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� � � ���
Arehitect Frid?ey, P/liun.,
Builder�
� � ' � ' BJ�C.�1� 1� Lll L' � V ���T'L7f . � . : �. � .
No. � C� Street * Pa,rt of Lot
Z�et_�"�_ Elock Addition or Sub-Bivis9.on � �
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�� o l�e t.s�d � G �-'°:^�`fi`=� *;`:��rr`� To Le co:zarleted •+����,'� �''i'� �stimated Ce�t "�+����� �
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Permit is hereby granted to a �" .; to_ �� �.
the builcling_� w � dascrire3 in the above statement. This permit is granted �
ugon the eyprzsu condition that the person to whom it is granted, a�a his agents, employees and vrorkmen, in ali '
i
the work da�e in, around and upon said buildin�, or an3r part therear, s�ali conform in all respects to the or�i-
nances of Fridley, Minn., regarding the construction, alt�rnt;on, maintenance, repair and moving of buildings �
within tha city limitu, and thi� germit may be revoked at �ny tir�e upon violation of any o� t���► provi�ions of said �
orflinances. �
���t� * �� �
Inspector of Buildings.
. . . . . �l�s'i�' �e�:���..T��' �i�i� 9�,�%��� . Ci��l���rfl�a'�� � .. � � � � � .
In ec��sidex��,tion o� the iss�e and delivery to =�?e �.sy ��ae �'f�a�ee*�ox c,f ���il:�in�s of �'ri�le,y cf
the a�aove pe�mit, I hereb,y a�'r�e to do the pro�csy:�d �+�c?r�z zg, �,e�c�=�c'^nee vratll the deseription -
above set fr�rih anc� according to the �rovisions c� t?°e orc�ir.� ,ace^ of P+�;.�iesr, �,n.a, beang first daa�.y
s��rn, ][ hereby staie and say that the facts sta�ed 1��r n�e �,ns1 co����.is?.e� i�1 the �,kscve permi.t are
true as therein stated. ,,I� �` �
: � �• ,�''""�
t� ,
Subscribed and sworn to before me at Fridley, 1l�innESC�a, i:h:^ �
day of ` ,� .D. 19�i� — � +�' ��
_ ��
� ���
�
1. Report.ed by;
4. Name of Vz.ol�tor�
7. Natur� af G�mplaint.,
8. Complaint received byo
H E A L T H C 0 M P L A I N T
CiTY OF FRIDLEY, MINNESOTA
2. Address:
S. Address:
9. Compleint Referred to:
11. Report of Act.fon Taken^ (Specify date of action)
�
3. Phone No.
6. Phone No.
0. Date
�7_. Report Made byt �13. Date
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SUBJECT PERM O.
City of Fridley ° 13112
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � RECEIPT NO.
� ` _____ COMMUiJITY DEVELOPMENT DIV.
r � ti � PROTECTIVE INSPECTION SEC.
, . 7��3
, ,
� � /'��l � CITY HALL FRIDLEY SS432 NUMBER REV. DATE PAGE OF APPROVED BY
�""�' �'� 612-560-3450
910-F15 7-25-75 � �
JOB ADDRESS
7540 ALDEN WAY N.E. FRIDLEY MINNESOTA
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. rJ 3 ELWELL' S RIVERSIDE HEIGHTS sHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
MELVIN W. MESSER
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
SANIE
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
RESIDENCE
7 CLASS OF WORK
❑ NEW �BX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
T ET ED GE 24 x 30 x 8
9 CHANGE OF USE FROM TO ��
sriPU�ario►vs ggfo�e d�gg�'� ��� 0 �,SEt�
PROVIDE HARD SURFACED DRIVEWAY ���EpHONE.s��C��`C �I
PROVIDE TREATED BOTTOM PLATE OR REDWOOD ��� ;;D �� �
R�Q .,.
t-UR M11�INC,
ttt�l�►KtU
�;�;-�.�t�• i �- �" uMB�NG ANp S�GNSy
NEATING� p�-
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTIIATING OR AIR CONDITIONING. r'�jj�
THIS PERMIT BECOMES NULL AND VOID IF WOfiK OF CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT tiS`S�32S.00 52.66
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. 13 . SO
PLAN CHECK FEE TOTAL FEE
16.16
SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VA IDATEO THI IS YOUR PERMIT
Xi�.w%.��r �'/4'�1.l�f� ^°Z�S ' �� �u��'�o JULY 25. 1975
Si NATURE Of O NER UF OWNER BUILDERI � IDATEI BLDG INSP DATE
. ' � .
Y• • �
�
0
. . • ' . . .
� ' ', . •A�'PLICATION rOR R�;SI�DENTI/lL., ALTL'RA1'ION,
OR AUllITION. BUILllING I'�RI�SIT
' CITY OF FRIDLEY, htINNESOTA •
Oj,1IdER' S NA�1E : � DY, �,�.,1��..��UILDER • �s /�a'g=,Aoit% �
ADDRESS: 5� O ADDRESS: �Q -�-� o_
NO:. 5 O STREET: �
..�— ' _ / e s
T�OT • � BLOCl�: � ADDITIOI� :
CORIr'ER LOT : INS IDE LOT : � SETBACK : ___ SID�Y�I'.D :
�
0
Applicant a.ttacr �o this for.r, Tc•�o Certificates. �f Surve .of Lot and.pxoposed . •:
building location dz•.wn on these Cextificutes. � , �
0
0
HESCRIPTION OF BUILDING
.
Ta Be Used As :
�
Front : Depth : � �,�_ Height :
. Square Feet : Cubic . Feet : �7 9�--
Front: Depth: � Height:
, � 5quaxe Feet; Cubic Feet• � � �
, r� mo
�.jrpe of �ConsCruction: �-i��r_� - Estimated Cost: $ a� OO� — _
To Be Completed: � . , � �/ � � `�� v v .
0
� The undersigned hereby makes applicativn�for a permiC for the work herein
speeitied, a�reein� to do all worlc in strict accordance caith the City of -
' Fridley Ordinances and rulinss of the Department of Buildings, and her�by
� 1'c tion
declares that all the facts and representaCions stated in this app i a
are true and correct. ..
. � .
� • DiATE: J SIGNATt1RE:
;• (See i�evers jSide For Additional Informa �on.)� `��
. 3 S� , C . .
�-�-�- -�. .d.
. . :� �.� ���J� a.�� _ , � . .
.�.��.. ��/
// .
• ' . • . Y �j. r / � � • � � , a ' r
� `.
: ���,���,;�._ -��� . _ .C��,�-. �-- --
..
. , . . . .
sua�ecr PERM{T
City of Fridley . 14214
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T j
f
� � ECEIPT NO. _
� • COMMUNITY DEVELOPMENT DIV.
' j L �""'�
r � � PROTECTIVE INSPECTION SEC. �?��NC�
1 � r�
� � /��'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�•"'� � ,�� 672-560-3450
910-F15 7/13/77 � �
JOB ADDRESS �540 Alden Way N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. S 3 Elwell's Riverside Iieights SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Melvin W. Messer 7540 Alden Way N.E.
3 CONTRACTOR MAII ADDRESS 21P PHONE LICENSE NO.
Same
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ AODITION C� ALTERATION ❑ REPAtR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Rebuild roof
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERAT� PERMfTS REQUiR�O FtiR VYlR1�1,!�,
NEAT�IN�. PC!lMBINC AND SlGN&.
TYPE OF.CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMI7S ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC�i
THIS PERMIT BECOMES NU�I AND VOID IF WORK OR CONSTRUCTION ZONWG 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 R-�.
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 PqOVISIONS OF I.AWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �j`]. � SOO �. 7�J
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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- $9.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
_ PLAN CHECK FEE TOTAL FEE
$9.75
SIGNATUREOFCONiRACTORORAUTHORI2EDAGENT IDATEI WHEN P PERLY VAL�ATED THIS IS YOUR PERMIT
� �� � „ r �.._
�'l-,. �„ %�� ✓ Y ���t��.� � i.. %` �� � `7
i N T REOFOWNERIIFOWNERBUI pEA DATEI BLDG.WSP I�ATE
�
i
OWI�F..R:
Address
CITY OF FRIllLEY
APPLIC/1TIOtJ FOR HES�DE(�TI/IL BUILDING PERf�1ITS
��VEtJ, ALTERATIONS, ADDITIOfJS, OR REPAIRS)
f���,�,-�►,� L�� ��.���,/
. .�s o � , _
No. ���yd
LOT: �
CORNER i3OT:
Street:
z�vzLt�LK: _ �,�
Address:.
Tel. No.:
BiACY.: �� ADDITION: - � ,( p � a ����,�����) �
INSIDE LOT: !/ SLTBACK: SID�YARDS:
Applicant attach to this form Tao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDIf�G
o Be Used As:
+ . ,
U(.� ( 'C�\ Front: Depth: Height:
-T
Square Feet: Cubic Feet:
�� Front: Depth: • Height:
Square Feet: Cubic Feet:
r/ �i ��j
<_/1�
Type of Construction: Estimated Cost• $ /S 00 �� �
To Be Com �leted: /�
� --� �"-�� � ��� Alt. A Alt. B
Froposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance �aith the City of
Fridley Ordinances aiid rulings of the Department of Bui]_dings, and hereby
declares that all the facts an3 representations stated in this application
are true and correct. See reverse side for additional i�iformation. �
DATE: SIGNATUP.E: �� r l� ,�
Stipulations:
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4ESIDEhTIAL
CITY OF FRIDLEY � Effect�ve o�te �y t, �saa
APPLICATION FOR POWER PLANTS AND NEATING, COOLiNG, VENTtLATION, REFRIGERATION AND
AIR �ONDI7IONING $YSTEMS AND DEVICES _
RATE SCNEDULE J `=��/�' �
` RATE TOTAI. Job Address ��-Si � i�l/i� /C �
Furnace Shell and Duct Work,
Burner t1►lso replacenent furnace)
Gas Pipinq
(piping needed vith new furnace)
Gas Ranqe �
Gas Dryer
$ 20. 00 S �D .UD
$ 10.00 � S /d.�li
$ 10.00 $
$ 10.00 $
* Air Conditioning (all sizes� $ 10.00 $
All Others/Repairs and Alterations
li of Value of Appliance or Wor.k . $
COMMERCIAL/INDUSTRIAL
li of Value of Appliance or Work
State Surcharge
ToTAL PLE
tceinspection Fee ($15.00)
Rough Insp.
Date
Final Insp. / �'�� 6 — � �
Date �_ ,
'�).� _ I
Approval for Permit ���
MINIMUM FEE FOR ANY HEATING PERMIT IS s15.00�
PLUS S.50 STATE SURCHARGE
- •Air Conditioners can not be placed in side yard without
written pecmission frao adjoining neighbor,
S
S .50
S,2'o . so
S
Department of Buildingg, 6431 pa�iversity 11ve. N.E., Fridley, MN 55432
City of Fridley
Tel. M571-3450
The undersiqned hereby makes application for a pezmit for the wrk herein
specified agreeinq to do all wrk in strict accordance with the City Codes
and rulings of the Department of Buildinga, and hereby declares that all tha
facts and representations stated in this application are true and oorrect.
Fridley, Minn. ���� 19�
OWNER Z�u-Gl/6Z��C�c. �B�C�.
KIND OF BUILDING ��1��� -
USED AS
TO BE ODMPLETED ASOUT II /�'I /'� � .
FSTINATED COST ��D �j%
OLD - NEW BUILDING PERMIT NO. PERIiIT NO. C�1 /���
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Waim Air No.
Trade Name�iC�y� Size No. ��l.�Q.,?/ �(" d G
f-
Capacity Sq. Ft. EDR BTU ��jT'��' HP ___
Total Connected Load Kind of Puel ���
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BT[1 HP
Compan
Signed By � � �t:��l���
Tel. No. h'-•-.,,� $�!'� CO•'dDf'IOSi1N� C0.
& L'eLT�;.�I�Ti�I �Ui SSl,
{.::;:uikAf ��L'5, t�f155Q�,9
�,,;-�
Fill out back side for stack verification on replacement furnaces
.
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HEATING & AIR CONDITIONING CO.
' �LL7i'.�Q/�i ._,. __._..... _, �.__._.
__ . :... _ _ _. ., (�Q�(i CG7/?i
L:Ql.UZ�i Q{2� ,._ _._.. ._ __ .
' O
� Skip Pederson .. _ _ . _ _ . _. . _. ._.. .__. _.�
_ _ _ ,�. _ _. . _ ,
SALES ASSOCIATE
Office FAX Residence � _ _ _ _ _ _ _ . __ _ __ _ _ _ . �
_
_ . ,_. - --- 881-9000 881-4491 831-0684
' 8910 Wentworth Ave. S. • Minneapolis, MN 55420
, _ : __ . ,,. . _
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� — _
SuB�ECT
City of Fridley 3 3 2 7 5
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
r
� ` RE IPT NO.
� ' COMMUNITY OEVEIOPMENT OIV.
' i V �"�� ,
r � � PROTECTIVE INSPECTION SEC.
I �
� � �"'1 � CITY HAII FRIDLE� 55132 NuMBER REV O�TE P�GE Oi �PpnOVED Br
�'""'��� ,�� 763-571-3450 910-F15 11/22/02 / /
JOB ADDRESS 7540 Alden Way NE
t LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHEO
oesca. 5 3 Elwell's Riverview Hei hts SMEET
2 PHOPEiiTV OWNER MAII AODRESS ZIP PMONE
Jeff/Julie Haugstad 7540 Alden Wa NE 763-586-0092
3 CONTRACTOR MAI� ADDRESS ZIP PHONE LICENSE NO
Same
� AFiCHITECT OR DESIGNER MAIL ADDFESS ZtP PHONE UCENSE NO
5 ENGINEER MAIL AODFiESS ZIP PMONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASS Of WORK
❑ NEW O ADDITION Q, ALTERATION ❑ REPAIR ❑ MOVE O iiEMOVE
X
8 DESCRIBE WORK
Interior remodel to both levels
9 CHANGEOFUSEFROM TO
STIPULATIONS
See r.otations on plan.
SEPAR�AT� P�Rl���'�
REQUI�ED �OR:
PlUMBlN� A p�SIG�S
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST OCCUPANCV GROUP OCCUPANCV �OAD
VENTI�ATING OR AIF CONDITIONING.
TMIS PERMIT BECOMES NULL AND VOID If WORK OF CONSTRUCTION ZONING SO. FT CU FT
AUTMORIZED IS NOT COMMENCED WITHIN 60 OAYS. OR �F CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANOONEO FOR A PERIOD OF 120 DAYS AT
ANV TIME AfTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING
I MEREBY CEFTIfV TMAT I HAVE READ ANO EXAMINEO TMIS APPLICATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTA%
AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED �lO�OOO �S.00
WITH WMETMER SPECIFIEO HEREIN OR NOT TNE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEI THE pEqMIT fEE � SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- $1H1.2S Fire SC �IO.00
STRUCTION OF TME PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE TOiAL FEE
$196.25
6•T F COy;QAC� nu��OQi ED pG tiT �•rE� ' WFIEN PROPEQLV VALIDATED TNiS IS V UR PE MIT
f 1
L/ � �[Zz� \� � �
C�i E%OWNEQ��f WNEA lDEf1i I�A E� �OG �N$� f��i
NEW ( ]
ADON (J
ALTER �Q
. f "
Construction Address: _
- � CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432
SINGIE FAMIL.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
EffecWe 1/12002
(763) 572-3604 Bidg Insp
,� r���'��
� �� � ��
� ► ,r�
Legal Oescription:
Owner Name & Address: -�����U� 1�4L�.C��7� �1�^"EAm� Tel. #`G� -�-��
Contractor. ��rK�. ���� w ti �-1- A�7 d� �-�`� �L eo�T�- ) MN LICENSE #
Address: S,�M� — —I �d �-�� �%�� Tei. # -
�jUs + ► �in
LryING ARF,�A: "
GARAGE AREA:
�'� ��t�AS
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
^ n ' , r �
�' ��� ;` � �t tr ! � �
Length �-' Width ' '� Height Sq�Ft
Length ` Wdth �� Height S. Ft
Length r _ �� Width � � � H9t/�r°1an -�-�- ~ �,' Ft
Construction Type: P��Ql�.�� ��i.[�171�i- Estimated Cost: $� � Qao
�S
Driveway Curb Cut Width Needed:'�' F� + 6 Ft ="^ Ft x$ _$
DATE: � ( �' �- APPLICANT: .-S�F �'�u � �7/�D Tel. # %���� �`i Z
Call (763) 572�604 for Pertnit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we wilf
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Controi
Park Fee
Sewer Main Charge
$ l 8� .25
$ 10 � ��
$ S. °°
$ !
$ r
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit 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 Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ � STIPULATIONS:
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PROfi'OS�D LOIU�iz LE1/�L PLAN
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REMOD�LINCx GNANCsES
- REGOI�FIGUIi� EXIBTING STAIRB —
- ADD EGRE86 WMpO1L6 CELEVB. A s B)
- CONER GLA88 BLOGiC INTERfOR CELEV. G)
- REvtSE BATN CAULK 9ETU�EEN DRYWALL e GLA99 BLOCK
- ,aoa c�oser n� eeo�aoor� n
- �sa ct.osEr n� eepROa�� h
- ADO LMEN GI-08�T
- UPpATE ELEGTRICdi_ GIRr•I11TS ANp 11PGRADE TO 200 AMP B�RVIG�
- IAl3TALL NEW MTERIOR DOORB
- tiEf'LAGE OLD FLOORMCs MATERIALS WITH NEW GARPET t VMYL
3
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PROPOS�D LOUJER L�VEL �'LAN
������
J�FF AND JUL1� HAUCsSTAD NEW R�SID�NGE
'1��0 ALDEN WAY
FRIDLEY, MN 55432
3/4' TRTD PL1'.
JbN n�51GN
541 59 Ir! Av� t�
R2IDLEY, hM 55421
PHON£: '169-586-m/092
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C1TY UF FR►DLEY INSPECTI4N 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 DEVICE5
,.,, 7_ ,r �d ,r
RATE SCHEDULE
Residentia!
Furnace Shell and Duct Work, Burner -
Also Repiacement Furnace
(Side Vent - Fill Out Bacli)
Gas Piping (Needed with new furnace,
but not reptacement)
Gas Range
Rate TOTAL
$ 30.00
$ 10.00
$ 10.00
Gas Dryer $ 10.00
C ��v� T1�
*Air Conditioning - II izes $ 25.00
{
All Others/Repairs & Alterations (LIST ON BACKj
1aJo ofValue of Appliance or Work
Commercial/Industrial
1.25 jo of Value of Appliance or Work
State Surcharge
i'OTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATI�N/AIR CONDITIONING pERMIT IS 5.00
PLUS THE $:50 STATE SURCHARG�
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be' placed in a side yard without
written permission from actjoining property owner.
$
$
$
$
� ��-d°
$
JOB ADORE
OWN
BUIL
Effective On January 1, 2002
ESTIMATED COST �%S � PERMIT NO._�Ck
DESCRtPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hat Water) (Warm Air�
Trade Name Size No.
BTU HP EDR'
Fuel Total Connected Load
Burner Trade Name Size No. �
8.T11 HP EDR
$ Ttie undersigned hereby makes applicatian 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 thaf alJ the facts and
���'� representations stated in this appiication are true and correct. �
DATE lv ���D�
f .. �tt ��4'�3�4G 8 AIF3 CC�'�''°' �"::
-HEATING CO ``✓' `�"''
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S1�(ILQI
FAX #
Approved By �� Rough•in Date
-r
Final Qate � ��
EPLACEtVlENT FURn
SUB�ECT � O. ��
City of Fridley 33 69 0
.
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
� ` RE IPT NO.
.
COMMUNITY OEVELOPMENT DIV. -'Z�/`
� ± V'�����
r � � Pq07ECTIVE INSPEC710N SEC �
i �
� � �"'1 � CITY NAII fRiOLE� 55132 MuMBER pEV O�TE P�GE Of •PnnOVEO Br
�""'�'� ��� 763-571-3450 910-F15 7/10/03 / /
JOB ADDRESS 7540 Aiden Wsy NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
DESCR. S 3 Eiwe��s R�verv�ew Hei hts SMEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
.le��/Ju1ie Haugs�ad 7540 A�derL Wa NE 763-586-009Z
3 CONTiiACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Same
� ARCMI7ECT OR DESIGNEA MAII ADORESS ZIP PMONE LICENSE N0.
5 ENGINEER MAIL ADDRESS ZiO PMONE LICENSE NO
6 USE OF BUILDING
Residentiai
� c�ass oF woRK
O NEW O ADDITION (�, ALTERATION �p REPAIR O MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Exter.d gar�ge overh�r. s a�d reroof ara e
9 CHANGEOFUSEFROM 70
STIPULATIONS
See notatior.s on plar.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY lOAO
SEPAfiATE PERMITS ARE RE�UIREO FOR EIECTRICA�, PLUMBING. MEATING,
YEN7ILATING OR AIH CONDI710NING.
TNIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU fT
AUTMORIZEO �S NOT COMMENCED WITNIN 60 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONEO fOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWIG. UNITS OFFSTREET PARKING
I HEAEBY CERTIFY THAT I HAVE FEAD ANO EXAMINEO THIS APPLICATION 1 STA��$ GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PFOVISIONS Of LAWS VALUATION SUFi7AX
ANO ORDINANCES GOVERNING THIS TVPE OF WORK WI�L BE COMPLIED @3�000 �I.SO
WITM WNETHEfi SPECIfIE� HEiiEIN Ofi N07 TME GRANTING OF A PERMI7 y'
DOES NOT PRESUME TO GIVE AUTMOAITY TO VIOLATE OR CANCEL THE pERMtT FEE SAC CMARGE
PROVISIONS OF ANV OTHER S7ATE OR LOCAL LAW REGUTATING CON• Q83.�S FI:e SC y�3.00
STRUCTION OR TME PERFORMANCE OF CONSTfiUCTION �Y
PLAN CHECKFEE TOTA�fEE
$87.75
� tia U O� CO "pACTO T«oQ�2 !+t �•TE� W EN PFOPERIV VAL�OATED TMIS IS VOU PERM T
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NEW [) CITY OF FRIDLEY Effective 1/1/2003
ADDN [ j 6431 University Ave NE, Fridiey, MN 55432 (763) 572-3604 Bidg Insp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: '�(� �� /���� ��Y _
Legal Description: '
Owner Name 8� Address: --����E--1(.�-1� }��41�1��P� D Te�. #��3� �`�G�Fl2
Contractor: OW N E�- '_ MN LICENSE #
Address: SAM � A � � �C3Y�- Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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 HgUGround Sq. Ft. �
�� .
Construction Typ •���D�T 1 P�'1-.'" ooF Estimated Co t: $, �� ��
��w s�}t� � 9r£x�T�NDavr�.�-N�s�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
•
DATE: ? �� �3 APPLICANT: �F�F 1-�t.l��i�� Tel. # 7b���'��g�
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ c� • �S.—
$ . D�
$ /�Sv
$
$
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th°!o)
$.50/$1,000 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Aft. "A" or Alt. "B" Above
$450.00 Conservatior� Plan Review
Fee Determined by Engineering
Agreement Necessary [ J Not Necessary [)
TOTAL $ � / � /� STIPLILATI�NS�
,, , .
CITY OF FRIDLEY INSPECTION DIV.
643� University Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
Effective January 1, 2004
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED Otv EacH Fi �nR
PLUMBING FIXTURE RATES:
New Fixtures
Ofd Opening, New Fi�ure
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range"*
NO. RATE TOTAL JOB ADDRESS_ ��Q �L� YVj4-Y
!'s '
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 $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTALFEE
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.
.50
� ��
$ '
/1�\��I� 2� , 20�4
Owner J�� °�-a(.��-I � ��, ��� �i4- (�
Building Used As ��lO /V�� •
Estimated Cost ��JC�, � PERMfT NO. � (.� � �� ` ' " "" < %�
PLUMBING COMPANY
SIGNED BY/�U - �— TEL N0. 7 d� J�� ����
�
Approved By 1�._./� Rough-In Date Final Date
MINIMUM FEE FOR ANY PLUMB{NG/GAS PERMfT IS $20 00
PLUS THE $.50 STATE SURCHARGE
COMBUSTION A{R SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
►63) 572-3604 FAX: (763) 571-1287
: 7540 ALDEN WAY NE
: 103024120022
: ELWELLS RIVERSIDE HGHTS PL2
: LOT 5 BLOCK 3
: PLUMBING
: RESIDENTIAL
: ADUTTT(1N/AT TFRATTCIN _
�2 �yt�
PERMIT NO.: 2004-00374 ,
DATE ISSUED: 03/23/2004
VALUATION : $ 550.00 ��„
NOTE: MBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A
INSTALL S WATER HEATER
# ELEC WATER HEA RS
# NEW FIXTURES (EXIST OPENINGS)
# GAS DRYERS
# OF NEW FIXTURES
APPLICANT
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY NE
FRIDLEY, MN 55432
OWNER
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY NE
FRIDLEY, MN 55432
0 VALUE OF FIXTURE/APPLIANCE
0 # GAS WATER HEATERS
0 # GAS RANGES
0 # WATER TRMT APPLIANCES
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if wark ar 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 conect. All
provisions of laws and ardinances 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
regul�� cons� ction or the performance of construction.
Annlicant \/ t Date � i
Bldg Insp
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
PLBG FIXTURES (EXIST OPENINGS)
WATER TREATMENT APPLIANCE
WATER HEATER - ELEC
WATER HEATER - GAS
GAS RANGE FEE
GAS DRYER FEE
PLBG REPAIR/ALTERATIONS
STATE SURCHARGE, PLBG FLAT
TOTAL
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
1
0
0
20.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.50
20.50
c
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�63) 572-3604 FAX: f763) 571-1287
ADDRESS : 7540 ALDEN WAY NE
PIN : 103024120022
LEGAL DE5C : ELWELLS RIVERSIDE HGHTS PL2
: LOT 5 BLOCK 3
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
. _ _ ___ ,_.�.
PERMIT N�2004-0054 �'
DATE ISSUED: 04121/2004
VALUATION : $ 80,000.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE. CONSTRUCT A 36' X 32' 2ND STORY
APPLICANT
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY NE
FRIDLEY, MN 55432
OWNER
JEFF & NLIE, HAUGSTAD
7540 ALDEN WAY 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 lrnow 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
regulating c ns c e pe • iance of constru tio .
1�pplic � Date � 2/ Q�
Bldg Insp Date!�.��C�
BUILDING PERMIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
TOTAL
PAID WITH CHECK # 50211
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
"� L,
853.75
554.94
80.00
40.00
1,528.69
NEW (]
ADDN jk]
ALTER [ ]
Construction Address: `�
� �� � l/r ��
ClTY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BU{�DfNG PERMIT APPLICAT{ON
0
Effective 4/1/2004 (
(763) 572-3604 Bidg Ins��
(763) 571-1287 Fax
`� � � y�
V �,+�'/
�� �' (� / `'
V"
Legaf Description: "
.�..� � a.�.� s
Owner Name & Address: o��. — Tel. #'1le 3- 5$!�- V a 9 a
Contractor: � b v� MN UCENSE #
Address: �S �"� ��� �WA� �2-1.�L�►'. MN �r}}�Z Tel. # .�.M�
� �. �1,aC�
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF tMPROVEMENT
; �, r ' �t i u 04
Length �O "� Width �2 -� Height g�"G Sq. Ft. � � i
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: 1'v �� F��� Estimated Cost: $��� —
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$
DATE: � �� � ¢ APPLICANT: � F �"��`N���� Tef. # %� �v `w ! 2
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit carcl and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
� � ��
$
$ ,�b
$ .�
$
$,
$
$
$
$
� i
�� �
CITY USE ONLY -
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 A{t. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ J Not Necessary [ J
■ � , i.
STIPULATIONS:
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fiATE DESIGN �E�
� �� 835 Highway 109 NE • P.O. Box 308
� Wells, MN 56097 oF
sua�ECr w� � � g00-658-7049 • 507-553-6089 Fax ��
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REScheck Compliance Certificate
2000 Minnesota Energy Code
RES checkSoftware Version 3.5 Release 1 e
Data filename: Untitled.rck
PROJECT TITLE: HAUGSTAD RESIDENCE
COiJNTY: Anoka
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 04/21 /04
DATE OF PLANS: 04/21/04
DESIGNER/CONTRACTOR:
JDH DESIGN / MURPHY BROS. CONST.
COMPLIANCE: Passes
Maximum UA = 0
Your Home UA = 0
0.0% Better T'han Code (UA)
Permit
By/Date
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
CONIPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,
and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota
Energy Code requirements in REScheckVersion 3.5 Release le (formerly MECchec� and to comply with the mandatory
requirements listed in the REScheckInspection Checklist.
BuilderlDesigner � - �r � Date � � � ��
4 �
]� a�P penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed *
Interior Air Barrier
[] all fire stops are air sealed
[] pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed
[] a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls,
and floor rim joist areas *
[ J air barrier behind tub and shower is sealed and protected
[] recessed light fixtures are sealed
Envelope Insulation
[ ] basement insulation R-5 minimum
[] wind wash barrier on wall separating house and garage is sealed
loose fill insulation is prevented from entering the eaves
insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side
Attic Insulation
[] attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel
[] attic card attached to framing near access opening
[] notification of attic R-value and date of installation posted near building pernut inspection card
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the
Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710.
. REScheck Inspection Checklist
2000 Minnesota Energy Code
REScheckSoftware Version 3.5 Release le
DATE: 04/21/04
PROJECT TITLE: HAUGSTAD RESIDENCE
PLAN REVIEW AND INSPECTION ISSUES
This list of iterns may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the
Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and twafamily residential
dwellings. The items marked with * apply only to detached one- and two-family
residential dwellings.
PLAN REVIEW ISSUES
FOUNDATION INSPECTION
f 1 foundation wall insulation R-5 minimum
foundation insulation extends from top of wall down to top of the footing
exterior foundation insulation is covered by a protective coating finish
CONCRETE SLAB OR UNDER-SLAB INSPECTION
[] slab on grade perimeter insulation R-5 minimum
[] slab insulation extends from top of slab to design frost line or top of footing
[] floors over unheated space R-30 minimum
WINDOWS / DOORS / SKYLIGHTS
[] average U-value is 0.37 maximum for windows and glass doors (excludes foundation windows)
[] window U-values consistent with building plan and RES check Certificate
[] window and door areas consistent with building plan and RES check Certifcate
MECHAIVICAL VENTILATION ISSUES
[] residential mechanical ventilation system provides adequate ventilation per code requirements*
[] furnace efficiency is consistent with RES check Certificate or building plan
[] protection against excessive depressurization is installed per code requirements*
ENVELOPE INSULATION FOR PLAN REVIEW
[) interior basement insulation R-5 minimum (if no exterior insulation)
[ J ceilings with attics R-38 minimum or consistent with building plan and RES check Certificate
[] wall framing and insulation level is consistent with building design and RES check Certificate
INSPECTION ISSUES
CONCEALED INSULATION
Framing and Sheathing
[] wind wash barrier installed at attic edge
[] exterior wall corners framed so that insulation can be installed after exterior sheathing is installed
[] intersections of interior partition wa11s and exterior walls framed so that insulation can be installed between the
partition and exterior sheathing after exterior sheathing is installed
[] gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the
time of assembly *
Area Calculator:
Add to Window Assembly Type Quantity Width x Neight - Unit Total U-Factor SHGC Comments/
Library Name - Area Area Description
1 AND. A21 Wood Frame, Dou 5 2'-0" 2'-0" 4.00 20.00 ft2 0.330 0.320
2 AND. CW135 W�d Frame, Dou 2 2'-5" 3'-5" 8.26 16.52 ft2 0.330 0.330
3 AND. CW145 Wood Frame, Dou 2 2'-5" 4'-5" 10,67 21.34 fY2 0.330 0.330
4 MARV.CCM2860 Wood Frame, Dou 2 2'-5" 5'-1" 12.28 24.56 ft2 0.350 0.310
5 MARV.CCM7260 Wood Frame, Do 2 6'-1" 5'-1" 30.92 61.84 ft2 0.330 0.330
6 MARV. WCM366 Wood Frame, Dou 2 3'-1" 5'-1" 15.67 31.34 fY2 0.350 0.330
7 H WDW. 40x60 Wood Frame, Dou 1 3'-4" 5'-0" 16.67 16.67 ft2 0.290 0.370
8 H WDW. 33x60 Wood Frame, Dou 1 6'-1" 5'-1" 30.92 30.92 ft2 0.290 0.370
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Window Area Total: 223.19
04/21/04 04:25:36 1/1
Area Caiculator:
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���� ����������
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Door Area Total: 66.89
04121 I04 04:25:36 1 ��
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Ceiling Area Total: 1024.28
04/21/04 04:25:37 1/1
Area Calculator:
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� ���������
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m ��������
mi �■��������
m �■��������
� ��������
� �■��������
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m� ���������
mi ���������
m ���������
m ���������
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� ���������
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m ��������
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Exterior Wall Area Total: 1360.00
04/21104 04:25:38 1 /1
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�.�rr�iziL �;r �,�
: 7540 ALDEN WAY NE
: 103024120022
: ELWELLS RIVERSIDE HGHTS PL2
: LOT 5 BLOCK 3
: BUILDING
: RESIDENTIAL
: ADDITION/ALTERATION
,'/1-1Lif"/
PERMIT N .: 2004-00609
DATE ISSUED: 06/28/2004
VALUATION : $ 10,000.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE. CONSTRUCT A 36' X 6' PORCH; ROOF AND 2 FRONT COLUMNS.
APPLICANT
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY NE
FRIDLEY, MN 55432
OWNER
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY 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 work
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 provisio of9�ther state or_1 � a�aw
regulating c�sj}�cti� or t perf ce of cons`� uftio .,
Bldg
BUILDING PERMIT FEE
PLAN CHECK FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
TOTAL
. �k
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
181.25
117.81
10.00
5.00
314.06
NEw Il
ADDN j]
ALTER [ j
Construction Address: � �
CfTY OF FRIDLEY Effective �/1/2004
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
SUILDING PERMIT APPLICATION . � ��;�� 9
�
�� ��.
J`�'� � �� � /' `;
i � � , `;, �
Legal Description:
Owner Name & Address --��-� ���1����'� Tel. # 7ls��� r�`� �
Contractor. _ � �� _ MN LICENSE #
Address: � 5 � ��� ��� Tel. # ���' �b � `� 2
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LNING.AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length ,�_ Width c Height Sq. Ft
DECK AREA: �ength 3� Width �_ HgUGround Sq. Ft.
OTHER: ��7�� �Q� � �# 2 ��-� � �C3 LL.�M. N S
Construction Type: F'4�rt � e d Estimated Cost: $�� z°O4
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: � 2� � � APPLICANT: -S �� �`� �7� Tef. # ����'��Z'
CaN (763) 572-3604 for Permit Fees if mailing in app{ication. Fax to 763-571-1287 if using credit card and we witt 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
$ i(����.�
$ ll�, 3i
$ l [� . c� v
� �.a r (/ V
$ -�'
.$ -- d ._'
$
$
$
$
$
� ��
Fee Schedu{e on Reverse Side
65% ofi 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 [ ]
y �.
STIPULATIONS:
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APPROVED ANG!-IDR
� II _
!-AUGS-A� FRONT PORGH ADDITION
�54m AiDEN WAY
�RIDLEY, MN 55432
V
SCOPE
DESIGN OF A WOOD CORBEL T❑ SUPPORT A PR�P�SED PORCH R�OF. CONSTRUCTION
IS T❑ BE IN ACC�RDANCE WITH THESE DRAWINGS AND STANDARD INDUSTRY PRACTICE.
N�iES
1, THIS DOCUMENT APPLIES TO STRUCTURAL ❑NLY, REFER T❑ ARCHITECTURAL
DRAWINGS PREPARED BY JDH DESIGN FOR MORE INF�RMATION.
2. CONTRACT�R AND ARCHITECT ARE T❑ VERIFY ALL CONDITIONS, NOTIFY ENGINEER 1F
DISCREPENCIES EX1ST,
3, ALL CORBEL C�NNECTI�NS N�T NOTED ARE T❑ BE MADE WITH �/z"� LAG SCREWS
WITH A 3" MIN, EMBED.
RDOF TRUSSES —
OR HANDFRAMING
BY ❑THERS
� /
� -- 7'-3�,.+ �_
/
12 / �
5� 4,_9�.,+ -
/ �� 4'-p"±
C � �
LVL ROOF BEAM " / �
BY ❑THERS
31/2" SQUARE -
TREATED SYP �2 GRADE
❑R W�LMANIZED PSL
CORBEL MEMBER TYP,
SIMPSON TS22 STRAP EACH
S1DE ❑F TENSI�N BRACE
EXISTING CORNER FRAMING —
VERIFY SOLIDLY BL�CKED
ADD STUDS AS REQUIRED
3�„ '
MIN,
i i i i i i� n iz i r rrif� ri i i,r�. '.i-i � i i_ i,r�, :;�?
R.I 1N1 H4S fEPARED �7 dr uR UNI I< Nt [�62fCi
SUI'hRV1510N AND THAT I AU A DULY LICENSEC
I'iiU LSSIONAL ENGWEER UNDER THE LAWS OF THF
���n.i oF MINNESOTA
!������ OS/20/04 F�E� t�a 42341
�/ti t ���=..,�c�C�' (�
SHEET 1 OF 1
&�SIIlEI�LIIAL REM❑DEL
7540 ALDEN WAY
�RIDLEY, MN
f or JDH DESI
3' -0" ±
EXISTING FL�OR SYSTEM
� � - �l I�
— EXISTING (2) 2 x 4 TOP
� PLATE
�'-SIMPSON LSTA30
N�TCH RIM E�?T�M AS °EQ'D
- 2 x 4 MIN. TENSION BRACE
i
3��r �� ��
�
J
U
0
I
m
i
'-EXISTlNG 2 x 4 STUDS
`-PROVIDE (2) 2 x 4 BLOCKING
F"IRST C3) STUD SPACES
INSTALL (4) lOd TOENAILS
EACH END TYP.
�� C2> >/z"� LAG SCREWS
w/ MIN, 4'� EMBED INTO
C�RNER BLOCKING
� DETAIL
S1
��:..,,,:;��;�� ��.,: ULTEIG
204,522 ENGINEERS INC
p�oWN k3Y �
TA 5201 Enst R�ver Rond Su+te
�-�r,kro n� M+nneopol�s, MN 55421
Fnx
���
DS/20/04
CITY OF,FRIDLEY BUILDING INSPECTION
643�:UniversityAve NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
Gas Dryer
*Air Conditioning-All Sizes
� -'" � � � Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
F�
� $35.00
$10.00
JOB ADDRESS � 5� /��-1' �3 iNl��i
Totat ,�1(,t LI � hE f� U(��?'�4 D
�S-,gb Owner �i �� �
�$��= Building Used As rI �1'�l � z
$ . ESTIMATED COST� ��� PERMIT NO �GC z� ��� I.� /
$10.00 $
$10.00 $
$25.00 $ �s
i y
All Other Repairs or Alterations (List on Back)
1°� of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater on work less than $300.00
Commercial/Industrial/Institutional
1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/Industrial/Institutional
State Surcharge
TOTAL FEE
REINSPECTION FEE $50.00/HOUR
$
�
$ _50
$�v. d�
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
FILL OUT BACK StDE FOR STACK VERIFICATION ON REPt1�10EMENT FURNACE
DESCRIPTION OF FURNACE AND BURNER
# of Heating Units Circle One (Steam) (Hot Water) (Warm Air) c�
Trade Name � � Size No. D�
BTU HP EDR
Fuel �h"f QA1. �1{S Total Connected Load
Burner` T�r,a,de Name � Ii�AIV Size No.
BTU (�, C�i HP EDR
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 fact5 -
and representations stated in this application are true and correct.
G� •
FAX # Sr�//1/i � °�- � F 125'T
Approved by Rough-in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
, ,b
COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacins� an existinst furnace, 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 O
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
The existin� combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
No ( )
No ( )
xes ( ) No ( )
Yes ( ) , No ( )
;
Yes� No ( )
When installin� a new ventin� svstem, 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 Fumace
Venting Tables for fan assisted and natural draft appliances. Yes�
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 Tvpe and Size/Common Vent and Vent Connector Information
Appliance #1 Type 1=�; _N �c.e(��"�) BTU Input o0o Assist or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances t Tdal Btu Input s��
� �i,DC�� _ �
Common Vent Type D� ��_ Vent Height � Diameter �_ inches
Appliance #1 Vent Connector Height l� 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 ,
ALTERATIONS: (Describe) �
, � s ►
. -. � ./.�:.. �Ii�. %' �./,� �. - . �
/ ,l�
�
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
��GS11L' ! y �:�
ADDRESS : 7540 ALDEN WAY NE
PIN : 103024120022
LEGAL DESC : ELWELLS RIVERSIDE HGHTS PL2
: LOT 5 BLOCK 3
571-1"liS7
PERMIT • 2004-01131�
.
DATE ISSUED: 07/19/2004
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
INSTALL A FURNACE (WARM AIR, EVCON, 60,000 BTUS) AND AN AIR CONDITIONER.
# A/C LJNITS 1 # FURNACES 1
# GAS DRYERS
VALUE (FOR MINIMUM CALC)
APPLICANT
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY NE
FRIDLEY, MN 55432
OWNER
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY NE
FRIDLEY, MN 55432
0 # GAS RANGES
4000
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 wor�
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
regulating construc ion or the performance of construction.
Applican{� Date '
,R �
Bldg Insp ` ' Date I�'i �
HEATING PERMIT MINIMUM FEE
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 50262
�
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CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
s�z-36u4 r�ax:
ADDRESS : 7540 ALDEN WAY NE
PIN : 103024120022
LEGAL DESC : ELWELLS RIVERSIDE HGHTS PL2
: LOT 5 BLOCK 3
571-1ZIf7
PERMIT NO.: 2004-01571 � �
�
DATE ISSUED: 09/13/2004
PERMTT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
1;1
APPLICANT
HEIGHTS ELECTRIC INC
704 40 AVE NE
COLUMBIA HEIGHTS, MN 55421
OWNER
JEFF & NLIE, HAUGSTAD
7540 ALDEN WAY NE
FRIDLEY, MN 55432
ELEC AMP SERVICE FEE
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 6999
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 work
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
regulating construction or the performance of construction.
Applicant Date
Bldg Insp
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
30.00
0.50
30.50
ADDRESS
PIN
LEGAL DESC
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
s�z-36u4 r��:
: 7540 ALDEN WAY NE
: 103024120022
: ELWELLS RIVERSIDE HGHTS PL2
: LOT 5 BLOCK 3
571-12if7
PERMIT NO.: 2004-01780 c� � y� �
c-J
DATE ISSUED: 10/06/2004
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114-
OWNER
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY 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 work
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
regulating construcrion or the performance of construction.
Applicant Date
Bldg Insp Date
ELEC PERMIT FEE - MIN (RESI)
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 118132
S�YAKA'1'� Y�KMl'1�5 KE(�U1KED FUR WURK O"1'HER "1�HAN llE�C;K1B�ll A13UVr;.
20.00
0.50
20.50
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY PERMIT NO.: 2004-01779 � a'� �
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 10/05/2004
�631572-3604 FAX: (7631571-1287
: 7540 ALDEN WAY NE
: 103024120022
: ELWELLS RIVERSIDE HGHTS PL2
: LOT 5 BLOCK 3
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTERATION
VALUATION ,
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH.
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORPORATION
2300 TERRITORIAL RD
ST PAUL, MN 55114-
OWNER
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes nu11 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 work
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
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
ELEC PERMIT FEE - MIN (RESI)
STATE SURCHARGE, ELEC FLAT
TOTAL
PAID WITH CHECK # 118132
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
20.00
0.50
20.50
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�631572-3604 FAX: (7631571-1287
: 7540 ALDEN WAY NE
: 103024120022
: ELWELLS RIVERSIDE HGHTS PL2
: LOT 5 BLOCK 3
: ELECTRICAL
: RESIDENTIAL
: ADDTTION/ALTERATION
PERMIT NO.: 2004-02023
HATE ISSUED: 11/04/2004
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. SIX CIRCUITS.
# INSPECTIONS 2
APPLICANT
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY NE
FRIDLEY, MN 55432
OWNER
JEFF & JULIE, HAUGSTAD
7540 ALDEN WAY 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 work
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
regulating construction or the performance of construction.
Applicant Date
ELEC PERMIT FEE - MIN (RESI)
ELECTRIC FORM FEE
STATE SURCHARGE, ELEC FLAT
TOTAL
Bldg Insp Date I
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
40.00
1.00
0.50
41.50
CITY OF FRIDLEY PERMIT NO.: 2004-o2��s
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 11/29/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 7540 ALDEN WAY NE
PIN : 103024120022
LEGAL DESC : ELWELLS RIVERSIDE HGHTS PL2
: LOT 5 BLOCK 3
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 0.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A
# ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0
# NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS 1
# GAS DRYERS 0 # GAS RANGES 0
# OF NEW FIXTURES 15 VALUE (FOR MINIMUM CALC) 10000
# WATER TRMT APPLIANCES 0
APPLICANT PLBG PERMIT MINIMUM FEE 0.00
JEFF & JULIE, HAUGSTAD PLBG FIXTURES (NEW OPENINGS) 150.00
7540 ALDEN WAY NE PLBG FIXTURES (EXIST OPENINGS) 0.00
FRIDLEY, MN 55432 WATER TREATMENT APPLIANCE 0.00
WATER HEATER - ELEC 0.00
WATER HEATER - GAS 35.00
GAS RANGE FEE 0.00
OWNER GAS DRYER FEE 0.00
JEFF & JULIE, HAUGSTAD PLBG REPAIR/ALTERATIONS 0.00
7540 ALDEN WAY NE STATE SURCHARGE, PLBG FLAT 0.50
FRIDLEY, MN 55432 TOTAL 185.50
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 work
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 provision "of any other state or local law
regulating construction ar the erfo ce of construction.
Applicant Date
Bldg Insp Da
SEPARATE PERMITS RE UIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
Effective April 1, 2004
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
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"*
NO. RATE TOTAL
� i•��I
1
Gas Range"*
Gas Dryer*''
Back Flow Preventer Required ()Yes () No
Type
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$35.00
$35.00
$35.00
$10.00
$10.00
$15.00
JOB ADDRESS �5� � A L 1.�" �AY N�
j,S`D,dO 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.
3� av
Reinspection Fee $50.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance f.s 6 �
State Surcharge
TOTAL FEE
� .50
�/.��.5"D
DATE: �OV�{�/��-l— �� , 20 �4'
OWNER �J� {��G�Td-�l�
BUILDING USED AS ►`�s� �I C'�-
ESTIMATED COST �� � PERMIT NO.
PLUMBING COMPANY
SIGNED BY
Approved By
� u� n/,�
�
� .� %� �I'
Rough-In Date Final Date
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE
,
.
Building .
�
Inspections
763-572-3604
763-502-4977 FAX
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-1-08
Permit No. � � —
Received By:
Date Rec'd"� � .
DATE ��� I t aC� YOUR E-MAIL ADDRESS _�(�- � LC Y 1'C��.C�9 S'�J( ��d I�I��' I �. C�P�1
SIT'E ADDRESS �L4a �L,D��LJ '�f/kY l�I�
THIS APPLICANT IS: �OWNER ❑CONTRACTOR
PROPERTY OWNER/ NAME: � �F �-�-iN.IGS'Ti� �r1�
TENANT ,�pDRESS: �S4d �_N �%p`� N�- CITY ��( D L�Y STATtT n� ZIP ���"3Z
PHONE: �3° �SIC"G�' � Z
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY,
PHONE
STATE LICENSE #
FAX
PROPERTY TYPE �SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORfES
PERMIT TYPE
STATE ZIP
EXP DATE
�ADD[TION ❑ GARAGE/SHED ❑ WINllUWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
� SWIMMING POOL
TYPE OF WORK: I❑ NEW HOME CONSTRUCTION �.ADDTTION
❑ MAINTENANCEIREPAIR ❑ REMODELING
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
ROOFING
NUMBER OF SQUARES �
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
WINDOWS
IN EXISTiNG OPENINGS ❑Yes ❑No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
LENGTH I Z'^
❑ HOUSE ONLY P�(2Lld ONL1�
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
�
HEIGHT � �'d��
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
� ` ri
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑Soffit ADDITIONS_ & PORCHES SUBMIT:
C] Trim 1. Site Plan/Survey showing the existing structures
❑ Fascia and proposed project.
2. Two sets of construction plans
3. Energy Caiculations
LOCATION OF WINDOWS
NUMBER OF
ALL FEES ARE BASED ON VALUATION, INCLUDING TFIE COST OF LABOR AND MATERIALS:
(USING THE 1997 UBC FEE SCHEDULE) '
TOTAL JOB VALUATION $ S� -) Q� 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
$ o. ,� 65% of Building Permit Fee
$ '�C'Y .001 times the tota) 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
$ .-�y-�— Agreement necessary ( ) Non Necessary ( )
$ �� ,'y-'� Make checks pa_yable 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 und stand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in acc e ith oved pl in e of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME �� H�(�CC7S DATE b�� �
, . . . • � : � / ,tl,././���.��f� � .
�
E
� a
GRAY - ORIGINAL STRUCTURE
BLUE - PHASE I - �OMPLETE
RED - PHASE II - NEW
V
12
`� 4
2xiQ RAFTERS � 24" O.C.
FUT��!RE MUDROOf�� - PLP,t.IS TO BE
SUBIJ�I�TED @ FUTUFE C�ATE
LANDING
-------------------------
FU � U�E MUDROOP�� FLOOR
-------------------
~ ii TEMP-- ��------`
. � � RAMP i i
II II
II ii
, II II ,
t�iST. �'•.�.,�'i�.
E;�i°iA�J:�T � Air�
;��T:��� L��.!r:.�
CONSTRUCTION DOCUMENT
i
•
� � PROPOSED NORTH ENTRY SECTiON
A 8 � � 5��: 3,8�_,�_o.
� aooinoN oESCa Fa�:
� JEFF AND ,lUUE HAUGSTAO RESIQENCE
; 7540 A�DEN WAY
� FRIDLEY, MN 55432
2'-0"
ASPHALT SHNGL. — GAF 17MBERLINE UITRA —
40 YEAR ARCH{TECitSftAl — MATCM EX4SSING
30� FELT
ICE & WATER SHIELD {2-36" COURSES)
15/32" MIN. OSB SHTHG. W/ STND. SEAM CLIP`.
2x1D RAFTERS � 24" O.C.
(2} 2x10 BEAM ANCHOR TO POSTS `MTH BOLTS
ix4 SMOOTH FASCIA TRIM
1x8 SMOOTH CEDAR FASCIA
2x6 SUB FASCIA
TYP. POST & FTG.
6x6 TRTD POSTS W/ APPRV'D CONC. ANCHORS
16x16 POUREO CONC. PIER/FOOTINGS
� .�
1'-4"
��«
I ;I� !^,�- r / � '
,_��%, ��, � �.���ti
7540 AIDEN WAY
FRIDLEY, MN 55432
PHONE: 753-586—OQ92
r
.
. GRAY
BLUE
RED
ORlG(NAL STRUCTURE
PHASE I - COMPLETE
PHASE II - NEW
.
4
� � : ' �-� l ; I-�J i ; i :: -
�' I i � � i..
�-�
—�I � I _
I
�
I
l�► : ::
_ EXIST.r,�WATER FAUCET
TEM P
RAMF
EXfST. FURN. �RESH AfR
lNTAKE AND EXHRUST
TllRE \MUDROOM FL
� UTURE NUDROOPJ� WILL I�E�UIRE RELOCATION OF
FURNF�CE LINES, `vV�,TER �AtJf�E �, ?�c GAS I�E iER
P�;�NS TG Bt SUBMITTED @ FUTIJRE DATE.
LEA`✓E IN PRESEI`dT LCCATION UI`J?IL TH.A? TINIE.
CQNSTRUCTION DOCUMENT
A7
PROPOSED NORTH ENTRY SECTfON
s�w.F: 3ia�=, •—o-
JEFF ANQ JULIE HkUGSTAO RESIDENGE
7540 ALDEN WAY
FRIDLEY, MN 55432
�� ;:� �������! -n
�f!- ✓� 'i!�I`.t
7540 ALDEN WAY
FRIDLEY, MN 55432
PHOSVE: 7&3-S86-C1092
• � I ___ � I a/c I GRAY - QRIGlNAL STRUCTURE
�� BLUE - PHASE I - CaMPLETE
� RED - PH�,SE II - NEW '
��; ( J i I;;' I
i ! � �j A� A1
,,-,j r ,j' li
I � '"-i �- -�
- 'Til
:. �
�. �.
, ___ , „ III
12 -0 �
: _ _ II �
__ _ Q ���
�
J GARBAGE
- v CONTAWER i ��- � III A2 �I
t: ,_� ��4 -�, � F��,TURE MUDR�,�M _
� III °�
� N►II�'
ALIGN END OF BEAM A80VE m III
UP 2 R. W/ FACE OF EXIST. ° ���
PORCH RAFTER j�!
���r'�t�'. �7��t t �
�A8
I
� --- — — --- ---�--------W
-�� -,- 11" TPDS j °
I
i � 4 I �
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__ ____ ___
� 4 R. �
' �. , . I 3' - 9 5 /8't
� j ' l�.P 3 R. �
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�
� I
y ;
�, , x, i SH OP
;, ,� ,
2 R. �
A7 i
EXISTING PORCH � , )
___`_ _______ROOF LINES ASOVE��1�
CONSTRUCTION DO�UMENT
A O
�� I�IURTH ENTRY PLAN ,_i�%��i �i'��ji�I`�
A 5 � � SCAIE 3/B"=1'-0"
g noomoN oESicn Foa: 7540 ALDEN WAY
8 ,lEFF AND JULtE HAUGSTAD RESfOENCE FRIDLEY, MN 55432
A 7540 RIDEN WAY
� FRIDLEY, MN 55432 PH�E: 763-58s—oo92
�
1
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