PRE 2010 DOCSCity of Fridley, Mian..
BUILDING PERMIT
Date: .. J -40.....''...d •-.__ °-- _ _._...._ — --
. ,F
Owner:
Address ....................... ..._..._.._..._.._. .. __..__ _. Address
N° 4974
-••----_.......yam .._...... .. �_ .._....:.�'._......__....._......._..._.._...._.
�-.OF BUILDING
No....., .. i ... (_...._......._...
Street .._ ''i'... r...._..... Part f Lot ..._....._r._._.._._..__
Lot .....:..---..._.......... Block ------.. .....------................. Addition or Sub -Division .: ....... ...--- - _.......
Corner Lot ...--- ........... ........ -........ Inside Lot .......... ............ Setback W - .......... ... ......... Sideyard ...le.-* .......... l ........ ....... _...........
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To Used as: f
;v;....: Front . -.. Depth =... Height r ...... Sq. Ft. ,`r Ca FA -004✓
_ .J..! FrorA Depth ..p;..,$- eight -....Q Sq. Ft. t .f Cu. Ft.. iP
Type o Construction ..:.._. _... Est. Cost_........,,:. 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 all provisions of
ordinances of the city of Fridley.
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 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 anyti"A'
e violation o any of the provisions of said
ordinances. � A7
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.
J
APPLICATION FOR BUILDING P9141IT
CITY OF FRIDLFY, kINNESOA
Owners Name Builder
Address Address,�La a 0
LOCATION OF BUILDING
No. Street Part of Lot
Lot — Block Addition or Sub,Div -1a
Corner Lot Inside Lot_. -,Set Back er 0 Side -Yard
)
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 4/41s ® Depth G? r o ight„'
Sq. Ft. Cu. Ft.
Front. /,2 ' o Depth .2j Height--/4-
Sq.
eight/®Sq. Ft. Cu. Ft.
Type of Construction0z--,�-_____, Estimated Cost 14 &g V
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 Corr
DATE i°o /s�� SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley, Minn.
BUILDING PERMIT
Date: Sept. 26, 1968
Owner: George B. Weaver Builder
Address 928 Rice Creek Terrace Address
No. _ 928 Street
Same
Same
LOCATION OF BUILDING
Race Creek Terrace par+ of Lot
Lot ._._ 2 Block 3
Corner Lot . Inside Lot
Sewer Elevation
Addition or Sub-Divisio
— Setback
X9 9953
Brookview Terrace 2nd
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front X$.' 14' Depth 23' Height 10' Sq. n 634 Cu. Ft 6340
Front Depth Height ._ Sq. Ft. Cu. Ft.
Type of Construction _ -Fr-ame Est. Cost _ $ ..143 0 _ __ . To be Completed
In consideration of the issuance to me of a permit to construct the building des bed above I agree to do
the proposed work in accordance with the description above se forth and in plias with a'll provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $--1-0- —00 , permit is hereby granted to George B. Weaver
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 tune upon violation of any of the provisions of said
ordinances.
e�
r
Clarence Belisle
NOTICE:
This permit does not cover the construdioe, installation for wiring, plumbing, sea heating, sewer or water. Be sura to am
the Building Inspector for separate permits for there items.
APPLICATION FOR BUILDING PERMIT
ITY OF •
OWNEE Is NAMBt'-�-2�• i s
�' BU
►.
DD elcz� . TESS
LOCATION OF BUILDING
NO e . STREET
LOT BLOCK ADDITION OR SUBDIVISION ��o�C ✓rLu� ��
COBWEB LOT INSIDE LOT SETBACK SIDEYARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form. Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used Ase���
Front QDepth e3= d Height__e®Q C� _
Square feet� - Cubic Feet / C�
Front Depth
Square feet Cubic Feet
Height
Type of Construction�� Estimated Cost /41 -
To Be Completed 40
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 re septations stat�d in
this application are true and correct. 7
DATE SIGINATURE-44 12.00�WWRE-NIVa"Or
(Schedule of Fee Costs can be found on the Reverse Side.)
J 70 hfl.'J�1�5 "',I St AT
Load Planning 91
d�`,�
LIFOSurvey Inv
7611;ly
E N Li I N E E'R, I IA G I N Co.
ctv// t, u,"'IcIpal Stla.O
Fnyl'ncer,5 Surv�yor,5
OQ 7, (- si:w"�.a 9 Z
k— 3
her-ehV LP-Ar"tl 67t65 !soh-ur
,ir"&- 14w&io gall 1,"7ereon , ctidoll ri'5ible evi sa,d ifand. & 5urv,-yed &jfne
A. D 15
SURUlmt3)11JII I6Nc-jfA!E[Ie11vcj, !NC
0
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k— 3
her-ehV LP-Ar"tl 67t65 !soh-ur
,ir"&- 14w&io gall 1,"7ereon , ctidoll ri'5ible evi sa,d ifand. & 5urv,-yed &jfne
A. D 15
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" - aS �.y �cam' ' fr..i ab L 8�
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432
23, 1981
Mr. Ron Pearson
Pearson Masonry
>' 741 Kennaston Drive N.E.
Fridley, M14 55432
Re: Face Brick at 928 Rice Creek Terrace N.E.
Dear Mr. Pearson:
TELEPHONE ( 612)571-3460
We were called to make an -inspection of the face brick installation job'
at 928 Rice Creek Terrace.
On February 19, 1981 we inspected the job and found that a fairly large
vertical opening was left between the brick and the house along the
east edge. The gap is about I inch.and must be sealed from the elements.
Would you please call me to discuss the method of filling this area in.
I can be reached at 571-3450.
Your cooperation in this matter will be appreciated.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: Burt Weaver
928 Rice Creek Terrace N.E.
"
SUBJECT
PERMIT NO.
City of Fridley
0�62 7
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
j PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/30/81
JOB ADDRESS 928 Rice Creek Terrace N.R.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
3
Brookvierrr Terrace 2nd SHEET
2 PROPERTY OWNER MAILADDRESS . ZIP PHONE
George Weaver 928 Rice Creek Terrace N.E. 571-4237
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO,
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a Solar Sun Space C241 x 12' Addn. to Dwelling)
Constructed somewhat like a greenhouse
9 CHANGE OF USE FROM TO
STIPULATIONS
ioc�l +� ti4i4fes
Bete diking X11 FOR Y
'GASEtc. SEPERATE PERMITS REINWED
.EL1;C�R4C
t 1,f�pH4N� LAW HEATING, PLUMBING AND SIS
g�
RE�u,�Ea
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
oo Plast.: c
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
288
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
$2'000
$1.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOI 3.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPS Y VALIDATED THIS IS YOUR PERMIT
1wn i
BLDG INSP ® NATE
SIGNATURE OF WNER 0F OW `BUILDER) IDATEI
"
CITY OF FRIDLEY
APPLICATIO•d FOR PCSIDENTIAL BUILDING PEP44ITS
(Nevi, Alterations, Additions, or Repairs)
.
OWNER: �,� /� (.� v��r,�i BUILDER:
ADDRESS: ADDRESS:
TEL NO: TEL NO: '
Construction Location
STREET NO: STREET:
w
LOT: BLOCK: .3 ADDITION: �� ► =;
Corner Lot: Inside Lot: 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 -
ront: 2 Depth: ) A Height: Q
Squame. Feet: Cubic Feet:
Front:
Square - Feet:
Depth: Height:
Cubic Feet:
Type of Construction: rVp Estimated Cost: $o.O?ye. wo
v .
To Be Coripleted: �
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
represen Litions stated in this application are true and correct.
D11TE: 6— it 4 — 8 1 SIGNATUF.E
Stipulations:
-LmO0
eTv
z
SUBJECT
City of Fridley
o 19350
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
f
;,
R
`y COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.J7
-7
��
1 i � CITY HALL FRIDLEY 55432
�.__.11.' �•�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/22/88
JOB ADDRESS 928 Rice Creek Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
3
Brookview Terrace 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Burt Weaver 928 Rice Creek Terrace N.E. 571-4237
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 21' x 13'--10" Addition to Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan,
WARPIING
Before. dig&g Call local utilities
SEPMA TELEPHONE
t p - ELECTRIC - GAS Ete.
fV iR/N�� �T'
�I7"jN �E°Qul REQUIRED Y LAW
G, p� U" * �E� rol?
AND
siGIVSm
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 OFI 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
$17,000
$8.50
WITH WHETHER SPECIFIED HEREIN OR NOT.,THE GRANTING OF A PERMIT
DOES NOT PRESUME TO. GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$122.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
12 1,;
,$30.63
$161.63
SI NATUREOFCO O OR AUTHORIZED AGE DATEI
WHEN PROPERL VA ATED THIS IS YOUR PERM(
Aff$iGNATUR O E F OWNER BU E ) (DATE)
BLDG (NSP WrE -
R
NEW [ ]
City of Fridley Effective X1/66'
ADDN. R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: _ -NzZp
Legal Description:
Owner Name &Address: Tel. #
Contractor: fid`_ Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
257
LIVING AREA: Length �� r Width ✓ /® Height Sq. Ft. z�
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width - Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback
Type of Construction: I Estimated Cost: $ 19, nn
Approx. Completion Date:
X 12. q,e,) ��� .% �a = ` Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: % a APPLICANT: Tel.
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$ 559 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
m
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES:
New Fixtures -
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
NO.
RATE
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
TOTAL
Back Flow Preventer Required. Yes { ) No ( )
Type $ 5.00 $
ALL OTHI:!-S AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance $
Reinspection Fee
State Surcharge $ .50
$
($15.00) TOTAL FEE $
Effective Date May 1, 1988
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 representations stated in this ap lication are true and correct
Fridley, Mn. , 19JKL
OWNER,
KIND OF
USED AS
TO BE COMPLETED ABOUT��U G )✓
ESTIMATED COST pG
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 1 11,950
Company
Signed
Tel. No.j
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT_
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
W
D,
m
(do
x
N
Water
01
N
H
H
0 _,
W
A
�W
W
Heater
..ei
m
(a0
m
'� 33
$4
0
a
u
0 x
ci
v
g
4J
4J
W
W
v
�
w
3
A w
ai
u rn
3
0
o
as
lec
r
c
Raqp-
1st
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES:
New Fixtures -
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
NO.
RATE
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
TOTAL
Back Flow Preventer Required. Yes { ) No ( )
Type $ 5.00 $
ALL OTHI:!-S AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance $
Reinspection Fee
State Surcharge $ .50
$
($15.00) TOTAL FEE $
Effective Date May 1, 1988
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 representations stated in this ap lication are true and correct
Fridley, Mn. , 19JKL
OWNER,
KIND OF
USED AS
TO BE COMPLETED ABOUT��U G )✓
ESTIMATED COST pG
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 1 11,950
Company
Signed
Tel. No.j
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT_
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
u1
New Fixtures
T
p
N
Future Fixtures
y
$ 3.50
U
Old Opening, New Fixture
X
W
a
$
Water
ee
$ 4.00
S
Blow Off Basin
$ 5.00
$
a.1
m
$ 5.00
$
u
p
w
�
Hydraulic Valve
Heater
.�0
$
Sump or Receiving Tank
$ 5.00
S
Water Treating Appliance
$ 7.00
$
Hot water Heater
t�
$ 5.00
$
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
Back Flow Prevenntter�� fired. .
Type
. Yes ( No
`
( )
�)!115
/
$ 5.00
A
O
U
It of Value of Fixture or
Wg
u
O
State Surcharge
aqn
H
Reinspection Fee S
D wi
G~U
u
3
FEE
$ 8.�
oS
lec
a
1st
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(•) - New Fixture, old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fixtures
$ 5.00
$
Future Fixtures
$ 3.50
$
Old Opening, New Fixture
$ 1.50
$
Beer Dispenser
$ 4.00
S
Blow Off Basin
$ 5.00
$
Catch Basin
$ 5.00
$
Rain Water Leader
$ 5.00
$
Hydraulic Valve
$ 5.00
$
Sump or Receiving Tank
$ 5.00
S
Water Treating Appliance
$ 7.00
$
Hot water Heater
$ 5.00
$
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
Back Flow Prevenntter�� fired. .
Type
. Yes ( No
`
( )
�)!115
/
$ 5.00
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or
Appliance
State Surcharge
$ 5u
Reinspection Fee S
($15.00)
TOTAL
FEE
$ 8.�
Effective Kay 1, 1990.
Job Address ® `Cc- Ct 4f,-- Jetl-gce
Department of Buildings
City of Fridley
Tel. 0571-3450
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 representations stated in this application are true and correct �
Fridley, Mn. % 19 '70
OWNER CT-� \A)ectuer-
KIND OF BUILDING�%0
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST �
OLD - NEW BUILDING PERMIT NO. PERMIT NO. ��`T
ROUGH INSP.
Date
Companyi] �. R KJ Wl �''LG CO.
Signed Bye -4--
Tel. No.
FINAL INSP. J 2- "'9�
Date
APPROVAL FOR PERMIT C
!1ININU4 FETE FOR ANY PLUMBING PERMIT IE15.00
PLUS THE $.50 STATE SURCHARGE
SUBJECT
City ®f Fridley
754784
AT THE TOP OF THE TWINS
B U I L I �! 1 G
A I
PERMIT
r
�
� v
"'v 1
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r i
1-1741
1 . i
NUMBER
REV
DATE
PAGE OF
APPROVED Br
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/9/97
JOB ADDRESS 928 Rice Creek Terrace NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
2
3
Brookview Terrace 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Burt/Carole Weaver 928 Rice Creek Terrace NE
571-1249
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Wiger Construction 901 Rice Creek Ter NE, Fridley,
MN 55432 572-8403 8392.
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 It
REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Roof Repair (10 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
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 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
$834
$•50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISR2NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$32.00
Fire SC $.83
STRU 10 OR THE PER RMANC OF CONSTRUCTION.
C
PLAN CHECK FEEL
FEE
Lice C
$5.
$38.33
z
O RACTORORAU ORIZ AGENT (DATEi
HE PR
P VALID TEb THIS IS R R
r
DG INSo
QATE
SIGNATURE OF OWNER OF OWNER BUILDER) iDATEi
NEW ( ) Effective 1/l/97
ADDN [ J CITY OF FRIDLEY
ALTER [ ) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:1"
Owner Name & Address: �� ��a Tel. # J_ 7
Contractor:MN LICENSE #
Address: 90 Tel. # c�,-"o7 -',63
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'
Length Width Height
Length Width Hgt/Ground
Construction Type: ��Fl tuG ,CLQ 1W
Driveway Curb Cut.Width Needed: Ft. + 6 Ft
Sq. Ft.
Sq. Ft.
Sq. Ft.
la 6-Q
Estimated Cost: $
(Fee Schedule on Back)
Ft x $ _ $
DATE: t APPLICANT: r Tel.
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ , �J .001 of Permit Valuation (1/10th%)
State Surcharge $_ $.50/$1,000 Valuation
SAC Charge $ $950 per SAC Unit
License Surcharge- $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ -$450.00 Conservation Plan Review
Park Fee $ Fee Determined. by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary j ]
TOTAL $ ,
iTIPULA•1'IONS:
Building
BUILDING
Permit Ivo.:.' ' .1
Inspections
RESIDENTIAL APPLICATION
al
Received By: P4
763-572-3604
CITY OF FRIDLEY
Dat 1 toil
763-502-4977 FAX
EFFECTIVE 1-1-2010
DATE 10'7 _10
YOUR E-MAIL ADDRESS
SITE ADDRESS cl®2T
LCE. C CQ LTer%l t -e—
THIS APPLICANT IS:
❑ OWNER (((CONTRACTOR
PROPERTY OWNER/
NAME:�P.Ci ye
TENANT
ADDRESS: CITY
STATE ZIP
PHONE: '743
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # e�v�b ��57 EXP DATE
AND CERTIFICATE OF
ADDRESS: 93C 4�� CITY i4 641, STATE ZIP
INSURANCE
PHONE AS -AX. -W4 FAX
PROPERTY TYPE
SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH ArROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: T'ico D r
A,) lric'e! '?-7k6.
SIZE OF IMPROVEMENT
LENGTH
IGHT SQ FT
ROOFING HOUSE ONLY
0
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
HOUSE & GARAGE
1, Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
13 Vinyl
❑Soffit
ADDITIONS_ & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑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:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee $ See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge $ .001 times the total job valuation
Surcharge $ _ .0005 x Permit Valuation Minimum $.50
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $24 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due $ 37 Make checks savable to: Citv of Fridlev 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 work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of ald yyork,yr h retores review and approval of plans.
SIGNATURE OF