The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley SUBJECT PERMIT 13232 AT THE TOP OF THE TWINS PERMIT , BUILDING COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/29/75 JOB ADDRESS 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pine Tree Builders 8535 Central Avenue, Blaine 784-6013 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 j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 29' 8" x 26' 4" Dwelling and a 2214" x 30' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. See agreement on rear lot grading. Utility As-Builts are not available at this time. For specific locations contact Comstock & Davis, Inc. at 784-9346. SEPERATE PERMITS REQUIRED FOR 1iIIRIN HEATING, PLUINB,ING ANQ SIG�iS� ®u,�`��k o z APs SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPA OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 29,026 Total OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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. 22.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $45,250 DO NOEFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VISIONOF ANY OTHER STA OR LOCAL LAW REGULATING COW $325.00 ST UCTIO R THE PERF E F CONSTRUCTION. $53.70 ®, PLAN CHECK FEE TOTAL FEE $401.33 ATURE OF CONTRACTOR OR AUTHOR) D NT (DATE) "W HEN PROPERLY VALI T THIS S OURRMIT BLDG. INSP D E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) � PINE TREE BUILDERS, INC. 17 745 BLUEBIRD ST. CKDAR, MINN. 55011 w G IXAS IDvs®o calf weal Bp,tolp,'Ic Etc - Ila?" Rf-Qtj wy A 0 0 A 0 / o- 7-S /��r 67 lVd �r Z,-? L AP 6 1- C, /.?, � -, , , 7- C-09 7-10kvS C C 7- (1��S 7-a c AC 0 • ` ' APPLICATION FOR RESIDENTIA;.,,. ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S. NAME :_ BUILDER:- ,N is �Q. G Lt [ � �J � I :V A -Cr ut - �i�cJF—j ADDRESS: ADDRESS :- 4 t� 4' - - ---- �� Z NO: N STREET: LOT: &A BLGCK: ADDITION: &Ci-. CAeF-k P - S4 ATM S CORNER LOT: INSIDE LOT: SETEA.CK: 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: SzcA CL' 4" L a- Front :_ C?_ Depth: 2. (n2-0 I�eiglzt Square Feet: Cubic'Feet Front: 9- 2- � _.Depth: Height: Square Feet; Cubic Feet:* Type of Construction: Estimated Cost: To Be Completed: aA 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 represen��.i.ons stated in this application are true and correct. ��,�� rr ( g DATE: l 1 SIGNATURE: I (See Reverse Side For Additional Information.) .4v a6 2tL C w.l�.ee� ®� fi eC w4. a�av� W p kv Wor�`� PICA. .70 Z1,6 3 S, OctO)h *EhC'Sb ' (1 ,h'h Qfs'G A cis pO'Ztl'Ll rot) 'LZ A sac a9 h£ �( :O''Z.L A '.LS o ® 017-98 OG �' ,� �► -- !✓' � i'�Z nod �►a9 a� 002 4nse �2nT 7112)v') 3�� QiIS/ 4 }' - � � l�•L �L!a ��8 .tip -.9 �' •-�� AGREEMENT between Ed Dropps of Pine Tree Builders, Inc., platting the Rice Creek Estates Second Addition Plat in the South Half of Section 13, T-30, R-24, City of Fridley, Minnesota, and as shown on the attached Exhibit "A", and the City of Fridley it is hereby agreed by Pine Tree Builders, Inc. that if the City of Fridley approves the second phase of the Rice Creek Estates Plat, known as Rice Creek Estates Second Addition, as shown on the attached Exhibit "A", they will agree with the following conditions: 1. They will endeavor to negotiate for street right-of-way from the Theilmann's for the extension of Briardale Road.j 2. They will dedicate the land for the park, as shown on the plat, and the City will pay them $4,800.00 for the land in excess of the 'land'.required by the platting ordinance for. park purposes, and the City will also accept the area and frontage assessment for this parkland. Said amount to be paid immediately after filing of the plat at Anoka County. ' 3. It is further agreed` that they will pay the first half of the real estate taxes on the parkland and the City will pay the second half of the real estate. taxes for parkland due in 1974. _ 4. They agree that all utilities will be underground G 5. They will provide one tree per lo -t., 2 inches in diameter. 6. They will work out the grades for the plat with the Engineering Department. 7. They agree that lots that have grade difficulties with a three to one slope after the grade is established, be sodded within one year of completion and retaining walls be worked out with the City.. 8. They agree that Woodside Court be temporarily dead -ended on the East and West side of the Theilmann property line. 9. They agree that all lots will meet the minimum lot size and have minimum front footage and depth. 10. They agree that the street that gives access,to Heather -Hills 3rd Addition be swung seven feet South between Lot 1, Block 4, and Lot 12, Block 1. AGREED TO THIS DAY F' ��` V e 1975'. Recommended for approval by: A O [ 4!s' n t Nasim M. Qureshi, City Manager Ed bropps, PineTree.., lders, Inc.. 10 ��`m.��t�,...'9•�. a]� �.,w,ty �.-a+».-, s• t�l W.. �.. p.. e....� �� .. �..� �n.,e.94 -..� �.., ..r43_ .. ., Cn ,....P'..'D..... ...rs.•. � CA- PARTIAL r� ria -.v ,a L.» ..� L'•.✓ a��va. »...� t u... �..:! 4:.. �w�a.. v:y °p„Yv:. a. W:a 6t ...:....� ,. �� .v.. •..�a.3 1..::_.ea vv�y-a•�w;s o.rh�.r ..A- +L�v.] pti�1-n;��;�"'.�s•.r��, � �. +a,,.1Rr.v .>^.«,...s�S in':`r^��v® .a. r'WoJ �u�'.r.�ayss. b•.:rii%aa�„' aai��SC/v�ac� �:];uu+..: inv'.d '✓f:tis�.iy.� PARTI A.L Z,TE. SCI 1EDULE GRAVITY W AMNI &Ii22: IDU M T 0`s Fisrnrce Shell c?r ?a+t7ri `4,70r& ... ... ..... ..$1fl.LJ $t-- Replacement of Furnace 6,00 $L Repairs & Alterations --up to $500.00 6.00 5 Repairs "& Alterations each add. 5500.0-0 300 $ =CM 4.5*" -M Amt Furnace Shell & Duct Work to 1230000 BTU ..$1000 $ each add. (>0.X0 BTU LIM ; ^riLvftrent o4 rurnace 6.00 .& Alterztions--up to $508.00 6.00 $ :1:.;: irs & Altera'do*s each add. $500.00 UO $ STEAD. or HOT WAI MB i'2 T!:—._1 Furnace Shell, & Lines—to 400 sq. it. F.DR Steam $10.00 $ Furnace Shell & Line ----to 640 sq. ft. EDR Fiat Suter 10.00 $, Each add 201 sq. ft. EER Steam :L M $ Each add. 320 sq. ft. EDI Hot Stater 3.00 $ OIL BUBUER—to 3 gal. per hcur 6.00 S._.�. _ over 3 gal. per hour --See Fee Schedule G L:'a 8YT£ fi (u? :0 1fr ,G.3 BTU) &0D $ �Er F�3,CJJ �"T"€7 �� F� Lachrdul® tsXS FITTING : ZEz. 11410 RATE TOTAL ist 3 Fixtures xea Zoo $ Additional M ures x ,7g Gas Range to IM. =. $� 6.0a $ AIR CO2D! 1iCN1_.:C• FAX 2—MMA11ri a Z%701=212 V:.:I.: T= G S d sTMI A.LTl t'-770,r3B Ak ate. State Surcharge .50 ft TOTAL D*pt. of BI ate. ?;? a City o4 Fi:dley: The undersigned hereby makes application for a permit for tete work hereif specified. agreeing to. do all work in strict accordance with the City OrdL-isi acer- and ruling of the Department of Buiidin'-s, and hereby declares that all Me fad and representations stated in this application are true and correct. Owner Kind of Used as TO lie Cv]]aN�c. c -a. autiu], Estimated Cost; $ Old'-Nev Building Permit No. _ '__ Permit No. eo410, 4 RMUING or POOR MS-S—Steam„ Hot Fater, Warm Air—No— Trade Name—� Capacity._._..._-- . — Sq. F°t. E—D-R BTU,.//Z),E H,P Total Connected Load 7fg), F.im of Fuel BURNIM — Traale Names Size No. Capacity. sq.. lea Exi a BITT rap- �w NrsnrA "' • 2f�-�1�� City of Fridley - APPIi Ian for Plarmbling end Gas Pentit Np't. of Bldgs. Phone SBO -3450 Y `' ?: T` �r, Kind =d.Loer en of Fixtures Lo=des City of Fridley— • Fut=* CaraocsSr.D O`sQuings " Bo•war $ New Fixture. Old Oponinp Ccsrpool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE �TOTAL Number Fixtures .... ......... • . • X g2.Qo. $ � Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening.....:.... x $1.50 $�r_ Catch Basin .......... x$3.25 $ o Water Heater '.Up to 99.000 BTU).... Z_._. x $3.00 $ S. New Ground Run Old Bldg....:.... x $3.25 t EicctAc Water Hoater.............. s $2.00 S GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ..... .. . ... • X $2.00 $ a 0o The undersigned hereby makes application for a permit for the wort her el 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, Dunn�— Owner / AJ E l 2� Kind of Building Used as �L L I aj To be completed about Estimated Cost. $ Old ew. uilding Permit No. Pormit No. Signed By Business Phone , Io ROUOii FINAL /— 9 - % . - - Additional Fixtures ............... x $ .75 3 Gas Range to 199.000 BTU ........... x $5.00 S FX?AIRS tc ALTERATIONS—Refer to Code .50 State Surcharge Description ................:.....................> . TOTAL FEE i � I 1 i GAS FL FG rY r N 8a.r •� 1st I � 1 1 2nd 3rd 4th • Fut=* CaraocsSr.D O`sQuings " Bo•war $ New Fixture. Old Oponinp Ccsrpool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE �TOTAL Number Fixtures .... ......... • . • X g2.Qo. $ � Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening.....:.... x $1.50 $�r_ Catch Basin .......... x$3.25 $ o Water Heater '.Up to 99.000 BTU).... Z_._. x $3.00 $ S. New Ground Run Old Bldg....:.... x $3.25 t EicctAc Water Hoater.............. s $2.00 S GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ..... .. . ... • X $2.00 $ a 0o The undersigned hereby makes application for a permit for the wort her el 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, Dunn�— Owner / AJ E l 2� Kind of Building Used as �L L I aj To be completed about Estimated Cost. $ Old ew. uilding Permit No. Pormit No. Signed By Business Phone , Io ROUOii FINAL /— 9 - % . - - Additional Fixtures ............... x $ .75 3 Gas Range to 199.000 BTU ........... x $5.00 S FX?AIRS tc ALTERATIONS—Refer to Code .50 State Surcharge Description ................:.....................> . TOTAL FEE i � I 1 i 560.3450 ANOKA COUNTY 6431 UNIVERSITY AVENUE NE December 29, 1975 FRIDLEY, MINNESOTA 55432 Pine Tree Builders 8535 Central Avenue N.E. Blaine, Mn. 55432 Re: Final.Inspection at 6190 Rice Creek Drive and 1521 Woodside Court N.E. Dear Sirs: A final inspection was made on December 12, 1975 of 6190 Rice Creek Drive. The following items were noted and must be completed before the construction can be finaled out; 1. Provide a verifying survey 2. Post house numbers 3. Replace faulty P.C. alarm 4. Grade rear yard as per previous agreement with plat approval dated February 28,.1975. 5. Call in for plumbing and electrical finals 6. Provide sod in the front and side yards. We will expect items 1, 2, 3 and 5 to be completed by January 16, 1976 and items 4 and 6 to be completed by June 1, 1976. A final inspection was made on December 23, 1975 of 1521 Woodside Court N.E. It was noted that the sod was not provided in the front and side yards which must be complete before the construction can be finaled out. We will expect this to be completed by June 1, 1976. If any problems arise that will prevent you from completing the above items by the appointed dates, please contact us. Reinspections will be conducted on or about the appointed dates to determine compliance. Sincerely, DARREL G. CLARK. Community Development Adm. DGC/mh CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 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 $ Job Address 1_5- -;_ 1 W,,"C 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 applicatio are 1true and correct. p_ Fr�idl�e/y,� nn. q , 19'7 7 OWNER /y l�/yS WSK Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 $ Q Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ BEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. 7072$ AIR CONDITIONINGIle)FAN Trade Name Size No. HEATING SYSTEMS sea Fee Schedule $ VENTILATING SYSTEMS $ Capacity Sq. Ft. EDR BTU HP ALTERATIONS $ REPAIRS State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE $ BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BSWburban Air � p Date (.$10.00) 8419 Center Dr6Ve . company p y Minnea C1�6 ° a FINAL INSP. e Date Signed By APPROVAL FOR PERMIT at Tel. No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE SUBJECT PER City of Fridley210 0 9 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , R � COMMUNITY DEVELOPMENT DIV. L _ PROTECTIVE INSPECTION SEC. ! 1� CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/14/91 JOB ADDRESS 1521 Woodside Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Rice Creek Estates 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kathy/Rich Svanda 1521 Woodside Court NE 571-6154 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Universal Homes 6209 Maryland Ave N, Brooklyn Park MN 55369 535-1960 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 a 15k x 10' Addition and• a 15' x 10 t' Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notationson plan. Install fire alarms in existing house. UTWI An Before digging call for PARATE PERMITS all utility locations REQLjjp F X54-0002 DING, HEATING, PLUt�81JVG AND � SJGr4S 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS 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 $9,350 $4.68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT F 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- $117.00 Fire SC $9.35. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. HECK FEE TOTAL FEE i% e_Lf --31.03 SIGNATUR NTRACTOR OR AUTHORIZED AGENT (DATE) WH PROPE LY A AT D THS IS YOUR PERMIT SiGNATUREOF OWNEROF OWNERBUILDERI 1DATEi -BLDG INSP TATE NDw [ ] ADIV A= [] R-1 AM R-2 Building Permit Application cmwttuctian Address: J5,2 l U-)6, a2 s ; ,4e &,;�. Effective 1,/1,/91 Legal Description: I- ®7' 3 , 8106h- / f'," e. CYC e h E --574, s 2 a,� - .. Owner Name & Address: ffc-tAi 4 5VO-AdGL- 'Del. Qontrac.`toY: unrye"S,�a-/ W. Address: 6.2017 �4��/ate eL, dv6a/rlga Attach to this application, a certificate of Survey of the lot, with the proposed construction drawn on it to scale. r I " aPfICN OF IIBB MEN= LTVING AREA: IArgth width /® Sq. Ft. /SC) GR;UM AREA: length width Heicght Sq. Ft. a= AREA: Imxgth width 14 Hgt/G =B -d Sq. it. IT -ow `i , "w 1134 Corner Lot [ ] Inside Lot kj Pt. Yd Setback Side Yard Setbacks Type of Construction: Estimated cost: $ / e� �3 Approx. Cmpletion Date: 5e -0e*. 3 ® /q9/ Proposed Driveway width If New Opening Is Desired: : Pt. Width + 6' See Back Page DATE: APPb�CAN'r: Tel. Permit Fee $ 0o Fire Surduirge $ State Surcharge $ �4 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Criarge $ 70M $ r Flee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Agre�1 Necessary [ ] Not Necessary [ ] f a CERTIFICATE OF SURVEY FOR: �' R, n.. L 3 , ;ou;,n & coun try Survey orJ i..,,id qur�ey:nq ® Site Plar.•��nq i;tv�l Eric}nt,::nn�r t�t,u,•: r,:�'i I•;�70 • 5." / WOODS(�E Denotes iron monument Description,: Lot 3 , Eiock 1, RICE CREEK ESTATES 2IdD ADDI HON, Anoka County, B inn. COURT Revised 9-2E-75 to show foundation I herehy certify that this is a true ;nd rorrec•t ,• presentation of a survey of rile boundat i(:s of tht' above described land and ,)T the location of all build,ngs, if any, th-nuon, and all vis;blt t nc:oachrn:nr•, mv, flom or on said land. A �urvoy,.,d by my thr: 1S h_.... •:fa,; ,,, .. Sept lfl tS. s R.Ir�,:�. Fi••a. �,:,•. _ 1944 2'J�o Boor..._. i ,tqe 12-41 Icy = `TVA CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR t1''> WashFloor. A>::.>•::.} Auto. Urinal 7Lj. Shower1k': Tray I#. Drain Washer NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater –Electric $ 7.00 Water Heater –Gas** — $10.00DOD Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Effective On March 1, 1996 Gas?I(scaz> Water Heater a Rne xt ... Gas Ele JOB ADDRESS J �� i �, cxa r� 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. 1996 Owner i C A0 r-0 11 Building Used As 5- 7/ - f �y /r Estimated Cost //� PERMIT NO. '7 Jr� PLUMBII� Reinspection Fee $42.00/Hr SIGNED ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TEL 35 - Approved By G Rough–In Date Final Date State Surcharge $ .50 MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $ TOTAL FEE $�b < � • PLUS THE $.50 STATE SURCHARGE **COMBUSTON AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZES SQ INCHES. 'M SUBJECT ERMIT NO. City of Fridley e25049 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV r � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/12/97 JOB ADDRESS 1521 Woodside Court NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Rice Creek Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rich/Kathy Svanda 1521 Woodside Court NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Universal Homes 6209 Maryland Ave N, Brooklyn Park MN 55428 535-1960 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20033560 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j] REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (21 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 732 $.87 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $64.35 SiGn CONT RACTORORAUTHO ED AGENT IDATEi WHEN PROPERLY V IDATED THIS IS YOUR PERMIT �: e j. ��'� / 7 pp Ids BLDG SP '� w �� !I 7 GATE SiGN,W NER �iF OW BUIL iDATEi 'M NEW [ ] Effective 1 / 1 /97 ADDN [ ] CITY OF FRIDLEY �a 71 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress:��a Legal Description: Owner Name & Address:CA �.4h �4 S vc Tel. # Contractor: -�k oe-rSed A2—ws MN LICENSE # vZD03 . Address: Tel. # 1? 6 0 Attach to this application, a Certificate of Survey of the �'�re S7 r - 7 4 3,y lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length OTHER: - Width �" - HgtJGround / S 't . / T ' Sq. Ft. /) 4 V i Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: � 12 2 2 APPLICANT: Tel. # CITY USE ONLY Permit Fee $�,r7�� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ , N) $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 MIT NO. City of Fridley `2 5 1 0 7 AT THE TOP OF THE TWINS BUILDING PERMIT f 1 t � RE O. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC 0673 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F155128/97 JOB ADDRESS 1521 Woodside Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 1 Rice Creek Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rich/Kathy Svanda 1521 Woodside Court NE 571-6154 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Universal Homes 6209 Maryland Ave N Brooklyn Park MN 55428 535-1960 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20033560 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE [DREMOVE x❑ B DESCRIBE WORK Construct a 10' x 10' Deck onto Existing Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. HiARN% Before digging call 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 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 TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 $887 $ �r0 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- Fire SC $.89 STRUCTION FORMANCE OF CONSTRUCTION. $32.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $38.39 SIGNATURE OF CONTRA o y ORIZED AGENT IDATEi WHEN ALIDATED THIS ISjYYOURnPERMIITTT (PRRsOPPERL - 6 J -7 BLD NSP DATE _ SIGNATURE OF OWNER qF OWNER BUILDER) IDAI NEW [ ] Effective 1/l/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 16A( l W , C�- C -t _ 7� Legal Description: Owner Name &Address: Tel. # - -S 7/- 6 /S` �/ Contract Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT ENSE # Go Tel. # SZ -1 G LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width/ r) Hgt/Ground 'Z q ` Sq. Ft. /00 OTHER: Construction Type: �.:.y Estimated Cost: $ /6 /0 7 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: SZ -2 2 APPLICANT: * / , , 0C:�, Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ 2 Fee Schedule on Reverse Side Fire Surcharge $ g .001 of Permit Valuation (1/10th%) State Surcharge $ , $.50/$1,000 Valuation SAC Charge $ $950 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 $42L 3 STIPULATIONS: J SUBJECT RMIT NO. City of Fridley 9737 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. i iI L ------ COMMUNITY DEVELOPMENT DIV. , INSPECTION SEC. �` r � PROTECTIVE fy 1 iI, 1 "1 CITY HALL FRIDLEY 55432 NUMBEfi REV DATE PAGE Of APPROVED BY 612-571-3450 910-F15 6/21/99 ,OB ADDRESS 1521 Woodside Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DescR. 3 1 Rice Creek Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Svanda 571-6154 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Windows 3938 Meadowbrook Rd. St Louis Park 55426 933-6300 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK' ❑ NEW ❑ ADDITION ❑ ALTERATION W REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Window replacement 9 CHANGE OF USE FROM TO STIPULATIONS Provi.de smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 1997 U.B.C. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8052 $4.03 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 167.25 Fire SC $8.05 PLAN CHECK FEE TOTAL FEE 179.33 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI PROPERLY (DATED THIS I OUR PERMIT 4WHEN ff r f� -- SIGNATURE OF OWNEROF OWNER BUILDER- IDATEI OG aat. _MATE J NEW ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: _ Legal Description: Owner Name & Address: Contractor: Address: 3139-A LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Effective 1/1/99 / Tel. # _MN LICENSE #� , Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ X (Fee Schedule on Back) Ft x $ DATE: - 04 —� �° APPLICANT: Tel. # q 33 r (a �C Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL )�?� CITY USE ONLY $ E Fee Schedule on Reverse Side $ . 05 .001 of Permit Valuation (1/10th%) $ , ® $.50/$1,000 Valuation $ $1050 per SAC Unit $ a $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] /79, 33 STIPULATIONS - 11Z �Vl TIPULATIONS:`Z�(Vl �/o ,� �'� L�j/��- off' �/-a/�' ,Q�i�/G�•��---��G. .�lo. � /.. r- CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F63) 572-3604 FAX: (763) 571-1287 ADDRESS : 1521 WOODSIDE CT NE PIN : 133024440088 LEGAL DESC : RICE CREEK ESTATES 2ND LICENSE SURCHARGE : LOT 3 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 7,730.00 PERMI O.: 2004-0049 DATE ISSUED: 04/13/2004 NOTE: PER SECTION 1402, 1997 UNIFORM BUILDING CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. STATE LICENSED CONTRACTOR 1 APPLICANT LLOYDS HOME IMPROVEMENTS INC (1798) 1012 42 1/2 AVE NE COLUMBIA HEIGHTS, MN 55421-3159 (763)788-5602 Cil:•/�I �i� SVANDA RICHARD A & K A 1521 WOODSIDE CT 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 reaulatine construction or-the�Derformance of construction. Bldg BUILDING PERMIT FEE 153.25 FIRE SURCHARGE 7.73 STATE SURCHARGE, VALUE 3.86 LICENSE SURCHARGE 5.00 TOTAL 169.84 PAID WITH CHECK # 15283 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1521 WOODSIDE COURT Legal Description: Owner Name & Address: RICHARD SVANDA Contractor: LLOYDS HOME IMRROVEMENTS, INCm Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax J d/ vc) f LX�)� Tel.# 763-571-6154 MN LICENSE # 0001798 Address: 1012-42--, AVE,,, NE, COL,, HGHTS, MN,, 55421-315tel. # 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: TEAR OFF SIDING, INSTALL FANBOARD & STEEL SIDING Construction Type: Estimated Cost: $ 7, 730Moo 763-788-5602 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: APR, 13, 20MPLICANT:` , _ f ti Tel. # 763-788-5602 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 Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 11'5P3 A8 Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ V1, STIPULATIONS: 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" Gas Range'" Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type Reinspection Fee $47.00/Hr APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR W sh a "> >1i Floor or <✓fi�>'� Auto. r Showe Ta r <'< v+tk<»<» Drain Eiaii> Washer NO. RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge .50 Gas '» " jiNater Heater Range 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. (/� b , 20d Owner 7��V Building Used As i A'ce-C-2 Estimated Cost - PERMIT NO. PLUMBING COMPANY �t ('!" \ C�� SIGNED BY FAX # Approved TEL NO._2S S Rough -In Date Final Date j V TOTAL FEE PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON tIENT, VENT CONNFCTOR AND COMBUSTION AIR VERIFICATION When ralila _ing an P-Asting ,ran _P, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( 1 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 pYisting cnmhustinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new nnmhunfinn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new yentina cyst m, 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( ) 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 Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type M HEATING CO: Signed By: Date: Effect've January 1 2003 CITY OF FRIDLEY INSPECTION DIViSION 6431 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 Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1%v of Value of Appliance or Work Commercial/Industrial 1.251y. of Value of Appliance or Work OWNER iC �� % Rate TOTAL_ BUILDING USED ASIS $ 30.00 $ (C 00 ESTIMATED COST l C0'0 ' � ® PERMIT NO. /� $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Wate Warm Air , $ 10.00 $ Trade Name C CA-Irt- r— Size No:- BTU o: BTU VaC, , Gn 0 HP EDR $ 25.00 Fuel Nom- Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge 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 withbut written permission from adjoining property owner. $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ SS•Sy -�'b DATE ��+' �3 �0 13562rCentralnAevrg inArtoka,eMN 55304 HEATING 0 ne SignedN49" 763-757=6202 FAX # 763-757-6701 Approved B Rough -In D pp y �� g ate Final Date o7 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 When s -amine an Bxic ing furance, the undersigned .hereby verities that the venting has been examined and is free from rust, deterioration, obstructions, Yes x) No ( ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes (A) No ( ) specifications including sizing, length, number of elbows and termination. 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 Yes (x) No ( ) assisted and natural draft appliances. The eYrsfing ro i ustinn air is sized and installed to meet the current codes Yes l No ( ) and manufacturer's specifications. When required toinct�Ii a new cnmh s an air --it will be sized and installed Yes �) No ( ) to meet the current codes and manufacturer's specifications. When g .,e.yentingsyctam, 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 Yes Tables for fan assisted and natural draft appliances. f) No( ) Is the common vent and vent connectors sized. and installed correctly after an appliance has been removed from the common vent and vented Yes (x) No ( ) separately as per current codes. 4 e —T: . -de and sl7p-icnmmnn Vent and Vent Co �..i....,.r Appliance #1 Type �� r BTU Input r_ an Ass'�or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input _____— Fan Assisted or Nat Total Appliances i Total Btu Input 12v o DJ Common Vent Type Vent Height Diameter inches ,A Appliance #1 Vent Connector Height ft Length % Diameter min Type Appliance #2 Vent Connector Height t`,te ft Length_&�_ft Diameter___in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: CenterPoint FnE+r Nrin„oR 13562 Central Ave NE, Anoka, MN 55304 g3Z Ee Signed By: Date: Building PLUMBING Permit No Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: I ®� DATE / �Z Z / O Co YOUR E-MAIL ADDRESS SITE ADDRESS sax4e- ms Qwne THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NA.Ivffi: Richard Svanda OWNER/ TENANT ADDRESS.— 1521 WOODSIDE COURT NORTHEAST STATE ZIP PHONE: Fridley, MN 55432 CONTRACTOR NAME: NOR, LOM PLUMBING -CO, STATE LICENSE # SbCo (612) 62 SUBMIT A COPY OF YOUR STATE ADDRESS: 2 9 0 _ ws E SO STATE ZIP LICENSE WITH PHONE `�— APPLICATION PERMIT TYPE SINGLE FAMILY 13 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: IJ NEW i (MPLACEMENT DETAILED DESCRIPTION OF WORK alae Lw%ar�t,✓ FfCa1c�/ 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. (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; EES ARE BASED ON $10.00 PER FIXTURE; EXCEPT Wi RE NOTED :FTXT i&ES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SWK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR _ GAS PIPING (mEED crrrtrmsE) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB WASHER SINK_ WATER CLOSET _BACKFLOW PREV. ($15) _CLOTHES _KITCHEN DISHWASHER =LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER M; Permit Fee $ 5-.00 Number of fixtures @ $10.00 x $10.00 = $ Surchar a .50 Number of fixtures @ $15.00 x $15,00 = $ TOTAL DUE $ S SO 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 app ' tion 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 o 11 ork whi requires review and approval of plants. SIGNATURE OF APPLIC PRINT NAME �/e �/1/O/ice DATE .Z .....,—,._«,:i,. OW ��9XB' :0eX Xd tiff City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 U Building -4731 G�7 BUILDING BUILDING Permit No. RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat 'dna �nn� Plan Review ------- ti $ 65% of Building Permit Fee Fire Surcharge 3 DATE_ 21 Y. 046 YOUR E-MAIL ADDRESS Surcharge 702 SITE ADDRESS 15-2d W.0 / A4 License Surcharge 5 t Oo THIS APPLICANT IS: ❑ OWNER CONTRACTOR SAC Charge PROPERTY OWNER! NAME: Curb Cut Escrow $ TENANT ADDRESS: CITY 4ea STA _ IP y PHONE:—//,&� L� Fee Determined by Engineering CONTRACTOR NAME: Agreement necessary ( ) Non Necessary { ) Total Due 2a$ STATE LICENSE # �;&AMake checks payable to: City of Fridley Attach SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CIT TA ZIP ��5� WITH APPLICATION PHO D FAX PROPERTY TYPE SINGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS 1113ASEMENT FINISH ❑ ROOF ❑ .AIN TILE 13 DECK Q SIDING �THER ❑ SWIMMING POOL TYPE OF WORK: 0>MW ❑ ADDITION MAII*n NANCVREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S At. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 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 l . 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 Ai.i. rr r.b Axr: uA,r:L uiN vALUATIVIV, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ J O . Q ® OCCUPANCY TYPE Permit Fee -�',� $ See Back Page for Fee Schedule Plan Review ------- ti $ 65% of Building Permit Fee Fire Surcharge 3 $ i .001 times the total job valuation Surcharge 702 $ r .0005 x Permit Valuation Minimum $.50 License Surcharge 5 t Oo $ $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 Park $ $450 Conservation Plan Review Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary { ) Total Due 2a$ �;&AMake checks payable to: City of Fridley Attach 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 which requires review and approval of plans. SIGNATURE OF APPLIC Z !/v.•C,0/L,�,----PItINT N E�OWATE Z' T' O 48 Building BUILDING Permit No. Inspections RESIDENTIAL APPLICATION Received By: r 763-572-3604 CITY OF FRIDL,EY Dat :MAY 4 200 763�5024.977 FAX EFFECTIVE 1-1-08 DATE Ois ! I `I I YOUR E-MAIL ADDRESS ffie�a.,Ail% Q, 4owe JAVJ - SITE ADDRESS t6V t., %-P s %od f laaC•- THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: s,cS%JfAllnA ADDRESS: /`SZI ` 63*0&T)'%V d C --U,( ' CITY STATEA& ZIP t8'4't_i TENANT PHONE: NAME: ADDRESS: 5 tot f—• iKJV-iL- 'ice CITY wu STATE" ZIP $�y2-I CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # 2jo l 7tC 2,Y4 EXP DATE PROPERTY TYPE XSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES "Z - PERMIT TYPE PERMIT ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING '<OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR XkEMODELING DESCRIBE WORK BEING DONE: 1 11'SR" ^LA_ IJV u t4it A"y -A ♦ m SIZE OF IMPROVEMENT IV A 1-b, LENGTH f WIDTH IT- f HEIGHT ?J l SQ FT T ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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 COSTOF LABOR AND MATERIALS: S THE 1497 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ r/,, OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a build's 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 the Minnesota C nstruction 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 wr I be in actor ` e approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF AP, LI ANT PRINT NAME +A6, tx • Zk)c,40A DATE 061H 10 0 APPROVED BY DATE 1164,,--- h S(�tei. "'`' eC t 14% l g 48i" ki 414" 59 �.11�K f r�1 �✓ All dimensions _size designations given are RICKI ANN DRAKE This is an original design and must not be Designed: 2/7/200f subject to verification on job site and SENIOR DESIGNER released or copied unless applicable fee has Printed: 4/5/2008 adjustment o fitjqb conditions. HOME VALU been paid or job order placed. d,,7, 5401 EAST RIVER ROAD FRIDLEY, MN 55421 SVANDA, KATHY AND RICH KITHCEN PLAN.2 Fp 1 1 Drawing ##: ' LM Building PLUMBING PerinitNo.•e� -"00 Inspections RESIDENTIAL APPLICATION Received By: ' 763-572-3604 CITY OF F IDLEY Date Rec'd: � 763-502-4977 FAX EFFECTIVE 1-1-05 DATE -S - 7 - ® YOUR E-MAIL ADDRESS SITE ADDRESS 1521 � ®��% '�' � D � C l THIS APPLICANT IS: EI OWNER OACONTRACTOR PROPERTY NAME: Tl ✓� S V olN lD F1 OWNER/ ADDRESS: /Sa I LA-)0On S i� C C I- CITY �= r2 1 � � `i STATE��ZIP��y yQ PHONE: %� 3 S CONTRACTOR NAME: (IA -1-0 -- SUBMIT A COPY OF STATE LICENSE # 3 �; o C13 EXP DATE 12 -0 B YOUR STATE LICENSE, BOND AND g STATE BOND # �// S 6 Ag d9 9 � Y EXP DATE /2--0 . CERTIFICATE OF ADDRESS: $ Ll O ` 4, 1 ✓�L 2 /-) CITY (2 / ® L:!Z STATE l4'j ^.) ZIP INSURANCE . PHONE 2b3- FAX PERMIT TYPE i<SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: 0 NEW PREPLACEMENT DETAILED DESCRIPTION OF WORK �' In �� S� 'J K ISP 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 = plus .50 surcharge OR FOR. PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINK/LAV DRAINS _ WATER PIPING _ _FLOOR —SHOWER BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) _ _ CLOTHES WASHER ,� KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ IRRIGATION pp -DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR HER OT4Spos�el — WATER METER ll11 -S. spa p.ilmgm Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .5 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is d work is not to start without a permit on site; that the work will be in accordance not a permit but only an applic . forrPrkwhic with the approved plan in t ase,of 11requires review and approval of plans. SIGNATURE OF APPLICANT -c..4 PRINT NAME Pig i I e Gu, L DATE .� �a `D� APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977