Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PRE 2010 DOCS
City of Fridley, Blinn. BUILDING PERMIT No 5112 Date: (0 !t4 Owner: Builder Address Address LOCATION FWILDING No. Street Part of Lot7. _ w. Lot _ _ Block _ __ _ _ _Addition or Sub -Division! Corner Lot ---- Inside Lot Setback _c _ __ Sideyard _ Sewer Elevation ____ _ _ _ Foundation Elevation _ DESCRIPTION OF BUILDING To Used J , ,f Front epth Height Sq. Ft.t� Cu. Ft.3e--1/ Frot Depth ght Sq. Ft. -t-0Cu. Ft. , Type of Construction Est. Cost �; "" �o 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 $ .- *, 41 ._., permit is hereby granted ton... 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,- epair and moving of buildings �n� city limits and thus permit may be revoked at any time -,4 and of any of the provisions of said Y I Building Inspector NOTICE: This permit does not cover the construction, installation for wiring,'' plumbiMB1 gas, heating, sewer or water.. Be sere to sea the Building laspector for separate pgmdb for these items. .QW4 APPLICATION FOR BUILDING PERMIT CITY Of Builder . • . - OF BUILDING No. / Street &e�nza,Pert of Lot, c_ Lot Block t Addition or Subdivisio Corner Lot Inside Lot Setback 2.) Side -Yard c� SEWER ELEVATION iFOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING ® _ Front `a 3 Denth Y �1 Sq. Ft. y�� Cu. Ft. Front•_Depth -Height---L- Sq. eightxSq. Ft. Cu. Ft. Type of Construction =� Estimated Cost To be Completed The undersigned hereby ma}es 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 the facts and representations stated in this application are true and correct. DATE cz, SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) 211, �b Application for Power Plants and Heating. Coming, Ventilation, Refrigeration and Air Conditioning System 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 $ MECIL WARM AIR j Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ ice" 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. 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 , $ 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 $1.5o $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN BEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: See Fee Schedule $ W TOTAL FEE $ Dept. of Bldgs. Phone SII 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. , Minn 1 195— Owner Kind of Building Used as 195- 195— To be completed about V m� Estimated Cost, $ g<e"- _.,-QWtwuilding Permit No. DESCRIPTION OF WORK HEATING br - , Warm Air—No. ./ — Trade Name .�/ �`�� Size No.��'� ice° Capacity SGI. Ft. E.D.R dg��� `� BTU - H.P. Total Connected Loa '' ,� Kind of Fuel BURNER — Trade Size N'5'� 7 �� Capacity Sq. Ft. E.D.R6LK -2W-16,H P. -T).� .A 1001 m(eu'say. S. lW..o iie���.,,,�� Yvu� evuo0a➢. Sign By 11 POST IM -12-58 Business Phone N aMe -+., ate- +r' � � � r rW . "� ...- � s'� + ;, �W►:°.. ar .w D•56 79 k' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows I ;Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Ye -s --No N 19_ .FI R�nm I Length �. , i Width '' r I <.:. _ ig 'k -Height II Fl I Room Lensth Width He ht' Windows and Doors—Crackage and Area `4 Width Height No. of Lineal ft. Area No. of pane of pang lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq ft.i Coef, .. ;Btu Coef. Btu Infiltration,; . Coef. Btu Infiltration Exp. wall' Ceiling Net exp. wall Floor Glass Int. wall Ceiling Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. , y` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length ' - Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area 3 F No. of pane of pane lights of crack Coef. Btu Infiltration Glass Exp. wall Net exp. wall k Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.4 Room I Length Width - Heiitht Windows ",and Doors—Crackage and Area `4 Width Height No. of Lineal ft. Area No. of pane of pang lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef, .. ;Btu Coef. Btu Infiltration,; . Exp. wall Glass Net exp. wall - Exp. wall' Ceiling Net exp. wall Floor Int. wall Ceiling Floor Total Btu: � ("r Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pang lights of crack sq. ft. 4 Coef, .. ;Btu Infiltration Glass . Exp. wall Net exp. wall - Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Leneth ` Width t` Height Windows and Doors—Crackage and Area Width Height No. 01 Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass . Exp. wall Net exp. wall ! Int. wall_ Ceiling f: Floor a. - Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area RI_I _ .!Rnnm I t enath Width , "-�,-Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.paAe lights of crack sq. ft. Coef. Btu Infiltration Glass . Exp. wall Net exp. wall f Int. wall Ceiling Floor Tota -1B fu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . r vw D•56 sewiq HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19— F1.1 --4' Room I Lenath ." Width Heisht II Fl_I Windows and Doors—Crackage and Area _ .. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. Coef., Btu Infiltration Glass Exp. wall o Net exp. wall Int. wall Ceiling,,„a' _ Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl -1,' Room I Lenkth Width Height Windows and1boors—Crackage and Area Width Height No. of Lineal ft. Area No.. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration, Glass Exp. wall Net exp. wall Int. wall Ceiling _ Floor Total Btu:' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and, Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu "Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area V m MINNEAPOLIS. MIM. Insulation Kind How. Applied Rnnm I Length Width Height Windows and Doors—Crackage and Area Width I Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall -- Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room ( Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights I of_crack Lsq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling' Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area RI_I Rnnm I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int, wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Original PermitPEUMBING AND GAS FMING �G permit the Plumbing Ordinance requires that request for N.B. When work covered by this permit is ready, � Fee � inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., DESCRIPTION OF WORK Number, Sand and Location of Fixtures Stories W W o Q A 3 e z F m Q D m 1- 'm Q m m Y z m Z m Y F' m a z Q E O 3� ❑ IL W C z o °o 'a 2 -I K N Y. ❑ 2 Z m Q Q m m 3 z it Q❑ M-1 U x a m a Q IL e Q O m z Q Q n M WATER HTR. GAS ELEC. Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool , Gas Piping for ®penings Permission is hereby granted to do the plumbing and gas fatting in the building described in the4gtatement hereto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fatting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection .Date Inspector. Final Inspection Inspector. 42 IAO -6-68-V City of Fridley M 19-467 Owner�(-� ' Tlh Location C?4OA4--a�� Kind of Building" Used as To be Completed , 19— Estimated Cost $ Old -New. Building Permit No. Date Inspector of Buildings. City of Fridley 53-8—s-915.51 AppR Dept. of Bugs. Phone 560-3450 DESCRIPTION OF WORE A$ 961 N. E. Rice Creek Terrace Number. Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 3§� Number Fixtures ................ x $2.00 O 2 g( g 0 g i N WATER MTR. GAS ELEC. $ Catch Basin .................... x $3.25 i 1 Water Heater :Up to 99,000 BTU) • • • • z b <$ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater .............. x $2.00 $ GAS FITTING FEES. NO. RATE TOTAL Base I al e 1st 2nd _ 3rd 4th -- ® Future Coaneclloa Opel Co with Bawer ❑ * New Fixture. Old Openings spool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ....... • • • • x $1.50 $ - New Fixture Old Opening .......... . x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater .............. x $2.00 $ GAS FITTING FEES. NO. RATE TOTAL 1st 3 Fixtures ..... • ... • • • • • • . x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ........... x $5.00 $ REPAIRS h ALTERATIONS—Refer to Code Description ...... Clot q s ..� 'Q ' ...................... 5.00 TOTAL FEE .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 Cite Ordinance and ruling of the Department of Buildings, and hereby declares that aM the fact and representations stated in this application are true and correct Fridley, Minn 6-8-71 184 Owner Alex Grochowski - Kind of Building Frame Used as Res. To be completed about 6-15-71 Estimated Cost, $ 10.00 QMLNew. Building Permit N Signed. By way— Business . Phone No ROUGH FINAL " � 3 — �/ RiceCreek 3585 LEXINGTON AVENUE NORTH, SUITE 374 ARDEN HILLS, MINNESOTA 55126-8016 TELEPHONE (612) 483-0634 August 16, 1991 Board of Managers Resident Regular Meetings: (_ 96.1 Rice Creek T mace 2n an 4t Wednesdays - -� at Shoreview City Hall Fridley, MN 55432 BONITA TORPE, Admin. Ass't,. Re: Proposed Rice Creek bank stabilization project Dear Sir/Madam: 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 It 06LANCAMTER ANOKA COUNTY RAMSEY COUNTY WASHINGTON COUNTY RAMSEY COUNTY JAMES M. MONTGOMERY Consulting Engineers 4734224 • FRANK J. MURRAY Attorney 222-5549 WADE SAVAGE ANOKA COUNTY City of Fridley25679 SUBJECT � AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ' fr PROTECTIVE INSPECTION SEC. '/�/�//� r � � 1 A / ` I 1 CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED BY "'' 612-571-3450 910-F15 11/12/97 JOB ADDRESS 961 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hank/Terri Swaggert 961 Rice Creek Terrace NE 572-0039 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Renewal By Andersen 350 73 Ave NE, Fridley, MN 55432 502-4777 20040630 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 X REPAIR o X ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace 15 windows in home with complete new windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement sleeping room windows must mee t 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 $10,222 $5.11 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- $174.75 F SC $10.22 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEETO AL FEE Li e $ $195.08 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT=(DATEj EN R VALID THIS IS YOU PERMIT SIGNATURE OF OWNEROF OWNER BUILDERI BL 'NSP PATE %ECITY OF FRIDLEY TEL: 612-571-1287 Mar 20.96 9:48 N®.001 P.;01/.02. NEW 41 Effective 3/1/96 AWN [ ] CITY OF FRiIDLEY ALTER (+ SINGLE FAMMY. ANl) DU1'T IMS. R-1 AND R-2 Building..Penmit Application ConstructionAddress: i M R-1 CE .CSS iC TE R.te,/atsa ' Legal Description: Owner Name & Address: _� AN 4 �"'�'� �.a-1 • S W /�G�EIu . , Tel. # 'S"1 z - Contractor: _TZ eN NA\_ Ar4®�(S—E-ni MN LICTNSE# Z 6'3FZ Address: 3S11) 7-3 0 A PJG r -4C D ��-� (YIN ST `} 3`Z. Tel. # Attach. to this application, a Certificate of Survey of the lot, with the propos construction drawn on it to scale. D9SCREMON OF EWROViEl IMT LIVING AREA: Length Width Height Sq. Pt. GARAGE AREA: %ngth Width Height Sq. FL D RF,A: Length Width - -- Hguaround Sq. Ft. OTHF,R: t ' W N a►r.rs I n1 Apingz vy tT(-1 CDM e+ GT'U- r�(�^�,i i•Irrt taorJS ..: ' Corner Lot [ ] Inside Lot j Ft. Yd Setback Sidc Yard Setbacks Type of Construction:... _ ' Fstimat� .Cast: $_. l 0 y72:7- APprox. Completion Date: 1+ -Z9 -a1 (cost, on . Back) Driveway Curb Cut Width Needed: Ft. +.6 Ft = Ft ar $,� _ $ DATE: APPLICANT: Tel'. #. Permit FCC Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Tscrow Erosion Control Park Fee '. Sewer Main Charge TOTAL STi'PULATIONS: $� ` Fee. Schedule on Reverse Side $_ / 001 of Permit Valuation (1/10th%) . $ S-.// $.50/$1,000 Valualioa $ . $900 per SAC Unit. . $„ - « $5.00 (State Licensed Residential .Contractors) $� Alt.."An or Alt. M"_Above $ UMAO. Conserva.tioo Plan review. $ Fee Determined by Engmcft . $ Agreement Necessary [ i Not Noccssary [ ] S;. Elder -Jones Building Permit Service, Inc. ELDER -JONES BUILDING PERMIT SERVICE, INC. 1120 EAST 80TH STREET BLOOMINGTON, MN 55420 PHONE: (612)854-2854 FAX: (612)854-2703 We at Elder -Jones Building Permit Service, Inc. are acting as an agent for Renewal by .Andersen. If there are any questions, or if permit has to be picked up in person, please give us a call at the number above. If permit can be mailed back to us, we have enclosed a self-addressed envelope. Thank You, Schenk ext. 140 olene Connors ext. 134 Elder -Jones Building Permit Service, Inc. 1120 East 80th Street • Bloomington, Minnesota 5542&1498 612-8542854 FAX: 612-854-4909 o� jo r- rt SUBJECT P City of Fridley 2 759 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT N COMMUNITY DEVELOPMENT DIV.L.,-_-_-_PROTECTIVE i r INSPECTION SEC. 1 . I _--'{ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 1/12/98 JOB ADDRESS 961 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK 1 TRACT OR ADDITION SEE ATTACHED DESCR. 7 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terry/Hank Swaggart 961 Rice Creek Terrace NE 572-0039 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R C Construction 6471 Hodgson Rd, Lino Lakes MN 55014 481-8514 2674 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 ❑ NEW ❑ ADDITION ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Interior alterations to bathroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 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 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 1 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 $2,989 $1.49 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 ANCE OF CONSTRUCTION. aTHFR PLAN CHECK FEE TOTAL FEE License SC $5 00 $84.23 SIGNATURE OF CONTRA TOR OR AUTFIORIZEDAGENT IDATEI WHEN PROPERW VALIDATED THIS IS YOUR PERMIT Fttw INSP GATE SIGNATURE OF OWN E R, IF OWNER BUILDERI IDATEI Bathroom Remodel Project Detail: Remove existing vanity, fixtures and tile. Restructure bathroom/hallway wall, moving bathroom doorway to accommodate a standard 18" depth vanity and closing off hallway closet door.' Remove wall between closet and bathroom. Face frame closet with cupboard doors that opens to bathroom. Sheetrock walls with cement board. Replace tub, faucets and shower plumbing as needed. Replace stool, vanity, sinks and faucets. Add light bar above vanity mirror. Replace fan. Ceramic tile floor, walls, and ceiling around tub. we, Or- / IlAzeyle-1- NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION SP �"a67 ConstructionAddress: I(/ �_(e r r eA 7—Cr LAS 0 -- Legal Description: Owner Name & Address:gyp, e„-4- Tel. # I "" c? 10 Contractor: R, • 60"drLc �-/ o n MN LICENSE # a0 Address: 1j,)As0 e�'�,� L� �J �'/�%fy Tel. # `/ �j ,EC Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EUPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length DECK AREA: OTHER: Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type: dA-, 10 Estimated Cost: $ � I M - (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =9 DATE: /–),2 –�q APPLICANT:�io��lcp � - j Tel. # TOTAL $ �� STIPULATIONS: CITY USE ONLY Permit Fee $ r%� Fee Schedule on Reverse Side Fire Surcharge 99 -.001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 67, 00 $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: CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES; New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Effective On January 1, 1997 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR t r '< Wash i r..n... Floor G�tal�< Auto Gas Gas I�l[sc� Water Heater Urinal Tuff ;Shower Stnk Tray Fount Drain Baslt7 Washer Appl. Range Ftxt_ Gas Elec NO. RATE TOTAL In 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 $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ce c_Yt /z, 19GO Owner 0 ff. Va Building Used As % O&S= Estimated Cost PERMIT NO. PLUMBING COM Y SIGNED BY TEL N0._ j'7 Approved By i _ Rough—In Date Final Date'l?� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $���� PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES, City of Fridley25861 AT THE TOP OF THE TWINS SUBJECT BUILDING MIT t a , _ COMMUNITY DEVELOPMENT DIV. er PROTECTIVE INSPECTION SEC. I � , ` CITY HALL FRIDLEY 55432 °•j 612-571-3450 o NUMBER 910-F15 REV DATE 3/20/98 PAGE OF APPROVED BY JOB ADDRESS 961 Rice Creek Terrace NE 1 LEGAL DESCR. LOT NO. 7 BLOCK 1 TRACT OR ADDITION SEE ATTACHED Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hank Swaggert 961 Rice Creek Terrace NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Greg Wills Exteriors 4246 Royce Street NE, Mpls., MN 55421 788-0529 20037840 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 ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum siding and trim 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same. 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $6,400 SURTAX $3.20 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 R THE PERFORMANCE OF CONSTRUCTION. $124.75 Fire SC $6.40 PLAN CHECK FEE TOTALFEE lft� License SC $5.00 $139.35 SiGNATUREofCONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERVIVALIDATED THIS IS YOUR PERMIT B OG INSP DATE SiGNATURE OF OWNER 0F OWNER BUILDER) IDATEI 01 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION a ConstructionAddress: Legal Description: Owner Name &Address: 64� = Tel. # Contractor: L4)1 7 L �) !? �� S MN LICENSE # 2-J (03 -7 e' NVQ Address: �12Y (a �® �! .S 7—jz� 5 1)) 4J S ;5, Z/0 Tel. # `fid � 1.�. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT 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: Estimated Cost: $D v ccs% (Fee Schedule on ack) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: `Z APPLICANT: Tel. # CITY USE ONLY Permit Fee $ d Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $��. �C $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 $ f 3 j . 3 � STIPULATIONS: SUBJECT PE&NH-TWO-. - '-, City of Fridley ( 27284 AT THE TOP OF THE TWINS BUILDING PERMIT - RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. i I NUMBER REV DATE PAGE OF APPROVED BY = ----5 � CITY HALL FRIDLEY 55432 K,, , 612-571-3450 910415 18/19/98 JOB ADDRESS 961 Rice Creek Terrace NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 lBrookview Terrace nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hank Swaggert572-0039 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Roof Design Partners LLC 4026 7th St NE Columbia 789-6566 20004817 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 jk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (24 SO 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 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 001 81.00 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- STRUCTIO OR THE PERFORM6ANCE CONSTRUCTION. $74.75 Fire SC 2.00 CHECK FEE TO FEE XPLAN License$5.00/.75 SIGN URE OF CONTRACTOR OR AUTHORIZED A IDATEI EN ROP VALIDA THIS IS =1UR PER T SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI BLOd INSP GATE NEW [ ] ADDN T ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Effective 1/1/98 �a tl Owner Name & Address: Tel. # f5 `. ' - y Contractor:Aa` MN LICENSE # .:)CQ LIF) 7 Address: 1L -/D R L Tel. #. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: DESCRIPTION OF I34PROVEMENT Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: -JEstimated Cost: U�3Cq``% (Fee Schedule on Back) Driveway Curb C& Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: nQ & Tel. #'� — Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.501$1,000 Valuation $1000 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 [ ] Permit Fee $ Fire Surcharge $ '2_00 State Surcharge $ %. U C SAC Charge $ License Surcharge $ U0- Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.501$1,000 Valuation $1000 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 [ ] Effective January 1, 2003 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS ` C- RATE SCHEDULE OWNER Rc)D&tL- 14-' I Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 jo of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 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. TOTAL BUILDING USED AS ESTIMATED COST ' PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER $ f No. of Heating Units ( Circle One (Steam) (Hot Water) arm Ai $ Trade Name S'fiAor-JSize No. BTU /" W%"' HP EDR $ Fuel fv*r C.A4 Total Connected Load Burner Trade Name Size No._ $ BTU HP ED $ 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. DATE HEATING CN Signed TEL # FAX # ®� t Approved By _ Rough -In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED S-nmmnN VIENTO VENT CQNNFCTf)R ANn r()MBIISTInN AIR VFRIFICATION When teplariingan eYietinii-flirannp, 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 (�i No ( ) The venting system is plasbc/PVC and meets all current codes and manufacturer Yes �No ( ) specifications including sizing, length, number of elbows and termination. 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 avlafing emmb istien air is sized and installed to meet the current codes Yes (� No ( ) and manufacturer's specifications. When required to ins -tall a new cemb"SH121 airs it will be sized and installed Yes (✓j No( ) to meet the current codes and manufacturer's specifications. When ipstailling a now yanflnu sygvAgm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Yes (✓f No( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes (iJ�No ( ) separately as per current codes. T�yne and S'7e/Common Vent and Vent Qnnector InMrmateno Apploanca 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 N HEATING CO: ,+� Signed By* SUBJECT -PEF14IT NO. City of Fridley 33326 AT THE TOP OF THE TWINS BUILDING I L ®I N G P E R M I T RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. _____ PROTECTIVE INSPECTION SEC. 305 r I NUMBER REV OATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J` 763-571-3450 910-F15 1/22/03 JOB ADDRESS 961 Rice Creek Terrace NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Brookview Terrace 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hank & Terry Swaggert 961 Rice Creek Terrace NE 763-572-0039 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO J W Williams Construction 2936 Quail Ave N, Mpls., MN 55422 763-208-5000 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20125107 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION R ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Remodel Basement 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR® Permit Inspectwon Ca--os ru WIRING HEAING PLUMB10 AND 3108 Will Be Mailed To Homeowner To Post 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 MOT 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 1 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 $30'000 $15.00 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 TOTAL FEE Licen SC $5 0 $491.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H P P RLY VA ATED THIS IS YOUR PERMIX B(% IPA& r'AfE S.GNAYUREOFOwNER,iFOwNERSUILDERI IDATEI FROM :JWWILLIAMS CONSTRUCTION INC FAX NO. :763 588 8757 Jan. 15 2003 12:02PM P2 V 1 4- ej 7 - a., r ku-i 1.1 1 Y UF- t -R ULL--r TO 59U757 P.02/03 NEW [ D CITY OF FRIDLEY Effective 1/1/2003 ADDN () 6431 University Ave NE, Fridley, MN 35432 (763) 572-3604 Bldg Inep ALTER [) SINGLE FAMILY AND DUp'LEXES R-1 AND R-2 (763) 671-138T Fax BUILDING PERMIT APPLICATION Construction Address: Ci to w R l clr 0 P2f_M TE P P ACE N er Legal Description: _ Owner Name & Address: I -IP N K w +' TARKY S�v�C-,G 2.r Tel. 7(03-.a72- 403 Contractor. J W W ILLI AMS (I,QIjcjTRUCX'l () ?Q MN LICEM1I3Edk BC- 2 O125i ®7 Address: 293(n QUAIL. AVE N, M11►►P;irAPOI.I5 MN 5.742Z Te14 % 3-20$'Sy0 Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTION CW IMPROVEMENT LIVINGS AREA: Langth Width Height Sq. FL GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length , Width Hgt/oround Sq. FL OTHER: $ASEMEA►s UViM6% A(LeA ", 41 5P -3g N " Construction Tyne: REMCDE'l. Estimated Cost: 30P coo Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x S -=$ ._ DATE: 115103 APPLICANT: Q,Z�-J.c 6- Tel. is 3-209-5 J W W1U 1AM5 CDA1SrRUC"0AJ Call (763) 672.8604 for Permit Fees if mailing In application. Fax to 783-37144 if using credit card and we will call you for card number. Permit Fos Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $� !, $_ . $ zi CITY USE ONLY - Fee Schedule on Reverse Side S k .001 of Permit Valuation (1/1 Oth%) $.80/$1,000 Valuation $1275 per SAC Unit $6.00 (State Licensed Residentiai Contractors) Aft. "W or Alt. -'S" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary i ] Not Necessary [ l TOTAL $ +-99/17 � . - v.V UI V. 6431 University Ave NE ..IIC1.lr,. Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT ' (763) 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Water bath".",:.: Wash ...: Drinks Floor Catch. Auto. has _ ._. Gas Misc. Water Heater Stories Clp',e~t' Urinal Tub.,:.; Shower atnk.:' Tray Fount: Drain B, :` Washer A . I Range Fixt, Gas lElec Basement _. Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS�� 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 o2®— Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner - ��►� 4, Q, ���'�" Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 f Building Used As Gas Range** $10.00 �/00,.00PERMITNO. Gas Dryer** $10.00 �(�. Estimated Cost Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY—��i 9�® D)U/d�� Q Reinspection Fee $47.00/Hr ®`v1 SIGNED BY / TEL NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX # 7� ` 'Y7,, 1.5% of Value of Fixture or Appliance r Approved By Rouch-In Date Final Date I� ��� - - State Surcharge .50 _ _ MINIMUM FEE F R A ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNT, VFNT CONNFCTOR AND COMRIIGTION AIR VERIFICATION When mpl,, acing an exictinn furan _ _, 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 (i 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The eYis inn r-nm6 mtion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new comhistion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When jnntalfing a new venting cy is Pm, the undersigned hereby verifies that it 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 ( ) 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 Tyy a and si7p/ ommon 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 HEATING CO: Signed By: Date 1 Building MECHANICAL Permit Ivo.%, � Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY cQ 1 200 763-502-4977 FAX EFFECTIVE 1-1-08 / r (� DATE "{�S �®� YOUR E-MAIL ADDRESS ACde�LV�4C, I✓J @ aiP , lLPt�G���`i�C SITE ADDRESS ,1p� �]� D THIS APPLICANT IS: D OWNER kCONTRACTOR PROPERTY NAME: OWNER/ ADDRESS:'%l 1(e CITY A STATE ZIP Tag TENANT ? PHONE: - CONTRACTOR COMPANY NAME: ILA ¢ r NOTE: SEPARATE CITY CONTACT PERSON: P A LICENSES ARE STATE LIC( SE # EXP DATE REQUIRED FOR GAS ADDRESS: 11 C}�I � i �I/� f !. E CITY m Lax— STATI ZIP ,5, AND HVAC. SUBMIT COPY OF BOND PHONE %1f'J'Z t,( (g -"'Ja S a FAX AND INSURANCE PERMIT TYPE VAINGLE FAMILY D TWO FAMILY D TOWNHOUSE TYPE OF WORK: D NEW D REPLACEMENT VALTERATION/REMODEL DETAILED DESCRIPTION OF WORK XI -k 'Q4 5u , ©u At::e a - S (.ten l u PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (Thisshould reflect only the cost of labor) OR ���,® S� Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor �—o x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR $35.00 $35.00 _GAS UNIT HTR $10.00 _BOILER _FURNACE CHIMNEY LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _GAS DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ _. Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 MINIMUM $15.50 MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical 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; that the work will be in ccordance with the approved plan in the case of all work which requires review and approvalof plans. SIGNATURE OF APPLIC /1' ! PRINT NAME' CJT�'T DATE /2'65� APPROVED BY DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 20 " . , .' I 2af g Date: 2/15/2009 Revision Date: 2/15/2009 Site Information Address 1: 961 Rice Creek Terrace NE Address 2: City: Fridley County: Anoka Application Information Business Name: Contact Person: Office Ph: Fax: Cell Ph: Address 1: City: State: Zip Code: Existing Construction: Pre 1994. Project #: Swaggert Lot: 7 Block: 1 Subdivision: Brookview Terrace, 2nd Addition MN Contractor License #: Square Feet Square Feet: 2500 sq. ft. Combustion Appliance Water Heater: Power Vent Input BTUs: 40,000 Independently Vented Furnace/Boiler: Direct Vent/Sealed Combustion Input BTUs: 100,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplace(s): No Gas Fired Power Vent Fireplace(s): No Gas Fired Natural Draft Fireplace(s): No Solid Fuel Appliance(s): No Exhaust Equipment Exhaust Fan Rating (cf 301 Location: IUtchen A ov � - p it No Make -Up Air Required by Code �Se Applicant Name (print): Signature/ nature/ 2,r (�� Code Official (print): Signature/Date: 0 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 Date: 2/15/2009 Revision Date: 2/15/2009 Site Information dress 1: 961 Rice Creek Terrace NE Address 2: City: Fridley County: Anoka Application Information Business Name: Contact Person: Office Ph: Fax: Cell Ph: Address 1: City: State: Zip Code: Existing Construction: Pre 1994. Project #: Swaggert Lot: 7 Block: 1 Subdivision: Brookview Terrace, 2nd Addition MN Contractor License #: Minimum Mechanical Code Requirements Met Will you be replacing or adding a water heater, furnace, or boiler? NO Will you be installing a decorative solid -fuel appliance? NO Will you be installing an exhaust fan 300 CFM or greater? G NO YIL r i �6� c You have met the minimum requirements for make-up air and combustion air as required by the international mechanical code, as adopted by the state of Minnesota with amendments. 2�eS�� j Applicant Name (print): Signature/Date: 99 Code Official (print): Signature/Date: '2` b C� 0 2004 CenterPoint Energy Minnegasco, 2004 Mechanical Code Guidelines. Page 1 Building PLUMBING Permit No.: ��+0a0 Inspections RESIDENTIAL APPLICATION Received By:� 763-572-3604 CITY OF FRIDLEY D €M' EC 10 20 763-502-4977 FAX EFFECTIVE 1-1-08 DATE P-1 q I ©$ YOUR E-MAIL ADDRESS a- SITE ADDRESS 91.P k R'kCz l w-e'e k- -'e- CLC-A-- THIS APPLICANT IS: 0 OWNER PCONTRACTOR PROPERTY . & A C k- _ NAME: tai ev'�- n -I- ADDRESS: qto V CITY �..�i sTATrJ ZIP 2 tc-g_ e$-:, 'Pe.�r � S� q? OWNER/ TENANT PHONE: CONTRACTOR NAME: A.Z. A ( _PtuAu_1,aj C_ _ � STATE LICENSE # ®�J� -{ �J J - P EXP DATE 12-/'3k/77_C, +�0 SUBMIT A COPY OF YOUR STATE / 3$�� EXP DATE���� LICENSE, BOND AND CERTIFICATE OF STATE BOND # STATE W ZIP 1 �5 ADDRESS: -79-75 f}p'on 1P� CITY WOO & INSURANCE PHONE U'51--731?-n580 FAX i0 551- 7 -C(O N — PERMIT TYPE 0 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW Af REPLACEMENT DETAILED DESCRIPTION OF WORK Blocq -Kim ca :V * fie- �e �- D kh-, n F'_ P tyx w\& 'Ms muJ ' %lArC�ae.1t� A y_+0_kt_S I_ _ _-- PER MS 1611.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = _ plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. _ BATH SINK/LAV _FLOOR DRAINS _ SHOWER WA I'ER PIPING —BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WA T't R SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BAUKFLOW PREY. ($15) T DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER _ OTHER i? >`' RMIT .1*EE FOR, `PR01 CTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 to x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50) Total= $ So THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 all ork which requires review and approval of plans. I It AA d-11nit' ' -&WnA DATE_ SIGNATURE OF APRLICA T PRINT NAME APPROVED BY DATF _ _- PDAs,'NCi�� "S�R�'PETIT=AI�t11RED BI,1`iG, ELEC 1RCAL AND IYI�:?CHANICAL`WQRT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604