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PRE 2010 DOCSSUBJECT P O. City ®f Fridley 4 In 00 AT THE TOP OF THE TWINS B I I L D I N G P E R I T BUILDING PERMIT f v 1 R IPTe NO. COMMUNITY DEVELOPMENT DIV. '2 PROTECTIVE INSPECTION SEC. �4 CITY HALL FRIDLEY 55432 NUMBER .REV.' DATE PAGE OF APPROVED BY "--- � , 612-560-3450 910-1010 --F15 8/874 11 JOB ADDRESS Rice Creek Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE H. E. Berry 7099 Hickory 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 1-7 REMOVE 8 DESCRIBE WORK Construct a 46' x 28' Dwelling and a 22' x 28' Garage 9 CHANGE QF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. SEWER LOCATION: 147' N.E. of Manhole (Inv. 820.92) Wye Elev: 821.56 Top of Footing: 824.56 Minimum WATER LOCATION: 10' N.E. of Sewer Service SEPERAIE PERMITS REQLARED FOR NIRiNv, HEATING, PLUMBING MD SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING,HEATING, Frame 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 R-1 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 1288 36,846 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $31,460 15.73 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON, - STRUCTIO OR THE PERFORMAN OF CONSTRUCTION. $69.00 $300.00 r' 4 PLAN CHECK FEE TOTAL FEE A I� __ '2-) -4 $384.73 SWNATUREOFCONTRACTORORAUTHORIZEDAGENT. (DATE) ROPERLY VALIDAT IS YO. R PERMIT ASIGNATURE (�WIHE DG INSP DATE OF OWNER OF OWNER BUILDERY IDATEI APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : - BUILDER: 61- 7 1-- , ADDRESS: ADDRESS: V NO:. STREET LOT: BLOCK: ADDITION: 4 CORNER LOT: INSIDE LOT: V SETBACK: 5 SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on thesePertificates. DESCRIPTION OF BUILDING To Be Used As: Lit 6 ev « Front: Depth: Height Square Feet:/ Cubic Feet: Front: -,u Depth: ;;r Height: Square Feet;_ Ir Cubic Feet: Type of Construction: W, 0 et ti 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: f a l ^`- s-:�j J (See Reverse Side For Additional Information.) City of Fridley pods Ow Phm*hq end Gm MdVar,* Pui; Dept. of Ridge. Phone M-3490 DESCRIPTIOIX OF WORE � Plumber, Kind and Location of Fixtures RO T'i � �_ Q�j � fi is a Fg x $1.50 ` '.<�{ <� _ � .,T� u1 �$I v� v� �g_u • • WATER IMTR. GAS ELEG Base Water Heater (Up to 99,000 BTU). • .. x $3.00 $ 3� v New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater........... a $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures ............ • • .. • x $2.00 1st Additional Fixtures .................. x $ ,75 $ Gas Range to 199,000 BTU ............. x $5.00 $ 2nd 3rd 4th • Fuluro Connoctlon Op onings + New Fixturm, 014 Openings Connected with mer ❑ Ccsapool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. _. /0, x$2.00 $ Future Fixture Opening ........... x $1.50 $_ New Fixture Old Opening .....:.... . x $1.50 ; Catch Basin ...........:........ x $3.25 $ Water Heater (Up to 99,000 BTU). • .. x $3.00 $ 3� v New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater........... a $2.00 $ ZAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures ............ • • .. • x $2.00 Additional Fixtures .................. x $ ,75 $ Gas Range to 199,000 BTU ............. x $5.00 $ City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are is a and correct' Fridley, Minn % 19,7V Owner 'tom w Kind of Building Y %-) ti Used as To be completed about Estimated Cost, $ Old—New. Building Permit Signed _ I By Business ROUGH FINAL ® & 4 &---2 � . REPAIRS & ALTERATIONS—Roter to Code .50 State Surcharge Description ........................................ ,....$ 15-'s V TOTAL FEE $ , SV 0 q, a GRAVITY WARN AIR: RATZ 'TOTAL Furnace shell & Duct Work ... .. .... .. $10.00 $— Replacement of Furnace 0,00 � Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 300 BMCDL WAM Am Furnace Shell & Duct Work to 120,000 BTU each add. 60,000 VM . ......... Replacement of Furnace Repairs & Alterations—up to $50.00 Repairs & Alterations each add. $b00.00 ..$10.00 $ 3.UU S 6.00 6.00 $ 3.00 S STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. F.DR Steam $10.00 $ Furnace Shell. & Line—to 640 sq. ft. EDR liot Water 10.00 S. /r, ao Each add 200 sq. ft. EDR Steam 3.0n $, Each add. 320 sq. ft. EDR Hot Water 3.00 $ 3__ OIL SURNEE—to 3 gal. per hour 6.00 $..,,,,eT over 3 gal. per hour --See free Schedule GAB B (up to Mj= BTU) 6.00 $ b U oar 199,000 Fee schedule GAS FITr XG Fes. If RATE TOTAL 1st 3 Fixtures X$ 20 $ 0 0 Additional Fixtures x .76 $_ _ Gas Range to M.000 x$ 8.00 S State Surcharge .50 Foe acheach TAE• Fm� � 0 • S � City of Fridley: The undersigned hereby makes application for a permit for the work herej specified. agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that an the fad and representations stated in this application are true and correct. Fridley. Mnn - Kind of BuildingJuf l(r Used as To be completed about. Estimated Cost $. Old New Building Permit No. Permit Ado.—(c�,23 A HEATING or POWER ANTS --Steam, 08 Water Warm Air—No t Trade Name '� c e �' Size 2$0.__ f z'1"' Capacity_? a E A.R- '� BTiT ®00 Total Connected Load ;Z/ 000 Kind of FVel /-)& cl-ra .5 BURNER — Trmk Name �- //� i (� 0 I e�Lr� P� aim Pio taus—mal 560-3450 619t 4 7rdley . ANOKA COUNTY 6431 UNIVERSITY AVENUE NE October 7, 19.74 FRIDLEY, MINNESOTA 55421 Mr. *William. E. Johnson 6551 East River Road N.K. Fridley, Minnesota 55432 Re: Change of House Numbers Dear It has been necessary for this office to change the address of your house FROM 73 Rice Creek.Way N.E.. To 75 Rice Creek Way N.E. LEGAL DESCRIPTION Lot 13, Block l, Edgewater Gardens We have notified the'Post Office Department, Minneapolis Gas Company, Northern States Power Company, Northwestern Bell Telephone Company and various departments in City hall of this change. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh • 560-3450 6431 UNIVERSITY AVENUE NE Minneapolis Post Office Department Superintendent of Delivery 1st & Marquette Avenue Minneapolis, Minnesota 55402 Gentlemen: ANOKA COUNTY FRIDLEY, MINNESOTA :15432 Re: Change of Address City of Fridley We are listing the following change of address in the City of Fridley; NAME: William E. Johnson FROM: 73 Rice Creek Way N.E., Fridley, Minn. TO: 75 Rice Creek Way N.E., Fridley, Minn. LEGAL DESCRIPTION: Lot 13, Block 1, Edgewater Gardens We have notified the occupant of this change and we would appreciate it very much if you would change your records accordingly. Sincerely, DARREL G. CLARK Community Development Adm. DGC /mh CC: City Water Billing Dept. City Assessing Department Minneapolis Gas Company - Brooklyn Park Office Northern States Power Company Northwestern Bell Telephone City Voters Registration Homeowner 01 SUBJECT PER City of Fridley 1 - 5 AT THE TOP OF THE TWINS BUILDING PERMIT r EIP `y _ ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i e CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/20/83 JOB ADDRESS 75 Rice Creek Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Wm. Johnson 75 Rice Creek Way N.E. 574-7439 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 ' ElNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Close in existing deck on rear of home (12' x 201) 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 240 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,350 $.68 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- $23.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $24.18 SIGNATURE OF CONTRACTOR ORAqTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT i ( a SIGNATURE OF OWNER I ER BUILDER) (DATE) BLDG INSP ATE 01 CITY Of FRIDLEY Effective Aug. 1, 1961 APPLICATION F'014 RESIDENTIAL BUILDING PERNfITS (New. Alterations, Additions. or Repairs) MIER:.t�J a CJS Li ADDRESS: /P" ee- A& v TEL M0: 575— 7/ • STR=T NO: �� STREET: BUILDER: ADDRESS: TEL 110: _ J Construction location LOT: _ J3 BLODC t ADDITION: F-.hcF Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. / DESCRIPTION OF CONSTRUCTION (� 5 ( Y)'9 l rj C� / � � 1 Y15 cje—%k 0" lr e -o- li- 0 �( h O 1^✓/ Front: 1 Depth: Lc23 Height: Square Feet: Cubic Feet: Front: Depth: Height: el Square Fest: Cubic Feet: �.Id Z -/36g 13 Type of Constructions�� Estimated Cost: S de- C./< 2b Be par.°pleted: Z-!2 lep--.3 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Zile undersigned hereby makes application for a permit for the %cork herein specified, agreeing to do ,all work it, strict accordance With the City of Fridley Ordinances and rulings of the Dejx1xtment of Buildings, and hereby declares that all Uio, facts and representations stated in this application are true and cosre�t-� JX%TE: SIGNAZUiE: Stipulations: P S-0 CITY OF FRIDLEY Effective May 1, 1990 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL IRATE TOTAL Job Address /6-0 �e� j7e W14y Furnace Shell and Duct Work, (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MH 55432 Burner City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) $ 10.00 $ The undersigned hereby makes application for a permit for the work herein Gas Range . specified agreeing to do all work in strict accordance with the City Codes Gas Dryer $ 14.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. • Air Conditioning (all sizes) S 10.00 S Fridley, Minn./� 19 W X 6*y'e. ,*# All Others/Repairs and Alterations OWNER 11 of Value of Appliance or Work $ KIND OF BUILDING �4*4" COMMERCIAL/INDUSTRIAL 1t of Value of Appliance or Work State Surcharge TOTAL PEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for permit X01. MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written prrm"sion from adjoining rwiylwor. L, USED AS TO BE COMPLETED ABOUT / ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. �V DESCRIPTION OF FURNACE/BURNER �9b HEATING or POWER PLANTS, Steam, Hot water, warm Air- No.�°�� Trade Name I% A.lF Size No. '%/W � Capacity k® Alj-7` Sq. Ft. EDR BTU HP Total Connected load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company el i Signed By Tel. No. Fill out back side for stack verification on replacement furnaces 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 connected Yes ( ) No ( ) 6. Has Total heating BTUs of All other BTU's TOTAL Rema rk s Company Signed By Da to CITY OF FRWLEY PERMIT NO.: 2004-01486 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-36U4 f'AX: (763) 571-1257 ADDRESS : 75 RICE CREEK WAY NE PIN : 153024130012 LEGAL DESC : EDGEWATER GARDENS : LOT 13 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER KJELL FERRIS 75 RICE CREEK WAY NE FRIDLEY, MN 55432 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 worl 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. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building BUILDING SCHEDULE) b25 Permit No.:, Jf3Q7- /757 Inspections Permit Fee RESIDENTIAL APPLICATION See Back Page for Fee Schedule Re B $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation 763 -572 -?604 $ fn .0005 x Permit Valuation Minimum $.50 License Surcharge Da��c'd" $5.00 (State Licensed Residential Contractors) SAC Charge CITY OF FRIDLEY $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow DATE _ YOU E-MAIL DDRESS Erosion Control SITE ADDRESS $450 Conservation Plan Review Park Fee THIS APPLICANT IS: ❑ OVER NT CTO � 0 Sewer Main Charge PROPERTY OWNER/ NAME: Total Due TENANT Make checks Davable to: Citv of Fridlev Attach Stipulations ADDRESSPVVY TY STAT PHONE: / "' ZIOW CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # E DATE D YOUR STATE LICENSE ADDRESS: 1<57771 , i CITY fi' lfGtB-i�%v WITH APPLICATION PHONEM FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDNDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEtREPAIR ❑ ODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I - Existing Floor Plan PROPOSED SIZE: 11 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 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGSVYes ❑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: (USIN E 1Q07FEE SCHEDULE) b25 TOTAL JOB VALUAT 10 $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ fn .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 $ 1 Agreement necessary ( ) Non Necessary ( ) Total Due $ 1 Make checks Davable 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 applicati for a erml a�d work is not to start wt a permit; that the work rill be in accordance with the approved plan in the case of all work i c 1re��vlew al+i�.ai�lovW oflans. t /I „ / „ A /A ] ,^ ice, - - „ / — i