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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N° 5 5 9 3)' Date:. `"' L) *` Owner: Builder Address _. Address LOC, TION O , BUILDING No. _F2—LStreet c Part f Lot oAA Lot 331ock _ _ _ _ Addition or Sub -Division Corner Lot -- — Inside Lot _. Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To.;be U ; Depth Fr ont Height Sq. Ft Front Depth Height Sq. Ft. Cu. Ft. of ,M+ Type f Construction Est'. Cot W Tho 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 ordfnanoes of the city of Fridley. � fCJde'',�• In consideration of the payment of a fee of ,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 allwork 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. 1 ., AA, 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. 4 y,. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 0 LOCATION OF BUILDING No of Lot r 2 Blockrir ,4 w.wrr Addition or r r'rn� i Lot Subdivis .o '� d Corner Lot Inside Lot Setback, _Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach► to this form Certificate of Survey' of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Frontj _Deptlra �.,, sleight sq. Ft b CU. Ft. Sq. Ft. Cu. Ft. Type of Construction _���, Estimated Cosi To be Completed__ / The undersigned,here* makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby.declares that all the facts and representations stated in this application are true and correct, ( Schedule of - 'Fee . Costs can be found on the RWI_`s'e Side' . 0 1 " r 'cation for Power Pkmts and'. H Cooiin Ventilation .Rein and �►PI� _ Wig. 9• � Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU. 4-7470 GRAVITY WARM AIR: RATE 1. Furnace Shell & Duct Work .......................... 8.00 Replacement of Furnace .............................. 5.00 Repairs & Alterations—up to $500.00 .................. 5.00 Repairs & Alterations each add. $500.00 ............... 2.50 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 .each add. 60,000 BTU ........................ 2.00 Replacement of Furnace x.00 Repairs & Alterations—up to $500.00 .... ............ 5.00 Repairs & Alterations each add. $500.00 ................ 2.50 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 Each add. 200 sq. ft. EDR Steam ...................... 2.50 Each add. 320 sq. ft. EDR Hot Water .................. 2.50 TOTAL, $ $ $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL. 1st 3 Fixtures ...................... x $1.50 $_� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FE ROUGH- OUGH FINAL- FINAL 5 5 City of Fridley: IM The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, 11 .nn ✓ y 19 L� Owner _77ow, Kind of Building 1 � Used as To be completed about d� M Estimated Cost, $ Old—New. Building Permit No.*" ` E Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS -Ste ofWater, arm Air—No Trade MP Size No Capacity Sq. Ft. E D.R� �- ® BTU H.P. Total Connected Load 63� Kind of Fuel BURNER — Trade Name=27—s � Size No Capacity. Sq. Ft. E.D.R- �® BTU H.P. (REMARKS—OVER) eafiva� J�xecia[t0}A Sign ^-PAUL Zj By l / 42 2M 7-59 Business Phone No City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470- DESCRIPTION -7470DESCRIPTION OF WORE Number, Kind and Location of Fixtures Locaiion �+C 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 Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 19— Owner -s Kind of Building a `� Used as/�� To be completed about '/V C ��-• PARTIAL RATE K Estimated Cost, $ yl VN1 F- Old—New. Building Permit No Permit No. C-2'-0 K w Z U Z o x _j w U' z • ; WATER HTR. 0 Signe Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ Business Phone Catch Basin ............................ 3 �t�p Water Heater (Up to 200,000 BTI) ...... R N GAS ELEG ROUGH New Ground Run Old Bldg . ............ x 3.25 $ FINAL GAS FITTING FEES: NO. RATE TOTAL Base .. ' x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd — 4th • Future Connection Openings C°anected with I Sewer El New Fixture, Old Openings Cesspool [] 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 Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 19— Owner -s Kind of Building a `� Used as/�� To be completed about '/V C ��-• PARTIAL RATE SCHEDULE Estimated Cost, $ Old—New. Building Permit No Permit No. C-2'-0 PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $1.50 $/ G 0 Signe Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ Business Phone Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTI) ...... Z x 2.00 $ ROUGH New Ground Run Old Bldg . ............ x 3.25 $ FINAL GAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures ....................... .. ' x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .............................................. $ TOTAL FEE $.Z 7 d z 2 City ®f Fridley, Minn. MEWING PERMT N® 7474 Date: - 21.t 1965 Address 921 Idea Greek T-er-race Address 1052 Osborn Rd* No. 921 Street Lot j__ Block LOCATION OF BUILDING Rice Creek Terrace part of Lot 1 Addition or Sub -Division . Brookyiew Terrace 2nd • Addition Corner Lot Inside Lot __ Setback __ _ Sideyard Sewer Elevation __ _ __.. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height _ _ Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. cost + _ To be Completed 60 dm Repair t'd original Z ear garage In consideration of the issuance to me of a permit to co the building described above I agree to do the proposed work in accordance with the description above fo and in com as with a'll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 1MQQ , permit is hereby granted toDo-nlQ ape- Inc. thto construct the building or addition as described above. This permit is granted upon e 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 wlthin the dty limits and this permit may be revoked at any time upon violation of any of the provis�lons of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, butalleton for whing, plumbing, gas hosing, sewer or water. Be sure to see the Building Inspector for separate porndts for those hens. 4 APPLICATION FOR BLUING PERMIT CITY OF FRIMXY0 NNESOTA t OWNER' S NAME BUILDER�i ,p ADDRESS ADDRESS LOCATION OF B IN(; No, 4�y/ Street Part of ot.."._�_.__. Lot Block Addit.ibnt or Subdivissiaa Corner Lot Inside Lot z-�.etVvck Side -Yard SEWER ELEVATION FOUNDATION ELEVVilfi Mt... Applicant' attach to thin form, Two Certificates of. Survey of Lot and proposed `build - ing locatiou'drAwa on these COt'tificates. DESCRIPTION OF BUILDING Teo be used as: _�x goat � Depth S4. Ft. Cu. Ft. ^Front Depth Height Sq. Ft. CU. Ft., c. Type of Construction' ��Estimated Cost The undersigned hereby makes application for a permit for the work herein specified, agreeing to coo all work irr strict accordance with the City of Frimley 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. DATF,-/�. �� ST[.NAn RF .tSchedule.of Fee Costs can be found on the Reverse Side). City of Fridley Application for Numbing and Gas Fitting Permit 53®84-s915.51 Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 921 Rice Creek Terrace m C yF sZ yZ oCS U' UN' Z 0O • R • N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer � cesspool PARTIAL RATE SCHEDULE PLUMBING FIBTU RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric water Heater GAS FITTING FEES: x $2.00 $ x $1.50 $ x $1.50 $ x $3.25 $ X $3.00 $ x $3.25 $ a $2.00 $ NO. RATE TOTAL 1st 3 Fixtures .......................... 2 x $2.00 $ 2.00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ?�nstall (1) has drill & (1) lite $ 6,00 TOTAL FEE $ 8.00 City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn_ Aug. 17 s 1970 , 19_ Owner Donald M. Johnson Kind of Building frame Used as residence To be completed about Aug 21, 1970 Estimated Cost, $ 20.00 L - 00—'New. Building Permit No Permit No. ire o 1 By Business POLIS GAS COe ROUGH FINAL (9 > – Yl d2 RiceCreek 3585 LEXINGTON AVENUE NORTH, SUITE 374 ARDEN HILLS, MINNESOTA 55126-8016 TELEPHONE (612) 483-0634 August 16,1991 Resident 92 Rice creek- Terrace Fridley, MN 55432 Re: Proposed Rice Creek bank stabilization project Dear Sir/Madam: Board of Managers Regular Meetings: 2nd and 4th Wednesdays at Shoreview City Hall BONITA TORPE, Admin. Ass't,. The Rice Creek Watershed District has obtained a grant through the Minnesota Board of Water and Soil Resources and Anoka Soil and Water Conservation District to stabilize the eroding streambank behind your residence. Although the Watershed District has historically refrained from attempting to control the natural meandering process of the creek, the large amounts of sediment and deadfall entering the creek along this reach was found to be unacceptable and would eventually impact private residences along Rice Creek Terrace. The portion of the costs not covered by the grant will be borne by the Rice Creek Watershed District. In addition, all work will be performed from the north side of the creek and therefore will not impact your properties. As the project manager for this stabilization project, I would like to hold an informational meeting on August 27, 1991 at 6:30 pm to answer any questions you may have concerning the scope of the project, construction schedule, or related matters. The meeting will be held on the deck of the Wiger residence at 901 Rice Creek Terrace NE. If you have any questions, please contact our District Engineer, Steve Woods, at 473-4224 or me at 571-3862. Sincerely, RICE CREEK WATERSHED DISTRICT Wade Savage, Secretary Board of Managers bt c c : District Office John Flora, City of Fridley Pat Rudolph, ASWCD SLR file BOARD OF MANAGERS A. J. CARDINAL, SR. G. A. SANDE C. T. KING N.0..ANIQUAS ER ANOKA COUNTY RAMSEY COUNTY WASHINGTON COUNTY RAMSEY COUNTY JAMES M. MONTGOMERY Consulting Engineers 473-4224 • FRANK I. MURRAY Attorney 222-5549 WADE SAVAGE ANOKA COUNTY CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE Effective On January 1, 1997 JOB ADDRESS o� The undersigned hereby makes application for a permit for the work herein TOTAL specified agreeing to do all work in. strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and $ representations stated in this application are true and correct. 6 11 \ ��4 ,1997 OWNER 5-7/ - $ 9 BUILDING USED AS 01� $ .50 MINIMUM FEE FOR ANY HEATING/COOLIC_ENTILATIO_N_ REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. ESTIMATED COST PERMIT NO._ DESCRIPTION OF FURNACE AND OR BURNER J I2 e9 �L G No. of Heating Units Circle One (Steam) (Hot Water) (WamiAi� Trade Name4AOu, O � Size No. BTU&�"C_ HP EDR Fuel /ZZ � Total Connected Load Burner Trade Name Size No. BTU HP EDR i HEATING COMPANY Signed B ' >L &. Tel No.-7,,f-/- Approved o.7,�-/- Approved By i 4, Rough -in Date Final Date FILL OUT BACK SIDE FOSTACK VERIFICATION ON REPLACEMENT FURNAC Remarks: . HEATING CO: Signed By: Date: CIEMINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes O No { ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . HEATING CO: Signed By: Date: Building BUILDING Permit No. -0*- Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 q CITY OF FRIDLEY Date Rec'd: a' 763-5(�702-497 FAX EFFECTIVE 8-19-09 DATE /" 9 YOUR -MAIL ADDRESS SITE ADDRESS 'f91� ,1E �P.P, efr CCC✓ v N5— THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY OWNER/ NAME: 8013 r Q - TENANT ADDRESS: i t.v-,e, CITY STATE ZIP PHONE: 763" �S�'Zl - in CONTRACTOR NAME:(WeA41s• , SUBMITI A COPY OF YOUR STATE LICENSE STATE LICENSE # AJC " Lf 6 � EXP DATE AND CERTIFICATE OF ADDRESS: %3C q,5L- c. CITY [S Lr_ � STATEK ZIP INSURANCE PHONE FAX PROPERTY TYPE PSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE " ❑ DECK XSIDING ❑ OTHER a ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2 Proposed floor plan PROPOSED SIZE: t ®Qi® ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: i Ca SWING gp FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl 5.� ` ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ' Other W `Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes E No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: S G THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 6, OCCUPANCY TYPE Permit Fee $ ul� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ ® .001 times the total job valuation Surcharge $ JL W .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ s Make checks payable to: Citv of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A 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 Construction Codes; that I understand this is not a permit but only an application for a permit and w k is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all rk h' requir review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME Frl k ��( � DATE