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AF - 45996SUBJECT � R �N O. City of Fridley , 13813 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ; � RECEIPT N0. � ; L ______ COMMUNITY DEVEIOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. S�� 1 . � �` ' /"�l � CI7Y HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY "'-'�' ,�� 612-560-3450 910-F15 10/6/76 � � JOB ADDRESS 110 Alden Circle N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Henriksen Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leif Henriksen 6434 Riverview Terrace N.E., Fridley 560-4560 � 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. 3ame 4 ARCHITECT OR DESIGNER MAIL ADDFESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK �7 NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 36' x 32' Dwelling and a 24' x 24' Garage R 1 D F � iRMIG� .��re digging t�ll iocal ut� ities 9 CHANGE QF USE FROM �� P�UMBING AND S��GNS. � V` E�C. ST/IP� LATIONS Use 2" x 10" rafters. Provide 2nd plan before�rther inspections. � ✓ Provide energ�y� alculations before further inspections. ��Provide vapor barrier in ceiling. �rovide sod� �the front and side yards. `�`Provide a verifying survey before capping. ✓Pravide a hard surface driveway. SEWER LOCATION: 80' East of Manhole (Inv. 849.87j WYE ELEVATION: 850.51 "�lMPORTANT"'� TOP OF FOOTING: 853.51 Minimum WATER IACATION: 88' S.E. of Manhole on property line. NOTIFY T�{E �RIp(,� ENG ,��"�+F uYY Ot� �t�1! �OtS l�Ot GN�RANTE� tNE �ryf SiON REtiARDf NG CUR �►C�V�u�►CY OF tIT�ITY IOCAT�ONS AMU �t��'At��'•.t>• REMOVA� ANO REPLACEME t� p�YA �� IN�ptt�MTtON PUf.POSES Oti6Y i.h►: AT DRIVEWAY OPENINGS, �pNS. USING R SNCULD VEti�Y TME WFORMAt10N 1N! 311E SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCZ FY'dICl2 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R 1 ll�j2 +576 28,800 Zbta OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARK�NG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORfiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $36, 980 y�`�.H.49 WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARCiE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- yS]_ZS. ZO $350.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ` ' � PLAN CHECKFEE TOTALFEE + o - l �-,� $ 28. 80 $512 .49 siGNn7u oF ONTRA ORORAUTHORIZEDAGENT IDn7E� EN PROPERLY VALID ED THIS IS YOUR PERMIT � C � ��^/ �,�I SIGNATUREOFOWNERIIFOWNEFBUILDEfiI IDATEI BIDG INSP �ATE ' . ... •'." � .-_._ _ �\ , � ��SUTa�� MINNE5QTA VALLEY � 5 Tq- � � �F� SURVEYORS 8c ENGINEERS CORP• � . �F� � N 4/ 12120 RIVERwOOD DRIVE BURNSV(LLE, MINNESOTA 55731 � W �4 �a� � v�e�. s90 nso � FY�RS ENG, �pRS,EN � � ('ertificate of Sur�ry for : � :� >;' aE,�:�l�ksf>:�__`_.--------- - . tHE diY Of FRlDLEY DOES NOt GUARAME'� 1}!E , l' ACCURACY OF tRltflY ' COCATIONS AND ELEYAflONS. %'� _ if�ttS OaiA tS FOR INFORMATtON PUP,POSES ONi.Y AN3 � PcRSCNS USlNG R SNOUIb YERIfY THE lN�ORA�U.ttG` � � > f uN iii� .iITE ; � , C �/i�£ � . � � i ' N . _ � � . : .�__ ni r�f;��f:r',� .ii�"�7 � �- . .. . . . �'� � � • Y CON�RDL IONE" �S / �a� tr':]T� '_hM1;i OR F�L,4CE'ANY. T�!NG IN kil� iiR�n, �:,�; „ �'y � r ��G.�� yl aiOJT AD. f �`="'_�j �� ; Z U 7'-!G �!i"i: OF fRiUt.EY� l—�° ' ' �5' �; ; • � ___ � ; . � � ,� � � y �� ; � , �, , , . � � - • - ' � �'- . - . _ � - , .�� _: � ., - , l ; _ ! � 1 - - ,'� � ` � � � � � � �� ,�� . . WI�RHING i' •�r - �fore diHBing caH �oca� �tli�ea. ttlilP�O�tTANT-w TE�PHOI�E-EtECTRIC.C��--__.__-___v N0�'t THE fRiDLEY ENG�. REC�j1RED By �qyy ----� avt iON REGaRDING CU� . � `` `''-- -._.��1Yi #�, AND REPl.ACEM61� A1' DAdI�W�I►Y OPE�II�IG�. � ,.Q ', ,i i t . ?�'CC �( �'�� i..+ . ,- � � � , �. � � � � , , � .� � � �., _ ' � � � ��C,`l � _ :ll'��t,,.� pk �� i he.rby cer�iiy tho� thi> is u true und correcf represen�otioo '�'��flnrSO[/ V811C�' JUf�C�U!• O 01 u su.�ey of rhe boundur�es o1 rhr ubo�r, described �ond� Eaeiaeers, Corp, nnd of fhe locar�o�� ol all b�i�dings, the�eon, �nd <i�l vis�64e b�� . - � . p L,7 rnrroo<hments, �f any� I.o�n or on sa�d Innd. ----.�-.---�.____ . . ._,__'. __.,__ _ _. .- � At xurveyed by mc th�s __.__day of . __!t.�C.. ____ ._'P.D. 19_: i !�'�IDD. RBg. �10. :� �• _ . • � . .. _ . . _. . . . �... . a . — � � i � � �, 4 � ! . . . . � '..-. � �� I �f �"'� . . ' �• k .. f r�' . 1�� ' x �- _' � �� } � =s �'�� , C„ ; . . , , . �� . . a:,�: t+; i - it-" ` '�< �' �''� " � �� :u� 4 L _° ! / � Y � � � � �� G�_..----'.°-�—^ �� 0 !'� D � 'G�/ .� c� / c : i �`s�eif'': ,� i . . r ��.�•; �dR S; ,A: � �. �.:��i�� d4.a.; ', . . , � .. �. � � , . � . . . . . . ... . �•. . .�': ' t', . � �,v y •,. � r � � � �� =�� ,.J .. - . .. . . , . � . . . . ' . . ,' � �.��,�,��,�,, � �;.. � �'8 �� .�� -� . �l c..yc. � � � .'� ; , �.�' / � � �.�� — '� � � � 3c'� �'l < L� �� w��- J�� v r.� , o� �� 41 I T U� I ni�l.,l..l AFPLiCATiCf�•a t=OR �,�SIDE^lTIAi_ ALTFR/�TIOi, ADDITION, OR REP�'�IR t�UILUIidu F�F�"�iI�1' UWN�R' S NAML', :�, ' � c ��—BiJTLDLR:� h � ; � lW � j�2y� , S � � ADllRESS: �f ��' �`�IGY'-�...� �� .��°Y�_C' l�UDRESS: � �%s�� ,(��`vc�r/,'�..r ��Y' � NO ._ f l� STREET: Ql �,�a � i�"'c- �e. I.OT : 2S BLC�"K:'� AUDTTI�N :��..k�..l� ��'�P N �� /i�D y� C�RNEH LOT : ✓� I�,�S IDE LOT : SETBACK : SI.AE`iAP.D : l�prlicant attach to this foxm �fi,ao Certificates of Su�v� of Lot and proposed building location drawn on these Certificates. ^� llESCRIPTIO�i OF BUILDING To Ba iiJed As : " � � l� � _� `�'��..�7 Q�f S� -_� x ont . �� .,� De p �h ._--__-? :�--_ - – fie igh t ..�� _.��.__ Square �e�t :_./!VJ -G Cubic k eet :�,��j, 4 y� _� r C��_Front :��%� �t1 Dapth : � �� Height :_ / !� �._� , - .T Squa�°e Feet,_ `� �` Cubi_c Feeta �� Type of Gonstr�.ctio�z: 1�� stimated Cost: $.��' � To Be Completed: ^ i?/l ��'��,_ � c,�, �e� l�i��, dd The unde:rsigned l�ereby makes applicati�n f.or. a pe�.-mzt fox the wark herein _ specified, agreeing to do a'll wark �n fii::'rict accoxdance with the City oi ' Fridley O�rdin�.nces and rulings of the Dcl��rtment of- Buil.dings, and hexe�y c3eclax�s that all the facts and re�presezitat,ions stated in tl�is applicaticn re ��u.e and ccxrer.L. 1� . , � � �,� r d �(�� '�' �. � � � . � 4�' D�'�TE : ____ � ��- �'' ,� S IGNATiJR� , �� ;�� C ' �-� .`'F � � (J'� �y, �`'� G' ^'�` _—___ � `. �Ur � � ,�? Q� � �y-- / r o� � � �,�/ �See RcJerse Side F�r Ac�diti�n��l Trzformation, ) �f . . `�� //� .? C7 /`��"' �� 8 . � � �5 w� e�� i 6' , 5�9 s,�% G.' 3S`!J� °U ��'9 I> (.�SL� a2 '',r rd � �¢,� ?'��C S - �) /��Qvd�O� ��° �L"�""� �cr��.�l ��,e,� �-e,�� .�s.° � 3� �,ev J t � � � �� G, '-f C' �4-� c � < +�4 7Z6^' 3 � �d>C �- v-r�-'� P�"*. ��s�� rZ �.vs , 4��c7 �c �0 £� 1�� iC. 18 �r2 2 c 6>V �! N e,� t�.. � �J C� . `.,�� ;;y� ;�. , < r, f � $UILI:)TNG 1'ERMIT I��ii�, SCt�EllULI: SECTT_ON 2. Tl:e In.spector oL Buildings shall, bef�re issuing peri�its for tl�e erection. of any building or str.uctur�, or for �ny addition to any existing building or structure, or for any alreration or repairs to any existing buil.ding ox structure, upon application therefore., require the paymen� by tl:�e applicant for suck� pex�znit of iees to the amount herein helow set for_•t}i and in the manner herein prov�ded to-w�_t: N�W CONSTRLICTZON: Sa.ng�,e Family Homes and Garages: $�.00/1000 cubic feet PLAN CTiFCK: 25 percent of -bu�_ldi.ng permit fee. ADDITIOI�iAL INFORP�IATION k'or the purpose of computing fees for building Permits, the cubical contPnts o£ any building or additian, is determinecl by multipl.ying the ground area covexed f-rom a point six (6) inches below the floor line of the basement or. the cellar to the average heights of the upper surface or to the average�� height of �he roof surface of the main gable of a pitched roof. For rcpairs or alterations to an ex3.sting structure, the fee shall be at the ra�e �:f: �3, UO per each five hundred doila.r� ($500.G0) ox fxactio�n th�reof in the cosC of aIl proposed work. . In no ca�e shall the fee charged fox any permit as set fortti in Section 2 Ue less than $Z.50. V�RIFICATION OF POU\iDATION NQTE; Permits far eonstrucL-ion �vill be issued a minimum of 24 hours from tlie time of application, to allow far propex review of the proposed structur.e and of the constxuction site. A Certified Sun�ey of the 1.or, showing tl�e locati_on of the foundation, onc� it ha� been c�nstructed, will be required before proceeding �aith the framing. CERTII'IC�'.TL OF OCCU�'�NCY ApQ1?ca�ion for a Certi�icaLe of Occupancy shall be made ten (10) �ays prior to the us�: or occupancy of any stxucture for wl:ich a bu�lding peimit has been issued; arici s�iid st�r;�ctuxn sliall �.zc�t i�e usr�d or occupied ui�til. a Certa_ii.catc� of Occup�ixtcy h.as been issued. ., . 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' � - , ;, . ...+;+ , _ . _ �-- ��.�-Z .� 3;"�0 ; � G� �'�, 66 _ . . � _ , _ , . � ; , , �_ _ . . _ : , . _ _.__ _ : _ . �.-- : - :_--- �----;- � -- ---:--=-_ , — ` _ - �.__.. . . _ _ : �. /_ � �"�L ' �z � 6 c�_ ` �� D , 3� � _ -Z . ° ,. _. ._: _ _ :_ " -- - _ . , _ __-�-- � _ � �� , ! � � �- ��6 �%Yo �f .26�, �'o �. _ ._ . . _ _. . . __ . -- __ _ -- > � , . . . :__ : _. . . , _ : . : _ _ _, : _ . _ _ _ __. _ . � _ _ .. _ : _ _ __ _ : ____ _ _ _ �. �__ _. __ _ � ; _. , T � �� -�-. .1_ .. � I ' 1 � I � . . ... _ --"- .�.._. �i . . , _ . _ �� 9�5�. -� d _ . • - _.�_ --- . � �- . . . . _ . / . . _ . . .. . _ _ -- -t. . _ , . , }-- -r -«---- _. _. ... ,_ _ _ . . _ _,_ . .. . ; ._. _ . . /. �__ .._ . ._ � . _ _, .. _ __..�___�. - � � i ' i � . . . � . _ _. . _.. _. _ ... _.._.,. . � _.. . ...._. . . --�-'�'----+-- � � ,. . . , . . � � . . . . ...._. :_ . . ... , ...... . _.._.. .. . .._. .. . ,. . . . _._ __. .. . � .,. _. . .._ . . . . ...._ _` _ '.� .__ . 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"._.w'_'._'�"_". � � � � . i � , . �. . � . , � � ' � . , , _._ . . . .. . . ... .. . . .:. . . . :.. . :.._ . . ..... . . _ ._._. . . _. . .. . .: ._. . .___i .. .__ ... . ,_ _ .._._. _. .. _r.__ �. _. ..__ _. - . � � � � �� , , _, _ r �� . : , ; , , , � _ � . . . . _ . _ _ . _ . . _ . . . . . : . __ � ,- . . - . -_ - -- - -�----- � ; �-- , ; � �_ _ . . . _ . . , . : _ _ . _ , _,- _, -- . . _ __ _--. ___ ,-- - t�- t-- — - - , -r � ; , ; , , _ . : . , . _: : , ___ _ ,, _ a_ __ . - - --- - � . � i � i f � �� • ; , _ . . : : _ � - - r f • --t-� --� � ; ; , , � I - . __ . . . . _ . . . _ , . : . ; . . -. . : _� __ . - _ ;.. �.' ----, -- , �� . I ' � : j �� ! � , , � ' ' _ _ _ .. . .. . . _ . . _ _ _ . . __ , . . . _. _ , -- r --r- i � � � r- i� �_ . ; _ _ .-. _, . , . _ . . _._._r. . .. __ . . _._.... _ . ._ _ _ ' --- . _�_ _-___*. _ _ _. _: .. __ _ �.i_i--+_ _•._ -t---�+---{ , ; . � _. . . . _ _ _..._ _ . ___ . .____ :. . .. . . :.__ !-__ ._... _ ___... � i �:� � � �.��_ ( rl � , � i � CITY OF FRIDLEY . APPLICRTION FO R PLUMBING AND �AS FI�TING PERMIT y � m �� u • k v Water � � y � � � .,�� y q � p, w � Heater y .� m N.a rt H m ro N W �w v ai ro .c � N .c '� � 3 � u�.�+ o� � o a�i � U D a0 � � 3 Q w � $ U oroa � 3 � � � O as lec l � � { � � j lst ' / 2nd 3rd 4 th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE Number Fixtures � 3' x $3.Q0 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 . • Catch Basin x $5.00 Water Heater - to 99,000 BTU / x $5.00 100,000 BTU to 199,000 8TU x$10.00 Water Softener x $7.00 New Ground Iain Old Building x $5.00 Electric Water Heater x $S.OQ GAS FITTING FEES: lst 3 fixtures �_ x '$3,00 Additional Fi�ctures x $1.00 Gas Range to 199,000 BTU x$j.0.00 TOTAL $ 3�.vo $ $ S S S .00 S $ S $ S .�_UO $ S REPAIRS $ ALTERATIONS First $100.00 $S.OQ S each add. $100.00 or fraction $2.00 $ State Surcharge $ ,50 TOTAL FEE $ N�.Sd REINSPECTION FEE ($10.00) � - ( i��--��-�-� ' _ _ Job Address % I �_ Department of Huildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a pezmit for the work here�.n 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 � w n � !, Fridley,/ ��1n. __�i?�� 19� // � /l OWNER /��l�i . KIND OF BUILUING IrC.% O o� /J Y%� J� � USED AS � r ,,/ / TO BE COMPLETED ABOUT L �% rV E-- /�i � �� ESTIMATED COST /� a6 b� OLD - NEW BUILDSNG PERMIT NO. PERMIT NO. '/(�/ Company � 6� / / y~ �. Signed By Tel . No . � f '^ � y V � �'] ` yV .�2 Z- ROUGH INSP. Date FINAL INSP. 1 'Z - � % - � � � nate APPRO�/AL FOR PERMIT -�7�� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pt,US $.50 Si'A'P$ SUkCHARIC3E CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLIN6, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL �ATE SCHEDULE GRAVITY WARM AIR: Eurnace Shell & Duct Work Replacement of Furnace Repairs & Alterations-up to $500.00 Repaizs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 STU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations-up to $500.00 Repairs & Alterations each add. $500.00 STF.AM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Soilex onl.y up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- £rom 100,000 BTU to 159�999 $TU (over 199,999 BTU see Fee Schedule) RATE TOTAL $12.0o S 7. 00 $ 7.00 $�� 4.00 $ Job Address / ��/ Department of Buildings City of Fridley Tel. #571-3450 � The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes �. 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley� Minn. �� , 19� OWNER /�iti4L� ��/J�L/1.tJ/"C".4p�/ — $12.00 $ 4.00 $ 7.00 $ 6.00 $ 510.00 $ 10.00 $ $10.00 $ $ GAS FITTING FEES: ' lst 3 Fixtures x S 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 STCJ x$20.00 �$ AIR CONDITIONING � g °�O • Db FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS g ALTERATIONS �, REPAIRS $ State Suzcharge $ .50 TOTAL FEE $� /?• 50' ROUGH ZNSP. Date FINAL INSP. 3- 3 I-'7 �f Date APPROVAL FOR PERMIT ,��tr�� REINSPECTZON FEE (.$10. 00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHA�E � KIND OF BUSLD� �,/L-�,�•�n•�A/ i USED AS TO BE COMPLETED ABOUT �G/w o �� ,Z �% 60 ESTIMATED COST l'�Q�d OLD - NEW BUILDING PERMIT NO. PERMIT NO.. � DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam,,Hot Water, Warm Air- No. Trade Name Capacity Total Connected Load BURNER - Trade Name� Capacity Si2e No. _ Sq. Ft. EDR BTU HP Kind of Fuel Size No. � Sq. Ft. EDR BTU HP Company • Signed By Tel. No. �=f�j ` 2/�l� _ � �' � ..�..,_... u....... �. � r ._.,;.:. ,�� .�.��'' �' .�- ,/f � ° ;f . September 9, 1977 ��TY t71F F.�IDL�1( 8431 UNIVERSiTY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TEL�PHONE ( 812)571'-3450 Leif Henriksen Builder 6434 Riverview Terrace N.E. Fridley, Mn. 55432 Re: Fina1 Inspections at 101 Alden Circle and 110 Alden..Circle Dear Mr. Henriksen: Final inspection were made on September 6, 1977 of the above addresses and the following items were noted which must be completed before the structures can be finaled out; 101 Alden Circle 1. Provide door closer on doore between house and garage. 2. Provide sod in the front and side yards. 110 Alden Circle Provide door closer on door between house and garage We will expect all of the above items to be completed by October 1, 1977 when a reinspection will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Community Development Achn. DGC/mh 0 C CITY OF FRIDLEY APP�ICATION FOR PLUMBIIVG AND �AS FITTIN6 PERMIT m ?� m �ro U • k d Water ar m o� � � c-.�i y a � a w � xeater c� ++ .1 m H•.+ �s u u, m H a r� M �J rJ , C a) .X t� d H .0 C E N RC a Sa s+ U tn C .0 +� ,�C t C C 3 O U•-+ O.0 U CI O O '^� L N Q N •.1 � O O 1J N.t� V: N N N .0 �+ .+ w ro ro K+ ro w o F .i ro ro� ro ro +' ys le� vI U a q Gq N 3 O k, u] G. U Pa FC 3 C9 � O lst 2ad `\ 3rd { 4 �h (R) _�tnre Connection Opening Connected with Sewer (*) = New Fi.xture, Old Opening Watex PARTIAL RATE SCHEDULE PLU:�iBING •FIXTURE RATES: Nv..^ia' er Fixtutes F�ture cixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 STU 100,000 BTU to 199,000 BTU Water Softener New Ground Run,Old Building Electric Water iieater GAS FITTING FEES: lst 3 fixtures Additional Fix tures Gas Ranqe to 149,000 BTU �. � REPAIRS F� •iALTERATIONS First $100.00 each add. $100.00 or fraction N0. x x x x x x x x x RATE 83.Q0 S2•00 $2.00 $5.00 $5.00 $1�.00 $7. 00 $5.00 $5.00 x $3.00 x $1.00 x $j:0.00 $5.0� 52.00 State Surcharqe TOT71L F�E � REINSPECTION FEE ($10.00) TOTAL S S $ $ $ $ $ S $ S $ S. S S $ .50 S Job Address _�%I�(� �^ t ��-?�- �°� Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herP]r specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildinqs, and hereby declares that all tho fact� rand roprosontationa stated in this Application are tsve and corroct Fridley, Mn. ,� — / �7 ` , 7,9� r /� OWNER �� 1 �.,��yv�.'vl �� Z✓? �'c. �-Ctt�._ KIND OF BUILDING /'�p✓w�. USED AS TO BE CONIPLfiTED ABOUT ' ESTIMATED COST OLD - NEW BUILDING PERMIT N0. PERMIT NO. �--� ROUGH INSP. � Date FINAL INSP. Date AI'PROVAL FOR PERMZT Company �--�i%-�;��%LC t� 4 `- Siqned By _�-rnz-�,-� %li��-�,.�--- TeI. No. �/ �. / — � S' / � MINIM[TM FEE FOR ANY PLUMSZNG PERMIT IS $�.50 pypg $,5(1 STATE SURCHARGE sue�ec� P E � City of Fridley �� 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � � , � PT NO. � COMMUNITY DEVELOPMENT OIV ^ n ' ; L' _ � � r � � PROTECTIVE INSPECTION SEC. .✓ j � �J` - ' ' ��i � CITV HALL FRIDLE� 55032 NUMBER REV DATE PAGE OF APPROVEO BY �""�"� ,'' 612-571-3450 9t0-Ft5 �0/19/94 / � �oe aooaESS 110 Alden Circle NE i LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED DESCR. 8 1 Henriksen Addition SHEET 2 PROPER7Y OWNER MAIL ADDRESS ZIP PHONE Lynn Bergeron 110 Alden Circle NE 571-3861 3 CONTRACTOR MAIL ADORESS Z�P PHOME IICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDHESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION C� REPAtR O MOVE ❑ REMOVE B DESCRIBE WOFiK Remove existing deck and construct a 16' x 12' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS Deck was rebuilt without approval of plans or inspections. Construction must meet the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOfiK OR CONSTRUCTION ZONING SO. FT. CU. FT. AU7HORIZED IS NOT COMMEfJCED WlTHIN 60 OAYS, OR IF CONS7AUCTION OR WORK IS SUSPENDED Ofi ABANOONED 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMtT 1 564.HO .%H DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OA CANCEL 7HE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OF 7HE PERFORMANCE OF CONSTiiUCTION. $3].Q� Fire SC �1.56 PIAN CHECKFEE TOTALFEE $39.34 � SIGNATUREOFCON'RACTOFlOAAUTHOA�ZEDAGENT IDATEi WHEN PqOPE Y VA IDATED THIS IS YOUR PERMIT _ �� y �� ,B , � �- �9--�y SiG UREOFpWNEPiIGOWNERBUILDERI IDA i ^FBL G�NSP ��4iE rrEw ADDN ALTER il [l ti CITY OF FRIDLEY SiNGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/i/94 ConstructionAddress: �`<' �.� G-I� r��cJ �'� i`Z ,� �z/r�c-� y/!��►/ S,5 �� — Legal Description: Owner Name & Address: � ��✓' �� b'`� Te1. # �`�7� 3S"� / Contractor: I' w�c.� �/Z-- MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed constructian drawn on it to scale. DESCRIPTION OF iMPROVEMENT Tel. # . LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length �� Width / Z Hgt/Ground f� Sq. Ft. o��: �2�-mo � � �-x�s-� .-� � ��c �, � �sx �9a = i� � �a Corner Lot []�nside Lot [) Ft. Yd Setback Side Yard Sed�acks � i�+pe of Constivction: i—T��-�t i�� Fstimatsd Cost: $�S �� C�� : Approx. Completion Date: /� � y �'�' � " (Cost on Beckj � Driveway Curb G�t Width Needed: Ft. + 6 Ft = Ft x.$ =$ DATE: APPLICANT: ��--- Tel. # S 7/�� Permit Fee Fire Surcharge State Surcharge SAC Ct�arge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � � 7, v�� ' � /. .� � $ - �� $ $ $ S $ $ $ ��3 � � � Fee Schedule on Reverse Side .001 of Permit Valuation (111(rth%) $.so�$l,000 vatuation $800 per SAC Unit $5.00 (State Licensed Res�dential Contractors) Alt. "A" or Alt. "S" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary ( ] Not Necessary [ ] `1 i`' � - ��/� �dE'SUrA�,�(` MINNESOTA VALLEY � SURVEYORS 8t ENGlNEERS CORP. p��'� �`� 12006 127H AVENUE SOUTH BURNSVILLE, MINNES07A 55337 ��E� Phone: 890-7750 Cercificate of Survey for: !�IF N�NRIY�SEN 0 :W ,J � � � � � ' � 1 h ' I ' QO ,{ ' rty o�n�'✓' -, D°� �� . / — �, qq 3�,� � � ,4 ' �TA-�l f�, � G � �F �►rs•E� c.�� _ � �[DErV �� w�� v, �,`� ------_ - ` ----� ____�S �� cs 5-3 � 79 g�� ` , - -�_ �a�,�E � !in. �,`�, ,� ki w � U� v�...�., � a �R9��yqGE s �.�� '�''— ��lE,�r —� —� �_ �� ` ~ � 02. y7� `—�- --_. �7d�3�4�W � �/ ��.UC� � - � �EN�I Y�SE1�l �ODI1101� �5 � ��` AN01��A CDUNTY, I�I NN��(k � i��r�br c�rlily fi�et Ihit i� a I�u• ond corr�tf rq��s�nlolien 01 a wrv�y •1 �h• bww�a�i�� el 1M e►ew ��ssriA�d lend� end N�b� I�cotisn �f oll b�ildinys� M�r��w, �wd wll visible •ear�acl�w��n�►, il an�, l.om N M f0{� IYO�. •, ��ry�y�i 1►y ma �hi�2�.�doy �f—��L37d�f�i.i.....A.D. IV� Mla�esot• Valler E��i�! s., w� � • � .. M ��. Re�. Na.� � � � �,3 _ c� N _O O�� vl , xiitE i"= 20 � ° DENpiFS IADµ NO- �u. 6EkRt��RE .. .: � f � `�.',r' ��. :'�1 I.:� ; "` . ' �3: � .� •; � •' 4 " { � �r �. ' � ,�.::� � , � Strre' .ors lc � :��w'F � � �°�' „�y�i"' �� '�' }�S.p f � r � : �,� '` ;� P t '',` r '' , �..�. Y;:: ' � r,� . ,d �� , �� . sue�ecT PERMIT c�ty of Fridley �� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ' ' RECEIPT NO. � � � COMMUNITY DEVELOPMENT OIV. �J ' j L ��-, �V/ / r � � PfiOTECTIVE INSPECTION SEG � � ' ' ��1 � CITY HALL FRIDLE� 55432 NUMBER AEV DAlE PAGE OF APPROVED 8`/ �'""�"� ,'' 612-571-3450 9� 0-Ft 5 7/ 11 /95 / / J08 ADORESS 110 Alden Circle NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 1 Henriksen Addition SHEET 2 PROPERTY OWNER MAIL AOORESS 21P PHONE Lyn Bergeson 110 Alden Circle NE 571-3861 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kevin Thompson Homes PO Box 794, Wayzata MN 55391 476-9087 4309 d ARCHITECT OR DESIGNEF MAIL AD�RESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE 8" RK Construct'a 24' x 24' Addition above garage 9 CHANGE OF USE fROM TO STIPULATIONS See notations on plan. - WARNi Befor� di ; H� ap �titityg locatiolns �r RFQUtRED g Y LqVy TYPE OF CONST. OCCUPANCY GiiOUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFUCTION ZpNING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAYS, OR IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFV 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 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT �3S�OOO �L7.SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOGA� LAW REGULATING CON- STRUCTION OR THE PEFFORMANCE OF CONSTRUCTION $31].00 Fire SC 35.00 PLAN CHECKFEE TOTALFEE License SC 5.00 374.50 SIGNATUAEOFCON'RACTORORAUTHOA�ZEDAGENT IDATEI WHEN PAOPER ALI TED THIS tS VOUR PERMIT �.�" �►, l � SiGNATUAEOFOWNEA�IFOWNERBU�LOE�71 IDATEI B� �INSP ��FT� NEW ( ] Effective 1/1/95 � ADDN..,_ ...: �,� = CITY.: OR�FR�DLEY . -� �: .: : . .... _ , ....:. .. :..,.. : ... ...:.: . . .. ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Buitding Permit Application Construction Address: / I� N- E• n� c�P N�� c- Legal Descripdon: . . . Owner Name & Address: �y ,� (� P cg z �c a ►--� / 1 d u , � . _ (d e � C�� I � _ Tel. # S % � � 3 � � � . ' . � .. ;Sd � ` . . t � . . . . . . . -MN LICENSE # 3 � � . � . . � ` Coritractor: ��: � � r�, . Address : Q o �x � qi� (,c.1/-h, �2 �� +��' . Tel . �� /7� � id g � � Attach to this application; a� Certificate of Suivey of the - � � � lot, with the proposed construction drawn on it to scale. . LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length � �"► Wid� �� Height» ��' � °'� Length Width Height Length Width, Hgt/Ground Sq. Ft.S'7� . - Sq. Ft. Sq. Ft. Corner Lot ,� Inside Lot [ j Ft. Yd Setback Side Yard Setbacks rrt� Type of Construction � e�o� t Estimated� Cost: $ 35�, �� Approx. Comptetion Date: Q- � �`� S :. � (Cost on Back) � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _� DATE: '� �/-� �S APPLICANT: ��"' Tel. # �� %�- �d g J Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge ToT�, Z. .D / � $ 3�� `�" $ �,.s� $ $ �� ° $ $ $ $ � 3� . � ('ITY � USE ONLY Fee Schedule on Reverse Side .041 of Permit Valuadon (1110th%) $.SOJ$1,000 Valuation $850 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 ( j STIPULATIONS: ` ` CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1995 APPLICATION FOR PLUMBING AND GAS FIT7ING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: N0. RATE TOTAL New Fixtures � Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Rece(ving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range � Gas Dryer Back Flow Preventer Required ()Yes () No Type $ 7.00 $ 4.00 $ 5,00 $ 7,00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 ,Z/� Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS � 1% of Value of Fixture or Appliance o� State Surcharge TOTAL FEE .50 $. 2� JOB ADDRESS �f D lY�� ; v-, The undersigned hereby makes application for a permit for the work herein specfied agreeing to da ail 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 appiication are true and correct. /" �� , 199� Owner � Building Used As � S��c� Estimated Cost ��C�� PERMiT NO. �/�7`�� PLUMBING COMPANY D`�aC /� ��i,�,vvt,�� n� �,�a.f �`.�� SIGNED BY ,�i`�`-,� �� TEL N0. '�� i�s s� Approved B� f� -�'9r _ Final Date �� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15,00 PLUS THE $.50 STATE SURCHARGE CITY QF FRIDLEY INSPECTION DIV. 6431 Universiry Ave NE Fridley, MN 55432 572-3604 _ LATE scHEnu�E APPLICATIOI� FOR POWER PLANTS AND HEATI(dG, COOLING, VEN71LATiON, REFRIGERATION AND A!R CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill �ut Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACIq 1% of Value of Appliance ar Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ � 0.00 $ $ 10.00 $ � i o.00 � $ 25.00 $ $ f/ GG; $ St�te Surcharge �,�50 Effective On August 1, 1995 •= � ��, � �.�:. .. The undersigned hereby makes appiic�tion for a permit for the work herein specified agre�ing 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 a d co rect. �� . > 1995 �1 � , �� BUILDING USED AS __ _ � � ' ESTIMATED COST T,_� �� PERMIT NO.��s � , •� • � •� '►_i No. of Heating Units Circle One (Steam) ot Wate (Warm Air) Trade Name Size No, BtU HP EDR Fuel Total Connected Load Burner ?rade Name Size No. BTU HP EDR TOTAL FEE S, S C` / 3S; �-�� C�e �'t=�'� �w ` _ __.__._..__._.__.._._ -- HEATING COMPANY � MINIMUM FEE FOR ANY HEATING/COOLINGNENTtUtfiION �� `��"� REFRIGERATION/AIR CONDITIONING PERMiT IS $25 00 Signed By � Tel No._� 7 3 C� 7�,j PWS THE $.50 STATE 8URCHARGE REINSPECTION FEE �42.00/Hr *Air Conditioners can not be placed in a side yard without wriften permission from adjoining property owner. �3�� j�--- 1 l% 7' 1��(/1`' /I f�v" j Approved By Rough—In Date �� Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE �HIMNEY AND STACK VERIFICATION The undersigned hereby verifies that tt�e e�sting chimney or stack; 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes O No O 4. Is securely supported _ : Yes O No O 5 0 Meets all current Code requirements for size and total BTU's connected Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) HEATING CO: Signed By: Date: sue�ecT MIT NO. c�ty of Fridley 3 3 2 2 7 AT THE TOP OF TME TWINS g U I L D i N G P E R M i T � � � q � � � COMMUNITV DEVELOPMENT OIV. ' ; V �'�� , r � � PROTECTIVE INSPECTION SEC. O� � � � � � ��'�1 � CITY NAII FRIOLE� SS��Z NUMBEp pEV D�TE PAGE OF AVPROVEO BY �""'�� ,'� 763-571-3450 910-F15 11/1/02 / / �oe n�oRess 110 Alden Circle NE 1 LEGAL �OT NO. BLOCK 7fiACT OR AODITION SEE AT7ACHE0 DESCR. H 1 Henriksen Addition SHEET 2 PROPERTY OWNER MAII ADORES$ ZIP PHONE i,ynn Bergeron 110 Alden Circ�e vE 763-571-3861 J CONTFACTOR MAIL ADORESS Z�P PMONE LICENSE NO .�oseph R Miiler Constructior. Co inc 17171 i ava Ave Lakevi le T 044 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO 612-597-3606 �0130384 5 ENGINEER MAII AODfiE55 ZIP PHONE LICENSE NO 8 USE OF BUIIDING Residentia? 7 CLASS OF WORK O NEW C� ADOITION � ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' ,� 14' Deck 9 CHANGEOfUSEFROM TO STIPULATIONS See r�otations on p'_aa. ��'�� rmi# lnspeCtion Ca �efore q�g9��9 call fo�r � �►��1 B@ rds a�� utihty /ocations � � Home Ma�ted 4�0002 owner To posf REQUIRED gY �AyV TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAO SEPARATE PERMITS ARE (iEOUIREO FOR EIECTRICAL, PlUM81NG, HEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOIO IF WORK OFi CONSTRUCTION 20NING SO. fT CU FT AUTHOAIZEO IS NOT COMMENCEO WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO fOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOFK IS COMMENCED. NO DWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 $1AllS GARAGES ANO KNOW THE SAME TO BE TRUE ANO CORRECT. A�L PiiOVISIONS OF LAWS yqLUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMP�IED @ WITH WME7MER SPECIFIED MEREIN OFi NOT THE GiiANTING OF A PERMIT 'V2 sOH6 �1 .O�F OOES NOT PRESUME TO GrvE AUTMORITY TO VIOIATE OR CANCEL THE PEqMtT FEE SAC CHARGE PROVISION$ OF ANY OTHER STATE OR LOCAL lAW iiEGUTATING GON- @83.25 F re SC �p2.Q9 STRUCTI OR T E PE RMANCE O CONSTRUCTION `N �` PLAN CNECK F OTAL FEE j� Licer. SC 5.00 $91 8 G OTUAE O� CON"FA ,iQF Oq AUTMOA�2E0 �GENT iDATEi EN PR CEQL A OATED T S IS VOUA PEqMIT L.�t, "� . d"` � S�GN47UQE O� OWNEpJF OWNER BUI�DEAi iOATE� BLOG � S� ��E NEW ( ] AOON ( j a�TER ( 1 Construction Address: Lega( Description: Owne� Name R�A� Contractor. Address: LMNG AREA: GARAGE AREA: OECK AREA: OTHER: CtTY OF FRIOLEY Eftec6ve 1/1R002 6431 University Ave NE, Fridtey, MN 55432 (763) 572�604 Bldg Insp SiNGLE FAMILY AND DUPLEXES R-1 AND R 2 BUILDING PERMlT APPLICATION �� ` �� ` ��'� Te�. # �� 3�� n �, 5'� l MN LfCENSE #�l 3U3 � c,e. �� /�/!/ O 1'%' Tei. #�l� S�t 3v�� 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. FL Length Width Height Sq. Ft Length �c� � W�dth �� J HgUGroun� Sq. Ft Constnrction Type: �� % Z °i � �i r �^�f/ �stimated Cost: $ �� o ; �`p Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x� _$ DATE: I U 2 �� APPLICANT: � v\%� Tel. # G/2 �� d � Cal! (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge Lice�se Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ �� $ $ 1 • o� $ $ S.� $ $ $. $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of PeRnit Valuation (1/10th%) $.50/$1.000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Pian Review Fee DeteRnined by�Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ � STiPULATIONS: TA�'',�� MiNNESOTA VALLEY � � SURVEYORS & ENGlNEERS CORP. �E� 12006 12TH AVENUE SOUTH BURNSVILI.E, MINNESOTA 55337 Phone: 890-7750 Certificate ot Survey for : L�IF N�NgI!`�SEN Ao,� 1fl •A'� , -� p,� bti i �— � q� � _ /— ��2 — ' ' 31. e � f�� .�°t� , , �` _ ¢ �4LDE M✓� ✓ ----��„�� _ �,` � _��__` � �56�'OS S3� %98O �`_ , -�,_ �i�,�E 1 ��- � � --� � ��kr �, .�.o � 0 W � : a z9.o O .� � `� RESiDENCE � I� GN DEI� CO,VsTKU��! 0 ' °� � � 6D.0 �v +\ J , h' N�C�~ p. �4./ �� j2- / . /� � j 1 �� Y _�—� ��,�� -` �r � �_�` �� _ �.` /O2. 9%_—� �'` �-,. �! 7d ¢3�4 � Lpi 8, �loC� { NENRIY�SE�1 �UDirION 38 ANI�� CDUN"t"Y, MI NN�dT1� 1 h��ey �e•tily fi�el Ihit is o Iru• ond terr�tl ��pr��w�oliee ol e survey •I �6• be�w�ari�• •l ►6• e►w� d�fcrib�d land, end �1 tbe I�ca�i�n �/ all b�ilri�qs, �A�r��w, owd all vi�ibl• •��r�e<hw��n�►, i! eny, I.en� �r �n sei,�I lanr. •� wrv�r�r by ma �I�is 2Z-� doy �1 ry��Q'� A.O. 19� �� I=�S N ,� �� . � � � Sf:�.E IN� �I ° �NOTES IADµ NV- I�u. BEAR��Ra ..,f. �. ,,;r ,; ?. .. f � ✓?a� . . 1 ,:« Mia�esot• Vslley Serreyor� �C E��I�e �. er► br -� .R�s Mf��. Re�. No. 9243 � � � � c�� c. •i�'i �� _ �i � � �� ` � � � �� a � � 2� � � [ � u o l� �� J � �� • �j f c. _ � �i��3 e ,� �# �� a � !�� V � � � -� � _� � w � a � �U t�`I —� o u � �.I � � � Ci � � � C� � _� � � _� W �, _""` t � � :»��rr: �_ _,._�_��:� �----___ --=-_=r»- �_��$�� we� a8 G�T'�L- a V ul � � � � � � ' �.. `"'� �� U � �p - c.� �. a� � � _ Q � � �- �. �x LD �— ii� 1..� J � i4� �-1 LI' `�:�=_'=_=��pa=�� Ar 1n ++ Ni 1an,� dQ�l i�i X� �n �,��n�c��_ �f � � "�,``.��_�_�-_---=_=====i� � ~ tu � q � iu ��i IN - � �,...:.__,_- ,.� ,N �� a1C : —�_ .. IA ' 1N �_..� � �� _� � O N � �� w � � � . �o .��• � � � � `� � �• �� , . � � � �, � � �� ti t � ` � � � �� : �� O � V � � �� . � � J�/�� %� f� ,� / �� C �C�3 P V � (� �f/�/tJ � /G�d�/S,. �� _ � 5 i - � ' /i/id/� l�/'� �" �(_�" � i � -t c�n�e�r � f�im ,�oi��t . ��S �� B� 1 t � � �v�'li � _i6 ..�, �� .�, . `' � � � • c�, ,C�-.�r.r�s��/ip�� //�� , � �� Trea�-ted CJec k i n� : �..C?? �� f� " TI� �� tair� �,�, ,'� i rc�e .. x i mum a� � � �� o � � � 7 �.��4 " �"I� �c , �O " h�i i r, . (�u n �i- �� c� c i c� ... :� ,�•��',� �y�►X `� ~,Pdi, � � �� _ V � � � � ♦ � — Y � , .�...�.r.�.w'1 • �.....r..�.�. .J ,� ...r•..�.�•7 ' �•�.�.�•�.r.i ,�.r.�.n....w•q� • ...�.�...ti.�..J � �' IR�Y""�� G��^. . �~ { L 1 J � i W:Si UflW@F81ly A1NB Nt �ddley, MN SS432 '63-872-360�' APPLICATtON FaR PLUM8ING At�d t31�►S F1771Nt3 PERMIT PLUM9ING �IXTURE RATES: NQ. RATE TOTAL JOB ADDRE3S r j o A� � E�✓ C�� c i. E New Fixtures ___._ Old 4p�nina, �lew Flxture _,.,._,_ Beer Dtspense�r .�..._.. Blow Off Baain Catch 8astn ___._. Rain Water Leader SumplReceiving Tenk Watsr ?reeting AppUance INeter Heab�r -E(ecMc � Water Hs�ter - Gas"* _._L._ C3as Range"� (3as Dryer"' Back Flow Pr+evetrter Required ()Yes () No Typ� . $ 7.00 $ 4.00 $ 5A0 $ 7.00 $ y.00 � �.00 $ 7,00 $18.00 $ 7.00 $10.00 $10:00 $10.00 _�,_,__,_ The undersigned hereby makes applicaticn far s permit for the woFk herein ____,___ speci��d agreeing ta do ell work in �mct accordance with ihe city codes � and rufings oi the Butlding Division, and hereby decl�res that all the facts _____�, and representations stated in this appqcadan are true end correct. � � .._..�� o ;�� _.�__._._ � .�.. $15.00 „_` Reinspection Fee $47,OO/Hr ALL �7THER8 AND/�R REPAtRS AND ALTERATfONS 1.5% of Vaiue of Fixture cr Appliance State Surcharge iO7AL FEE �_._. ��.3�7 $ a,d ,�� /�o ,200� ��, ,��j �ERGE2onJ But(ding Used As — Estimeted Co�t �99,d v PERMIT NO. �,,, !� �_.....,:. �/'�l �� PLUM@INf3 COMPANY �fie R y U V E2'Q �'�. E 2 P t, ,6 4 i�J L 8iC3NED BY %�:L�.e� l'EL N0. '7(, -3 - S' 7�2. - d'PPc�� App�oved By Rouqh-In Date Fin�l Date � a"�c% '____.� _�' �� i • : _ � �; �= : �� : ��i •��I�� r. -� ; ._c� COAIIBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 8-A. COMMON V�NT INFO ON BACK SlDE _ _ CfiYOF FRiDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 23, 2004 Mr. Lynn Bergeron 110 Alden Circle NE Fridley, MN 55432 Re: Final Inspection at 110 Alden Circle NE Contractor: Terry Overacker Plumbing Inc Dear Mr. Bergeron: A plumbing permit was issued on June 12, 2003 to install a gas water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the final inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and expire the permit. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh NEw I] ADDN [ J ALTER [ ] Construction Address; �o�- � �c� U (�-� CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION /�L�r --_ �� ,.�.__ ��.. ��/i . Legal Description: Owner Name 8� Address: �Yil�'� ��? C�c�°e�� Tel. # 7(.3 S"/� --��6� Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # Tel. # Attach to this application, a Cert�cate 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 � Construction Type: Estimated Cost: $ _ � � �� riveway Curb Cut Width Needed: �L1 Ft. +,6'Ft = �Ft x $ _ $ DATE: APPLICANT: Tel. # 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 TOTAL $ Fee Schedule on Reverse Side $ 65% of Permit Fee $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1450 per SAC Unit $ $5.00 (State Licensed Residential Contra�tors) $ Z� C� Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] �� $ �,�p(� STfPULATIONS: