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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N?. (�D143 Date: — � �& 6-01'1. Owner: .1� ZAddzBuilder #P- W IF 44 Address Address LO TION F BUILDING I B-1-011 Street f Part Rolm X Lot Block Addition or Sub -Division if I , e—, Corner Lot __ Inside TotSetbad.k Airuvord — To*, VOW Sewer Elevation Found ation Elevation DESCRIPTION OF BUILDING Tf,Used Front Z FCu. Ft Depth "eight Sq. Ft. Front Depth Height Sq. Ft. Cu. Ft. F-' Construction Est.. be Completed Type Of (7 stru, don cod In consideration of the Issuance to me of a permit *to, construct the building described" above, I agree to do t" 0acesthe city of Fridley. work In accordance with the description above set forth and In compliance with all provisions of In consideration of the payment of a fee of permit. Is hereby granted to to construct the building or addition as described above. This permitis granted upon the express condition that the -person to whom It is granted and'his agents, employees and in all work. done in, around and upon said building, or any part theMf, shall'conflotm in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, mabatendne6 repair Land Moving of buildings within J'Aln— within the city limits ands permit may be revoked at any time upon viol%_of my of the provisions Of said -0-1. ordinances. A - A Building Inspector NOTICE: " pmO don not covor the candrudlon, huftilWan for whim ohmbkw, on 60&& "Wer or WdW. 8* SM to ne the BWMW9 inspector for separate peradu for than Nona. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name 6 ® Builder T� / Address Address LOCATION OF BUILDING No. Street�� Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEVER ELEVATION' FOUNDATION ELEVATION 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: r f �/ I Al Front 1f 15 6 Depth Height Sq. Ft. Cu. Ft. Front ---J- .Depth Height %® Sq. Ft.�zl6 Cu. Ft. Type o£ Construction Estimated Cost To be Completed The undersigned'hereby makes application for specified, agreeing to do all work in strict Fridley Ordinances -and rulings'of the Depart. declares that all the facts and representati are true and c rrect. DATE 2— SIGNATURE / (Schedule of Fee Costs can be found on tWe R a permit for the work herein accordance with the City of en of Buildings, and hereby as tated in this application e Side). Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 .............. RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ czloa 5.00 $ 5.00 $ 2.50 $ Dept. of Bldgs. Phone SU 4-7470 //' City of Fridley: 0 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, Owner Kind of Building Used as 19 STEAM or HOT WATER SYSTEM To be completed about dzs' Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Estimated Cost, $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ O1dBuilding Permit No. Permit No. -->Z " Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK 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 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No- Trade NameSize No Capacity Sq. Ft. E.D.R�/ BTU H.P. Total Connected Load /�! '13 ® Kind of Fuel r BURNER — Trade Name Size N� Capacity Sq. Ft. E.D.RBTU H.P. SUGUI;GAIV HEATIP�IG & SHEET METAL 8415 CENTER DRIVE N. E. Signed MINNEAPOLIS 21, MIJ0,, By <z 2M Business Phone No- - SO (REMARKS -OVER) el72 FEAT LOSS. CALCULATIONS DEPARTMENT OF BUILDINGS 41/ q3� � Mi1VN. Weatherstrips E1.S. .V.E• Construction No. Insulation Guide Windows" Doors Reference Out. Wall Int. Wall Ceiling Roof Floor ICin, How Applied e No 1 e No 120- 2, P__ I I .__sL sn/ `41:.Ia1. II i Hpiahtce Total Btu. V2C 2i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f M I --I— - ` 01-- a-- I i A....n& , e W:.ltl. "// 6de:.I.o- /I. Wind®ws Md Doors—Crackage and area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. . y� %i Windows and Doors—Crackage and Area 12W EW" Width Height No. of No. of pane of pane lights Lineal ft. Area of crack sq. ft. let&' Coe$. Btu Infiltration Btu Ceiling . , -7,0 ��• ® • ® Coef. Btu Infiltration Exp. wall Net exp. wall Int. wall Glass ®� 3 Ceiling Floor Exp. wall Net exp. wall ®� Int. wall Ceiling Floor 40 .2 Total Btu. V2C 2i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f M I --I— - ` 01-- a-- I i A....n& , e W:.ltl. "// 6de:.I.o- /I. Wind®ws Md Doors—Crackage and area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. . y� %i % / s 12W EW" Btu d. 7 let&' Coe$. Btu Infiltration Btu Ceiling /0 0 Floor -7,0 '/0 xf Glass Ceiling Floor zypo Exp. wall Net exp. wall Int. wall ®� 3 Ceiling Floor Total Btu. Required sq. ft. E.D.R. or .sq. ins. W.A. Leader area F1.1 4&zdRoom ! Length ,31 Width 12.1 Height Windows and Doors—Crackage and Area Width Height ' No. of Lineal ft. Area _ No. of pane of pane lights of crack sq. ft. Infiltration a.0 1 ,m,5" Glass J-,5-1 �- Exp. wall Net exp. wall � Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2— s f' % / s Coef. Btu Infiltration Glass Btu Exp. wall Net exp. wall Class Int. wall Btu Ceiling /0 0 Floor Net exp. wall Int. wall Total Btu. Required sq. ft. E.D.R. or so. ins. W.A. Leader area J Fl.l ® boom I Length /LI WidthOV I-Ieiaht,0'/ Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2— s f' % / s Coef. Btu Infiltration O j -elf Class Coef. Btu Exp. wall % Net exp. wall Int. wall Glass Exp. wall Ceiling Floor zypo Total Btu. 1 11® a Required sq. ft. E.D.R. or sq. iris.. W.A. Leader area s M I o Pte... I I on, t, ®® Width I-ieiaht V�, Windoro�s and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. % / s Coef. Btu Infiltration % .2 Glass Exp. wall Net exp. wall Int. wall Ceiling �,52 Floor Total Btu. Required sq. ft. E.D.R. or sq: ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ....... .............. RATE TOTAL x $1.50 $ 1- 3 -Future Fixture Opening ................ ®� x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... .................. .. x 3.25 $ ' aa' ......� x 2.00 WATER HTR. GAS ELEG 3.25 $ �0 m Base ,at 2nd 3rd 4th • Future Connection Openings Connected with • New Fixture, Old Openings Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ....... .............. RATE TOTAL x $1.50 $ 1- 3 -Future Fixture Opening ................ ®� x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... .................. .. x 3.25 $ Water Heater (Up to 200,000 BTU) ......� x 2.00 $�- C? New Ground Run Old Bldg. ............ x 3.25 $ P City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department.of Buildings, and hereby declares that all the facl and representations stated in this applbMtion are true and correct. Fridley, Owner Kind of Building /1-�-f- Used as ,/",�, To be completed about - - _ oaA4ek 1 Estimated Cost, $ Old—New. Building Permit No. Nermit No.�` ROUGH � . r - �3 GAS FITTING FEES: NO. RATE TOTAL FINAL 1st 3 Fixtures ..........................� x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 42 2M Business Phone City of Fridley Application for Plumbing and Gas Fitting Pennit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK' oca Number. Kind and Location of Fixtures Ltion 7� F'' PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ Future Fixture Opening ................ x New Fixture Old Opening .............. x Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x x x 1.20 $ 1.00 $ t �� 3.25 $ 2.00 $ 3.25 $ NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ City of Fridley: The undersigned hereby snakes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn ® / , 19L Owner Kind of 0 Used as To be completed about Estimated Cost, $ Old ew. Building Permit No --2-3 Permit No. Signer:,- B - Business Phone No. ROUGH FINAL Description ................................................$ TOTAL FEE $ -480.4 z 2tA �12 pZ Orf t9 Ute' z P N WATER HTR. GAS ELEC. i��O aaZ m Base 1st 2nd 3rd 4th • Future Connection Openings Connected with Sewer -10 New Fixture, Old Openings Cesspool a PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $1.50 $ Future Fixture Opening ................ x New Fixture Old Opening .............. x Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code x x x 1.20 $ 1.00 $ t �� 3.25 $ 2.00 $ 3.25 $ NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ City of Fridley: The undersigned hereby snakes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn ® / , 19L Owner Kind of 0 Used as To be completed about Estimated Cost, $ Old ew. Building Permit No --2-3 Permit No. Signer:,- B - Business Phone No. ROUGH FINAL Description ................................................$ TOTAL FEE $ -480.4 z 2tA City of Fridley, Minn. N° 10212 BUILDING PERMIT Date: May 2, 1969 Owner; Richard M. Donlin Builder Same Address 477 Rice Creek Terrace Address Same LOCATION OF BUILDING No. _ 477 _ _ Street _ Rice Creek Terrace — part of Lot Lot 8 ---Block 4 Addition or Sub -Division _ .Rice Creek Terrace Plat 4 Corner Lot Inside Lot _ _ Setback __ Sideyard Sewer Elevation ._._ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Gaffe Addn. Front V it Depth 181 Height 121 Sq. Ft. 135 Cu. Ft. 1620 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost �_ $ 15 00.00 __ To be Completed In consideration of the issuance to me of a permit to construct the buildin cri above, I agree to do the proposed work in accordance with the description abov and in mp an with all provisions of ordinances of the city of Fridley. a In consideration of the payment of a fee of $ 5. 0 , permit is hereby granted to Richard M. Donlin to construct the building or addition as described above. This permit is grantedupon 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 b time uildings within the city limits and this permit may be revoked at any me upon violation of any of the provisions of said ordinances. r NOTICE This permit does not cover the construction, installation for whiny, plumbing, gas beating, sewer or water. Be euro to see the Building Inspector for separate permhs for these home. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWM94 IS jgAN9' � � 1 • Dar -ill f BUILDER ADDRESS A-11 ADDRESS LOCATION OF NO. 1 1 STREET 1 e. aa LOT .,. ADDITION OR SUBDIVISION / C lIp `rl/2 tf PZe CORNER: LOT INSIDE LOT SETBACK la' SIDEYARD SEWER ELEVATION TOP OF FOOTING 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: cL p th _.. Height. / �.. � / '/ ®' �� Front e % � �D/ � ht Square feetZ3 �j Cubic Feet / 6 Front Depth Square feet Cubic Feet Height Type of Construction Estimated Cost To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance.with the City of Fridley Ordimnoes 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 e' Z v 4 / / e s SIGNATURE .(Schedule of Fee Costs can be found on the Reverse Side.) L 6 . G A le C ff y * s-6 is City of Fridley, Minn. N° 10474 BUILDING PERMIT Date: M= October 29, 1969 owner: Richard ponlin Builder SgMe Address RiceCreek Terrace . Address 1i:.!1 #s`-a=r.%O= Plrz iw,�n sem. m LOCATION OF BUILDING No. 477 Street aice creek Terrace ce Part of Lot Lot __ $ __ Block 4 X Addition or Sub -Division Rice Creek Terrace, 21 t 4 Corner Lot - Inside Lot — X.__ _ _ — Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Room Addition Front 10 r Depth 12 Height 12 ' Sq. Ft. 120' Cu. Ft.41 40 ' Roofed Porch Front 10' Depth 12 Height 12Sq. Ft. 120' CM FL 720' Type of Constructionc'i Tice Est. Cost ; ,COQ eS�9___ .__ To be completed January r . 1970 Located on Permit 06133 City will not be held responsible for inferior subsoil conditions. In consideration of the issuance to me of a permit to construct the building d bed above, I agree to do the proposed work in accordance with the description abov o and in p ce with all provisions of ortHnaaces of the city of Fridley. 9. ®_ _0 / _ e7 o I-7- !,-r consideration of the paymmt of a to construct the building or addition as described above. This permit is granted upon Inexpress 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 oaffiorm in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said NOTICE This perm* does not corer the construction, hutaitatien for wiring, phMbing, gee heating, waver or water. Be ane to see the Buiidtag hupecter for soparate permim for thew *ems. 6., s APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAME�� I c 714 li BUILDER =v / /t ADDRESS c _ C !- C C DDRESS f % LOCATION OF BUILDING NO. STREET 2 c c �_ %� /� %�/I- C LOT BLOCK ,y( ADDITION OR SUBDIVISION T C CORNER LOT INSIDE LOT�SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING 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: r' �' R—' �>c ®1'�_� I e' Front / G Depth 2 Height Square feet / 2 G Cubic Feet I zI q 'c r Front / Depth / Height f �— Square feet / 2 ® Cubic Feet Type of Construction ;� Alj�'- To Be Completed timated Cost' J �� ' 6 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 Demartment of Bujinl4ings, and hereby declares that all the facts and r tions sta this application are true and correct. DATE "_°" PP,, .!' , SIGNATURE .(Schedule 61f Fee Costs can be found on tht' Reverse•lgde. ) h 6' C a t- e( a q '?--P A 1, I t -;;?-- (13-3 �11 FORM 29A THE NATIONAL LIFE AND ACCIDENT INSURANCE COMPANY G. DANIEL BROOKS, CHAIRMAN OF THE BOARD C. R. CLEMENTS, JR., VICE CHAIRMAN OF THE BOARD WILLIAM C. WEAVER, JR., PRESIDENT HOME OFFICE: NASHVILLE,TENN ESSEE RICHARD M. DONLIN AGENCY MANAGER 3038 UNIVERSITY AVENUE SOUTHEAST MINNEAPOLIS, MINNESOTA 88414 January 7, 1970 City of Fridley Building Inspector Engineering Department Fridley, Minnesota 55421 Gentlemen: This letter is to inform you that I have assumed responsibility for any problems that develop as the result of the construction of three concrete pillars to be constructed in the rear of my home at 477 Rice Creek Terrace. (Including any settlement due to bad soil conditions . 4, I feel that I currently have sufficient evidence as to the condition of the soil and upon excavation will ask for advice from your department so that they will be familiar with the situation. Appreciate your help in this matter. Sincerely, Richard M. Donlin RNID/mj r V 66 City of Fridley SUBJECT PE lijill0 AT THE TOP OF THE TWINS BUILDING PERMIT f � RE may__ __ COMMUNITY DEVELOPMENT DIV. e PROTECTIVE INSPECTION SEC. Vs 1 � NUMBER REV. DATE PAGE OF APPROVED BY = "1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/2/80 JOB ADDRESS 477 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Herrick 477 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Brickner Builders Inc. 6249 Ben More Drive N.E. 574-9871 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 ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Remodel existing dwelling 9 CHANGE OF USE FROM TO STIPULATIONS FSR W1R11 TS REQUIRED PER WARNING $1��' sEPERAT'E P�,UM81iVG AMQ . G HF AT%N kqm digging call Iocai uNles TELEPHONE - ELECTRIC - W Eft. 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 SQ. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,600 $5.30 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF NY OTHER STATE OR LOCAL LAW REGULATING CON- E PERFORMA E OF CONCOCTION. $66.00 NONE �S`TFjUCTlO �� PLAN CHECK FEE TOTAL FEE i �i , $16.50 $87.80 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOQR PERMIT A SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) `r BLDG )NSP DATE CITY Of- FRIDLEY . APPLICATION FOR RESIDLNTIAL BUILDING PERMITS (Neer, Alterations, Additions, or Repairs) i o ObJ(dER: ADDRESS: 2 4,&,-4. TEL NO: e � BUILDER: � ADDRESS: lz7a. TEL f•JO: Construction Location • STREET NO: STREET: LOT.: BLOM : ADDITION: Corner Lot: Inside.Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: l Height: Square. Feet: Cubic Feet: Front: 1 Depth: ar10 Height: S Square - Feet: X, Cubic Feet: 341 o`L Type of Construction: Estimated Cost: $ Tb Be Cbmpletea: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVS SIDE OF SHEET . 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 t ue and correct. a .114 DATE: S I GNATU M Stipulations: i CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 SM4.M OR HOT WATER SYSTEM: Poiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 1990999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAX HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS State Surcharge TOTAL FEE W DESCRIPTION OF FURNACE/BURNER P e 6 6 HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. �O C'Tr de Name 6acity Total Connected Load BURNER - Trade Name ROUGH INSP. REINSPECTION FEE Capacity �. Date 010.00) FINAL INSP. Date . �✓LP/" L��i�-� _ APPROVAL FOR PERMIT -� ','S' r4� - 9(�G /2� /� l" MINIMUM. FEE FOR ANY HEATING PFjitMIT IS $7.50 PLUS $.50 STATE S CHARGE Size No. Sq. Ft. EDR I BTU HP Kind of Fuel Size No. Sq. Ft. EDR BTU HP 1114 Company Signed By Tel. No. RATE TOTAL Jos Address /`j �� dC• $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 .The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes .% 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 4.00 $ $ 01 Fri ley, Minn. OWNERL�� $12.00 $ KIND OF BUILDING�� 4.00 $-�� - 7.00 $ USED AS 6.00 $ TO BE COMPLETED ABOUT $10.00 $ 10.00 $ ESTIMATED COST ®; NO. � $10.00 $ -- �- OLD -..NEWT BUILDING PERMIT NO. PERMIT S 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAX HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS State Surcharge TOTAL FEE W DESCRIPTION OF FURNACE/BURNER P e 6 6 HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. �O C'Tr de Name 6acity Total Connected Load BURNER - Trade Name ROUGH INSP. REINSPECTION FEE Capacity �. Date 010.00) FINAL INSP. Date . �✓LP/" L��i�-� _ APPROVAL FOR PERMIT -� ','S' r4� - 9(�G /2� /� l" MINIMUM. FEE FOR ANY HEATING PFjitMIT IS $7.50 PLUS $.50 STATE S CHARGE Size No. Sq. Ft. EDR I BTU HP Kind of Fuel Size No. Sq. Ft. EDR BTU HP 1114 Company Signed By Tel. No. { CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIYTURE RATES: 'N'=ber Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin ' eater Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric tater Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Ra:.ge to 199,000 BTU REPAIRS v ALTERATIONS '' NO. RATE TOTAL N $3.00 - ?, 'N $ •� $2.00 v x K f7 x Plater d N N $ x $7.00 N a t3 N a X .0 z it C+ Ca 44 e $ Heater $1.00 $ X $.:0.00 N C N E� -4 X Sa d $4 N 4 C EO 4 :i J O N NO N N y U a M ai W y In r°. w w U rea 3 cU c` oas lec 'st 2nd 3rd 4t t i 1 (-1 = r pure Co.Lnection Opening Connected with Sewer (f) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIYTURE RATES: 'N'=ber Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin ' eater Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric tater Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Ra:.ge to 199,000 BTU REPAIRS v ALTERATIONS '' NO. RATE TOTAL x $3.00 O X $2.00 $ X $2.00 $ x $5.00 $ x $5.00 $ x $10.00 $ x $7.00 $ x $5.00 $ X $5.00 $ X $3.00 $ x $1.00 $ X $.:0.00 $ First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE .70b Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work .herein specified ag3'eeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and•roprosontations stated in this application are true and correct Fridley, Mn. 19-1-6 OWNER KIND OF BUILDING USED AS TO BE COI-TLETED ABOUT ' TED COST OLD - Wd BUILDING PERXIT NO. PERMIT NO. Company /�(� Signed By , Tel. No. a� ROUGH INSP. Date FINAL INSP._A '/5; Date APPROVAL FOR PER,IT dlttag MINIMUM FEE FOR ANY PLU:+.BINGRMIT IS$7.50 PLUS $.50 ST $ SURCHARGE ATTORNEYS AT LAW Virgil C. Herrick David P. Newman James D. Hoeft Gregg V. Herrick May 24, 1988 Harvey Peterson 151 Glen Creek Road N.E. Fridley, MN 32- RE: 477 Rice Creek Terrace Dear Harvey: Enclosed please find a memo from Darrel Clark, Building Inspector for the City of Fridley. As you will note from the memo we are still having problems with settlement of our house. In order to come to a decision as to what should be done it would be helpful if you could give us any information you have as to the correct action that was taken in 1964 or 1965. I know that additional concrete was placed underneath the house, but it would be helpful to be more specific as to where it was done and how it was installed. It might also be helpful if you could advise me as to what concrete company was used when this correction was taken. Any information that you can give me might be helpful in determining what course of action should be taken to attempt to correct the settlement problem. Thank you for your cooperation. Sincerely yours, 1 4 Virgil C. Herrick VCH:jas cc: Darrel Clark enclosure Suite 205, 6401 University Avenue N.E., Fridley, Minnesota 55432, 612-571-3850 SUBJECT PF�EMiT= Q.- City of Fridley +a20163" AT THE TOP OF THE TWINS BUILDING PERMIT i � RECETPTlV(:" • __ ___ �y COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 � � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 10/18/89 JOB ADDRESS 477 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Herrick 477 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Maertens-Brenny Construction Co. 8251 Main Street N.E., Fridley 786-4779 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. o "-i MCL tyr q, `3S - C)') G'3 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Foundation Stabilization 9 CHANGEQFUSEFROM TO STIPULATIONS See notations on plan, Additional site review may be required by designer. Protection of workers against cave-ins is contractors responsibility. Repair must follow engineers design unless change is approved by the engineer. Care must be taken to prevent undermining existing floor slab. I Before digging call for all utility locations 454-0002 REQUIRED DBY LAW, SEPARATE PERMITS ARE REQUIRED FO 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 VVII HIN 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 $15,000 $7.50 WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT DOES NO UME O GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO ONS OFIANX OTHER STATE OR LOCAL LAW REGULATING CON- $162.00 UCTION O�TPE ORMANCE F CONSTRUCTION. PL,PN CHECK FEE TOTAL FEE � �q `/ RIZEDAGENT (DATE) $169.50 ASI ATURE OF CONTRACTOR OR AUTH WH PROPE L I T THIS IS YOUR PERMIT AAA INSP DATE SIGNATURE OF OWNER IIF OWNER BUILD RI (DATE) NEW [ ] Effective 5/1/88 ADEN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address:� Legal Description: Owner Name & Address: Tel. # Contractor: ,� /L 7 dltf - ��'��/Y a,1 fTftu C r i� 60Tel. # 7B 6 - Address: eZ J-1 1.71VIa/ J7: 11lig P 1 Y, /d/p/, j'QrY3 2 - Attach Attach to this application, a Certificate of Survey of the lot, with the proposed omr. n.ion drawn on it to scale. DESC3tIPFZOrT OF XNFROVEMM ISVIM AREA: Length Width Height Sq. Ft. G AM AMM: length _ Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OZ D- Lew * r0 S�fla Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 7Ype of Construction: Estimated Cost: $ %S Doo Approx. Completion Date: Proposed Driveway Width If New opening Is Desired; C)., -j0- Ft. Width + 6' Permit Fee $ . State Surcharge SAC Charge $ Driveway Escrow, $ Park Fee $ Sewer Main Okuxp- $_ $1 (09O:a STIPUTATIONS: RrLQv�c� CITY USE OH�IIY See Back Page Tel. # Fee Sckx3Ciule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineerjjq Agreement Necessary [ ] Not Necessary [ ] REc�l72 r.L j Gn P,� CZ> Pa.cTvc u'Ai ar- wUYLAZEKi (ZFzS��c`f�tL,i� C31 1��PA�w V1I1c�Si rDL�,p�J �' C� ,��►J� C FJ -u � fes+ s r C91 Cok� Muir IV_ -TA,tFeJ -%a Pry UfAYV' U �j ®kA- ma,J VJ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE o, Fridley, MN 55432�j 1� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 1T 5 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1999 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 $ 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 ALTERATIONSCO ev, U 1.5% of Value of Fixture or Appliance JOB ADDRESS Z 7 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. �la�fo� aoov Owner if I (-q N -e— r r 1 cN Building Used As__C I°5 t �',0_A Ce_-� �/ Estimated Cost �� • i PERMIT NO.�l WGUiRE & SONS PLUMBING COMPANY 605 12th Avenue South Hopkins, MN bb343 SIGNED BY 4��N// TEL NO.S,;?lg3I-q&77 0611., .14 Approved By// j�!n Rough—In Date State Surcharge $ .50 MINI TOTAL FEE $ o O "® PLU; Final Date **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 25, 2001 Mr. Virgil Herrick 477 Rice Creek Terrace NE Fridley, MN 55432 Re: Final Inspection at 477 Rice Creek Terrace NE Contractor: McGuire & Sons Dear Mr. A plumbing permit was issued on July 28, 2000 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. The final inspection on October 6, 2000 noted that a listed chimney cap must be provided. We have not been called out to approve a new chimney cap. The permit fee that was paid covers the inspections to make sure the work was completed according to the State Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, MONNSEN Buil g Inspector DJ/mh SUBJECT PERMI City of Fridley3 2 5 AT THE TOP OF THE TWINS BUILDING RMI T 1 6• COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �Q NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/29/97 JOB ADDRESS 477 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 4 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Herrick 477 Rice Creek Terrace NE 571-7846 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wren Builders Inc 9218 11 Ave S, Bloomington MN 55420 888-4952 4360 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 CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling; Reroof - 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, HEAPING, 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 $20,470 $10.23 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 AN OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR TH PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $335.45 NATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ;, WHEN PROPERL VALIDATED THIS IS YOUR PERMIT AB GINSP PATE S.GNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW ( J ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: "12 l/ Legal Description: Owner Name & Address: Contractor: Address: ��f� l/�sc, Effective 1 / 1 /97 Tel. # ,5` 7/ Y & MN LICENSE # el 3 6o .S� Tel. # 6E f- y 9.5- Z. 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: lU fr 4 Construction Type: � Estimated Cost: $ C2?O, V 20 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: S'7 APPLICANT: Tel. # ' ,PfW— Y" �Z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ , 3 __3 S -. � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 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 [ ] R su6�ECi P City of Fridley 4 7 3 0 AT THE TOP OF THE TWINS ? BUILDING PERMIT r � RECEIPT NO. : COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/22/02 J JOB ADDRESS 477 Rice Creek Terrace NE� 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Connie Trentor 477 Rice Creek Terrace NE 763-574-9634 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lloyd Hauri Construction 12184 Duke Drive, Blaine, MN 55434 763-757-0024 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20188170 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION j7 ALTERATION ❑ REPAIR ❑ MOVE : ❑ REMOVE 8 DESCRIBE WORK Change wall in kitchen area 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. S QAT PERMITS DIRE® F®® PLIu�� ®ANG . S 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `x2,000 •00 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- $69.25 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION /6-1Z. PLAN CHECK FEE TOTAL E License 5.00 $7 .25 G NATURE OFCONTRAC TOR OR AUTHORIZED AGENT r I ATEI EN7PPERL IDATE T IS IS YOUR PERMIT 61 OG OKSo pA TE SIGNATURE Of OWNER, IF OWNER BUILDER, IDATEI NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: '-� -!�� Cre:�r-A— Legal Description: Owner Name & Address: Tel. # 5--74 --0- 3� Contractor. MN LICENSE # Address: �z�8 �� \�� ,.� Tel.#(�b3� 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: ' a WA -(-,b Construction Type: Estimated Cost: $®— Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE,APPLICA 75 -7- C-vz4 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 $ 77. 07 '5- STIPULATIONS: CIN OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On Jan 1, 2003 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR '" I -"`� Urinal Wash :.:>< :Sower ::::> Tray ............. h t :. • ti :::::::::::::: ................. :..:::::..• :: >< Floor':::::. Drain a => < Iia'.... .. Auto.:>:::<-: a her W s t".............. aS :;.'.::.: a Ran ':::::: Water Heater Stones ::::-:.::.:: �m'> • � .::;.::. :: Gas E lec Basement ent I F o0r1 Floor Floor 3 I or 4 Fo 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 Gas Dryer**' Back Flow Preventer Required ( )Yes () No RATE $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS. 1.5% of Value of Fixture %A Appliance Approved By State Surcharge .50 MINIMUM TOTAL FEE PLUS THE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. TOTAL JOB ADDR ze r 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. Owner ;ao,( l Y Building Used AsS(dKm�— Estimated Cost PERMIT NO. _ l PLUMBING COMPANY �YtG �Jl�irCtM `-O SIGNED BY {/ TEL N0. 1 Rough -In Date Final Date l� COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When roling an existing ftiramp, 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 -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The Pyisting cnmeistinn 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 manufacturers specifications. Yes( ) No( ) When instalirng a new venting syc _m, 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: 'e CIIYOF' FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 June 15, 2004 Mr. John Trentor 477 Rice Creek Terrace NE Fridley, MN 55432 Re: Final Inspection at 477 Rice Creek Terrace NE, Fridley Contractor: Shiloah Water Co. Dear Mr. Cichosz: A plumbing permit was issued on December 3, 2003 to install a water softener at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 477 RICE CREEK TER NE PIN : 143024210058 LEGAL DESC : RICE CREEK TERRACE PLAT 4 LOT 8 BLOCK 4 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT NO.: 2004-00134 41, r �� DATE ISSUED: 01/28/2004 VALUATION : $ 9,000.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER SECTION 310.9.1.2 OF THE 1997 UNIFORM BUILDING CODE WHEN ADDTIONS, ALTERATIONS OR REPAIRS IN EXCESS OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE 7 WINDOWS WITHIN EXISTING OPENINGS IS APPLICANT A CONTRACTOR? I APPLICANT RMA HOME SERVICES INC (20268257) 3200 COBB GALLERIA P ATLANTA, GA 30339- (952) 345-6047 OWNER TRENTOR, JOHN 477 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 cancel the provisions of any other state or local law regulating construction or the performance of construction. Appl' ,,Date k� Bldg Insp Date BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 033634 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 167.25 9.00 4.50 5.00 185.75 NEW( ] Effective 5/10/99 � ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 140 �? In Construction Address: y - �- ` ' C,�, cl (ltp.t-15P1 Legal Description: - Owner Name & Address: Tel. #463-5�4-9to3y Contractor:. RMA HOME SERVICES INC. MN LICENSE # Home Depot Installed Sales Address: 3200 Cobb Galleria Pkwy., Ste. #200 Tel. # Atlanta, GA 30339 A 763-542-8826 urvey. of the 1cBC-2026825 r__r_�__,)n-.it to scale. DESCRII ON OF I-W7R0VE1W . . LIVING AREA: GARAGE AREA: DECK AREA: OTHER:.:: . Construction Type: Length Width Height Length Width Height Length Width, HRUGround Sq. Ft. Sq. Ft. Sd. Ft. Estimated Cost: $-9 . Q®no® Driveway Curb Cut Width Needed: Ft. + 6 Ft = _ Ft k $ = $ DATE:,.- 0 y APPLICANT:J1-71 � Tel. TOTAL $ tm STIPULATIONS: Oce l .A0 a CITY USE ONLY Permit Fee $� .a Fee Schedule on Reverse Side Fire Surcharge .BOI of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 $ tm STIPULATIONS: Oce l .A0 a MEMO TO FI- MEMO FROM: Darrel Clark, Chief Building Official MEMO DATE: May 20, 1988 REGARDING: 477 Rice Creek Terrace N.E. I met with Tom Brickner of Brickner Builders; Bob Johnson of DeMarais Masonry; and Virgil Herrick, homeowner, to discuss structural problems with the house at 477 Rice Creek Terrace N.E. The house was constructed in 1962 by Harvey Peterson Construction. A letter dated 1/14/64 is on file indicating to Mr. Richard Donlin, homeowner at that time, that there were serious settlement problems with the foundation along the back of the house. The letter indicated that correction work would be completed that following spring. There is no information in the City's files indicating what was done to correct the settlement problem, however our current inspections indicate that extensive work had been done along the foundation wall on the back of the house, from the fireplace to the northeast corner. In May, 1969, Mr. Donlin added onto the garage and basement on the southwest end of the structure; this area of the structure appears to be still sound. The present condition of the home is that further settlement is occurring along the back wall of the home, from the fireplace to the most northerly back corner of the home. The most severe settlement is occurring under the door of the walkout basement as evidenced by the door having to be planed to fit the frame and the threshold Ding much lower on the south end. The basement floor slopes to the rear at a very noticeable rate. Most all the walls in the home are covered, both upstairs and downstairs, which makes it difficult to examine the foundation walls for possible movement. There is evidence in the wall coverings that movement has occured since the home was last decorated. The addition to the home, completed in 1980, appears to be stable. The only possible evidence of movement is where the hot tub meets the plumbing wall there are minor separations where the tub shelf meets the plumbing wall - 1/8 to 1 1/4 inch in the ceramic the joint. From the observation made by us, no real correction action could be determined until further history can be collected from the former homeowner and contractors about what repairs were done in 1964. It may be necessary as I suggested to involve a qualified engineering company such as Thin City Testing to determine the present cause and solution to the problem. DGC/mh CC: Mr. Virgil Herrick Mr. Tom Brickner Mr. Bob Johnson � Building, rt N° 9965 (� ADDRESS a -,0 • 9g66 Building Job Repot - ADDRESS - x OWNER 1 OWNER P t f if DATE A PEPAIT NO. DESCRIPTION DATE TYPE PERMIT NO. DESCRIPTION - 7�J f INSPECTION RECORD DAn REPORT t� / \ � Ci � A v� C Emitr -1'7E /d Y. � Building, rt N° 9965 (� ADDRESS Y Zi i4'lG -,0 • 9g66 Building Job Repot - ADDRESS OWNER 4, OWNER BUILDER DATE TYPE PEPAIT NO. DESCRIPTION DATE TYPE PERMIT NO. DESCRIPTION - 7�J INSPECTION RECORD DAn REPORT t� / \ � Ci ..�_ c, -1'7E COMPLETED & APPROVED a . DATE ® I:CTOR �.2. a�4Z � • 9g66 Building Job Repot - ADDRESS OWNER RIIILDER DATE TYPE PERMIT NO. DESCRIPTION - 7�J INSPECTION RECORD DATE REPORT ..�_ COMPLETED & APPROVED, r , �.2. 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TYPE DATA m It INSPFCTIoMCOR, REPORT DAM & AF. -ROVED I INSPECTION RECORD IMPORT DATE 1 12y- .2 /7 F L APPROVED DATE Y - r r F . INSPECTION RECORD r N? 8449. . - T ION RECORD {P?SPECFI®� Eye DATE IMP CsILT Evilding Job Report 1 t Y - r r F . INSPECTION RECORD r r F . INSPECTION RECORD . - T ION RECORD {P?SPECFI®� Eye DATE IMP CsILT 1 t a � A tr J P k COMPLETED g APPS3OFAEU-e----- — 8 APP20VED. F mspi :TOR QATE' F y E t � } Euildang Job R Bo - ADDRESS OWNER BUILDER DATE TYPE r DESCRIPTION aLLLLL F . INSPECTION RECORD {P?SPECFI®� Eye DATE REPORT DATE a � A tr ,P&SPELTC� COMPLETED g APPS3OFAEU-e----- — 8 APP20VED. DATE QATE' OWNER BUILDER i C -t I 0(d� DATE -PERMIT NO. DESCRIPTION r - INSPECTION RECORD REPORT OWNER REP. I t I OWNER BUILDER. DATE PERMIT NO. DESCRIPTION INSPECTION RECORD DATE- REPORT 5.9873"--` .j ti . . . . . . . . . OWNER BUILDER i C -t I 0(d� DATE -PERMIT NO. DESCRIPTION r - INSPECTION RECORD REPORT OWNER REP. I t I OWNER BUILDER. DATE PERMIT NO. DESCRIPTION INSPECTION RECORD DATE- REPORT N� 354` BuMing.Job. Report ADDRESS OWNER BUILDER DATE PERMIT NO - DESCRIPTION \ ° ' l ,.0 INSPECTION RECORD DATE REPORT him zx Dkilf'PC-44 lb CLQ f::%3*r sc u % 1 a FIs:" 'So6ti. 4} ; OWNER - REP. INSPECTOR k 9862\_ t y a .- y �EE INSPECTOR h a t 4 Ci F r Y ' t E N� 354` BuMing.Job. Report ADDRESS OWNER BUILDER DATE PERMIT NO - DESCRIPTION \ ° ' l ,.0 INSPECTION RECORD DATE REPORT him zx Dkilf'PC-44 lb CLQ f::%3*r sc u % 1 a FIs:" 'So6ti. 4} ; OWNER - REP. INSPECTOR k .- INSPECTOR F N� 354` BuMing.Job. Report ADDRESS OWNER BUILDER DATE PERMIT NO - DESCRIPTION \ ° ' l ,.0 INSPECTION RECORD DATE REPORT him zx Dkilf'PC-44 lb CLQ f::%3*r sc u % 1 a FIs:" 'So6ti. 4} ; OWNER - REP. INSPECTOR N! 59805 Building Job Report ADDRESS OWNER U, BUILDER cll^-s 2i47,,� PERM:T NO. DESCRIPTION INSPECTION RECORD DATE REPORT Building Job. Repon ADDRESS OWNER BUILDER DATE /o PERMIT NO -DESCRIPTION 4. 0 ZAAmpl- INSPUCTION RECORD DATE REPORT BONN 59804 INSPECTOR N! 59805 Building Job Report ADDRESS OWNER U, BUILDER cll^-s 2i47,,� PERM:T NO. DESCRIPTION INSPECTION RECORD DATE REPORT Building Job. Repon ADDRESS OWNER BUILDER DATE /o PERMIT NO -DESCRIPTION 4. 0 ZAAmpl- INSPUCTION RECORD DATE REPORT BONN INSPECTOR N! 59805 Building Job Report ADDRESS OWNER U, BUILDER cll^-s 2i47,,� PERM:T NO. DESCRIPTION INSPECTION RECORD DATE REPORT Building Job. Repon ADDRESS OWNER BUILDER DATE /o PERMIT NO -DESCRIPTION 4. 0 ZAAmpl- INSPUCTION RECORD DATE REPORT BONN lit S it%'iz C _6045-31 Building J®b Report ADDRESS ':2O0 .. t ADDRESS OWNER BUILDER��' t i DATE PERMIT NO. r DESCRIFTION � ttits i INSPECTION RECORD . AT REPORT 1 i Y y 55YEE I F C: ^sSPECTpR OWNER - REP -INSPECTOR F. 1 lit S it%'iz C _6045-31 Building J®b Report ADDRESS ':2O0 CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • kONE (612) 571-3450 Jude 22, 1988 W. Virgil Herrick 477 Rice Creek Terrace N.E. Fridley, MN 55432 Re: Foundaticn at 477 Rice Creek Terrace N.E. Dear Mr. Herrick: I contacted Twin City Testing to find out if they would research their records to find the 1964 test results on your property. I spoke with Mr. Richard Dutcher a few days after my inquiry. He called Yuck on June 23, 1988 and reported that they could find nothing cn record under the address of 477 Rice Creek Terrace or the names Richard Donlin or Harvey Peterson. Mr. Dutcher did offer their services for any new research investigation so if you desire, you may call him at 641-9388 for further information. Please feel free to contact me if you have any further questions. Sincerely, - LM.-WA-- M., DGC/mh CC: Mr. Harvey Peterson Building BUILDING Permit No.: A -k - Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Date Rec'd:�/Jg DATE YOUR E-MAIL ADDRESS 1'14C- A (:!4 mCIW f o L 01 - SITE ADDRESS -7 CilltL T6 XPIf- THIS APPLICANT IS: ❑ OWNER J�CONTRACTOR PROPERTY OWNER/ NAME: I h � a.- C. 0 t4 .)'k 4- �!L � ' 2 TENANT ADDRESS: '4 °7 % -N,c.ti. C -v -ri- CITYF 2i STATEHPZR 4�� a PHONE: 74e3- 594-!26,34 CONTRACTOR rAJDDR.ESS:1':U13'+ om: /- l,, p y p 4 Al 2. s SUBMIT A COPY OF ATE LICENSE # a? U 4 8 I� 17 U EXP DATE 3 " � 1- 07 YOUR STATE LICENSE i-� t� b R- l V € , CITY 9 L IA I Nr; STATE ham -ZIP -55- 3 WITH APPLICATION HONE 7 L s - 7 5'i - 0n 9 � FAX - ' `f -97 (o/ � PROPERTY TYPE 0 SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ANEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS ❑Yes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS NUMBER OF HEIGHT BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEESBASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 9j, IQ , SZ(USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION "OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 314. f I 65% of Building Permit Fee Fire Surcharge $ 001 times the total job valuation Surcharge $ 4, 1 1 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 15. cro $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1 I-( Sr 69 Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; 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 APPLI PRINTNAM;-� A DATE � �� City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit# Residential Application City of Fridley See Back Side For Required Information Date Po OJS Site Address: A-111 i « Q ee k Te {LA>g c e A -E . Theapplicant is: (cirice one) Owner Contracto Property Owner: ZTeh wv T 12R )JA15 Address: Siame- City: State: Zip: Phone: S'i`t —%3a= Cell: Fax: Contractor Information River City Sheet Metal, inc. Company Name: St. N.E. 81 48 29 Contact Person: 90 Main 5 54 Address: or_ Frtdley, MN City: (763 754 Fax (763) 7 Phone: Cell: Fax: Email: MN Bond# & Exp Date ar% q► lL Type of Work circle one): New Replaceme IteratioNRemod Detailed Description of work: an c1 A I-A&cp Y%ng4+ &&A mAC� Equipment Installed: MFG: CArri�m odel: S9m\jr*eoSize/BTU: f!®.00 0 MFG: Mktstic. Model: L tC >V3cRN Size/BTU:h00 MFG: �ksrt%'G Mod elL'W&cey3o7R.IJSize/BTU: �o •fio% Please check all that apply: Q K Fireplace (gas) $15.00 New Gas Grill $10.00 _A/C $25.00 _Fireplace (wood) $35.00 Gas Unit HTR $10.00 ^_Pool _Air to Air exchanger $15.00 Fumace $35.00 Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 X Gas Piping $10.00 ,Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ %S-00 (Total from above -Minimum fee $35.00) Surcharge $ 0.50 Total Due $ � 5. S o Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical 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; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Applicant: Date:O 19 O Approval Inspector Signature: Date: V Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 Building BUILDING Permit Nwa d5 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE_// ' =S D C ? YOUR E-MAIL ADDRESS SITE ADDRESS 47 7 ' r C Az e -IG THIS APPLICANT IS: O OWNER RCONTRACTOR PROPERTY OWNER/ NAME: >J �• C' o cJ i 're it u n ADDRESS: `f'7 % / icF— C &ez— V CITY)5 1 � ��, a STATE—A&IP—.,J�-4/ 2. TENANT PHONE: CONTRACTOR NAME: t o ON 0 14 AQ 5 i2r��iv 0 STATE LICENSE b c2 c, 1 S ? 17D EXP DATE 3 " J SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS:/,A184-6U-1L6- D 21 y E, CITY STATE tVR V WITH APPLICATION PHONE 7%3-7.Yi -do .24 FAX '7(,.5 - -meq 57 PROPERTY TYPE 0 SINGLE FAMILYMEW CONSTRUCTION SIZE D TWO FAMILYINEW CONSTRUCTION STORIES PERMIT. TYPE D ADDITION 0 GARAGE/SHED Z WINDOWS D BASEMENT FINISH D ROOF 0 DRAIN TILE 0 DECK D SIDING O OTHER D SWIMMING POOL TYPE OF WORK: 0 NEW D ADDITION 0 MAINTENANCE/REPAIR 14 REMODELING DESCRIBE WORK BEING DONE:1f- pI ke l vet— 16 —W 10 roiticJ � SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES D HOUSE & GARAGE BASEMENT RE_MODELM SUBMIT: GARAGES 0 ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: D DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O Vinyl OSoffit ADDITIONS. & PORCHES SUBMIT: O Aluminum 0 Trim 1. Site PlawSurvey showing the existing structures 0 Other 0 Fascia and proposed project. 2. Two sets ofconsWetion plans WINDOWS W EXISTING 3. Epergy Calculations IN OPENINGS DYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATIONS ®O s ®�? OCCUPANCY TYPE Permit Fee $ d See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ b (.0005) times the total job valuation - Minimum $.50 Fire Surcharge $ , �S .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ ' Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary( ). Non Necessary ( ) Total Due • $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and 1 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; 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 OFAPPLICAM�4 Q' � _�_- MUNTNAMr A&' DATE //'_3D 3uilding $ 3 - BUILDING Permit No.: - �] inspections $ RESIDENTIAL APPLICATION Received By: 763-572-3604 $ ,Q CITY OF FRIDLEY Date Rec'd: Curb Cut Escrow $ Erosion Control )ATE YOUR E-MAIL ADDRF�.SS $ ;ITE ADDRESS G� Q C L- /�Icl� /I C - p!b t� Total Due $ _ i HIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: l b vl In. (@ e.t'e- 0- ADDRESS: tIl l P-• L c, e k- e(! y.k ILW CITY r A` I STATIM AW TENANT PHONE: CONTRACTOR NAME: L. L ro L � — STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING NG ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSEDHEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS, & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATIONS 2 e OCCUPANCY TYPE Permit Fee $ 3 - Plan Review $ Fire Surcharge $ Surcharge $ License Surcharge $ ,Q SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ _ Total Due $ _ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attar 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; that the work will be in accordance with the approved plan in the case of allrk w ' es revie an approval of plans. f- (o � �.� 4 t DATE SIGNATURE OF APPLIC s PRINT NAME From: 7632626201 Page: 113 Date: 11/29/200612:05:24 PM FROM :KASPER EXCAVATING LLC FAX NO. :7632626201 Nov. 30 2006 01:35AM PI From. City of Fridley To 783.2e2- 201 - Page; 2,14 Date; 11/29/Z-00 10:20,,25 AM City olpFridley 6431 University Avu NE Fridley MN 55432 .Y (763) 372-3602 or Fax (763) 502-4977 Water andSewer Permit Application El Now Cowwoti on E]Utifily Line Repairt'RelorAfflun CR F'Xisfing r—IWataT and Sawer Connection Date, #— ?.— 04 47-7 jell Name of Applicant (Plumber):? -95 t) ,CCM 0 Name of Property Ower: - C ..... StrUCILIM PenUit #- Permi t Type: Sewer Foe: Water Fee: Meter Fee; ,Xllepair Fee: __ Rvlmalicm: State Surcharge: SAC. Charge; Special Assessment Fee: 4-0 Applicaril Signature* Inspector approval- & f Tolicl yp... ... - 04,,'04/05 S50 $40 s" Uilittir billing Sc. Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: '/-2 -0 DATE -,4A - d YOUR E-MAIL ADDRESS SITE ADDRESS !V!72 G%Cge C,& f:;�.gft_C IL - THIS APPLICANT IS: ❑ OWNER 4WANTRACTOR PROPERTY NAME: �'--' ADDRESS: STA IPJ -r OWNER/ TENANT a+ PHONE: CONTRACTOR NAME. SUBMIT A COPY OF STATE LICENSE # �/S/C,/ 'op L EXP DATE YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE-2(�,��€?�. FAX APPLICATION PERMIT TYPE Y ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW ... DETAILED DESCRIPTION OF WORK Al 04A PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whic ever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (Thisshould reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FO", ROJECTS WHERE LABOR EXCEEDS -5500 EE5 ARE BASED ON $10.00 PER FIXTURE, EXCEPf'Vs iERENOTED FIIC�TilI ES (II�DICATE TOTAL NUMBER OF EACH BELOW) o� WATER PIPING BATH SINK/LAV FLOOR DRAINS SHOWER _ _ _ _ _ GAS PIPING wm crrrucm) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREY. ($15) _ _ _ LAUNDRY TRAY _WATER HEATER ($35) ___FOR IRRIGATION —DISHWASHER WATER METER OTHER _,. ,. �....-�..,, '' •. _ .. ba Number of fixtures @ $10.00 x $10.00 = $ d -V . Permit Fee $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. /' / ATE a+/04 "G SIGNATURE OF APPLICANT PRINT NAME l 4 {[ gi^ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 7f