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PRE 2010 DOCSBUII..DING PERMIT Village of Fridley, Minn. N° 2 R 5 6 Date .... 0. Z l .. ;�. i? ........ .............. . Owner D. � .... /? 1t' .. �...... Q o.. Address .. 64? �I... `r. l� ` s `!� ! ... u . Builder ...... a'w! _X ..................... Address ...... c vo d LOCATION OF BUILDING No. .. ....... Street ..l.`.lC.E.:.... C.!, r.� !l... fC:79-. Part of Lot ....................... Lot ... JA......... Block ...... —3....... Addition or Sub -Division ... JR. Corner Lot ............ Inside Lot :u,.'�,-rr•.. Setback ............ Sideyard DESCRIPTION OF BUILDING To be Used as: x Front . Depth l ...height j r y `..�Sq. Ft. l [ . �./.. Cu. Ft. ....... . . G- 4.70i.C3.. Front ........ Depth ........ Height ......... Sq. Ft. '4! (?.. Cu. Ft. ........ Type of Construction k.RM.(�;. Est. Cost ...17, 2.01.0........ To be Completed &Awo........... Yn consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. . • • • e, � consider on of the payment of a fee of $.P. 7. "�;` permit is hereby grantedto . l .0 % ........ ... . KY; S +9--.4 .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, alteratio tenance, e �a;�ving buildings with- in the village limits and this permit may be revoked at a time u on violattheovisions of said ordinances. // wilding 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. SUBJECT P NO City of Fridley O 5670 AT THE TOP OF THE TWINS BUILDING P E R M I T r � RECEIPT N 1 L ......COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 1612-571-3450 910--F15 4/18/80 JOB ADDRESS 380 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 3 Rice Creek. Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Gallarane 380 Rice Creek Terrace N.E. 571-9228 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof structure. & add gutters 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged g galvanized valleys. 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 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 1®5Q0 $`. 75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $9.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $9.75 SIGNATURE OF CONTRACTOR ORAU/ ORIZED AGENT MATE) WHEN PROPERLY ULIDATED THIS IS YOUR PERMIT �GINSP IF SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI GATE CITY Of" FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (flew, Alterations, Additions', or Repairs) OV114ER: �C �-� �II Rl A)C-- BUILDER: ADDRESS: 0 ® V. ADDRESS: TEL NO: ?1--q�, QTEL NO: Construction Location STREET NO: Q _ _ STREET: CC Q&g&&4 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. DESCRIPTIO14 OF CONSTRUCTION ront: Depth: Height: Squane Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost_ $ Kco-aa To Be Cbmpleted: Alt. A Alto B Proposed. Driveway Width If Now Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a1.1 wort: in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATUM,e s �� Stipulations: SUBJECT City ®f Fridley 26207 AT THE TOP OF THE TWINS BUILDING PERMIT P R COMMUNITY DEVELOPMENT DIV. v " PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OF APPROVED BY � CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/11/98 JOB ADDRESS 380 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 3 Rice Creek Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Gallarane 380 Rice Creek Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO All Quality Construction 506 Polk St, Anoka, MN 55303 427-9582 4256 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 O ADDITION ❑ ALTERATION X7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 I 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 $1.04 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,085 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- Fire SC $2.08 STRUCTION OR THE4PERFMANCE OFCO STRUCTION. $74.75 CHECK FEE TOTALFEE �PLAN L License SC $5.00$82.87 SI N UREOF ORORAUTHORIZEDAGENT (DATE) WHEN �PERLY��A�L�6LWA%JTED 8 D INSP THIS IS Y URPERMIT pnTE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddres&)Legal Description: Description: )L)P-1A,) Owner Name & Address • 1. # Contractor: _ MN LICENSE #�)�, Address: Tel. # Wa 5—a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Driveway Curb Cut Width Needed: DATE: Ft. + 6 Ft = Estimated Cost: $ C;1?66 (Fee Schedule on Back) Ft x $ = $ APPLICANT: Tel. # TOTAL $�' . STIPULATIONS: CITY USE ONLY Permit Fee $ %� Fee Schedule on Reverse Side Fire Surcharge $ .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 $�' . STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Urinal :... - .. :..i ::"riii ::-.; Shower = : i13 <>=: Wash Tra = - :Ftt�tt---<-- r= _-- F o0 Drain < Auto s ==<> Washer A :Ran Gas a 'Water ea `. H ter �" . i :. iY:..n:yii :: Gas Elec Stories Basement n t Floor1 = ::. 00 Floor 2 - Floor 3..;_.>�._;.. <<>_> i F o0 r4 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 O 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 JOB ADDRESS. SA W -C, ...Zf 5 ©( AJ15 bt�__LOIJ 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. GALLARANE, RICHARD �C-) w 380 RICE CREEK TERRACE FRIDLEY, MN 55432 Owner (763) 571-9228 Building Used As L iAOS Estimated Cost -TV $15.00 PLUMBING PERMIT NO. /j oe' l bLon Pz_v/081MG Reinspection Fee $47.00/Hr SIGNED BY /L N0. 6j2 $217- 8033 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Facture or Appliance Approved By Rough -in Date Final Date State Surcharge $ .50 MINIMUM FEE E R ANY PLUMBINGIGAS PERMIT IS S20,00 TOTAL FEE s20-50 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY BUILDING INSPECTION 9 3431 University Ave NE 9=ridley, MN 55432 L 763-5723604 FAX 763-571-1287 1 9 D RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air. Conditioning -All Sizes All Other Repairs or Alterations (List on Back) Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Tota JOB ADDRESS 3 60 4 CQ ray tef f4ziC:G Owner 'e(rAor d (' ll arCc re $35.00$ _ S t� Building Used As n:75den c1L $10.00 $ ESTIMATED COSTAL0 CC!b PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water)- \Air) Trade Name CQ f -r e (- Size Nos i 46?cD $25.00 BTU 701 Cy--� HP EDR Fuel / Cra.S Total Connected Load r 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 6% of cost of Y Improvement whichever is greater on work less than $300.00 1 5 Commerciallindustriallinstitutional r 1.25% of Value of Appliance or Work (List on Back) i Minimum Fee $35.00 for Commercial/industriai/insiitutionai State Surcharge TOTAL FEE -, REINSPECTION FEE $50.00/HOUR $ .50 IT *Air Conditioners can not be placed in side yard without written approval �+ from adjoining property owner - copy to City r N FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Q Bumer Trade Name Size No. `5!CC t ,4D"7D BTU�I Wiz) HP EOR 397'af,tOQV e 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. CENTERPOINT ENERGY HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed, p, . Tel # 763-757-6202 FAX #163-757-6701 Date S �� Approved by Rough -in Date Final Date elo ' d -idlul 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 ()9 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 (i 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 Yes ( No ( ) Venting Tables for fan assisted and natural draft appliances. 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 l) No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type .a. r d BTU Input 2-A ozr'o Fan Assisted or Nat f%,' Appliance #2 Type ,t BTU Input 34, Fan Assisted or Nat ma;t Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances 2 Total Btu Input Common Vent Type C - d - Vent Height 118 Diameter � ` inches Appliance #1 Vent Connector Height _.! ft Length __5— ft Diameter ' • in Type CA_h Appliance #2 Vent Connector Height aA ft Length „ ft Diameter Y in Type 0 - c - Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) A'/ p -c A 5 lye, 4 6 C / "--3 CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 - Signed By: " _ Date S- FRIFA ' A T vVgA ..SL Dl ABI 1 dA AD Al 1 D WON -4 q?: t T is00E-LZ—Nc4H