Loading...
PRE 2010 DOCSCity ®f Fridley, Minn. 11442 6431 University: Ave. N. E., Minneapolis, Minn. 55,132 BUEWING PERMIT ate: May 18, 1972 pVmer: Robert DeGardner Construction Builder Same Address 7950 East River Road N.E. Address Same 786-1220 ,o • No 58 _ Street _ Rice Creek Way N.E. Part of Lot Ut 6 Block 3 Addition or Sub -Division Edgewater Gardens Corner Lot X Inside Lot Setback 51 __ Sideyard 35' & _ 9'°9`91 Mevation 823.02 �y(a/d [ 826.02 (Approx .) W_ ye Top of Footing M To be Used as: 896' i w -to 11; „g` Front -351 _ Depth 9-4141 Height . 201 Sq. Ft. 850! Cu. Ft. Garage Front 20' Depth 241411 Height 10' S4 Ft 488' CtL Ft, 4880' Type of Construction - Wood Frame Est Cost To Abe Completed _ 6_m0Mths Stipulations: Provide a hard surface driveway. Provide a verification survey before capping. Provide frost footings under garage. Make arrangements with Mr. D. Lumby about drainage. Maintain 12' Minimum rear yard. WATER LOCATION: 10' N. of Sewer Service. Services Off Rice Creek Way SEWER LOCATION: 10' N. of M.H. In consideration of the issuance to me of a permit to construct the building descri above, I agree to do $lie proposed work m accordance with the description above set forth an in a with all provisions of ordinances of the city of Fridley. 11-58 Statp qumba-rge In consideration of the payment of a fee of $ 42.00 , permit is hereby granted to._ JUler* DeGarrb er Const. 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 Vtidley, 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 tsaid NOVICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: ,a �' �1 � �/CV �iJ,e '� BUILDER: D � b CV 0/'V -� ADDRESS :2 2 `�O 4aA f,-4JCW I?W-ADDRESS : NO: -.STREET: (� f ^C Y e LUAlp LOT: (x7 BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: t i Front : Depth: t24 " 4l Height: o2O G quare Feet: L_ f- Cubic Feet: Front • c�2 ® Dep'th • -.7 � ��- �" Height • /® ` Square Feet; Cubic Feet:d Type of Construction: O`O&Jka,iytp Estimated Cost: $ r To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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 corre772, DATE: SIGNATURE: (See Reverse Side For Additional Information.) 0 -T, 0 u. L,9 T1 0 �J G)19 7-9-P(- Go C o� 7-/ 0 o, -U /D' �/_ D F ��ws� ce R �m Application for Power plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ ' each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam __.$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $� over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE �TOTTAL 1st 3 Fixtures ...................... x$ 2.00 $ �° Additional Fixtures ................. x ,75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN BEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL ela ' See Fee Schedule TOTAL FEE $-���—�—� Dept. of Bldgs. Phone City of Fridley: 3i The undersigned hereby makes application for a permit for the work hereir. 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. Owner Kind of Building Used as/��*6 ® /VV To be completed about -al1 V w Estimated Cost, $� � Old . Building Permit No. Permit No. O f DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, arm —No Trade Name -�S' /6d�i ��� Size No �+" Capacity yd Sq. Ft. E.D.R - F BTU H.P. Total Connected Load Kind of Fuel � Z j. BURNER — Trade Nam �'' Size No/ /� Capacity10i'd e SPP Sq. Ft. EM.R C � BTU H.P. (REMARKS -OVER) Signed 4627U _ _ — . By INNEAPt3LI3 7, MINNE1313T,IA <a Business Phone No Cify of Widty - Dapt. of Bldg. Phone DESCRIPTION OF WORK Xuzsber. Kind and LacsMou of 7Ixtuinm--- o MM HINIMMI Base I t PARTIAL RATE SCHEDULE City of Fridley: The undersigned hereby makes application for a permit for the work here!, specified, agreeing to do all work in strict accordance with the Cats Ordinance and nding of the Department of Buildings, and hereby declares that all the fact and representations stated in this application—are�true and correct Fridley, Minim Owner Kind of Buildingn Swer Oused as convow o PL1iM8IN0, FIXTURE RATESef TOTAL Number Fixtures ................ �'1'Ea !� x $2.00 ._L—. 01 C) Future Fixture Opening .... a ...... x $1.50 a New irixture Old Opening .......... x $1.50 a Catch Basin ..... o ............. x $3.25 $ ` -$3.0() C) Water Beater 'Up to98.000 BTU) .... $ New Ground Run Old Bldg......... x $3.25 $ Electric Wates Hastw ........ s $too $ GAS FITTING FEES. NO. RATE TOTAL lot 3Fixtures .....•••••••••.. x$200 $0 Additional rlztuma ............... x $ .75 a Gat Range to 1N.000 BTU ............ x $5.00 a State Surcharge $ .50 REPAIRS & AL TIO for to Description ....... . .. ... ®... .......... . ...... . .............$ Tm,kL IzE f �� To be completed about Estimated Cost, a ./ Ol —New. Building Permit No. p• t� Signed / By Business Phune No ROUGH- -Dim I - /I. _ 7 Z March 23, 1977 r 6431 UNIVERSITY /AVENUE N.E., FRI®LEY, MINNESOTA 56432 TELEPHONE ( 612)571-3450 It Mr. Stan Thayer c/o Aladdin Pools Inc. 4738 - 42nd Avenue North Minneapolis, Mn. Re: Swimming Pool Construction at 58 Rice Creek Way N.E.- Dear Mr. Thayer: 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, three (3) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. 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. 5. A deck of at least three (3) feet wide, measured from the pool water's 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 6. The.diving area will be acceptable provided there is no overhead obstruction. 7. A fence or other suitable barrier, a minimum of six (6) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All'gates.and other accesses shall be equipped with self-closing and self -latching devices which are capable of being locked. 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electric l and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All electrical lines must be 10-20 feet or more away from the pool surface. 11. The pool fill spout must be air gapped or protected by a vacumn breaker. < fir, a e=au Thayer ' Aladdin Pools Inc. ' nMarvb 23, 1977 Page 2 .12, Sujt4ble .safety equipment to include but not limited to a ring buoy &Lnd ro,pe that is 1' times the pool diameter, and shepards crook pole mot be provided and maintained with the pool at all times. Furthemgre# these and any other requirements must meet the provisions of the Fridlory City Code, Section 115, Swimming Pools. The building permit io droved oQntingent on final inspections and approval by the City. if any questions or problems arise from this letter, please feel free to cw�vt ipe at 57.1-3450, ext. 170. finc-4--roly. Zbvir=..�Wi -1 Qf_f icer O��Q/ h CC;'. Rvna)-d Steckman 5$ 1ii-ve Creek Way N.E. A' ACBNT TO-OWTER: 1 01 SUBJECT P- MNON, City of Fridley AT THE TOP OF THE TWINS PERMIT r BUILDING TNO. 1 ; Y_____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 4/19/77 JOB ADDRESS 58 Rice Creek Way N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 3 Edgewater Gardens SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ronald Steckman 58 Rice Creek Way N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Aladdin Pools Inc. 4738 -.42nd Avenue North 535-1466 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK I j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an in -ground swimming pool 9 CHANGE QF USE FROM TO STI'pULATIONS See stipulations on letter dated March 23, 1977 from Environmental Officer. Mr. Hammer, owner of 41 - 661� Way,'approves the 6 foot fence to be located about 10' in front of his home. RMI7S REQUIRED FOR WIRtI�Gw wA ��,,� 8eiM di9ft Cali IOC91 u l' ANDS" HE�'i�i, P'L MBiNG stt.tioN- ELECTRIC -GAS REQUIRED BY LA SEPARATE PERMITS ARE REQUIRED FOR ELE TRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID I WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 6 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED F R 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 9F WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,000 $3.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LO AL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE 0 CO STRUCTION. $36-00 PLAN CHECK FEE TOTALFEE 7 7 $39.00 SIGNATUREOF CON RACTOR Off AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED T IS IS YOUR PERMIT ItIGNATURE BLDG. INSP DATE OF OWNER IIF OWNER BUILDER) (DATE) 01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: le St- P_ c� M a (fl Address: S (R;ce Cyc��< W a No.: Street: BUILDER: Azov'" ,✓CSG ls' '7�0 e Address: Tel. No .: :S -3S LOT: b BLOCK: \-3 ADDITION: (�C ')CXU✓t /�J 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 -,Jn T'A wo Be Used As: t'141l%/1! ea Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: '5 o g' Height: Square Feet: Y-2z!� Cubic Feet: Type of Construction: Estimated Cost: $4�20c, 6 Cj To Be Completed: -1' ©& 7 /Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do'all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE:'3 SIGNATURE: Stipulations: c4— i March 23, 1977 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571.3450 a Mr. Stan Thayer c/o Aladdin Pools Inc. 4738 - 42nd Avenue North Minneapolis, Mn. Re: Swimming Pool Construction at 58 Rice Creek Way N.E. Dear Mr. Thayer: 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, three (3) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. 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. 5. A deck of at least three (3) feet wide, measured from the pool water's 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 suclt decking has the approval of the city. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. A fence or other suitable barrier, a minimum of six (6) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and self -latching devices which are capable of being locked. B. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All electrical lines must be 10-20 feet or more away from the pool surface. 11. The pool fill spout must be air gapped or protected by a vacumn breaker. C4,pWTtp�, U m � a J`T� 79�G Mr. Stan Thayer Aladdin Pools Inc. March 23, 1977 Page 2 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepards 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, ext. 170. Sincerely, STEVEN 4. OLLSON Environm rtal officer SJO/mh CC: Mr. Ronald Steckman 58 nice Creek Way N.E. ATTACMIENT TO OWNER: 1 O CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEME GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ C�Yyr'ui�T7 i111ii�JUY�;�`ll.`IIY�SF Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to.199,999 BTU $10.00 $ (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 za-Mn _j!6_ � �i /o.00 F EMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $24 -'r 6 ROUGH INSP. REINSPECTION FEE Date ($10.00) . FINAL INSP. APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address C7,0-7 ' I Ntd 9 1 VIL Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codesand rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are trueandcorrect. a Fridley, N)i.nn. OWNER KIND C USED A TO BE ESTIMATED COST —1-0�g u J. l_! 1 QLD NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam,_Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP n Company A` Lu. ZU % �. Signed By�� Tel. No. SUBJECT PERMIT NO. City of Fridley 1480 AT THE TOP OF THE TWINS BUILDING PERMIT r ' ` ECEIPT N `L COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.6 1 r CITY HALL FRIDLEY 55432 NUMBER REV. - DATE. PAGE OF APPROVED BY 612-660-3450 910-F15 7/14/78 JOB ADDRESS . 58 Rice Creek Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 3 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL_ ADDRESS ZIP PHONE Ronald Steckman 58 Rice Creek Way N.E. 561-5333 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER. MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 16' x 27' Addition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Provide pre-formed valleys. Provide smoke detector. Note: Variance granted prior- establishes this direction for addition as side yard rather than rear yard. W NA Before d4ft ull local u+'liities SEPEORATE PERMITS REQUIRED FCrp, WIRING 7ELEPHONE - ELCCUIU' o GAS etc, HEATING, PLUMBING AND SIGNS. REQUIRED BY LAW 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 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 AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I 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. $13236 $6.62 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- $34.56 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $ 8.64 $49.82 SIGNATURE OF CONTRACTORO Aur ORIZ AGENT - ((DAATTE)� WHEN VALIDATED THIS IS Y•yO�'UR PERMIT �P%R�O,P�ERLY 8 BLDG. INSPR DATE - SIGNATURE OF OWNER (TV OWNER BUILDERI (DATI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: Address: elems SAP- eews`Address: Si 4.-7 Tel. No.: No.: Street: � < <. LOT: BLOCK.: ADDITION: CORNER LOT: INSIDE IAT: 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: 4144rAu 6 =�0,4e-C-- Front: //v Depth: X- Height: -r- Square Feet: ,!z— Cubic Feet: °-'%5do, Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Typ bvoyZ> Estimated -Cost: 4b Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 1144e undersigned hereby makes application for a permit for the work herein I ecified, agreeing to do all work in strict accordance with the City of F idley Ordinances and rulings of the Department of Buildings, and hereby eclares that all the facts and representations stated in this application re true and correct. See reverse side for additional information. DATE: fQ - 7cs? SIGNATURE: F$� Stipulations: �Y (� t ®C„ CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE e Number Fixtures A., x $3.00 o Future Fixture Opening 4 b+ S Water x $2.00 $ 0 Catch Basin x $5.00 $ Water Heater - to,99,000 BTU o, w $ 100,000 BTU to 199,000 BTU Heater ti $ Water Softener x $7.00 a New Ground Run Old Building x °y3 w u'm x $5.00 u ii rm N ca ryas N N m v oa c m o w y w u w a r U 0 as lec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer M = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures A., x $3.00 .(56 Future Fixture Opening x $2.00 S New Fixture, Old Opening x $2.00 $ 0 Catch Basin x $5.00 $ Water Heater - to,99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 S State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE (510.00) Job Address '5- Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. C - OWNER KIND OF BUILDING V USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company SEZ� Signed Bye-���,�� Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT 6 C�� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 p= $.So STATE SURCIiARGE CITY OF FRIDLEY PERMIT NO.: 2004-00247 6431 UNIVERSITY AVENUE NE, FRIDLEY, MN 55432 DATE ISSUED: 02/20/2004 572-3604 FAX: (763) 571-1287 ADDRESS : 58 RICE CREEK WAY NE PIN : 153024140008 LEGAL DESC : EDGEWATER GARDENS : LOT 6 BLOCK 3 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL GAS PIPING # A/C UNITS # FURNACES # GAS RANGES APPLICANT RESIDENTIAL HEATING & AIR 1815 E 41 ST STE A MINNEAPOLIS, MN 55407-3425 (612) 724-1899 STECKMAN RONALD E & EUNICE 58 RICE CREEK WAY NE FRIDLEY, MN 55432 0 VALUE OF APPL OR WORK 0 0 # GAS DRYERS 0 0 ENTER VALUATION 1500 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Bldg HEATING PERMIT MINIMUM FEE 25.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 GAS PIPING FEE 0.00 TOTAL 25.50 PAID WITH CHECK # 15847 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surch«rge 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. 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 rulings of the Building Division, and hereby declares that all the facts and resentations stated in this application are true and correct. �O ���'�A DATE �\ H EATI N Signed Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Effective. January i, LUu.i CITY OF FgIDLEY INSPECTION DIViSION 643'`1 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 �( RATE SCHEDULE �^ �— OWNERJ_4��`�� CA— Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS Also Replacement Furnace (Si ill Out Back) $ 30.00 $ ESTIMATED COST U PERMIT NO.p f: y ' f —�/�I Piping (Need d with new furnace, EGa $_JD -.G8—' $�—�. b of replacement) DESCRIPTION OF FURNACE AND OR BURNER s ange $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surch«rge 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. 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 rulings of the Building Division, and hereby declares that all the facts and resentations stated in this application are true and correct. �O ���'�A DATE �\ H EATI N Signed Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r.^,Il MON VENT. VENT CONNECTOR AND MMRI ISTION AIR RIFICATION When relamming an eYietting fiirance, 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 caxicfinn t-nmht in inn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No ( ) When required to i ctau sk now cnmhustinn airy d will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No ( ) When ingtalljin- tingiystem, 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( ) Si7p/Cnmmnn Vent and Vent Cnnnectnr Infarmatinn Apploanng 1yon and 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 Tot -n! Stat Inp, it Common Vent Type Vent Height _ Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height It Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type Al T RATIONS- (pass—^ho) HEATING CO: Signed By: Date : 4# Building���/ $ BUILDING Back Page for Fee Schedule Plan Review cps Permit No.:���' 9 Inspectionst)b RESIDENTIAL APPLICATION Fire Surcharge Received By: 763-572-3604 .001 times the total job valuation CITY OF FRIDLEY $ /• 3,5' Date Rec'd: - 1,0 DATE ®.® ®V/ YOUR E-MAIL ADDRESS k1(t)—/ 31 G M,S A t C0)1, SITE ADDRESS T' i� i C.e Creek aZ4 I Lfi6' $1550 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: ❑ OWNER XCONTRACTOR $ PROPERTY OWNER/ NAME: p u $450 Conservation Plan Review TENANT ADDRESS: R (Ce- crie-eCITY Y! ( 'r,tn STATI GIP_ q 7j�5k $ PHONE: i. CQ " S -7 d ` as(,Pi Total Due $ CONTRACTOR NAME- + '� STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: / g ` Lp (l 4f[ I D—w-A AJc: CITY 5-1 TSTATI IP 3-,�, WITH APPLICATION PHONE -L(9_3 -LR -7;() -9!q5 -q -)FAX PROPERTY TYPE AKINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH AO ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW I;OUAINTENANCE/REPAIR ❑ ADDITION ❑ REMODELING DESCRIBE WORK BEING DONE: _ r e I'C)O -F- SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT o -P, Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 $ A-10 ol. OCCUPANCY TYPE Permit Fee $ 9319,15,See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ °t . ? ® .001 times the total job valuation Surcharge $ /• 3,5' .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5--00 $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 $ W. jo Make checks savable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work 30ich requires review and approval of plans. SIGNATURE OF APPLICANT U&h J A 1< • LU `P17"C_A PRINT NAME %4nt /a Lel ),eJ^e j- DATE