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PRE 2010 DOCSCity of Fridley, Minn. 9807 BUILDING PERMIT Date: June 21, 1968 Owner; Gorden J. As pens on Builder Same Address 29 Rice Creek Way Address Same LOCATION OF BUILDING No. 17 Street Rice Creek Way _ ._,.._... part of Lot Lot ._._ 3 Block 1 Addition or Sub -Division ___._ Ed„gewate�r, Gardens Corner Lot — Inside Lot. Setback _ _ Sideyard Sewer Elevation 829.32 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 24' Depth 45 Height 20SQ, F, 1150 Cu, Ft 31444 Garage Front 24' Depth 30' Height 10' Sq, FL 720 Cu, gam, Type of Construction Frame Est. Cost __ $37000 To be Completed SEWER LOCATION 16' South of Manhole WATER LOCATION - 10' North of Sewer 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 jVr1h and in compliance with 21 pr ons of ordinances of the city of Fridley. 14 �� 11%'1 In consideration of the payment of a fee of $ 47, 00 _, permit is hereby granted to Gardon Aspenson to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the prWisions of said ordinances. Clarence Belisle NOTICE: This permit does not cover the construction, Installation for wiling, plumbing, gas heating, sewer or water. Be son to we the Building Inspector for separate permits for then hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MT1=SOTA- OMMMR'S CY ADDRESS: ADDRESS LOCATION OF BUILDU.10.2 'A NO..STREET LOTDIT-I fiLOCK ADDITION dRIUBDIV1916k. COR1-ZR LOT INSIDE LOT SETBACK SIDETARD SEWER ELEVATI& Tor. &FOOTikG 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: ightCJ C-7 Square feet Cub . ic Feet 4/ Frontfight �.� Depth ZL2 Square feet Z= Cubic ,Feet Type of Construction Z e_ _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 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 (Schedule of Fee Costs can be found on the ReveKe Side). a r i City of Fridley Application for Plumbing and Gas Fbting Permit Dept. of Bldgs. Phone 860-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... x $2.00 $ y, Z x $1.50 et Z Z iS x $1.50 w 1 01 Z 0 • F • N WATER HTR. GAS EIEC Base $ 6 New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ......................... x $2.00 $ d-00 Additional Fixtures .................... 1st $ Gas Range to 199,000 BTU .............. ! ! 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings Connected with Sewer 10 Cesspool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... x $2.00 $ 2-0-00 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 $ 6 New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ......................... x $2.00 $ d-00 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn, 7 ,'j ( — , 196 Owner Kind of Building ` ,e Used as To be completed about Estimated Cost, $ Old `New. uilding Permit No ::f 7 Permit No. s�l Signe a By Business Phone No ROUGH M41R- DESCRIPTIONOF WORN Number. Kind and Location of Fixtures . Yuture connecuou openings w""J Avu waw a Now Fixture, Old OpeningsSewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures . Future Fixture Opening New Fixture Old Opening Catch Basin . . x $200 $ X $1.50 $_ x $1.50 $ x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. x $3,26 $ Electric Water Heater s $2.00 $ GAS PITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .... x $200 # Additional Fixtures ..... x $ .,M $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................. ..........$ TOTAL. FEE i City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. , Minn 19— Owner Kind of Building Used as To be completed about // g)-- °- —C Estimated Cost, $ Old—New. Building Permit No.—_ _ _Permit No. Signed _ By-- Business Phone N °� �4 ROUGH rINALt- 0�'+ -- ayzZyzZ g Vy��?cc�� _ ggT�j r O e e WATER MTR. GAS BIC. Base lot -- — 2nd 3rd — — 4th Yuture connecuou openings w""J Avu waw a Now Fixture, Old OpeningsSewer ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures . Future Fixture Opening New Fixture Old Opening Catch Basin . . x $200 $ X $1.50 $_ x $1.50 $ x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. x $3,26 $ Electric Water Heater s $2.00 $ GAS PITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... .... x $200 # Additional Fixtures ..... x $ .,M $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................. ..........$ TOTAL. FEE i City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. , Minn 19— Owner Kind of Building Used as To be completed about // g)-- °- —C Estimated Cost, $ Old—New. Building Permit No.—_ _ _Permit No. Signed _ By-- Business Phone N °� �4 ROUGH rINALt- 0�'+ -- s City of Fridley, Minn. 94 . 64''.I_l. G 1311 University Ave. TNE., Minneapolis, Minn. 55,132 B Date: - August 15, 19Z2 Owner: Gordon Aspenson Builder $K Same Address —17 H i ce Creek Uay W E Address Sauce :• • No. 17 Street Rice Creek Way K.F. . - .-Part of Lot lot 3 Stock 1 Addition or Sub -Division . Edgewater Gardens Corner Lot Inside Lot X Setback .-._.._ Sideyard ,Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Poo 1 Front 161 Depth 401 Height Sq. Ft. Cu. Ft. Front ____ Depth Height Sq. Ft. _ Cu. Ft. Type of Construction Stee1/Vinyl F&t. Cost _$l, 500.00 To be Completed 30 days Stipulation: This permit issued subject to Health Inspector's approval and review of the specifications. In consideration of the issuance to me of a permit to construct the building described above, I agree to do ft proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. I /a In consideration of the payment of a fee of *__9 - 00 , permit is hereby granted Mrs. As pens on to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said r Inspector CLAMCE BELIS NOTICE: w This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be scare to we the Building inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ,ALTERATION, OR ADDITION BUILDING PgRMIT CITY OF FRIDLEY, MINNESOTA OWNRR' S d j. A, t/�'�BUILDER: D 0 0 0 ADDRESS: , I ' I�I Me- Q� e Lkfiq V ADDRESS: C r —c -,O Gl n a i' ! e STA:® 12 STREET: Elco -e ��" 6� uhq LOT;— BLOCK • ADDITION: �C-��j e eo m eaa ee ern es ee. CORNER LOT: INSIDE LOT: SETBACK: SIDEXARDs ,.Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn an these Certificates. DESCRIPTION OF BUILDING To Be Used As: y-Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height; Square jFeetj; r Cubic Feet: Type of Construction: ' '4.6 f 1 iCN d Estimated Cost: To Be Completed: _�; 0 - �PI, Y S The undersigned hereby makes application for a permit for the.wgrk heroin specified, agreeing to do all work in sttict accordance with the city Qf Fridley Ordinances and rulings of the Department of Buildings, and horeby declares that all the facts and representations stated in this application are true and correct. I TR ; I `� ` �-- SIGNATURE : M_ �2, V, (See Revere Side For Additional Information.) 13 - t 1. Skimmer should be at one end and return inlet fitting at other and for good circulation.. I don't know &were it is pre -punched for these fittings. 2. Provide Watts #9 on water line to faucet. (May be equivalent to Watts #9). This was noted on brochure. 3. Ground interrupter will be provided as noted on brochure. No overhead electrical lines. 4. Provide a minimum of a 3' x 3' deck at bottom of ladder to clear► feet before entry to pool. May be wood, concrete, or other. DS. 'Yard shall be fenced or pool fenced or fence around ladder to pool. Provide a self closing and self latching gate. 6. Follow pool operating instructions. Keep chlorine in pool; run pump and filter day and night; use your test kit. I t HARVEY J. MCPHEE Health Inspector so r • s_ : City, ®f Fridley, Blinn. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDMG PERMIT Date: _ Auz t. t 14--1972 Owner: Gordon Aspenson Builder XX Same Address 17 Hirp Creek Way N E Address Same LOCATION OF BUILDING Ift 17 Street - Rice Greek way N ,E— . Part of Lot Lot 3 Block 1 Addition or Sub -Division Ed ewater Gardens Corner Lot inside Lot X Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING C/o =11594 To be Used as: Pool Front 16' Depth 401 Height Sq. Ft. Cu. Ft. Front Depth Height - Sq. Ft. _ Cu. Ft. 7hm of Construction Steel/Vinyl Fust. Cost _ 1 500.00 To be Completed 30 days Stipulation: This permit isaued subject to Health Inspector's approval and review of the specifications. 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 Wilinances of the city of Fridley. /' In consideration of the payment of a fee of $ 9 .00 permit is hereby granted to--Mrs•_.As pens on to construct the building or addition as described above. This permit is -ranted 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 vyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. t inspector CLARENCEBELISL NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sero to see the Building inspector for separate permits for these items. �' pp frF m s 771A t April 6, 1979 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Custom Pools 701 E. Excelsior Avenue Hopkins, M11 55343 TELEPHONE ( 612)571-3450 Re: Swimming Pool Construction at 17 Rice Creek Way N.E. Dear Sirs: This letter is to make clear this departments requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, two (2) inlets of approved design for fresh andfor repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by'4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All electrical lines must be greater than 15 feet away from the pool surface. An alternative is to bury said lines. Custom Pools April 6, 1979 Re: 17 Rice Creek Way N.E. Page 2 9. Th pool fill spout must be air -gapped or protected by a vacuum breaker . 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is ill times the pool diameter and sha.pherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, r ST EN J. OLSON Environmental officer SJO/mh CC: Mr. Gordon Aspenson 17 Rice Creek Way N.E. 9 24" CLEARANCE ABOVE .FILTER 'A' FILTER DIAMETER 27" MAX. WIDTH UNITROL VALVE® �g 1,_1/2" POOL RETURN - ,bar PUMP SUCTION SELECTION CHART AIR RELIEF 3 PRESSURE GAUGE -'C' - 100# BAGS OF Na 20 SILICA SAND �e ®0 e��DRAIN "STRUCTURAL FOAM PEDESTAL r CATALOG NUMBER MODEL NUMBER FILTER AREA (SQ. FT.) PUMP H. P. RATE/SQ. FT. TURNOVER CAPACITIES A B C 15 gpm 20 g m HOUR 6 HRS. 8 HRS. 10 H19. 24736-116 HRS -16 1.4 1/2 21 SERIES W/UNITROL VALVE 1260 7,560 10,080 12,600 16" 33" 1 1/4 28 1680 1a, 080 13,440 16,800 24730-121 —� HRS-20:�3>, .2 3/4 33 1980 11,880 0 19,800 20" 3711 2 44 2640 1 840 21,120 26,400 24731-124 HRS -24 3.1 1 47 2820 16,920 22,560 28,200 24" 41" 2 1/2 1 1/2 62 3720 22,320 29,760 37,200 GENERAL NOTES: 3. The filter tahks and pump and unitrol valve are approved by the National -Sanitation Foundation. 1. Flow rates shorn are based on 15 and 20 G.P.M. per sq. ft. of filter area. However, rates may vary from 10 to 20 G.P.M. 4. These filters are covered by the following patents: per sq. ft. as desired. Australia Pat.'No. 275,346; Canada Pat. No. 722,018; 2. Pump be Great Britain Pat. No. Mexico Pae. No. and pump connector must purchased separately. P D Y• 79,797; South Africa Pat. Pio. 1100/65. t. No. »r an mtt®,. na u m rant ..taunt w a a ,at a Pummmata mommak tet. r ants 1111mm w s.aw r P t Im tmTtntw ,r,Ns w un.m ►a. is ,m. e © swimquip DEP III" VERTICAL HI -RATE (FILTER) aL,amw.aow.nwr..c.Ir.®„� HRS SERIES W/UNITROL VALVE t,Tl NtlO It,.O. M.W. AO.tth. artOl. aON LIM WMrt MOI lett,. WII, tlO. OOOr. Tar TALO o eo.VIaONT +ae tmaautr, DIVISION OF Wmn.w.uw eavaaV, INC. r� JUNE 1973 "°'re % — 5® t a 53-81, �9915o5i Applicaflon for Phanhing and Gas M]I g Per, it Dept. of: Bldgz. Phone SM -3450 . DESCRIPTION OF V7011M. Number, Kind and Locr ion of Fixtures Lota�^�° 17 Rice • reek Way C s 12 r Wiz t; � ;6-101 z N u z WATER HTR. G -s T N;. M rn'ng "JasiLok Aod 3' i Fut=o Con$eciicn OpSMir'M- wn�as.aca wua S®csaz Now Fixtuev, Old Op=L, Ccc--pool (] PARTIAL RATE SCHEEDULF City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in .strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct, Fridley, M= ----.:-2-9-76 19_. Owner Uordon As-venson Kind of Building Frame Used as Res. To be completed about 2-16-76 Estimated Cost, $ 10.00 .UMBING FIXTURE RATES: NO. RATE TOTAL Old --ice. Building Permit No Form it No. Number Fixtures ................ x $2.00 $ Signed Future Fixture Opening ............ x $1.50 $ _ By New Fixture Old Oprning.... t :.... x $1.50 $ _:. Business Phone No Catch Basin .................... x $3.25 $ . Water Heater fUp to 99,000 BTU). • . • x 83.00 $ New Ground Run Old Bld ROUGH g........ x53.25 8 . Electric Water Hoator...... ...... a $2.00 $ • 7LS FITTING FEES: NO. RATE TOTAL .1st 3 Fixtures x $2.00 $ , Additional Fixtures .............. x $ .75 $ Gas Range to 299,000 BTT] ........... x $5.00 $ Gas Log 5.00• 5.00 PAIRS ALTERATIONS—Rofer to Code .50 State Surcharge De cri titin ...... '.... w .......... •......... ..... r-, ToTALrn s 5.50 ° ° SUBJECT PERMIT City of Fridley ®1511 AT THE TOP OF THE TWINS BUILDING PERMIT r � R%EI ` _______ COMMUNITY DEVELOPMENT DIV. L 1 1 PROTECTIVE INSPECTION SEC. , , �� „�` CITY HALL FRIDLEY 55432 IL NUMBER REV. DATE PAGE OF APPROVED BY L---- 612-560-3450 910-F15 14/9/79 JOB ADDRESS 17 Rice _Creek Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Edgewater Gardens SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Gordon Aspenson 17 Rice Creek Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Custom Pools 701 E. Excelsior Avenue, Hopkins, MN 55343 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 Ej NEW ❑ ADDITION ❑ ALTERATION. ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161,x 32' x 8' deep Swimming ,Pool 9 CHANGE OF USE FROM TO STIPULATIONS Stipulations as per letter dated April 6, 1979 by Environmental Officer. SEPERATE PERMITS REQUIRED FOR W ore �C�Ee HEATING, PLUMBING AND SIGNS. E(£CrRI� uti0ifis o�� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING.Alum./Vinyl 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. $3.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,000 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. - $42.00 NONE STRUC _ION OR THE RFORM NCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE NONE $45.50 '•'SIG ° TWOFIbONTRA TOR OR AUTHORIZED AG (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT r ox� BLDG. INSP DATE SIGN TURE OF OWNER OF OWNER BUILDER) -(DATE) • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) o OWNER: Address: i 7 , � , e e _' ee No.: Street: /% BUILDER: Address: Tel. No.: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 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: Uf r U c 76` Front: �2 Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: L i. .� 'j,stimated Cost: $ /, DO To Be Completed: 7 �_�C� 72 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 d correct. See reverse sid, or additional information. DATE: 17 SIGNATURE: Stipulations: oo 3sZ'/ M1 11 t 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Custom Pools. 701 E. Excelsior Avenue Hopkins, m1i 55343 TELEPHONE ( 612)571-3450 Re: Swimming Pool Construction at 17 Rice Creek Way N.E. Dear Sirs: This letter is to make clear this departments requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, two (2) inlets of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria:. (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All electrical lines must be greater than 15 feet away from the pool surface. An alternative is to bury said lines. Custom Pools April 6, 1979 Re: 17 Rice Creek Way N.E. Page 2 9. The pool fill spout must be air -gapped or protected by a vacuum breaker. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 131 times the pool diameter and shapherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, =Mf% SJo/mh CC: Mr. Gordon Aspenson 17 Rice Creek Way N.E. City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMIT NO. i5i4o � COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. t � � t /- n CITY HALL FRIDLEY 55432 ---- I'J 612-560--3450 RECEIPT NO. NUMBER 910-F15 REV. DATE 4/20/79 PAGE OF APPROVED BY JOB ADDRESS 17 Rice Creek Way N.E. 1 LEGAL DESCR. LOT NO. 3 BLOCK 1 TRACT OR ADDITION SEE ATTACHED Edgewater Gardens SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Gordon Aspenson 17 Rice Creek Way 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 C. ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Addition to basement area (no building above) to replace existing deck 9 CHANGE OF USE FROM TO STIPULATIONS ® submit structural plan for precast ($8Ofcte dr can roca u tiTEtECrarCfrtr s - REQUIRED Wftc. 5EPERATE f'I::RMITS REQUIRED FOR W1RIM By LAW HEATING, PLUMBING AND MGM. 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 60 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 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 $4,500 SURTAX $2.25 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PERMIT FEE $27.00 SAC CHARGE NONE PLAN CHECK FEE TOTAL FEE 11�$ 6.75 $36.00 SIG PRE CONT ACTOR ORAUTHO ZEDAGENT (DATE) - 01 WHEN PROPERLY LIID-,AT^EDTHIS IS YOUR PERMIT sy BLDG INSP DATE NATURE OF OWN O ER BU RI IDAT�@I , ., J • CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, (ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER BUILDER: Address: ®G'�Av�/eo"V'Y"ddress: Tel. No.: No. Street: LOT: --�-- BLOCK.: ADDITION • � CORNER LOT: INSIDE LOT: SETBACK.: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these.Certificates. DESCRIPTION OF BUIILDING To Be Used As: �j�jC� J *% '04 0 Front: Depth: Height: Square Feet: .1*4 Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: l4 Type of Construction: Estimated Cost: $-=�� 00 To Be Completed: Al A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SITEET) 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. See reverse side for -additional information. DATE: `�— / �I " p SIGNATURE: } Stipulations: , (o00, 0 �rjATO sib sJ "UCOIV* 1' p`" F;., Pair mer' CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE ,4 R - GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings City of Fridley Repairs & Alterations each add. $500.00 4,00 $ Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $elle Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. , 19� STEAM OR HOT WATER SYSTEM: OwNE Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDIN each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST ��G111r� GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ LD EW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: lst 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING $ M FAN HEATING SYSTEMS See Fee Sche ule VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ROUGH INSP. - 4C FINAL INSP. Date APPROVAL FOR PERMIT REINSPECTION FEE (.$10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load BURNER - Trade Name Size No. Sq. Ft. EDR BTU HP Kind of Fuel Size No. Capacity Sq. Ft. EDR BTU HP Suburb9ft jjjdjtjk?,H1M C.0 Company 1 ra 'v% n'. Igr �enfi 4 igned By ' r Tel. No. ILL CITY OF FRI®LEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571.3450 Mr. Gordon Aspenson 17 Rice Creek Way N.E. Fridley, MN 55432 Re: Condominium License Dear Mr. Aspenson: This letter will serve as a reminder to you that all condominium licenses in the City of Fridley will expire as of August 31, 1982. We are enclosing herewith an application for renewal of your license for the coming year, September 1, 1982 to August 31, 1983. In order that the proper officials can check out the application and the City Council can give consideration to and approval of this license before the expiration date of the current license, it is necessary that the signed, completed application together with the necessary license fee be returned to the Code Enforcement Department no later than August 13, 1982. If you will fill out the enclosed application and return it to us with your check, the processing of your license will start immediately. We are confident in your cooperation in this matter and if you have any questions, please feel free to contact me at 571-3450. Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh ENC: 1 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old opening, New Fixture $ 1.50 $ Water w , toi Blow off Basin $ 5.00 N .ni ro e $ 5.00 m s, pa, G' $ Hydraulic'Valve Heater ►�, omi ro � S x'�C 3" $ x•a�x a ti Gas Range d $ 10.00 $ 49 $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ i� O lee Wu D MW vi S o w ai cmi ani ao 3 s 1st 2nd 3rd 4th (R) a 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 S 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 Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTfi1:� tS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ State Surcharge $ .50 Reinspection Fee $ ($15.00) TOTAL FEE $ I Job Address Department of Build City of Fridley Tel. #571-3450 Effective Date May I, 1988 177 RICE CREEK WAY r-%I".EY, M- 551AZ-2- H 971-0813 - - W 57.1-5)33/572 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. Lo 2g , 1996 OWNER (23 KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST Lf OLD - NEW BUILDING PERMIT NO. PERMIT NO. 16 YLL Company W�T)F'v00116 PRI"M„ill`',r�r =I 2905, �i�a;Re`HELD AVENUE Signed Bir Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT b � MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE F-11 7-17 CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 June 25, 1990 Margaret Owens 17 Rice Creek Way N.E. Fridley, MN 55432 RE: 15 - 63rd Way N.E. Dear Ms. Owens: A recent inspection revealed that shrubs at the southeast corner of the above referenced property appears to be creating a visual obstruction at the intersection of 63rd Way and Ashton Avenue. This obstruction extends into what is called the "vision safety zone" (see enclosed definition) restricting a clear sight path for motorists at this intersection. Please take the appropriate action to bring this property into compliance with the enclosed ordinance. I will be reinspecting on or shortly after July 9, 1990, at which time compliance is expected. Feel free to call me at 572-3595 if you have questions or wish to discuss this further. Thanks for your cooperation! Sincerely, Steven Barg Planning Assistant SB:ls C-90-382 SUBJECT PEI11 �A-��I`Q"�..` City ®f Fridley 21182 AT THE TOP OF THE TWINS BUILDING PERMIT kRic--rPTWo- r -- COMMUNITY DEVELOPMENT DIV. r 1 v PROTECTIVE INSPECTION SEC. 1 � 1 NUMBER REV. GATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 612-571-3450 910415 1/14/92 JOB ADDRESS 17 Rice Creek Fray NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale Owens 17 Rice. Creek Way NE 5710813 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION CI ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Alterations to. enlarge bedroom; & bathroom 9 CHANGEOFUSEFROM TO STIPULATIONS ons on plan, Sed notati SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUPYIBING AND SIGNS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3, 500 $1.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $63,00 Fire SC $.3.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $68,25 SIGNAT OF CO TOR OR AUTHORIZED ENT IDATEI W PROPER Y ID E THIS IS YOUR PERMIT 4_4 SIGNATURE OF OW RIIF OW NERB I IDATEI G INSP i4TE NEW (j Effective 1/1/92 ADDN [ j CITY OF FRIDLEY ALTER] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: / 7 C' to P Legal Description: 4 y e a r d,0 f Owner Name &Address: 14 ?e:1 S , fee A� Tel. # Contractor: Address: MN LICENSE # Tel. # 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: z_70/,7c ��� r4- Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 31�C4,, 4 1?19 r/,/- Estimated Cost: $ 3S00 Approx. Completion Date: / �7'1 ©? Driveway Curb Cut Width Needed: DATE: l - /y - 9/ Permit Fee $ &1.00 Fire Surcharge $ 'Go State Surcharge $ l t SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: (cast m Btt) Ft. +,6 Ft _= Ft x $ Tel. # P 71 - 0 Yl-,? Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ j CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 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 NO. RATE TOTAL No 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 $5.00 HIM Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance 9; 64 State Surcharge TOTAL FEE $ .50 JOB ADDRESS 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. --- �)_ 3 ,1992. Owner _ (� �_ �_c _1R Building Used As Estimated Cost PERMIT NO. / PLUMBING COMPANY- L 11J17 /0 SIGNED BY TEL N0. &I Approved By Rough- n Date Final Date MINIMUM FEE FOR ANY PLUTABING/GAS PERMIT IS $15.00 $ PLUS THE $.50 STATE SURCHARGE Water Bath Closet Urinal Tub Shower Wash Drink. Floor Catch Sink Tray Fount. Drain Basin lAuto. Gas lWasher Appl. Gas Misc. Water Heater Range Fixt. Gas Elec Stories Basemen 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 NO. RATE TOTAL No 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 $5.00 HIM Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance 9; 64 State Surcharge TOTAL FEE $ .50 JOB ADDRESS 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. --- �)_ 3 ,1992. Owner _ (� �_ �_c _1R Building Used As Estimated Cost PERMIT NO. / PLUMBING COMPANY- L 11J17 /0 SIGNED BY TEL N0. &I Approved By Rough- n Date Final Date MINIMUM FEE FOR ANY PLUTABING/GAS PERMIT IS $15.00 $ PLUS THE $.50 STATE SURCHARGE CITY sFRIDLEY INSPECTION DIV, Effective On January 1, 1993 6431. UlWvemky Ave NE McVey, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES State Surcharge TOTAL FEE $.3Q . Sd MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATI N REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00 PLUS THE $.50 STATESURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR HEATING COMPANYNARS# 9447$1AG A V A/A &,J41, }J ,J4 �✓� Signed By Tel No. 53l-0(6(67 Approved By Rough—in Date Final Date /ice FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT sFURNACE C-1 JOB ADDRESS/ -7 K 1 C6 l k6r/< WA 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 Fumace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ W'00 representations stated in this application are true and correct. . ,199-f Gas Piping (Needed with new furnace) $10.00 $ o . 00 -/f,, QG✓e°'lS OWNER IJ�X Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $10.00 $ �`L 00PERMIT ESTIMATED COST Zod � N0. *Air Conditioning — AD Sizes $10A0 $� • DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name 461"aW (, Zl -6?y-8o Size No. Commercial/industrial BTU S01 op 0 HP EDR 1% of Value of Appliance or Work $ Fuel_ NA. Total Connected Load State Surcharge TOTAL FEE $.3Q . Sd MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATI N REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00 PLUS THE $.50 STATESURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR HEATING COMPANYNARS# 9447$1AG A V A/A &,J41, }J ,J4 �✓� Signed By Tel No. 53l-0(6(67 Approved By Rough—in Date Final Date /ice FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT sFURNACE C-1 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 all -current Code requirements for size and total BTU's connected 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks LLA COD. LO / , o Yes (11" No ( ) 0 List Alterations Being Done: HEATING COMPANY MAR -S !14!��v- �_ C.e4, Signed By Date 0 HOUSE HEATING TLZA: RLLUM) _ ADDRESS /Z� A CtZac T. r•LooR carr__ sunuR>3------ ve r OCCUPANT Da le D w e.•, 3 01MER HEAT LOSS_ _DATE 11TG. INST.M IL SOLA BY.�1� C,I?ISTALLLD DY_ ,---_:-- :1.� 70 1�1CCL•-11Cal Work D, Gas Linc By9—a�� TYPE OF HEAT: GA FAIR= TF.1.7`i ShCC JITR. UNIT 11TR.- ATIiE = 'GAS DESIGN CONVERSIOx HAKIM (,l%%/i��C 1•fkKE OF. BURNER ---- 4) T— Serial �7 C �� �I S^ 1lsx. BTU Ratint; . _ INPU1.11.L• OF FUR11ACE Model CONTROLS . Size K ` T11ER�•w�i.��••�_lteat Plug. - Vent � Valva ✓1{ GyL ]:IND OF LINER SIZI_ NONL L: mit' Y1 G Draft llood T.crulator Limit 5ctting 2-40 c Piltcra; Sizc % a I �o Numbcr�__ Fan Setting' g� /a © Chimney Location: Inside, ,_t}utsidc • ' Pilot Type Chimney Conatruction 1 ' . Pilot Make_S 4,, /D, Smoke Bomb Wirin Pilot Model g eilo t liminll cSr e� h Draft Teat Tal; L.W. Cut Off Door Prcnaurc LCilthtinE Inst. Preasurc PNwL Percent COz / <o Data Tented /d3//•,[ - Input CF11 S/ Pc: cent 0` 65% Company TentinJ;- Stack Temp. -O �6 Pcrccnt CO oat Name of Tester TY OF FRIDLEY INSPECTION DIV. 131 university Ave NE 8 -idley, MN 55432 © 33-572-3604 o_ m LO Ir► lD LO Effective On Jan 1, 2001 APPLICATION FOR PLUMBING AND GAS FITTING PERNUT asaov Ru IRAMCo AC MYT►1Q1Zc Tn Mr- 1A.1.TA1 I Fr) Ml FAr-14 FI _nnR LUMBING FIXTURE RATES: N0. 0 ew Fixtures ►Id Opening, New Fixture eer Dispenser low Oft Basin :atch Basin ui :ain Water leader A ump[Receiving Tank dater Treating Appliance o Vater Heater -Electric Water Heater - Gas" u ;as Range"* o aas Dryer" lack Flown Preventer Required ( )Yes () No Type teinspection Fee $47.00/Hr RATE $ 7.0.0 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7-00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 TOTAL �Ll OTHERS ANDIOR REPAIRS AND ALTERATIONS p 1.5% of Value of Fixture or Appliance tI State Surcharge u TOTAL F`E e' JOBADDRESs /7 Floe Ce-ek Waq 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 Buitdang'Division, and heTeby declares that all the Facts and representations stated in this application are true and correct. 2045/ Owner Building Used As //a Estimated Costal PERMIT NO. PLUMBING COMPANY 9 � ! 11 y 5 �j , � f46 64 0 T ` C - SIGNED BY � � �� i TEL N0. Approved By Rough -In Date Final Dante rzi r 0 N Ki I9 dOMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. GOiMMON VENT INFO ON BACK SIDE o Mk, CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE -SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer �g () (!q S' -- () 0.!�3 &fecbve 4/1/2004 APPLICATION FOR_POWER PLANTS ANDHEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Total OO,�� -- j� f 'n^ ' Owner m/ 11 , y tl V L- $ Building Used As 4 $ ESTIMATED COST ✓ PERMIT NO $ DESCRIPTION OF FURNACE AND BURNER; $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $ TC7 ,®a BTU HP EDR Fuel Total -Connected Load 13 i0-�o $35.00. $10.00 $10`00 ' $10. ~ *Air Conditioning -All Sizes $25.00'= All other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/IndustriaVinstitutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specked 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 statJ1QW%&-W FaQ*QT 10 tweect. UBA:- GOLDEN VALLEY HEATING & AIR HEATING CO- I A fi 5182 WEST BROADWAY FAX / CRYSTAL, MN 55429 Date Tel #, Approved by Rough -in Date Final Date O FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furnace, the undersigned hereby verges that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and 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 Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance 91 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : 3uilding $ 11 \ 2'� BUILDING Permit No.: nspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: r r63-572-3604CITY Surcharge OF FRIDLEY Date Rec'd: ice- )ATEI i, ` &0 U� YOUR E-MAIL ADDRESS $ 13. ®® ITE ADDRESS 1_1��� SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ TTS APPLICANT IS: ❑ OWNER DCONTRACtblt $ PROPERTY OWNER! NAME; Geos $ ADDRESS: M Rloc cQr't-`2 CITY STATI ZIP g�`l' 3�. TENANT Agreement necessary ( ) Non Necessary ( ) PHONE: 5 `I a — ((D q $ I CONTRACTOR NAME: 0 8 VJ�ii' c,I t A C - STATE LICENSE # o`Z®�� �{ EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE 0 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDWINDOWS 0 BASEMENT FINISH ❑ ROOF 0 DRAIN TILE 0 DECK ❑ SIDING ❑ OTHER ❑ SWIIvMIIING POOL TYPE OF WORK: 0 NEW ❑ ADDITION 0 MAINTENANCE/REPAIR REMODELING'� DESCRIBE WORK BEING DONE: Cf [)I 0,Ce ®-IKX_X SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: I. Existing Floor Plan GARAGES 0 ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDMONS_ & PORCHES SUBMIT: ❑ Aluminum 0 Trim I. Site PlantSurvey showing the existing structures ❑ Other O Fascia and proposed project. 2. Two sets of construction plans va"OWS IN EXISTING OPENINGS%Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF f Owv� te 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 $ L{ 9 `T OCCUPANCY TYPE Permit Fee $ 11 \ 2'� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ q, 911 .001 times the total job valuation Surcharge $ 9 . 4 � .0005 x Permit Valuation Minimum $.50 License Surcharge $ 13. ®® $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ I Make checks payable to: Ci of Fridle Attach Sti ulations 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; that the work will be in accordance with the approved plan in the case of all work ich requires (review and approval of plans. / SIGNATURE OF APPLICANT X - W tA)1tA__PRINT NAME DATE Building MECHANICAL Permit No.- 03(0, Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY a d09 763-502-497777FAX EFFECTIVE. 1-1-08 _ DATE `& -6) YOUR E-MAIL ADDRESS SITE ADDRESS L THIS APPLICANT IS: 0 OWNER WONTRACTOR PROPERTY NAME: ADDRESS _ C "r STATf� , 7ZI OWNER/ TENANT PHONE � 03 .7 %� ' ��C� �_ CONTRACTOR COMPANY NAME:: NOTE: SEPARATE CITY CONTACT PERSON: LICENSES ARE STATE LICENSE k EXP DATE REQUIRED FOR GAS AND HVAC _ _ y— g ADDRESS ��(� J ���(�®��'9 > _,CITY 9` � e.�� STA'E � QIP SUBMIT COPY OF BOND _ PHONE `_:� [_. FAX AND INSURANCE __—_- --- SINGLE FAMILY ❑ TWO FAMILY ❑ LOW'NI IOl ISE PERMIT TYPE TYPE OF WORK: 0 NEW REPLACEMENT ❑ ALL-[:RA'rION/REMODEL. DETAILED DESCRIPTION OF WORK .- -. 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. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = _ FOR PROJECTS WHERE LABOR EXCEEDS $500. FEES ARE BASED ON $10 00 P[ R FIXTURE:. EXCEPT WHERE NOTED FIXTURES (INDICATE TOTAL. NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL, SIZE/BTU MFG: MODFI. SIZE/BTU — --- — -- MFG. MODEL SIZE/BTU _ A/C $25.00 (GAS) $15 00 — -- --` _GAS RANGI{/OVI:N $10.01. TO AIR EXC'HANGEER _FIREPLACE: $l5 FIREPLACE (WOOD) $35.00 NEW GAS GRILL. $10.00 _AIR $35.00 FURNACE. $35 00 __GAS IJNIT HTR $10.00 _BOILER LINER $10 00 DRYER $10.00 POOL HEATER $35.00 —VENTILATOR _CHIMNEY _DUCT WORK $1(1.00 _GAS _GAS PIPING $10 00 $15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures n, $10.00 _ x $10.00 = $ Surcharge _ $ .50 Number of fixtures a) $15.00 x $15.00, = $ TOTAL DUE $ OR Number of fixtures a $25.00 x $25.00 = $ 36 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 p tt rid I acknowledge that the int' a ion above is rnmplete and accurate. that the work will be in conformance k� nh the ordinances and codes of the Citv of Fridle and wit [he Minneso a Constructi Cod s, that I understand this is nut a nit but oniti an application torr a permit and work is not to start without a permit. that th work wi b in accor ce with th pprove plan in the case ofall ��ork w tch r qutres review and approval of plans SIGNATURE OF A P C PRINT NA"FeA�Z_p DA TE _ f APPROVED BY -- ------_------__-__-- - DATE -"> PLEASE NOTE: SE TE 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 Building PLUMBING Permit No.j�C01 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: ; -ei -.n DATE D 7YOUR E-MAIL ADDRESS / SITE ADDRESS e `� k4 (�PGy_�e.< 10� ��/�� i /'{'IN �✓ THIS APPLICANT IS: ❑ OWNER )ICONTRACTOR PROPERTY NAME: OWNER/ � Gt�CITY STATES/ZIP ADDRESS: I'& CP 021zk y TENANT PHONE: �� - �1 %�- `%aa"761 CONTRACTOR NAME: STATE LICENSE # EXP DATE �� end 6 e119 STATE ZIP SUBMIT A COPY OF YOUR STATE ADDRESS: , LICENSE WITH PHONE `�.I APPLICATION��,// ,rf PERMIT TYPE )< SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE AdREPLACEMENT TYPE OF WORK: ❑ NEW I pp DETAILED DESCRIPTION OF WORK PER MS 1613.665 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 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR —BATHTUB _ GAS PIPING (vFEo crrrttMYSE) _ SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER OTHER S1'E: ' ifit.PE PERMIT FEE {ORPRO ..- Permit Fee $ 5- Number of fixtures @ $10.00 x $10.00 = $ Surcharge 50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00_ x$35.00=$ TOTAL DUE $ 13. N. State Surcharge = $ .50 Total = $ 3 S b 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. / ejQ d� SIGNATURE OF APPLICANT /% PRINT NAME 10&u Y1 � DATE U LEASE NQM, F, PER , .....`RE R.1 QU " . " ° FOR 13UIEPINGELECIRICM... Amt 1vIECHAI AL" wOI�IC "" „ .;' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977