PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 3417
Date: ... �...... ............... .....
Owner ....................................... Builder.fes! .. .......... ..........
Address...................................... Address ............................................
LOCATION OF BUILDING
No. .. . !. Street . Are+ ... Part f Lot . , .......... ........... �J
Lot ... ..... Block ...3 ........... Addition or Sub -Division . llrf?Zit!x
Corner Lot ............ Inside Lot .. ........ Setback J.�T:7.5 E Sideyard ...................
DESCRIPTION OF BUILDING
To be Used as •
• Q o
.... .... Front d. f.: Depth ��.., ` d Height l .f7. ® Sq. Ft. 10. �•. f cu. Ft. �'C.04,4e�
.................... Front ........ Depth ........ Height.. Sq. Ft......... Cu. Ft. ........
a •
Type of Construction ................... hist. Cost. Xs.. � �:....".—To be Completed .................. .
In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set fo d in planeth all provisions of
ordinances of the city of Fridley.
.. .�.:G .mss. �.................... .
In consideration of the payment of a fee of $:l.. , permit is hereby granted to ................... .
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
... Building Inspector
t
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
303id�
City of Fridley.)
Date: _ AUGUST 3041965
Owner: MORT ACHTERKIRCH Builder TAYLOR MAID HOMES
Address 612 Rice Creek Terrace Address 1201 Highway J48
Fridley 32, Minnesota New Brighton, Minnesota
LOCATION OF BUILDING
No. 612 Street Rice Creek Terrace part of Lot
Lot 3 _ Block 3 Addition or Sub -Division Rice. Creek Terrace Plat 7
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation
To be Used as:
Front
Front
Type of Construction
Foundation Elevation
Depth Height Sq. Ft. Cu. Ft
Depth Leight Sq. Ft. Cu. FL
Fst. Cost _ 1§_p 6 00 _ To be Completed
REBUILD DUE TO STORM DAMAGE
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set and compliance with 21 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of1$ -10- 00 , permit is hereby granted to, 4R MID
HOMES 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.
NOTICE:
'ebb penub dose not cover the construd lon, hwuMan for whb& phnnhing, gas headn& cower or water. Be sure to we
the ftffdlng inspector for separate permits for
I
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME f, 1__f CkC UILDERe J A/044 e�
ADDRESS 5�e h(Me4 ADDRESS 0 R-' �c t i/ iz,i
LOCATION OF BUILDING
N04 STREET PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Costx 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,
DATE .' 3 & 6 S SIGNATURE A a,
(Schedule of Fee Casts can be found on the Rdverse Side).
,.-
l�
SUBJECT
PEaR.
of Fridley
9
AT THE TOP OF THE TWINSBUILDING
PERMITRE
rCity
' COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r � � PROTECTIVE
NUMBER
REV.
DATE
PAGE OF
APPROVED BV
CITY HALL FRIDLEY 55432
1 612-571-3450
910-F15
7/19/84
JOB ADDRESS 612 Rice Creek Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION SEE ATTACHED
DESCR.
3
3
Rice Creek Terrace Plat 7 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Diane M. Achterkirch 612 Rice Creek Terrace N.E. 571-3112
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 1 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
re -roof
9 CHANGE OF USE FROM TO
STIPULATIONS
Install ridges galvanized valleys. New roof can be 2nd but not 3rd roof.
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
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
$1,000.00
.50
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-
17.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
18.00
SIGNATURE OF CONTRAC R OR AUTHORIZED AGENT 7f (DATE)
bj
HEN PROPERLY VALIDATED THIS IS YOUR PERMIT
®up
"' BLDG WSP GATE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
l�
NEW [ ] City of Fridley Effective 4/1/84
ADDN. [ ] �R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: I//' ) & �p-
Legal Description: l- �f Q /� `3 �� c e ��' e e T G L. -
Owner Name & Address: e�'/�//'-_ Tel. #
Contractor: ® V)A/ 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/Ground Sq. Ft.
OTHER: ,e
a®4
Corner Lot [ ] Inside
Lot [ ]
Ft. Yd. Setback
_ Side Yard Setback
Type of Construction: 4et-,a�gSS
Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: �- cf4-/ APPLICANT : ° �" ' Tel. -71 - ?
CITY USE ONLY
Permit Fee $ ( �i .Sd Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ .S-0 $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit '
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS•
, ..
SUBJECT
P MIT NO.
City ®f Fridley
(
2719 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
-
COMMUNITY DEVELOPMENT DIV.
REIPT
1 gyp.
PROTECTIVE INSPECTION SEC.
�L
r
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/14/98
JOB ADDRESS
612 Rice Creek Terrace
1 LEGAL
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
ILOTNO.
3
3
Rice Creek
Terrace Plat 7
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP
PHONE
Deb Santillo
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
M.P. Johnsen Construction 8011 60 1/2 Ave
N New Hoe 55428
720-3025 20146064
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 E REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (23 Sq) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1918
$.96
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OFA Y OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION O TH PERFORMANCE OF CONSTRUCTION.
$62.25
Fire SC $1.92
PLAN CHECK FEE
TOTAL F
Licens $5.00
$W13
SIG U EOF CONTRACTOR OR AUTHORIZED AGENT IDATEt
EWP OP ALIDAT
810 INSP 6rTATE
T IS Y R PERMIT QD
n
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ]
ADDN [ l
ALTER [ ]
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor:
Address:
Effective 1/1/98
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
61 I
MN LICENSE #
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: Len Width Hgt/Ground Sq. Ft.
OTHER: (' 0Llu!�f(S�
Construction Type: —=—fit Estimated Cost: $_
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: �PPLICANT: Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ �
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 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
$ 13
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMRFR OF FIXTI 1RFS Tn RF INCTAI 1 Fn nM Peau M nnQ
Effective On Jan 1, 2000
y'
CR •
Old Opening, New Fixture
Q' �Men=
Beer Dispenser
$ 5.00
Blow Off Basin
in'T Mal
�® �'R
$ 7.00
Lam®
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas**_
$10.00
Gas Range"
$10.00
Gas Dryer"
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas**_
$10.00
Gas Range"
$10.00
Gas Dryer"
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$ .50
$ 50
JOB ADDRESS9ilsG� —re-). Nic.
The undersigned hereby ma es 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 fuilding Division, and hereby declares that all the facts
.and representations stated in this application are true and correct.
Owner v "''� C ® I Devra-_;
Building Used As �IE61IID�11J CZ
Estimated Cost PERMIT NO. p
PLUMBING COMPANY PL1JnaAJ CA
SIGNED BY
, , Approved By
TEL N0.61,7 -8Z740 �3
Rough -In Date Final Date �
NY PL t 1MR1NrZKze S PERMIT Ic a,2n nn h;;k�
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE