PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® "08
Date:
1
Owner: Builder
Address _ Address
,PCA®1 OF BUILDING
NO. d_ Street _ - d,.._.._. _... _ Part of Lot
Lot w lock _ Addition or Sub -Division
Corner Lot _ Inside Lot __ Setback - Sideyard
Sewer Elevation _ _ _ _ _ _ _ _ _ _ Foundation Elevation
DESCRIPTION OF BUILDING
Front Z Depth Height - Sq. Ft.
Front _ Depth eight Sq. Ft. Cu. Ft j
rs .
Type of Construction
o be Completed
' Est. Coit
- -
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.
In consideration of the payment of a fee of $ jA Otz_ _ ., 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 violationany 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 hems, c
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
No. Street Part of Lot
Lot& I Block Addition or Subdivision , 4XI?rr,�J�/1z, ��,a _.?Ad�
Corner Lot Inside Lot Setback Z.� Side -Yard Z
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and.proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
aq. rz./u4 7 %:u. rz.,! 4.,Ag.U-a6.,-
(A
6., ...
Front__�___,_� Depth Height
Sq. Ft. Cu. Ft.
Type of Construction 4aU-=L Estimated Cos tLg��3 00
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 Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facto and representations
stated in this application are true and correct. _
(A Schedule of Fee Costs can be found on the Reverse Side.)
Application for Power Plats and Heating® Cooling, Ventilation, .Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU. 4.7470
GRAVITY WARM AIR: RATE TOTAL, Location
Furnace Shell & Duct Work .......................... 8.00
Replacement of Furnace $ City of Fridley: _
............................. 5.00
The undersigned hereby makes application for a permit for the work herein
Repairs & Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances
Repairs &Alterations each add. $500.00 ............... 2.50 and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are a and correct.
MECH. WARM AIR idle Minn 19�
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
,.. _
each add. 60,000 BTU ...._, .................. 2.00 Owner
Replacement of Furnace ............................. .P.00 Kind of Building
Repairs & Alterations—up to $500.00
............ 5.00 $ , Used as r ►
Repairs & Alterations each add. $500.00 .......:....... 2.50 $
STEAM or HOT WATER SYSTEM To be completed about
Furnace Shell & Lines—to 400 sq. ft. EDR Steam_ .... ,.. 8.00 $ - Estimated Cost, $
qFurnace Shell & Line—to 640 sq. ft. EDR Hot Water . 8.00 $ =i �%7®� permit No.
Old–. Building Permit No.
Each add. 200 sq. ft. EDR Steam ...................... 2.50
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ s DESCRIPTION OF WORK
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Nam "a4knf 2%
Size No-
GAS
o GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
Capacity S . Ft. E D.R BTU H.P.
GAS FITTING FEES: NO RATE TOTAL F
1st 3 Fixtures $ Total Connected Loa Kind of Fuel
41
x 1.50 $
Additional Fixtures ................. x .50 $
BURNER — Trade Name Size No
Gas Range to 200,000 BTU ........... x 2.00 $
Capacity Sq. Ft. E.D.R BTU H.P.
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM It
ALTERATIONS & REPAIRS TOTAL FEE $ Sign
ROUGH
FINAL
(REMARKS—OVER)
a z2M 7-59
s
D-56 7 9 g"'. c . fb .
HEAT LOSS CAL & ATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E, Construction No.
Guide.
Widows I ors Reference Out. Wall Int. Wall Ceiling Roof Floor
No es
'` es No 19—
R__ I
9—R,...,..I I..—th W,,It}. II A FI I _
Windows and Doors—Crackage and Area
!\Will I LC"Is1 �
Width Height No. of Lineal ft.
No. of pane of pane li hts of crack
Area
sq. ft.
0 fa
)o
Width Height No. of Lineal ft. Area
No. of pane of pane llghts of crack sq. ft.
Coef.
Btu
24
>/
Coef. Btu
Infiltration
Coef. Btu
0
Exp. wall
1,2
Glass
Net exp. wall
IX L
Int. wall
Exp. wall ,I
A Sx
Ceiling j .
Floor
Net exp. wall
Int. wall
Net exp. wall
Int. wall
f �
Int. wall
I
Ceiling
Floor
Ceiling
Floor
'
Total Btu. y
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ F1.1 e Room I Length J 4, Width /z? Height
Windows and Doors-Crackage and Area
!\Will I LC"Is1 �
w lut"
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Windows an
boors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane llghts of crack sq. ft.
Coef.
Btu
Infiltration
Infiltration
Net exp. wall I YO
Glass
Coef. Btu
0
Exp. wall
1,2
! ' ,I 1,'
Net exp. wall
IX L
Int. wall
Int. wall
Exp. wallx
a
Ceiling j .
Floor
Net exp. wall
Int. wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Total Btu.
/t Als,j�o
MINNE°OLIS, MINN.
Insulation,��
Kind
Rmm I Lenst:h Arg Width An Height t'
Windows an oors—Crackage and Area
!\Will I LC"Is1 �
w lut"
I W%111
Windows an
boors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane llghts of crack sq. ft.
T-a
®o i (j rr'
Coef.
Btu
Infiltration
Net exp. wall I YO
,T
Coef. Btu
Infiltration
Ceiling OV
Floor
1,2
! ' ,I 1,'
Glass
IX L
Int. wall
SD
Exp. wallx
a
®
Net exp. wall
Int. wall
d 1v
f �
Int. wall
Ceiling
Ceiling
Floor
'
Total Btu.
/t Als,j�o
MINNE°OLIS, MINN.
Insulation,��
Kind
Rmm I Lenst:h Arg Width An Height t'
Windows an oors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq, ft.
Width Height No. of Lineal ft. Area
No. of pane oJf pane lights of crack sq. ft.
® Al
Coef. Btu
Infiltration
Coef.
Btu
Infiltration
Net exp. wall I YO
,T
5, ', A
Glass
Ceiling OV
Floor
1,2
! ' ,I 1,'
Exp. wall I
IX L
Int. wall
Net exp. wall
Ceiling
eg
Floor
®
j
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
P1 I ., -0 Rnnm I Length / e Width / h Height P
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq, ft.
y(� -
Coef. Btu
Infiltration
Infiltration
Glass
Exp. wall !D-- y IF . LI
5—b (9,;-o'
Net exp. wall I YO
1 190
Int. wall
Exp. wall
Ceiling OV
Floor
1,2
Total Btu. I Y`J F
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
d F1.1 11W. _'` Room I Length 1.. t' Width Y 6 Height _"
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft..
y(� -
Coef. Btu
Infiltration
3 /
Glass
C,,
Exp. wall
Net exp. wall
�j�c'
o
Int. wall
Ceiling
eg
Floor
Total Btu. Iyj 'cam+'`
'� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area - + II ''Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
D-56 r v
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
WeatherstripsA.S.H.V.E. Construction No.
Guide
ndows I ors Reference Out. Wall Int. Wall CeilingRoof Floor
s No —No 19—
Fl.1 Room I Lenath JP Width I Height P II F1.1
Widows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack ' sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Coef.
Btu
Infiltration
Exp. wall
J P
Net exp. wall
Glass
• Int. wall
—0
Exp. wall,
Floor
Net exp. wall
Int. wall
C�
Ceiling t
Floor
Total Btu. I j
Required s3. ft. E.D.R. or sq. ins. W.A. Leader area
FI.I Room ( Length J Width A" Height X
Windows and Doo s—Crac ge and Area
Width Height No. f Lineal ft. Area
No. of Dane of pane lig s of crack sq. ft.
A 2,
r
Coef. Btu
Infiltration 7 $ y r0t Q
JExpGlass /J-
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 Lenath 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. ins. W.A. Leader area I ,
MINNEAPOLIS, MINN.
Insulation
Kind How. Applied
Room I Lenath 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. 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 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 Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of.pane lights 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. W.A. Leader area
Btu
pity of Fridley, Minn.
BUILDING PERMIT1�-( E03
1)
Date: =�—'"�' �" "�
Owner: Builder 3
Address Address
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.
In consideration of the payment of a fee of $ t_ . , 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 viola on of any of the provisions of said
ordinances.
' Building Inspector
NOTICE:
This permit deet not cover the construction, installation for whb& plumbing, gu heating, sewer or water. Be sure to we
the Building inspector for separate permits for these items.
APPLICATION FOR BUILDING PERKIT
CITY OF FRIDLE$, MINNESOTA
Owner's Name Bu
Address Address '
LOCATION OF BUILDING
'_ '9No,,� streets Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
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:
Front Depth Height
sq. Ft. lim Cu. Ft.
Front Depth Leight
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 ruling of the Department of Build-
ings, 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).
y r w
constructed will be required beforeProceeding ' "•v -
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City ®f Fridley, Nffim
BUEUDINGT w® 7462
Owner: anines DMOU._ Builder 0. Re Anderberg
Address Al Rise Ctfink TQz=8 Address 2923 Oakland Ave.
LOCATION OF BUILDING
No. 6._— Street Rla& Creek Terrace -- Part of Lot
Lot 1 & Outlot AkWk 2 Addition or Sub -Division . Brookeiew Terrace 3rd.
Corner Lot Inside Lot — Setback — Sideyard
Sewer Elevation 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 — _ 12Q __ To be Completed
Replace entire roofs cracked or split structural
material. Replace garage.
Add.
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 a compliance with all provisions of
ordinances oP the city of Fridley.
In consideration of the payment of a fee of 3D.00 , permit is hereby granted% vim•
Anderber to construct the building or addition as described above. This permit ismgranted 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:
'lilts penult does net cover the construction, hwaiiation for wiring, phunhing, gas heating, s wer or water. Be sure to see
the Building Inspector for separate permits for these keno.
APPLICATION FOR B' ING PERMIT
CITY OF FRIDLEy XMSOTA
OWNER'S NAME BUILDER Al
ADDRESS . ��� . 2�?� dl�l - ADDRESS aZ JaK
LOCATION OF BDING
4
No, Street Fart. of, LotAas
Lot % Block-_
Addit.ioar or Subdivision C�_
Corner Lot Inside Lot ,Setdxk Side -Yard
SEWER ELEVATIpN FOUNDATION ELWATION
Applicant.attach to thit form, Two Certificates of. Survey of Lot and,proposed�build-
ing location drAva on these Certificates.
DESCRIPTION OF BUILDING
Ta be used es:
ITZL
�'
Prone Depth Height
5q. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost,.
_,fib -.be _S,onap]-eted '
F .
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 flacts,and
representations stated in this application are true and correct.
jSchedule of Fee Costs can be found on the Reverse Side).
4 . .
p
4
APPLICATION FOR B' ING PERMIT
CITY OF FRIDLEy XMSOTA
OWNER'S NAME BUILDER Al
ADDRESS . ��� . 2�?� dl�l - ADDRESS aZ JaK
LOCATION OF BDING
4
No, Street Fart. of, LotAas
Lot % Block-_
Addit.ioar or Subdivision C�_
Corner Lot Inside Lot ,Setdxk Side -Yard
SEWER ELEVATIpN FOUNDATION ELWATION
Applicant.attach to thit form, Two Certificates of. Survey of Lot and,proposed�build-
ing location drAva on these Certificates.
DESCRIPTION OF BUILDING
Ta be used es:
ITZL
�'
Prone Depth Height
5q. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost,.
_,fib -.be _S,onap]-eted '
F .
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 flacts,and
representations stated in this application are true and correct.
jSchedule of Fee Costs can be found on the Reverse Side).
4 . .
z
s
O 1vv * A) derbery Canrpa, Ny
,Vebleral G'wractors 2923 OAKLAND AVE., MINNEAPOLIS, MINN. 55407
TAYLOR 4-2605
May 110 1965
PERMIT APPLICATION
Job Address: 651 Rice Creek Terrace
Property Owner: James Dougall
Description:
Replace entire roof; any cracked or split structural
material. Replace garage
Estimated Cost: $12,000,00
City of Fridley
/application for Phmdgng and Gan
Dept. of Bides. Phone NO -3W
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
®
x $2.00
$
Y
a712
S aD�
6
V.3
<
x $1.50
z
(� V z ►
WATER MTR.
N GAS ELEC.
Base
$
Water Heater (Up to 99,000 BTU) ....
x $3.00
$
New Ground Run Old Bldg.........
x $3.26
$
Electric Water Heater ..............
: $2.00
1st
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ................
2 x X00
$ 2.00
Additional Fixtures ..................
x $ .75
$
Gas Range to 199,000 HTU................
2nd
$
install (1) gas grill & (1)
lite
6.00
3rd
4th
• ruture Con -action Openings
* Now Fixture. Old Openings
Coaseeied with
Sewer
Cesspow
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................
x $2.00
$
Future Fixture Opening ...........
x $1.50
$ _
New Fixture Old Opening ..........
x $1.50
$
Catch Basin ....................
x $3.25
$
Water Heater (Up to 99,000 BTU) ....
x $3.00
$
New Ground Run Old Bldg.........
x $3.26
$
Electric Water Heater ..............
: $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ................
2 x X00
$ 2.00
Additional Fixtures ..................
x $ .75
$
Gas Range to 199,000 HTU................
x $5.00
$
install (1) gas grill & (1)
lite
6.00
REPAIRS & ALTERATIONS—Refer to Code
Description ............................................... ;
TOTALFEE ; 8.00
53-84-5915.51
LocasuL 651 Rice Creek Terrace
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 aR the fact
and representations stated in this application are true and correct
Fridley, Miry_.- Jane 9. 1972 19—
Owner Chas. Meadowcroft
Kind of Building frame
Used as residence
To be completed about June 14, 1972
Estimated Cost, $ 20.00
Old-XNew. Building Permit No. Permit No. J60J4
Signed.
Business Phone No
ROUGH
FINAL
at s -A, ' Surcharge .SGS
Application %r Power Plants and Hewln% Cooling, Vemeattns RetEigeration and
Air Conditioning Sytems aed Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: MTN TOTAL.
Furnace Shell & Duct Work ................ $10.00 i
Replacement of Furnace . .. . ..... ........ 6.00 i
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 --
NECK. WARN AM
Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $
each add. 60,000 BTU .................... .. 3.00 =
Replacement of Furnace .... 6.00 $
Repairs & Alterations --up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 .... .. .... &Q0 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam
$10.00
$.
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water
10.00
$_
Each add. 200 sq. ft. EDR Steam
3.00
Each add. 320 sq. ft. EDR Hot Water
3.00
$
OIL BURNER—to 3 gal. per hour
6.00
$ _
over 3 gal. per hour --See Fee Schedule
GASB (up to 199,000 BTU) ...
&00
;
over 199,000 BTU See Fee Schedule
GAS FITTING
PDO RATE TOTAL
1st 3 Fixtures
xi zoo
$
Additional Fixtures
x .75
$
Gas Range to 199,
a$ 8.00
$
ROUGH
FINAL
Dept. of Bldga. Phom 9804480
City of Fridley:
The undersigned hereby makes application for a permit for the work :hereir
specified, agreeing to do all work in strict accordance with the City 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- ®" ��� ig
Owner
Kind of Building
Used as
To be completed about—
Estimated Cost,
Ol ew. Building Permit No. Permit No.
aDESCZE9iON OF WORK
s .%—Stearn, Hot Water, Warm Air—No
Trade Nam ' Size
Capacity Sq. Ft. E.D.R BTU—If—
Total Connected Load Kind of Fuel
BURNER — Trade Name Size loco
r Capacity Sq. FL ED >lt- BTU Em.
S®e Fee schedule
TOTAL FEE
By
(SURCHARGE $
Business
Ph Na -7 F-0°--!
(REMARKS—OVER)
SUBJECT
R M I T
City of Fridley
1472
AT THE TOP OF THE TWINS
BUILDING N G F E R M I.T
PERMIT
Dv
ECEIPT NO.
Ir
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE
r INSPECTION SEC.
�4---1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
"•--- If ,'� 612-560-3450
910-F15
5/23/78
JOB ADDRESS 651 Rice Creek Terrace N.E. .
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
2
Brookview Terrace 3rd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Linda Burchett 651 Rice Creek Terrace N.E. 571-4053
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 Q ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Install ridged galvanized valleys.Roof can be second but not third
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
SO. FT.
CU. FT.
AUTHORIZED ISNOT 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.
$475
$.5O
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-
?� SO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$8.00
SIG URE OF CONTRACTOR OR UTH IZEDAGENT )
WHEN PROPE Y VALIDATED. THIS IS YOUR PERMIT
7,5
- 3
iLOG INSP DATE
SIG ATURE OF OWNER [IF O NERB ILDER) 1D
CITY 01: FRIDLEY
APPLICATION FOR RESIDENTIAL BU11_DING PERMITS
(NEW, ALTERATI0(JG, ADDIT1014G, OR REPAIRS)
Otd[2>;R: BUILDER:
l
Address: Address:
Tel. No.
No.: / Street: 1 C`e �-�
LOT: % BLOCK: ADDITION:
)C) dui (�-LJ ol2-�
CORNER LOT: INSIDE LOT: SET13ACK: SIDEYARDS:
Applicant attach to this form 11wo Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
j
DESCRIPTION OF BUI LDI.NG
Ta--J�e Used Its:
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet`s Cubic Feet:
Type of Construction: �S t 1�-iL Estimated Cost: $
To Be Completed: Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SKEET)
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. See reverse side fpr additional info-nnation.
DATE: S --J3 - ') ) SIGNATUR(.
Stipulations:
/C 6-D
O-
SUBJECT
PERMIT NO.
City ®f Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
WR
P
COMMUNITY DEVELOPMENT DIV.
1 v PROTECTIVE INSPECTION SEC.
LIS-5--5y
r � ,
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/9/92
JOB ADDRESS 651 Rice Creek. Terrace NE
1 LEGAL
LOT NO. BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
1 & 011t10 1, Block
, Bxookviewe Terrace 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mark Commerford 651 Rice Creek.Terrace NE 5711143
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
Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE
8 DESCRIBE WORK
Remove existing 21tIS" x 20'. Garage and Construct 28n x 21.'*V' Attached Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
SEE notations on flans. Provide a hard sur;�ace driveways
p-
ILAN
TWAK
FOR
�� ,�1T S Before digging cell for
ING AN �ICN�a
�EP���-��
1-i�A T1��, P��I all utility locations
VYIRING, 454-0002
REQUIRED BY LAS"
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$9475
$4.74
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY HER STATE OR LOCAL LAW REGULATING CON-
$117 � QQ
Fire 5C $9.48
STRUCTIO OR TH PE FORMWE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
�Z
$131.22
I'NATUR OFCONTRACT AUTHOR) DA ANT IDATEI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER tIF 0 NER BUILDER) IDATEI
BLDG INSP DATE
.�........n...+...+::x.<.�..:.t>.r'�otx.: ..w.. n. ,vx..:w�..w....r000.w ,.:.:.n.m:x ... ... ..x>..u;.:.:., ..,..., .. ......... ..... .. ..... .... < ........ .......... ,.. ............ ....... . .. ....... ...... ... ..
NEW [ J Effective 3/1192
ADDN �J CITY OF FRIDLEY
ALTER D. SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description: 144 Q04 d � � �®c � �! 60k-Va Tf1rAW-
Owner Name & Address: MA z k
Contractor: ®Ul P l MN LICENSE #
Afldi,p"- sQlke- 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 -2 C (p Height I 9�61-f Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: PPADVO? , a ga_r_aae-rt �f 2t'&'' 2-q
Corner Lot P, Inside Lot j ] Ft. Yd . Setback 3S �'i' Side Yard Setbacks 20' t
Type of Construction: (f bra PW Estimated Cost: $
Approx. Completion Date: ( Amcf1r,
Driveway; Curb Cut Width Needed: _
DATE: - - - APPLICANT:
(Cost on Back)
Ft. + 6 Ft = Ft x $ = $
Tel. # IANe -V
Permit Fee $ /117- Fee Schedule on Reverse Side
Fire Surcharge $ C/a .001 of Permit Valuation (1/10th%)
State Surcharge $ 1,24 $.50/$1,000 Valuation
SAC Charge $ $700 per SAC Unit
License Surcharge $ $5.00. (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ — Agreement Necessary [ J Not Necessary [ J
TOTAL
STIPULATIONS:
$ /3112
IF I U
SUBJECT
P
City of Fridley
241187
AT THE TOP OF THE TWINS
BUILDING
PERMIT
Ir
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
L
SEC.
r PROTECTIVE INSPECTION
NUMBER
REVDATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/17/96
JOB ADDRESS
651 Rice Creek Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1s OUtlOt
2
1 Brookview Terrace 3rd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mark Commerford 651 Rice Creek Terrace NE
571-1143
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
B DESCRIBE WORK
Reroof House 14 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
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
` $V 1,120
$.56
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
PLAN CHECK FEE
TOTALFEE
$41.93
I A RE OF ON HO E AGENT (D TE,
WHEN PAOPER VALIDATED THIS IS YOUR PERMIT
A
1 � .
4. Ztd'd
BLP INSP
rjAyE
IGN TUREOFOW ERIIFO NERBUIL ERI I'\IDPAI
IF I U
NEW C l Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: f fct-' C�� � r% e' e --
Legal Description:
Owner Name & Address: ca m h -E/- Fo'c'� Tel.
Contractor: pw MN. LICENSE #
Address: (P�('�e ��rz��'��f�e�_ Tel. #_
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
��( ^(43
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: lei@ I'O0-(7- �aL)ce "f
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: 1- Estimated Cost: $ l �
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 F — x $
DATE: f 7 `t� APPLICAN : --- --
Tel. # f7 r:ICK3
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
�y D ���
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
��%
$.50/$1,000 Valuation
SAC Charge
$
$900 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:
CITY OF FRIDLEY INSPECTION DIVISION Effective On May 10, 1999
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 % REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �^ �
JOB ADDRESS
RATE SCHEDULE
OWNER ,
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner - BUILDING USED ASS; D
Also Replacement Furnace $ 30.00 $
(Side Vent - Fill Out Back) ESTIMATED COST '�QtDQ c PERMIT N0. 139 q
Gas Piping (Needed with new furnace, $ 10.00 $
but not replacement) - � DESCRIPTION OF FURNACE AND OR BURNER
Gas Range $ 10.00 $
o. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Gas Dryer $ 10.00 $ Trade Name etJ 6L;, o �Q Size No.
BTU Cg HP EDR
*Air Conditioning - All Sizes $ 25.00 $ _ Fuel (:cam Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Nary% Size No.
1% of Value of Appliance or Work $ BTU HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work $ 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 an
State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are'true and correct.
TOTAL FEE $ 05,Sly
ALLIED FIRESIDE
dba Fireside Center
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO '!,License # 2009MII
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 2700 N. Fairview Awe.
PLUS THE $.50 STATE SURCHARGE Signed -'Roseville. MN 55113 DATE 5'
/, , 651-633-2561
REINSPECTION FEE $47.00/Hr 9 f J
*Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date
written permission from adjoining property owner,
6 Has total heating BTU's of
All other BTU's'
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
Yes O No ( )
Yes {) No )
f
List ALTERATIONS Being Done:
71
P1T d6F _ o
HEATING CO:
Signed By:
Date:
CHEMEY 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 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 {)
No
{
6 Has total heating BTU's of
All other BTU's'
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
Yes O No ( )
Yes {) No )
f
List ALTERATIONS Being Done:
71
P1T d6F _ o
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Effective On January 1, 2000
V t ,A/p
JOB ADDRESS US \ -ZC'2- �� � �`� �r WE q A(
OWNER IWI�(�l>l�yl lSLINIYVID ��ci
Rate TOTAL
BUILDING USED AS Y�&adiykk
$ 30.00 $ _ e
ESTIMATED COST��
PERMIT N( .
$ 10:00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
Gas Dryer $ 10.00 $
"*Air Conditioning - All Sizes $ 25.00 $
Al'lOthers/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $ a.
&&A ', Col8 W re4w,')
Commercial/Industrial 6C®6 U���
1.25% of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE $ S7_0
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
1\
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
HEATING CO _
Approved By.Z
DATE '�'(3 6
Rough -In Date
TEL #
D
Final Date 0°?°?
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA -LAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
Appliance #2 Type
Appliance #3 Type
Total Appliances
_ BTU Input
_ BTU Input
_ BTU Input
Total Btu Input
Common Vent Type Vent Height
Fan Assisted or `Nat
Fan Assisted or Nat
Fan Assisted or Nat
Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
P
CINOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
August 9, 2000
Mark Commerford
651 Rice Creek Terrace NE
Fridley, MN 55432
Re: Final Inspection at 651 Rice Creek Terrace NE
Contractor: Owner
Dear Mr. Commerford:
A mechanical permit was issued on April 12, 2000 for the property located at
651 Rice Creek Terrace NE for an air conditioning unit and additional duct work.
According to Section 305(a) of the 1991 Uniform Mechanical Code a final
inspection shall be performed on the mechanical system. As of this date no
inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
DAVEJENSEN
Building Inspector
NEWPjtd
I ] j Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: �/ �C �� ����%�°- ��'�' �✓�
Legal Description:
B _ Owner Name & Address: �� �i/C �%/yi�il��d�� Tel. #
y� ontractor. _ �� �jsvS�' MN LICENSE # 00123
�� I Address: _ 3 2.33 Tel. # 612-
(-72,3)
12-(-723)
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 31 Z Width �� Height e7 Sq. Ft. ' Z
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width / ® ;HgtIGround /zSq. Ft
OTHER: *MAOP-)
Construction Type: /Astimated Cost: $
Driveway Curb Cut Width Needed: Ft. +-B--Ft = Ft x $ _ $
DATE: M)X)v APPLICANT: � Tel. # 7634-zi 13 �lj/
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ f �15 Fee Schedule on Reverse Side
Fire Surcharge $ 00,00 .001 of Permit Valuation (1/10th%)
State Surcharge $ ® $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$ $1100 per SAC Unit
$ _ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
Park Fee $
$450.00 Conservation Plan Review
Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $P308,
STIPULATIONS:
01
sUBJE&
PE
City of Fridley30915
AT THE TOP Of THE TWINS
BUILDING PERMIT
E
t
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
' 7��
1 . �
E ..... CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/8/00
JOB ADDRESS 651 Rice Creek Terrace NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1 & Outlot
1 Bl. 2
Brookview Terrace 3d SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mark/Jamie Commerford 651 Rice Creek Terrace NE 571-1143
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Pat Boland Construction 3233 140 AVE,. Andover, MN 55304 421-1344 20010173
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
Construct a 32' x 16' Addition to House and a 14' x 14' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Call for building wrap inspection before covering.
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code.
Underlayment must comply with the State Building Code.
SEPARATE PERMITS
REQUIRED FOR:
WARNINGWIRING HEATING
Before di or PLUMBING AND SIGNS
l
all UtilitY lOCe
tions
45"002,
SEPARATE PERMITS ARE R UI E L L444 I Ai LhCO�;ING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
S0. 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 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
r
$60,000
$30.00
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 . STATE OR LOCAL LAW REGULATING CON-
ST
$.713.75
Fir SC $60.00
UCTION OR HE RFO OF CONSTRUCTION
PLAN CHECK FEE
TOTr FEE
ITHER
License3C $5.0
$808.75
SIGNATURE OF CONTRAC OR AUTHORIZE AGENT TEI
HE PROP VALIDA E THIS IS YOUR PgjqAfT
8 G INSP r GATE
S-GNATURE OF OWNEROF OWNER BUILDERI I ATEI
01
CITY OF FRIDLEY INSPLGI ION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON FACH FI OnR
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow .Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range**
NO. RATE TOTAL
M
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
JOB ADDRESS 6 51 dal tom' "zzk 7Tjqg.
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 correct.
' c 5 —12000
Owner MARk COMME
to.— Building Used As 4_- ME -
State Surcharge $ .50
6
Estimated Cost (O, Soo. PERMIT NO.
PLUMBING qOMPANY � 4- P�..
Q
SIGNED BY TEL N0. 427,232/
- / ®
Approved By Rough -In Date Final Date A
MINI (
TOTAL FEE= PLUS
Com -a V
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes( ) No( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existina combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA -LAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input
Fan Assisted or Nat
Appliance #2 Type
BTU Input
Fan Assisted or Nat
Appliance #3 Type
BTU Input
Fan Assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height
Diameter inches
Appliance #1 Vent Connector Height
ft Length
ft Diameter in Type,
Appliance #2 Vent Connector Height
ft Length
ft Diameter in Type
Appliance #3 Vent Connector Height
ft Length
ft Diameter in ,Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date:
FROM :City of Fridley FAX N0. :763 -4 Mar. 27 2006 12:34PM P2
Building
Inspections
.763-572-3604
BUILDING Ye'm't N°.
RESIDENTIAL APPLICATION Received 13y:
CITY OF FRIDLEY Date Rec'd:
-. SOUR E-MAIL ADDRYNS
srTE. Ann>zt.ss . ,..S.Xo�,
THN APPLICANT IS: Q OWNER V
PROPERTY OWNER/ Nig;
TENANT AnUIt!~tiS:
CONTRACTOR
SIJBWT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY 'TYPE
PERMIT TYPE
TYPE OF WORK:
PHONE: MAD "' S I I -0
_— STA
—...SELA ROOFING & REM* O®ELING. Lacs
NAMEE:: .... ...- - -..... ...
STATE MEN$�i��3��EL sIC�R BLVD• Exp nATti_ .
15 541 STATE 7.ti'_.. . ..._
ADDRESS: _.,.,. .._... . _.. G]TY_—. _.......
PRONE. FAX—__
......... _.....-
0 SINGLE FAMILY/NF.W CONSTRUCTION size
D TWO FAMILY/NEW CONSTRUCTION STORIES ___
O ADWTION 0 GARAGE/SHED 0 WINDOWS
❑ 13wSI ML'N7 1'IN1SI3OOF 0 DRAIN TITA
0 naC:x 17 SIDING 0 OTHER
0 SWIMMING POOL
EW Q ADDITION
DESCRME WORK BEING DONE:
Si .7.E OF 1MPROVEMMINT
-AW' LPNGTH
Sq. Ft.
gr,)UFING: PjVOIJSH ONLY
NI1M8ER OF SQUARES OUSE, & GARAGE a ENT REMODELINQ sLIBMI•r:
GARAGES �z"'.rTAMPH) GARAGE 2.1. Prop ac 1'lnor Plan
PROPOSRD SIZE: 0 ETACHED GARAGE 3. �Puacd IItwi plv]
PROPOSED HEIGHT!
_ r 3. List of suuctttrtl ntambcrs to be used
SIDING FOR NF W CONSTRUCTION INCLUDING DIMS,
O Vinyl Otioffin ADD.rfjW.,&.LOMMS CUAMIT:
* Aluminum ID Trim 1. Sita Piun/Survay showing the costing structures
D Othar 0 rftveia and proposed projeet.
2. Two sets of construction nluns
WINDOWS
IN EXISTING OPENINGS OYcs ONo LOCATION OF WINDOWS 3.
Tairrgy Calcutatlons
ORFORNEW OP.RNIN0S-I)"Ck1BE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO HE 1NSTALLLll NUMRRR OF WINDOWS _...._
ALT. FEESBASED ON VALUATION, TNCLUDING THE COST OF LABOR AND MATE RIALS:
ACS c' (usrnlc r, >I< .c FEE SCHEDULE)
L0B V�iL.IJATION S OCCUPANCY TYPE
Permit Fee
See Back Page for Fee Schedule:
Plan Review
$ _ �-® 65% of Building Permit :Fee
Fire Surcharge,001
times the total job valuation
Surcharge$
D 3Y 4 - .0005 x Permit Valuation. Minimum $.50
License Surcharge
_ hyo $5,00 (State ..Licenscd Residential Contractors)
SAC Charge
�$ ' $1550 per SAC Unit (flans to MWCC for determination)
Curb Curt Escrow
_
$ ft+6ft= ftxS20=$. .,_._....
Erosion Control
$ $450 Conservation Plan Review
Park Pee
$ Fee Detelunined by Engineering
M$
Sewer Main Charge
Agreement necessary ( } Non Necessary ( }
Total Dttc
$ Make checksXaa le ta: CIlt of Fridley Attach Stipulations
TRIS 1S AN APPLICATION FOk A ?MNIrr-NOT VALID UNTIL. PROCHNSED
I hereby apply for a building pormit and 1 a.cknoWledge that the inforrnation above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridloy and with tba Minnesota Construction Codes; thaL I understand this is nor a
permit but only an application for a permit and work is not to start withoat a permit; that the work will be in accordance witli the approved
plan. in the case of, all work which requires rcvt a11 pRroval of plans.
SIGNATURE OF APPLICANT PRINT NAME r �I DATE he—
, .-