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PRE 2010 DOCSDate: March 18, 1968 Owner: Address John Anderson N9 963' �116-zj f Builder Charles Johanson Address 160 Hartman Circle LOCATION OF BUILDING No. 549 _ Street Rice Creek Terrace ____, part of Lot Lot 2 __Block 4 Addition or Sub -Division .-- Ri %p Creek Terrace Corker Lot Inside Lot X Setback 35' —_ Sideyard 10',- 5' Sewer Elevation -- 828.60 11=MM 831 .60 T2]2 of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front —59-!b 1°Depth 35126 Height _ 901 Sq. Ft—Ja91s- Cu. Ft _35-, 8 0 Garage Front 24' Depth 24' Height 10' Sq. Ft 576 Cu, Ft 5760 Type of Construction Frame Est. Cost _$32, 000 To be Completed SEWER LOCATION - 112' South of Manhole WATER LOCATION -122' South of Manhole In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work In accordance with the description above set forth, and in compliance with all provisions of ordinances of the city of Fridley. oI / % f / j 100.00 Sewer Conndtion In consideration of the payment of a fee of s 62.00 , permit is hereby granted to Charles Johanson 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 buildinp within the city limits and this permit may be revoked at any time upon violation of afy of the provisions of d ordinances. n /. .-.L J P Official B erland NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or waist. Be sure to No the Building Inspector for separate permim for these item. APPLICATION FOR BUILDING PE,11*11T CITY OF FRIDLEY, 14INN2SOTA OWNER'S NA1,-%-m1DER Charles .E. Johnson IbU tiaffman "Circle ADDRESS ADDRESS— Fridley, Minn. 55432 LOCATION UF BUILDING NO. STREET kx,(� lil�d PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION .4e, IZ7 CORNER LOT INSIDE LOT SETBACK 3 S— SIDE -YARD .- SEWER ELEVATZ61q FOUNTI)ATION ELEVATION Applicant attach to t?is form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates DESCRIPTION OF BUILDING To Be Used Ad: Front Depth 3S-- 4k Height Sq. Ft. Cu. FrontDepth �_ ^4.- te_jleight Sq. Ft. Type of Construction Estimated Cost. -3 gne e 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 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. /141 DATE f -/40' it SIGNATURE (Schedule of Fee Costs car, be found on the Reverse Side). City of Fridley Applicetion for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 13 Z 5 <3 �$ Z 16 �O • R • N WATER HTR. GAS ELEC. Base I 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. R TE TOTAL s -e Number Fixtures + x $J�ff $ .2-9- �--d Future Fixture Opening x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ 2_4� Water Heater (Up to 200,000 BTU) ...... x $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL _x $� — x .50 $ x 2.00 $ 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 application are true and correct. /11ridley, Ani R 0 19A69- Kind 9 p Kind of Building Used as To be completed about Estimated Cost, $ 016w ding Permit ROUGH -!�-' / r O FINAL Description ................. $ ......................... TOTAL P E $ dz r Phone No Original PERMIT for Power lants and Heating, Cool - ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of / N_eating Plants `'? to be altered—repaired Make , Size—d& 62 - /'SAO ; Oil fired—,— Coal fired ; Gas fired 2 ; Gas Authorization No. Remarks - - JJU - - 46�" Approved Final Inspection 19_ Inspector Permit N° X45 3 Fee $ 8 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. Owner Location 1-1V9. Kind of Building How Occupied Work to be Commenced—,19— To ommenced ,19_ To be Completed ,19_ Estimated Cost, $ Old -New, Building Permit No. 8637 Permission is hereby granted to ,� .��Z V f �� ''`' to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. / , � ,Inspector of Buildings az 2M »-ea v Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $0 each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule �® GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ 0q Additional Fixtures ................. x .75 $ Gas Range to 199,000 ......... x$ 5.00 - $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ i✓ ROUGH FINAL 1` - Dept. of Bldgs. 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 application are true and correct. Fridley, Minn �— ;p � 19 6-7Owner Kind of Building 7r/� � 4 Used as To be completed about Estimated Cost, New. Building Permit No. � � Permit No. W 93 HEATING or POWER Warm Air—No Trade Name > Size No, 67, Cf yo Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load 10 2, Kind of Fue f� BURNER — Trade Name aiin4ew "vei Size No /7 � Capacity Sq. Ft. E.D.R BTU H.P. Sigae By -S& &979914 ae Business Phone No_ 2� _1;7-;Z7 (REMARKS—OVER) Applicat6n for Power P1=ft and HemingR CoolingE Ventilaftne ReF 11 oil a and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIH.- RATE TOTAL Furnace Shell & Duct Work ................ .. $10.00 a Replacement of Furnace . ... . ........ 6.00 a Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $____ MECH. WARM AM Furnace Shell & Duct Work to 190,000 BTU ........ ..$10.00 $ each add 60,000 BTU .................... .. 3.00 ; Replacement of Furnace 6.00 Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 &00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $.-- . _Furnace FurnaceShell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3.00Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour over 3 gal. per hour ---See Fee Schedule GAS BUR (up to M,000 BTU) ... ..... 6.00 $ over 199,000 BTU See Fee Sche&xle GAS FITTING FEW. NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ 2,00 $ 0 Additional Fixtures x .78 $ Gas Range to 199,000 x$ 8.00 $ IR COIrIDI71t® G i TI16G S F ute VENTILATING S a ALTERA77ONS & REPAIRS TOTAL F= ROUGH FINAL I - 7.0. - 7 V Dept. of Bldgs. Phone BOD - a City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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 facts and representations stated in this application are true and correct. ,y Fr!41syy, Minn- 1_3 --i Kind 014uilding Used as To be completed about Estimated Cost, OId New. Building Permit No. Permit No. DESCRIPTION OF WORK Trade Capacity Sq. Ft. E.D.R-Q G� 1) 16 BTU Hy Total Connected Loader �; Kind of BURNER — Trade Marne Size No Capacity Sq. FL E.D.R BTU . (REMARKS -OVER) SUBJECT PERMIT City of Fridley ® 18222 AT THE TOP OF THE TWINS BUILDING PERMIT [DMI T r r LR RECEI � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � j CITY HALL FRIDLEY 55432 �.__. �•� NUMBER REV. DATE PAGE OF APPROVED BY !l.' 612-571-3450 910-F15 .9/26/85 JOB ADDRESS 549 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 4 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Anderson 549 Rice Creek Terrace 571-,2389 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Avenue N.E. 784-'7543 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 [X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK R.eroof dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Poof can be 2nd laxer but not 3rd. Install ridged galvanized valleys. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $� $.9.9 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1987 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- $32.50 CTInNR THE PERFORMANCE OF CONSTRUCTION. �? �'�" � AN CHECKFEE TOTALFEE $33.49 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (GATE) .� . - WHEN PROPER Y VA D D THIS S YOUR PSR IT '-BLDG INSP `ATE �� SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] fR-1 AND R-2 ALTER. [ ] Building Permit Application • �® I -e Sq. Ft. Construction Address Width / Sq. Ft. Legal Description: Width Hgt/Ground Sq. Ft. Owner Name & : lt� Q � T��`-�� Tel . # --Address Contractor:�/ C�� `i�fi� /�� /✓ ��,c% G Tel . # Z� -I- Address: 7z1 z1 -6t, Address: - Type of Construction: 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: fr-r(C�6_ _�%/ Estimated / n e� Cost: $ ®� / -7 Approx. Completion Date: 6c-tk-le /,S-/ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: C'�� Tel. CITY USE ONLY Permit Fee $ o�� Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ �r /� $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ DOTAL $ °�� Agreement Necessary [ ] Not Necessary [ ] �� . STIPULATIONS: SUBJECT PE O. City ®f Fridley 2 0 3 �. 0 AT THE TOP OF THE TWINS BUILDING PERMIT r � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I NUMBER REV- DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/20/90 JOB ADDRESS 549 Rice Creek. Terrace. N,Et 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 4 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNERMAIL ADDRESS ZIP PHONE John Anderson 5491 Rice Creek. Terrace 571-2389 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mark Shaw Construction Inc. 1351 - 66th-Avenue N,E„ Fridley 571-3814 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 [R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (22. 8c�uuares;). 9 CHANGE OF USE FROM TO STIPULATIONS On all new roofs or fear-offs and replacement roofs® State Code requires that 2 layers of 15 lb. felt, Mopped together, be installed to a point 24inches up trom exterior wall Eine, or the use. of other approled I0derlayment membrane, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $1,100 $.55 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- $2..00 S1 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $27.55 RUCTION cC/ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)WHEN PROPERLY VALIDATED THIS IS PERMIT .YOUR Alpi A�� Q BLDG INSP fATE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) NEW [ ] CITY OF FRIDLEY Effective 1/1/90 ADEN [ ] I-1 AND R-2 ALTER [ ] Building Permit Application Constn=tion Address: Legal Description: 3 % d7 �L- �% �`S< c �,� �F l� l X4,12 e Owner Name & Address: �► �v �' o� Tel. Contractor: �� c2.c.� ��s c mal. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. D�CRIPTION OF DnWVEMENr LIVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: length Width Height Sq. Ft. D3CR AM: 7p*.h Width Hgt/Gmn,,d Sq. Ft. Corner Lot [ ] Inside Int [ ] Ft. Yd Setback Side Yazd Setbacks Type of Construction: -s.014o` Estimated Cost: Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page LIATE: - APPIZCANT: �� Tel. # 5`_7 l r z3 S7 Permit Fee $ %, ate Surcharge $� Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: '2,2, r (r '? - S-L� CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Job Address RESIDENTIAL ` RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 00 $ 2O. Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Conditioning Call sizes) $ 10.00 $ ��• Minn. I0 �_ 1i0 19ii Fridley,e- All Others/Repairs and Alterations %% OWNER �Ol�t/l� �. Atio2.5o/i 1% of Value of Appliance or Work $ F-f2-�-rn c KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT ESTIMATED COST O 00 State Surcharge $ .50 / FEE $ OLD -NEW BUILDING PERMIT NO. PERMIT NO. TOTAL Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not he placed in side yard without written permission from adjoining neighbor. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name L2h�(�Q7� Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel JvJ BURNER - Trade Name size No. Capacity Sq. Ft. EDR BTU HP � Company Signed B Tel. No.Z-/ Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (�--) No ( ) 2., Is free. from rust or deterioration Yes 04 No 3. Has no foreign objects lodged within Yes) No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU connected -Yes) No ( ) 6. Has Total heating BTU's of x(0019 O¢.0 All other BTU's TOTAL Remarks PQQIACeNteti'T� F -y P -N A C,,-- i- At' %, Gni 0 Fish-tiD tFre�. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: New Fixtures RATE SCHEDULE NO. Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Bump/Receiving Tank Water Treating Appliance Water Heater - Electric Water Heater - Gas Gas Range Gas Dryer Back Flaw Preventer Required Type RATE TOTAL $ 7.00 - $ S 4.00 - $ S 5.00 - $ a.m 7.00 - $ S 7.00 - $ S u $ a a 10.00 - $ water L �p 10.00 - $ ®C-.:�- $ 10.00 - $ $ 1i a 4 W fba q 5.00 - $ u w a a Heater M � M s �gg u e +1 a� m a+ m m mrrM,�� a b lec let 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water PLUMBING FIXTURE RATES: New Fixtures RATE SCHEDULE NO. Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Bump/Receiving Tank Water Treating Appliance Water Heater - Electric Water Heater - Gas Gas Range Gas Dryer Back Flaw Preventer Required Type RATE TOTAL $ 7.00 - $ S 4.00 - $ S 5.00 - $ S 7.00 - $ S 7.00 - $ S 7.00 - $ $ 7.00 $ $ S 10.00 - $ $ 7.00 - $� S 10.00 - $ ®C-.:�- $ 10.00 - $ $ 10.00 - $ ( ), No $ 5.00 - $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance REINSPECTION FEE $30.00 State Surcharge TOTAL FEE Effective Date January 1, 1991 Job Address 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are taus and correct OWNER N (i��/�-s®Aj KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. ROUGH INSP. f Date FINAL INSP. Date r APPROVAL FOR PERMIT ` 25-1 PERMIT NO. L W MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT PERMIT NO. City ®f Fridley _ AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT 1.0 - COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APP OVEO BY �..__.11•' `•j 612-571-3450 910-F15 JOB ADDRESS 549 RICE CREEK TERRACE NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. xx 2 4 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Anderson 549 Rice Creek Terrace NE 571-2389 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 C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,,784.80 .89 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $41.00 Fire SC $1.78 PLAN CHECK FEE TOTALFEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tDATE1 WHEN 8 RLY VALIDATED THIS ISYOUR PERMIT 4 '.BLDG )NSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW Effective 1/ 1/94 ADDN CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address:/tw Le Tal Descr(jpttoq- Owner Name &Address: ` � � 'tr � , Tel. # Contractorsw MN LICENSE # :�wu , Address: _ Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Corner Lot j ] Inside Lot j ] Ft Yd Setback Side Yard Setbacks "rX Type of Construction: Estimated Cost: $ - Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: _ DATE: APPLICANT: Ft. + 6 Ft = Ft x $ _ $ Tel. # CITY USE ONLY Permit Fee $ e Fee Schedule on Reverse Side Fire Surcharge $ . '2 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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 $ o STIPULATIONS: fkzt,,'-&� Length Width Height Sq. Ft. Length 0 Width I ^4L.,s._. Hgt/Ground �� Sq. Ft. Corner Lot j ] Inside Lot j ] Ft Yd Setback Side Yard Setbacks "rX Type of Construction: Estimated Cost: $ - Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: _ DATE: APPLICANT: Ft. + 6 Ft = Ft x $ _ $ Tel. # CITY USE ONLY Permit Fee $ e Fee Schedule on Reverse Side Fire Surcharge $ . '2 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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 $ o STIPULATIONS: fkzt,,'-&� SUBJECT �• City of Fridley 25029 AT THE TOP OF THE TWINS BUILDING PERMIT i � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �---'�' ,'' 612-571-3450 910-F15 5/2/97 JOB ADDRESS 549 Rice Creek Tprr ce NR 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 4 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Anderson 549 Rice Creek Terrace NE571-2399 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. B & B Roofing 6760 Madison St NE Fridley, MN 59432 571-0248 9042 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 X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (13 Sq Tear-off) (19 Sq 2nd Layer) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 $2,250 @ $1.12 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES qjPRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROV 10 S OF ANY OTHER ATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $2.25 THE PERFO NCE OF, ONS RUCTION. PLAN CHECK FEETAL FEE ZTCbTI�NOR �� License 0 83.12 SIGNATURE V CONTRACTOR OR AUTHORIZED AGENT IDATEI E &PIAILY VA EYATED THIS IS YOUR PERT BL G INSP DATE S,GNATURE OF OWNER OF OWNER BUILDER$ (DATE$ NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: �j°�� /��°/L,s�/Yl .S yam/ i2iC� �� Tel. # �$ %/ i��t Contractor: , �Cs MN LICENSE #y�— Address: /i��l> /%�/—�7J>7 .� % Tel. #--5 7/—,::9 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: Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. STIPULATIONS: s CITY USE ONLY Permit Fee $ %S� Fee Schedule on Reverse Side Fire Surcharge $ �2�— .001 of Permit Valuation (1110th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ DU $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -$450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: s