PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
N°' (4855
Date:
02
Owner: .......... -- ----- •- Builder .............. •--•- .... ..._.._...._..._._..___._...._.._.__.._._...... _.._
Address....._........_..__._...._...__......___..._..._ .._._ _ _ _ Address •---..... ...._..::_.._. ._.....::_:._.._..__._..._.._.__._......._.....__..._...
LO TION OFJ04UILDING
No. --- ••,- ... Street..... Part of Lot ..........
... ------------
Lot
•---••--- ..._
Lot ........:......._........ Block -----_-•• ............ Addition or Sub-Division6g.
Corner Lot .._................... Inside Lot ....._ .: ...... Setback ..... .. . .............. Sideyard ...:............................. .............. ............
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
ToLA
cu. Front ... .. --..._.. Depth ... Height Sq. Ft. r . .
.............. ... ......:......:...__......... .... Front Depth Height Sq. Ft. ..:.......... :...._.. Cu. Ft........................
Type of Construction....: _. Est. Cost. �......... To be Completed ..._ ..............._............. ........ .....
"PHIS PEPfAIr - AU-rj
/ON OF l7F_S
'31JN OF IL ANY Pril vq1 r NOr `AUTHORIZE VIOLAT,.
G RESTRICTION;." COVENANTS AND
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 any time upon olatig any of the provisions of said
ordinances. ' /
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 Hems.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
}'--
Owners Name Builder
�..
Address
OF BUILDING
No
of Lot
Lot !S __Block_,,. 1 Addition or Sub.Div,
Corner Lot_Inside Lot """ Set Back �� Side -Yard
SEWER ELEVATION FOUNDATION EI;EVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front �
Sq. Ft. Cu. Ft.
Frontw�„� 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 corn t.
DATE SIGNATURE'
(A Schedule of Fee- costs can be found on the Reverse Side.)
Application for Power Plants and Heating. Coating. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
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
$
MECIi. WARM AIR
Furnace Shell & Duct 'Work to 120,000 BTU ............
8.00
$�
each add. 60,000 BTU .......................
2.00
$ _
Replacement of Furnace .............................
5.00
$
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. IDR 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
It
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
FEE
$
REMARKS:
S
Dept. of BIdgs. Phone SU
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.
Fridley, . *,nn OCT 2 1 1960 195
Owner
Kind of Building
Used as
195—
195—
To be completed about C 2 1
pd
Estimated Cost, $®D `�
Old ew uilding Permit No.
DESCRIPTION OF WORK
HEATING ` _.oma warm Air—No—
Trade Name�_���t�a �ti�t�-� �✓ Size Nom 5 7
Capacity. Sq. Ft. e9 0 BTU � H.P.
g �j4
Total Connected Load Z$2 / Kind of Fuel (/-
BURNER —Trade NameG/U1������� Siz N �S�
Capacity Sq. Ft. E.D. SEDGWIME 7T & m 1-�"P�ND rGEO.ip,
1001 Xenia Av. S.
Minneapolis 16, Minn.
Signed U. 54611
ByZ- ��g
��
-411W11 POST IM -12-58 Business Phon - No
x a'la",s1 too] 39/
D-56 �s e 9d T/ p 2-9
HEAT LOSS CALCULATIONS t" DEPARTMENT OF BUILDINGS
Weatherstrips S.H.A.V.E. Construction No.
Guide
Windows Doors Reference Out. Wall,;; Int.y all Ceiling Roof Floor
Yes—No I Yes—No 19—
d F1 I rAWnLf? ..t`rv�m .Pnoth'Z Width :LI Height /0 II F1.1
Windows and Doors—Crackage and Area
7 Q "0
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. oP p ne of pane lights i crack sq. a
® ,� / — 131®
�� s �If
Net exp. wall
Coef. Btu
4o
Coef.
Btu
Infiltration
3 X,
---
Glass®
3
Glass
Net exp. wall
Int. wall
IFG
0
0 0
Exp. will ),-A lG
Net exp. wall
Floor
1
Net exp. wall
/000
C-eiUng Femme 5-4r,4
Int. wall h ✓�Zer, �✓
Floor
Floor 4 efi, 77 S- >e
d ,C�o 0
Geikug T=1k ro'cR
' _ !
B
L f- q
Floor 4-ce.t2-c T?
a-1
Total Btu. Igo
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.I I o. 1(14,—A Room I Lenath7-7 V Width I I Height 10
Windows and Doors—Crackage and Area
7 Q "0
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height I No. of Lineal ft. Area
No. of pane of pane lights of crack sq. Pt.
® ,� / — 131®
d K�
Net exp. wall
Coef. Btu
Coef.
Btu
Infiltration
Glass
3 X,
---
Glass®
d ?e
.2
Net exp. wall
Int. wall
Exp. wall /o
0
Ceiling
�-
Net exp. wall
Floor
1
Int. wall
/000
C-eiUng Femme 5-4r,4
dL
Floor
Floor 4 efi, 77 S- >e
Ceiling f
' _ !
Total Btu.
Required sq. ft. E.D.R. or sq,. ins. W.A. Leader areaILI
i r4 1 It t /d Dr _--.L r„ W1:. ,*,L JC1 i-fn;nbt
Windows and Doors—Crackage and Area
7 Q "0
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal YL. Area
No. of pane of pane lights of crack sq. ft.
30 /,
Net exp. wall
Coef. Btu
Infiltration
f fwx
Btu
Glass
0
3
Exp. wall
d ?e
Glass
Net exp. wall
Int. wall
t
%
Ceiling
Exp. wall
Floor
1
Int. wall
Total Biu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
APOLIS. MINN.
Insulation
Kind How. Applied
. _ Width MHeigl
Windows and Doors—Crackage and Area
7 Q "0
Width Height No. of Lineal ft. Area
Noe of pane of pane lights of crack sq. ft.
Width Height No. of Lineal YL. Area
No. of pane of pane lights of crack sq. ft.
30 /,
Net exp. wall
Int. wall
CCoef.1 Btu
Coef.
Btu
Infiltration
0
Glass
Glass
Exp. wall -04
t
Exp. wall
0
1
Int. wall
Net exp. wall
Ceiling Q
't IV A
Int. wall
Floor
Ceiling f
' _ !
L
-1 ID
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
i m I �;T ---# iz,,,,m I i Pnath ® Width % B// Height
Windows and Doors—Crackage and Area
7 Q "0
Width Height No. of Lineal ft. Area
Noe of pane of pane lights of crack sq. ft.
3 30 /
Exp. wall ` k
Net exp. wall
Int. wall
CCoef.1 Btu
Infiltration
7 L
Floor
0
Glass
Exp. wall -04
Net exp. wall
1
Int. wall
Ceiling Q
't IV A
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. '3 Room I Length;. I Width
Windows and' Doors—Crackageand Area
Wtdth Hetght No. of Lineal ft. Area
No, of pane of peas lights of crack eq. ft.
0 ,C
Infiltration
7 Q "0
Glass co
S O D
Exp. wall ` k
Net exp. wall
Int. wall
Ceiling %
7 L
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
U 40
SUBJECT
ERM IT_ AIr
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
i
RECEIPT NO.. -
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
7c2-
--"I
/-"I CITY HALL FRIDLEY 55432
,`j
NUMBERDATE
PAGE OF
APPROVED BY
"•' 612-560-3450
9i 0-F15
rE�
15/14/76
�
JOB ADDRESS 941 Rice Creek Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
1 1
Brookview Terr. 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
George Hayano 941 Rice Creek Terrace N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
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 D. ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
.Reroof structure
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.
Asphalt
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
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
$1,000
- 5O
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.
$6.00
PLAN CHECK FEE
TOTALFEE
$6.50
SIGNATURE OF CONTRACTO R AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG. INSP
DATE
SIG URE OF OWNER IIF OWN UILDER) (DATE)
U 40
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR AUDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S
NAME: 049,E
E /?V S� ,VO
BUILDER : ��
ADDRESS
ADDRESS :
NO :. STREET: 6/ (2,f-
LOT:.
',f-LOT: BLOCK: / ADDITION: —le- .zz:--
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
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 As:
,g_e.azW h//®ceJ e_ Front:
Depth:
Square Feet: Cubic Feet:
Height:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: _ �J Xa Estimated Cost:
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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. R
DATE: _ f/��7 SIGNATURE:
(See Reverse Side For Additional Information.)
V
SUBJECT
P I -.a..=
City of Fridley
15420,
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
_
f
i4 �EIPT NO
L.4
v _--___ COMMUNITY DEVELOPMENT DIV.
174
INSPECTION SEC.
dp 710PROTECTIVE
t �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
= �r---
i ;,� CITY HALL FRIDLEY 55432
•_--�
j 612-571-3450
910-F15
8/28/79
JOB ADDRESS 941 Rice Creek. Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8
1
Brookview Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
George Hayano 941 Rice Creek Terrace N.E. 571-5095
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Reliable Roofing Co. 4036 - 18th.Avenue South 721-3025
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
X
8 DESCRIBE WORK
Reroof structure.
9 CHANGE QF USE FROM TO
STIPULATIONS goof can be second but not third roof. Install ridged galvanized
valleys.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
AS halt
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
$1,925
$.96
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.
$12.00
PLAN CHECK FEE
TOTALFEE
$12.96
SIG URE OF CONTRA:;LHORIZEDAGENT tDAaTEt
WHEN PROPERLY ALI DATED THIS IS YOUR PERMIT
,{,/,/
2114 X
BLaG [NSP DATE
SIGNA O O ERtF NE ILDERI (DATE)
V
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: BUILDER: G
ADDRESS: Imo/ E, -c.,5 (3�4 TFZ e ADDRESS: C74a / 4� so
TEL NO: 5_2 S TEL NO: �/ ®:2 5 -
Construction Location
STREET
STREET NO: STREET:
LOT: 8 BLOCK: ADDITION:
u!L.uJ o ee. )k1
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
F Front: Depth: Height:
Squane.Feet: Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: Py4' LT Estimated Cost: $
7U Be Completed:
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 in this application are true and correct.
DATE: SIGNATURE:
Stipulations:
t% P-LL� S
RiceCreek
3585 LEXINGTON AVENUE NORTH, SUITE 374
ARDEN HILLS, MINNESOTA 55126-8016
TELEPHONE (612) 483-0634
August 16,1991
Resident _
( 941 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
cc: 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 KQLMCAMR
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
SUBJECT
"M;T-ND.- 7
City of Fraley
25330
AT THE TOP OF THE TWINS
BUILDING E R
M I T
�
RECt 0 rNO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1-1007
r
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
`
CITY HALL FRIDLEY 55432
j 612-571-3450
910-F15
7/30/97
JOB ADDRESS 941 RICE CREEK TERRACE NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
1
Brookview Terrace 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Jane/George Hayano 941 Rice Creek Terrace NE
571-5095
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Wiger Construction 901 Rice Creek Terrace NE, Fridley, Mn 55432 572-8403
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residentail
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION CA REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (30 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
$2,502
$1.25
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
PROVISIO,NJ5, OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$74.75
Fire SC $2.50
STRUCTI N R THE PERFORMANCE OF CONSTRUCTION.
°
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$83.50
SIGNATURE OF CONTRACTOR OR AUTHORIZ DAGENT (DATEI
WHEN PROPERL ALIDATED THIS IS YOUR PERM�ITET
'" LD )NSPE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
NEW
ADDN [ CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: ( ieeC'zx-
Effective 1/1/97
02�; 33
Legal Description: /'ff „5t'oe'v>`,"q e
Owner Name & Address: J�AAE d- C2046t' Tel. # L�— 7/ � P�
Contractor: iW I G —'Fle 06 N y7',, ("D A ve-
MN LICENSE #
Address: 04WO' 7ex:: e,,,Ae Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
6,-7 >?- — (5'fid 3
DESCRIPTION OF IMPROVEMENT
HIVING AREA: Length Width Height ;Sq. Ft.
�ARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: 12 Fa®F �'�!4 C��/�' l C�
Construction Type: Estimated Cost: $)
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft.x $ _ $
DATE: APPLICANT: Tel. #�cx
®�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge $
TOTAL
STIPULATIONS:
$ F'3. mS
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$950 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 [ ]
CITY OF FRIDLEY INSPECTION -DIV. du -3 °q 'D Effective On Januarysl ,'Y957
6431 University Ave NE
Fridley, MN 55432. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS Z/1
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate TOTAL specified agreeing to do all work In strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00 $ dy /00 representations stated in this application are true and correct.
(Side Vent - Fill Out Back) 7®
Gas Piping (Needed with new furnace) $10.00 $
OWNER.
Gas Range $10.00 $
BUILDING USED AS��
Gas Dryer $ 10.OQ $ e
d� ����/® ESTIMATED COS �,�� PERMIT NO.
*Air Conditioning — All Sizes $ 25.00 $ >,0,0
All Others/Repairs & Alterations (LIST ON BACK) DESCRIPTION OF FURNACE AND OR BURNER
1 % of Value of Appliance or Work $ No. of Heating Units % Circle One (Steam) (Hot Wate (Warm Air
Trade Nam,, Size No.
Commercial/Industrial BTU�;�e 0 HP ED
1.25% of Value of Appliance or Work $ Fuel Total Connected Load
State Surcharge $ .50 Burner Trade Name Size No.
BTU— pz z) HP EDR
TOTAL FEE$ 'S_50.
SE WICK HEATING & AIR " F UITIUNI CO.
HEATING COMPANY 8010 WenNVDM A S%Ah
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION 9
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed B I No.l®���®
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date(Pi2-
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE F R STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNA E
�7
NOTE: #1 through #8 required when using a side vent furnace.
0 LE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes (
)
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 ail current Code requhumnats 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
( )
HEATING CO:
Signed Bv:
Date:
WICK HFWING Asa ACR GUNDI a sUNW& (.,U.
°O rth h
a
H
suB.;ECT
PE .
City of Fridley
002
AT THE TOP OF THE TWINS
B U I L ®I G PERMIT
r
116
0 ,
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
win
II; PROTECTIVE
I CITY HALL FRIDLEY: 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 612-571-3450
910-F/5
8/9/99
JOB ADDRESS 941 Rice Creek Terrace NE
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8 1
lBrookview Terrace 2nd Addn.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
George & Jane Hayano
571-5095
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Quarve Contracting Inc. 8427 Center Dr. NE Sp -a, Lk. Pk 55432
785-1472 6016
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
O NEW O ADDITION 0 ALTERATION A2 REPAIR
0 MOVE O REMOVE
8 DESCRIBE WORK
Re lace soffit & fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide soffit ventilation,to meet Building Code
SEPARATE PERMITS ARE REOUIREO 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. DWIG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,000
$1.00.
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
$62.25
Fire SC $2.00
jqq
PLAN CHECK FEE
ToFEE
0
SIGNATU O CONTRACTOR ORAUTHORIZED AGENT D Ei
o -25
HENWRVALIDAT
BI
THIS IS V R PERM T.TS,GNATURE
DATE
OF OWNERav OWNER BwLDERi iDATE)
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description: Cl
Owner Name & Address:Aume.'C; Gli/�it� Tel. #
Contractor: —g;T I MN LICENSE # l w
Address:q4A�lam( l-�yDi, Tel. # S ✓ 1�
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:
Construction Type: �a 0jc( Estimated Cost: $ 2, -MQ
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: s APPLICANT:4"Z�c Tel. #-7
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �rC0
70o ,5
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.501$1,000 Valuation
$1050 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 I
City of Fridley e 1
AT THE TOP OF THE TWINS
BUILDING
( i✓ G o I 1E ®I N i�V PERMIT
�
RECEIPT NO.
`� -------COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
f
I 1 CITY HALL FRIDLEY 55432 NUMBER pEV DATE PAGE OF APPpOVED BY
�'' 612-571-3450 s�aF�S 5/16/00 /
JOB ADDRESS 941 Rice Creek Terrace NE
1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 8 1 Brookview Terrace 2nd Addu SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Hayano 941 Rice Creek Terrace NE 571-5075
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Quarve Contracting Inc 8427 Center Dr, Spring Lake Park, MN 55434 785-1472
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
6016
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 1 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install replacement windows within existing openings
s CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997 Uniform 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 1 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 $3,000 $1.50
DOES NOT FIRES E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE
PROVISIONS OTH TATE OR LOCAL LAW REGULATING CON- $83.25 Fire C $3.00
STRUCTIO O E PE MANCE OF CONSTRUCTION
PLAN CHECK E TOTA FEE
Licen C $5.00 2.75
SIGNATURE OF CONTRACTOR OR AUTHOR4ED AGENT el
(DATE, HE PROP L VALIDA ED HjS IS YOUR PIT
S-GNATURE OF OWNERoF OWNER BUILDER, iDATE, Bl -NSP <T)AtE
NEW [ l Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION (A
Construction Address: __ ��� ✓�.� e ,�� $/G /��:
Legal Description:
Owner Name & Address: ZN.0-&"a Tel. #—�-a c'
Contractor: C'�� %v�� l ,C / MN LICENSE # 0/,/,
Address: c:5�V i Tel. # %-oma 72
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:
Construction Type: 1e- e-0 �✓ u,, Estimated Cost: $ 6evc>
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: S %6�� APPLICANT: _�� d.�; Tel. #
CITY USE ONLY - Call (763) 672-3604 for Permit Fees if mailing in application
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ —3_ 00 .001 of Permit Valuation (1/10th%)
State Surcharge $ A �;- (' $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
47�
$1100 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 [ ]
s 7S