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PRE 2010 DOCSCity,of Fridley, Afinn. Address Address r L®C T ®N OF BUILDING No. Street ° Ll ®. e Part t Lot _ _ ',� _ _ _ Block _ Addition or Sub -Division . Corner Lot _ Inside Lot _ Setback __ _ Sideyard X -1 Sewer Elevation Foundation Elevation DESCRIPTIONOF r Used T;01/ :70"4h it Depth HeightI ti Front Depth Height Sq. Ft. Cu. Ft O-e-7-0�7 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 fpjW and in comPlialkee th. all provisions of ordinances of the city of Fridley. 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 worlunen, 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. _ Building Xnspector NOTICE: Tris permit does not cover the can.. coon, installation for whi ng, plumbing, gas beating, sewer or water. Be sure to we the Building inspector for separate permits for these home. City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORE Number, Kind and Location of Fixtures LocaBon PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: RATE TOTAL 12 `0 5'0 x $1.50 O 9 , �1 U' � •F •N WATER HTR. GAS ELEC. Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... c <.0 3 New Ground Run Old Bldg. ............ x O $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 -$-1-1-Q0— $ /1-0Additional AdditionalFixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: RATE TOTAL `0 5'0 Number Fixtures ......................--7 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 $1.50 -$-1-1-Q0— $ /1-0Additional AdditionalFixtures .................... 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 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 fact and representations stated in this applicatioxl are true and correct. 44 Fridley Minn Owner Z' ' Kind of Building Used as a To be completed about Estimate Cost, $ d Old New uilding Permit No a `E Permit No. 02D Signed der. By -a -e ®. Business Phone No �-� ROUGH / v FINAL 42 '2M 19-468 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 .......................... 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 $ e) Replacement of Furnace ............................. 5.00 Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM ' Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... 8.00 $ Furnace Shell & Line—to 640 sq. ft. 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 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 $ See Fee Schedule $ _ TOTAL FEE $ 0 '� Dept. of Bldgs. Phone SU 4-7470 Location z z a ��'� 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 19 Owner I e4z Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No.oZ _ DESCRIPTIO OF WORK BEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load J� Kind of Fuel— BURNER — Trade Name Size No - Capacity Sq. Ft. E.D.R BTU H.P. SUBURBAN F.EP.T!"IC, & SHEET METAL 5419 CENTER' D ii NVE s e MINNEAPOLIS 34, ign -- 4z 2M Business Phone No- (REMARKS -OVER) �H D-3642 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS .° FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Guide Windows I Doors Reference Out. Wall jI Int. Wall Ceiling Roof Floor Kind Yes—No Yes—No 19— Fl `A . �_, Room T Length I Width 4r "' Height FI.)Room I Windows and Doors—Crackage and Area Windows and Doors—Cri Width Height No. of Lineal ft. Area Width Height No. No. of pane of pane lights of crack sq. ft. No. of pane of pane lig: 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ) FI.i iy j -Ti )voml Length_7) ,' Width % f J Height Windows and Doors—Crackage and Area I Length --�' width Width Height No. of Lineal ft. Area No. of pane of pane lights of crack®® sq. ft. Wldth Height AA DAO vo Ilghte of crack eq. ft. Coef. Btu Coef. Btu Infiltration -„ GlassSUE Exp. wall 7 61 Glass Net exp. wall iEE tel® 0' /101/ Exp. wall Ceiling Net exp. wall Floor Int. wall Ceiling+ Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ) FI.i iy j -Ti )voml Length_7) ,' Width % f J Height Windows and Doors—Crackage and Area I Length --�' width Width Height No. of Lineal ft. Area No. of pane of pane lights of crack®® sq. ft. Wldth Height F2 J No. of pane of pane Ilghte of crack eq. ft. Coef. Btu Infiltration GlassSUE Exp. wall Net exp. wall tel® Int. wall Ceiling Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area M- , j Tfi fi AUq%L I Length --�' width Windows and Doors—Crackage and Area Wldth Height No. of Llneal ft. Area No. of pane of pane Ilghte of crack eq. ft. 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 Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Insulation How Applied Width Height 8 e and Area Aneal ft. Area of crack I sq. ft. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1Room I Length Width Windows and Doors—Crackage and Area Width I Height No. of Lineal Lt. Area No. of pane of pane lights oL crack sq. ft. a 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 RED Room I t.ength I 5V Width Windows and Doors—Crackage and Area Width I Height I No. of Lineal ft. Area No. of pane of pane Ilghte of crack I sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall _ Ceiling _ Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. Y.A. Leader area Btu Btu Date: Jules 1_6 1965 Owner: BEAN RICHARDSON Address 581 Rice Creek Terrace Fridley, Minnesota I -P 11:�� s� N1 8201 k Builder WDM INC. Address Box 1 Circle Fines, Minnesota LOCATION OF BUILDING No. 581 Street RICE CRZ'R:K TERRACE Part of Lot Lot Block Addition or Sub -Division Corner Lot._ Inside Lot Setback Side -yard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front — Depth Height Sq. Ft. Front Depth Height Sq. Ft. Type of Construction Est. Cost $244 000•CO To be Completed REBUILD DUE TO STORM DAMAGE Cu. Ft. Cu. Ft. 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 ;J1 provisions of ordinances of the city of Fridley. �� i _ _ — /J In consideration of the payment of a fee of $ ___ ._, permit is hereby granted to DM RICHA_R=N 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 thereofonshall conform in all respects to the ordinances of Fridley, �> city 11-1 and this location, construction,evked a t any times up violation repair ff any f tthheprproovisio b.41.441-- withinofsai ordh mcaL this AI,yEN G. JENSEN NOTICE: rab pmm* does set offer the eonstrnadoe, kwhffldbo for v kk*, phimbtng, gas hen&& sawar or wdar. Ito sure to see 69 SuNding bspe for for sgwaft pwnft for these tfams. AW 9 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME.', c @ ° BUILDER ADDRESDRESS' LOCATION OF BUILDING N0, STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attar to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To used a ' 9 �/ ee Front Depth Height P g Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Type of Construction �, r7 �� Estimated To be completed ( (/ /Y�oJ Cu. Ft. Cost �-----------_ 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. DATE -1.1- ,5 SIGNATURE (Sch ule of Fee Costs can be found on the: Reverse Side). y • a s APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT ee CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:, ®u c tl Ai '* R 12 Y F°'&ILDER : Sri ADDROS : ®, S'�/ �i c E �,p FFI� )E,e,4 j L!-- ADDRESS: NO :. &'Pl STREET: �, c E < , ---'k 7z Ao <F LOT: `? BLOCK: ADDITION: R,c e',ep.-k 7e- pkgcr!�- 6,q CORNER LOT: INSIDE LOT: t0 SETBACK: SIDEYAR.D; Applicant attach to this form Two Certificates of Survey of ]Got and proposed building location drawn an these Certificates. DESCRIPTION OF BUILDING To Be Used As: rd -o4 SI -/,F4 Front: la 6s ,r Depth: 6 Height: ! Square Feet: �i Cubic Feet: `�D 4 Fronts Depth; Height: Square Feet; Cubic Feet: /,S-0,00 O0 Type of Construction: W oodl FRAAE Estimated Cost:.l 29ffga�=_^ a .e, To Be Completed: R Y F0 4 o F SEPT fH fi et 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: ad_'�1, r I cl I SIGNATURE: (Sea Reverse Side For Additional Infoxmtion.) 3 3 � ! as orifi. Itill 1,11111a,11.1iiiii S Si 1 Bast IK bd ■ PARTIAL RATE SCHEDULE PLUMING rucrum RATM- Number Axtutes .... w ...... a .... Nam &- ruftm > ...Z...... -110.0 . Newrhaum � opt.......... Nam >� faty,. ed Basis ............. ! ! «! ! ! ! Water Heater v. p to f,w RM.... Newr Grmmd Rutin Old BW .. « s ► .. w a MaS GAR rrrrnm rcm im RAIZ TOTAL let 31F MUM" ................. Zana AddMond /yamnage raftives......... .. a .... b.. a.......... ♦ h . v. s Rto lf.y� BTU .. s w .....1.. n Mis f.` State Surcharge $ .50 2MAMS it ALTEMATt to Cie Dwalptima..•aw.>opalsa.«.....,l...l....... 0a... -5- TMAL 6 City at MOW. The used hereby males application for s permit tar thec work herei,,- speciRed,, agreeing to do aII woo in strict aeemdance with the City _ r- and ruling of the Departaneat of Building. and hereby declares that all the fadzl- and representations stated in tbis application ane true and eorrect A e CI'T'Y OF FRS L.EY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 August 16, 1979 Mr. David Schurr 851 Rice Creek,Terrace N.E. Fridley, MN 55432 .Re: Electrical Service Dear Mr. Schurr: It has come to our attention that the electrical service to your home As in need of repair. At present its in a hazardous condition. We will eiipect that it be repaired very soon or a disconnect order will have to be made. If you have'any questions on this matter, please feel .free to contact me at 571 -3450 -between 9:00 am and 10:00 an any weekday at City Hall. Sincerely, LEONARD EICHMILLER Electrical Inspector LE/mh suedEcr MI City ®i Fridley 2 0 9 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT i i ......... COMMUNITY DEVELOPMENT DIV. C�'CY r PROTECTIVE INSPECTION SEC. �^ I NUMBER REV GATE PAGE OF APPROVED BY l CITY HALL FRIDLEV 55432 IL ---- 11.� �'� 612-571-3450 910-F15 4/26/93 JOB ADDRESS 581 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Thompson/Janet A,rrell 581 Rice Creek Terrace 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 Ij REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroo:� I -louse & Garage (28 Sq�uuaresl 2nd Lager 9 CHANGE OF USE FROM TO STIPULATIONS Roe;�ing can be the 2nd lager 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 I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $1x512 $" 76 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 OTH AT OR LOCAL LAW REGULATING CON- STRUCTION OR P E OF CONSTRUCTION. $37,GO Fire SC $1.51 PLAN CHECK FEE TOTAL FEE Y`og6 ? $39,27 AGENT (DATE)' NATUR �OWNEBUILDER, Y_7�1,N HEN :FERLY,2ZIDAD THIS IS YOUR PERMIT / A TURF Or D NIR OF IDATEI BLDG lNSP _ MATE NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 5 S i R 1,C e C re e j e f ra c e Legal Description: L cot i Rete Ic p i c e- Cr. T<� r r, Plat '7 Owner Name & Address: -7—o m 7-h om �)S'ayN Z may e`f 9fre i t Tel. # S71-9/22 Contractor: s e Address: MN LICENSE # 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 Hgt/Ground Sq. Ft. OTHER: PC - f -o0 o�"j ayes - 0.4er�x Comer Lot [ ] Inside Lot [ ] Ft. -Yd Setback Side Yard Setbacks U Type of Construction: Estimated Cost: $ Approx. Completion bate: m a v 1�3 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: C-013 APPLICANT:� � 6�;� - Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] t City of Fridley SUBJECT _.. •.--- 25046 AT THE TOP OF THE TWINS BUILDING PERMIT( Ir IPT NO. i v ______ COMMUNITY DEVELOPMENT DIV. _ r 1 PROTECTIVE INSPECTION SEC. (G_­3 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BV 612-571-3450 910-F15 5/9/97 JOB ADDRESS 581 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Thomas Thompson 581 Rice Creek Terrace NE 571-9179 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 0 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 16' 3 Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for, all utility locations SEPARA'T'E PERMITS REQUIRED FOR 454.0002 WIRING, HEATING, PLUMBING AiND SIGNS. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $5,783 $2.89 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $112.25 Fire SC $5.78 STRUCTION OR TPER CE OF CONSTRUCTION PLAN CHECK FEE TOT FEE 0.92 SIGNATUREO ONTRACTOR RAUTH R12EDAGENT IDATEI ENP O VALIDA THIS IS YOUR PERMIT BLD IN DATE SIGNATURE OF OWNER0F OWNER BUILDER) IDATEI NEW [ ] ADDN] ALTER [ ) ConstructionAddress: Legal Description: Effective 1/1/97 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Rice- Creek l c r f' -& C <� Owner Name & Address: �- 1 D c3 S Ota 30'1'1 Tel. # 57/- ?1"Contractor: Contractor: MN LICENSE # Address: Tel. # $__,2_ - l Attach to this application, a Certificate of Survey of the SAC Charge lot, with the proposed construction drawn on it to scale. $950 per SAC Unit DESCRIPTION OF IMPROVEMENT LIVING AREA: i Length % Width 1 rg,. Height _ Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:1:��i e& ` �� `O 2�;e Z Construction Type: Wad oL F-ra me Estimated Cost: $ % a0c) Fee Determined by Engineering (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ' a� ' �'7 APPLICANT: Tel. # 5 CITY USE ONLY Permit Fee $ , 2� Fee Schedule on Reverse Side Fire Surcharge $ 73 .001 of Permit Valuation (1/10th%) State Surcharge $__,2_ - l $.50/$1,000 Valuation SAC Charge $ $950 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 STIPULATIONS: ag sJoha�✓ns 3� S✓a` uf�u7 .?Nl ' PNIN.73NON3 Nb9n9nS ju Aiop - aw `q- pa`iaA✓ns s y puol pros to ✓o a f ' huoji' sluawy�nama a1glsm //o pun ' uoajv ` 4vu,P n9 //Die uoyalof puO `tel Pg9''"�° ato4o ayf� sai✓opuno9 xW� %ia,i✓ns oJo uo� fv fuasasda� ��a✓� puv anq n si s11# ioyl �ifi f�a� iiga�2y/ • t '' t i CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 U Effective On January 1, 1997 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES JOB ADDRESS 58 I ff'ce- C r • Ter P. " Ff' d lex RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) l y -Z' Y ,1997 Gas Piping (Needed with new furnace) $10.00 $ '_T�70meS6,'1 /77 OWNER. ?i e' 577/ -?/ %`I Gas Range $10.00 $ BUILDING USED AS h®m e - Gas Dryer $10.00 $� �o _ESTIMATED COST ® PERMIT N0. � �c,�'C! *Air Conditioning - All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) at/cf Trade Name Size No, Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ 50 Burner Trade Name Size No. TOTAL FEE 6;0 BTU HP EDR $ o� s Vi HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By 6 Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE E STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CH NffgEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefiilly .examined a . Yes O Wo ( ) 2. Is free from rust`ordeterio `ration Yes O No ( ) 3. Has no foreign objects lodged within Yes O No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes O No ( ) 6 Has total heating BTU's of All other BTU's V sUBJECT' T NO. City of Fridley 2 9 9 07 AT THE TOP OF THE TWINS BUILDINGr PERMIT CRAI RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE 1 REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 INUMPER 612-571-3450 910415 7/20/99 % JOB ADDRESS 581 Rice Creek Terrace NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 • Ce Creek SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Thomas Thompson - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 T!f ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and ara a=Tear-off-. Construct 1 x 81 12orCh on front 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Variance of porch approved by Appeals Commission on 7/14/99 for front yard setback. w See stipulations on plan.■ Bdft digging tai fot n!1 utility *19003 4�+t�Ofl02 TE PERMrrs - REQut . REQUIRED BY LAVA N HEATING, PLUMBINe AM.� 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 80 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 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 r $8000 $4.00 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 153.25 Fire SC 8.00 PLAN CHECK FEE TOTAL FEE 165.25 SIGNA ONT CTZWDWR—AUTHO5gp6 AGENT tOATEt WHN P Y VA ED THIS IUB PEf�✓ Irl .N GATE SGN4fURE OF OWNER dF OWNER BUl Ri tOATE� V NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY A ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION i Construction Address: k i C e cre-e1 � Tvraoz Legal Description: Owner Name & Address: 7- ' o rrt cp S 7)1om 42sclh Tel. # 612- -7 /-'7 1 "7 ? Contractor: Se 1 f MN LICENSE # Address: — same . Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length DESCRIPTION OF BIPROVEMENT Width Height Sq. Ft. ARA E AREA: Length Width Height Sq. Ft. AREA: Length Width �' Hgt/Ground Sq. Ft. OTHER: goof to @ r o� !? -c., , roof Construction Type: Estimated Cost: $ 3 DO Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge APPLICANT: Tel. # CITY USE ONLY $ 8. 04> Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alta "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: Q PTfOved gym"