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PRE 2010 DOCSCity of Fridley, Minn. BUR DING PERMIT N® 3332 Date: ...... ... ................. Owner....................................... Builder... .. Address ...................................... Address .fol?"11fa dw/:� • . LOCATION OF BUILDING No. .. Street ... ..: .. Part of Lot .................. ........... Lot .... )�...... Block .. ............ Addition or Sub -Division*'*'*............... ............. Corner Lot ........ Inside Lot ............ Setback ....�. Sideyard ....� .....:.....:..... DESCRIPTION OF BUILDING To be Used as: : 6 Y *-.. ... Frozrt . ,/. Depth .. Height ./. /.. Sq. Ft. ��..' Cu ..... Front Q.G.. Depth x. ./.Height .. .�. SQ. Ft.. � 4�. Cu. Ft.Za.q.V Type of onstruction ................... Het. C ,l. ®. 4-P. To be Completed .................. n In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed. work in accordance with the description above set forth and in pliance withon provisions of ordinances of the city of Fridley. ��..�fi�...� w ........... ...... ... In consideration of the payment of a fee of $. ®�., permit is hereby granted to ................... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Z&.16C . ..... Building Inspector je NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. MEMO FROM: RICHARD N. SOBIECH Public Works Director MEMO NO. RV 14 DATE 1-15-75 REPORT BY: 1-17-75 SUBJECT: Snowplowing drivewayspnTicyTgS 149) - -- � Letter from 524 Rice Creek Tarr CAmpl ai � from _ d ___ K] See attached Memo & Letter [� Review & take appro- priate action w [] Review & comment J "" ❑ Note & discuss with me 0 '- Work with 0 J 3 [� Rush, immediate action desired REMARKS: Would you please prepare a report explaining the plowing procedure as regards to driveways. This report is in response to the letter received from the resident at 524 Rice Creek Terrace. Thanks. RNS Make reports, w/background material as complete as poss- COMMENTS: ible. Make interim report if necessary. Please see attached sheet. 0 DLU z 0 `)D F- U Q Action completed, no further review needed Further action necessary See attached letter Interim report DATE: 1-17-75 SIGNATURE`S �i6Z Ll�t RALP LKMm Superintendent of Public Wrk PUBLIC WORKS DEPARTMENT CITY OF FRIDLEY January 17, 1975 Re: Snowplowing Complaint - 524 Rice Creek Terrace Memo No. RV -14 The procedure3for clearing snow from intersections that are non-thru streets are as follows: We plow all snow to the curb line, proceed to the right around the corner and continue on down the street. We cannot push the snow across the intersection, as this would be a hazard to the snowplow itself. First, it would block the road while this was being done. Secondly, it would be very dangerous for our equipment, other vehicles and especially to persons walking if we were to back the plow up blindly. I have personally looked at the property in question. I can honestly say they have no more snow than the other homes on their side of the street. RALPH V0tJD1ANK Superintendent of Public Works RV: ik .. i OFFICE OF THE CITY MANAGER CITY OF FRIDLEY MEMORANDUM FROM THE CITY MANAGER TO: PUBLIC WORKS DIRECTOR Memo No. Ds_Lj Respond by: 1/17/75 New Date: DATE: JANUARY 14, 1975 SUBJECT: COMPLAINT REGARDING.GETING EXCESSIVE SNOW IN THE DRIVEWAY AT 524 RICE CREEK TERRACE. ITEM FROM COUNCILMAN BREIDER See the attached letter received by Councilman Breider. Please review the situation physically and see what we can possibly do to minimize the problem for this lady. Thank you.for your assistance. NMQ/ms January 17, 1975 Please see attached memo and policy from Superintendent of Public Works. RNS/ jm 8,Ayve-o ft a<q Application for Power Plants and Heating, Coaling., Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL $ 9�,i1 Furnace Shell & Duct Work ........................... 8.00 0 l� Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER to 3 gal. per hour .............. ......... 5.00 $ over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 / $� GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE REMARKS: 10 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this app licati n true and correct. Fridle rin i 195-L Owner -��' 195— Kind of Building Used as To be completed about 195— Estimated Cost, $ Old—New. Building Permit No. 3 DESCRIPTION OF WORK HEATING or POWER PLAJ,NTS —Steam, Hot Water, Warm Air—No / Trade Nam�24-Size Capacity Sq. Ft. ED R BTU H.P. r Total Connected Loader +� Kind of Fuel BURNER — Trade Name Size Capacity Sq. Ft. E.D.R. BTU H.P. -ollW11 ppm IM -8-58 Business Phone No City of Fridley suBdEcr PERMIT � 3014 AT THE TOP OF THE TWINS P[ D A w I T PERMIT • r i BUILDING RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE 1975 PAGE OF APPROVED BY 612-560-3450 910-F15 June 12 / I JOB ADDRESS 524 RICE CREEK: TERRACE, FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 RICE CREEK TERRACE, PLAT 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE WALDEMAR OLSEN 524 Rice Creek Terrace N.E. Fridle-Y. Minnesota 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. RONALD PEARSON, 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW OX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK INSTALL BRICK FIREPLACE 9 CHANGEOFUSEFROM TO STIPULATIONS %p E PERMITS REQUIRED FOR WIRING, lli pLUM81,NG AND SIGNS. °� 1oca� �ti\itie� 4A call gpS Etc. 1ea0?Ev SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. BRICK 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPEOL ALI A I THIS S YOUR PERMIT 2 -dune17, idd�Z7 975 SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE) BLDG. INSP DATE i .APPLICATION FOR RESIDENTIAL., ALTERATION, OR.ADDITION.BUILDING PERMIT CITY OF'FRIDLEY, MINNESOTA OWNER'S NAME:JILDER. h ADDRESS :cl0'"( I� l ce— �Y f' I HADD LESS : 1 I Ci li� V� V NO:. STREET: �e! LOT: 7BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: s Applicant attach to this form Two Certificates of Survey.of.Lot and -propose.' building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth Height: Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Cons truction:91 l G 2 ej2Estima.ted Cost: $fidOlt . O 0 To Be Completed: 6 " `Q —r?,5 The undersigned hereby makes application for a permit for the work herein specified,.agreeing.to do all work in sttict 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 —I N+/ SIGNATURE: WdQ�thvao� (See Reverse Side For AgAJtional Information.)' a City of Fridley SUBJECT 4933 r?i AT THE TOP OF THE TWINS BUILDING PERMIT r R I ; COMMUNITY DEVELOPMENT DIV. r - PROTECTIVE INSPECTION SEC. �r 1 i � -"1 CITY HALL FRIDLEY 55432 ,'j NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/22/78 JOB ADDRESS 524 Rice Creek Terrace N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Nelson 524 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 j7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an addition to garage (,25 x 25 and 20' x 51) 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED, FOR WIRING, HEATING, PLUMBING AND SIGNS. 1M�RHIHG ®efoRe digging C811 10"i utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRI ED DY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Tame 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 725. 7250 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., 922M $5,250 $2.63 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- g $29.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $31.63. NA- -RE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VAADATJED THIS IS YOUR PERMIT 4 r OWIJ 9--,�-79 BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 9 . CITY OF FRII)LEY APPLICATION FOR RESIDENTIAL BUILDING PEIMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: ��%i / �eLS o/i BUILDER: Address: ddress : I Tel. No. No. dvps-oZ Z/- Street: LOT: 7 BLOCK: � ADDITION: CORNER LOT: __��___• INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form 9tio Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: r /�- Front:Oz's Depth: Height: Square Feet: �%o�a Cubic Feet: Front: • Depth: Height: Square Feet: Cubic Feet: Type of Construction: Fes- V -)--M i- Estimated Cost: $ oZ jZ) To Be Completed: Alt. A Alt. B Pr6posed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE 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 true and correct. See reverse side for additional information. DATE: SIGNATURE: Stipulations: I /O U re3 ���' 7 _2 L k- "-5 JOHN J.' RYAN CO —1- 15% SELBY AVENUE, ST'.. -PAUL 55104. '-SCALE' I INCH— _FEE7r TELEPHONE: 848-6868: s. P -AT. Off' SITOVEY' L OF PROPERTY OF T LOCAION 4 DESCRIBMASfOELOWS. 51 J 6� ,. .�� ` / �! cif ,d w � � CERTIFICATE OF LOCATION OF BUILDING- CERTIFICATE OF SURVEY certify that -ftereby certify that on I hereby c 10 0 . .1' thissurvey; plan, or report was prepared by me or under my this survey, plan• or report was prepared by n1wor under my duvet Supervision anal that I am.& -duly, ReIgiatered Land Sar- direct supervision, and thatil am a duly- M*tKered Land 'a Vunder eyor und%7the lawW the StateofWwWgote. Surveyor the laws of the State of minn SUBJECT PE City of Fridley o 19 411 AT THE TOP OF THE TWINS BUILDING PERMIT ECEIPT NO 'r? ` 1 `y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 , � ,`, CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/25/88 JOB ADDRESS 524. Rice Creek, Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Rice Creek Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Nelson 524 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Homestad Restoration, Inc. 1918 Queen Avenue South, Mpls. MN 342-2800 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK proof Dwelling 35Squares) 9 CHANGE OF USE FROM TO STIPULATIONS On all new roofs or tear-Offs and replacement roofs, State Code requires that 2 layers of 15 Ib. felt, Mopped together, be installed to a point 24 inches up from exterior wall line, or the U;of 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 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 $4.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8,000 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TION OR THE PERFORMANCE OF CONSTRUCTION. $68.50 ',,PLAN CHECK FEE TOTAL FEE 4A6 , a A $72.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ID EI WHEN PROPERLY LI ATED THIS IS YOUR PERMIT 1^ SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI ffLDG INSP DAT NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER._ [ ] Building Permit Application Construction Address: !%-04 i'u e O-qeOrr-� Legal Description: .� Owner Name & Address: �� ��` � � ' C � l� Tel. # Contractor: 4`� IMG�/170 -A��rO� Tel. # Address: (9 ((7 Qa-66n pa -04551 `A 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: LengthWidth Height Sq. Ft. GARAGE AREA: Length° Width y' Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 3JSrkd Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ D,e-10 Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: Z� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT:T°t— N Tel. CITY USE ONLY $ 1��.Fee Schedule on Reverse Side $ 25$ of Building Permit Fee $ � c�h $.50/$1,000 Valuation $ $ 5,5Q per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] Arm CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 August 29, 1989 Robert and Connie Nelson 524 Rice Creek Terrace N.E. Fridley, MN 55432 Dear Mr. and Mrs. Nelson: A recent inspection revealed that the trees at the southwest corner of your property appear to be causing a vision obstruction at the intersection of 68th Avenue and Rice Creek Terrace. They extend into what is called the "vision safety zone" (see attached definition) restricting a clear sight path for motorists westbound on 68th Avenue at this intersection (it is unclear to me whether or not these are actually City boulevard trees). It is important that I speak with you soon so that we can arrange to resolve this problem. Please call me at 572-3595 as soon as possible to discuss this matter. Thank you for your cooperation. Sincerely, Steven Barg Planning Assistant SB/dn C-89-563 SUBJECT - - -- City of Fridley 2 6 2 0 9= AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT v __ COMMUNITY DEVELOPMENT DIV. a___i PROTECTIVE INSPECTION SEC. r 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/11/98 10B ADDRESS 524 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 1 Rice Creek Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Nelson 524 Rice Creek Terrace NE 574-0803 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Allstar Construction 3315 N Hwy 100, Minneapolis, MN 55422 593-5325 3247 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Reroof House & Garage (30 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANYTIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 $2,502 $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.50 STRUCTION OR THE P RFORMANCCjEE OF C NSTRUCTION. CHECK FEE TOTAL FEE `// s(+ IPLAN License SC $5.00 $83.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP GATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI T Prepaid Plan Check $ Estimated Cost $ Receipt # Effective 1/1/98 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION Construction Address 7 2 � 12 / ct ar 6ck-- �,�r° 7Aning Legal Owner & Address bo (p A j;p-A- Oa RACUOR & ADDRESS *U S7v$a- Architect Reg.# Engineer BUILDING CONSTRUCTION TYPE OF WORK [J New [J Addition & Alteration -Describe Tel# LI& 003 Tel#3-i� Reg.# OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTfM AREA: Length Width Height Sq. Ft. APPLICANT Tel # f Date �-Ij, io' VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) 5-6 Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning (]yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee $ �% -PmEizerA$ Fire Surcharge /�$ J, State Surcharges J_ C_� •�� SAC 0mrgeLlC Se $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ T07ML $ See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th o ) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1000 per SAC Unit (Plans to DVM for detexmination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [J Not Necessary [] feet x $13.50/foot 4. 7- ATTACH STIPULATIONS �- i" -2.5a CA091 ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR A1ND MA'rEKJ-A 1.a: (USING THF 1007 rI R.r. FEE SCHEDULE) TOTAL JOB VALUATION $ 411'7&, 00 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge 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 determinati t) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Al t tch 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; hat the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; tht : I understand this is not a permit but only an application for a permit and work is not to start without a permit; that a work will be in aco ,i dance with the approved plan in the case of all work w ch regwr s review and approval of plans. J SIGNATURE OF APPLICANT ./,(/ PRINT NAME S/ %�� DATE__ _ �� D Pelmit JG.: Building BUILDING Inspections RESIDENTIAL APPLICATION Receiv d By: 763-572-3604 CITY OF FRIDLEY Date R c'd: DATE U YOUR E-MAIL ADDRESS _ _ SITE ADDRESS44 a oe e, (� THIS APPLICANT IS: O OWNER ONTRACTOR PROPERTY OWNER/ / & 0—_ — ADDRESS: CITY _ST .TE___ZIP TENANT PHONE: 26e`3 ° J-7 /i r� CONTRACTOR NAME: Y '' `_— STATE LICENSE #. Lr--p-1C EXP DATE T�/ r7 ITO 7 SUBMIT A COPY OF ,��� MmQrr`&.a/ CITY�'�f /%l STATr/ LIP�� YOUR STATE LICENSE ADDRESS:S�Oy% f'1' /I/. WITH APPLICATION PHONE ISSA 9• FAX loS-/ ,oa -- PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES _ PERMIT TYPE O ADDITIONGARAGE/SHED O WINDOWS O BASEMENT FINISH i00F ❑ DRAIN TILE 17 DECK /O SIDING O OTHER O SWIMMING POOL NEW ADDITION _ -- TYPE OF WORK: MAINTENANCE/REPAIR REMODELING _ DESCRIBE WORK BEIN4 DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING NUMBER OF SQUARES O HOUSE ONLY O HOUSE & GARAGE BASEMENT REMODELI ' G SUBMIT: 1. Existing Floor : in GARAGES O ATTACHED GARAGE 2. Proposed floor • an PROPOSED SIZE: O DETACHED GARAGE 3. List of strucbun I members to he used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCT >N INCLUDING DECKS, O Vinyl 0soffit ADDPTIONS & PORCIIF ` Ski. BMS O Aluminum O Trim I. Site Plwvsurve showing the existing structures O Other O Fascia and proposed p ject. 2. Two sets of cot • ruction plans WINDOWS 3. Energy Calcula ; ros IN EXISTING 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 A1ND MA'rEKJ-A 1.a: (USING THF 1007 rI R.r. FEE SCHEDULE) TOTAL JOB VALUATION $ 411'7&, 00 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge 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 determinati t) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Al t tch 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; hat the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; tht : I understand this is not a permit but only an application for a permit and work is not to start without a permit; that a work will be in aco ,i dance with the approved plan in the case of all work w ch regwr s review and approval of plans. J SIGNATURE OF APPLICANT ./,(/ PRINT NAME S/ %�� DATE__ _ �� D