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PRE 2010 DOCSCity of Fridley, Minna BUILDING PERMIT ® qn3 Date: __._... _.._.L..._.._._`` _....._._._.__._....__...._.. Owner: -.. _` .��i• ..... .._...._................................ Builder .._. ... : ..: _. _.... Address.. ..................... ..._.......... _...... _.__...__.-. _ :____. ._ Address LOCATION 9,F BUILDING No .;� e ........ Street _..�'^:":- ._...f�... �.... Part of Lot ......_ Addition or Sub -Division . _ Lot ................. ....- .... Block ....._...... .......------_........ ..._ .... 'k Corner Lot ..... _.......... ................... Inside Lot .... ......_......_...---.. Setback ...... .......... Sideyard ....� . !....j. ............. ----...... Sewer Elevation .............. ......................................... ....._......._...._............-_......_ Foundation Elevation DESCRIPTION OF BUILDING To be Used as A a � _.. Depth ...., ::.:_. Height ... ,+ _ Front ._... Sq. Ft.._' Cu. Ft..t.. _eP ..... Front .. Depth ......� Height .. Sq. Ft ..._� Cu. Ft.....,' Type Of 7onstruction Est. Cost ..: ...: -. i `"" o be Completed .................... .............. _.... ..._...----- 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 $.�r---, 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. r /"/" i, 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. .QW4 APPLICATION FOR BUILDING PERMIT CITY OF-FRIDLEY,, MINNESOTA CtEMRON, INC. Ownecrs - Name —Chris tan Builder GENERAL CONTMqT-ORS 2500.22nd Ave. 'K I Address: Address M=®1W 10, lagn., LOCATION OF BUILDING No.;.S,p0 Street Ri (%A C eek—Texr-ac8art of Lot Rice Creek-TO'rrace Lot Block- Ji Addition or Sub. Div. Flat Corner Lot, ---Inside Lot '1: X Set Back 3-5 Applicant:attach tothis'form*'Gettificate of Survey of Lot and propQsed- bitilding location. DESCRIPTION OF BUILDING Sq, Ft, 107.61 Cu. Ft. A t t:.� Ma'"s Fr6nt20 t Depth 211 Height 81 Sq, Ft. 4202 Cu. Ft. Type of Construction FrarnA Estimated Cost 500-00 To be completed A Man 1-b is The under*signed hereby makes application for a permit for the work hereixi-ppecified,'agreeing to do all work in strict accordance with. the' City Ordinances andruling of the Department of Buildings, and hereby-,. declares that all the facts and representations -stated in this application are true and correct. Date Aug 3" 19AQ Sig!:- (A Schedule of Fee Costs can be fon the Revers ide) APPLICATION FOR HEATING OR POWER PLANT AND SPECIAL DEVICE PERMIT N PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ......................... 8.00 $ Replacement of Furnace ............................. 4.00 $ Repairs & Alterations—up to $500.00 ................. 4.00 $ Repairs & Alterations each add. $500.00 ............... 2.00 $ MECH. WARM AIR / Furnace Shell & Duct Work to 120,000 BTU ........... 8.00 $ t/ each add. 60,000 BTU ........................ 1.00 $ Replacement of Furnace ............................ 4.00 $ Repairs & Alterations—up to $500.00 ................. 4.00 $ Repairs & Alterations each add. $500.00 .............. 2.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.00 $ OIL BURNER—to 3 gal. per hour ........................ 4.00 $ over 3 gal. per hours—See Fee Schedule GAS BURNER .......................................... 4.00 $ GAS PIPING (Up to 5 Fixtures) .......................... 1.25 $ ✓ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ REMARKS: FEE $ Dept. of Bldgs. Phone JU. 8-4614 Location ---h Village of The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the Pillage 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. Brooklyn Center, Minn 195 Owner 195_ Kind of Building z-�� 195.— P A X e Used as To be completed about Estimated Cost, Permit No DESCRIPTION OF WORK HEATING or WWER PLANTS—Steam. Hot Water arm Air No Trade Name 11-�-9-4-4--le- Size No Capacity Sq. Ft. E.D.R. H. P. Total Connected Load 1 Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D R BTU H. P. RAY N. WELTER HEATING C® signed 4857 A O AVE By MIINNEAPDLIS 7, MINNESOTA 149MWA 3M-3-59 Business Phone SUBJECTP IT NO. City of Fridley o 16250, AT THE TOP OF THE TWINS BUILDING PERMIT i � • _____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 2 yU7 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY "•, 612-571-3450 910-1715 6/19/1981 JOB ADDRESS 800 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 Brookview Terrace 3rd Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mary Christen 800 Rice. Creek. Terrace Fridley 55432 571-4641 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 LSE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Z ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 R"1• 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 $1-,'400.00$.70 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- $9.00 STRUCTION OR THE PERFOR ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $9.70 �y SIGNATUREOF CONTRACTOR OR AUTHO 2ED AGENT (DATE) **HEN ROPER Y VA A T IS S YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDER) tDATEI �' LOG INSP DATE CITY OF FRIOLEY APPLICATION FOR RESIDi-14TIAL BUILDING PER4ITS (New, Alterations, Additions, or Repairs) OWNER: &/)/V— BUILDER: 04M ADDRESS: C) C� ��.�-� �� ADDRESS: 26) —�o-_ TEL NO: ,5- 7� TEL NO: ! 7 / r 6 G 14 Construction Location ' STRESS, T NO: STREET: LOT: BLOCK: ADDITION: Corner Lot: Insiae Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building .location drawn on certificates to scale. DESCRIPTIOiN OF COfNSTRUCTIOPN Front: Depth: Height: Square.Feet: Cubic Feet: Front: Square - Feet: Depth: Height: Cubic Feet: Type of Construction: Estimated Cost: $ 7.b Be oorupleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie 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 represent•ati.ons stated in this application are true and correct. DATE: C i1% 4( SIGNATURE: Stipulations: �• a 0 , .70 j r . City of Fridley SUBJECT PER AT THE TOP OF THE TWINS BUILDING PERMIT r � ECEIPT COMMUNITY DEVELOPMENT DIV. r 1 d PROTECTIVE INSPECTION SEC. n CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/10/82 / / JOB ADDRESS 800 Rice Creek Terrace N.E. 1 LEGAL LOT NO. 9 BLOCK 4 TRACT OR ADDITION SEE ATTACHED Brookview Terrace 3rd SHEET DESCR. 2 PROPERTY OWNER MAILADDRESS ZIP PHONE 571-4641 Marvin Chris:tain 800 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Wood n Nail, Inc. 7301 - 111th Avenue North, Champlin 55316 424-4545 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 8 DESCRIBE WORK Construct a 31' x 10' Addition off Rear of Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Install Products of Combustion fixe alarm if none exists.. F. elk\\ 'V SEPERA E PER S rEQ4HEATING, FOR PLUMBING �9D4��RED TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 R-1 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 $18000 $9.00 WITH WHETHER SPECIFIED HEREIN OR NOT.. THE GRANTING OF A PERMIT DOES NOT P SUME T GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PRO ISIONS O ANY THER STA OR LOCAL LAW REGULATING CON- $128.50 NONE TR�CTION O THE RFORMA OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE -�-_- \` $ 32.13 $169.63 SIGN :URE OF ONTRACTORORAUTHORIZED AGENT IDATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 1 i WS DA SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)BLDG 7 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: 1��y�044xi� S AI� _ BUILDER: ADDRESS: _ �2®_ +� i�� �I�T ►��IODRCSS: ?� l l 1 TEL NO: TEL N0: - STMMT nos �� ST=T: IAT: am=: Construction Location ADDITIONS Corner Lot: inside Lot:_ �V Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: `� Depth: Height: Square Feet: 3jo Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feets • Oita le 3e,2G IV/ �-- c ). #17 -00 c.7 ®� Type of Construction: �99Estimated Cost: S 1 To Be Wropleted: 0 X` Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: _ _ $ . $ SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the %-jork herein specified, agreeing to do -all work is, strict accordance wiFruFand City of Fridley Ordinances and rulings of the Del-vixW nt of Buildings, and herylaces that all the facts and representations stated in this application ark correct. DME: SIGNATUlE: - Stipulations: W `LL �jzi '�� j AJ D LI Ck USt-- W, Szy TP 4• - 6_ Mrj'04 Me -1 t AGREEMENT a owner of the property located at �> 1 �� i�� �� 'I-ek -have no objection to the City allowing the construction of a z, e -.;f to be located at legt�tC�-mss . without the required certificate of survey that the City ordinarily requires for all new construction. 4--7'5 a Address Date CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. >1 a% C m o Number Fixtures �x$area w d S�®•tea Water N m m m 1-1 I N $2.00 Iroa EH •.ci -H (Op u! $5.00 N � N N C, W $5.00 $ 100,000 BTU to 199,000 BTU Heater O O •.moi y N R N •.i '1 O O c� B N N a ul Nq O 1st 3 fixtures ai U a ai x y 3 H nW N w U Oq 1st / 2 2nd + 3rd 4.h (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures �x$area S�®•tea Future Fixture Opening x $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and ropresentations stated in this a ication are true and correct Fridley, Mn. �� U, AL /Z• OWNER KIND OF BUILDING USED AS 5/- A)/*9 4- t yy Lt) 6 9z TO BE COMPLETED ABOUT ESTIMATED COSTS OLD - NEW BUILDING PERMIT NO. PERMIT NO.. 146 Company /fl �Z-D ' e C7. 6'n. Sign Tel. No. , 7J ROUGH INSP. Date Q� FINAL INSP. v Date APPROVAL FOR PERMIT P MINIMUM FEE FOR ANY PLUMBING PERMIT IS PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Job Address RESIDffiGTIAL RATE TOTAL Furnace Shell and Duct Work, Signed By Tel. No.�f Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Conditioning (all sizes) $ 10.00 $ll Fridley, Minn. 19� All Others/Repairs and Alterations 1% Value of Appliance or Work yrs $' OWNER 2 452:T /IJ of KIND OF BUILDING��%J�/y( L� C COMMERCIAL/INDUSTRIAL USED AS 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT ESTIMATED COST State Surcharge $ .50 TOTAL FEE $� OLD - NEW BUILDING PERMIT NO. PERMIT NO, ��� Reinspection Fee ($15.00) $ Rough Insp. Date Final Insp. Z -/ - Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with. replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP / Company AA' '� CId�U Signed By Tel. No.�f sueaEcr T N IO. City ®f Fraley 26332 AT THE TOP OF, THE TWINS BUIL I G PERMIT r ` RECEIPT NO. `L COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. ��/� r 1 i NUMBERDATE REVY PAGE OF APPROVED B ` CITY HALL FRIDLEY 55432 IL � �'J ---- 612-571-3450 910-F15 6/24/98 JOB ADDRESS 800 Rice Creek Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 4 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mildred Moline 800 Rice Creek Terrace NE 571-0856 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ace Construction 6230 218 Ave NW, Elk River MN 55303 323-3019 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20001884 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 20 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,335 $1.16 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW R LATING CON- Fire S $2.34 STRUCTION OR THE PERFORMANCE OF CONSTR $74.75 PLAN CHECK FEE TOTAL F icense $ej51.00 $ 5 SIGNATURE OF'CITN­TV06OR OR AUTHORIZVDAGENT IDATEI PROPERLOVOCIDATED I S YOUR PERMIT BLDG SP PATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION a Effective 1/1/98 Owner Name & Address: Uv A 1Q A Ma �t+1 @. Tel. # 5���� Contractor: 4A� MN LICENSE # aD©o (� Address:. a f �� @ /l�% L rT// /Tel. # S®( R Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Gengiti With Hgt/Ground ----- Sq. Ft. ii�- t'4' - '�:� ER d P Construction T e: — Estimated Cost: $ 3? (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control ,. ,- t 'a/ice Park Fee $ Sewer Main Charge $ TOTAL . STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50!$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 01 SUBJECT - NO. City of Fridley 2 817 5 AT THE TOP OF THE TWINS BUILDING PERMIT P • 1 i L • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. , NUMBER REV DATE PAGE Oi APPROVED BY E 1 Y�,+ ALL FRIDLEY 55432 ®64"12-571-3450 910-F15 10/9/98 JOB ADDRESS 800 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I 9 4 1 Brookview Terrace, 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Moline 571-0856 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO MJ Const. Ext. Inc. 8063 Ranchers Rd Fridley MN 55432 785-8851 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 Rk REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside one side of house 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. TYPE OFCONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING - THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 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 $1385 $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUC $21.00 Fire SC $.50 PLAN CHECK FEE TOTALF $22 00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEP N P OP ALIDAT1 T IS YOUR PER SIGNATURE OF OWNERoF OWNERBUILDERI IDATEI BLD INSF' ( QA E 01 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: ® 1&k- Or. --1r. N- i-. Effective 1/1/98 Owner Name & Address: mol a r\ Tel. # S--? Contractor: {itis- come,t+t 0,r\ MN LICENSE # Address: 92!®`3 12w%c e,� 12-A 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: "Ap-- \ -,XAA- ok V\005R-, Construction Type: Estimated Cost: $ 13� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 10- - APPLICANT: Tel. # i CITY USE ONLY Permit Fee $ 06 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 [ J Not Necessary [ J TOTAL $ - o6 3s STIPULATIONS: 5-/ 1-06 fTY OF FRIDLEY INSPECTION DIVISION 431 University Ave NE ridley, MN 55932 APPLICATION FOR POWER PLANTS AND HE 63.572.34 ATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES esidentiai 'urnace Shelf and Dud Work, Burnet' k1so Replacement Furnace (Side Vent . Fill Out Back) las Piping (Needed with new furnace, but not replacement) ;as Range . )as Dryer lir Conditioning • All Sizes 11 Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work mmerclai/Indu:trial .25% of Value of Appliance or Work JOB N Effective On January 1, 2001 Rate TOTAL OWNER $ 30.00 $ eV BUILDING USED AS a is $ 10.00 �._...._.,_.... ESTIMATED IC?OkSSCTRq3, PERMIT NO.— $10.00 O.p1a0V 112101OFEURNeDgl®N ER No. of Heating Units �,_ Circle One (Steam) (Hot Water) arrn Air $ 30,00 $ Trade Na Size No. $ 25.00 j , t3TU Hp —- Fuel. Total Connected Load_. Sumer Trade Name Size No..�._,. BTU H P State Surcharge TOTAL FEE .w. W%am aawli W1 �RIGERATIOWAIR CONDITIONING PERMIT 15 $25.00 FEE $47.00/Hr Conditioners can not be placed In a side yard without ten permission from adjoining property owner. The undersigned hereby makes epplk•.ation 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 $ g� representations stated In this application are true and correct. DATE _ I HEATING CO .—AW C' .1 142 Approved By� R h•ln Date` Final Date The Ond 8ima MISS GW OW ISPIBMUSM wt is �a_ bled �WKW � the cent Genies and s. Ula does AW-GAMA Camey 1 CenM Furnew Venting Tables for fan and mabnal dry appummm yes "No( The OlhftA combWt on air Is sized and kmWed to meet the current codes and nmWackret°s spgci6caiions. Yes } Not J "M re Admd to i wld a now MMMft Mt wig be *.W aeai ktWW to Mod thea ctnrert and &.m bcUWs Yes PI No( ) OW tied hereby wig. the On cwmt codes and I IlifarkmWa NPA This des uldWide AM -GAM Category I Ceeetral Fueaace Veet�tg T for snot I� Yeo X! No c } b dm COMM Vmt=W VM=mwckndmd mW o y after 01 OPPOOM has best wn wied from the conurtaeo sat serol verAed SqWWAdy as per avant cadles. Yeas b ( } &Bkm TaL and Gk@Tomne*n Vent and Vent Canree or Iefom agon #i Type ffru kipd 4 Fan A=hftd or Ne AppdWm #2 Type 07U hiput.� Fan Asslded ar Nab Applence 93T kqxd T� }►Pe T U -- Fan Asshftd or Ahad _„� .- Buil;iing BUILDING Permit No-: — 61'55-'C( Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX I EFFECTIVE 1-1-08 DATE q-16-- D OQ YOUR E-MAIL DRESS 0 QS 1(2--.tlL m n C c1U SITE ADDRESS C) -cB 1-e01e [ I , ` r l� Te rt , `V Com . Q� Z ! N 57 5143z;-) THIS APPLICANT IS: WNER OCONTRACTOR ` . PROPERTY OWNER/ NAME: •�. i TENANT ADDRESS: 100 fzca &0eVTerI-. L) CITY i STATEJWZIP_5s-�3a, / PHONE: (CA—� NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE yXSINGLE FAMILY/NEW CONSTRUCTION SIZE O TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION O GARAGE/SHED O WINDOWS BASEMENT FINISH O ROOF O DRAIN TILE DECK. O SIDING O OTHER O SWIM MING POOL TYPE OF WORK: O NEW HOME CONSTRUCTION O ADDITION O MARgTENANCE/REPAIR ;iREMODELING DESCRIBE WORK BEING DONE: C i a�/ i res w ire W SIZE OF IMPROVEMENT I LENGTH WIDTH �q HEIGHT SQ FT G O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES O HOUSE & GARAGE • 1. Existing Floor Plan GARAGES O ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl Ot ADDITIONS. 1. & PORCHES SUBMIT: Site Plan/Survey showing the existing structures O Aluminum O Tran and proposed project. O Other O Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS es ONo L ATION OF WINDO}VS OR FOR NEW OPENING DESCRIBE SIZE OF,sao tIY� P—tAT OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED 6N VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: G THE 1997 UBC FEE SCHEDULE) AL JOB VALUATION $ f� OCCUPANCY TYPE Permit Fee --� , - See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ or-) .001 times the total job valuation Surcharge $ , _�® .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Ol Make checks savable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Consuucu Cod =1t this is not a permit but only an application for a permit and work is not to without a permit on site; that the work will be in acc =V -1=e e of all work which requires reviewgand1tpproyW oJplans.., SIGNATURE OF APPROVED BY DATE N ' PLEASE NOTE: SEPARATE PEPNIITS ARE REOUIRED FOR PLUMBING. ELECTRICAL AND MECHANICAL WORK 1