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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT Date: ..... / -- �-------- - _. - --......_...._.. Owner: Address N? 4423 Builder....._....... -fie Address%-.__.aze-..n.......... .x .......... a- `, e LOCATI6V F BUILDING No..4 1-••........ Streetj............ Part of Lot ................. -- - B�-....... _............._.p..�.../._ ... Lot ............. .1- ...... ......... Block ....._.............. .....__.--------------.. Addition or Sub -Division �..e °... ..t- fL... /.`@.:i'.. !'.......1...-1... �o Corner Lot Sewer Elevation Inside Lo ............. ......... Setback ....-............._....................... Sideyard............... -............._...........------------------•----.. Foundation Elevation ....... .... s..._ ... .._............_.. - - DESCRIPTION OF BUILDING To be Used as: dA�_ .l.d...$.B.`2"1 ...... Front .... .. Depth .... .._.. Height ... .. .. Sq. Ft./j./Y- Cu. Ft. .01...... ...9r............ Front ........_.. Depth .. Height Sq. Ft. .... .. .. Type of Construction ... 1 __....... ... ...._.....--- Est. Cost.....-- . .P:....... To be Completed .................... ..... - ................ _........ In consideration of the issuance to me of a permit to construct,#ie building descri ove, I agree to do the proposed work in accordance with the description above set f I d in complian th all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $,,3,2 ...., permit ` , ereb granted to. _. r_....._..__.........._..._._ ................. ._.....- 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 violatio of any of the provisions of said ordinances. 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 items. Application for Power Mants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... 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 RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ ` - e-' e 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 $ j 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 $ ,'— � O 0 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... . x $1.50 Additional Fixtures ................. x .5o $ Gas Range to 200,000 BTU .......... , x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: Location 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, 1VCinn- eo L'if P l Owner195— Kind of Building 195— Used as To be completed about Estimated Cost, Old— � g . Building Permit No. e=4- f3 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, WgjM.W—No. Trade Namla �.�r Size No / e_lr Capacity Sq. Ft. BTU H.P. Total Connected Load Kind of Fuel�� BURNER — Trade Nam - /V Size No- //61' 4/2GC 0 Capacity. Sq. Ft. E.D.R_ BTU Hy. SUBURBAN .HEATING & SHEET METAL 8419 CENTER DRIVE N. E, Signed NUNNEAPOUS 24 M1NML By 11 POST IM -12-58 Business Phone No- HEAT LOSS CALCULATIONS DEPARTaWENT OF BUIL®INGB L FRIDLEY MINN o • Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I 1 Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No9_ / FI.I Room I Length 9 F1 Width Height Q� / I e m I Length i <-/ Width A / Height IF'/ Windows a , Doors—Crackage and Area / Width Height No. of Lineal ft. Area Noof pane of pane lights of crack sq. ft. Y dI 34—G Coef.1 Btu Coef. Btu Infiltration ?/ X1 -5- Glass r Exp. wall Exp. wall Exp. wall Net exp. wall . ,� Net exp. wall Net exp. wall C Int. wall Int. wall Ceiling Ceiling Ceiling �O / Floor Floor 1 otal 13tu. I 1z 5�j Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.I o Rnnm I I .ength : —/ Wirlt6 A_/ 14.66t ry/ Windows and Doors—Crackage and Area Z,2 / 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 lights of crack sq. ft. 3 34—G Coef.1 Btu Coef.1 Btu Infiltration 3C, TD Infiltration Glass /I Exp. wall /G 2-5— Exp. wall Net exp. wall . ,� Ceiling 117 Net exp. wall D �' Int. wall Ceiling V Ceiling �O / 4�p52 Floor Ceiling I otal t3tu. 147j yip Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 Room I Length -/-? / Width /.;? / Height k f Windows and Doors—Crackage and Area 9/ /,3/ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 3 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration 50 L Glass _5 Infiltration qS Exp. wall /G 2-5— Glass, Net exp. wall . ,� Ceiling 117 / Int. wall Ceiling V � Floor Int. wall 1 btal 13tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r - Windows and Doors—Crackage and Area 9/ - _ 13 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration /, i 7� C Coef. Btu Infiltration qS yL% /G 2-5— Glass, Ceiling 117 ZO 1170 Exp. wall -, ` Net exp. wall Int. wall Int. wall Ceiling Ceiling 133vl, 116 3327 Floor Floor Total Btu. —5 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area O' F1 -1 z 0— .Length /3 / Width 4/ Heiaht V / Windows and Doors—Crackage and Area 9/ Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration /, i 7� C Glass , j r20 Exp. wall y Net exp. wall y /G 2-5— Int. wall Ceiling 117 ZO 1170 Floor Total Btu.. 7/ Required sq. ft. E.D.R. ora . ins. W.A. Leader area l FI .fi -7 3?/ Width /-2/ Height Q/ Windows and Doors—Crackage and Area IL 2-S Width Height No. of Lineal ft. Area No. of pan of pane lights of crack sq. ft. Coef. Btu Infiltration a 2 - Glass Exp. wall 1Z, C 3�W Net exp. wall -, ` Oelk f Int. wall Ceiling 133vl, 116 3327 Floor 1 otal litu. ft. E.D.R. or so. ins. WA. Leader area Date: July 11 1965 Paul Newman 375 Rice Creek Terrace Builder Harvey Peterson Address 151 Glen Creek Road N° 8087 LOCATION OF BUILDING No. 375 Street Rice Creek Terrace N. E. Part of Lot Lot 6 Block 1 Addition or Sub.Division 'Rice Creek Terrace. Plate #3 Corner Lot Inside Lot Sewer Mevation To be Used as: Type of Construction Setback — Sideyard — Foundation Mevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft. Fast Cost $3,000100 To be Completed Storm damage repair In consideration of the issuance to me of a permit to c the proposed work in accordance with the description above ordinants3a of the city of Fridley. e building above I agree to do and in p with ail provisions of 1111-7 I- r In consideration of the payment of a fee of $ __] Q.Q(�_ _, perp- t is hereby granted to Wa=ey-e On the to construct the building or addition as described above. This permit is granted upon express condition that the person to whom it is granted and his agents, employees and workmen, is all work. done in, around and upon said building, or any pari thereoiy shall conform in all respects to the ordinances of Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings within the city ]imita� permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen I Building Inspector NOTICE "b pwmh don not emu the eomtruMm, kwafttton for whb& pWmhing, gn heating, sews" or weer. Be am to we the Building fn p r for separate pwnft for thea a m. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME Famxl Nunn BUILDER Harvey Peterson ADDRESS 375 Rice Creek Terrace DRESS ^15]. Glen ,Cr®ek` =Road LOCATION OF BUILDING, No. 375 Rice Creek. errace Street Fart of Lot Lot- "Block Addition or Subdivision' Corner Lot Inside Lot Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of.Lot and proposed build- itig location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; �e' J Fron De th Height Sq. Ft Cu.' Ft. Front Depth Height ;Sq. Ft. Cu. Ft Type of Construction Estimated Cost �j*tomes To be Completed The undersigned hereby mikes 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.aVq,,true and. Icorrect. (Schedule of Fee Costs can be found on the Reverse'S ide). 53- h-9915051 cIi-, O a bGiw�J ... m... �y�..� Dopt. of Bldgs. Phono SERO -3450 .•• DESCRIPTIOU O: V,'Ol:r Vis, 375 R; e hr mkT n�M - — humS.r. Ki -d sand Lccr2?aa of Ftxt•�res. . FL` -0 s.:a G�:.n'-ram. H A w1 yr�iro. Old c-"sr3rgs PARTIAL RATE SCHEDULE Svgar Cccupool City of Fridley.. The undersigned hereby makes application for a permit for the- work herel Specified, agreeing to do all work in strict accordance with the Citl O:du::nce and ruling of the Departrr:enw of Buildings, and hereby declares that all the fad and r-presc-ntations stated in this application are true 2nd co.rect' Fridley, Minn 4-2 3-76 I9. Owner Paul Newwmarl ' Kind of Building frame Used as res To be completed about 1-30-76 - 1:Stlrf3ted 40$L, $ 10.00//� Old --l. Building Permit No. PLUMBING FIXTi M: RATES: 110. BATE TOTAL Number Fixtures . . . . . . . . .. . . . . . o �.®_.e %� v�•C%�• $ — Future Fixture Opening .. • ........ x New Fixture Old OperJng.....:.. • . x $$11.50 $_.__:__. Catch Basin . .. • ... • . • x $3.25 $ _ Signed By G� Busin`u Phone \,'04#WWAGG8 Vater ifeater °L°p to 09.404 BTU) • • • • w C ° f k x :3.25 S.-------- .n g i�✓� of ° a s $2.00 - W 26 zl7"' < v ►a WAia9 Kra, r, -s e T . Additlecal Fixtures ............... __.___.____ x $ .75 $ --- Gu Rss: ae to 199.003 BTU ♦ •.. • ... •..-------•- X $5.00 C State Surcharge �T"=i::iS tc ALTI:RATIOY.S—P.ofor fa Cod* .50 . �c:tri'ytSon • . • . • • ...... � • .:.. •... • . , .. • . • . •.« ..... -w` �°w,a =� :' �`�, � , : ;, _ : TOTAL rzz s ---i.510- ' =- 0 2rd - 3:d FL` -0 s.:a G�:.n'-ram. H A w1 yr�iro. Old c-"sr3rgs PARTIAL RATE SCHEDULE Svgar Cccupool City of Fridley.. The undersigned hereby makes application for a permit for the- work herel Specified, agreeing to do all work in strict accordance with the Citl O:du::nce and ruling of the Departrr:enw of Buildings, and hereby declares that all the fad and r-presc-ntations stated in this application are true 2nd co.rect' Fridley, Minn 4-2 3-76 I9. Owner Paul Newwmarl ' Kind of Building frame Used as res To be completed about 1-30-76 - 1:Stlrf3ted 40$L, $ 10.00//� Old --l. Building Permit No. PLUMBING FIXTi M: RATES: 110. BATE TOTAL Number Fixtures . . . . . . . . .. . . . . . o �.®_.e %� v�•C%�• $ — Future Fixture Opening .. • ........ x New Fixture Old OperJng.....:.. • . x $$11.50 $_.__:__. Catch Basin . .. • ... • . • x $3.25 $ _ Signed By G� Busin`u Phone \,'04#WWAGG8 Vater ifeater °L°p to 09.404 BTU) • • • • S-3 x S-3 00 $ - - . . ° l�iOUGH New Ground Run Old Bldg. ...: • • % • x :3.25 S.-------- e Elactr'.c Watar 1:'ost•ar.....:........ s $2.00 - FIN:+L s,FS FITTING FEES: NO. R^ -,E TOTAL Ist3Fixtures •••••••••••••••.•• ----x52.00 3 . Additlecal Fixtures ............... __.___.____ x $ .75 $ --- Gu Rss: ae to 199.003 BTU ♦ •.. • ... •..-------•- X $5.00 C State Surcharge �T"=i::iS tc ALTI:RATIOY.S—P.ofor fa Cod* .50 . �c:tri'ytSon • . • . • • ...... � • .:.. •... • . , .. • . • . •.« ..... -w` �°w,a =� :' �`�, � , : ;, _ : TOTAL rzz s ---i.510- ' =- 0 John PaWECT:Shoreland Improvement for con- Permit Application No., -.87-151 struction of retaining wall along Rice Creek at 375 Rice Creek Terrace NE, Date December 1, 1987 Fridley. Applicant Tom Kaufhold RICE CREEK WATERSHED DISTRICT NOTICE OF PERMIT APPLICATION STATUS At their meeting on November 25. 1987 , the Board of Managers of the Rice Creek Watershed District took the following action on your permit application: []Denied ®Tabled E]Tabled with authorization for administrative action CaPending receipt of: 1. Construction Plans showing the use of tie -backs a minimum of every eight feet. 2. Information showing the Applicant has contacted the DNR for approp- riate permits. 3. Clarification of methods used to finish each end of the retaining wall and protect base of wall from scour. 4. Survey of property if available. If this information is received on or before December 10, this Application will come before the Board on December 23, 1987. If you have any questions, please call 483-0634 CC: City of Fridley°/ E.A. Hickok & Associates RCWD File FORM Ell -78 Bonita Torpe Administrative Assistant SUBJECT PER City of Fridley o 19327 AT THE TOP OF THE TWINS BUILDING PERMIT � R • COMMUNITY DEVELOPMENT DIV. Y r 1 PROTECTIVE INSPECTION SEC. / 1 � ; -In;,� CITY HALL FRIDLEY 55432 NUMBER REV. DATE/ PAGE OF APPROVED BY L 612-571-3450 910-F15 I I JOB ADDRESS '� I 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION 11Vc-p- SEE ATTACHED DESCR. ' 0ak&,c_ PP&r 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 1 ®�C.d� �?®�� -Tvv% L-90'i 6 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. tar'. sq-I- 06-S-L, 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGIN MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING p �'s 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK % GI Ar i /u Ib 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. R'� THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTIONZONING 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 p'- 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY 5�THe STATE OR LOCAL LAW REGULATING CON. ST UCTION R THE PERF RM NCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE d 0 -��-� - y4. ?,5- S! OF CO TRACTOR OR AUTHORIZED AGENT (DATE) EN PROPUcr ED THIS IS YOUR PERMIT a'(( l� SIGNATURE OF OWNER IIF OWNER BUILDER! IDA TEI BLDG WSP DATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [l Building Permit Application Construction Address: -s-1s Rtrc_6 CR -66K ' Legal Description: ---- - -- - . .. Tel. #52 L-':�O 0 Owner Name & Address: Contractor: UG C16 U but �� • Tel . # '<a3 (49 Address • � ��-® 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 m Width Hgt/Ground Sq. Ft. OTHER: - ' .. ►1�&/olaL.ujc. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: W06b I&JEstimated Cost: F0 apmvao Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: �. -2-Z-- - APPLICANT: Tel. ISR3 —COS -Z... Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: -CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 55Q per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sso w 6d3a a X, �® _ 75) PI -of Cveel( evvimc CITY OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 August 13, 1991 PW91-172 Chairman Cardinal Rice Creek Watershed District 3585 Lexington Avenue North Suite #374, Arden Plaza Arden Hills, Mn 55126 SUBJECT: Streambed and Bank Stabilization Program Dear Chairman Cardinal: The City of Fridley has received one request from Tom Kaufhold representing the 5 properties at 361, 375, 389, 403, and 419 Rice Creek Terrace, along a curve in Rice Creek requesting consideration for project funding by the Rice Creek Watershed District in accordance with the Streambed and Bank Stabilization Program. The City Council reviewed this project at their August 12 meeting and totally support the request. In addition, the City will join the project to incorporate a storm sewer outfall on the easterly end of the project. We have authorized an amount up to $5,000 for the extension of the rip -rap and filter blanket. Recommend the Rice Creek Watershed receive the attached project and approve it for financial assistance in the 1992 construction year. Sincerely, 'John G. Flora, P. E. Director of Public Works JGF/ts Enclosures CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1*, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 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 Gas Range NO. RATE TOTAL 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 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of. Value of Fixture or Appliance JOBADDRESS �� ✓�� -' 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. -z 7 �� , 199 Owner /4!'!�� Building Used AsE -5 Estimated Cost PERMIT NO. PLUMBING COMPANY:;�d-R,;b '4 0 Ic�lso�J 2� � SIGNED B TEL N0.&_2__—_,927 Approved By�� Rough -In Date Final Date State Surcharge .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $�� ` PLUS THE $.50 STATE SURCHARGE I Showeras wTraY oor Drain A to. Wash r Range er r Heatert :::;:....... EUrin Gas Iec Bas e m e n Floor 1 FI00 r 2 I s: Floor 3 IFI oo r4 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 Gas Range NO. RATE TOTAL 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 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of. Value of Fixture or Appliance JOBADDRESS �� ✓�� -' 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. -z 7 �� , 199 Owner /4!'!�� Building Used AsE -5 Estimated Cost PERMIT NO. PLUMBING COMPANY:;�d-R,;b '4 0 Ic�lso�J 2� � SIGNED B TEL N0.&_2__—_,927 Approved By�� Rough -In Date Final Date State Surcharge .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $�� ` PLUS THE $.50 STATE SURCHARGE SUBJECT P -= City of Fridley 21712 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO ` _ COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. `/�� 5 CITY HALL FRIDLEY 55432 %j NUMBER REV DATE 1:;,GE OF APPROVED BY 612-571-3450 910-F15 1/13/93 / JOB ADDRESS 375 Rice Creek Terrace NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. i 6 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Tom Kaufh.old 375 Rice Creek Terrace 572-9096 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft 3118 Snelling Ave S, M is MN 55406 721-6628 2179 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 Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 9.13"' Sunroom wi.th.PQrch below; a 10' x 20' Deck and a 15' x 9'3" Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. am WARwIll Before digging call for SEPARATE PERMIT, REQUIRED FOR all utility locations WIRING, HEATING, 454-0002 PLUM13ING ARID SIG NS. REQUIRED BY LAW 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 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 $7,728 $3 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .86 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. $ 99.00 Fire SC $7.73 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE �� License SC $5.00 $115.59 SIGNATOR OF RACTOR OR AUTHORI ENT IDA EI I{ N P P AL THIS IS /YjOUR//P(E%q,�RMIT - g I P DATE SIGNATURE OF OWNER0F OWNER BUILDERI IDA I NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: -3-72E) Legal Description: Owner Name & Address: -To�A,() �'` .315 ±1G� G� 1F` Tela # S7Z-10 76► Contractor: _! '�° nJ � f� r-- T- MN LICENSE # Cc�, o Z, d - I Address: l l��--l--l`�i�r %✓, �� p� � Tel. # 7�1 .Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. � L tl'-0 `') DESCRIPTION OF IMPROVEMENT S�r1-sow- c l��'C�e�� . AREA: • Length Width 4'-'_3 „ Height Sq. Ft. GARAGE AREA: Length' Width' Sq: -Ft. Sq. Ft. �® DECK AREA: Length Width OTHER: - G Q� 1 ` � /D 'Y D t 339 3-� k 9®o Corner Lot (] Inside Lot (jt�'� ®ac _ Type of Construction: Approx. Completion Date: 2ZE- �[oa7- _ ' Sl�4 u� Side Yard Setbacks Estimated Cost: $`�'�"' %%w (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $ DATE: I Z/ t APPLICANT: - �t - % Tel. # G CITY DISE ONLY Permit Fee 9� off $81,00—Fee Schedule on Reverse Side Fire Surcharge 9-73 $ .101 of Permit Valuation (1/10th%) State Surcharge _35� $ $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ ® 0 $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 a STIPULATIONS: !I- 016osr 0' -( AUG 2 3 1993 RICE CREEK WATERSHED DISTRICT RCWD PERMIT NO. 93-120 SUITE 374, ARDEN PLAZA 3585 LEXINGTON AVENUE NORTH cc: City of Fridley ARDEN HILLS, MINNESOTA 55126 Montgomery Watson Inspector Eklin PERMIT RCWD File PERMIT APPLICATION NO. 93-120 Issued to: Tom Kaufhold,. 375 Rice Creek Terrace -NE, Fridley, MN 55432 Location: Northeast of the intersection of 67th Avenue and University Avenue, 361-419 Rice Creek Terrace, Fridley. Purpose: Approval of an SBBS Shoreland Improvement Plan on Rice Creek, 1,330 linear feet.+. At their meeting on July 28, 1993 , the Board of Managers - of the Rice, Creek Watershed District reviewed your permit: application and the recommendation of the District Engineer based upon the following exhibits: 1. Permit Application dated June 30, 1993. 2. Rice Creek SBBS application, undated and received July 2, 1993. 3. Location map, undated and received July 2, 1993. 4. Plan.profile and sections prepared. by Soil Conservation Service, dated November 1992, received July 2, 1993.. 5. Cash surety in the amount of $5,000.00 received August 12,. 1993. -. 6. Calculations giving flow rates for rip rap sizing, prepared by Soil Conservation Service, dated October 1992,. received.July 26, 1993. They found the project as planned to be in accordance with the Rules & Regulations and Guidelines of the District and therefore approved the permit as requested, with the following additional stipulations: NO ADDITIONAL STIPULATIONS It is the responsibility of the Permittee to provide all measures necessary to contain sediment on the site during construction. This may require the use of erosion control measures not outlined Continued on reverse RCWD PERMIT NO. 93-120, continued: Page 2 on the erosion control plan. If this requirement is not met, the Permittee may be ordered to provide additional erosion control measures if deemed necessary by the District Inspector. Immediately upon completion of rough grading, stormwater management features must be completed according to plans permitted by the District. It is also the responsibility of the property owner to provide necessary maintenance to assure that the stormwater management systems approved as part of this Permit will continue to function as originally designed. NOTE FOR PROVIDERS OF A CASH SURETY: Failure to implement and maintain the sediment -erosion control and cover establishment measures outlined in the permit exhibits may result in forfeiture of your cash surety. If such measures are satisfactorily provided, the cash surety will be returned with interest after permanent vegetative cover has been established. Please notify the District Office in writing when permanent vegetative cover has been established and a final inspection will be -made. Two (2) inspections of the project site are included with this Permit: one after erosion control measures are in place and one after project completion and revegetation, and will be conducted to assure compliance with all agreements, terms, and stipulations of this Permit. Failure to comply with the foregoing may result in rescission of the Permit, and is in violation of Chapter 112.89 MSA, a misdemeanor. Any additional inspection, requested or required, will be billed at $25/visit. This document is not transferable, and is valid for one (1) year after the date of -issuance. No construction is authorized beyond the expiration date. If Permittee requires more time to complete construction, a renewal of the Permit will be necessary. Please contact RCWD at 483-0634 when the project is about to commence so an inspector may view the work in progress. By acceptance of this Permit, Permittee has consented to the foregoing. The enclosed Owner's Certification form must be completed and forwarded within ten (10) days of project completion. 1 President, RCWD Board of Maxiag rs Gerald A. Sande u• tsoara o Andrew J. Car final, Sr. Form C Revised 1/9/91 Date of Issuance Is &.0fapl �L . PLEASE COMPLETE THE FORM --DO NOT WRITE "See Attached". ONLY BLUE FORMS ACCEP'T'ED. RICE CREEK WATERSHED DISTRICT SUITE 374, ARDEN PLAZA 3585 NORTH LEXINGTON AVENUE ARDEN HILLS, MINNESOTA 55126 cc: City of Fridley Montgomery Watson RCND File For Office Use Only JUL 12 199 PERMIT APPLICATION NO. 93-120 Rec' d Office 7-2-93 , Rec' d Engr. 7-6-93 Notice Sent 7-2-93 Agenda 7-28-93 Administrative Fee 60 ck #4195 fm Tom Kaufhol PERMIT APPLICATION To be completed by the applicant Owner: SEE TTA C_ CONTACT PERS om 00-rnold Address: 375 Rice Creek Terrace NE City: Fridley, MN 55432 (zip code Permit Application.for Approval of: Date: Telephone No.: Q Comprehensive Stormwater Management Plan Land Development Elam, Final Site Drainage, Plan.,.,; Use and/or Appropriation of Public Waters:_ Bridge and/or Culvert Construction Wetland Alteration Shoreland (Riparian) Improvement Private- Drainage System Other (explain in Remarks) & /: 3, P Aq. (SEC gnature• of Owner)' No Agents' Si g.accep Remarks: Request for renewal of Permit Name of Project: p I Purpose of Project: I �yEA' E 2QS — ^ Location of Project -Address: 3(a 4t 4}�I /�d�c-c C� �� W1e_uge,E- Municipality or Township: F,2/=�L-C-� 3/4 of Section 1 T Township ��LEJ Range: Call 483-0634 if assistance in completing-this:form is required.. Please attach drawings, plans: and other data as outlined in "Rice Creek Watershed District Permit. Information Brochure', available upon request. -Mail or deliver this form along with a $60 fee (.$l0 administrat;.ve fee and ..$50- for. _.. two inspections) and two sets of appropriate exhibits to the above address. Engineering review fees will be billed after final Board action. "A field inspection fee on this permit shall be charged to cover actual costs related to a field inspection including the investigation of the area affected by the proposed activity, analysis of the proposed activity, services of a consultant and in addition, a fee will be charged for any required subsequent monitoring of the proposed activity." M.S.A. 112.88, Subd. 2. Applying for this permit to RCWD does not preclude your applying for any necessary permits that may be required from other governmental �. agencies. A8-78 Revised 1/1/91 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 >.aes Wa ht::::= Floor Auto. ><: Gas ::>::>: Water Heater : ::.. :..�:.Washer Ran a �. Gas Urinal Shower Tray Drain �Elec Basement Floor 1 Floor 2 Floor 3 Floor 4MM 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 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 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL• : ADDRESS - F 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. . 199 Owner Building Used As J ) t Estimated Cost PERMIT NO.zw Ir PLUMBING COMPANY �09 d4lAuteaPA, XV SSW SIGNED B TEL N0..�/'r � Approved Byj;�- Rough—In Date Final Date / $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $ O�® PLUS THE $.50 STATE SURCHARGE PROTECTED WATERS PERMIT P.A. Number 94-6001 Pursuant to Minnesota Statutes, Chapter 105, and on the basis, of statements and information contained in the permit application, letters, maps, and plans submitted by the applicant and other supporting data, all of which are made a part hereof by reference, PERMISSION IS HEREBY GRANTED to the applicant named below to change the course, current, or cross SUVI .LO" VL a &&w .•y Protected Water County Rice Creek Anoka Name of Applicant Telephone Number (include Area Code) Thomas C. Raufhold (612) 572-9096 Address (No. & Street, RFD, Box No. City, State, Zip Code) 375 Rice Creek Terrace N.E., Fridley, Minnesota 55432 Authorized to: Place riprap along 300 feet of Rice Creek, all as shown and described in documents received at this office on July 2, 1993 and provisions of this permit. Purpose of Permit Expiration Date of Permit Erosion Control November 30, 1994 Property Described as: County NW1/4 Section 14, T30N, R24W Anoka As Indicated: (8) As Indicated: (11) D.N:A. The ordinary high water elevation. VISIONS• This permit is granted subject to the following GENERAL an SPECIAL PRO GENERAL PROVISIONS 1. This permit is permissive only and shall not release the Permittee from any liability or obligation imposed by Minnesota Statutes, Federal Law or local ordinances relating thereto and shall remain in force subject to all conditions and limitations now or hereafter imposed by law. 2.. This permit is not assignable except with the written consent of the Commissioner of Natural Resources. 3. The Regional Hydrologist shall be notified at least five days in advance of the commencement of the work authorized hereunder and shall be notified of its completion within five days thereafter. The Notice of Permit issued by the Commissioner shall be kept securely posted in a conspicuous place at the site of operations. 4. No change shall be made without written permission previously obtained from the Commissioner of Natural Resources, in the dimensions, capacity, or location of any items of work authorized hereunder. 5. The Permittee shall grant access to the site at all reasonable times during and after construction to authorized representatives of the Commissioner of Natural Resources for inspection of the work authorized hereunder. 6. This Permit may be terminated by the Commissioner of Natural Resources at any time he/she deems it necessary for the conservation of water resources of the state, or in the interest of public health and welfare, or for violation of any of the provisions of this permit, unless otherwise provided in the Special Provisions. 7. Construction work authorized under this permit shall be completed on or before date specified above. Upon written request to the Commissioner by the Permittee, stating the reason therefore, an extension of time may be obtained. 8. The excavation of soil authorized herein shall not be construed to include the removal of organic matter (as indicated above) unless the area from which such organic matter is removed, is impervious, or is sealed by the application of bentonite after excavation. 9. In all cases where the doing by the Permittee of anything authorized by this permit shall involve the taking, using, or damaging of any property rights or interests of any other person or persons, or of any publicly owned lands or improvements thereon or interests therein, the Permittee, before proceeding therewith, shall obtain the written consent of all persons, agencies, or authorities concerned, and shall acquire all property, rights, and interests necessary therefore. 10. This permit is permissive only. No liability shall be imposed by the State of Minnesota or any of its officers, agents, or employees, officially or personally, on account of the granting hereof, or on account of any damage to any person or property resulting from any act or omission of the Permittee or any of its agents, employees, or contractors relating to any matter hereunder. This permit shall not be construed as estopping or limiting any legal claims or right of action of any person other than the state against the Permittee, its agents, employees, or contractors, for any damage or injury resulting from any such act or omission, or as estopping or limiting any legal claim or right of action of the state against the Permittee, its agents, employees, or Contractors for violation of or failure to comply with the permit or applicable provisions of law. 11. No material excavated by authority of this permit nor material from any other source,, except as specified herein, shall be placed on any portion of the bed of said.waters which lies below (as indicated above)... ._ 12. Any extension of the surface of said waters resulting from work authorized by this; .permit shall become protected waters and left open and unobstructed for use by the public. 13. This permit does not obviate any requirement for federal assent from the U.S. Army Corps of Engineers, 1421 U.S. Post Office and Custom House, St. Paul, Minnesota 55101- 9808. SPECIAL PROVISIONS 14. The permittee shall comply with all rules, regulations, requirements, or standards of the Minnesota Pollution.Control Agency and other applicable federal, state, or local agencies. 15. Permittee shall ensure that the contractor has received and thoroughly understands all conditions of this permit. 16. Erosion control measures shall be adequately designed for the site characteristics. They may include staked haybales, diversion channels, sediment ponds, or sediment fences. They shall be installed in accordance with "Protecting Water Quality in Urban Areas - Best Management Practices for Minnesota MPCA, October 1989, prior to commencement and maintained throughout the project. All exposed soil shall be stabilized as soon as possible and no later than 72 hours after the completion of the project. Topsoil should be used to re -dress disturbed soil areas and indigenous plant species should be used to revegetate disturbed areas whenever possible. 17. Excavated materials shall not be deposited or stored along side the protected water in a manner where the materials can be redeposited into the protected water by reasonably expected high water or runoff. 18. A sediment barrier shall be installed around the area of excavation during the project to limit turbidity to the affected areas. This barrier may involve use of a filter fabric material attached to stakes or a snow fence anchored to the lakebed. The barrier shall be removed upon completion of the work, after sediment is settled. 19. All material in, or resulting from, the demolition of the existing structure shall be completely removed from the floodplain of the river and disposed of in accord with all local, state, or._federal regulations. 20. Upon completion of the authorized work, the permittee shall submit representative photographs and any as -built surveys, as appropriate, of the project area to DNR Metro Region Waters (1200 Warner Road, St. Paul, MN 55106). 21. Where the work authorized by this permit involves the draining, filling or burning of wetlands not subject to DNR jurisdiction, the permittee shall not initiate any work under this permit until the permittee has obtained official approval from the responsible governmental unit as required by the Minnesota Wetlands Conservation Act of 1991. c: City of Fridley Rice Croek WSD Anoka CD USCOE, Tim Fell AFM, Bruce Gilbertson AWM, Tim Wallace G. Jurgensen, Conservation Officer R. Anderson, St. Paul Waters Rice Creek file Author' 'gn re " Title Date Administrator, Permits and // 2/ Joh inc.Stine Land Use Section CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES: NO. RATE TOTAL 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 () No Type $ 7.00- $ 4.00 1) 'Cb $ 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 $ .50 TOTAL FEE $ ��-D JOB ADDRESS .375 , � 2 Come - l< The undersigned hereby makes application for a perm it 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. y- /o , 1997 Owner b `! r fl A<o v 7 ld Building Used As .12C Estimated Cost 3,r®®O PERMIT NO. PLUMBING COMPANY Gt S /yx�lb.i� SIGNED BY�� s TEL N0. F -r 0 Approved By Rough -In Date Final Date FOR MIT IS $20.00 LW **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. SUBJECT - NfO-. City of Fridley C_�'�f 24954 AT THE TOP OF THE TWINS BUILDING P E R M I T RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. IIJJ]] NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �"""'� ♦`' 612-571-3450 910-F15 4/11/97 JOB ADDRESS 375 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom & Jill Kaufhoid 375 Rice Creek Terrace NE572-9096 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 477-4803 7533 Mat-Con 9783 4 St NE, Hanover PIN ;;qhl 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 iJ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel upstairs bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARA"E PERUMS WIRING, HEATING, � �� F0, pL�q� AND SIGNS. 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 I 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 $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,500 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- $87.25 Fire SC $3.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC 5.00 $9 .50 QPE ALIDATED I$ IS YOU..%PERMIT BL G WSP DATE ,,,ZF CON'RACT OR AUTHORIZED AGENT (DATE) OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : 3 9,5 IC i C F C r 256r 7 -Or Legal Description: Owner Name & Address: TOM -t-,T 1 LL- 1 A (A F No d' Contractor: MIV- C®d MN LICENSE # Address:�.l jg NanoV.er /`e2ti/ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EM PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 1� �. I L -,,-P'S �a x CS PJ 1%1" ti 9-0 0 r-" Construction Type: Mo � ��`(� �� Estimated Cost: $ 3� D e C� (Fee Schedule on Back) Driveway Curb Cut Width Needed:. Ft. + 6 Ft = Ft x $ = $ DATE:. 11® APPLICANT: C _ Tel. # 1-1 7 7'V903 CITY USE ONLY Permit Fee $ 07 25� Fee Schedule on Reverse Side Fire Surcharge $ 3.,51b .001 of Permit Valuation (1/10th%) State Surcharge $ 7-T $.50/$1,000 .Valuation SAC Charge $ /' $950 per SAC Unit License Surcharge $ ,! 5 7 ®® $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 $ STIPULATIONS: A / SUBJECT P T City of Fridley C( 7677 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. i COMMUNITY DEVELOPMENT DIV. _ � _s v PROTECTIVE INSPECTION SEC. /-7L NUMBER REV DATE 9110/98 PAGE OF APPROVED Br CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 375 Rice Creek Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jill & Tom Kauthold Same 572-9096 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO . Dave Wiger 901 Rice Creek Terrace NE Fridley 55432 572-8403 8392 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 47 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK mag Reroof house & garage (28SQ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED 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 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 $2,399.00 $1.20 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- $74.75 F SC STRUCTI�THEPERFORANCE QF CONSTRUCTION. re $2.40 a PLAN CHECK FEE T07 EE Lic e C 5 0 $83.35 SIGNATURE OF CONTRACTOR OR AUTHORIZED ENT (DATE) ENRO VALIDA THIS IS Y PERMIT BLD IN SP 1 �.r GATE SIGNATURE OF OWNEROF OWNER BUILDER] iDATEi A / NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 3 7t5— Legal Description: /C'S Bek - 7,;,-, l% , Effective 1/1/98 Owner Name & Address: T, L 4 q- 7�3,! I xW - llazl'o Tel. # % ;z ^ia % Contractor: D4ulz Jam,,, / e/� MN LICENSE # Address: '? a ( late,- NMF7`171?1? Tel. # 6-7o2 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 H t/Ground Sq. Ft. OTHER: �' /5��C�"� 7e1#/? 3g9 Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: FF �d t <"PPLICANT: U l Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ �a 410 .001 of Permit Valuation (1/10th%) State Surcharge $ 1t X $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5-00 C0 $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 STIPULATIONS: CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 RATE SCHEDULE DIVISION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 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 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 2002 1199 JOB ADDRESS 3X15 Rtce Cr'ee� TeorO&-, OWNER -FoI V L `t <) 6 lI TOTAL(_,, BUILDING USED AS rzs t6en� aI ESTIMATED COST PERMIT N0. =_ $ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ �5 Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR knrbre CZ -J 2q -k4 AIC $ 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 &' G 0 f 6 HEATING CO ACS VAI- hIA6 �� /4C . Signed � f TEL # �� '��v FAX # Approved By Rough -In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT- VFNT CONNFCTOR AND OMR1ISTION AIR VFRIFI ATION When re la .ing an existingf urt anna, 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 cnmh ,c inn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new cnmbuctinn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When int alli g 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 #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 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 HEATING CO: Signed By: Date 'PITY OF FRIDLEY INSPECTION DIV. 1431 University Ave NE 'ridley, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT` MARK NLJMRFR OF FIXTI IRFS Tr) RF IAISTAI I Gn nr i I=er'u 9:1 nno ILUMBING FIXTURE RATES: Jew Fixtures Ad Opening, New Fixture leer Dispenser flow Off Basin ;atch Basin Iain Water Leader NO. RATE TOTAL JOB ADDRESS_ 64AAn.e • a-5 &W AA,4- )ump/Receiving Tank Vater Treating Appliance Vater Heater -Electric Vater Heater - Gas** Sas Range** Sas Dryer** lack Flow Preventer Required ( )Yes () No Type $10.00 The undersigned hereby makes application for a permit for the work herein $10.00 specified agreeing to do all work in strict accordance with the city codes $10.00 and rulings of the Building Division, and hereby declares that all the facts $10.00 and represPntatinns statPri in this annliratinn are true and correct. $10.00 KALIFOLD, TOM $10.00 375 RICE CREEK TERRACE NE ", 20 $10.00 FRIDLEY, MN 55432 T: $35.00 OWNER (763) 572-9096 $35.00 $35.00 BUILDING USED ASST $10.00 $10.00 ESTIMATED COST `t 6 LI oo PERMIT NO. $15.00 PLUMBING COMP/Y teinspection Fee $50.00/Hr SIGNED BY kLL OTHERS AND/OR REPAIRS AND ALTERATIONS j 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE Approved By TEL N0. ((012) 8Z%-5033 Rough -In Date Final Date •• - W■_. - V/Q VI VV1 $ �S OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 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 anew 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 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 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 : Building $ BUILDING Permit No.: Inspections 65o/a of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY D ,� U N 0 200- 763-502-4977 FAX $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) EFFECTIVE 1-1-09 $ DATE .S - --L -X — Oct YOUR E-MAIL ADDRESS $ SITEADDRESS 3-15 '?.'.cam Cv e�� 1 --r Y AcR Park Fee THIS APPLICANT IS: ❑ OWNER CONTRACTOR Sewer Main Charge PROPERTY OWNER/ NAME:�LSWM tl�, :P,\\ Total Dae ADDREsssis w%ce Creek -Tky 'Act CITY Fr S Aklt� 1 STATE MVS ZIP TENANT THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED PHONE: , 6 3 - �t(a3 - i q 4-1 CONTRACTOR NAME: -A S W STATE LICENSE # '2 O (a 3 J 8 EXP DATE 3 SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRES&SR165 r�cDYpgk L.Y.Q. lei, CITY h 6 sTATE�1RziP,�54�1 INSURANCE PHONE '-I (s.3 - s S'1 - o Cs,Cn. FAx "1� 3 - a 3 - d3 a PROPERTY TYPE JKSINGLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUCTION STORIES_ PERMIT TYPE ❑ ADDITION 0 GARAGE/SHED 0 WINDOWS ❑ BASEMENT FINISH ❑ ROOF 0 DRAIN TILE ❑ DECK O SIDING XOTHER 0 SWIMMING POOL TYPE OF WORK:O NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH I WIDTH i t HEIGHT i Z SQ FT , 3 ROOFING ❑ HOUSE ONLY � BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 4 3 13 HOUSE & GARAGE 1. Exisfing Floor Plan GARAGES ❑ ATTACHED GARAGE2. - Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING O Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures 13 Alumin1u-m.-- , p- O Trim D Other r 0 Fascia proposed Prot ect pMi 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ElNo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF Z - 24 X (YO 1 - 5(Q 1(60 1- --1-L X It)$ OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED v- Mxvk4S NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: _(USING TM 199JUALC FEE SCHEDULE) Permit Fee $ See Back Page for Fee Schedule Plan Review $ I - S 65o/a of Building Permit Fee Fire Surcharge $ I .001 times the total job valuation Surcharge $ 2 a,5 .0005 x Permit Valuation Minimum $-50 License Surcharge $ $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 $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ ygn&Z Make checks payable to: Ci of Fridley Attach 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 which requires review and approval of plans. SIGNATURE OF - /'- (-U