .............. Setback ..... ............ _........ Sideyard-------.••Z_.... .............. -............. _...........
Sewer Elevation....._............._............._............._.._..._..................._............._....._. Foundation Elevation
DESCRIPTION OF BUILDING
To e
Used
�- ---- ... ......... ............... .... Front .. Depth r� .rte Height �t ...._.. Sq. Ft/ -) Cu. 4 ,1_4
........_.... ..: .........._........ Front ..._.. Depih Height /. Sq. Ft00 -........ Cu. o
Type of Construction st. Co ,............ ........... To be Completed .....
fl
H 1 ;7 7)1�11
T.
ViC
1f , E L LAND COVENANTS
ya r;�-S1+�s'Cf�O1115�
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 city of Fridley. to
71 ed
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, and moving of buildings
within the city limits and this permit may be revoked at any tixttnlation o;Any of the provisions of said
ordinances. �' V5 11'z J
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing,, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Nems.
4
Owners Name
Address
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
WE,
of Lot
Lo
t0 Addition or Sub.Div.
Corner Lot Inside Lot 'Set Back, '-,Side -Yard....,
SE1atER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be gsed as:_ �
Sq. Ft. ,..-Cu. Ft,
FrontpDepth Deight
Sq. Ft. Cur Ft.
Type of, Construction Estimated Cost
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 Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and represente'-
tions stated in this application are true and correct,
DATE SIGNATURE s�'-�
(A Schedule of Fee costs can be found on the Reverse Sider)
City of Fridley, NUnn. N® 8071
BUILDING PERMIT
Date: June 29, 1965 T
Owner: Paul Donnenberg Builder an Constrw-tion 0
Address 315 L.ce Creek Terrace Address 4850 Zacham[ Lane,mp s.. Minn.
LOCATION OF BUILDING
No. 315 Stmt Rice Creek Terrace Part of Lot
Lot 2 Block 1 Addition or Sub -Division Bice Creek errace j _ 3rd
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation .
To be Used as:
Front
Front
Type of Construction
Storm Damage repair
DESCRIPTION OF BUILDING
Depth Height Sq. Ft. Cu. Ft.
Depth Height Sq. Ft. Cu. Ft.
— Est. Cost 800.00 To be Completed
In consideration of the issuance to me of a permit to construct the building described above I agree to do
ardinane oY twork in he City of accordance
c with the description above set forth and/ Ila compliance with a& provisions of
In consideration of the payment of a fee of a l in _ ry) , permit is hereby granted togan D. Peterson
Alan Constr. Co. to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it to granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any p thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings
withino� city limiffi us permit may be revoked at any time upon violation of any of the provisions of said
Allen Jensen Building Inspector
NOTICE
Uh pem* don no corer the ceedtodtioe, daftffi oe for vfkh , phm*k#, on hesgee, sewer or water. Be ane to no
tke Bniidtoe hap�r for mpa pwmha for thea Nate.
I
APPLICATION FOR BUILDING PERM[T
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME Paul Don enber� BUILDER Alan Construction Co. ..
ADDRESS 315 Rice Creek Terrace ADDRESS 4850 Zachary Lane. Minn eap
LOCATION OF BUILDING
w� Street Part of Lot
LOT K. ADDITION OR SUBDIVISION 4 C 3_4A
Corner Lot Inside L Setback Side -Yard
..SEWER ELEVATIMFOtJiVDAT'ON ELEVATION,
Applicant attach to this ford Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depths, Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Tornado repair Estimated Cost $4,800.00
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.
(Schedule of Fee Costs can be found on the Reverse Side).
a
CITY OF FRIDLEY
Effective Date January 1, 1991
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
.RESIDENTIAL
RATE
TOTAL
Furnace Shell and.Duct Work,
Burner (Also replacfement furnace)
$
20.00
s40,00
Gas Piping
$
10.00
S
(piping needed with now furnace)
Gas Range
$
10.00
$
Gas Dryer
$
10.00
$
• Air Conditioning (all sizes)
$
10.00
$
All Others/Repairs and Alterations
It of Value of Appliance or Work
S
CONMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work
State Surcharge
TOTAL FEE
REINSPECTION FEE $30.00.
Rough Insp.
Date
Final Insp. 2 -_3
Date
Approval for Permit
Job Address �/'� a` ` f 4e t /'Fe'elgc�
Building Inspection Div. 6431 University Ave NE Fridley MN 55432
Tel. No. 572-3604
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.
//,A 7 r Igo&
KIND O
USED AS ^Le 064-1 A)
$ TO BE COMPLETED ABOUT
�� 2-
ESTIMATED COST
$ .50
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
$
DESCRIPTION OF FURNACE/BURNER
MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT
IS $15.00 PLUS THE $.50 STATE SURCHARGE
1
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
HEATING or POWER PLANTS. stem, Hot Water. Warm Air- No. is role Ziyc
Trade Name ,aAsL� / ! `n✓�/�l��l Size No. s c /J a)
Capacity Sq. Ft. EDR BTU A /AHP
Total Connected load Kind of Fuel Ax
BURNER - Trade Name _ size No.
Capacity Sy. Ft. EDR BTU HP
Company /U
Signed By // G
Tel. No. 4 /o�
Fill out back side for stack verification on replacement furnaces
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
I. Has been carefully examined Yes (,)
2. Is free from rust or deterioration Yes ( )
3. Has no foreign objects lodged within Yes ( )
4. Is securely supported Yes ( )
5. Meets all current Code requirements for size and
total BTU connected
6. Has
Total
heating BTU's of
LV
All
other
BTU's
TOTALG
No
No
No (�
No (�
Yes ( ) No ( )
Company
Signed
Date
e
CIN OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
MINIMUM FEE FOR ANY HEATING1COOLINGN NTILATION
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
Signed
Approved By
FILL OUT BACK SIDE 14OR
REPLACEMENT FURNACE
BLAINE HTG. A1C & ELECT. INC.
1356,2 CENTRAL AVE. M.E.
Tel No. q,59—(O
Rough—In Date
STACK VERIFICATION ON
JOB ADDRESS-- c:?J CSV l Ci'r(.W
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
$�.
representations stated In this application are true and correct.
(Side Vent — Fill Out Back)
_ -- 1996
Gas Piping (Needed with new furnace)
$10.00
$
OWNER Sen
Gas Range
$10.00
$
e
BUILDING USED AS /d) ��l
Gas Dryer
$10.00
$
CO
ESTIMATEDAST �� � PERMIT N0. •���c � �
*Air Conditioning —All Sizes
$ 25.00
$3 —a.
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water)
arm Air
Trade Name +- Size No.13W
V C Wo
Commercial/Industrial
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel
6W Total Connected Load
State Surcharge
X50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
��
MINIMUM FEE FOR ANY HEATING1COOLINGN NTILATION
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
Signed
Approved By
FILL OUT BACK SIDE 14OR
REPLACEMENT FURNACE
BLAINE HTG. A1C & ELECT. INC.
1356,2 CENTRAL AVE. M.E.
Tel No. q,59—(O
Rough—In Date
STACK VERIFICATION ON
CEUNMY 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 0' 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 C'
TOTAL BTU's
7. Has a liner been provided for water heater Yes " No ( )
8. Has combustion air been provided for water heater Yes No ( )
Remarks:
ter.
List ALTERATIONS Being; Done:
HEATING CO:
Signed By:
Date:
BLAiNE I dTG. A/C & ELECT. INC.
13562 CENTRAL AVE. N.E.
ANOKA, MN 55304
r
SUBJECT
City ®f Fridley
2 7 617
AT THE TOP OF THE TWINS
BUILDING
P E ®M
�
�\
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
���J(/y %
r � �
E . �
�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
; CITY HALL FRIDLEY 55432
L J` 612-571-3450
910-F15
9/8/98
JOB ADDRESS
315 Rice Creek Terrace
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
1
1 Rice Creek Terrace rd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Maynard Nielsen 315 Rice Creek Terrace 59112
571-6608
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Doug Nielsen
571-0325
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 jI REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage (31 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
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
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
$2,656.00 $1.33
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire SC $2.66
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
PLAN CHECK FEE
TOTA E
$78.74
SIGNAy R OFCONTRACTORO A i' ORIZ AGENT IDATEI
N R P
VALIDA HIS IS YQWv P i,1T
(\
i
P
at IN SP
r �
MATE
SIG A F p IWO OF OW$0 BUILDER IDATEI
r
NEW [ ] Effective 1/1/98
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: ( s— P\'Ce C i ee r Tf i r C Ce'
Legal Description:
Owner Name & Address: � °Y M 60,( cq a W"((:p (_,� n-" Tel. #
Contractor:
Address:
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length
Width
Height
Sq. Ft. _
GARAGE AREA: Length
Width
Height
Sq. Ft. _
DECK AREA: Length
OTHER: e' ®
Width
5-e
Hgt/Ground
J-- C,Ce.'
Sq. Ft. _
31
Construction Type: Lra--n�LEstimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: q K --9S APPLICANT:
Tel. #���/
CITY US /ONLY
STIPULATIONS:
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ L (n
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$ 7
STIPULATIONS: