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City of Fridley, Minn. BUILDING PERMIT N® 3624 Date: ...... Owner........ Builder .. .......... ...................... Address....................................... Address ................... ......................... LOCATION O BUILDING No. ... Street . .. .... rjQ/2AA,-<A Part of Lot .............................. Lot ..... ..... Block ..3 ............ Addition or Sub -Division . GW- /�. s�..-.. O Corner Lot ............ Inside Lot . X ........ Setback.`. • Sideyard ./.� . `.f ............... DESCRIPTION OF BUILDING To be Used as: .... Front .rl� .� -Depth ®... ✓Height./ 0 V.' Sq. Ft. /4� Cu. Ft. A. ©d ?14 � 0. Depth A N Y � �Hei ht .S.®: Sq. Ft. -f Cu. Ft. a3.-'6 Type of `Construction ..i .. ]last. Cost.�.r��:... To be Completed :................... 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 compliance with all provisions of ordinances of the city of Fridley. . .............. ............... ..... dam In consideration of the payment of a fee of $.41 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. .�%g....... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners NameBuilder Address Address G LOCATION OF BUILDING No:.s_ Street�ixt of Lot - Lot ` _., Block . Addition or Sub. Div. &:LLA_A_ -P. Corner Loi • • Inside Lot _, Set Back.. Applicant-atta.ch.to•this form Certificate of Survey o£ Lot.and proposed build1rig location. DESCRIPTION OF BUILDING To be used as L. Front's Depth Height Sq. Ft.-/ Cu. Ft. Front Depth weight Sq. Ft. Cu.'. Ft.. - LIU' stip Type of ConstructionEstimated 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 Ordinances and ruling of the Department of Buildings., and hereby` declares that all the facts and representations stated in this applicatiori are true and correct, Date..,._.... ..._ Signature � J (A Schedule of Fee Costs can be found on the Reverse Side) r ,q a 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 ............... MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ........................ Replacement of Furnace ............................. Repairs & Alterations --up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TO 8.00 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $— , Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR 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) ....................... GAS PIPING (Up to 3 Fixtures) .......................... (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE 5.00 1.50 $ REMARKS: Dept. of Bldgs. Phone SII 4-7470 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 application7e e and correct. X ---)Fridley 1957— sl �� Owner Kind of Building Used as To be completed about 195- 195— Old—New. Building Permit No. CRL -910 DESCRIPTION OF WORK HEATING o WER to Hot Water, Warm Air—No Trade NameSize Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Sign By 04130a 11 POST 1 M_8_58 Business Phone No SUBJECT RMIT City of Fridley s �77 g AT THE TOP OF THE TWINS B U I L D I N G PERMIT r EIPT � • _____ COMMUNITY DEVELOPMENT DIV. I ; 4 r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/29/84 10B ADDRESS 548 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Hughes 548 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Chas, E. Johanson Inc. 424 Rice Creek Boulevard 571--8021 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the 2nd layer but not the 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 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 $1/400 $•7O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE R STATE OR LOCAL LAW REGULATING CON- PROVISIONS OF ANIPERMANCE $ 23., 5O RUCTION OR THE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 'y�i $24.20 SIGN ATUREO NTRACTORORAUTHORIZED AGENT (DATE)WHEN PROPERLY (DATED THIS IS YOUR PERMIT lo BLDG INSP OAT SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address:-- _�4f o Legal Description: Owner Name & Address: // Tel. # Contractor: Ch /I S j A77, ,�/9 (7 /4 n/S 0111 1,fq Tel. # S7/-1,4 Address:`Y,k- LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ 01 Approx. Completion Date: Alt. A Alt B ,5 Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: /_'' �y,�ia�� Tel. CITY USE ONLY Permit Fee $"� Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ 70 $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ � �,/ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ . t ` STIPULATIONS: 4 SUBJECT � ERMI City ®f Fridley20683 AT THE TOP OF THE TWINS BUILDING RECEIPT NO COMMUNITY DEVELOPMENT DIV. a. PROTECTIVE INSPECTION SEC. 5 r � /1 � CITY HALL FRIDLEY 55432 �'"""A'If �'� NUMBER REV. GATE PAAPPROVED F/ BY 612-571-3450 910-F15 11/30/90 JOB ADDRESS 548 Rice Creek Terrace N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barb Hughes 548 Rice Creek Terrace N.E. 571-6182 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Franzen Construction Co. 4250 ; 5th -Street N.E., Col. Hgts 788-4071 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 3P ADDITION Gj ALTERATION ❑ REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Construct an 18' x 20.6" Additions Remodel kitchen; Remodel Bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, Provide smoke alarms on all levels of existing house, A1-0 Before digging C311 for S TE PERMITS' RF -WIRED all utility locations FOR V,b'1 ; ;1 -LEA -MG, PLUMBING, AND SIGNS.45400022 LAW REQUIRE-0BY TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $40,000 $20.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $349.50 Fire SC $40.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $409.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WH N PROPE LY T THIS IS YOUR PERMIT G INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 8/16/90 ADEN [ R-1 AND R-2 ALTER [ ] Building Permit Application �y'F Y"e P'e Construction Address:Clove �e / Y"a Iegal Description: Owner Name & Address: TFa r �1` �Gt P S Tel. Contractor: /1' V 66'Ayze-vc �. s CSD . Tel. # ���-5�0 71 Address: L1VIM AREA: GAME AREA: Attach to this application, a Certificate of Survey of the lot, with the prcposed construction drawn on it to scale. Li Iength Width d , 6 Height o Sq. Ft. Iength Width _� Heic�t Sq. Ft. Corner Lot [ ] Inside Lot D<1 Ft. Yd Setback Side Yard Setbacks Type of Construction: 44. V, Estimated Cost: Approx. CmTpleti an Date: v -c x'- Z4 Proposed Driveway Width If New Opening Is Desired: Ft. $ $' Width + 6' See Back Page DATE: /l- 9 D APPISCAN'r:La--�dxl,Tel. # %�'- �� 7 / Permit Fee $ "9150 Fire Surcharge $_ 4#0.44 State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ 4, Sewer Main Charge $ TD►1'AL $ CITY USE ONLY Fee Scheie on Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 40,600, 2 C16CAU _ I -f AU 3 4ef4 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. a TOTAL y p $ U = x W Water W N N Beer Dispenser $ w e fA Q $ Blow Off Basin p, w K 0 Heater Catch Basin $ 7.00 = $ N . m M w m k p, $ Sump/Receiving Tank N $ 7.00 a 0 0 $ N R al M O b m O; e N = $ Water Heater - Gas $ .5 ai $ m O .0 ow wo w ua"das a S "ii 1 S 10.00 l 1st Back Flow Preventer Required ( ) Yes ( ® No / Type $ 5.00 a $ 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer l•) - Hew Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 = $ `-#00 Old Opening, New Fixture S 4.00 - $ Beer Dispenser $ 5.00 a $ Blow Off Basin $ 7.00 0 $ Catch Basin $ 7.00 = $ Rain Water Leader $ 7.00 - $ Sump/Receiving Tank $ 7.00 a $ Water Treating Appliance $ 10.00 $ Water Heater - Electric $ 7.00 = $ Water Heater - Gas $ 10.00 $ Gas Range $ 10.00 a S Gas Dryer $ 10.00 $ Back Flow Preventer Required ( ) Yes ( ) No Type $ 5.00 a $ [affective Date January 1, 1991 Job Address S4 R K L C� CLE- �LTL-)9�A-� N Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 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 Deportment of Buildings. and hereby declares that all the facts and representations stated in this application are true and correct. OWNER &]a . q Li 6 A t -S KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD NEW BUILDING PERMIT NO. PERMIT NO. Company lam• -13 & Signed By &ti k� Tel. NO. ! - 0 1 - (-5 C) �f � ROUGH I11SP. Date FINAL I:dSP. Date APPROVAL FOR PERMIT ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of value of Fixture or ApplianceMINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $ PLUS THE $.50 STATE SURCHARGE S REINSPECTION FEE $30.00 State Surcharge .50s i, TOTAL E ?FE10 19 -IL M 0 a SUBJECT P E R City of Fridley 28012 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 64167 67 r PROTECTIVE NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J\ 612-571-3450 910-F15 29 128 JOB ADDRESS 548 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 1 Rice creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barbara Hughes 571-6182 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wm Woods Const Co Inc 7728 Knollwood Dr Mounds View MN 55119- 786-ijil 8737 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 D NEW O ADDITION ❑ ALTERATION RX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 29 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $2485 $1.24 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 PERFORMANOF CONSTRUC ON $]4, ]5 Fi SC $2.48 2 d� PLAN CHECK FEE TOT L FEE Wt P T.icen $5. $ 3.47 — SIGNATURE OF CON-RACT OR AU—TorORIZED AGENT T TEi EN RO VA ID BlD 'NSp THIS IR P R T � O r ATE S,GNATURE OF OWNER.If OWNER BU4DEA1iDATE� 0 a NEW [ ]"y Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [INGLF E AMILY AND DUP EXES R 1 AND 2 ] S L - R - BUILDING PERMIT APPLICATION I ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address Tel. # !j Zz 4�1LIE a MN LICENSE l/� Tel. # 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: Lefig`ti Width Hgt/Ground Sq. Ft. OTHER: 9 9 V ' U Construction Type: 46JEstimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $