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PRE 2010 DOCSva�(� City ®f Fridley, ffinn. X® 9 6 65' BUILDING PERMIT Date: April 16, 1968 Owner: Sam Tmplin Builder Same Address 6184 Stinson Blvd. Address Same LOCATION OF BUILDING No. 84 Street - Rice Creek Way part of Lot Lot 11-B _ Block 4 Addition or Sub -Division _ _ Edgewater Gardens Corner Lot — Inside Lot —. X Setback 35' Sideyard —.. Sewer Elevation ___ 821.02 824.02 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front _ 36 Depth 34' Height 1224 Sq. Ft. Cu. Ft Garage Front 20' Depth 22' Leight 10' Sq. F•t, 440 CtL Ft. S 4400 Type of Construction Frame Est. Cost � 21 000 To be Completed _ SEWER LOCATION - 21' East of Manhole WATER LOCATION - 32' East of Manhole In consideration of the issuance to me of a permit to construct b described above, I agree to do the proposed work in accordance with the description above set fa in pliance wi provisions of ordinances of the city of Fridley. $100.00 Sewer Connection Charge In consideration of the payment of a fee of $—L-- O0 , permit is hereby granted to S. E. Templin Blders . 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, 1ylinnesota regarding location, construction, alteration, maintenan repair and moving of buildings within the city limits and this permit may be revoked at any tune n viplation of the provisions oP said ordinances. A A i % 07 Official XIMMckm NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Sea heating, sewer or water. Be sero to no the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER •TEM [ �, ADDRESS ADDRESS (,P l 8 C� ST_tu'so A �L V LOCATION OF BUILDING L N0. STREET lye, /L e C�i'� �� PART OF LOT LOT — BLOCK ADDITION OR SUBDIVISION CORNER LOTS INSIDE LOT_,,t)�_SETBACK •SIDE -YARD �� J SEWER ELEVATION_ �/�� ® FOUNDATION ELEVATION App attace`to t is formmTTwo Certificates of Survey of Lot and proposed building location yawn on these Certificates. DESCRIPTION OF BUILDING To be used as; - ko FAA'(- V ��e� " Sc/ Front � Depth Haight Sq. Ft.__ Cu. Ft. Front "�®, Deptheight Sq. Ft.Cu. Ft._ a 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 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. 19��' ti DATE SIGNATURE (Schddule of Fee Costs can be found on the Reverse Side). f 2�C- 6'/i (,. Application for Power Punts and Healing. Ging. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL 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 ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ............... . Repairs & Alterations each add. $500.00 .............. 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM NO RATE TOTAL 1st 3 Fixtures ...................... 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 $ FAN HEATING SYSTEM OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule $ ALTERATIONS & REPAIRS 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 FEE 0 0 ROUGH FINAL, Dept. of Bldgs. Phone SU 4-7470 Location, 84 Rice Creek Way 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 �' 194$ Owner Sam Templin Constr. Kind of Building Used as dwg/ To be completed about Estimated Cost, $ 860-00 Old ew Building Permit No. Permit No. DESCRIPTION OF WORN HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 1 Trade Name A'CO Size No GB1105 OHD Capacity Sq. Ft. E.D.R 100M BTU H.P. Total Connected Load 42,764 Kind of eNat . Gas BURNER — -Trade Name AFCO Size No Capacity Sq. Ft. E.D.R BTU A.P. (REMARKS -OYER) signed �M/i�llClity Heating Co. By la{� L W, <8 Business Phone No 544-1501 Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL Ad F7 % FQS I Length 0 Width it� Height Windows and Doors—Crackage and Area Width Helg No. t Lineal ft. Area No. pa o4 a of crack eq. 7-1 I Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu Required ft. E.Do. or sq. ins. W.A. Leader area Fl.tZA1,00m I Length Width Heigh Windows and D racka and Area Width e N o Linealft. I Area No. of o ne 1 of crack e®• it. I I I I I ICoef. Btu Infiltration I— Glass Exp. wall Net exp, wall Int. wall Ceiling Floor Total Btu. �Aegpired sq. ft. E,D.R. or sq. ins. WA. Leader area 01 -- Glass Exp. wall Net exp. wall Int. wall Ceiling 'mor Tot tu. Requir q. ft. D.R. or sq. ins. W.A.Leader areaI ±! ® ° Fl.l Room I Length Width Height WinJ yN:, and Doors--Crackage and Area W iu,.. '7hR No. of Lineal ft. Arca No. of Dana i light® of crark aQ. ft. Infiltration �'�ss•ni` Glass t �' s` 17.16 a s , a t Int. wall HEAT;LOSS CALCULATIONS DEPARTMENT OF INSI�I:CTI®1!' hUNNEAPOUS, Weathe."StTI a p A � Construction No. I�isulatfon Requir,4 sq. ft. D Guide F1. ' nt I Length idth Height Windows and Doors—Crackage and Area odows 9 Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied es No ( Ye� 19_ Fl -(A B /M Room I Length IX Width I-Ieight Fl,� LengtLhn Width Height Windows an oars—Crackage and Area Win ows and Doors—Crackage and :area Width - Height No. of Lln ai t . Area No. of pan® f Dane lights of rack a t. Wld h Height No. of Lineal ft. No. pe oQ piehta of crack Area ®q. I y --oft % I �C " C I Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL Ad F7 % FQS I Length 0 Width it� Height Windows and Doors—Crackage and Area Width Helg No. t Lineal ft. Area No. pa o4 a of crack eq. 7-1 I Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu Required ft. E.Do. or sq. ins. W.A. Leader area Fl.tZA1,00m I Length Width Heigh Windows and D racka and Area Width e N o Linealft. I Area No. of o ne 1 of crack e®• it. I I I I I ICoef. Btu Infiltration I— Glass Exp. wall Net exp, wall Int. wall Ceiling Floor Total Btu. �Aegpired sq. ft. E,D.R. or sq. ins. WA. Leader area 01 -- Glass Exp. wall Net exp. wall Int. wall Ceiling 'mor Tot tu. Requir q. ft. D.R. or sq. ins. W.A.Leader areaI ±! ® ° Fl.l Room I Length Width Height WinJ yN:, and Doors--Crackage and Area W iu,.. '7hR No. of Lineal ft. Arca No. of Dana i light® of crark aQ. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Requir,4 sq. ft. D . or sq. ins. W.A. ader area 101. F1. ' nt I Length idth Height Windows and Doors—Crackage and Area Width I Height No. of Lineal tt. Area No. o.¢ papa oup kne ltghta o4 cre,�t Infiltration Glass Exp. wall , Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader am w jp o-sis a laUN LIB. SHEAT LOSS MCULATIONS EI'ARgMENZ ®F INSPECTION A.SkI. Construction No. Insulation Weatherstrips Guide � How Applied wa ors Reference ®fit. Wall Int..Wall caing hoof Floor Kind Yes— o I Ye o 19— Width 1leight Fl.� Length Width Height Fl.� oom Length Windows and Doom--Crackage an Area Windows and Doors -trackage and Area Width Height No. of Lineal ft. Area WidthHefBht No. of Llneal ft. Area No, of p ne of ane IIB to of cr c s a• No, of pa of ne lights of ac aq. f ef. Btu Btu Infiltration Infiltration Class Glass Exp. wall Exp. wall Net exp. wall Net exp. wall IInt. wall Int. wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Requir or sq. ins. W.A. ader area Requ -ed q. ft. R. or sq. ins. W.A. ader area Fl. 00m I Leng idth Height FQ Room 1 Length ��';dth Sleight Windows and D rs- - rackage and Area Windows nd Doors-Crackage and Area c rea 9Jidt Height No. at Lineal ft. Width HeIB1ti� Np. of Lineal ft. Area ,,,_ .,f wane of pane itgbte of c ck s ft. Total Btu.' - Required sq ft.E D R or sq ins W.A. Leader area Required sq ft. E.D.R. or sq. irea. W.A. Leader area Fl. Room.Length Width Leight F1.j Rooms I Length Width height Windows and Doors--Crackage and Area Windows and Doors—Crackage and Area width Height No. of Lineal ft. Area Width Haight No. of Lineal ft. Area No. of pane of pane lights of crack s¢. ft. No. of pane of Dane lights of crack ea• it. Coef. Btu InfiltratiCoef. Btu Infiltration on Glass Glass Ae ,v _ �-- �" Exp. wall Exp. wall / Net exp, wall Net exp., Int. wall Int, wall Ceiling Ceiling Floor Total Btu. so. ft. E.D.R. or sq. ire. W.A. Leader area 11 Floor 1! Btu. liRequired sq. ft. E.D.R. or sq. ins. W.A. U&der arta City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 860-3450 DESCRIPTION OF WORK n Number, Kind and Location of Fixtures Location—9 CSE' N Z_12 Y Z Z �� U Z U o < �� Sn �O F N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connection Openings 1Sewer New Fixture, Old Openings J Connected with E]e Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 9 x $2.00 $ /6 � 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) ...... r x $3.00 $ New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ 2 Additional Fixtures .................... —x$.75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS --Refer to Code - Description ................................................$ (T"� TOTAL FEE $I. City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn- Owner inn Owner �t M %`�M,vL�,: � Kind of Building��`�� Used as��G To be completed —1,1 4L m -v Estimated Cost, $ 1,7 &-e - Old—New. Building Permit No PermitNo. ROUGH FINAL Signed /x!,0%12 By l7Q. Business Phone No- s-4,0 g� 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 RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) 1 Gas Piping (piping needed With new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations I% of value of Appliance or Work COMMERCIAL/INDUSTRIAL 1• of Value of Appliance or Work $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 1Q. 00 $ $ 10.00 $ $ State Surcharge TOTAL PEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. � Jl s Date Approval for Permit G MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE Job Address /,�Y &Q -z - y /t/ l� a Department of Buildings 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. 1571-3450 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, Minn. OWNER rl l (CP- �C C%,��'Qo �d KIND OF BUILDING rp-i USED AS TO BE COMPLETED ABOUT9 yy ESTIMATED COST ( 6 o®. OLD - NEW BUILDING PERMIT NO. PERMIT NO. / �✓�-'� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. Trade Hama Size Mo. Capacity Sq. Ft. EOR BTU NP Total Connected Load Kind of Fuel BURNER - Trade Name Size ND. Capacity Sq. Ft. EDR BTU HP \ Company �/E G� a' '444"i is L ..�%n✓C i Signed By 5�i,l®.�/'. ag Tel. No. L.3 *Air Conditioners can not be placed in side yard without written permission from adjointng rrsulldx,ry 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 BTU 1 s of All other BTU's TOTAL Rema rk s Company _ Signed By Oa to O CIVIC CENTER . 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 July 18, 3.990 Mr. Mike Schroeder 84 Rice Creek Way N.E. Fridley, MN 55432 Re: Ietter Approving Side Yard Installation of Air Cm itioner at 84 Rice Creek Way N.E. Dear Mr. Schroeder: We have not to this date received the letter fran your neighbors approving the insulation of the air conditioner in your side yard. Section 124.05 of the Fridley City Code requires that we receive this letter before the installation of the unit can be approved. Please have your neighbors sign the form at the bottom of this letter and return it to our department. We will expect this to be ocupleted by July 31, 1990. If you have any questions on this matter, please oontact me at 572-3603. Sincerely, IiYMW J !ee a Imo, a� ,� , �P �-��vtli'-- Cr r(s) of ='�? Rice eek Way N.E., have no objections to an air conditioner being installed in oar adjoining side yard with 84 Rice Creek Way N.E. by Mr. Mike Schroeder. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representation sstated in this application are true and correct. Catch Basin $ 7.00 �` C% Rain Water Leader $ 7.00 O� N 4 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner �'D I 1 (��,�1jnk))� CSC _ Water Heater —Electric $ 7.00 " Water Heater — Gas $10.00 Building Used As /1.601'doL Gas Range $10.00 Gas Dryer $10.00 Estimated Cost�PERMITNO. Back Flow Preventer Required ( )Yes () No Type -$5.00 PLUMBING COMPANY _2 Reinspection Fee $30.00 �Q A� '- Pe SIGNED 8Y - � TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance � •• Approved By �j� Rough—In Date Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ �5' PLUS THE $.50 STATE SURCHARGE SUBJECT PERMIT NO. City of Fridley 2 5 AT THE TOP OF THE TWINS BUILDING PERMIT u:A6 P E t � 6 _ COMMUNITY DEVELOPMENT DIV. 1s PROTECTIVE INSPECTION SEC. p-� t o o °s CITY HALL FRIDLEY 55432 NUMBER REV PAGE OF APPROVED By 612-571-3450 910-F15 JATE 6/3/94 JOB ADDRESS 84 Rice Creek Wav E 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11-B 4 Ed SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mlke Schroeder 8572-8993 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 p X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 1� 8 DESCRIBE WORK Construct a 17' x 4' & 14' x 18' Deck 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors adjacent to all sleeping areas and in basement. See notations on plan. WARNINGlaw Before digging calf for all utility locations 454-0002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 $2,681.35 $1.34 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.68. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $58.02 SIGNATU OF ONT 0AUTHORI AGENT / ID EIC,, H IkOPqRLY,4LIDATED THIS IS YOURPEE.RMMII1ITT- gLD' MATE SIGNATURE OF OWNER OF OWNER BUILDER) )DAT,{, NEW (( Effective 1/1/94 ADDN (] CITY OF FRIDLEY ALTER ( SINGLE FAMILY AND DUPLEXES R-1 AND R -Z j Building Permit Application Construction Address: P pje'�" e4z't b) # � /-J �-- Legal Description: Owner Name & Address: (" 7KT , ,S�} �,8 ��+j 8 �i �� # a -A? `" ��3 Contractor: (") ? K -J' MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. A: Length 1� l Width Hgt/Ground -Z6 Sq. Ft. ';Z A100 OTHER: Corner Lot [ ] Inside Lot j ] Ft. Yd Setback Side Yard Setbacks Type of Construction:i ��% / %Z Lvv Estimated Cost: $ Approx. Completion Date: 03 0 - ? I (Cost on Bac ) Driveway Curb Cut Width Needed: Ft. +6 = t x $ _ $ �` �� •�--� DATE: �"L3— 9 Y APPLICANT:L Tel. # S7�;? ITY USE ONLY TOTAL $9 a STIPULATIONS: Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 21,6 .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 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 $9 a STIPULATIONS: SuBjECT PERMIT NO. City ®f Fraley 29536 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. �� r PROTECTIVE INSPECTION SEC. �� CITY HALL FRIDLEY 55432 �---- NUMBER REVDATE PAGE OF APPROVED BY j 612-571-3450 910415 5/24/99 JOB ADDRESS 84 Rice Creek Way 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11B 4 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Storvik 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings 6331 Riverview Ter NE Fridley MN 55432 574-9966 4051 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 0 NEW 0 ADDITION 0 ALTERATION 9 REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Reroof house and garage (23 S 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 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 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 $q1 97� $ O 98 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 PLAN CHECK FEE[177.20 AL FEE Lice C $5. SIGNATURE OF CONTRACTOROR tSTMORIZED AGENT IDATEI E PROP VALI ED THIS IS YOUR PER 0000'ag Bj&G INSAO yei tE SIGNATURE OF OWNER,IF OWNERSUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �(� A �b ConstructionAddress: Legal Description: Owner Name & Address: BoL s -e dZ0 s K Tel. # Contractor: MN LICENSE # Address: (:331 e �' v s '�� 2 Tel. # 7 y- 9,9e 4 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Z3 U . Construction Type: 7-A ?- e FF Vz- Estimated Cost: $ /991 (Fee Schedule on Back) Driveway Curls Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: S z57 f APPLICANT: a _ Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $` .001 of Permit Valuation (1/10th%) State Surcharge 10 $ �p ° $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ w $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: SUBJECT IT NO. City of Fridley 33951 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v ______ r PROTECTIVE INSPECTION SEC. 1 1 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 �j 763-571-3450 910-F15 10/7/03 JOB ADDRESS 84 Rice Creek Way NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11A & 11B 4 Edgewater Gard. _as SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Storevik 84 Rice Creek Way NE 763-574-2018 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 8 DESCRIBE WORK Construct an 11' x 18', a 10' x 6', and a 19' x 15' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. wjkkmlNcj Before digging call foT all utility locations 45"002 REQUIREL. 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 S0. 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 1 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 $6,744 $3.37 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. $139.25 Fire SC $6.74 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $149.36 S'G, T1�3 EO C TRACT OR AUTHOp�2ED AGENT iDATE, M PROPERLY VALIDATED THIS IS Y R P RMIT / 16 hs L jk ' p 'NSP - T TE .GNATUR OVO N R0F OWNERSUILOER. JDA E' NEW [ CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridiey, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Effective 1/1/2003 (763) 57 -3604 Bldg Ins (763) 5 1 1287Fax !� r O LJFK /n A/ 5�5 Legal Description: e�,4,4` 6,4n ,vs Z -6-r i/ 4 . t k- Owner Name & Address:ff o bei- S 7 --0 1-1 V Imo. 91/ ft46UAtwrrAC- Tel. # ?6 Contractor: 5— i -C /d we MN LICENSE # A' Address: E • C. a i—= g /<- �-/ A).F /-e 113 t-0 P mry Tel. # 76 3 5 2,Z —2,a 1 ?, Attach to this application, a Certificate of Survey of the' lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AR Length // Width 48_ Hgt/Ground o"i`/ 6A Sq. Ft. 60 OTHER: 3� Construction Type:Estimated Cost: $� o� ®� �_ �= s Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Roo er - Tel. # 7G 3 - 5-7 /1ad Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 4 29 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. T" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] Y OF FRIDLEY INSPECTION DIV. 31 University Ave NE Jley, MN 55432 ;3) 572-3604, FAX (763) 571-1287 7x'�v )=&Ve APPLICATION FOR PLUMBING AND GAS FITTING PERMIT aawoW wn 111e®Co nC Curti noee Yrn RC 1MQ-rA11 Gn M1 9=Af`W FI nr1R Effective On Jan 1. 2003 Wash .UMBING FIXTURE RATES., 3w Fixtures id Opening, New Fixture eer Dispenser ow Off Basin atch Basin ain Water Leader urnp/Receiving Tank Jater Treating Appliance later Heater -Electric Dater Heater - Gas" NO. RATE TOTAL JOB ADDRESS 0 4 k I'Q' t: �(„ Y E 9A ;as Range" _ gas Dryer"" _ :ack Flow Preventer Required ( )Yes (} No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Zeinspeciicn Fee $47.0011 -Ir 4LL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $fid The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner _A Ob 762`f V; 6 Y 0 e -(y 2ob_3 Building Used As L42 -cite. oe Esiimated Cost DO. PERMIT N0. Coon 9928 Bluebird St. N.W MN 054j;3 PLUMBING COMPANY '?,'p 3 - 754-2199 SIGNED BYTEL N0. Approved By Rough -In Date Final Date Z �� (�✓ MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT 1S $20.90 PLUS THE 8.60 STATE SURCHARGE :;OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE `r Ftt• .�a,, ae Floor ti .:.Auto. vx Gas>. .. A4. water Neater �_: x: Urinal x :.... Shower i._ Tra ' . ': < wStones Drain �.- : ;� Washe = '• Ran a :� :.• : Gas Elec Basementx "G .. : f'::a• --,:;;: - rx. s'=" .' q f x z'ieic w tea.•^' .. ��33cc_�.yacxam ,r; amts ;,max wX n][ Floor 1 L?1473. 3e:'• a sy9 &E Floor Y rt:sx°z'u�y �:a,. ?z� '3,:�`fincx�R• '=g: e: ifi:•.:ibx3�'i3 -;ce Floor 3 1. - 'a.t Floor 4 �'9b�cx.4`l.. x : --:� z: �y'...''.; •idta:ad�T :. �<;�:w .UMBING FIXTURE RATES., 3w Fixtures id Opening, New Fixture eer Dispenser ow Off Basin atch Basin ain Water Leader urnp/Receiving Tank Jater Treating Appliance later Heater -Electric Dater Heater - Gas" NO. RATE TOTAL JOB ADDRESS 0 4 k I'Q' t: �(„ Y E 9A ;as Range" _ gas Dryer"" _ :ack Flow Preventer Required ( )Yes (} No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Zeinspeciicn Fee $47.0011 -Ir 4LL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $fid The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner _A Ob 762`f V; 6 Y 0 e -(y 2ob_3 Building Used As L42 -cite. oe Esiimated Cost DO. PERMIT N0. Coon 9928 Bluebird St. N.W MN 054j;3 PLUMBING COMPANY '?,'p 3 - 754-2199 SIGNED BYTEL N0. Approved By Rough -In Date Final Date Z �� (�✓ MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT 1S $20.90 PLUS THE 8.60 STATE SURCHARGE :;OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE Building BUILDING Permit No.: a Inspections RESIDENTIAL APPLICATION Received By: 763-57Z-3604 CITY OF FRIDLEY Date Rec'd: DATE UZZ8 10 to YOUR E-MAIL ADDRESS ew shom -ce ih oa e L i n A i Building MECHANICAL Permit No.: _ ` Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: i �2 DATE 06 YOUR E-MAIL ADDRESS Cy -1- ��l SITE ADDRESS e THIS APPLICANT IS: 11 OWNER WCONTRACTOR PROPERTY NAME: 0 ®r4o.' ADDRESS: t ICF' STA . ZIP�2 TENANT / PHONE: bs "S -9V '/ CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: Q tl DATECTTY YOUR STATE STATE LICENSE #�-r !� 1 ! '– LICENSE WITH ADDRESS: �i� �f STATIA ` '�`ZIP'�� APPLICATION / PHONE 6A( ,Arj0 —® iQr) FAX 6/7--- 45157? PERMIT TYPE PrSINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW [3 REPLACEMENT PnLTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZEIBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 —AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 -BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 t Permit Fee $ —A!�2- -- Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ �2 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work ich re u' es review and approval of plans.. 16 SIGNATURE OF APPLICANT PRINT NAME 6 �l ke) f DATE 6 ., oeM 4THMAS`� lc`-'" `z .. _ x City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.:: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE / Z ® YOUR E-MAIL ADDRESSPr .— rnz 6AC> - • Gydh SITE ADDRESS 18LI • C e C .� THIS APPLICANT IS: O OWNER OCONTI&CTOR PROPERTY NAME: 2 ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME:Q�` �.��.� ; PI u'\O ,n STATE LICENSE # EXP DATE c Gooin ��i5 s y33 SUBMIT A COPY OF YOUR STATE ADDRESS: /O Z le"� CITY STATE ZIP LICENSE ATM PHONE GI Z:- 1,R`6 1/1 C-jC� FAX APPLICATION PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY O TOWNHOUSE TYPE OF WORK: NEW 0 REPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00,: whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. _(Thisshould- reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor 3G»® x .05 = FOR ROJECTS WHERE LABOR EXCEEDSWOO TEES ARE BASED ON $10.00 PER FDS'URE, EXCEPT RENDTED FTXT IRES:.(INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINKILAV Z FLOOR DRAINS _ SHOWER WATER PIPING BATHTUB _ GAS PIPING mm cn7LlcENsE)_ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK 7 WATER CLOSET _ BACKFLOW PREV. ($15) _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER WATER METER _ OTHER Permit Fee $ Number of fixtures @ $10.00 x$10.00=$ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ 50 Total = $ THIS IS AN APPLICATION FOR A PERMrr 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 rk which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME V1. ___PATE_/10"U� a.__... _ .� . M City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977