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PRE 2010 DOCSCity of Fridley, Alinn.. BUILDING PERMIT N9 5419 Date: F Owner: .�� ..._.._.. �..._ Builder ._.._. ._..� _�._.. Address _ _ Address -'— —. loC ON nI+�I No. _ Sheet sort o t Lot _ _ ._ Block Addr on or Sub- ion IjF Corner Lot _ ____ Inside Lot __ Setback_ -S _ Sewer Elevation ____ _ _ — Foundation Elevation DESCRIPTION OF BUILDING To Used 'j �*► <" ry Front Depth Height — Sq. Ft." Cu. Ft. Fron - Depth He! _. Sq. Ft. Cu. Ft. _ Type o , nstruction _ Est. "'"'_ Co be Completed .............. In consideration of the issuance to me of a permit to construct the building described above, I agree told the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of _, permit is hereby granted to._... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, m all work clone 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 yvithin the city limits and this permit may be revoked at any time upon vi o of any of the provisions of said ordinances. .0 ^ / Building Inspector NOTICE: This permit' does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sae the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING MaT CITY OF FRIDIEY, M]MWOTA OF No. a of Lot Block Addition or Subdivision Corner Lot _,,,,,_.,_,;Inside Lot -Setback Side -Yard SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be sed as: +Front, D Sq. Ft. -311,116 Sq. Ft. Cu. Ft. Type of Construction Estimated Cost�� To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are /true and correct. DATR �' 0 - /� (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley Application for Plaanbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... % x $1.50 $ e 0 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ J, I/. —�C City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, .Minn _ �— �� 1 Owner ��z Kind of Building Used as 4 Aqe- To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH 9 _ ;? $ m t'' ) FINAL d 2 2M 7.59 r No / Permit No._ Signe By Business Pho a No. .21 F 12 xy az'a� N QRpZ N }z_ ~� W O , �°' W 0 �z 0 ? z. �a WATER HTR. ELEG iii �� 3� amp GLL N O� LLD cgm 3 c�°d �� 00 F N GAS Base / 1st 2nd _ 3rd _ 4th * Future Connection Openings Connected withI Sewer New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... % x $1.50 $ e 0 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ J, I/. —�C City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, .Minn _ �— �� 1 Owner ��z Kind of Building Used as 4 Aqe- To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH 9 _ ;? $ m t'' ) FINAL d 2 2M 7.59 r No / Permit No._ Signe By Business Pho a No. .21 Application for poorer Plants and Heating, Cooling. Ventilation. ,Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, I Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ ,r each add. 80,000 BTU ... . .................. 2.00 $ Replacement of Furnace .............................. .P.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 $ C;ifL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FFE $�( ROUGH— OUGH FINAL— FINAL, Dept. of Bldgs. Phone SII. 4-7470 City of Fridley: v The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, AUnn Owner Owner — Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. C® DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No o Trade Name4Z 1 � Size No. Capacity / 0 —,Sq. Ft. E.D.R.BTU � � H.P. Total Connected LoadZ&21<' Kind of Fue BURNER — Trade Name ,_44 Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signe s By 4 z 2M r -ss Business Ze No — y - HEAT LOSS CALCULATIONS Weatherstrips A.S.H.V.. Guide WindowsI Doors Reference ' Out. Wall Yes—No Yes—No 19— / F1.1 : i� Room l Length -2/„ Width Construction No. Int. Wall Ceiling Roof Floor / Hesrht ;F II Fl.l 97'. Windows and Doors—Crackage and Area f 5- Height 9 Width Height No. of Lineal ft. Area No. of pane of pane fights of crack sq. ft. Width Height No. of Lineal ft. Area No of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. �2 Glass Coef. Btu Infiltration 3;V Btu --q-0 Glass Infiltration Exp. wall Net exp. wall 7Q Net exp. wall d Int. wall Exp. wall Floor Floor Ceil. J(� Total Btu. yi / ar C p Required sq. ft. E.D.R. or sq. ins. WA. Mder area / F1.1 rs Room I Length / S" Width t Z Height 'R Windows and Doors—Crackage and Area f 5- Height 9 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. �2 Glass ,s Coef. Btu Infiltration Glass Exp. wall Infiltration 6-6 Net exp. wall 7Q Glass e Int. wall Exp. wall -26-6 Floor Net exp. wall Int. wall Ceil. 0 b 14PA o Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Il . area Fl. j Room (Length, Width f 5- Height 9 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panelights of crack eq: ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. �2 Glass ,s Exp. wall Coef. Btu Infiltration Int. wail Glass Glass Glass wall Exp. wall -26-6 ,Exp. Net exp. wall Net exp. wall Int. wall Int. wall Floor Floor Ceil. Int. wall Ceil. Total Btu, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area BURMAN COMPANY Insulation Kind How Applied Room I Length /-L- Width 5? Height 7 Windows .A Doors--Crackage and Area �.�.� Width Height No. of Lineal ft. Area No. of pane of panelights of crack eq: ft. Infiltration �2 Glass ,s Exp. wall Coef. Btu Infiltration Infiltration Int. wail Glass 'Z Glass wall s -26-6 ,Exp. Net exp. wall Int. wall Net. exp. will: Floor xvp Int. wall Ceil. 4.1/0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ° ,67 z Lf_2...La .� i NI -09 — 1 .r..«6.. Windows and Doors-Crackage and Area — T �.�.� Width Height No. of Lineal ft. Area No. of pane of pans lights of crack eq, ft. Infiltration �2 Glass ,s Exp. wall Coef. Btu Infiltration Int. wail t1 0 t3V- Glass Ceil: s -26-6 Exp. wall Net. exp. will: xvp Int. wall Floor Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 ;X Room I Length Width Windows and Doors—Crackage and Area Width Height. No. of Lineal ft. I Area No. of pane of4pane lights of crack sq, ft. Total Btu. Required sq. ft. E.D.R., or sq. ins. W.A. Leader area Btu C! Infiltration �2 Glass ,s Exp. wall Net exp. wall Q Int. wail Floor Ceil: s Total Btu. Required sq. ft. E.D.R., or sq. ins. W.A. Leader area Btu HEAT LOSS CALCULATIONS Weatherstrips A•S.HV* Construction No. Guide Windows� Doors Reference ' Out. Wall Int. ®fall Ceiling Roof Door Yes—No —Ye—s--No 19_ F1.1 , mom 1 Lensth Width Heitrht II F1.I Le Windows and Doors—Crackage and Area T WSdtitHeight No. of No. of pane of pane ISrhts Lineal it. Area of crack sq. ft. Coef. Btu Coef. Btu Infiltration Va Coef. Will Infiltration Infiltration Glass Exp. wall p C Glass 0 Exp. wall Net exp. wall gs Net exp. wall Int. wall Floor Floor Ceil. ' Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 1°l. �e/ Room I Length Width Height Windows and Doors—Crackage and Area T Width Height No. of Lineal ft. No. 0 pane of pane lights of crack Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Coef. Btu Infiltration Va Y, Lo o Glass Infiltration Glass Exp. wall p C Exp. wall 0 Net exp. wall Int. wall Net exp. wall gs Int. wall Floor Cell. Total Btu. ' Ceil. /ej d 6 d Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 11.177 9_a W1 Room I Length Width Height Win ows and Doors—Crackage and Area T Width Height No. of Lineal ft. No. 0 pane of pane lights of crack Area sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Coef. Btu Infiltration Glass Exp. wall p C q 01 0 Net exp. wall Int. wall Floor Cell. Total Btu. ' Required sq. ft. E.D.R. or sq. ins. WA. Leader area Windows Widtl N. of pan BURMAN COMPANY Insulation Find How Applied Room I Length Width Height ors--Crackage and Area hQ No of Lineal ftek. Area Itahtw et creed: ft. m Infiltration:Z,06 o Glass 6 6 F. wall Net exp. wall Int. wall Floor ID Cell. Total Btu. Required sq. ft..E.D.R. or sq. ins. W.A. Leader area rp F1-1 4-1,7, Rnnm I Length Width Height Windows and Doors--Crackage and Area T 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. Floor Q� p C Cell. Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.� � Room I Length Width Windows and Doors—Crackage and Area W[dth Height No. of Lineal ft. Area No. of pane ot,paae lights I of crock sq. ft. Btu Infiltration Glass d Exp. wall Net exp. wall Int. Wall Floor eel Cell: _Total Btu. Required sq. ft. E.D.R., or sq. ins. W.A. Leader area y HEAT LOSS CALCULATIONS BURMAN COMPANY Weatherstrips A.S.11M.E. Construction No. Insulation Guide Windows I Doors Reference ' Out. Wall Int. Wall Ceiling Roof Floor land How Applied —Y—es---No— Yes—No 19— FL1 . Room I Length Width Wwht N FI.1 Room I Length Width Height Window and Doors—Crackage and Area Btu No. W/dth Height No. of Lineal ft. ,Area of pane of pane 117,h Ls of crack sq. ft. Lineal ft. Area of crack sq. ft. Floor Q Coef. Btu Ceil. Total Btu. () Coef.1 Btu Infiltration Btu Glass G Exp. walk Floor Net exp. wall Ceil. Int. wall Exp. wall Floor Ceil. Total Btu. I�° Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Room I Lensth Width Height Windows and Doors—Crackage and Area Btu Infiltration d Glass Exp. wall Width Height No. of No. of pane of pane lights Lineal ft. Area of crack sq. ft. Floor Q Coef. Btu Ceil. Total Btu. () Required sq. ft. E.D.R. or sq. ins. WA. Leader area Coef. Btu Infiltration G Q D Floor Glass Ceil. Exp. wall Net exp. wall Int. wall Floor 3.3 Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl. 2 Room I Length Width Windows and Doors—Crackage and Area Width Hetght No. of I Lineal ft Area No. of Wane of pane lights of crack so. ft. Coef. Btu Infiltration d Glass Exp. wall 0 Net exp. wall Int. wall Floor Q Coef. Btu Ceil. Total Btu. () Required sq. ft. E.D.R. or sq. ins. WA. Leader area Windows and Doors—Crackage and Area T Width Height No. of Lineal It. Area No. of pane of pane lights of crack sq: ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor - Ceil. Total Btu. Required sq. f t. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors--Crackage and Area T Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. will Int. wall Floor - Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. VA. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Cell: Total Btu. Required sq. ft. E.D.R., or sq. ins. WA. Leader area 01 SUBJECT -- - City of Fridley �3 038 AT THE TOP OF THE TWINS P` BUILDING P E R M I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ _ w ------ r : PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "J 612-571-3450 910-F15 10/12/99 / JOB ADDRESS 23 Rice Creek Way I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Florence Turbak 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contr. 6331 Riverview Ter NE Fridley 55432 574-9966 4051 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 XZ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage(27 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 1 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 �y y / $Z% T $2360 $1,18 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 $83.25 Fire AC $2.36 ] CHECK FEE TOTA F E APLAN +/� l b Z- Lic S 5.00 9 9 O SIGNATURE OF CONTRACTOR OR AUVORIZED AGENT IMAM HE PR P Bl ,NSP V�A�LIfOA D IS IS YOUR PE/RMIT MATE S.GNATURE OF OWNEROF OWNER BUILDER, IOATE, 01 4 t NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 sl BUILDING PERMIT APPLICATION Construction Address_ 23 Ric -9 c, -A Legal Description:, Owner Name & Address:Tel. #—=- Contractor: K -0 �� G -s MN LICENSE. # Address: C3.3 / 57`r 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:`? S� Construction Type: '-T�A t D Fr + (2 6 6o (' Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ 73 C 0 DATE: APPLICANT • Tel. # CITY USE ONLY Permit Fee $ F V -'S- Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ ! $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge,, : ; $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] FA SUBJECT PE O. City of Fridley K30626 - AT THE TOP OF THE TWINS BUILDING ER1.,I � tl U RECE v ------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. g r PROTECTIVE CITY HALL FRIDLEY 35432 NUMBER REV DATE APPROVED BY L 612-571-3450 910415 1/12/00 =;GF JOB ADDRESS 23 Rice Creek Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Florence Turbak 23 Rice Creek Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ron Miller Construction Inc 5316 Matterhorn Dr NE, Fridley,MN 55421 571-3514 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 6354 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Remove and replace drywall in family room; insulate to code 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 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 $5,000 $ 2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 111.25 Fir .SC $5.00 TION OR THE P ORMANCEOF CONSTRUCTION TSi PLAN CHECK F TOTAL EE Lice eS$5 23.75 �GNATUF+EOc O RO iNOF+4EDAGENT IDATEi N 4;ENSP A IDAT D T IS I UMIJ� A TiATE S.GNATUFIE OF OWNER..F OWNER BUILDER. iDATE, FA NEW[ ] ADDN ALTER Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� Construction Address: V23 i2 ('q(s L rcee z'J Legal Description: Owner Name & Address: �p,Q�,�Ce t� -� L)4,6AK Tel. # Contractor: M, MN LICENSE # 3 Address: , j j �„ dl�l i� tai ✓v %� 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: DECK AREA: O� onstruction Type: a Length Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ Ft x $ W DATE: APPLICANT: i�%�1 Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge 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 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 [ ] t .b . 4f LIVIP j CITYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 April 4, 2000 Ron Miller Construction Inc 5316 Matterhorn Drive NE Fridley, MN 55421 Re: Final Inspection at 23 Rice Creek Way NE, Fridley Dear Mr. Miller: A final inspection was conducted on April 4, 2000 for the family room remodeling at the above noted address. We found that the construction complies, to the best of our knowledge and belief, with all the requirements of the building codes of the City and the State of Minnesota relating thereto, and permission is hereby given for the occupancy of said family room. If you have any questions on this matter, please feel free to contact me at 572-3602. Sincerely, RON JU Building RJ/mh CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES q JOB ADDRESS�� RATE SCHEDULE OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ESTIMATED COST PERMIT N0. Al/es Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating UnitsCircle One (Steam) (Hot Water) arm Air) Gas Dryer $ 10.00 $ Trade Name Size No. *Air Conditioning - All Sizes $ 25.0 �F $ 60 BTU _HP EDR Fuel Total Connected Load C [J-� All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. A 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial '1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE representations stated in this application are true and correct. $,� DATE 6-- 12.�2 — MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Sign T # /"®�/ REINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 () 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 existing 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 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 _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances Common Vent Type _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 0 .A I C17YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 August 9, 2000 Florence Turbak 23 Rice Creek Way NE Fridley, MN 55432 Re: Final Inspection at 23 Rice Creek Way NE Contractor: Anderson Heating & A/C Dear Ms. Turbak: A mechanical permit was issued on May 22, 2000 for the property located at 23 Rice Creek Way NE to replace ductwork and an air handler. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVESEN Buildi nspector From: 6514830025 Page: 2/3 Date: 8/3/20091:01:47 PM Built inaBUILDING Pe unit No.:. Inspections RESIDENTIAL APPLICATION Received ft 763-572-3604 CITY OF FRID.LEY gate ' 763-5024977 FAX ERREe-rive 1-1-09 DATE_c�o � . YOUR EMAIL ADllRESS/1=f SITE ADDRESS _r+—IAlx THIS APPLICANT IS: ❑ OWNER KONTRACTOR PROPERTY OWNER/ I NAME: 012 +lam '••t' - y ►2 jo .4k--. . TENANT ADDRR&S: 15'e s� /EAE:.. Glia CITY E G STATF ✓71P ? PHONE:` z CONTRAC'T'OR SUBMIT A COPY OF NAME,. +a vLP C1. � YOUR STA'L'E LTCENSE STATE LiCF.NSEN $ EXP DATE. AND CERTIFICATE OF ADDKE53:. ��. J''S C7'1'Y� yp _S'I'ATFLIP, INSURANCE PHONE 170 X FAX3- PROPFRTY TYPE NI&INGLE FAMILYINF.W CONSTRUCTION SIZE • Twp FAMILYINEW WNS'IRUCTION STORIES PERMIT TYPE 0 ADDITION ❑ OARAUE/SIIED Q WINDOWS 0 ROOF ❑ DRAIN TILE ❑ BASEMENT FINISH ❑ DECK ❑ SIDING XbTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUC'TIO`N ❑ ADDITION REQAIR O REMODELING / ,p DFSCRIBE WORK BEING DONE SIZE OF IMPROVEMRNT LENGTH WIDTH HE1014T SQ FT ROOFINC O HOUSE ONLY BASUMfVT RF.M011RI INCL St1BMl'1': NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan AR CKS [i ATTACHED GARAGE 2. Proposed flour plan, 3. List of structural members to be used PROPOSK0 SIZE: _ 0 DETACHED GARAGE PROPOSED 11E1GHT: . FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING AUnrriONS. & PORCr IFR SUBMIT: ❑ yipyl ❑Soffit I. Site PlanlSurvq showing the existing a mmures d Aluminum 0 Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plOnS WINDOWS 1 3. Energy Calculations IN RXISTING OPENINGS ❑Yea ❑No LOCATION OF WINDOWS OR FOR N EW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW '1'0 ITR INSTALLED NUMBER OF WTN!R0WS ALL FEES ARF~ BASED ON VALUATION, INCLUDING 'rHE COST OF LABOR AND MATER7AI.9: (USING THE 1997 U.Ii.0 FEE SCHEDULE)TOTAx. JOB VALUATION $ 0 3.0 ZY', OCCUPANCY TYPE Permit Fou $ ®�a See Back Page for Fee Schedule Pian Review $ ` 65% of Building Permit Fee Firc Surcharge $ a 001 times the total job valuation Surcharge $ T 1?1 .0005 x permit Valuation Minimum $.50 License Surcharge $ r $5.00 (State Licensed Residential C:ontraetors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ti + 6 ft = ft x $21 = li Erosion Control $ $450 Conservation Plan Review Park Fcc $ Fee Determined by Engineering Scwer Main Charge $ Agreornent necessary ( ) Non Necessary ( ) T.,.-1 n— It Make checks Davable to: City oi: Fridley. Attach Stipulations 'PHIS IS AN APPLICATION FOR A PL;RMIT-NOT VALID UNTIL PROCCSSRD 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 an codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicati or vomit 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 p r��5 're review and approval of plSIONA'fUREORAPPLIC PRINT NAME D(%��5_DATFSao?— From: 7637535125 Page: 212 Date: 9/2/2009 8:07:33 AM PLUMBING Kermit NQ.� Building Inspections RESIDENTLkL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY gate ' 763-502-4977 FAX EFFECTIVE 2-19.09 , . DATE_ SITE ADDRP.,R.9 11115 APPLICANT IS: PROPERTY OWNCR/ TENANT SUBMIT A COPY OF YOUR STATE LiCENSF BOND AND CERTIFICATE OF INSURANCE. e 0 OWNER YOUR E-MAIL ADDRESS N NAM :— . v STATE_ ?iT'_ ADDRESS: CfCY PftaNE: — NAME: �d , ' �� STATE LICCNSE N .- 44 'Am Pm�y _ EXPDATE STATE BOND if F 7 x ,�- j �r EXP DATE, /"2 s -a(� /V ITY�,s1 !/`�!• STATC �L&'17.tF— ADDRESS: ,r r�� si PI ZONE 74e/��d — FAX — PERMIT TYPE ``1CLF F'4MT1 •Y Wt3 FAMILY L3 TOWNEiOt)Sir fl NEW I,AC8MFNT TYPL+ OF WORK,: DETAILED DESCRIPT110N OF WORK FEES ARF. BASCrI ON SI(),bt1 PER FIXTLIRF, EXCEPT WliF,RE NOTED. FTXTURGS: (INDICATE TOTAL NLIMBER OF EACH BELOW). MINIMUM FFB $35.50._ BATH SINKILAV ,_FLOOR DRAINS — S$f1{}vYER HOWER cPOOL WA'1BR PTPING WATER SOFTNER ($35) —CiA9 PIPING ( — BATHTUB NL�riD CITY T.TC) WATEKCZSTNK R 'CLOSET — gAcKFIOW PRIV. SIS} CL[)THESWASHER W_ ATERHEAER($15) FORIRRICSATTON —DISHWASHER LAUNuky TRAY VATTRMTR —oTHER .•s r .. ';ig�� ,; 9.,n _ ' �•.tt ' i, . �. ,�} 'i,(�J!V' 7�� 6,,� jr�.y�,, yq.'�V�WIY''.�0�i�y'Y� 1%'1D°.m�i•!�i$•'^•'aY •�• ....t^.`..'' •' ••,1' (ty�, uk, 1`�ntI1�YG1 �I EIaiL4rfC.�^�•W� (�..y YW�"fn_� L t. �,^��„� •' n . � 1 • NagiberQ '11'IYWVGJ,' •, ••1F•%. 1�/ .�t'•_..ri�•a�.W C/'�:rP•.•:'.�. ,: amu '2,•• .:: : •i..,. :''.I'�''.. ',t •il •.:” M,t � :,`a•n :'Sr. ;t. �, ,;1 ,' 1• i.$•lyJJ;4.i +•y:;•: '•a:S' o '��as-u �� JJ77{FF{�� .{ :�'t •. x:{„�n�•. �;. .. 1'.h,t�a.:l:.:,'�.••;;: �1y��p��p,/{ ' St�1l��.�IY�K��•t I-,�C,I��.t ..� ':t �'� 1:': i' ' • _ .YMYYYi �- iTWI�WI•Y� ,:, .:.•.4(^ u.. "a:':,:;5. .:y,4i .`�„r,i y.'��a•a %tia��lt� _;U:rx_;..,,y.i•�1•,:� J, "t�,:.:� •,�. is 'r r,<�-,•ry+•� yµ��'�} State •. ., ., a ,. : 11Y�•N �4V®�llh '1 •••y �• TI 118 IS AN APPLICATION FoR A PERMIT -NUT VALID LINTIL 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 C.Dnstmotion 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 CN -V of all work w ich requires review and approval of p 51CiNATL1RE OF APPLICANT PRINT NA.MF ATG City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MPJ 55432 763-572-3604 FAX: 763-502-4977