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
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�:Xv.>.:'-:_,>✓•f'••_:f.•"}.yr
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.>.•,?•I+a:4J.�•?✓L4}l.:�S:p.a ,�:
C.p.�:;'::ir:.
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'l'±•:G{
' :�•..•F{{u'Yih.< ,:iP �. rr.�:. .{•}.
Floo4
--::.— J,in':...<.?>•.,:.: n., {>:L: r.J:v,
.::.�
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:�•>Ah, J.•r}Y}e i}J:: .:. ?
•'lx::,:'}......: ..... .. .. }SS:i:±::{?•
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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: