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PRE 2010 DOCSCity of Fridley, Mm. BUILDING Date: Owner. _ 't° Builder -- Address Address _-- ,�., TION OF BUILDING Street _ f Lot Block Addition or Sub-Divisio - Corner Lot ____ Inside Lot _ +'' Setback _ Sideyard Sewer Elevation _ __ _ _ Foundation Elevation DESCRIPTION OF BUILDING Tone Used jI Depth Height J Sq. Ft. Cu. Ft o Depth Hei ht Sq. Ft. Cu. Ft. _ Type of Co traction - r Test. _ To be Completed _ 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. �F In consideration of the payment of a fee of $ i , 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 within the city limits and this permit may be revoked at any time upon violation -of any of the provisions of said ordinances. Inspector NOTICE: This permit does not coyer the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sura to see the Building Inspector for separate permits for these items. 4 J APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name rce> pj� P 5 Bull der4 r� ,5< A Address (,;, q z s �S Awe x ,/6. A®C ; Address - LOCATION OF BUILDING No, l Street (Zi f. iz- e Puos' Tom- eawc Part of Lot Lot 6 Block . -6/ Addition or Sub.Div., b 'C � -A r .11 Corner Lot_____Inside Lot .i( Set Back :95®f �'f ��' Side -Yard I„_„e SEWS?. ELEVATION FOUNDATION ELEVATION Z y Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as; : dR c z- > Front Depth Sq. Ft. / 41 :. • Ft. d Z & `i r + c - A&A v Front Depth Height Sq. Ft. Cu. Ft, Type of Construction V V? m c-�r Estimated Cost ^, 1— To be completed' rt 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 andrepresenta- tions stated in this application are true and correQ DATE . SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) - 1 >1W �®s %C>2 - A"40 City ®f Fridley, Mnn.. RDINGT N® 7468 Date: Owner: I&oR X9400A Builder owner ( Same) — Address 56 --weeAddress 1.Rice Creek Torr -ace LOCATION OF BUILDING No. 561 street Rice Creek Terrace Part of Lot Lot �- Block _ 4 ___ _ Addition or Sub -Division &cam Creek Terrace Plat Corner Lot _ Inside Lot _ _ Setback .+._. Sideyard Sewer Elevation T — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. cost 2%00 _ To be Completed Store damage. Rebuild sable as original In consideration of the issuance to me of a permit to construct the building described above, I agree to do theproposed work in accordance with the description above set f and in compliance with all provisions of ordinances of the city of Fridley. A In consideration of the payment of a fee of $....I= , permit is hereby granted to1AQn 18ARM to construct the building or addition as described above. This snit is granted upon the express condition that the person to whom it is granted and his agents, employees an�workmen, in all work. done in, around and upon said building, or any part Thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufldings within the dty ]invite and this permit may be revoked at any time upon violation of any of the provisions of said ordinances NOTICE: 1W9 permh don not cover the constreciloe, hwtaWen for wiring, plumbing, an heating, sewer or water. Be sure to we the Building luspedor for separate permits for these hems. k , r, APPLICATION FOR BUILDING PERMIT. CITY OF FRIDLEY$ MINNESOTA OWNER'S NAME Z_ -&-t -4 R4 ®SC-/) BUILDER L*PGV Wig=A ADDRESS_ G � �; , '' Lz-,1®y Lrxxr 4 c ; ADDRESS, LOCATION OF BUILDING" N No. S'& I Street f,eF geed &,,e.e­Part of Lot LOT BLOCK 4 ADDITION OR SUBDIVISION L4a _;� fL,r -'11 Corner Lot inside LOT Setback Side Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach tb'this form Two Certificates'of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: 5X^e' 4-S P c/ e,/woq (--( #?, A 9.1 L�3) Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height -Sq. Ft. Cu. Ft. 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 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. (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone _V 4-1 DESCRIPTION OF WORK Number, Kind and Location of Fixtures �j Z ? �, WATER HTR. �0'iZ'a4'� �u..� Sj Z� SZ t�� °d �Z �4a �a U' O R N GAS ELEG Base 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $--..^ 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 $ 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 $1.50 $ z — x .50 $ x 2.00 $ Description ................................... ...........$ TOTAL FEE $ ©pp � 9-® 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, 1V!wn 194 Owner Kind of Used as To be completed about % Estimated Cost, $T oc—, a� Old. New. uilding Permit No��" Permit No. �y ROUGH > (0 Z FINAL 4z 2M 7-59 By� Business Phone City of Fridley, Minn. 1 5 6431 University Ave. N. E., Minneapolis, Minn. 65432 BURDING PERMIT Date: ldgy 232 1972 owner: ._ Leon Xdsen Builder Same Address _ _ 561 Rice Creek Terrace Address Same LOCATION OF BUILDING No. _._...561_.._........ street Rice Creek Terrace X.E. part of Lot Lot _ 1. Block ...___.._..44._._ __ Addition or Sub -Division Rica !✓reek Terrace PI atl.a.� Corner Lot ___.___....� .Inside Lot _ X .__._ — Setback Sideyard Sewer Elevation To be Used as: Foundation Elevation Above. SS7Cound Pool __ Front .___161__ Depth - 32' Height 5�� _ Sq. FL Cu. Ft. Front — Depth Height sq. F't. Cu. Ft. Type of Construction Steal & 't7 .1_ Est. Cost _...._$900 00. _ To be Completed __ June Ia.—U72 Approved subject to notations on plans by the Health Inspector. A copy of the notations are attached to this permit. In consideration of the issuance to me of a permit to construct the b ' g described above, I agree to do the proposed work in accordance with the description above set forth compli ce with all provisions of ordinances of the city of Fridley. .50 Stat Surcharge In consideration of the payment of a fee of $__6__M_, permit is hereby granted to ,Leon Mad 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 :Within the city limits and this permit may be revoked at any time upon violation, of any of the provisions of acid ordinances. 9 Victor CLARENCE EELISLE I NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or rerefer. Be sure to see the Building Inspector for separate permits for these items. a APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : IA 0 BUILDER: ADDRESS ADDRESS: NO:. / / STREET:_ 1?)eg K�2&-Cx 7,F2,*Z_4e4 LOT: f BLOCK: 4/ ADDITION:_/?>,-F6w' eax 5-AoAc� CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDIN??G To Be Used As : %6 r ® r Front • `L— Depth • Height Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Feeet; Cubic Feet: Type of Construction:/�� Estimated Cost: $ �® To Be Completed: m ✓ 1,292 T 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: SIGNATURE: (See Reverse Side For Additional Information.) 01, SUBJECT PERMI City of Fridley o 18187 AT THE TOP OF THE TWINS BUILDING PERMI T r R � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I,� CITY HALL FRIDLEY 55432 %L NUMBER REV. DATE PAGE OF APPROVED BY _•_. 612-571-3450 910-F15 9,3/85 JOB ADDRESS 561 Rice Creek Terrace N.E. 1 LEGAL LOT NO, BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leon Madsen 561 Rice Geek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Netko Bros. Roofing 3446 Russell Avenue North.p.Mpls.. 55412 529-3297 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer'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. Fiberglass THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2r880 $1.44. DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE KATE PROVISIOUS'-O'F ANY OTHER TATE OR LOCAL LAW REGULATING CON- STRUCT) N O T PERFOR OF CONSTRUCTION. $38.50 - - PLAN CHECK FEE TOTAL FEE $39.94 IGNATURE FCONTRACTORORAUTHORI2EDAGENT (DATE) WHEN PROPERLY,-VALIDATED��THIIS IS YOUR PE MIT C/ 9 SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI _ BLDG IN OA 01, NEW [ ] City of Fridley ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: / ��2� �e TI ---A, Effective 4/1/84 Legal Description: Owner Name & Address: `/� �Tel. #�-? Contractor: ! � as' ��� J� Tel. # Y42e Zi'�� Address: Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: { __ Width Height Width Height _ Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner -Lot Type of [ ] Inside Lot [ ] Construction:� Ft. Yd. Setback Side Yard Setback _ Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation F-/ Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: d" 1� Tel. #� CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J w SUBJECT PERM City of Fridley 18446 1 AT THE TOP OF THE TWINS BUILDING P E R M I T _ r RECEIPT NO. ' COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 0— 1 i6 CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/23/86 JOB ADDRESS 561 Rice Creek Terrace N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek Terrace Plat, 4 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Leon Madsen 561 Rice Creek Terrace N.E., Fridley, MN 55432 571-1028 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x❑ 8 DESCRIBE WORK Construct a 15' x 81 Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS PERMITS REQIlIRE® F®R SEPARATE PLUMBING AND SIGNS, Bowe (figeng Cm 40cag U.tm;gs WIRING, HATING, TIS f . ELEM- OS St REQUIRED BY LAW,. 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $950 $• 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. .,$`17.50 PLAN CHECK FEE TOTALFEE 4.37 $22.37 SIG E OF CONTWTOR.90 AUTHORIZED AGENT (DATE) V WHEI P P L AL DA THIS IS YOUR PERMIT V �� �•.411 SIGNATURE OFOWNER(IF OWNER BUILDER) (DATE) BLDG WSP DATE NEW [ ] City of Fridley Effective 4/1/86 ADDN. R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: -'s-G'l 'rlC-c Cti< TE'iL eAC6: Legal Description: Z--6,7- ,` RL x Owner Name & Address: /- abA2 se.,. Tel. # Contractor: 5A'n � Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length,Width Hgt/Ground4"vMV'Sq. Ft. OTHER: Corner Lot [ ] Inside Lot Ft. Yd. Setback 3t�-/ Side Yard Setback /®'* Type of Construction: zmp Estimated Cost: $ Approx. Completion Date: a Cis Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation S �3APPLICANT: Tel. # 57 W -M 21V DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ $.50/$1,000 Valuation $ $1475 per SAC Unit $ Fee Determined by Engineering ® Agreement Necessary L ] Not Necessary [ ] �1 SUBJECT PER N0. City of Fridley 0 19650 6 5 9 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT NO. L"""""" COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. /'"'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/9./87 � JOB ADDRESS 561 Rice Creek Terrace N. E, 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leon Madsen 561 Rice Creek Terrace N.E. 571-1028 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct an octagon Screen Porch (10' Diameter) 82 square feet 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan WARNIN WDONE - EOCTRJC -ACAS Etc, SEPARATE PERMITS REQUIRED FOR PkQUIREb SY LAW WIRING, HEATING, PL UMI NG AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500 $.75 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. $25.00 PLAN CHECK FEE TOTAL FEE 6.25 1 $32.00 SIGNAT OF CONTRACTOR RA THORIZED AGENT (DATE) HEN PROPERL ,,VALIDATED THIS IS YOUR PERMIT 1NSP ATE iIF OWNER BUILDER) (DATE(BLDG �1 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 6--6 / I?i LE LnggK Er )z tzAe-E Legal Description: 2® Owner Name & Address: EEA( RA051 A/ - S'�.�� Tel. # -5721-14Z21 Contractor: S c--- Tel. Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width 7 Hgt/Ground/?' Sq. Ft. 4 'I>, OTHER: pr-r-eP - J1) 4 �ard Setback l�an3 Corner Lot [ 7 Inside of [ Ft. Yd. Setback Side v� Type of Construction: W'ev D Estimated Cost: $ Approx. Completion Date: S �e7- / i Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: lv $ $ See Back Page for Explanation DATE:? APPLICANT: Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ _' Fee Schedule on Reverse Side $ A 25% of Building Permit Fee $ 2LL $.50/$1,000 Valuation $ $525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ �w. - J 6Z 0 0 SUBJECT PE City ®f Fridley2 7 3 31. AT THE TOP OF THE TWINS BUILDING PERMIT r ' , REQ 1 v COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. PROTECTIVE e � i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/21/98 JOB ADDRESS 561 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek TerracePlat 4 SHEET 2 PROPERTY OWNER MAK. ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. All Seasons Home 1W. 1 - -'1455 90117051 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 8 DESCRIBE WORK Replace siding 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 100 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANA OTHER STATE OR LOCAL LAW REGULATING CON- STRUC O ORT ERFORMANCE OF ONSTRUCTION, 8137.25 .10 PLAN CHECK FEE TOTAL E P z�f j - SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (OATEI Llneja r _C90 EN P OPE BLD )NSP LIDAT IS IS Yrle,�r�ERA�IT GATE SIGNATURE OF OWNER OF OWNER BUILDER) MATE) NEW - F ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �/C Fz: e, r P ' j Legal Description: Owner Name & Address: Tel. # Effective 1/1/98 Contractor: G 1,,,L ,D . MN LICENSE # 2,0 go /i% Of Address: to o2,4 -t4 P—:- 4yt. Pf,rticr�Tall .rev . Tel.#55 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: -'61e eco S < dt 'A-' _ Construction Type: Estimated Cost: $ % 10061 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6/Ft = Ft x $ _ $ DATE: APPLICANT: r �. Tel. # 381 ` '3 TOTAL . STIPULATIONS: CITY USE ONLY Permit Fee $ X �% QST Fee Schedule on Reverse Side Fire Surcharge $ /® .001 of Permit Valuation (1/10th%) State Surcharge $ ,3. S�S $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 00. $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: CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE i Fridley, MN 55432 _ APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Fumace Shell and Duct Work, Bumer - Also Replacement furnace $ 3.0,00 $ 30 (Side Vent - Fill Out. -Back) Gas Piping (Needed with new fumace) $1.0.00 $ Gas Range . $10.00 $ Gas Dryer: _ $10.00 $ a> - *Air Conditioning - A11 Sizes $ 25.00. $ All Others/Repairs $ Alterations (LIST ON BACK) , 196 of Value of Appliance or Work $ Comme rcial/I ndustrial 1.25% of Value of Appliance or Work $ State Surcharge .50 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Effective On January 1, 1958 JOBADDRESS 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 porrobt. 1 ;. A o NO BUILDING USED AS Qw2l�+meq ESTIMATED COST 1 I PERMIT NO. 13 39 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units 1 Cirde One (Steam) (Hot Water) (Warm Aid Trade Name Le nra ox Size No. BTU I HP EDR Fuel_ trr Total Connected Load Bumer Trade Name BTU HEATING COMPANY Signed By Approved By Size No. HP EDR INo. 6Cv Rough -In Date Final Date -a?_Wb *Air Conditioners can not be placed in a side yard without FILLOUT BACK SIDE FOR STA4 VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE A /S -o t Remarks: List ALTERATIONS Being Done: HEATING C0: Signed By: Date: CHE%INEY 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 () 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's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater- Yes O No ( ) 8. Has combustion air been provided for water heater. Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING C0: Signed By: Date: cInroF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 LICENSE AGREEMENT The undersigned Leon Madsen and Marilyn Madsen , being the fee owners of certain property located in Fridley, Minnesota, at 561 Rice Creek Terrace Fridley MN 55432 , and legally described as: 14-30-24-21-0051 hereby grant to the City of Fridley, Minnesota, and that the City's employees, a license for the purpose of gaining access across the above-described property to a retaining wall and other structures adjacent to Rice Creek. This license is only for the purpose of allowing the aforementioned persons access for maintenance purposes. This license is intended to last ten (10) years from the date of its execution, and is not transferable or useable by any persons other than those designated herein. By accepting and using this license, licensee hereby agrees to repair any and all damage caused by the City or its employees while using this license on the above-described parcel. Signed: Leon Madsen t. 'I L L' M Madsen Subscribed and sworn to before me this MARY MARGARET SMITH NOTARY PUBLIC -MINNESOTA ANOKA COUNTY My Comm: ;sinn Expires Jan. 31, 2000 S day of , 199f. SUBJECT \ City ®f Fraley 26452 ), AT THE TOP OF THE TWINS P E BUILDING I `M RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. ��� r i NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/6/98 JOB ADDRESS 561 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leon Madsen 561 Rice Creek Terrace NE 571-1028 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. United Roofing 1155 140 Ln NW Andover MN 55304 804-53600 868 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage 35 SO 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 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 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 1 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 @ $1.09 WITH WHETHER PECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,193 DOES NOT PRE_E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE OTHER STATE OR LOCAL LAW REGULATING CON- PRO%NT&PERFORMA $74.75 Fire SC $2.19 STRU E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.03 S ATUXIOF. N.RACTORORAUTHORIZEDAGENT IDATEi WHEN PROOPERL VALIDATED THIS IS YOUR PERMIT BLO INSP DATE GNAT NER OF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION aC' 9g6j ConstructionAddress: Legal Description: Owner Name & Address: Tel. # 25�1�%� Contractor: MN LICENSE # Address:/! �� C'y 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: Length Width H Ground Sq. Ft. OTHER: r Construction Type: Driveway Curb Cut Width Needed: DATE: �APPLICANT: Ft. + 6 Estimated Cost: $ (Fee Schedule on Back) Tel. # 'Fey, s3e-® Permit Fee $ 4.7 S - Fee Schedule on Reverse Side Fire Surcharge ,,Z 11 $ - 1 �' . 001 of Permit Valuation (1 / 10th %) State Surcharge /, 0?$ $.501$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservations Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: '93 � 03 /'/0 - .I-