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PRE 2010 DOCSSUBJECT - PERM City of Fridley ' ®i292 AT THE TOP OFTHE TWINS BUILDING PERMIT ' RECEIPT -N6. ` `- -_-- COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 5432 IL L"" 612-560-3450 910-F15 4/30/75 JOB ADDRESS 482 Rice. Creek Terrace 1 LEGAL LOT NO., BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 Rice Creek Terrace Plat #4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Norman Eitrheim 482 Rice Creek Terrace N.E. 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 ❑g ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 241 x'16' Family Room Addition 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS . REQUIRED FOR WIRING, HEATING, PLUMBING AND. SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCEDWITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 349 6980 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. $7,294 3.65 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- 25.35 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $32.00 SIGNATURE OF CONTRAR AUTHORIZED AGENT (DATE�i ..- � C O� i�1 �7 WHEN .PROPERLY VALIDATED THIS IS YOUR PERMIT 4 A1�/lam j BLDG. INSP I D.A TE SIGN. TURE OF OW NER IIF OWNER BUILDER? (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: �� BUILDER: ADDRESS : ®s<�c e� Gc ��1/ cam. ADDRESS: NO:. yj __2 S TRE ET: �� aee/?- LOT: BLOCK: is ADDITION:� dq CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: /Y4__1117 Front:- �� Depth : %� � Height: s'Im2 i Square Feet: Cubic Feet: (a CjLyo .305 Front; Depth: Height: Square Feet; Cubic Feet: Type of Construction: �7 Estimated Cost: d To Be Completed: e19Z9 1AA0_ 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. DATE: s.Y ,✓ -S i /�'25SICNATURE : (See Reverse Side For Additional Information.) RZYL W. ('580k 1.8� 1-2.91 7300 �l Z �.3S' I, -4;, at�.7 J) /i� 9, allowing the construction of a owner of the property located /j have no objection to the City to be located at thout the required certificate of survey that the City ordinarily requires for all new construction. C Signect' Address C , Da. e Witness sueJEcr PERM( . Cityof Fridley ®_ 19290 AT THE TOP OF THE TWINS BUILDING PERMIT r RE T NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j, 612-571-3450 910-F15 11/30/87 JOB ADDRESS 482 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 9 5 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Greg Rosholt 482 Rice Creek Terrace N. E. 5729684 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Fireplace 1525. West River Road, MPLS 588--079.1 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 f ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install.Free---standing Fireplace "Majestic WM 36 BRS" 9 CHANGE OF USE FROM TO STIPULATIONS Install fireplace in compliance with approved specifications. Provide smoke detectors in dwelling. SEPARATE 'PERMITS REQUIRED FOR WIRING, :BEATING; PLUMBING AND SIGNS. 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 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2.r000 $1.00 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 PROVIS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ION OR TH PERFO CE OF CONSTRUCTION. $32.50 `% bb/%- PLAN CHECK FEE TOTAL FEE $33.50 S NATURE OF CONTRACNORORAUTHORIZEDAGENT DATE( WHEN PROPERLY A I ATED THIS IS YOUR4PEM11SIGNATURE BLDG INSP OF OWNER IIF OWNER BUILDERI (DATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: ' /C& Le Owner Name & Address: "a� �O7 Tel. # Contractor: —Gtll / 7y ��'�� —Tel. # 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 Width Hgt/Ground Sq. Ft. OTHER: %1(lj�.JzL Tl2c�cok6 ld4,P 7� oe- Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: fAf Estimated Cost: $ 2-00 C3,® a Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: j lbb APPLICANT: Tel. # v6 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ �— 25% of Building Permit Fee State Surcharge $ /100 $.50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J TOTAL STIPULATIONS: SUBJECT PERMIT NO. City of Fridley 74 AT THE TOP OF THE TWINS BUILDING PERM _ r ECEIPT N ' COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I . � ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY -_-- •� L Jill,612-571-3450 910-F15 5/4/89 JOB ADDRESS 482 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gregory/Susan Rosholt 482 Rice Creek Terrace N.E. 572-9684 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 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 241.x 201 Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations. on plan V A!k,"W 0a'IIN ;.before diggjng call t0ca( utiii&S TELEPHONE - ELECTRIC -(SAS Ett. SEPARATE PERMiIT'S REQUIRE® FOR _REQUIRED BY LAW �111RING, HEATING, PLUMBING AND SIGNS. 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 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 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 $3,326 $1 •66 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- $63.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $64.66 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V (DATED THIS IS YOUR PERMIT r SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) BLDG (NSP DATE NEW [ ] ADDN [ ] AIT [�7 Construction Andress: Legal Description: R-1 AND R-2 Building Permit Application lee Clee� \- 9 A4 —5' 6ze. Effective 5/1/88 Owner Name & Address: es.,.c4 �. �i,s �J -� /` osAjc !f _del. # 7-2 - r - Contractor: Address: 1=4114 -e-' Tel. # Attach to this application, a Certificate of Survey of the lot, with the primed construction drawn on it to scale. tIP1'ION OF I05511VEMEM LIVIM AREA: length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: length -l� Width �2 ® Hgt/Ground 13 "' Sq. Ft. WO OTHER: Corner Lit [ ] Inside Int [x] Ft. Yd Setback Side Yard Setba Type of Construction: TXP;Lfe /. Ze%o al Estimated Cost: $ �'� � • DO Approx. Cmpletion Date: Proposed fDrivew/a�yl/�� Width If New DATE: APPIZCANT: Permit Fee $ o o State Surrharge SAC charge $ Driveway Escrow Park Fee $ Sewer Main charge $ $ 6, C/. L('5' STIPUTATICNS: Is Desired: Ft. $ $ Width + 6' See Back Page Tel. # -S7.;2 - Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PER- ERCity Cityof Fridley 20168 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. �COMMUNITY DEVELOPMENT DIV. - -------I r PROTECTIVE INSPECTION SEC. -I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 10/20/89 JOB ADDRESS 482 Rice Creek Terrace N. E, 1 LEGAL BLOCK TRACT OR ADDITION SEE ATTACHED ILOTNO. DESCR. 9 5 Rice Creek Terrace Plat 4 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Greg Rosholt 482 Rice Creek Terrace N.E, 572-9684 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ron Miller Construction 953 Mississippi Street, Fridley 571-3514 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 'CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof .Dwelling C19 Squares) 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. On all new roofs or tear-offs Sfcte (ode r� and ret+IwrPment roofs, quires mo ,, that 2 layers Of 15 lb. felt, PP"d together, be installed to Pin a 24 inches up from e;cterior Wall fine, t or the use other approved underlayment membrane, 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 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 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 $950 $.50 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- $25.00 STRUCTIOU OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE - f $25.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE),., HEN PROP Y VALIDATED TMSYOURERMIT SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG WS AA7E�®� NEW [ ] ADEV [ ] ALMM R-1 AND R-2 Building Permit Application •• .• .. - � ,�� fit, Effective 5/1/88 Iagal Description: Owner Name & :6r k'- t (ria I % c %Z, ci, r. Tel. # /9 '' i Contractor: //�, M Tel # - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. .lr: w lies •! •1' I i• .. zr1a ISVIZG AMM: length Width height Sq. Ft. GARAGE AM: Length Width Height Sq. Ft. DECK AREA: length Width Hgt/Gtound Sq. Ft. 07MM:�f—CL df= p l 9 Corner Iot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks AF Type of Constriction: EstU ated Cost: $ Approx. Completion Date: 22 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: t gyp " APPLICANT: Tel. # Permit Fee $� C� State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main OkuW $ $----2--S-1 -S-Z) .2.s - STIPUTATICNS: C1W USE OHI,Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined d by Engineering Agreement Necessary [ ] Not Necessary [ l 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 SE INSTALL Fn nm FArN Fi nnQ Effective On March 1, 1996 -.Wats StoriesShower :G►:::. h Tray o>>:>:< Drain Wuto. asher ..•......:.:.:.:. as .. Range WG aster Heater s:t:::> Elec Basementxx Floor r1 loo 2 Fr Floo r3 Fto or 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures 3 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 $ 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 ' 21.00 State Surcharge $ .50 TOTAL FEE $dl'o JOB ADDRESS '"�Cit ( . k -j'. The undersigned hereby makes application fora 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. Owner V fl Building Used As_ X61 Estimated Cost PERMIT NO. PLUMBING COMPANY SIGNED BY—:14L /k— 4 Qpm TEL N0. ! 2 ' Approved By _",j Rough—In Date Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. SuBjECT PERM City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 9 Ir? COMMUNITY DEVELOPMENT DIV. i rr ______SW PROTECTIVE INSPECTION SEC. s� r / CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/12/96 JOB ADDRESS 482 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gregory/Susan R@sholt 482 Rice Creek Terrace NE 572-9684 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 ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install bathroom in basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 bo 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 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $62.25 os(� PLAN CHECK FEE TOTAL FEE $63.75 NATURE OF COAC OR AUTHORIZED AGENT IDATEI// WHEN PROPERLY 1DATED THIS IS YOUR PERMIT 91- BLDG 4NSP MATE iG F OWNERIIF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: �F-�2s `C e &ez-1 Legal Description: Owner Name & Address: ��,� s` f�,�, c�s� l f Tel. # -S7,2 -16 J -',V Contractor: .�`� MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF EUPROVEMENT Length Width Length Width Length Width s *6e"'f i �'y , Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated. Cost: $ 07 2m). &X) Approx. Completion Date: Driveway Curb Cut Width Needed: DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: (cost on Back) Ft. + 6 Ft = Ft x $ CITY USE ONLY Tel. # $ Z 1✓ Fee Schedule on Reverse Side $ • SU .001 of Permit Valuation (1/1 $ l o d $.50/$1,000 Valuation $ $900 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ 63.7 CITY OFRRIDLEYINSPECTION DIV. 6431 University Ave NE Effective DnJanuary 1 1997 ' Fridley, MN55482 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-8aO4 MARK NUMBER DFFIXTURES TDBEINSTALLED ONEACH FLOOR Floor Stories Urinal nk Tray Drain Range Gas Elec Floor 1 Floor 2 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $7.00 The undersigned hereby makes application for aperm itfor the work herein Old Opening, New Fixture $4.00 specified agreeing todoall work instrict accordance with the city codes Beer Dispenser -_-_- .$5.00 and nuU�gecf the Building Ok/imion.and hereby declares that oUthwhx�s Blow Off Basin -_-_- *7.¢0 and napveamntat|mnastated |nthis application are true and correct. Catch Basin *�� _-_--_- Rain Water Leader �7.O� Gurn-p/ReooMngTanh �7.o� .1997 Water Treating Appliance $10.00 Owner VVate, Heater -Electric $7 .00 VVaterHoater- Gas** $10.00 Building Used As Gas Range" -_--- *1�.�O ~ Gas Drye,°° $10.00 _-___-- Estimated Cost PERMIT NO. Back Flow Pr nt Rired Woo ( ) No Type $15.00 PLUMBING COMPANY` Reinspection Fee *42.OU/Hr 8|8NEDTELN�. ALL OTHERS AND/OR REPAIRS AND ALTER�ON8 � ~ 1.5% ofValue ofFixture or Appliance �- ' Approved B Rough -|n OoteFined Date State Surcharge ' � / --------- � $.50MINIMUM kNY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE PLUS THE $.50 STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. , SUBJECT P • T dley BUILDING PERMIT 2 8186 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i = r"'II CITY HALL FRIDLEY 55432 ,�j NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 10/9/98 JOB ADDRESS 482 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 Rice creek Terrace - Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Greg & Sue Rosholt 572-9684 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ron Miller Const Inc 953 Mississi i St HE Fridley 54 55432 571-3514 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 0 NEW O ADDITION O ALTERATION )R REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage 23 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 RE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1971 $.98 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $62.25 Fire SC $1.97 411 4®PLAN r CHECK FEE TOTAL FEE License SC $5.00 $70.20 SIGNATURE O CON-RACTOR OR AUTHORIZED AGENT iDATEi WHEN PROPERLYAALIDATED THIS IS YOUR PERMIT/✓/f��/fi OL09 iNSP PATE SIGNATURE OfOW NER dF OWNER BUILDER, iOATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION J� l ConstructionAddress: ' j1 d� ��, ('�� l ��/Ge Legal Description: Owner Name Contract Address: L7- Tel. # �l ��d�✓CZr��%% ,� �"� Q MN LICENSE # 66_ l �fssl �� • '^ t ,1�� Tel. # i l Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: � � ,1-o ?=�S - - .3 s ��4/e Construction Type: Estimated Cost: $ 1991 /� l % 9 1 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 16 - .9-,9P APPLICANT: r Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ p•v?O CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sueiEtr PER O. City ®f Fridley 28662 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT • _ COMMUNITY DEVELOPMENT DIV. ----- . PROTECTIVE INSPECTION SEC. 7 I � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-34501 910-F15 1/25/98 JOB ADDRESS • 482 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 5 Rice Creek Terrace - Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Greg Rosholt572-9684 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350 73rd AveNE Fridley 55432 502-4777 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 D ADDITION ❑ ALTERATION Qx REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace one window in home bo 9 CHANGEOFUSEFROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. 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 SD. 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 STALLS GARAGES AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI D HEREIN OR NOT. THE GRANTING OF A PERMIT $4892 $2.45 DOES NOT PRESUME TC GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PE FORMANCE OF CONSTRUCTION $99.75 Fir SC $4.89 PLAN CHECK FEE TOT EE Lice S 12.09 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE) EN R SL iNSP HIS I$ Y ''3 BATE S-GNATURE OF OWNER,IF OWNER BUILDERi iDATE, s , NEW [ ] Effective 1!1198 ADDN [ ] CITY OF FRIDLEY ALTER [v]� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� BUILDING PERMIT APPLICATION �� 0.0� ConstructionAddress: Q 0 Legal Description: Owner Name & Address: �� )1- l q $ a Pili (A. ThA. Tel. # 5 `% a — � tog q Contractor: 350 - 3drhm,(J n MN LICENSE # Q oao Address:�g,,(,c,,, �.l 1 c(Q y? Tel. #a Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length Width Height Sq. Ft. T GkRI AGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: niG.�.G2, p l I c7 �) &) /'!`L2.• Construction Type: Estimated Cost: $ (Fee Schedule on Back) CP Ft x $ = $ q 00) Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: APPLICANT: Tel. CITY USE ONLY Permit Fee $ 0-h ."l 5- Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1110th%) State Surcharge $ �. �'S' $.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 $ ( ! a C STIPULATIONS: CITY OF FRIDLEY PERMI O.�2004-01532 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/02/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 482 RICE CREEK TER NE PIN 143024210059 LEGAL DESC RICE CREEK TERRACE PLAT 4 LOT 9 BLOCK 5 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 4,000.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE. APPLICANT BUILDING PERMIT FEE 97.25 ROSHOLT GREGORY D & SUSAN E FIRE SURCHARGE 4.00 482 RICE CREEK TER NE STATE SURCHARGE, VALUE 2.00 FRIDLEY, MN 55432 TOTAL 103.25 PAID WITH CHECK # 13247 OWNER ROSHOLT GREGORY D & SUSAN E 482 RICE CREEK TER NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws 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 cane e the provisions y other state or local law regulating co ction or th orm o construction. 011 Appli Date Bldg p Dat SEPARATE PERMITS RE D FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ j CITY OF FRIDLEY qlb( ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER ]] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. e Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Tel. #. aS — 7-2 ` 9ZdcS' MN LICENSE # Address: Tel. # LIVING.AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. FL Length Width Height Sq. Ft Length ,;5111a'esu Hgt/Ground Sq. Ft Construction Type: -LA-27 b iq-tD Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: 9—,?,041— APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if m ' ' a li tion. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL' $��: �S^ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but nod re . - 1 t Gas Range A� /� 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 Effective On January 1, 2002 State Surcharge $ 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. TOTAL FEE $ J -A. J DATE ®s /Y_ 0 z MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATIO—OC S) HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL # FAX # REINSPECTION FEE $47.00/Hr Nt— *Air Conditioners can not be placed in a side yard without Approved ByL�_ Rough -In Date Final Date ®1e✓L written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS OWNER 61LAT— ?-d s ho t Rate TOTAL U e BUILDING USED AS $ 30.00 $ AS ESTIMATED COSTS PERMIT N0. $ 10.00 $ � O DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge $ 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. TOTAL FEE $ J -A. J DATE ®s /Y_ 0 z MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATIO—OC S) HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL # FAX # REINSPECTION FEE $47.00/Hr Nt— *Air Conditioners can not be placed in a side yard without Approved ByL�_ Rough -In Date Final Date ®1e✓L written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED rammnN yFNT- yFmT CONNFGTnR ANn CnMR1IRTInN AIR VFRIFICATInN When renla i an.faxe-y-fing furannn, 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 Pxostong romhi laden air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to ingall a new rnmbuoctrnn air. It will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When jn ,taljjna a naw wanting 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 Appliance #2 Vent Connector Height ft Appliance #3 Vent Connector Height ft Length ft Length ft Length ft Diameter in Type Diameter in Type Diameter in Type — Date: