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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® C46 JS) Date: ._.. Owner: _._. Builder ............. .... _ _..._. _..._.._.._ __... Address'.':^ Address`.... _._ ,r .............. _............ r LOCATION r QEF," BUILDING �, No.. .. ,... Street.,,, Pari.. o Lot ....._.------_--- _ � .._...._..._.... . _._ e r Lot ......... ....... .... Block ------... „` ..._................ ._..... Addition or Sub -Division Corner Lot ..........................------... Inside Lot...4---------.......... Setback ..., ........................ Sideyard ....._....... ............ .................... ........... _........... SewerElevation....._............._......._.....---......._..---•--.._...._.._...•---........................... Foundation Elevation .................... -............. _............. _.......... ..... ............................ DESCRIPTION OF BUILDING ;�� To > p Used as• s�» Frnnt Depth . Height ,� ..��....... Sq. Ft.=.. Cu. Ft.r/i: ..---.............. _............. _....... Front ........ ............ Depth .......... _.: Height ... Sq. Ft. ............. _ .. Cu. Ft. .......... ............. Type of Constructio .74 ? �` �."... Est. Cost � 4'" To be Completed .................................................. THIS PERMIT DOIES IN0 T AUTHORIZE VIOLAT- ION OF ANY P ''6'1 -ATE LAND COVENANTS AND BUILDING RESTRICTIONS. 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 consider a r ation of the payment of a fee of $� �:.,p"."."...."., 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- of the provisions of said ordinances. 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. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder Le r � Address • Address �xo , LOCATION OF BUILDING No. � 'o% Street e c J Part of Lot Lot Blocker Addition or Sub,DiV. ,z P PP o Corner Lot Inside Lot �Set Back Side -Yard I_0,,, ; 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 44 DepthJ�r� Height `� Sq. Ft. Cu. Ft. Front Depth .. Height 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and orrect. DATE Ae�y % .� SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) f Application for Power Plants and Heating, Coofing. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ Location MUMIM 801 Rice Creek Terrace 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. MECH. WARM AIR Fridley, Minn.. JulSr 15 195-60 Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8 Owner Paul Schwartz Construction Co. 195— . each add. 60,000 BTU ....................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Kind of Building Frame 195— Repairs & Alterations—up to $500.00 ................. 5.00 $ Used as Residence Repairs &Alterations each add. $500.00 .............. 2.50 $ To be completed about August 15, 1960 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Estimated Cost, $ 450.00 Furnace Shell &Line—to 640 sq. ft. EDR Hot Water ... 8.00 $� Old—New. Building Permit No. Each add. 200 sq. ft. EDR Steam ........... ........... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ............ -- 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal. per hour ........................ 5.00 $ HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No over 3 gal. per hour—See Fee Schedule 5,00 Trade Name Westinghouse Size No GUE 100 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL Capacity Sq. Ft. E.D.R 100M BTU H.p, 1st 3 Fixtures ...................... x $1.50 $ 1.50 Total Connected Load 45,631 Kind of Fuel Gas 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 VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: plan R-1 $ See Fee Schedule TOTAL FEE $ 14.50 FRED V GT & COS Signe By 6530 West Lake St xi WE, 9.6761 St. Louis Pork, Minnesma 11 POST IM -12-58 Business Phone No City ®f Fridley, BURDING PERMIT N? 6564 '1' r 0- - W r f r LPOF BU G No. Street ® . o Part Lot Lot _ ._ _ Block - Addition or Sub- on _..� Corner Lot _ Inside Lot 45etback ° _ Sideyard17 Sewer Elevation _ __ Fd6dation Elevation DESCRIPTION OF BUILDING To Front Depth Height Sq. Ft Cu. Ft;6!0 Fro n Depth eight Sq. Ft. _ Cu. Ft. Type of Construction Est. �� To 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 �ovisis of ordinances of the city of Fridley. /I /�/ In consideration of the payment of a fee of $4 _ _ __ ` 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 anythereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construe= alteration, maintenance repair and moving of buildings within the city limits and this permit may be revoked at any upon vis of any of the provisions of said ordinances. NOTICE: This permit doss not corer the construction, hwtalistion for writing, phnnhing, gas hoatb& sawac or water. Be sore to we the Buildhw lmpector for separate pennhs for these heats. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 063IM. ° S NAME ,ZJ C' i7 �1 / U ''r/_0D(Gi 'T ADDPMS qvl. ��jE Cica ZD;ZSCS -'/-IV -1 1/142 _- -4m LOCATION OF BUILDING No.e- 'Cy Street Part of Lot Lot _Block Addition or Subdivision hoQ kwgur e �`ha Ce Corner Lot Inside Lot � Setback Side -Yard �r SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn.on these Certificates. DESCRIPTION OF BUILDING To be used as; "L ►� g Front Z Depth Z Height, Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction )(_Y a M f. _ � Estimated Cost 1 To be Completed /0 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE___ -b--- -s-�- SIGNATURECXA#­� (Schedule of Fee Costs can be found on t4 Reverse,Side). Application for Power Plants and Heaft Cooling, Ventilation. Re%igera! a and Air Conditioning 5"em and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIA: MTN TOTAL Furnace Shell & Duct work ................ .. $10.00 $ Replacement of Furnace .... .. 6.00 $ Repairs & Alterations—up to $500.00 ... 6.00 $ Repairs & Alterations each add. $500.00 3.00 $--_ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ......... .. $10.00 $ each add. 60,000 BTU .................... .. 3.W ; Replacement of Furnace .. I ...... ..... 6.00 Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 ..... 3.00 $ 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 3.0n Each add. 320 sq. ft. EDR Hot Water 3.00 $, OIL RURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 196,000 BTU) ... ...... 8.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES. NO RATE TOTAL 1st 3 Fixtures .. . ..... x$ Z00 $ Additional Fixtures a .7 $ Gas Range to 199,000 =$ &00 $ AIR CONDITIONI>i<G// FAN HEATING SYSTEM See Fee Selesdole VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEB $ ROUGH Dept. of BldgL Phone OW -3460 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 Ordilnancee and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and ncorrreccL , �f Fridley, Min �, G//1 19 12 Owner Rind of Building Used as A'AA To be completed about _ ��yy�� Estimated Cost, $_ _69 t Off_ 6—New. Building Permit No. Permit No. HEATING or POWER PLA team, Hot Water, Waren Air—No Trade Name Size No Capacity Sq. Ft E.D.R BTU H.P. Total Connected Load Mad of Fuel BURNER — Trade Name Size No (084ANR1-OV11t) 01 SUBJECTERM City of Fridley 15 7 5 4 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT NO � • ; -__-__ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. �! p ��/ r PROTECTIVE / CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j J\ 612-571-3450 910-F15 5/29/80 JOB ADDRESS 801 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Brookview Terrace 3rd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Olesen 801 Rice Creek Terrace N.E. 571-1036 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central - 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 B DESCRIBE WORK Install, 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER, WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 $1.50 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 CONSTRUCTION. $18.00 PLAN CHECK FEE TOTAL FEE AhA^" _rU 19.50 SIGNATURE O,FCONT A R OR AUTHORIZED AGENT (D TE)- 7 WHEN PVALIDATED THIS IS YOUR PERMIT R 1RO�PERL J}_�d '�r 4ZO— W BLDG INSP DA E SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ADDRESS: TEL NO: ,� - "jBUILDER. �� �,� ADDRESS: TEL NO: Construction Location STREET NO: STREET: LOT: BLOCK: ADDITION:���(�l Corner Lot: Inside. Lot: Setback: __________ Sideyards: Applicant attach to this form tvo Certificates of Survey of lot and proposed building location drawn on certificates to.scale. DESCRIPTION OF CONSTRUCTION Fro nt: Square. Feet:_ Depth: Height: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: . ee-d �o Ty&L/ pe of Construction: ! / "1 l� td c 0�1 Hstimated Cast: $ �� To Be Oampleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: _ $ $ SEE REVERSE SIDE OF SHEET.. 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 ' this application are true anc c�rr�ct• DATE: g �- � � S IGNATU 1E Stipulations: �/ �..i i Y ur rniuuti uvOriMo 1 curs uiv. 6431 University Ave NE Fridley, MN 55432 572-3604 tnecuve un January r, iuyj APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR r PLUMBING FIXTURE RATES: NO. RATE. TOTAL JOB ADDRESS ��� Lee c V'C_c Te VVQ_a'C_ New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin '$7.00 and representations stated in this application are true and correct. Catch Basin .$7.00 Rain Water Leader $.7.00 199 �r Sump/Receiving Tank $ 7.00 � Water Treating Appliance $10.00 Owner Water Heater —Electric .$7.00 Water Heater —Gas _� $10.00 Building Used As �_ Gas Range $10.00 Gas Dryer $10.00 Estimated Cost PERMIT NO. / Z313 Back Flow Preventer Required ( )Yes O No Type -$5.00 PLUMBING COMPANYlw, Reinspection Fee $30.00 SIGNED BYQ TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance Approved By P Rough—In Date Final Date V,/ State Surcharge $ .50 MINIMUM FEE 'FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE PLUS THE $.50 STATE SURCHARGE lllaet i . ... � Ur'nal Wash � Shower Tra Floor Drain Auto Waser Gas Ran e Water Heater �Gas ElecStori Basement i Floor or 1 Floor10 0 2 Floor3 Floor 4 r PLUMBING FIXTURE RATES: NO. RATE. TOTAL JOB ADDRESS ��� Lee c V'C_c Te VVQ_a'C_ New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin '$7.00 and representations stated in this application are true and correct. Catch Basin .$7.00 Rain Water Leader $.7.00 199 �r Sump/Receiving Tank $ 7.00 � Water Treating Appliance $10.00 Owner Water Heater —Electric .$7.00 Water Heater —Gas _� $10.00 Building Used As �_ Gas Range $10.00 Gas Dryer $10.00 Estimated Cost PERMIT NO. / Z313 Back Flow Preventer Required ( )Yes O No Type -$5.00 PLUMBING COMPANYlw, Reinspection Fee $30.00 SIGNED BYQ TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance Approved By P Rough—In Date Final Date V,/ State Surcharge $ .50 MINIMUM FEE 'FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE PLUS THE $.50 STATE SURCHARGE PURCHASE ORDER DATE DEPARTMENT �j F48628 PURCHASED BY THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY SUPPLIER QAJ AP=l 9U /-AA!L ADDRESS aa Lb s�d W02 L CITY OF FRI D LEY PHONE N0. 8431 UNN. AVE. N.E. FRIDLEY, MN 554324384 CONTACT 612-/1-3450 l/z PROOM ON RECYCLED PAPER. t. PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS. DATE NED ol 7, z 1 4 & �4- & k, PAYMENT AIMED ACCOUNT OTY. UNIT PLEASE ENTER OUR ORDER FOR THE FOLLOWING UNIT PRICE AMOUNT CAJ 8 It 4) R l 1®!- � - 3�.7- / 1AJ� lT �® �v - /Lr6 S J 60 /®c—yf� a ®—"P 0 TOTAL THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. WHITE, VENDOR - YELLOW, PURCHASING - PINK, ACCOUNTING - GOLDEN ROD, DEPT. HD. SUBJECT P 1V 0. City of Fridley 37 AT THE TOP OF THE TWINS BUILDING PERMIT Ir � IPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/9/96 J013 ADDRESS 801 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis/Mardell Olesen 801 Rice Creek Terrace NE 571-1036 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mon -Ray Inc 8224 Olson Memorial Hwy. Golden ValleV MN 55427 546-8625 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 X O MOVE ❑ REMOVE 8 DESCRIBE WORK Replace entry door and add aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1,292 $.65 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 $1.29 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $43.00 PLAN CHECK FEE TOTAL FEE License SC $5 00 $49.94 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY ALI DATED THIS IS YOUR PERMIT va a...� BLDG NSP 15ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW I 1 ADDN II ALTER REMODEL' ( X ) Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 801 Rice Creek Terrace Effective 8/1/95 Owner Name & Address: DENNIS & MARDE(.L OL'ESEN 801 Rice C Ter Tel. # 571-1036 __ Contractor: MON-RAY, INC. — MN LICENSE # nna5111 Address: 8224 Olson Memorial Hwy Golden Valley, MN 55427 Tel. # 546-8625 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: R P _'ACF (1 i ENTRY DOOR -1 AL11M Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Residential Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ 1,292.00, (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft $ _ $ DATE: — APPLICANT: Tel. #_64& Permit Fee $ 43.00 Fire Surcharge $ 1.29 State Surcharge $ .65 SAC Charge $ License Surcharge $ 5.00 Driveway Escrow $ Erosion Control $ Park Fee $ _ Sewer Main Charge $ TOTAL STIPULATIONS: $_ 49.94• CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 [ ] SUBJECT Pf City of Fridley 2 � 16 8 AT THE TOP OF THE TWINS BUILDING PED A A r? • COMMUNITY DEVELOPMENT DIV. : PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY i �1 LL FRIDLEY SS�32 --_-� 'j L 612-571-3450 910415 10/9198 JOB ADDRESS 801 Rice Creek Terrace NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 1 1 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Olson 571-1036 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Nurnberg Const. 342 81st Ave NE Sj2ring LK Pk MN780-9886 20081011 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 Eax REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (20 S) Te r-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building R Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1714 $.86 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO R THE PERFORMANCE OF CONSTRUCTION $56.75 Fire sC $1.71 / PLAN CHECK FEE TOTAL EE ex, , e 01$6 .32 SIGNATURE O CON'R CTOR OR AUTHORIZED AGENT IDATEI ENP OPER BLDG .1;;SP ALIDAT I& IS YOUR PE T �Di r ATE SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATIONQ� ((�� ConstructionAddress: 2®1j C i G C, ae- <-' kyygc e -- Legal Description: _ - Too Pt r � Owner Name & Address: oc 0 i�q c c C co w Tel. (DAG Contractor:LQ N � (2 (� r o sv.S T MN LICENSE #_g® ® O �r r Address: ��(i011 Tel. # 7PO—S?F?6 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Tyre: Attach to this application, if Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Leg Width Hgt/Grouunnd F _ c2dSq- . It, Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ z 2/ (Fee Schedule on Back) _Ft x $ = $ DATE: _ ®- APPLICANT: Tel. #70—M CITY USE ONLY Permit Fee $ - %S Fee Schedule on Reverse Side Fire Surcharge $ % �% / .001 of Permit Valuation (1/10th%) State Surcharge $ 66 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ - d O $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: $ 3a SUBJECT ' P_ City of Fridley 2827 AT THE TOP OF THE TWINS BUILDING PERMIT r,:, COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. or ( f PROTECTIVE I , I'' CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By l 612-571-3450 s�aFiS 10/15/98 JOB ADDRESS 801 Rice Creek Terrace NE I LEGALLOT NO. 9LOCK TRACT OR ADDITION SEE ATTACHED OESCR. 9 1 lBrookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dennis Olesen 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350SQ2_4277 20040610 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 0 NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Replace 11 windows in home with mw pocket inserts 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. r. SEPARATE PERMITS ARE REOVIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CO ST. 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 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 $7249 3.63 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 $137.25 FireA $7.25 PLAN CHECK FE toTA Licen 5 1 .13 SIGNATURE OF CON TRACTOR OR AUTHORIZE D AGENT IDAYEI EN PRO VALIDAT IS IS YOUR PERMIT 8 G INSP gAtE S-GNATU RE OF OWNE Ai IF OWNE R BUILOERI IDATEI V NEW = [ ] Effective 1/1/98 ADDN [ ]CITY OF FRIDLEY ALTER [41" SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:�I �X&'K Legal Description: Owner Name & Address: JP11 n'Olezjn Ki*cc CfeetajaaccTei. # Contractor: j�MMj \DJ ftlfl J MN LICENSE # �DL4 ()LO -2f) Address: �J�JO ' —(� Ny • ML ° aI � � Q � �-� Tel. # � <� Li IT] .7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF M'ROV]EMENT V6 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Length Width Height Length Width Height Length Width Hgt/Ground Driveway Curb Cut Width Needed: Sq. Ft. T Sq. Ft. Sq. Ft. CO - Estimated Cost: $ -7 i a H 9 (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ _ $ DATE: I a APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ Oreement Necessary, [ J Not Necessary [ ] STIPULATIONS: CITY USE ONLY $ Fee Schedule on Reverse Side $ -7 AS .001 of Permit Valuation (1/10th%) $ L 3 $.50/$1,000 Valuation $ $1000 per SAC Unit $ Ov $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Oreement Necessary, [ J Not Necessary [ ] STIPULATIONS: Elder -Jones Building Permit Service, Inc. 1120 East 80th Street Bloomington, MN 55420 Phone: (612) 854-2854 Fax: (612) 854-4909 To whom it may concern: We at Elder -Jones Building Permit Service, Inc. are acting as an agent for Renewal by Andersen. If there are any questions, or if the permit has to be picked up in person, please give us a call at the number above. If the permit can be mailed back to us, we have enclosed a self-addressed envelope for your convenience. Thank you, Tim Schenk ext. 140 Jolene Connors ext. 134 Holly Connolly ext. 158 Elder -Jones Building Permit Service, Inc. 1120 East 80th Street • Bloomington, Minnesota 55420-1498 612-854-2854 FAX: 612-854-4909 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 Effective On January 1, 2000 JOB ADDRESS RATE SCHEDULE OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS 5rIJCLZ— k Also Replacement Furnace $ 30.00 $ (Side Vent Fill Out Back) ESTIMATED COS T�� PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 117o of Value of Appliance or Work Commercial/Industrial 1.2517, of Value of Appliance or Work $ 10.00 $ No. of Heating U $ 10.00 $ Trade Name $ 25.00 $ State Surcharge TOTAL FEE 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. $ _®zl Burner Trade Na BTU /11ircle One (Steam) (Hot Water) (Warm Air) Size No. P EDR Total Connected Load HP Size 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 $ .50. rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ ;25, DATE 10'-a2 HEATING CQc���2l�s� Signed Approved By bE)CJAJVJA��- r� le OJA-TW-k H-r?d • OAJ4-`� Rough -In Date TEL # 9b, Final Date - Jl 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 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 manufacturers 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 manufacturers 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 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: 5Su'oi5--*`0'Z Signed By: a Date: `®`�� EA FY OF FRIDLEY INSPECTION WIv- 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT crtective tin jan E, euuc MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR ?L•Lr::S::«: Wash• ;Floor.`•�'>�,. .. Auto..Gas u: .. Water H Urinal Shower Tray: �vL Drain asheSt®res Ran a Gas Elec .?i54j•;'44::ir:`}5�v{'J.:+{,•••}$.r..,}.+:.+{Y,fi}:$..:�..ui} . i.r.:rrrr{��v:ry .ik Basemntire :. :.::'raf.ti?S:...i"Y .}L{.: v:r2•.:,?A:M,•.:$r:2:{:;..P�.v}.iv?i.-:.y9r?Y.r v..•'i....x{�.•.v;:M.':.?v5. :fL:•n.. .'✓•Y;:.:i• . .}::u�•:'}i :::•:<:Y-v:.,v }i�} ::.:}`' J.:{.•:ir}: s, ri`:_:v?":' fi{i{ •ir/Y'.er}.�'..T}'. 5�..>,?}+� J�i.;'ny':{:{:': y:.::.� :.i:?;<5..'.'LJ T..`.J}!.:y-:'..-.::rv.h•.i:'.� '.:.v. i.:G'.Vle•f.t.;t.t•53:...'}.hA r.•.iSi•♦/.>':, Floor A •:��.�.{-:::•.•' i.r ti.Otr} �%••:,;r+: "" >il :? i:":•5•hi;h ';'} . v}:('::j }:",:•L...'.+1}${}ivi.:.::;`,v}'.:}••"t?}':..:•.::� :sjrf:a .:::`�•}i•?. {f�e :3i^ rbw, i•:q.,. :.•wr::�rN'.:.:I: .>vF�.;< .! }�i::>4•:::✓} •C:i::'irr.wLti •� "'qY;J'"{:,$.•}J:;C'},:'y•.lie�:.F�.:x$:!rYi.:$J•.:•s}.i::�}.i;'•.• ••`.r•:'F ',• <.n.{}•'.:`✓. v: :::}vYJ:..i.}: .!av•{-- ••;'.�v'.S:j; .'. `�+'% Hoar 2 }{v';.ry:>: -: : ive,} {fY,S�. ., J {--,: i�}✓:'S.l:.S�•}i .i:Re+} ?$u,'r\:i'.• }?{r7:ip?�-�.;{::✓•::'fl:-:::r}•<: �:.�::.: fi':\:•u:i{ n•5v{{$' . :• -'/ •:-:�?�-:�:i��-::54.`::<!'lr'v✓i:e•ii.::'S:!Tv-aS;}:±`•:.•:}»3$,s: �:Xv.>.:'-:_,>✓•f'••_:f.•"}.yr jY:: `.. .•= i..:L:..:::.:}: [Floor :• �F%,YY`r:f}$:''va:.:.'ti, .>.•,?•I+a:4J.�•?✓L4}l.:�S:p.a ,�: C.p.�:;'::ir:. {t?f.vYf,5��fhiry ; :,}•(.rs:'r:.tiL� :.:. n•.�'. . . ?=Y•✓ t '<•r�$• :: {:.> 'l'±•:G{ ' :�•..•F{{u'Yih.< ,:iP �. rr.�:. .{•}. Floo4 --::.— J,in':...<.?>•.,:.: n., {>:L: r.J:v, .::.� } :�•>Ah, J.•r}Y}e i}J:: .:. ? •'lx::,:'}......: ..... .. .. }SS:i:±::{?• •}r}r' :. '•:.: .,•,. ., .... L:='-s::{v. ...... PLUMBING FIXTURERATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow tiff Basin Catch Basin Rain Water Leader SumpfReceiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas*"` Gas Range"' 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 Appliancee� State Surcharge 50 JOB ADDRESS The undersigned hereby makes application for a permit for the work herein specifiedagreeing to do all work in strict accordance with the city codes and'rulings of the Building Division, and hereby declares that all the fads and representations stated in this application are true and correct.. -: Owner N/y1s Building Used As Estimated Cost PERMIT NO. ---13 56 PLUMBING COMPANY ®� SIGNED BY _ EL NO. FAX # 73 Approved By Rough -in Data Final We . '. (%4- �o Waw -••••• • ®� . s.� r.. • • aw...rw.yrea7 e-b.7�wo. "— '-' TOTAL FEE $ PLUS THE 5.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE v1 ?e % Alp`� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON MENT�MENI ClObIN `CT1312 AND S"Oil BI ISMON AIR IBE Fli C1�MM When replaning an alc9,stin® ems,®, the undersigned,hereby yerifies.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 2 X ISMOU cnMbU&dCnAk is sized and installed to meet the current codes and manufacturer's specifications. Yes (} No( ) When required to install a om eamb esti �it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When ioStalling a newt venting Sy ftm, 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 ypa and SiZe Comman ygot and ymat CnnoscWt Infermatien 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 : PRlianc6s.• -- otai Btu Input T 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 HEATING bO* _ ®ate Signed By: