AF - 45054c�ty of Fridley, Mirm..
6431 University Ave. I�I. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: _.._.---.__Augu.�_�_�.�,��.��.Z2_.._...._._
Owner: _.----_--Robe�;t_.De�a�dne..�'._�onst.---...__.____.. Builder ...__S.s��....�
Address ---------.7_950---�as_t_,R�yer---Road._N.E t..--------__. Address ___. S.s��
�
�1631
LOCATION OF BUILDING
No- ---------6245....... Street .Alden_Way_ N�-'----_._ ......___. Part of Lot
Lot .---------.--•-.----7....-•---..... Block ---------------•-.-----.-1----•----.-----------...._.. Addition or Sub-Division ----Al__Rose Addition
Corner Lot -.--.- ............._._._.... Inside Lot ••-•--•--..X.---•.----•--....__.. Setback _.._.._.�..____.._.._ Sideyard
��vkf �evation ..--------_��_4._.:�.0.-----�------..__._..._......._--------��-----_......_ lld��(1�d�7�eE��,6�I 1--- ----....827 _ hn Mi n i rmim
Wye Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
_.__Dwel_1_ing------------•--- Front _35�___ Depth 24�'25�6�ieighi .._����...... Sq. Ft. 1158' Cu. Ft 22.080 Total
....-_...�.�.��,g.�_--.•-•----------------- Front ..�.�--__._.. Depth __.Z4 �--_ Iieight __�.Q.�._.. Sq. Ft _5.28 �_ Cu. F�
Type of Construction -__-._%�0.4d---F�.�-----__ Es� Cost ...�2.Q�.�Z�k..__......___..---. To be Completed h m�1LthR
Stipulations: Provide a�x�l, a hard surface driveway. Provide a verifying survey
before capping.
WATER LOCATION: 10' W. of Sewer Service B� 25.7 feet N. of Mnahole. 64.5' NW of Hyd.
SEWER LOCATION: 13` E. of Manhole(Inv. 824.65)
In consideration of the issuance to me of a permit to construct the
the proposed work in aceordance with the description above set forth
Ordinances of the city of Fridley. f� �
l above, I agree #o do
vvith all pro�visions o!
In consideration of the payment of a fee of $_. 41 _ 00 _____, permit is hereby granted to..._.._Robert DeGardneP Con5 t.
_._...._..._.___._..._.._._ ......................_._...:__. to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinanc�s Of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of builciing8
yyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of 8aid
ordinances. �
!
BELISLE
( NOTICE:
> Ti�is permit does not eover t6e construeiion, inatallation for wiring, plumbing, gas heating, sswer or water. Bs sun to sN
t6s Building Inspectar for separate parmits for these items. I
APP�ICA�ION FOR R�SIDENTIA�, ALT�RATION,
OR AllDITION BUILD�NG P�RN�IT
CITY OF FRIALEY, �INN�SOTA
1
�W�`T� � S NAME t � � �' � a �/ � � ir BUILDER : � �-- lJ � ii��U�' �/ � �� y' � �
ADDRESS : l 7��� �--�-✓� ���Y I`-r{ ,. ADDRESS :
� y �S � CJ�E,� l� _
N4 : . ST'REET • C1 �� -
I,O� � BLOCK: ADDITION t �- ���' �'
,�. ....
CORNER LOT : INS IDE LOT :��SETB�ACK: SIDEYA,RD t�,,,,,�
App�.icant attach to this form T�ao Certificates of Survey of Lot and pxopoSsd
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
Tp Be Used As:
.::.
L � � ` ,� Fr�nt : Depth : -' - Height : � �
� -, .
Square Feet: -� ; : Cubic Feet:
�--( � � ' Froat : Depth • Height :
Square Feet ; Cubic Feet :_ �-,,�,_, „ e, ,, �w
�pe of Construction: Estimated Cost: $ �-�'"�
� �0��rlIR4
,�
_.. � � � , . : .
To Be Campleted: �" �
�he undersigned hereby makes applicativn for a permit for tt�e wp7ck �e7���,�
spec��ied, agreeing to do all work in ettict accordance with the C��y q�
F�id�e�r Ordinancea and ruli�gs of the Department of Buildings, and �e��b�t
de�lares that a�l the facts and representations stated in this ap �,g����
are t�cue and cryrrect. �
f
�
J �
�T_�: SIGNATU1tE.: � _ � L'���
(See Reverae Side For Additional Information.) ����
lae+d Plonai�g s�`�[�t��r jl 6i74 Mi�hwoy No.Oi N.E.
lond Sv►vey��9
� . • M+nhtqpotis� :.
so�i. r.����s ' J1��llPP�lj��� � �l�'. ����. ssaaz
Civit Eng�netrin9 T�lephon♦ 7�4-6066
Munitipal Enqineering Engineers & Surveyors Ar�a Code O1�
Certificate of Survey for A�� MAO�EN
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---- V¢note� Ura�n4�e an� Utiii}r �aSem¢nt
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1 h�r�by c�rtify ti�ot this is a trve ond co.►ect ►epr�senta �on of a su.ver o1 th• boundarits of tM ebov�
d�scrib�d land, o„d of the location of oll buildi�s, thor�on, and all vis�ble sncroachm�nts, if any� froa� K w+
said la�d. As tu►v�y�d by m• this doy of sb►uv� A.D. 1VTi .
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��ale:1;��, L 40 4e�t
SUdURdAN ENt31NEERING, INt. -
Fngin��r Sur r �! '
by� • 4 1 Ib-�c..y�f���--��''r._...,.... ,
App�cat%n �or Pow�r Mants and HsaNng. Cooling, Yenh'tation. R�f�ig�ra�ion aed
Air Conditionieg SYst�n�s and Devius
PARTIAL RATE SCHEDULE
GR�l.YTTY WAAM AIA: 11A7'� TOTAL
lh�rnace SheD & Duct Work . . . . . . . . . . . . . . . . . �10.00 i
Replacement oi Ptirnace . . . . . ... . . 6.00 �
Repairs dc Alterations—qp to =500.00 6.pp a--- __._—
Repairs ac Alterations each add.:500.00 . 3.W ;—___..,___
���. W� �
Fttrnace Shell dc Duct Work to 1�0,000 BTU . . . . . . . . . .$10.00 ;_
each add. 60,000 BTU . . . . . . . . . . . . . . . . . 3. W ;
R.epIacement oi Flarnace 6.00 �
Repaira dc Alterations—up to ;500.00 6.00 S
Repairs & Alterations each add. i500.00 3.pp ;
STEAM or HOT WATER 8YaTEM
Furnace She�l & Lines—to 400 sq. tt. F.DR Steam �1Q.�J0 � ______
Fiu�nace Shell & Line--to 640 sq. ft. EDR Aot Water 20.00 $_.
Each add. 20Q sq. ft. EDR Stesm 3.0(t �... ___ __ .
Each add. 320 sq. ft. EDR Hot Water
3.00 S--
OIL BURNER—to 3 gal. per hour g,pp �_ __
over 3 gal. per hour-�ee Fee Schedule
Gl►S BURNER (up to 199,000 BTU) b.00 i
over 199,000 BT[J See FN Seludul�
GAS FITTING FEEB: Ii0 R1►TE TO7AL
lst 3 FSxtures . xE 2(p S- —
Add'etional Fiatures x .76 ; —
Gas Range to 1�,00� __ �pp = _
AIR COI�DITIOIfI11G �
FAN HEATIltG STS'1'EM See F» seh�dnl�
VEIITILATIIfG sYSTEM �
ALTERATIOIta � REPJIIRS TpT�, g� S
ROU(3H
FINJtL � - S^ ^ %.S
(SURGNARGE $_.50)
Dept. of Sidys. Phoa,. Se0-34S0
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City a� Flidley:
The undersigned hereby makes appllcation for a permit for the work hereir
speciiied, agreeing to do all work in strict accordance with the City f)rdihance:
and ruling of the Department of Buildings, and hereby declares that aIl tke facts
and representations stated in this application ere true and correct.
�.� y. �� �_ �D y ,�.�
OwRer ----��-' s.� -o% E��- ���i3�%� L. r/�f 1�/
Kind �f Building .___ /,���%��
_ ����2 - ^_ � � — '
rJset� as . --_ ._
To be completed about __ __ ____ v' `��
�
Estimated Cost, a_._.___���--.-- ---
Building Permit No. _ Psrmit No. ..7 y V�
DESCAIPTIOIt OF WORa
HEA7`!NG or FO 8 PLANTS-.�teaai, got Water, �►arm Ai�.No�
�� ��-- //
Trade tvame ' _�„��G�G g� Ne_ �!✓/��Q
Capacity���� /� Sq. Ft, E.D.R BTU gp
Total Connected Load�,� ��Ga+ Kind of 1�Ue � �,
SURNEB — Trade Nam�°��'" Cv��� 3iu No__�%�
CaD8dt3'���3q. !'t. ED.R BTU �!!
(RfMARKf-OYER)
si� B/9C iV. WELTER HEATII�lG CO;,
�6 ,
� �INNEA�OLIS,; M11�1f�1E_SOT�9 &�40�'
Bu� Phooe rw .7 ' C 6
SUBJECT B � II�'-�
City of Fridley . 13923
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T )
r
� � EIPT NO.
� ` COMMUiJITY DEVELOPMENT DIV. � `��
r
� � � PROTECTIVE INSPECTION SEC. '�+�
� . ,
1 � /'�'1 � CITY HAL� FRIOLEV 55432 NUMBER REV. DATE PAGE Of APPROVEO BV
�----� � �'� 612-560-3A50 910-F15 �XXXl�X/�X7 � �
JOB ADDRESS C Z4 rJ � t i�@CI Way N. E.
1 LEGAL �OT NO BLOCF� TRACT Oq,qDC;ITION SEE ATTACHED
DESCR. 7 I /i{ KOSe ACIi�1t�O11 SHEET
2 PROPE�TTY�uCe E�ohnson �'t� Dli�E�ei� Way N. E. ZIP PHONE '
3 CONTR CT MAIL ADDRESS Z�P PHONE UCENSE N�.
Jefi°� Mi 11 er
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LfCENSE NO.
6 USE OF BUILD{NG
residential
7 CLASS OF WORK
❑ NEW QQ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
cons�ruct'new brick fireplace
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. bY�� Ck
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CQNSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED Q'� ��OO .�JO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT w
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFO NC OF CONSTRUCTION. 7.50
� PLAN CHECK FEE TOTAL FEE
o� 02-� 7% 8. 00
SIGNATURE OF CONTRA OR OR AUTHORIZED AGENT � IDATEI V�IH N PROPE L V D T S IS YOUR PERMiT -+
. 2 —�% � %
SiGNATUREOFOWNEFIIFOWNER8U1lDER1 IDATEI DG INSP DATE'�
�
CITY OF FRIDLEY
APPLICATION FOR RESI DENTIAL BU ILDING PERMITS
�NEW, ALTERATIONS, ADDITIONS, 0 R REPAI RS)
OWNER' S NAr� : i'���� �Ci%�%Z�d/v BUILDER: ���� /�6/ ��-��_��--
ADDRBSS ; �Z �� �G%���1 �U/�� ADDRESS :
_ TEL NO..
� /� ��
NO : . � � `� � S TREET : GL�i'�J G�/�� .
LOT :_�_BLOCK : � ADDIT ION : _ _ �L ��5� ,��D` �� D�V
CORNER LOT: INSIDE LOT: �� SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates o� Survey of Lot and proposed
building location drawn on these Certificates. � ,
DESCRIPTION OF BUILDING
To Je Used As: �%/� � �L� � �
Front: Depth: Height:
Square Feet:
Front:
Cubic Feet:�
Depth• Height:
Square Feet; Cubic Feet:
Z`ype of Construction: ��` e� Estimated Cost: $/��U
To Be Completed: � — / 3 �- � %
PROPOSED DRIVEWAY WIDTH IF NEW OPENING IS DESIRED
The unaersigned hereby makes applicati�n for a permit for the work herein
specified, agreeing to do all worlc in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declaxes that all the facts and representations stated in this application
are true and correct.
DAT� : � — % ' � � S IGNATURE • ` �%� Z�I �D �"r`-'
(See Reverse Side For Additional Information.)
� �
a �
- . �l� 1�
SUBJEC7 � � P .
c�ty of Fridley 9 9840
AT THE TOP OF THE TWINS g U! L D I N G P E R M I T
r
' ' NO.
� �
� • COMMUNITY DEVELOPMENT DIV.
' j L ����� ,
r � � PROTECTIVE INSPECTION SEC. 3 oi�
i . ,
� � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. OATE - PAGE OF APPiiOVEO BY
�'""'�� ,�� 612-571-3450 910-Ft5 4/21/89 / /
J08 ADDRESS 6245 Alden Way N,E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. % 1 A1 Rose AdC�ltlOri SHEET
2 PROPERTY OWNER MAIL AD�RESS ZIP PHONE
Mark Flaten 6245 Alden Way N.E. �
3 CONTRACTOR MAILADDRESS ZIP PHONE U ENS
Richard xastings Contractor 6331 Riverview Terrace N,E., Fridley 55432 5�1.4-���i�6
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW � ADDITION ❑ ALTERATION � REPAIR � MOVE O REMOVE
8 DESCRIBE WORK
Reroo� Dwelling (19 Squares)
9 CHANGE OF USE FROM TO
STIPULATIONS
On a!I new roofs or tear-o#fs ar,d repfacement roofs,
State Code requires that 2 layers of 15 ib. felt,
mopped together, be installed to a point 24 inches
up from exterior wafl line, ar the use of other
appraved underlayment membrane.
SEPARATE PERMITS ARE REQUIRED FOR ELECTF;ICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHORI2ED 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
WI H WHETHER SPECOIF ED EREINIOF NOTOTHE GRANTING OF AOPERMIDT $950 $.SO
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-
STRUCT�ON OR THE PERFORMANCE OF CONSTRUCTION. S2S.00
PLAN CHECK FEE TOTAL FEE
$25. 50
. SIGNATURE OF CON'RACTOA OR AUrH0:7�2ED AGENT IDATEI WHEN PROPERLY V IDATED THIS IS YOUR PEFMIT
- � ��J �'j`�
SiGNATURE OF OWNERUF OWNER BUILDEAi IDATEI BLDG iNSP ��E '�T-•
� [ ]
ADDN � �
�� [ ]
l�l AND R-2
�; t dir�q Pe.rmit Application
Effective 5/1/88
Constn�ction Address : � Z 5�S /-� � 4�'�� ��4 y
Legal Desc7iption:
Owner Name & Address : jt/1 h �Z K � � r4 f'�' �/ Tel .#
Contractor: i� ���, �, R p 1-I�A� `� r` i'�s S Z�e1. # S?�"�' f�:�'
Address: 6 3 3/ 2: � t�: '� t� i f� � rt%. i2
Attach to this application, a Certificate of S�rvey of the
lot, with the pr+q�osed comstxuction drawn on it to scale.
�RIPTI�T 0�' II�VE��T�
LIPII�G AREA: Length Width Heic�t Sq. Ft.
GAI� ARE�: Iex�gth Width Heic�t Sq. Ft.
DDCK ARF�: Lex�gfi.�z Width Hgt/Grotmd Sq. Ft.
ORi�R:
Corner I.ot [] Inside Iat [ J Ft. Yd Setback Side Yard Setbacks
Zj►pe of Oonsttvction: �1 l� o o� Estimated Cbst: $ ��� '
Approx. ooanpletion Date: I ol 5� ��
l
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Back Page
L1ATE: � Z i � APPLICANr: Z+el .# S���� f'�'
PeYmit Fee $ �.5 - OU
State Surc��arge $ ��
SAC Cllarge $
Driveway Fscrow $
Park Fee $
Sew�er Main Cria�e S
. v=
��M:.� :M�:.�
S °�-`� � S�
QTY OSE �II,Y
Fee Sc�edule on Revexse Side
$.50/$1,000 Valuatioli
$575 per SAC Unit � -
Alt. °A° or Alt. ngn p�1��ve •
F'ee D�ete.rmined bY Et�gineeririg
A9�oes►t N�saYY [ ] � �S�Y L l
,, _ . •
s
�
sue�ecT PER . ��
c�ty of Fridley 20295
AT THE TOP OF THE TWINS B U I L D I N G P E R M I T
f
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
' � L � p y�
r � � PROTECTIVE INSPECTION SEC. 3 SO ,3 (J
� �
�l � /'�'1 � CITY HALL fRIDLEv 55432 NUMBER HEV. DATE PAGE OF APPROVED BV
`..��'�•/ ��� .
612-571-3450 910-F15 4/12/90 / /
JOB ADDRESS 6245 Alden ��y Ne�''.
1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR '] ]. AZ �205@ Addition SHEET
2 PROPERTY OWNER MAIL ADORESS 21P PHONE
Mark Flaten 6245 Alden tiIay N�E. 571--6011
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Contractor Not Licensed in Cit
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUI�DING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOFiK
Construct a 12t x 12�' Deck �lus stair and bench
9 CHANGE QF USE FROM TO
STIPULATIONS —
See notati:ons on plan .
y►�F'°qRq r ��,�����
����, `� p�� Before d'+ggi�g ca�l fot
'�'E� T�N� rrs �� a11 ut�� C���2t;ans
, ,���,�v��� ;f�,..� ,. �EQ►��1��� �3Y L��l�f
��',r�,�,� ' �Q
.�#y�� '
�
S���S,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, P�UMBING, HEATING, TYPE Of CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZpNING 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
1 HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORFiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 � OSO $1 • O3
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCE� THE pEfiMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OF LOCAL LAW REGULATING coN- $54.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PIAN CHECK FEE TOTAL FEE
$55.03
SIGNATURE OF GONTRACTOA OR AUTHOAIZED AGENT IDATEI W N R Y L ATED THIS IS YOUR PERMIT
_ . ,. � - �
SiGNaTURE OF OWNER iiF OWNER BUIIDERi iDATE� LDG WS � ��tiTE
N� [ ] Effective 1/1/90
� [ ] R-1 AND R-2
�'� [ v� Buildirg Pexmit Application
Construction Address :_ � �� �j S �L D�AJ lV� y/V • C•
I,�gal Description:
owner rtame & Address: /�?���K �S � FI.�T�,c� •--- S�c �n � Tel. # 5�/-!0 0�/
Contractor: -- � P w� Z�e1. # - - -
Addres.s: �
Attach to this ap�lication, a Certificate of Survey of the
lot, with the propo�.,ed construction drawn on it to scale.
�, �+• �M !�� �_ �Y��i'�)I�Y�'�Ii\+�
LIVII�IG AR�: Iength Width Height Sq. Ft.
C�R�GE AREA: I�erigth Width Heic�t Sq. Ft.
nDCx A�: Ler�gth ��a �+ wiatn �-�� xqt/cro�u�d � sq. Ft. �ok � 5f ��-
o'I'��t: � � ` v- b.�.►�
�g�i?G �%o�l �� �� ��(,
Corner Lc�t [] Inside Lr�t [�/f Ft. Yd Setback Side Ya�i Setbacks
Type of Constnzction: _�lac2 d�c�C Estimated t�ost: $ �-�-
Approx. Caatq�letion Date: �-�a�:R � 5 a� �
Proposed Driveway Width If Ne�a Opening Is Desired: Ft. $ $
Width + 6' See Back Page
L1ATE: la 90 APPLICANT: _1�u.-.,� ,� �1�.�, Tel. # S7/-�oil ��)
.��1-lSav �o�
CITY OSE �II,Y
Permit Fee $ �_U�
state surcharge $ �, D 3
SAC CY�arge $
Driveway Escraw $
Park Fee $
Sewer Main charge $
. �.
srz�oNS:
$ ��0�
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Abdve
Fee Determined b'Y II�gineerincJ
Agreement Necessary [ ] Not Necessary [ ]
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CITY OF FRIDLEY INSPECTION DIV. / j Effective On January 1, 1997 .
$431 University Ave NE � il � �l,'�'/, �r � �S �.�
Fridley, MN 55432 t� �" AP LICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
Stories
Basement
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RA7ES
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
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Urinal � Tub I� Shower
NO. RATE TOTAL
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
$15.00
Reinspection Fee $42,00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
t.5°to of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
Wash C7rink. Floor Catch Auto. Gas Gas Misc : I Water Heater
Tray Fciunt. Drain Basin . Washer Appl. , Range �ixt ; Gas Elec
JOB ADDRESS_ � �. y� �C���/ (�,��
_ The undersigned hereby makes application for a permft forthe 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.
$ .50
$
� � ��, �'�
Owner _ �,��"�� ��"SI't�`�S'..�e
Building Used As_ . �'r✓�`� ,�t.�-�����,,��
Estimated Cost ___� �� �'11 PERMIT NO. ��j �
t--
PLUMBING COMPANY l�/ �.,�,�y..,,J ��/��
SIGNED BY �����s�� TEL N0. %G� J�7—�
�
c�
Approyed By Rough—In Date Final Date ,'`"`.�' ,'�aj v�-
R ANY PLUM
PLUS THE $,50 STATE SURCHARGE
**COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ I NCHES.
j � �� �,�- t� �s 7�
, � ,:.���:,z .
ClTY OF FRIDCEY 1NSPECT{ON DIViSfON �'� - Eff.ective 0
6`431 University Ave NE -
Fridley, MN 55432 APPUCATiON FUR POWER Pl.ANTS AND HEATING, COOLING, VENTILATION, .� "
572-3604 REFRIGERATION AND r�lR CONDIT9QNING SYSTEMS AND DEVICES
,
JOB ADDRESS i i1� � ��
RATE SCHEDULE. . 1111 _ _/1 I _
Residential ,
Furnace Sheil and Duct Work, Burner -
Also Rep{acement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer �
*Air Conditioning - All Sizes
Rate TOTAL
$ 30.00 $
$ 10.00 .;$�
$ 10.00 $
$ 10.00 $
$ 25.00 $
AN Others/Repairs & Alterations (LIST ON SACK) _ . " � '
1% of Value of Appliance or Work � �v�lt'Y�,(,�,,y� $
Commercial/Industrial
1.25% of Value of Appliance or Work
. State S:ircharge
TOTALFEE
MINIMUM FEE FOR ANY HEATING/COOLING/V�N7ILATION
REFRIGERATION/AIR CONDITIONING PERMIT 15 25.00
PWS THE $.50 STATE SURCHARGE
REINSPECTI'ON FEE $47.00/Hr
*Air Conditioners can not be placed.in a side yard without
written permission from adjoin+ng property owner.
$
$ � .50 �
$��
OWNE
A
BUILDING USED AS
J
ESTIMATED COST ��� PERM{T N0. � ���
DESCRIPTION OF FURNACE AND OR SURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name ' Size No.
STU _ HP EDR
Fuel � _ Total Connected Load •
Burner Trade Name • . Size No.
BTU HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all vuork in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that a1{ the facts and
representations stated in this application are true and correct.
Approved By
Rough-In Date
Final Date �.
� CHIlVINEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or.stack:
1. Has been carefully examined Yes Oo) No O
> :
2. Is free from rust or deterioration � � Yes Oo) No O
3. Has no foreign objects lodged within, Yes (�) No O
4. Is securely supported Yes ,(� No O
5. Meets all current Code requirements for size �
ai�!i iota� BT'J's c�nnectec� Yes () No ()
6 Has total heating BTU's of �� ��
All other BTU's � a-; �3:�
4
TOTAL BTU's . � ��., ��
7. Has a liner been provided for water hea�er . Yes () No �n)
8. Has combustion air beer. provided for water heater Yes �) No () .
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
-
_
C[TYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
August 16, 2002
Ms. Jasmin Meshke
6245 Alden Way NE
Fridley, MN 55432
Re: Final Inspection at 6245 Alden Way NE
Contractor: Lindman Plumbing & Anderson Heating & Air Cond
Dear Ms. Meshke:
A plumbing and mechanical permit were issued in January, 2002 to install a 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
inspection has not been requested.
The pernut 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 inspecdon, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspecdon or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
BU11C�lrig
Inspections
763-572-3604
DATE � I � � I �
SITE ADDRESS ?2I-�,'
THIS APPLICANT IS:
PROPERTY OWNER!
TENANT
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
0
YOUR E-MAIL ADDRESS �'
"� � C
O OWNER �CONTRACTOR
._ � ��.�y
Permit No.:
Received By:
Date Rec' d:
ADDRESS.:�s � �- �.f-� ��-��f V��'S+' CITY �/ i7L �_STATErin�'LIP SS �3L
PHONE:_ /��3f ��'I "��S�T_
CONTRACTOR NAME: %�1 1 ('ia � 1 1 �� l. (Z �-+J�
SUBMIT A COPY OF STATE LICENSE #1 °� � Sg� � oZ � EXP DATE � I 31 I c'� �
YOUR STATE LICENSE ADDRESS: F' 'a nl J%( �Ct � S— CITY !� �'�'9 � ..t CtT►/SYfATE��ZIP�(�,i,c�
WITH APPLICATION pHONE � i�- ��r ��— Cl S S Is' FAX �`
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF O DRA1N TILE
❑ DECK �SIDING ❑ OTHER
❑ SWIMMING POOL
MAINTENANCE/REPAIR
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
ROOFIN
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
' Vinyl
❑ Aluminum
❑ Other
WtNDOWS
IN EXISTING OPENINGS OYes ❑No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
=� L
❑ REMODELING
+� � i fll r�
LENGTH WIDTH HEIGHT
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
ClSoffit
❑ Trim
� Fascia
LOCATION OF WINDOWS
NUMBER OF
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
Ft.
FORNEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Pian/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ r'J(jOd . UU 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
$ t l j',� �,
$
$ i -OC�
$ �,�
$ �_�C7
$
$
$
$
$
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)
$1550 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 building permit and I aclrnowledge 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 re ui view and approval of plans. �
SIGNATURE OF APPL[CANT ���C�GI �1 PRINT NAME fS ��� M� K'��CA DATE ����I�O�j