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PRE 2010 DOCSCity of Fridley, BUILDING P] Date: ........ ..... _°'...._.. _.__._...._......_...._.. Owner: - .......... Builder Address ' _ ,e Address ,�/� - ,LO ON F2T_lt DING No.... . ..f ...... Street _._. _.__ _.:...........__ w_._..... -Part f 140t ....._ _.._... _..................... -.... _... ... ___._ Lot ...................._.... Block...........-.... - _.......... Addition or Sub -Division ._ ....: .._. .......... .:_.... ._ ..:.......,A........... _..... Corner Lot ..-......._ ...................... Inside Lot ..... ............ Setback ...__ .................. Sideyard _44_........%I{..........:................._........ SewerElevation....._........_..._............._.....------•.-............................ .............. Foundation Elevation _ ........ ................... ................ .............. ................. .............. _. DESCRIPTION OF BUILDING To bffsed as _.._ Front- - -. Depth ... Height Sq. Ft. I '. - Cu. Ft.� 9 .x......... Front - Depth ... Height ..... Sq. Ft. ..d!..... Cu. Ft. ... V. Type of onstruction...._....: ..:.�, Est. Co ._„„....._ �« .....---...... -..... To be Completed ....._ ................._........._................. CAUTION THIS F'ERP;,11T L),:; NOT AUTHORIZE VIOLAT- ION OF ANY PRI vA� ND COVENANTS AND BUILDING RESTRICTIONS. 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. *---_...._.----- pa 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 within the city limits and this permit may be revoked at any Ul Aro any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 Owners F Address APPLICATION FOR BUILDING PEDW CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. �� Street ca A'.g 't o£ Lot Toot Block . .j Addition or Sub.Div. Z;% Corner Lot Inside Lot Set Back r Side -Yard Y SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: �f� Front Depth__ Height .Sq. Ft. Cu • Ft. =_6 Depth ® Height Sq. Ft. Cu. Ft. Type of Construction ��_ Estimated Cost To be completed, ���C, e-, 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 representa- tions stated in this application are true (A Schedule of Fee costs can be found on the Reverse Side.) 811 Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 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. 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 FITTING FEES: NO RATE T®TAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ a REMARKS: Dept. of Bldgs. Phone SU 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 trued correct. OCT Y- 1960 Owner Kind o: Used a, To be compieti o. aoouti Estimated Cost, $ ':�e New wilding Permit No. DESCRIPTION OF WORK HEATING , Warm Air—No—Z-- Trade Name Size Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Loa Kind of Fuel -,a . BURNER — Trade Nam Size No-���®���✓ s ® Capacity Sq. Ft. E.D.R I H.P. GEO. SE® AiIC{< HTC;. & AIR-COND. CO 1001 Xenia Rev. S. `-'/��� , Minneapolis 16, Minn. Sign By 11 POST IM -12-58 Business Phone o '*04,4 Doors —Crackage nd Area P' Width Height NMI! Lineal f . Area No. of panne of pane lights of crack sq. ft. D 46r 9 /, ,4 O r 9i /.,Dx4 Width Height lig oP Lineal Area No. of pane of pane lights of crackk eq. Pt. HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. TP J22 Exp. wallCA Insulation I Guide Ceiling Int. wall Wi dhows oors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied I FIV Room I Length Width /1 r eight MftV Room Length idth eight Windows ad Doors —Crackage nd Area P' Width Height NMI! Lineal f . Area No. of panne of pane lights of crack sq. ft. Doors—Crackage and Area C Width Height lig oP Lineal Area No. of pane of pane lights of crackk eq. Pt. Coef. Btu Infiltration Glass *" Infiltration Glass Exp. wall TP J22 Exp. wallCA Net exp. wall Int. wall I Net exp. wall Ceiling Int. wall Ceiling Win ows and Doors—Crackage and Area Width Height No. of Lineal ft. Area S f No. of pane of pane lights of crack sq. ft. 140, Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Q 4 Floor o Floor Total Btu. Total Btu. t� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.1 Room I Length ; 'dth eightdry; Room (Length idth eightr. Windows and Doors—Crackage and Area Windows an Doors—Crackaga and Area Width Height No. of Lineal ft. Area No. of pane of pa a lights of crack sq. ft. / ` Width Height lig of Lineal ft. AreaaFoll No. of pane of pane lights of crack eq, ft, p Coef. Btu Coef. Btu Infiltration ;,� InfiltrationOavo , Glass e J. f Exp. wall Net exp. wall r Int. wall Jr Ceiling ,, Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f ry P" .•'\ n I r .1 xwd wy. 1.1 OA • � . OL X' .✓ . I ,.. ,,a.,, ......, . ,�,a,,. Windows a Doors—Crackage and Area C Width Height lig oP Lineal Area No. of pane of pane lights of crackk eq. Pt. Coef. Btu Infiltration Glass Ofs TP J22 Exp. wallCA P191 I Net exp. wall Int. wall Ceiling Floor a Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area d . I =M� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Lengt idth: sigh Windows and Doors—Crackage and Area 04r I Width Height No. of Lineal ft. Area No., of pane of pane lights of crack sq. ft. t� Coef. Btu Infiltration 1 4140OL5'! Glass Exp. wall:. ?iXJ Net exp. wall Int. wall Ceiling Floor Total Btu. e2- A-, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area D•56 9 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN., Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Wi ows� I ors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes a 19- 2 Fly - Room I Length _07,,7, Ailh _;`_. `r eight7, II FLI Room I Lenath Width Height 42 Windows an Doors—Cracka a and` Area Width Height No. of Lineal f . No. of pane of pane lights of crack Area sq. ft. C 00 Coef. Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall Glass' Exp. wall ,• , Net exp. waif Int. wall Floor Ceiling 44 Floors � a Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. No. of pane of pane lights of crack Area sq. fL.— Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lensith .. Width Height Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area i Fl.[ Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling h" Floor Total Btu. I Required sq. ft. E.D.R. or sq. ins.. W.A. Leader area City of Fridley Application for Plumbing and Gas Pitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK?�4Crr Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. yy RATE TOTAL y v x w 0 Z z • • WATER HTR. 1.20 $ New Fixture Old Opening .............. 3Ct x m� $ Catch Basin ............................ x 3.25 fi'o �m 63 (9 °d U4c l90 New Ground Run Old Bldg. ............ N GAS I.C.E $ GAS FITTING FEES: NO. 3t o� 1st 3 Fixtures .......................... x $1.50 $ e."S Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. Base x 2.00 $ 1st 2nd _ 3rd _ 4th • Future Connection Openings Connected With Sewer El Now .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: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ e."S Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................. .........$ TOTAL FEE $ 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 applicati7. ,'-,are true and correct. s` Fridley, .Minn 19— Owner / ✓s z` Kind of Building}/ Used as ' To be completed about Estimated Cost, $ 1 Old—New. Building Permit No Permit No. I Signed d= P L U iI LDd ') 00! By— Business Phone No - ROUGH FINAL 42 2M 7-59 53 -8� -S-915.51 Application for Power Plants and Bleating. Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace .............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ y 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. EDR 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 $ P. over 3 gal. per hour—See Fee Schedule 4GAS BURNER (up to 400,000 BTU) ............ I .......... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL 4-" 13 - i - 5/ See Fee Schedule TOTAL FEE SIEGLER FIREPLACE HEATER $ 6.50— $6.50 t2so V -5d Dept, of Bldgs. Phone SU 4-7470 LocaMon 564 N. E. Rice Creek Terrace 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_ 3-19-73 , 19 _ Owner Charles Chesley Kind of Building r'ra Used as Res To be completed about 3 -26 - Estimated Cost, $ 10.00 Q s Old . Building Permit No. Permit No. DESCRIPTION OF WORN HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No Trade Name SIEGLER Size No SF -254E-2 Capacity Sq. Ft. E.D.R g 1 259000 —Hy. Total Connected Load 259 000 Kind of Fuel BURNER — Trade Name SIEGLER Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) 42 2M Business Phone No ' � 53 —81� -99].057. - �. • ' oil Oopt. of Sldoz. Phono 5x•3450 D :SCRIP a 2t3It OV V1011r ,;ae ' 564 RICO Qrnak Turn..& -Alt - Numb4r. Y.'z^ a_•td Y.ccr cI of yiybai•as •C t Water Beater 'Up to 99.000 BM a . ® x $3.00 $ -- ROUGH g 1 w � x .3.25 5..------------ � 7 i tr wxrt4 Hr*. r aS MC. No. R�T>e TOTAL 1st 3 Fixtures .... • • • • • • • • • � • •---------- y_ - Adclticnai Fixtures ...............-•-------- . C:s R;`^.;.e to 199.000 STV .:......... _ x S5.Co $------- . 5. oo 7 .50 State Surcha--ge ALTER.tlT10XS—ps:oY to Cod* , 5.00 } TOTAL l•T.:•E 5 --.,-------- . t Li 3rd t Haw Mtarv. Old Cerasin•% PARTIAL RATE 5�HEDULE sc�ssr C C City of Fridley.'. Tte undersigned hereby makes application for a permit for the, work herei specified, aGTeeing to do ail work in strict accordance with the.Cit7 Or.dirance and ruling dt the Dcp:k anent of tuild.'ngs, and hereby declarers that all the t&Ct and : ptestz:txtlotts stated ja Lhis appllcatson are true and correct' Fridley. Ntirtu 4-23-7619.._. (3wner t'haries 'he le - Kind aE Building frame Used as To be completed about 4—,30-76 - Err. 10.00ated Cost, S Old---bbw- 8.uilding Permit No. - Permtt TLiMING F XT ,--E RATES: xo. RATE TOTAL Number Fixtures s.nsnssoossmssoa . x $2.00. Future Fixture Opening o .. o .. - .. • . x $1.50 ~ Sew Fixture Old Opering a a a . s x $1.50 C t h IIa�in ......... 4. x $3.25 $ Signed By Busino.K.s Phare NoMINNIX-s G-9 -- Water Beater 'Up to 99.000 BM a . ® x $3.00 $ -- ROUGH • New Ground Run Old Bldg....:.. ®. .� � x .3.25 5..------------ ° E:Kttic dater Haat4r...'o • i n . s ... s . $, v�•W - F'jri�tie. s- p ' QRS r2TT11C FEES: No. R�T>e TOTAL 1st 3 Fixtures .... • • • • • • • • • � • •---------- x $2.00 $ - Adclticnai Fixtures ...............-•-------- x C:s R;`^.;.e to 199.000 STV .:......... _ x S5.Co $------- . 5. oo 7 .50 State Surcha--ge ALTER.tlT10XS—ps:oY to Cod* , 5.00 } TOTAL l•T.:•E 5 --.,-------- . SUBJECTP NO. City of Fridley o 16 4 61 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. / A , 7 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY. 612-571-3450 910-F15 111/17/81 JOB ADDRESS 564 Rice Creek Terrace N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Charles Chesley 564 Race Creek Terrace N.E. 571-3327 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R. H. Romens Construction 1605 Excelsior Avenue 933-4575 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING R.esidentlal 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑_ REPAIR ❑ MOVE ElREMOVE X 8 DESCRIBE WORK Replace studs, suing, sheetrock/damage caused by car hitting house 9 CHANGE OF USE FROM TO STIPULATIONS I SEPERATE PERF ItS PCQUIREO FOR S .. HEATING, PLUMBING AND SIGN& SEPARATE PERMITSARE'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 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,500 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- STRU TION OR TH PERFORMANCE OF CONSTRUCTION. $25.00 PLAN CHECK FEE TOTAL FEE y `' 25.75 IG ATU E, CONTRACTOR OR AUTHORIZED AGENT (DATE) H N PROP RLYA IDA ED IS IS YOUR PERMIT t- Si,Q3'NAT OF'OW NERIIF OWNER BUILDER) IDATEI GATE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PEIU41TS (New, Alterations, Additions, or Repairs) BUILDER: ADDRESS: TEL NO: �s� � � -7 — Construction Location STRIMT NO: STREET:A&,e---W a LOT: BLOCK: ADDITION: Corner Lot: Inside Lot:_ Setback: Sideyards: Applieantj"Attach to this form two Certificates of Survey of lot and Proposed building location drawn on certificates to scale. a DESCRIPTION OF CONSTRUCTION nt: Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square- Feet- Cubic Feet: _ Type of Construction stimated Cost: $ a C r 'Ib Be Oorapleted: _ Alt. A Alt. B Proposed Driveway Width if New Opening is Desired: $ $ SEE REVERSE SIDE OF SHEET . o Tile undersigned hereby makes application for a permit for the vlork- 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 de lares that all the facts and represen tions stated in this application are rue d correct. DATE: y�/ / ®X / SIGNATURE: e i Stipulations: v �� SUBJECT PE IT . City of Fridley 16757 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT NO. ',, ` _- COMMUNITY DEVELOPMENT DIV. r a PROTECTIVE INSPECTION SEC. , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J\ 612-571-3450 910-F15 9/9/82 JOB ADDRESS 564 Rice Creek Terrace 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Charles Chesley 564 Rice Creek Terrace 571-3327 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 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 face brick & reinsulate 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 1 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 835.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON— STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 16.00 PLAN CHECK FEE TOTAL FEE 16.50 RE OF CONTRACTOR RAUTHORIZ AGENT (DATE) EN PROPE Y ATED HIS IS YOUP/P/F"RMIT CIGN BLDG INSP DATE SIGNATURE OF OW NER IIF OWNER BUILDERI IDATEI v �� CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PER4ITS Ow. Alterations, Additioni, or Repairs) OWNER: CLAa,�& aLj.L ADDRESS: ,5( TEL NO: BUILDER: ADDRESS: TEL NO: Construction Location • STMMT NO: STREET: LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: 1­� Setback: Sideyards: Applicant attach to this fora two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Llra.r,—Front: Depth: Height: Square. Feet: Cabic Feet: Front: Depth: Height: Square Feet: tabic Feet: CrV Type of Construction: Estimated Cost: 7b Be Oompleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SID£ OF SHEET Me undersigned hereby makes application for a permit for the work herein specified, agreeing to co,all work in strict accordance viith the City of Fridley Ordinances and rulings of the Deixirtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: d SIGNATUIE: 0 Stipulations: P9^� 16.0o TV .Sa P SUBJECT PfROPIT NO. City of Fridley 18 6 59 AT THE TOP OF THE TWINS BUILDING PERMIT _ RECEIPT NO . ' COMMUNITY DEVELOPMENT DIV. 1 Y _____ r � I PROTECTIVE INSPECTION SEC. � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 9/23/86 JOB ADDRESS 564 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 1 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Ch.esley 564 Rice Creek Terrace N.E. 571-3327 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R. J. Risk Construction 7205 West Highway #10 Ramsey 55303 422-0742 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PH40NE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 231 x 1616" Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS WARNING SEPARATE PERMITS REQUIRED FOR Before digging call local utilities WIRING, HEATING, PLUMBING AND SIGNS. TELEPHONE - ELECTRIC a GAS Etc. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 $2.33 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,650 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- S CTIO OR THE PERFOR NCE OF CONSTRUCTION. $50.50 ip PLAN CHECK FEE TOTAL FEE P441 $52.83 SGNATUREO CONTRA TOR OR AUTHORIZED AGENT IDATEI WHEN PROPE RLYYALI DATED THIS IS YOUR PERMIT . - BLDG )NSP D E SIGNATURE OF OWNER OF OWNER BUILDER) )DATE) NEW [ ] City of Fridley Effective 4/1/8( ADDN . I ] R-1 AND _R 2 j ALTER. [ ] Building Permit Application Construction Address:�� � Legal Description: fir® �" /" p �r ��� ����� �� �� ��' Owner Name b Address: Tel. # 3 Z,7 Tel. #��a ® iY Contractor: 9 ` Address: W,�ir��r'. f 6 Jr iv, 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 AOAength 14 - Width __ v �® Width /'! �- - Height Height Sq. Sq. Ft. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Type of Construction: Lot C ' Ft. Yd. Setback 3 PAI.44 Estimated ✓� a® Side Yard Setback Cost: $ Approx. Completion Date: 0 Cid 31 19 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: --71174L,- Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: nt? Tel. # CITY USE ONLY . 06 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] LC€L SUBJECT City of Fridley 2 7 O6 3 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. `- a COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. r � 1 . I NUMBER REV DATE PAGE OF APPROVED BY I = /"'9 CITY HALL FRIDLEY 55432 A-0 "'' 612-571-3450 910-F15 8/10/98 JOB ADDRESS 564 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 Rice Creek Terrace, Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sandy Hyvare 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Schoenborn Const 5107 Drew Ave N Brooklyn Center 55429 533-9686 20032072 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 and garage (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 HEREA OR NOT. THE GRANTING OF A PERMIT $1668 .83 DOES NOT PRESUME TO GIVE T RITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P IS ONS OF ANY OTHER A R LOCA AW IEGULATIN CON- S RUCTION OR THE P RFOR AN E F CONS UCTION. 5l{. 0Q Fire SC 1.66 PLAN CHECK FEE TOTA EE License 5.00 .49 ILI- SIGNATURE OF T OR OR AUTHORIZED AGENT IDATEI - N BL INSF' MOPALIDAT HIS IS-40t �R� �1ATE SIGNATURE OF OWNER OF OWNER BUILDERi IDATEI ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:J �, 1� k CCS C 1C -e izkV e Legal Description: Owner IS Contract Address: Effective 1/1/98 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: MN LICENSE Tel. # t 33 - C( % r9f Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Il"ROVEMENT Length, SD Width 1 �� Height �_ Sq. Ft. Length Width Height Sq. Ft. Length —� Width Hgt/Ground Sq. Ft. ?'0 _ R r% i j Q n 10 A -P F–:— Driveway Curb Cut Width Needed: DATE: C� Ft. + 6 Ft = APPLICANT&,U� Estimated Cost: $ (Fee Sche ule, on Back) Ft $ CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 166 .001 of Permit Valuation (1 / 10th %) . State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ . UC% $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 $ Co STIPULATIONS: