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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT®(481=2 i. Date: S......._...' r Owner: :...__. ..------- Builder _.. .: ....::. _ .. _ _ _ __..._..._. __.. _� _.._.._....... AddressAddress_.............__...._.......__....._......_......._............... LQCATI,ONN QF BUILDING Street_V64—e,.._. _........_............._......._..... Part of Lot ....._............._............ ,r No.. ....a . <� - ._ .... ... - At Lot ....... _ :.. _..._... Block ........... .._ .........---------- Addition or Sub -Division fi... � Corner Lot ........................_ ......... Inside Lot ............. ° ....._.. Setback .... .................... Sideyard!------- ----........__.. Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used as: ,e .�:�.� Front �-�-----_.. Depth ...�'" -�._.. Height-.'�..�.-_.. Sq. Ft...!'�+�`� Cu. Ft�...46 � Fro1I ..,�... Depth ... Height.._.. Sq. Ft .....� Cu: Ft. Type o'Construction ".._........ Est. Cost... _`"`3o be Completed ...... ............. ........... ................ TN\s of \i0k-Q%CAG REQ 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 $..1c;V permit is hereby granted to.. ... ........... ._................................ _...... _...................... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances Z-) 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. .OW4 APPLICATION FOR BUILDING PERMIT CITY.OF FRIDLEY, MINNESOTA CLEMRON, INC Owners Name Lien Builder GENERAL CONTRAC .2500 -22nd Ave. N. E. Address Address ^ Minneapolis 18, Minn_ LOCATION OF BUILDING No, 750 StreeR - ,raek--.- ' rr&n 'Part of Lot — Lot 19 Block . 4 Addition or Sub. Div. Conor Lot Inside Lot X Set Back .15° Apilioant attach to: this form Certificate. of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To - -be' used as ngi a DWe Ilffinj. Front 1 11 I Depth , t Height 81 Sq, Ft, 1076 Cu. Ft. Att. Gar.;tri Front ._2.01 Depth21._4.____,-Height _.._8-2 Sq.: Ft;• 420 Cu. Ft.. . of Construction FraniA Estimated Cosh 619 . 00 To be completed NIon h The:unders�-geed hereby gAa .es;,application for a permit for the work herein -specified.. agreeing:to do all work in strict a-ccordanee with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all.the.facts and representations stated in this are true and correct.' _ 10-117191-W * • 1 (A Schedule of Fee Costs can be fowdon the Revel^ fide) City of Fridley f Appiication for Phembing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 ? DESCRIPTION OF WORK Location S Number, Kind and Location of Fixtures PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 1 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 Al 3-0 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 application are true and correct. Fridley, Minn Owner �-- ��l/I 19— Kind of Building Used as 19— To be completed about (] Estimated Cost, $ f 5-6-01 Ne Building Permit No`"� i A ,n , "R 11 POST IM -12-58 Byv Business Phone Z. $ N WATER HTR. EIEC. (�90 F GAS Base / 1st l f 2nd 3rd 4th Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool ❑® PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 1 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 Al 3-0 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 application are true and correct. Fridley, Minn Owner �-- ��l/I 19— Kind of Building Used as 19— To be completed about (] Estimated Cost, $ f 5-6-01 Ne Building Permit No`"� i A ,n , "R 11 POST IM -12-58 Byv Business Phone �!K Application for Power Pkints andHeating. Cooling, VenttWon® Iteftigeration and Air Conditioning Systeans and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU. 4-7470 GRAVITY WARM AIR: RATE TOTAL, V 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 $ . , r each add. 60,000 BTU ...... ............... — 2.00 $ Replacement of Furnace . €.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 $ 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 $ 5 o 7 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ I SSD 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 $ ROUGH FINAL 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, Mio inn_n�°A1 � ltd Owner CAP Kind of Building Used as�� To be completed about Estimated Cost, $ 14 Old—New. Building Permit No. �- Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name fh%N Q° n *-O-n S+2�11 � M =k Size No-(; =11 Capacity. Sq. Ft. E.D.R BTU H.P. Total Connected Load 4 �� Kind -of - BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe By < M w 4 Z 2M 7-59 Business Phone No- (REMARKS -OVER) HEAT LOSS CALCULATIONS F DEPARTMENT OtBUILDINGS kms`' r (•� h � -T9 e• ��: ROSEVILLE. MINN. Weatherstrips A.S.H•. • Guide Reference 1 19,._. ConstruEtion No. v Insulation Windows Yes --No ( Doors Out. Wall Int, Wall Ceiling Roof Floor 11 Kind' How Applied Yes—No 1640 Glass' _5_3 F1.1 :�',� . „, ; o Room Lenath M 7 Width . /Z Height "' II Fl.) Room Length 14- Width Height Windows and Doors---Crackage and Area I Width Height No. of Ltneal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane or pane lighta of'crack sq: (t. f' z,_ (a © X4 & -`' .`a v Infiltration� Coef. Btu -Infiltration Btu Infiltration 4fC 1640 Glass' _5_3 Net exp. wall 7, -ZO Glass Exp. wall Ceiling la Floor 0 Net exp. wall Exp. wall �i p . 7 go Int. wall I c> Net exp. wall Int. wall Ceiling 2 - - --Floor- 4- Z Total Btu. ,7Re^gluired sq: ft. E.D.R. or sq. ins. W.A. Leader area - I^I.I d _��s6s�r.9, nnttt I.-noth s7 -9_ Width Y 7 Heioht A' Windows ' and -Doors--Crackage and Area I Width Height No. of Ltneal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. ofpaneof light's of crack eq. (t. ppappne 66� 36 Z . Z_ Coef. Btu Infiltration� ® d e) Coef.. Btu Infiltration Exp. wall jo GD ccs] Exp, wall _5_3 Net exp. wall 7, -ZO Glass Ceiling la Floor 0 Floor Exp. wall �i p Ceiling I c> Net exp. wall Int. wall - Ceiling 0 Floor 4 q I Z576 Total Btu. Required sq. ft. E.D.R.'or,sq. ins. W.A. Leader area FIJ A0 : ir Room I Length Width Windows and Doors--Crackage and Area I Width Height No. of Ltneal ft. Area No. of pane of pane lights of crack eq. ft. '3Z J C 14- Coef. Btu Infiltration� ® d e) Glass. Infiltration 3d S`6 'o .0 Exp. wall jo GD ccs] Exp, wall Net exp. wall Net exp. wall 7, /66.0 Int. wall Ceiling la Floor iz � , Floor /P Total -Btu.. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f 0 1 �& 9 la....:.. t I nneth r •-► Width % Noiaht S� Al Windows and Poors—Crackage and Area I No., Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. it. 14- Coef.1 Btu Infiltration f. Btu Infiltration 3d 0 fir= d Glass jo GD ccs] Exp, wall o o Net exp. wall 7, 1 16 172-0 Int. wall Ceiling la Floor iz � , Total Btu. 166, Required sq. ft. E:D.R. or sq. itis. W.A. Leader area fight -9 B I~l. XP A Room I Length ,/7 Width Height Windows. and Doors-Crackage and Area I Width Height No. of Lineal ft.' Area Noy/e of pane of pAanne lights of creek sq.. ft. 14- Coef.1 Btu Infiltration 401- Z8 0 Glass .50 o o Exp. wall y Net exp. wall 2- lo 1 4, Int. wall �i p Ceiling I Floor�� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area RT -(2000)-12-57 Windows and Doom-Crackage and Area Width Height No. of . Lineal ft. Area No. of pane ofpanetigyhts of crack eq.. ft.. P�� � Pte• Z V 7— Coef. Btu Infiltration Glass Exp. wall y Net exp.: wall Int. wall 44-0 Ceiling �i p Floor -Z. I �f I�Total Btu. Required 4 ft. or sq. -ills. WA. Leader area suBdECTPER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 2 7 NO. wCOMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f PROTECTIVE 1 � NUMBER REV DATE PAGE OF APPROVED BY = 1 1 CITY HALL FRIDLEY 5:5432 612-571-3450 910-F15 9/21/98 JOB ADDRESS 750 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 1 Brookview Terrace, 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Haley 55432 571-6640 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner Same 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 O NEW ❑ ADDITION O ALTERATION I(2 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house & garage (24SQ) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,056.00 $1.03 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 $74.75 Fire SC $2.06 PLAN CHECK FEE TOTA FEE $77.84 SIGNATURE OF CONTRACTOR O AUTM RIZED AGENT iDATE. ENP�AOPEMVALIDAT IS IS R P R IT BL G NSP �F QAtE SjGPJATURE OF OWNERo OWNERBUILDER1 IDATEV IZIWIA ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FANMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ` i' `' �,��� C, i Legal Description: Effective 1 / 1 /98 Owner Name & Address: Tel. # 5 71 G Contractor: MN LICENSE # Address: -75-P ' �� C-rcze-K Tel. # f 7 G) 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: OAyo , -ex 6 , v Construction Type:g f f �9 Ke r 0 0 Estimated Cost: $ C;10S� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: �`' ;? _ r APPLICANT: (,i'4r�Tel. # 7/-- 41� L CITY USE ONLY Permit Fee $ , ?S- Fee Schedule on Reverse Side Fire Surcharge $ .2 U .001 of Permit Valuation (1 / 10th %) State Surcharge $ /, Q 3 $.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 $ . D STIPULATIONS: ' a r� 7 :,ITY OF FRIDLEY INSPECTION DIViSION `� Effective On May 10, 1999 5431 University Ave NE =ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS��� RATE SCHEDULE OWNER"t� residential Rate TOTAL ' BUILDING USED AS%���`��� Furnace Shell and Duct Work, Burner - e Also Replacement Furnace $30.00(!)C) ESTIMATED COST (!)C) PERMIT NO. (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (l_Narm Air) Gas Dryer $ 10.00 $ Trade NameSize No. "Air Conditioning - All Siz_Qs $ 25.00 $ r' BTU HP EDR Fuel__, _ Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/ Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE 010 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE O—REINSPECTION FEE $47.00/Hr -Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 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 ar $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $P - ,J �CSI RAPQS BOULEVAJO IN RAPIDS, MN 55433 !�+ HEATING 'lln�757,-5040- Signed: _ ;-•., _Df��F- r - Approved BL-4-1—Rough-In Date Final Date 5- 3o'©/ FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Remarks:. _hist ALTERATIONS~ Being_ Done: m rr HEATING CO: Signed By: Date: DEPENDABLE INDOOR AIRQUAUTY, INC. 2619 COON RAPIDS BOULEVARD COON RAPIDS, MN 55433; (612) 757-5040 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes ( ). No ( ) 3. Has no foreign objects lodged within Yes O No ( ) 4. Is securely supported Yes ( ). �No ( ) 5. Meets all current Code requirements for size Y and total BTU's connected Yes O No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes O No ( ) Remarks:. _hist ALTERATIONS~ Being_ Done: m rr HEATING CO: Signed By: Date: DEPENDABLE INDOOR AIRQUAUTY, INC. 2619 COON RAPIDS BOULEVARD COON RAPIDS, MN 55433; (612) 757-5040 CRYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 25, 2001 Mr. Peter Converse 750 Rice Creek Terrace NE Fridley, MN 55432 Re: Final Inspection at 750 Rice Creek Terrace NE Contractor: Dependable Indoor Air Quality Inc Dear Mr. Converse: A mechanical permit was issued on March 21, 2000 to install an air conditioner at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Mechanical Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expire the permit and no further action will be taken. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh SUBJECT PERMI City of Fridley AT THE TOP OF THE TWINS B U 1 L p I IT 3 i 7 7 r 2p , Na ° _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 07 NUMBER REV DATE 14/26/01 PAGE OF APPROVED BY 1 CITY HALL FRIDLEY 55432 �----A- �'� 612-571-3450 910-F15 JOB ADDRESS 750 Rice Creek Terrace NE I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Peter Converse 750 Rice Creek Terrace NE 763-586-0862 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sears Home Improvement 8823 Zealand Ave N, Brooklyn Park, MN 55442 20090017 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-315-4517 5 ENGINEER MAILADORESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGEOFUSEFROM TO STIPULATIONS 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. Caulk and flash all exterior openings. 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 S0. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OF IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 12Q 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 $9,949 $4.97 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- $181.25 Fire SC $9.94 ST CTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA EE Licens_pjSC $5.0 201.16 5"GNA E �CTOR O RAZED AGENT iOAr " HE PROP ALIDATE THIS IS YQdR_PJRMIT / SIGNATURE OF OWNERJF OWNER BUILDER" iDATE" BL G"NSP GATE Effective 1/1/2001 NEW [ ] CITY OF FRIDLEY (763) 672-3604 Bldg Insp ADDN [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ALTER [ ] BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Tel. # 1-4.—,w _ �e�e%aa Je�'�J��1� 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: Construction Type: A 0s-. Estimated Cost: W Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: CITY USE ONLY - Call (763) 572-3604 for Permit Fees If mailing in appucation Tel. # / ° ® - ?L% °- ?-"r- -763 - 315- `1517 Permit Fee $ . Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ A/!2 rI_ $.50/$1,000 Valuation SAC Charge License Surcharge $ $1150 per SAC Unit $ � -&C) $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: 01 SUBJECT P NO.__ , City of Fridley 31784 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. f •� PROTECTIVE INSPECTION SEC. 572-3604 CITY HALL FRIDLEY 55432 L J` NUMBERFEV DATE PAGE OF APPROVED BY 612-571-3450 9104155/1/01 JOB ADDRESS 750 Rice Creek Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 4 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Peter Converse 750 Rice Creek Terrace NE 586-0862 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sears Home Improvement 8823 Zealand Ave N STE.G, Brooklyn Park, MN 55442 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 315-4517 20090017 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION? REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. 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. r NO; DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 09 COMPLIED $4.97 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,949 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- Fire SC $9.49 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $18,1.2.5 PLAN CHECK F TO L FEE "SIGNATURE Licen S $5.0 $200.71 OF CONTRACTO OR AUTHORIZED AGEN IDATEI HE PRO Y VALID D THIS IS YOUR PERMIT —eV S-GNATURE OF OWNER..F OWNER 8WLOERI IDATEI BLtG INSP rIaTE 01 NEW [ ] Effective 1/1/2001 ADDN [ J CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: gSCD P-! Ck p-k-� 1e -o -a4 -Q toY Legal Description: Owner Name & Address: P-e4Cfi-?- CO( -A VeySf- Tel. # "Mo Contractor .5'e-ar S 410f%-� MN LICENSE # 5CyJRQ0 J z2 - Address: 90) c�+-�5 C ccs Q Cs- Tel. # c3 [ �� f - i Att c 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: Construction Type: i ' "n Estimated Cost: $ r L4 v v Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 5'01 'U I APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $%.r Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ •66) $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: