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PRE 2010 DOCS/U 7.3 City of Fridley, 6431 UniversityAve. N. E. Minneapolis, Minn. 55432 Po , BUH DING PERMIT Date: February 20, 1973 Owner: Alan Berquist Builder Keyway Builders, In_c - Address _— Address 225 Highway 55 W. Mpls . 55430 ,10. _ 77 Street _ Rice Creek Way N.E. part of Lot Lot — _ 11+_. Block _._..._._._.1----_ ._. _ Addition or Sub -Division Tm— garde Corner Lot Inside Lot _ Setback 35' Sideyard 10 & 5' /6kAj Elevation _ _ _ _821.15... I1(0"tjaW,hd! WA --&-4 - 7 5 Mi n i rmrm Wye Top of Footing To be Used as: Dwelling 66 31 & 22' li 14' _ _ Front Depth eight 1-0-1— Sq. Ft. Cu. Ft. Front --19-L Depth 25' Height _ VW sq. Ft. 4791. Cu. Ft. 47901 Type of Construction Wood Frame Est. Cost . 3�L131...04 To be Completed jurip 1 _ 73 Stipulations: Provide verification survey Provide Hard Surface Drive Sac Charges paid $275.00 SEWER H. LOCATION: 54' N.E. of Manhole M WATER LOCATION: 10' N.E. 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 s fo and mi mp11 nee with provisions of ordinances of the city of Fridley. r A D 1 In consideration of the payment of a fee of $ 66 , 00 , permit is hereby granted to Kay Builders Inc. 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 ordinances. Building 7[nspector DARREL CLARK NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to we the Building Inspector for separate permits for these items. n r 40 APPLICATION FOR RE41DENTIAL, ALTERATIONX OR ADDITION BUILDING PERMIT A CITY Of FRIDLEY, MINKSOTA �_ 0W='$ NAMAZ 1" 13 R, 9 (A a= BUILDER: &WA OZ W ADDRESS: ADM= S c4a- 000F V*M= LOT: IN–SUE LOT; SETBACKi SIDEYARD: A"jj,vAMt attach to foin jbro Certificates of SurvgX of Lot and proposed batlang locatio-A drwn on these Certifir=tes' DESCRIPTION OF BUILDING vp Be 6060 0'0 -40 Depth flight: Sqlxqxe Feet;- Cubic V"V; Fronts —Depth,- Height Square ,Fleet; Cubic Feet: Type of Constructions Estimated Cost: To Be "toted; 41 hereby makes application for. a pe=it for the, work herein #rw1ft*4P agreeing to do all work to atttet accordance with the City of STMI-ey orders and Tutftp Vf Oe Department of Buj,djnga, avA hereby OWqlaze# at all the JlActs and representations stated 14 this appItcation axe true M4 correct., DAM, 4,6a —SIGNATURE: PA -1 �rl ILA_ (fts Roverfe Me For AddWonal Information,) 0, 0 EPP— cad evA= Dept. ®� Mdv& MIM0 ML3= PAR7, �,AL FUkTrE SC,"--�:-DULE 202ATM VAJM AM Maya TOTAL ReVacement of Fwwee 6.00 Repairs & Alteration* -up to $5M.00 6.00 Repairs & paterstions each add. $60O.Go 3.60 &s"M or NOT WATM BY87M rtumace Shell & Lines -to 400 @q. ft EDR Steam $10.00 $ F�wwee Shell & Line -to 640 sq. ft. EDA Hot Water 10.00 Each add. 200 sq. ft. EDR Steam &00 Each &ft. M sq. ft. XDR Hot Water 3.00 OIL BURNER -to 3 gaL per hour 6.00 over 3 Sal. per hour ---See Fee Schedule UJM BURNER (up to 163.000 STU) 6.00 Over 199,000 RM See F'M Sdwww GAS FrrMG FEES. NO RATE TOTAL 1st 3 Pixtures x$ 7.00 $ Additional Fbdures x .75 $- Gas Range to IftM xS M $ TI NAL. q-//- 7v lSee Fee Sdw&mb TOTAL City of FwMay: The undersigned hereby makes appIleaMon ftr a VaTMt Zw the work hereb.- specified, agreeing to do all work in strkt-%muFdsnee with the City C4NU2ancw aid ruling of the Department of BuildinM an -d hereby declww thmt an the fzeLcr and representations stated in this application am true aad awyeaL Fridley, = Z - tai nd of Bufl&14 A32fr-- Used as To be completed about Estimated Cost, OW-dQ'ermit No. -,, Building Pnmft Na.No capacity- Sq. FL Mr. Badness Pb=& PARTIAL RATE SCHEDULE PLYJMi3YATlR FIXTURE FdA`1'ESs RATE TOTAL Number Fixtures ......... ®.. a ... ,�NO. . x �.� S Future Fixture Opening .... ® .. • . • . x $1.60 i New Fixture Old Opening .......... x $1.50 S Catch Basica .................... 'Up BTU) x $3.26 $3.00 i S J. Water Heater to 59,000 • • • • _� x New Ground Bun Old Bldg......... x $3.25 $ Electric Water Heatw.......... ®.. a $2.00 $ GAS FITTING FEES. NO. RATE TOTAL 1st3Fixtures .....eee•••e•.• x$2.00 $ Additional Mturea ............... —24.76 i Gas Flange to 158.000 BTU ........ a ... x $5.00 6 - State Surcharge $ .50 REPAIRS &e ALTERATIONS—Roger to _ Description o . . . . e . . ..... A... ... . A... . 0 0 .e. e . ... . .• 0.- . TOTAL 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 City Ordinance and n ing of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct Fridley, YdinnZ: a Kind of Building Used as To be completed about .® j Estimated Cost, S Old New Building Permit No. _Permit S Signed • By ' Business Phone No . ROUGH SUBJECTPE G__1__ . -- City ®f Fridley � �. 2 � �` AT THE TOP OF THE TWINS BUILDING PERMIT f L! 1 9 1 l 1 COMMUNITY DEVELOPMENT DIV. ` _ PROTECTIVE INSPECTION SEC. 1 , NUMBER REV. DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910415 14/17/92 JOB ADDRESS 77 Rice Creek Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 ] Edgewater. Gardens. Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Allen aergquis.t 77 Rice Creek. Way NE 574--7432 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 I� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rexoof House & Garage (22.$ uares)'2nd Layer. 9 CHANGEOFUSEFROM TO STIPULATIONS Roofixig can .be 2nd layer. but not 3r.'ds TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 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 I 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 $1 166 $x58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r 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- $29q OQ. Fire SC $1.17: STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $30.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PR ER V IDT HIS IS YOURPERMITSIGNATURE �47HG:�N INIP GATE OFO NERIff OWN UILDERI IDATEI NEW [ ) ADDN [ ALTER j Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application r. Effective 3/1/92 I.,egal Description: Owner Name & Address:J ( + .iL1.JJ.: 1 Contractor: it;� MN LICENSE # Address: $ 9- 00 Fire Surcharge Tel. # $ Attach to this application, a Certificate of Survey of the License Surcharge $ -' lot, with the proposed construction drawn on it to scale. Park Fee $ — DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground S, Ft. OTHER: Corner Lot [ ] Inside Lot J Ft. Yd . Setback Side Yard Setbacks Type of Construction: ! r _ s -s Estimated Cost: $ Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $. (Cost on Back) = $ DATE: - 7 r�'�- APPLICANT:- Tel. # '� % �3 Permit Fee $ 9- 00 Fire Surcharge $ I. J9 State Surcharge $ SAC Charge $ License Surcharge $ -' Driveway Escrow $ Park Fee $ — Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00. (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary t 11666 r71/e L 9 Y A REQUEST FOR REVIEW AND COMMENTS MINNESOTA DNR PERMIT APPLICATION NUMBER: qq — 6 c 1 j DATE OF REQUEST: 2,5- -q4 (Note: Comments on this application are Due 30 days from receipt of this notice. Return Comments to: DNR - Division of Waters, Metro Region, 1200 Warner Road, St. Paul, MN 55106.) FROM: -T—D v\A, PHONE: (612) 772-7910 Tn - a City / County o Watershed Authority o Cons. District (SWCD) C3 Corps of Engineers o DNR Wildlife o DNR Fisheries • DNR Eco. Services 0 PROPOSAL INFORMATION Applicant: AlIeAA Protected Water: 1 , , f Project Description: a,r DNR ID#: Zy County: +o e � U o9� t e 6 Leo COMMENTS ON PROPOSAL Comments on Project by Reviewer (attach separate sheet if needed): Recommendation of Reviewer:���, Name of Reviewer: Title: Date: NA -02620-01 LOCAL - STATE - FEDERAL WATER RESOURCE PROJECT NOTIFICATION / APPLICATION FORM Use this form to notify/apply to the U.S. Army Corps of Engineers, the Minnesota Department of Natural Resources, and your Local Government Unit of a proposed water/wetland project or work which may fall within their jurisdiction. These agencies should advise you of their jurisdiction or permit requirements within 45 days. Some LGU's may also require submission of their own application forms. Fill out this form completely and mail a copy, with plans, maps, etc. to each of the agencies listed on the reverse of the form. Keep a copy for your records. YOU MUST OBTAIN ALL REQUIRED AUTHORIZATIONS BEFORE BEGINNING WORK. AGENCY USE ONLY: LGU NUMBER: MDNR NUMBER: e6��w CORPS NUMBER: I. Applicant's Name (Last, First, M.I.) Authorized Agent, if any Area Code, Telephone Address (Street, RFD, Box Number, City, State, Zip Code) II. Location of proposed project (attach drawing showing how to get to site) ©,Aj 1,0 t.K r Cele( COUNTY QUARTER SECTION(s) SECTIONS(s) No. TOWNSHIP(s) No. RANGE(s) No. Lot, Block, Subdivision h• NO iC-4 P FIRE No., BOX No., OR PROJECT ADDRESS NAME OF WATERBODY AFFECTED and NUMBER (IF KNOWN) III. ESTIMATED PROJECT COST: $ L*V re"� LENGTH OF SHORE AFFECTED (in feet): j IV. VOLUME OF FILL OR EXCAVATION (Cubic Yards): (NOTE. You may substitute dimensions) AREA FILLED OR EXCAVATED IS Acres, OR Square Feet V. TYPE OF WORK AND AREA (CHECK ALL THAT APPLY): ❑ ACCESS PATH ❑ BRIDGE ❑ CULVERT ❑ DAM 9 CONSTRUCT ❑ DRAIN ❑ EXCAVATE ❑ DOCK ❑ RIPRAP ❑ SANDBLANKET ❑ FILL ❑ REMOVE ❑ REPAIR ❑ LAKE r ❑ SHORELINE ❑ WATERWAY ❑ WETLAND OTHER (DESCRIBE): CQ--M&,J'r V44LL ✓+xT1'�✓�rdh� ^ ���` rF� � WETLAND TYPE(S) AND ACREAGE(S) PROPOSED TO BE FILLED/DRAINED: Attach applicable drawings, plans, and ASCS crop photos. Include a description of any proposed compensatory mitigation. Important: Identify any disposal and borrow areas. Describe the work below: how it would be done: what equipment would be used. VI. PROJECT PURPOSE (why is this project needed --what benefits will it provide?): LSvls.�QL cr�aRrr -,S'.+vr L. AG& C11:r-a�l/W0uJ% —m6. 6h/ sun Li.vE 0 0-; S .f R r.. e uLr VII. ALTERNATIVES (describe any other sites or methods that could be used to achieve the purpose of your project while avoiding or minimizing wetland/water impacts: Attach additional sheets, if needed). II. lip VIII. DATES: Proposed start of activity: Proposed completion: (Identify any completed Work on an attached drawing) IX. ADJOINING PROPERTY OWNERS (Attach list if more than two) Name Address City State Zip -75'R:c.& OCkk .1hy"A r�.IOUN ,M,60 t YM' Wrr_2 'rItN Jr- 0- c. D iJ-tAx Vfk')'`A6 It, X.•--*' PERMITS have been received (enter an R) or already applied for (enter an A) from: _ DNR _ ARMY CORPS OF ENGINEERS _ COUNTY TOWN/CITY WATERSHED DISTRICT MN POLLUTION CONTROL AGENCY Has an archaeological survey of the project site been done? If so, by whom: I hereby notify the recipients of this form of the project proposed herein and request that I be advised of any permits or other determinations concerning this project that I must obtain. I understand that proceeding with work before all required authorizations are obtained may subject me to Federal, State, and/or local administrative, civil and/or criminal penalties. Signature of Person Proposi or Agent < < < PLEASE CAREFULLY READ AND COMPLETE BACK OF FORM> > > DATE: I l/— %.Y December 15, 1998 Allen E. Bergquist 77 Rice Creek Way NE Fridley, MN 55432 Minnesota Department of Natural Resources Metro Waters - 120 Warner Road, St. Paul, MN 55106-6793 Telephone: (651) 772-7910 Fax: (651) 772-7977 / 5 (71/e, RE: DNR Permit #99-6041, Retaining Wall and Riprap, Locke Lake (2-77P), City of Fridley, Anoka County Dear Mr. Bergquist: Enclosed is Protected Waters Permit #99-6041, which authorizes erosion control on your shoreline, utilizing natural rock riprap and concrete blocks along the remaining 30 feet of your shoreline. Please note that you are not authorized to use the concrete blocks without the riprap placed waterward of the wall. Also, please be advised that you are allowed to place natural rock riprap without the use of concrete blocks. As we have discussed earlier, it is my opinion that riprap alone would provide adequate erosion protection for your shoreline. In the course of the permit review it was suggested that you provide a buffer of unmowed native vegetation between the mowed part of your lawn and the shoreline. There are ways of accomplishing this that look neat and well kept while providing water quality and ecological benefits to your lawn and the lake. I am enclosing some literature on this topic for your use. Thank you for your cooperation in this matter. Please feel free to contact meat (651) 772-7910 if you have any questions or concerns. Sincerely, Thomas E. Hovey Area Hydrologist Enclosures c: City of Fridley, Jon Haukaas Rice Creek Watershed District, Kate Drewry Anoka Conservation District, Chris Lord U.S. Army Corps of Engineers, Tim Fell DNR Conservation Officer, Brad Johnson DNR Wildlife, Kathy DonCarlos DNR Fisheries, Dave Zappetillo Central Waters, Ron Anderson Locke Lake (2-77P) File DNR Information: 612-296-6157, 1-800-766-6000 • TTY: 612-296-5484, 1-800-657-3929 An Equal Opportunity Employer 4% Printed on Recycled Paper Containing a Who Values Diversity to Minimum of 10% Post -Consumer Waste NA -02733-05 RE010N 6 R" 6JsiNESOTA1A Department of tural Resources Division o Ii PROTECTED WATERS PERMIT Permit Number 99-6041 Pursuant to Minnesota Statutes, Chapter 103G, and on the basis of statements and information contained in the permit application, letters, maps, and plans submitted by the «. r. .. —A ,at a. a .... w:... a.,.., ..11 —A— ..a.* l,...,a..ft,., rwiarn — PERMiCCinN is. nY.RERV [.RANTED to the armlicant to perform the Work as authorized below: Protected water County Locke Lake (2-77P) Anoka County Name of Permittee Telephone Number (include Area Code) Allen E. Bergquist (612) 574-7432 Address (No. & Street, RFD, Box No. City, State, Zip Code) 77 Rice Creek Way NE, Fridley, Minnesota 55432 Authorized Work. Installation of erosion protection utilizing natural rock riprap and concrete blocks along 30 feet of shoreline, with an average rock diameter of 12 inches or larger, a minimum finished slope not steeper than 3:1 (horizontal:vertical), extending no more than 5 feet waterward of existing bank, and the top of the riprap at least as high as the normal summer water level of the lake; the concrete blocks shall be landward of the natural rock riprap and shall be no greater than 3 courses high, all in accordance with the provisions of this permit. Purpose of Permit Expiration Date of Permit Erosion Protection November 30, 1999 Property Described as: NEI/4, Section 15, T30N-R24W, Anoka County Address of Property: 77 Rice Creek Way NE, Fridley, MN 55432 As Indicated in General Provision No. M: Normal Summer Pool Operating Level This permit is granted subject to the following GENERAL and SPECIAL PROVISIONS: GENERAL PROVISIONS 1. The permittee is not released from any rules, regulations, requirements, or standards of any applicable federal, state, or local agencies; including, but not limited to, the U.S. Army Corps of Engineers. Board of Water and Soil Resources, MN Pollution Control Agency, watershed districts, water management organizations, county, city and township zoning. This permit does not release the permittee of any permit requirements of the St Paul District, U.S. Army Corps of Engineers, Army Corps of Engineers Centre, 190 Fifth Street East. St Paul, MN 55101-1638. 2. This permit is not assignable by the permittee except with the written consent of the Commissioner of Natural Resources. 3. The permittee shall notify the Area Hydrologist at least five days in advance of the commencement of the work authorized hereunder and notify him/her of its completion within five days. The Notice of Permit issued by the Commissioner shall be kept securely posted in a conspicuous place at the site of operations. 4. The pemd#ee shall make no changes, without written permission previously obtained from the Commissioner of Natural Resources, in the dimensions, capacity, or location of any items of work authorized hereunder. 5. The permittee shall grant access to the site at all reasonable times during and after construction to authorized representatives of the Commissioner of Natural Resources for inspection of the work authorized hereunder. 6. This Permit may be terminated by the Commissioner of Natural Resources at any time deemed necessary for the conservation of water resources of the state, or in the interest of public health and welfare, or for violation of any of the provisions of this permit, unless otherwise provided in the Special Provisions. 7. Cmsbuction work authorized wider this permit shall be completed on or before date specified above. The permittee may request an extension of time to complc a the pmj.� stating the reason thereof; upon written request to the Commissioner of Natural Resources 8. In all cases where the permittee by performing the work authorized by this permit shall involve the taking, using, or damaging of any property rights or interests of any other person or persons, or of arty publicly owned lands or improvements thereon or interests therein, the permittee, before proceeding, shall obtain the written consent of all persons, agencies, or authorities concerned, and shall acquire all property, rights and interests needed for the work. 9. This permit is permissive only. No liability shall be imposed by the State of Minnesota or any of its officers, agents or employees, officially or personally, on account of the granting hereof or on account of any damage to any person or property resulting from any act or omission of the permittee or any of its agents, employees, or contractors. This permit shall not be construed as estopping or limiting any legal claims or right of action of any person other than the state against the permittee, its agents, employees, or contractors, for any damage or injury resulting from any such act or omission, or as estopping or limiting any legal claim or right of action of the state against the permittee, its agents, employees, or contractors for violation of or failure to comply with the permit or applicable provisions of law. 10. Any extension ofthe surface of public waters resulting from work authorized by this permit shall become protected waters and left open and unobstructed for use by the public. 11. No material excavated by authority of this permit nor material from any other source, except as specified herein, shall be placed on any portion of the bed of said waters which lies below (as indicated above.) 12. Where the work authorized by this permit involves the draining, filling or bunting of wetlands not subject to DNR jurisdiction, the permittee shall not initiate any work under this permit until the permittee has obtained official approval from the responsible governmental unit as required by the Minnesota Wetlands Conservation Act of 1991. SPECIAL PROVISIONS EROSION AND SILT CONTROL 1. Erosion control measures shall be adequately designed for the site characteristics. They may include staked haybales, diversion channels, sediment ponds, or sediment fences. They shall be installed in accordance with "Protecting Water Quality in Urban Areas - Best Management Practices for Minnesota" MPCA, October 1989, prior to commencement and maintained throughout the project. All exposed soil shall be stabilized as soon as possible and no later than 72 hours after the completion of the project. Topsoil should be used to re -dress disturbed soil areas and indigenous plant species should be used to revegetate disturbed areas whenever possible. PHOTOS AND AS-BUILTS 2. Upon completion of the authorized work, the permittee shall submit representative photographs and any as -built surveys, as appropriate, of the project area to DNR Metro Region Waters (1200 Warner Road, St. Paul, MN 55106). FISH & AQUATIC VEGETATION CONCERNS 3. No activity affecting the bed of the protected water may be conducted between April 1 and June 30, to minimize impacts on fish spawning and migration. If work during this time is essential, it shall be done only upon written approval of the Area Fisheries Manager, at (651)772- 7950. The permittee shall monitor all disturbed areas for the presence of purple loosestrife and control the plant as described in the attached pamphlet titled "Purple Loosestrife Alert". The DNR aquatic plant manager should be contacted at (651)772-7950 for permit needs and additional information. City of Fridley, Jon Haukaas Rice Creek Watershed District, Kate Drewry Anoka Conservation District, Chris Lord U.S. Army Corps of Engineers, Tim Fell DNR Conservation Officer, Brad Johnson DNR Wildlife, Kathy DonCarlos DNR Fisheries, Dave Zappetillo Central Waters, Ron Anderson Locke Lake (2-77P) File Authorized Signature Title ate Thomas E. Hovey Area H drolo ist �� 4 SUBJECT PERMIfN0. -.. City of Fridley AT THE TOP OF THE TWINS E U I L D I N G P E R M I T 29967 r t _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 "'1 CITY HALL FRIDLEY 55432NUMBER 612-571-3450 RECEIPT NO. G �V 910-F15 REV DATE 73099 PAGE OF APPROVED BY JOB ADDRESS 77 Rice Creek Way NE 1 LEGAL DESCR. ILOTNO. 14 BLOCK 1 TRACT OR ADDITION SEE ATTACHED Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Allen Bergquist 574-7432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 Replace 16' x 10' deck 9 CHANGEOFUSEFROM TO STIPULATIONS See stipulations on plan Bef6re digging call (Or all utility locations e REQUIRED BY L4W_ iN' SEPARATE PERMITS ARE REOUIRED 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 ISTALLS 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 $1500 SURTAX $.75 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 $54.00 SAC CHARGE Fiip SC $1.50 PLAN CHECK FEE TOT L FEE 56.25 SIGNATUREACA.ACTOR Od1AUTMORI ED AGENT iOaTE�5? Li�G^i66, e q HE PRO Y VALI THIS IS R PERMIT � B G iNSP - gAtE SIGNATURE NER BU4DER1 iDATE� �� 4 NEW [' ] ' Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY (�\0 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Q� BUILDING PERMIT APPLICATION `- Construction Address: 77 9)'6L eR�-D( WAY /r/r Legal Description: e- o l ) � i3tUc,r J i,2' 9 GC t1 � rF9 G. g D b;. 5 Owner Name & Address:ALL 6FLG-QQ:1s-'0pov+e A'DPxQ k -£S Tel. # w//L Contractor: dlt-r� 5 k L U e 5 MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Tel. # DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len 14 Wi(kh lo Hgt/Ground Sq. Ft. �' e OTHER: 0 6- �-- ce Construction Type:% ��®a`d' � 6)g 19rA) Estimated Cost: $ 1152:90' 46 & Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: 4 Tel # 7, 7 i4y 2� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ / S6 .001 of Permit Valuation (1/10th%) State Surcharge $ , 7 $.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 $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: CIVIL MUNICIPAL PLANNING Denotes Iron Monument O Scale d ENVIROMENTAL • LAND SURVFVING SOILIEXPLORATION Certificate of Survey For y�/,g y B 412-0 � 5 ¢'- 60= . half Lo T /,/,, BLOGl / We hereby certify that this is a true and correct representation of a survey of the boundaries of the and described above and of the location of all buildings thereon, and all visible encroachments, if any, from o on said land. As surveyed by me this --6 TIj---------- day of ___ n 1 consulting engineers diversified inc. P O Box J, Osseo. Minnesota 553690(612)425-2181 bye 4128-��� File No Book Page Minnesota Req�stration No 11 TY OF FRI'DLEY INSPECTIONi DIViSiON i431 University Ave NE =rldley, MN 55432 APPLICATION FOR POWER Pi4N1TS AND HEATING, COOLING, VENTILATION, 763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 8619 S E I.IE^ tesidential Furnace Shelf and Duct Work, Burner Also Replacement Furnace {Side Vent - Fill Out Back) Gas Piping (Needed with new iurnacce, bL # not replacement) Gas Range Gas Dryer "Air Conditioning - AlI Sizes All Others/Repairs & Alterations (LIST ON BACK) a.% o4 Value of Appliance or W&A ,ommerdall/Industrial 1.25% of Value of App/lance or fork Rate TOTAL $ 30.00 $L�31� $ 10.00 Effective On January 1, 2000 JOB ADDRESS '1 I 1/ _1 (' V___( ►I1 D li___�c,y��,� OWNER BUILDING USED AS-- ESTIMATED S_ESTIMATED COST _ ?ERMIT N®.____ S63s. AND PM UR . .�. No. of Heating Units _ Circle One (Steam) (Hot (Nater) (Wars Air) Trade Name _ -.. _ _ Size No.-_.,. HP EDIT_ $ .25.00 S _ f�;ela . _..__ Total Connected Burner Track Name_ Size NIo, __ 8Ti1—_____­.. . HP State Surcharge TOTAL (FEE TINSPECTIONI FEE $47,001HY Air Cordtioners can not be pLaced in a side yard without mitten pernilission from adjoining property owner The undersigned hereby .makes application for a permit for the work herein specified geeing to do all work in strict accordance with the City Codes an 1-_.x...50 rulings of the Building Division, and hereby declares that all the fact's and representations stated in this application are true and correct. ATti. H EATI Rough -In Date ---- Final D «CIC VER!Ff - IQ K 0 REPLr�C� 14 Z0'd -TdIOI COMMON V>:WT.1r�NM.� R �NRC®—MBUSIi0 i i VERIFICATION When ,replacing an axistln�Eat , the undersigned hereby vorifies That the venting has been examined and is free from rust, deterioration, obstructions, and Is securely supported and firestopped where rewired. Yes (-)'No( } The venting system is plastic/PVC and meets alb current codes and manufacturer specffications Including sizing, longth, number of elbows and termination, Yes WNo } The undersigned also verifies that the roplacement unit is a Psted assembly and meets the current codes and manufWurees specilfications, This dog include AOA -LAMA Category f Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes lfNo ( } The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes (�hgo When required to Install a neer combuggon aL&I will be sized and Installed To meet the current codes and manufacturer's specifications. Yes (moo ( } When Installing a new venting system, the undersigned hereby verifies that it IS a listed assembly and meets the current codes and Manufacturer's specifroations. Phis does Include AGA-GAMA Category i Central Futnace Venting Tables for fan assisted end natural draft appliances. Yes o-60 � 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 t Avollancme Tie anal S1ze1Comrn®n Vend Venn Cpnng®r InfprmM2ion Appliance #1 Type 1(a,1� 13TU Input . Fan Assisted or Nat _ Appliance #2 Type _ STU Input Fara Assisted or Nat Appliance 43 Tyne _ BTt1 Input _ _ _ I=an Assisted or Nat Total Appliances Total Stu Input Common Vent "type , _ Vent Height ­. Diameter inches Appliance #1 Vent Connector I ioight Length ___ft Diameter.. in Type Appliance #2 Vent Connector Height _ ft Length Diameter_ in Type Appliance #3 Vent Connector height ,R !Length®.._ fl Diameter _ in Type t _ter:► .a MillY,_ A Vill _. _... HEATING CO: Signed By: Date : f Y)A 17s I Ze/9e ° d 509868b 01 KTM I aJ --10 u 13 vC8:J Bs . ZI 3uilding $ BUILDING Permit No.: Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 163-572-3604CITY Fire Surcharge OF FRIDLEY nate Recd: )ATE_.! ® YOUR E-MAIL ADDRESS $5.00 (State Licensed Residential Contractors) :ITE ADDRESS _72 A5744— Q9=" U_)14 TUK $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ 'HIS APPLICANT IS: fiLOWNER ❑CONTRACTOR $ PROPERTY O'R'NER/ NAME: $ TENANT ADDRESS: 7 7 As—L_9, Ccex. , i CITY'; ? �^'�STAng!! zu6- $ PHONE. 43 —,S?I — 060-T Total Due CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX IX SINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISHPROOF 13 DRAIN TILE lDECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION PUAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: (�6- � ;4;�n.�� /i 4en:26-- 3IZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY \UMBER OF SQUARES Z> JKHOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. ExistinFloor Plan 3ARAGES ❑ ATTACHED GARAGE 2. proposed floor plan ?ROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: 3IDING /��' r FOR NEW CONSTRUCTION INCLUDING DECKS, :1 Vinyl „(� �JC0❑Sofit ,,ADDITIONS & PORCHES SUBMIT: 7 Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures :3 Other ❑ Fascia and proposed project. 2. Two sets of construction plans Pi'I ows 3. Energy Calculations N EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS DR FOR NEW OPENINGS -DESCRIBE SIZE OF GPENING 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 $ DS Z--70 OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation —Minimum $.50 Fire Surcharge $ _ ��ye/ — .001 x Permit Valuation (1/10%) License Surcharge $ z $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ /'j Make checks payable to: City of Fridley 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 pe it d work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all workI h eq ' e view and approval of plans. SIGNATURE OF APPLICANT PRINT NAME' DATE l�y From: 7637834566 Page: 2/5 Date: 5/10/2010 11:00:02 AM PLUN. MING pmt No.: to Jnspecti s v FLOOR DRAINS RESIDENTIAL APPLICATION Rweived By: 763-572-J77 04 _ SWIMMING FOOL WATER SOFFNER ($35) � CTT 'OF FRIDLEY �$ DAM: A s1.0 763-572 FAX _ DXSHW _ LAUMRY TRAY WATER REATER ($35) FOR IRRIGATION ( WATER METER EMCTM 1-1.2010 DATE 0.-10 YOUR E-MAIL ADDRESS I Gre- Wzirls e "I hish 9�+ G.r ..I sem SITE ADD "7 THIS AMXCA TF I3: - 13 OWNER JZCONTRACTOR PROP i' Np, : ADDRESS: CITY STA'X Z1P PHONE: CONTRA OR NANz., E. C.K e,.., PH C. SUBMIT A XbtumR FY ©F a STATE UCIRISE 0 EXP DATE LICENSA D AND STATE, aOND # B.V DATE CBXL7l I OF ADDRESS: 11-4-1 t f't to i�5 CITY Bi2- INISURA FHONF. `ms's --'-t r -1 g--1 FAX PERMIT rkTE FSINGLF- FAMILY 0 TWO F AMMY ❑ TOWNHOUSE TWO, OF WORK: E o NEW $f REPLACEMENT DI;rA]I.EA I SCRIPTIOIV OF WORK i2 a -asa c 4--,� n-sli'- ! 'c A e -y-ft FEES ARE BM W ON $10.00 PER kXTURE, EXCM WEMW NOTED. RMUS' (INDICATE TOTAL NUMBER OF.EACH BW). MRMIUM FEE $3550. _ EATS S v FLOOR DRAINS SHOWM _ WATER PIPING _ 13ATSTUB GAS PIPING (NEED CrIY LIC) _ SWIMMING FOOL WATER SOFFNER ($35) _CLOTHES ^KITCHEN SIPM _ WATER CLOSET _BACKFLOWPREV.(5157 _ DXSHW _ LAUMRY TRAY WATER REATER ($35) FOR IRRIGATION ( WATER METER — OTFMR TfUS IS AN AFPLXCAT M FOR A PERMMNOT VALID UNTIL PROCESSED 1hereby app for a plumbing peout and I ackmwledge that the inffozln4oxx above is complete and accurate; that the work will be is oonfo=an •with the ordinanca and codes of the City of Fridley and wii* the Xgmesota Construction Cosies; that I understand this is not a permit mit only am application for It. .t and work is not to start without a permit on site; that the work will be in accordance with the appavod plan in the f ai] w whicch%jj��p`� $ review ad approval of plans. SIMATME APPr_ICANT fe NAMR City of Fd(Hey Building Inspections Department 6431 Ulaivmity Avenue NE, Fridley, NN 55432 763-572-3604 F.A.: 763-502-4977 0 Building BUILDING See Back Page for Fee Schedule Permit No..' $ 65% of Building Permit Fee Fire Surcharge $ Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge CITY OF FRIDLEY Date Rec'd: i / O 763-502-4977) FAX $ ft + 6 ft = ft x $24 = $ Erosion Control $ EFFECTIVE 7-1-2010 Park Fee $ DATE v /L ( Z � / U YOUR E-MAIL ADDRESS Sewer Main Charge SITE ADDRE S -7 7 Iil 17 �, C' s' G -- k " 44 Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS: ❑ OWNER CO CTOR $ PROPERTY OWNER/ NAME: 1411 -cel,) Ri G k e�, TENANT ADDRESS: :27 Rede Rlia � CITY ✓ ` STATEU ZIP 7— PHONE: PHONE: CONTRACTOR NAME: e: v o SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: aa �4 cleir '< CITY STATE IffifiiP S(-- 32 INSURANCE PHONE 6I X ;227 �IS- FAX ,- fe',E 146L4 PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORKS PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH PROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION XMAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: abs -V-- a /a, e, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 3 ® ,!MOUSE & GARAGE BASEMENT REMODELING SUBMIT: I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: 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. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS – PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 $ b/lfto 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 $ .0005 x Permit Valuation Minimum $5.00 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge It $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley 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 on site; that the work will be in accordance with the approved plan in the case of al ork w ' uires review and approval of ple4s.�, / SIGNATURE OF APPLICANT G� �-- PRINT NAME it?i t / 1, / �(„ 1/ DATE � APPROVAT.n�TCPRCTr)R STC.VATTTRR —