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AF - 34872� n n City of Fridley, Minn. BUILDING PERIVIIT �.�: u� . •.• � N° 1011 � py�; R. 0. Lin.dwal l g�� �Q Ad�re� �. a � den W�,� �T �. Ad� �� ^�-n=a�rr�e3.rRFei�� ---- LOCATION OF BUILDIIdG lvo. ��`�1L— siaeet ? � aen wav �T.,. T. _ �art of I�ot Lot 2 _ Slock 3 Additton or Sub-Divisian .�-+J-wells Rivex Heighta _'?� �,�G_ 2 Corner Lot ._ Inside Lot X. �tback Sideyard sewer IIevattam .�4.°� . 67 , &.53�}.2 Top of Footing DESCRIPTION OF BUILDING To be vaed as: Dwelling �t �pt De� �,25! xe��t .2.G? .r sqt. Ft. _.8q.ar ca Ft 218q.�. �ttaeh�d GarageFromt —24'-- Depth �.22! i�eight _10' Sti• Fw �?-8— Cu. Fi -�2$,Q— Type of Canstructton Fr�-me. F�t. Cost —��.T;�DA� To be C�npleted duly�:, �—.�— SE4ilER LOCATION: 64� South of Manhole �' Deep WgTER LOCATION: 75' South of Manhole In camsideration oP the issuance to me of a pernnit to camsiruct the buildt� descrii�ed abrn►e I agree to do the F�P� work ffi acxordance with the descrlption above Porth aad a ce wi e�l provIsions of o�inanc�es of the dty of Fridley. �/,� 9 �� $100.�0 Sewer Connection Ch�. _ Ia �msdderatton of the payment of a fee of $� �- o� :�t fs Ilereby granted tc1�0 s T.i � wa.l l to canstruct the buildfug or adc7ition aa dacribed above. Thispermit i8 granted nEwn the expr� condit[an that theperson to whom it is granted and his agents. emPloyees an� workmen, ffi all work dane in, ara�md arnd upan said bnil� or any thereo� ahall c�offia�m ia aII r�pects 1� the orainaaces of ara m Fridley, P2innesota lxa+ion, on„ atteration, maintenance, repair aaa. movin� of builain,�s wi�� dty limits��i� � permit may be revoked at any ti�ne upa� vlolatian oP a�► of the p�ovlslona of eaid � � �� Hank Muhic Building Official aonc� 11d. penadr aoe. no� �er t6s e�trn�, � ter �rMee. Pu�e. e� �, •w�n� er .rah. e. .oro te .e. da B� 1� ior aparab p�tb hr t6�s (t�m. � F .,� q a � r � ,� �. APPLICATION FOR BIIILDING PII�MIT CZTY OF FHIDLEY, P�IINNffiOTg � a� i S� c� �1��.�4 o�,�i,�o �s 5 LOCATION OF BITILDII�G xo. �1 � � v s� �� �r e� � - � �, 4.�.er.�� � �� 0 LOT �.... BLOCg � ADDITION UE SIIBDIFISION,��C� � CQR'� LOT INSIDE LOT�i ,_SEI'BA�E 3IDEXABD _ SE� EI,EV�TI01� TOP OF FOQTING Applioant attech to thie form Two Certifioatee of 3urveay of �t and groposed building location drawn on th6s3 Certificates. D�r:RIPTION OF �IIIaDING To Be IIeed Ae: � �o�.t 3 � nept� �' � ���nt �� Square feet 6�� Cubic Feet ���;�_ ����� Front Depth„� �_Hei�ht y�= �quare feet + Cubic Feet � `� �` � Type of Construction � 1' Estimated Coet � I��� � To Be Completed �`,.x�u �, 1 ci The uadersigned hereb��akes applioation for a permit for the work herein epecified� agreeing to do all work in Btrict aacordance with the City of F'ridley Ordinanoee and rulin�e of th� Depastment of Building�a. and hereby deolarea that all the fe.cts and in�rreeen�ationa stated in this applicatian ase true ,�nd correate ^ �_ DATE (3ehedule of Fee Coete csan be fourid on the 8everee Sideo) � 1 �l� � .: _ �. � �I � R �F / � �' �"r �, � � � � �� a S � �-e � ��� � _. .,.,_. � �UILDING PF,RNIIT FEP SC�ULE SF�CTION 2o The Inepeator of Buildings ehall, before iaeuirig peraits for the- erection of any building or +structure, or for �.ny addition to any ex3.etin�'- struat�a�e -c� _building, or for any alteration or repaire to R,ny eaisting buildiag or structure, upon application thereforea require the pe.yment_b�r the a�plioant-for auah psrmit of feee to the amount herein below set forth anc3 in the manner herein p�ovided to-wit: IIniform Buildix� Code o Type 1, 2, 8a 4-=10 75 for each one thoueand. aubio feet, or fraction thereof, in auch�cubiaal c�ntente. Type 3� 5- _�le5o for each one.thouesad cubia feete _. For the purpoee of computing fees.for building permite, the cubical coriteute of any building or addition to a uniform he' t throughout by multiplying the ground area covered from a point eis�6) inches below the �loor line of the baeement or the cellar to the average height of �he upper aurfaae or to the average height of the roof surface of the main gable of a pitahed roof. �ox re�aiacs or e,ltere.tionas to an euisting structure, the fee ehall be at the rate of $3.00 per each iive hundred dollars (=500.00) or fraction thQreof in the cost of all proposed worke In no caee sha.11 the fee charged for an�r permit ae set forth in Section 2 be le�s tnan 85000a NSSSI) Coanectiorr Charg�ee based on location - Area 1 or 2. � ...��, s � c�l �� �� y _� �� � �1 �' � _ �- � �- � �. -� �� f � � (, z �-�� ��. �� � � � � ,.� -� �� � � . 5��� ,�` ` ; � �� � ,� �� _ � � � I � ��� �y��� � � � � , `� d_ V. , � � _ . , :y � '�"' � g..0 � .._. �',:-�. . . ...,, i"k i..�y,� . - • _ r. � . , .. . �:� � . . 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' -' -t"�'�;', .`?"� _ � . . �� � , �� � -- � ���,�� �.-� �� , ;� �, ,�-� - J � � � � `y ���'�/ . � � �� , � �� �-� , . .�.. �..,.� � _..�...� . �.. - `-'`� "`�" (�� ;� 7 ) ��—'" I -. � f q-,�—�,t_..a.�� `�` -- � 4. � �, �1 ; �j' � _ �. � e�- � , v ' � �. ; .j �� ? �� c �, � �-=�' � II �. J `.1 � � � J � "+ t. � ! � .y � s � �• � �_ E7�TERIOR ENVELOPE AVERAGE "U" COM�UTATIONS (to be snbmitted with building permit applications) Oae or two f ami ly dwe 11 ing�_ Contra ctor � - S k1 All other construction Site Address Dat• �' �Z=�7% Phone Other�� �'�1-1- `�OZ �� .�, . _..__ LINEAL FT. OF EXPOSED WALL Cs�C�•O X IS •�4' FT, ABOVE GRADE= °�ZD .�°6 TOTAL EXPOSED WALL AREA SQ. FT. � OPAQUE WALL CONSTRUCTION: "U" value x area � Q�� Ga�K Pa�•K— ��U�tp,pi x sq. Detail ��C=2��o� '��'U" o.o x Sq. reference �� - \�—�'"U"o. � x sq. from _�• o �2rr.. ,4�i.�-""U"o��2 _x sq. attached ��U�' x sq. sheets ��v ��--- x sq . ._....._ uU�� x sq. �� "U��w 7C gc�. WINDOWS :"U" va lue x area w E.�q-r'y Ep_ SN� c-�-� Make & type �rri-!- � vv Sc, �. "U" �. 54 x s q. 11 H w S'� IIU 11 ���• -- __�___x s q . N n r+rt t� 'Ocl. "U "o`S3 —x s q. u n , ��.._. �� -- nU i� X s q. n r� i�V n_'..."— x eq . �� t� nU n_'_" X 8 q. u a nU���"_"' X sq. i� u ��U��— eq. _.._,_ f t• OZ•- a G�' i`�6 f t . _�—� f t. C�� 59 = 3� ft.�i•2> _ �h.� ft. _ ft. _ ft. _ f t . 4�,9'Z = 2C� �Z ft• �-SCo = 3�5� f t. bo . � _��� O ft. � ft. _ ft. - ft. _ DOORS :"U" va lue x area -('u�,�n, MBke &' type 3° • �'U"�o.� � x#q. ft. 2v.v l a l.�Z �._� ._. a u S►n� C�;-�. ��U��o,lo x sq. ft. �.� = d,�� u n _" , i�U ii � � ----- _ ,_ f _ � �. -- - `�' . ,.. �� __ _ - ��U��""— � $q. ft'. _ � . . , r. �.. n n �� �i q f t: �. �r �� �iU �i_."�' X s . «_�_ ,.� U�„��..,,,X " sq . f t, a (U) (A) (U) (A)a (U) (A) `U,(A, u (A� U (A) (U)(A) (U) (A) (U)(A) (U (A} (U (A (U (A� Cv) �Ai (U)(A) (U)(A) (U)fA (U}(A TOTALS °�ZO ,5°b Sq.Ft. I1�.02 (U)(A) TOTAL (U)(A) VALUES DIVIDED BY ���' � _�,115167 AVG, "U" TOTAL WALL AREA c�� ...,,�a ���. d, �-� � ROOF/CEILING : .�r � � TOTAL AREA: sq. ft. ' o.ogz Det8i1 GEtL► r•t L.. d` � "U"�x sq."� f t. 44( .d = I� .52 (U) (A) reference —lo o m�]. "U" o� x sq. ft. 4�,0 = z. (U)(A) ..� ._ _ from nUn x sq. ft. _-zo.�,-z �U)iA) attached E«..�NC.. Z "U" ��x sq. ft. Z3 = kz.g3 (U)(A} she�t8 1o/c, �'tt �'U��U.O x sq. ft. 2G.Co = i�L? {U)(A) , z4�.o �a.ss� � TOTAIS Sq.Ft._ (U)(A) TOTAL (U) (A} VALUES DIVIDED BY Zo• g� = AVG. "U" �` �� a�o� TOTAL �OOF/CEILING AREA 4ait� � '���°�' ¢ " �Z-� c�, i TOTAL ENVELOPE CALCULATION METHOD ( 4�SS '' D�bS�� �V �' •,� V'` .-- DESIGN: Z��•� WALIS = 0,1 � x TOTAL �+TALL AREA =. ROOF/ = S•05 X TOTAL ROOF/CEZLING AREA = CEILING ' ACTUAL: WALLS x a ROOF/CEILING x � ACTUAL -� DESIGN ��� ,% � r, . � TOTAL . .. . _ .�. _ ,� ._....�.�....._.�._.... . a � �'' � �-; ��?7 -- o0 2. `' FRAMING:ADJUSTMENT FOR OPAQUE WALL �� 1� 16", O.C. CONSTAUCTION ' �-7� 24t' 0. C. `.:FOUNDAT ON ;; WALL , . � UNDERSiDE O � �i - ROOF/CEILIN � •�• J�_ ROOF/CE; 1 ?_ . 3 4 5 6 7 8 9 10 12 I2 13` I4 15 16 17 18 19 20 21 ° R-VALUE; , ;:�:, �.;- ;. ,. ��U�• o� o� . z2 22 INTERIOR AIR FILM 0.92 2 3 ,_._.._, �..... '.. za . 24 2 5 T OR A R I '�`�` . . TOTAL R � uUn .. z 26 EXTEFtIOR AIR FILM ST' 0 6- z7 ?..7 O'� w 1d� 2.2 1� 22.00 ? � � �� p. 29 IKTERIOR A R F�LM . 29 TOTAL R,��? 3�a 1 rtUt� cg�, p,42�!' w ��� , . 30 EXTERIQR AIR FILM 0.17 s� 31 .� , . _� 32 ,'!�_�o��n �Ksv� 4.i� �, � 33 1" p�. o� sy7 a. � 34AR PAC L . � � 35 3��Zn ,f. �►ativ�.' Il•oo 36 �� �. � 37 37 OR A TOTAL R- �= ptT� . d S SUBJECT P � � City of Fridley 1432 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T. i i. RECfIPT NO. � • COMMUNITY DEVELOPMENT DIV. � �ti. ------� r � � PROTECTIVE INSPECTION SEC. 1 � � �` /���1 � CITY HALL FRIDLE� 55432 NUbIBER REV. DATE � PAOE OF APPROVED BY � L••«'�'� ,•� 812-580-3450 910-F15 8/25/77 � � JOB ADDRESS 7580 Alden Way N.E. 1 LE(iAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 2 3 Elwell's Rinersida Heights Plat 2 SMEET 2 PROPERTY OWNER MAIL ADDflESS ZIP PHONE R�ert J. McAc]am 7580 Aldeu Way N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSf NO. .S�@ 4 ARCHITECTORDESIONER MAlLADDRE3S ZIP PHONE 610ENSEaVO. 5 ENdINEER MAILADDRESS ZIP PHONE LICENSENO. B USE OF BUILDINO Residential 7 CLASS OF WORK 0 NEW Q ADDITION ❑ ALTERATION 0 REPAIR � MOdE ❑ REMOVE 8 DE3CRt8E WORK Construct a 16' x 28' Addition onto dhrelling 9 CHANdE OF USE FROM TO • STIPULATIONS Owner to provide copy of plans within 10 days for City files. D F.QR WfR�f�G, V'�ARNIHG SEPERATE PERMITS REQIN� _ Be�ore. chg�in� c�lt l�ca1 ut�Itttes HEATING� PlUM81N�G AND SlGNS. '� TEI.EPHat�E-�L�Ci�tC-GAS�tc. .. � REQl3�R�� �Y �� SEPARATE PERMITS ARE RE4UIRED FOR EIECTRICAL, PLUMBING, HEATIN(i, TMPE OF CONS7. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOO� Fr�ffi�-' THIB PERMIT BECOMES NULL AND VOID IF WORK- OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAY3, OA IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 4�8 12�5� ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN�D THIS APPLICATION l STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINAIdCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE (3RANTINO OF A PERMIT $22, 265 5�.1..�.3 DOES fdOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW Rf(iULATIN CON- STRUCTIO OR THE RFORMANCE OF CONSTRU N. $SO.I.S NONE � PLAN CHECK FEE TOTAL FEE . , ��^ ?% $12 e 54 $73.85 SIGNATUREOFCON RORAUTH IZEDnGENr IDATEI WHEN PROPERLY VALIDRTEO THIS IS YOUR PERfiAIT k� _ _ S�ONATURE OF OWNERIIF CWNER BUILOER� IDATEI e BLDG iNSP DA7E 7 � .� � � ccaA�o �' COTNL i� - � � 4,�h�.61:!:c AVE '. ` � �� � a� � ���� • NArMOMO� A ►i4$Cq . . . �"1 A t I F !y �ili � �L ✓ �'� v �+►�` I,A\U �l'H\'F:l'()K.� ' �7or v :��� ��. ' bR � �.�,� 8L'Q18'fEBED IIIdDE$ LAWB OF STATE OP ffi1XNE80TA LICEH8ED BY OADI�ANCR OF CI?Y OP MINI�TEApp7.Ig 6917 (dahn 4�r. \. ' r�.99.�. , �i�nnrapoJi., llinn� w��a �'�t2A ' - ,s. l..�!�tAL C..)M6:N�N ...�: .; -_,�,.pAFM,r�: �urbeporg �erttficate _ � .:.-:k� r.,A.� �a .�.� . ,, ..` �t� c��tt�NG 'ANG :4k�,;.....r, rxrt.:�.,�� , •,, b+E.'pn�(?L,•�'� AREA surv�er Pari: T--- ....._� � � . e�r � n+c. ��/A�p �54g - � Lat 2, 31ock 3, "�lseil�s Riverside iiai�hts Plat 2 , ,.�•,.. �;rf � •.Ve •nd .o��ecl reprofenfa- ' ' , �. �� � "d�'•�� o( 1he •bore described ' b` ��•�9� s^d •iti�lp eneroavb. 0' i 9 • �' �� � r' � Y ? � .� � ; f! h' � s� � _. �-'�-�''1�' !' • �/-5-.' ;�C e , �1 - ----- . ._.._. __._____. _ ----•'. - . IAT SUR EYS CQ111P.�2YY _. _ _. _ _. � . ... tr D �i _. L - ' \ . j� �li� cl�y a� �klnt� • 1 1 � +� ,' � APPLICATION FOR RESIDEMTIAL BUIE.DING PERF�IITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) , I , � �i � _ : �OWtdER: vc � BUILDER: . Address: �� ���� Address: �_' � � 0 . �.:_ ��yo ���t: Tel. No.: _ ``tl� ` ��� _ _ I,OT: __ � BIACY.: � 11DDITION: ��,,.o� � � � �� , CORNER LOT: INSIDE I,OT: _� g�gA�; SIDEYARUS /�� ���� � f Applicant attach 'to this fozm �vo Certificates of Survey of Lot and proposed building location drawn on these Certificates. . DESCRIPTION OF BUILDING To Be Used As: • �� / � De th : ,� ��s (v�/ Front: p �' � � Height: � Square Feet: �_ y�j Cubie Feet: !� ,S`�� Front: Depth: � Height: e � Square Feet: Cubic Feet: Type of Construction: ��`�� � Est3mated Cost: $ � Zb Be Cc�mpl.eted: li°li�.� � . . � °�� ��'�• Alt. A Alt. B � � Proposed Driveway Width I£ 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 with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional inforn�ation. '�— � nA�: �'''��3—%% sic�p,�: Stipulations: 1. ��-� �`�`�`�'`��,:�,:, ,�Q-�/I��- C !/ U �,�r � S) - , . �l o � J J � , d /6x Z�i� �B�=.la��'Y�� 3 � z ygs/5�x ��/irr = .So . /� 1�'� ,,�, ,/,� l � . �''S� �G . _�%ea� �/ , i 3 � ��. o ��s � � y . ��� .. � � - � B�IILDItdG PERt�7IT FE� SCH�DULE � , '� shall, bcfore issui.ng pc�its for the erection CC��� p� I3uildir�ys t0 Y�{isting buildinq or stru��a.�re. � addit�on an U OA aPP�icatic;n or fer atiY bui�.clinq or structure. P ount �stxucturc, �isting �it o£ �ees to tihe 2m►. ,on or rcpairs to anY � by �� applicant for such p� the PaYr°�' e manner herein provideci to-wit: . ►rth and in � • -- ., ,.�n �,�bic feet.. 6ingle Fam11Y ��e3 and Garages s �' . ��, -. - hcent of buildin9 Pe�l� fee. p; (Concrete Curb Streets Onlyilacement o� �oncrete curb and Removal and rD iveway widtl� Plus 6 feet x$1�.75 Alterriate A� gu�ter only; ! oval. and replacement of aoncrete roabhawa� A].ternate B: R�n► � foot wide aPP 40 gutter and install a 3 Wi�� P�us 6£eet x$15• • g inch depth; Driveway . ' ADDITIONAL F 4 IO � � � , rmits. the cubical contents o£ any -; �omputing fees for building Pe �e ground area coverea flom a � -�on, is determined by mu].tiplying t� cellar to the u��=�7 inches below the f1o°r line of the basemehe ght of the roof surface point si.x (6) er surface or to the averag average heights of the upp of the main g�le of a pitched roof . airs or alterations to an exi.sting structure, the fee shall be at the rate For rep 500.00) or fraction thereof in the cost I pf $3.00 �er each five hundred dollars ($ ' of all propased work. , ed for any Permit as set forth in 5ection 2 be less In-no case shall the fee charg � than $7.50 plus $.50 state surcharge. . EV RLF:CeT1�iJ OF FOU�nATI(}N _ � NOTE: Pexmits for construction�will be issued a minimuma structureSand of�thet�e of application to allow for proper review of the pro� construci:ion site. ' A Certificate of Survey of the lot, showinq the location of the foundation oncc: it has been constructed will be required before proceeding with the framing. . , � � :\ Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and sai.d stru�ture shall not be aised or occupied until a Certificate.of Occupancy has been issued. • . � r- . .� ,. � _ • � � z r b o � 0 0 •.x � 0 � � � � � � � b � r �� � � � � .� � � ^ � � � � � � � � � � O ��+a `� � o M o AC �p� �' � � � � o � O �W it ►�'+ Q �j � m O M�tl � ro om m � o r b' �n �i c� ea,► °' � ° M � �o � � �"' o � � r �e m � H � M � i O � � 'H C � oC � N �� � o a ro � � n o o � � � � � -o ro z ;° ° �' `� � -�—I A � � � Q o W N •-.� � � �� .. � . � m n . x � W o e 1 I I I ( I I I I Ot tt Ot OC a6 DI k Ot Df OC Ot 91 � - +n a� {n r. vi tn v� +n r� r vi tn y tA +n �v �n o r w • in �n v o�n v+ N n� w o° °o °o o° o °o o° °o 0 0° °o °o °o °o `3 tef • � � �� � �� � o � \ , � � � a � o� � � � W v � �' to O � b � .h�D � � .� a � � � �W m , V � � ��� � ��y 0 � r . c � M � � � W M r � � � . � � � � � G � 1 � � d c � � y � � � � � o K � ►1 � � ,� � M � �' Storiea • ar � a a n e a x � � closets � ,� � Ul1Y��8iB iY m � � � Hath 11�bs m � �" Haeine 0 a � s�lnks $ � Wd3�] �1`rSy$ � � Drinkinq ,Q Fountaias Showete Pioor ur � Catch � Basias � Automatic E Washer �'` Gae Appl. � Miec. Fixt a t�DA G8s R8s1gB � � �� � W� K� � � O � � g � � � � � ZC7 � ��'� � ��� � MM F�m n �w� viro �� aa ��� m m k w►�►� a�m� °�p�� M �� � w ��� � � o� m o�� N � ~ � W � � ��� r► m � � � r � � � R � - M � r � � � � � �� �Q M d p °n��'� \ O � � � 1 � ��K � �m°� � ���� 8��� � m O b' � 0 m ��� (�� \J � \ \ a% r � v r�'" .-� A -�1 O Z '11 • O � -� E �' 3 —~�1 b0 -�G Z �� � e� �� A t7 N �'T1 � � � -� m• � � � � � � � N � N J � 0 a tn � � 0 H e� � 'O � ro � � ~ � � �o � � � � ~ � � � � � m u iA � ro . � �� r ,d o �O O H °z � � � � � C'� Cly � 1�i � � O � � �aF�''z°, y � � c $° �w o� rororo � O M �-r d �p', � f..� �,,, t�rJ �D � � n � ri � � � � � � 2:Z7;H �WctZ �o7d n Sd oOeQ+ m U� G� G� �r � G� rD I �" I p' ��' m fh ��� ,�„ ,.m� ,.cn� � � � ,� � � r`' a 5� a �t a � � rt o °w' �. 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I �I ��!I O \ � � � o �' � C H 4,Z� a D- I I.� � IA � tn �P J �l �P !F7 00000 00000 v� tn v� ai v� J 0 0 R Cf7 � n � � �°�'�° f+ z ro�b� � r �m �° a a ��� � � � � � � � � � � ���� � � K i m � � � b ° r' �� x � �y rn N �o n 0 o s °o � t� �a.�+�N y 000o t� 0000 t� tn v► tn 0 I, r ►�w �, '��'� ��� � "�� '.7 W lp � y �h� P p' tD p� m� 1 P{ ft b O N I�+ V�i F+ M �"'�� °� � m w �' � �b�" � � �. ° � m ����. k � � ~ 0 FW- WM� �O `C 'J � �+ 1� � W � ��m � � ���� rom m rt � w � n M � o��� ' ��'�� v ��iTM � W � � 0 m � � W � 8 n �' �' � �� � �� '���� � m. 0 � � m � � � � � � � v r� A D -i O a O � O E m � Ts � � Z n -�i O tI� a a � � a m «. a � � z � �' N 3 O cn r e �' m rn C n � m � , � -� . 0 z � [i7 '11 � � m a -� O a� a z d c-� � 0 -n '7'1 � t7 � SUBJECT PE . �, City of Fridley 217 9 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i i. NO. � • COMMUNITY DEVELOPMENT OIV. � � � � ' j L �"��', r � � PROTECTIVE INSPECTION SEC. 1 i � � �"'1 � CITY HALL FRIDLE� SS43P NUMBER REV. OATE PAGE OF APPROVED BY �'""'� � ,�� 612-571-3450 910-Ft 5 4/16/�3 / / JOB AODRESS 7580 Alden l�Tay NE t LEGAL �OT NO. BLOCK TRACT OH ADOITION SEE ATTACHED DESCR. 2 3 Elatells River Heights Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHOPIE Robert McAdam 7580 Alden Way NE 571-9692 3 CONTRACTOR MAII ADDRESS � Z�P PHONE LICENSE NO. Landmark Inc. 7580 Alden Way NE 571�09�.7. 1125 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS 21P PFIONE LICENSE NO. 6 USE OF BUILDING R@�alC�iPSl't18�. 7 CIASS OF WORK O NEW � ADDITION � ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside, k�..tchen xeulQd.el; . �loox'ing; sheetrack. 9 CHANt3E OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY 6ROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOH ELECTRICAL, PLUMBIN(i, HEATINd, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES 1VULL AND VOID IF WORK OR CONSTRUCTION ZONINd SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS 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 OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $lO QO:O� $S a OQ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT r DOES NOT PRESUME TO GIVE AUTHORITY TO YIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $117.OQ �''lx@ .SC $�.O..00 STRUCTIO OR THE PERFORMANCE OF CONST ION. ,� PLAN CHECK FEE TOTAL FEE '� 13cense SC .$5, QO $137 L OQ SIGNATURE OF C RACT - R AUTHOFiIZED AGENT (OATEI EN P OP LY V ID D THIS IS YOUR PERMIT/y � b � // _ / � S�GNATUREOFOWNERiiFpWNERBWLDERi �DATEi " DG �NSP ria7E � Cl ADDN [ ] ALTER [ ] Construction Address: Legal I�cription: _ Owuer Name & ' dd Contractor: Address: %�/.�' LIVING AREA: GARAGE A1rEA: DECK AREA: OTHER: err�r oF ��Y SINGLE FAMIGY AND DUPLEXES R-1 AND R 2 Building Permit Application Effeetive 1l1/93 ���q z - � �� Tel. # �/`��'� �' � � , - MN LICENSE # %/s2,� Tel. # o �,�...0 �9'% Ad�+ch to this ap�ilication, a Certific� of Survey of the lot, with the propased construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT ' Length ,,�e� Width � Height � Sq. Ft. _���� L,ength � Width Height Sq. Ft �� Width . HgtlGround Sq. Ft. , � <, sJ� - r i . ��.e�.,9 - �-1-i `t°�% �. U Ca.1l �.� - �GnD.�'I�itJCo Comer Lot j] Iaside Lot Fi. Yd Setback Side Yard Setbacks Type of Consttvction: Estimat,ed Cost: $ /�� O�- G� Approx. Completion Date: ��/ °°-�� . (Cost on Back) Driveway Curb Cut �dth N�ded: Ft + 6 Ft =. Ft x$ _$, � DATE: �%� "��' APPLICANT: ,.� � '=� Tet. # /��/ CITY iJSE UNLY c� Permit Fee $ � r 7 Fire Surcharge $ ���— State Surcharge $ 5 `°°i SAC Charge $ License Surcharge $ � Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIUATS: $ /.3 % � Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOti�%) $.50/S1,a10 Valuation $750 per SAC Unit $5.� (State Licensed Residential Contractors) Alt "A" or Alt_ "B" Above . F� Determine�i bY Engineering Agreement Ne�essary [ ] Not Nece.ssary [ ] . . BUII.DIN(i PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pe�mits for die �ion of aay building or stiuc,t�re, or for airy addition to a�y existing bailding or stcucb�re, or for any alt,�ation or repair to any existing bnilding or stivcture, upon aPPlicatioa the�efore, r�oquire d�e �Ym� �?Y � aPPlic�ant for such permit of fees to the amouat henein below s� forth and in the a�anaar h�+ein pmvided to-wiC TOTAL VALUE $1 to $500 - $501 i�� $15 (Minimum Fee is $15 pins s�nr,�rge) to �$Z,O� �$15 for first $�0 pins $2 for each ad�ditio�l $100 or frac�ion thereof, �to and including $2,000 $2,001 to $?5,000 $25;001 �o $50,000 ' $50,001 to $1�,000 $100,001� to $500,000 $500,001 to $1,000,0�� $1,(�4,001 and up . $45 for first $2,000 plus $9 for �each �dditional $1;000 or frac�ion thereof, to and including $25,000 . $252 �fot �f�rst� $25,(�0 pl�s $6.50 for each additional $1;000 � or fiar,tion �eof, to. and idcluding $50,000 $4,14.50 for first $50,0� plus $4.50 for �ch additional $1,000 or fraction the,reof; to .and including $t00,0� $b39.50 for 5r� $i�,000 plus �$3.50 for e�ach additional � $1,000 or fcaction th�eof, to and iacluding -$500,000 $2039.� for the ftrst $500,OOQ plus $3 f� each additional �1,000 or fraction thereof, tu and including $1,�Q,000 $3539.SU for the first �1,OQ0,000 plus $2 for each additional $1,000 or frac�ion �th�eof - DRIVEWAY DEPRESSION ESCROW (Concrete � Curb Stre�ts Only) Alternate "A": Removal and replaceme� of curb and gutter only - Driveway width plus �6 fe� times $13.50. " . Alteanate "B": Removal and replaceme� of curb and gutter and in�tall a 3 foot wide. .approach witfi 6 iach depth - Driveway wi�fi plus 6 feet times $15.75. VERiFICATION OF FOUNDATION Permits for coastruction will be issved a minimum of 24 hours from the time of application to allow for proper review of die proposed struc�ttue and of tt� coastruction site. . A Certificat;e of Survey of the 1�, showing the location of the foundation once it has it t�s been coa�tructed will be required before pmc�eding with the framing. . r� -- �, � ?'. m +� z � Q � � a m ��-,• � O N � z N �� m -« � m � � � O V rt O � � O �' � 2 � a' � � � t0 ,II . Q � '� � � � � � o fD � � -�--�----- . � r+ 3 0 c � a v Z7 0 < � n. . W � �--- - - O C Q�2 � � v c� f�D °n • � rn � �� � � N C�D � _ � z � � C� � o `�o� p� � < °-' N � tD Q. °, M, D _, v �, n�' � (� cu 0 C O � � � m � c � � -- d4 �D t� tt� > ir 0 � � � .�__�� � n � c�'c � m � � rt ° Q- �o p1 ""r N N �`°�� b� W �, (D <n • � �- � � S � � O � fl. � Q- � � --� Q �� � � � � � H � N �• O t�D � -< <n C�'Q-=� N .��+ �• � f�• fD , � j � rt � ���� .�'r � O � � c�,�a� co .� � .� � N � � Q. 3 � � c� � r: O r* � O-a. . � � � .� �c n � lD � �+ � W n N �G � O � O � �, a �" m � Q N � > > �o � � �� < �D N N � �D � � � � N. �� D cnD � � O .-�_*', �o N � r � -� 0 z � D n - — �- a � a � D N cD N c� N N � � c� � L� � D-ne�p Ot N y � H N � � '� A � � �g, N �D c� •.�. � � m � tnd S p- �• < � co � � � � � (], ' � •�rQ-?IT� —c v � O � c�i � � � � < � � W � O � � n � � -" � v � W C (�D � 4f� � ifl t� E►1 CT1 O O O O � °o °o °o °o o° � m i� �► � � � t� 0 a r ffi ,� cW � � -. � � a � z �, � 2 � N cD z 0 �. � �z �, o Q' O � � �_ � � � CD � �� C � � _ � O � n � n C7 � o p � � 7 � CD � ^ m N � N N I-' N � amZ.. � � O � _ � � � � f�D �v � � m � � a -a rn v c� O � "O m � � Z O �ti � C r- 0 z � c � m v . . . . � � cn � tr t� nViaw� 1-+ �� � O ��� � z W �% � �� rn m w� � � N � � = mrn 1t1 � � � m � z � � a � � z � r �� --�-� -- - GI Z � � a� -� � O� 2 � Z � v .� a� �Z n� O y vz �v o= z m W Z� z , o �� n . � m O N Z � ci� z � � � � � � �-� --- � � � �, N � � Z � �D � � � 3 � � � O f+ � � tD CHIlVINEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No () 2. Is free from rust or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code requirements for size and total BTTJ's connected C� 7. �'.� Has total heating BTU's of %'es()No() All other BTU's TOTAL BTU's Has a liner been provided for water heater Yes () No () � Has combustion air been provided for wa[er heater Yes () No () Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: (i W C �'i Z D � � 2 � r W m "O .Z7 O O m v � m � c � n � n � � z � 0 A D D Z v D W r rn W .1' O D r -n m rn � � c� � � v m � c � ? p1 co m 0 � � N � o � 'U �� -�w=n � �� c N 'rl o z� �v� � � y c � o � � o m= o D � v � �, (n °� D � �v r -� m � 0 z � D N v � �+ Z 0 m o a W W � V 0 c m � � v �d m �, �-n m r d Z v ° °: p� � � � o� � ; � � � d 9 � � W�� G� G G N N W N �(ZD �' � � ���' �" m m m 3� � f� n' a ..� 0 � -, -, � � t� �' p p .o -rt � o � � = 2 ,� � � � � v► � � � 'D � � N N �; � � � � 7 �p N V ' -� * -� -� 7 <. r . t/) n. N � � t0 7 � 7 N Z U = � � � � ro � n � y n �• 1 .�. � ,a m m c m a � N N .� z o I I I I I I I I I I I I I � ������������ C7� O O O;`� O�I �l �I �I At A�I O O O O � O O O O O O O O v r C � � Z � n O � � � � � j�l n5 Ill�' m � 3 � m a n 0 � '� V -v m � � � z O s m � c � tC � c N d D N I � � �� � -�. � . N I� a. a � '�p � N � � a cNp N cQ d -" m .»; � O � � ' � O N � a � Q�'a d � � < o ? N �- � > > � � � � a � = m � � Q o � `� n. c� a d � n A � � � f a � �' � o °: m � d o � � � � o � � m � N '� r C W z � � C � m � m � z O � m -i O -� D r ` W � v :0 m � � V , � 0 0 ���1; rn W � �l �: � =� C � N�E �` W Z @ � � � y � �A�(: �y N � � �G � = � 6 i m G- w i y �. -► C; � z N C. � � �. °�'HE BELOW MUST BE FILLED IN WHEN REPWCING FUEL BURNING APPLIANCES OR THE APPLICATION 1MLL BE RETURNED r�n�• ;enn� ��n�T��/Ff�'T' pl�l�! GTnR AI�!D COMBl1STlON AIR VFRIFICATI�N �@n � la _in0 anin_� furance, 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 () No () The venting system is plastiGPVC and meets all current codes and manufacturer specafications including s"¢ing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the c�rrent codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. '�'�e �,ci�tina cembuehen air is sized and installed to meet the Cul7ent Codes and manufadurer's specifications. Wh@n �Ulf@d t0 �ne+all a n�w comti�etien aic it will be sized and installed to meet the current codes and manufacturers specifications. When in����r,aa n_w ver�iin0yy� m, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers speafications. This does inGude AGA-GAMA Category I Central Fumace Verrting Tables for fan assisted and natural draft appliances. 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() Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes( )No( ) ! � • . � . � ' . � • • 11 11 • � ' � . � • ' � • � � ' M � � • /11 . • � Appliance #1 Type BTU Input Fan Assisted or Nat AppGance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ' 1 1•► �- r•- HEATING CO: Signed By. - Date : _ _ CITYOF ERiDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 23, 2004 Mr. David Yonce 7580 Alden Way NE Fridley, NIN 55432 Re: Final Inspection at 7580 Alden Way NE Contractor: Roger Wiley Inc. Dear Mr. Yonce: A plumbing permit was issued on September 17, 2�3 to install a backflow preventer at your address. According to 5ection 4715.28� 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 da.ys and if we do not hear from you within this time to set up the inspection, the permit will be marked "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. �incerelv_ DJ/mh SuB�ECT City of Fridley AT TME TOP OF TNE TW�NS g U I L D I N G P E R M I T � � � � �� � ; y _���� � COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � � i /'�'1 � CITY MALL FRIOLE� SS�32 NUMBEP t1EV W►TE �"""� � �'' 763-571-3450 s� aF� s 10 / 14/03 J08 ADDRESS ��g0 Alden Way NE t LEGAL �OT NO. BLOCK TRACT Oii ADDITION oescR. 2 3 Elwells River Heights Plat 2 2 PROPERTY OWNER MAIL AOORES$ Z�P Laura Yonce 7580 A1den Way NE 3 CONTRACTOF MAIL ADORESS Z�P Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 e ARCFIITECT OR DESIGNER MAIL ADDRESS Z�P S EN(iINEER 8 USE OF BUILDING Residential 7 CLASS OF WORK 8 DESCRIBE WORK Reulace 3 MAIL ❑ NEW O ADDITION 0 ALTERATION tio doors within exis 9 CHANOE Of USE FROM TO � REPAIR / IT NO.� 33971 RECEIPT NO. ��.�.J Or AVVnOvEO er / SEE ATTACHEO 8MEET 763-574-0676 PMONE LICENSE NO 651-264-4777 20130983 PMONE LICENSE NO. PMONE LICENSE NO O MOVE 0 REMOVE STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelZing per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. . �� �. tpA ���f•.iz�5', � �q ��{ . :? t �� � ��� . . . � , � � � r r' � �� k�.� � o . � rt .�:-� t� � +.. ...'. 4. SEPARATE PERMITS ARE RECUIRED FOR ELECTiiICAL, PLUMBING, NEATING, � VENTILATING OR AIR CONOITIONING TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHOR12ED IS NOT COMMENCED WITNIN 80 OAYS. OR IF CONSTpUCT10N OA WORK IS SUSPENDED OR ABANDONED FOR A PERIOO OF 120 OAYS AT ANY TIME AFTEp WORK IS COMMENCED. NO. DWLG. l I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 AND KNOW TME SAME TO BE TpUE AND COflRECT. ALl PROVISIONS Of LAW$ yp�UAT10N AND OROINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WI7H WMETMEfi SPECIFIED MEREIN Oii NOT. TME GRANTING Of A PERMIT �S f 741 OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OH CANCEL TME pERMIT FEE PROV�SIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- �125 . LS STRUCTION OR TME PERfOiiMANCE OF CONSTRUCTION S�GNAtUpE Of CON'AAGTOp OR nUTMOp�2ED eGENT IDATEi �OAT i STALLS SC $5.00 a CU FT GARAGES �2.8% iAC CNARGE Fire SC $5.74 fOTALFEE $138.86 , LOAO �[ ] ADDN ALTER �� [l Construction Address: Legal Description: _ � Effective 5/10/99 CI1'Y OF F'RIDLEY SINGLE FAMII,Y AND DUpL�EXE.S R i AND R 2 ��� � ^ BIJILDING PERMIT APPLICATION ,� Owner Name & Address • I f 11. q, j1.�, � (�,'� ( �P , Tel. #��,R� ' �j I �i- � �,.9� �� Contractor:; �i�ex�wa� '�u A���x . � � MN iICEI�SE # o'ib 1309 B Address:_j9a� C.Ot�n�'t�0o►d C.. W�,�,��'�,�';�-.u�lk.� Y1c1� 55L1�_Tel. #(�`�I•al�(•�(}}�- Attach� to� this appl�cation, �� Cer[ificate� of Survey. ii�-�e � lot, witfi th�'progiisec��consi�ictina� dravv�i�on it to scale. . , . . DESC�.�1'J OF �-�.i)�E11�iVT. �. . � ' LIVING AREA: GARAGE ABEA: DECg AREA: OTHER: Construction Type: Length I.ength Length ��.� �--�-� ° `��1—�� Driveway C�irb C`ut Width Needed: DATE: I�J �.� �.� Permit Fee Fire Surcliazge ' State Su,rcharge SAC Charge Lie�nse Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPLTL,ATIONS: Wisith Height Sq. Ft. Width Height Sq. Ft. Wicitti � Hgt/Ground Sq. Ft. 'J C�J�i�`� \ rJ I i t,�. P k�t � i-, �r,.-_ ���P r ��::, ,-. � � Estimated Cost: $ � �� `� � � � Ft. + 6 Ft = _ Ft x $_ � = $ . � 1�.S.a� � �y $ o`� �6 $ �_�.�°° $ $ $ $ � ���� T�. # 95a •3�,s•c�o4�- CITY USE ONi.Y Fee Sch e � � edul on Reverse Side .001 of Psrmit Valuation (1/lOth%) $.50/$1,OOQ Valuation $1050 per SAC Unit $5.00 (State I.�cEns,�d Residential Cou�ractors) Alt. "A" or Alt. "B" Above $450.� Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �es q _ ` ADDRESS PIN LEGAL DESC PERNIIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 iJNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: : 7580 ALDEN WAY NE : 103024120019 : ELWELLS RIVERSIDE HGHTS PL2 : LOT 2 BLOCK 3 : BUII..DING : RESIDENTIAL : ADDITION/ALTERATION E�711� � ��t;�ll PERMIT O.: 2004-00� DATE ISSUED: OS/18/2004 VALUATION : $ 300.00 NOTE: SEE NOTATIONS ON PLAN. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317 OF Tf� 2000 INTERNATIONAL RESIDENTIAL CODE. BATH REMODEL -REPLACE WATER DAMAGED FRAMING ALONG EXTERIOR WALL. APPLICAN'd' YONCE DAVID & ALOI LAURA 7580 ALDEN WAY NE FRIDLEY, MN 55432 OWNER YONCE DAVID & ALOI LAURA 7580 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 goveming this type of wor� will be complied with whether specified herein or no� The granting of a permit does not presume to give suthority to violate or cancel the provisions of any other state or local law regu�lating co�uc�on o�he performance of construrth'o�,. Bldg Insp. BUII..DING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE TOTAL �y � � � SEPARATE PERMITS REQUIRED FOR WORK OTI�R THAN DESCRIBED ABOVE. 23.50 0.30 0.50 24.30 NEW ADDN ALTER Il I] � CITY OF FRIDLEY 6431 Universit�r Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� ���i � Effective 4/1/2004 (763) 572-3604 Bldg Insp � (763) 571-1287 F � � � O�� Construction Address: %5$� �) lde� �U� , Fi� �l�v . inN �SY3 � Legal Description: S�„ �Q �,�, � �� 1/a>rr � Owner Name & Address: �Ja v P r�l Yon �� c� r��r ss s�� Tei. # Z,� �- S7�-ai 7� Contractor. MN LICENSE # Address: Tel. # LMNG 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 IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width HgUGround Sq. Ft gcr d��► ►'�e e�Yl •- %r�o �� X .� � �-�%° �' . .3%r s �1' � Construction Type: �e�B �r ��-� o�t Estimated Cost: $� , .3 0 0= o � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: s P g��/ APPLICANT: ��'�i� YQj''c�e Tei. #?(3�S"7�-G'G�G �N� 6S► —s�z �s� C�j Eall (763) 572-3604 for Permit Fees if mailing in applicatlon. Fax to 763-571-1287 if using credit carr! 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 $ �. �� $ $ ��D � s �� $ $ $ $ $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ��I , �� STIPULATIONS: BUII.DING PERNIIT FEE SCHEDULE Official shall, before issuinS Permits for the erection of any buildin8 or stru�ture, or for any The Cluef Building building or addition to any existing building or structure, or for any alteradon or repair to any exisl3ng stru�ture, upon application therefore, require the payment by the applicant for such permit of fa;s to the amount herein below set forth and in the manner herein provided to-wit: �� . TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,0� $100,001 to $500,000 $500,001 to $1,000,0� $1,000,�1 and up FEES $23.50 $23.50 for first $500 plus $3.OS for each additional $1� or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.OQ for each additional $1,�0 or fraction thereof, to and including $25,� $391.25 for first $25,000 plus $10.10 for each additional $1,OOQ or fraction thereof, to and including $50,000 $643.75 for first $50,0� plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fiaction thereof, to and including $5�,000 $3,233.75 for the first $500,000 plus $4.75 for each add.itional $1,�0 or fracdon thereof, to and including $1,000,�0 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete C�rb 5treets Only) Removal and replacement of curb and gutter on1Y - driveway width plus 6 feet, times the annuallY determined rate Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the �°ns��tion site. VERIFICATION OF FOUNDATION before A Certificate of Survey of the lot, showin the location of the existing foundation will be required proc�ding with the framing. New Houses Onlv � 'i� ,� r ,� y A # a % 1. �f� L. �Y ,�.,� 74d�*,.s r �.a+, urrt ,n, 4 r ir } � � 4� , ��� �. � Yonce �M�ti� � s� 4 ��l � �{ � ��� �� � � G: � : ,. .M�"}'�;'1'�s t' t4,.y,�,a'Y a' 2� �-�' �r` ' -�f � y� xL?r� �, :� �� � . ♦3. . a� .; # S .... Pr � { '' �^�" � -��,, b a /�� - - . ,� '.���14T� ir i`�. �S r � .i i::; � � �:' V V� �Hlden Way' a:: �' c. s '' �+ g'- `'e �rv' s _' `y�; _z �`"� ''°��.5�{�-;s� ��'r i� p ��'�.i � .,�t,,�.,�tr� x w � � ��.s� w �4 i;a ��� Y "' y � r ` . tia f r,5"r. �s' �..� �� ��� t i�z� s� a�,�y��. �. b'�.'� � u"����'� ,�� a� F:�y y .� „' ��: �' � 1L 'r��¢;.. F �a". �!' �� t�e�,��� x� F� . Fridley �� M N y 55432 �.,� t, F � �� � t1 �, �:, � x�3j'��� r� 2�' s � L. � ° � p... � _ �.�, + � , I j.. � X ., � .«.s _ v.= �v: F,�"r.� y �aU-4 �'�r � � t . � '� t";. 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VALUATION : $ 0.00 NOTE: COMBUSTION AIlt SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. CHANGE THREE FIXTURES IN BATHROOM ALTERATION. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES /;\���ICN\�Y� YONCE DAVID & ALOI LAURA 7580 ALDEN WAY NE FRIDLEY, MN 55432 OWNER YONCE DAVID & ALOI LAURA 7580 ALDEN WAY NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 0 # GAS RANGES 3 # WATER TRMT APPLIANCES 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 ha.ve read and examined this application and lmow 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 no� The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or locallaw regulating consttuc ion or the performance of construction. Appli Date Bl �iA�—� Da� � , �' � �P PLBG PERNIIT 11�II1VIlViUM 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 0 0 0.00 30.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.50 30.50 � n � C � Z D � � _ � r OD m � � O � m 0 � m � c n N n "'� � Z g D Z O -� � r m a� .D O F -n m m Yl tD � e � m � c� �� ro � .� 0 y. ��: �y . C � O 2 � �� � �� � •$ � 1 �� � � O � � 2 � 1 � ` ,► ' o > � � 0 z r� . ' � � �.4 O. �'"` + : D ,t�. � ;�w�_ �4•. .. v •��� m .-.,c, �� d d d � d � � Z ��� � � .� � �C � � � Q � � '71 = "'� � ` � • 'a �'I � t � � �. � � � ' � 2 � '� � � � � � �' � � � � .. � v � ( I I I I I I I I ( I I I � � v'. � 8 � �� � � c � � o � �. ( �� � : •.�,;.I �.:� .. ; . . P :'�i��'*' .c.'}:,�,..�.:. :� "i: Fi; �'r-� S ` ( � _.._ .5�f `�1�1�:.'r r.. u. n.?:• �� ir�t�'�i��}'!• - '��:•�ti:��.i .Y :� i t . 1': ` �-t�F•`ti''�'y!"!�. ���.�.+.� .� 7s� . �. • � . .�r � -•z ��^�� . , � . . w+�t � � ��.-:; �i � �.u:. � .� ). . _ . �.3'sat�Cr S�. {a?rt � .a ! . . . J .�.� J � � � � � di �i di di O O O y O V^ V V^ V�1 t/J�f �A1 V 8 � G� � � V f.7 V G7 v G7 � m � � � � a � � � . I`._.. ii5' . . ' . . ,, � � '� r C m Z � C m � � z O � � D r d d H -� O �� � � ��'` g ��, o �' � N �1 � O�, � �� fTi +�.A�.� � � °D s � � �'�� �����• ° ,� �a �� m� 3'°' � � e� � �' � � � � � � � � � ��� � �� � . � . � � 0 �* THE BELOW MUST 8E FlI.LEp �W WHEN REpLqCINO FUEL BURNING APPLIANCFS OR THE APPUCATION WILL BE RETURNED ��` ' -. ' . i • :T COMMnN VFIUT �MT �!n�F�TAR eNi� �`AMl31ICTIAI� OIR t�RIF7 � ATf[�R �.� `�; . " _ Wh@t1 rp la�i i�i ° � -1�-=�0 9^--�Y�^_a fi�=, the undersigned hereby verifies that �e venting has been examined and is free from rust, deteriora�on, obsbucdons, and is securely supported and firestop�d where r�uired. Yes () No () The venting system is plastic/PVC and meets all cx�rrent c�cles and manufac�urer specifications induding sizing, length, number of elbows and tem�inaati�on. Yes () No () The undersigned also verfies that the replacement unit is a listed assembly and meets the current codes and manufadurers specifica�ons. This does include AGA-GAMA Category I Central Fumace Ventlng Tables for fan assisted and natural draft �ppliances. • The eY��r��A _omti����., s�, �S $�� and installed to meet the current c�des and manufacturers speafications. Wh@11 �2qUlf@d t0 Inc4a11 a npw eemhuctinn 9irFit yyj�� b@ SIZ@d 811d �nStB��@Ci to meet the current codes and manufadurers spec�fice�ons. Wher1 inctallin� a new v_e�tin���� �e undersigned hereby verff(es that �t is a listed assembly and meets the cument codes and manufac:tuurer's specifications. This does indude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. 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 ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) � � • . 1 / : : � � • 11 11 • � ' • . � � - � • � � = M • �1 • �11 . � � Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type __ _ 6TU Input F�n A�isted�af �t _ Appliance�#3fiype -- BTU Input Fan Assisted or Nat Total Appliances ` Total Btu Input Common Vent Type Vent Height Diameter inches , Appliance #1 Vent Connector He(ght ft Length ft Oiameter in Type Appliance #2 Vent Conneaor Height ft length ft Diameter in Type Appliance #3 Vent Connector Height ft Length _ft Diameter in Type ��\i��r• ► . _ . . _ HEATING CO: Signed By: 08te : t; r`1 ADDRESS i� i�l LEGAL DESC PERNIIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 r'AX: : 7580 ALDEN WAY NE : 103024120019 : ELWELLS RNERSIDE HGHTS PL2 : LOT 2 BLOCK 3 : PLUMBING : RESIDENTIAL : AUDITION/ALTERATION 571-1257 PERNIIT N 2004-00786 � � ._�� DATE ISSUED: 05/27/2004 0 VALUATION : $ 500.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL GAS WATER , HEATER �# ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT NORTHWOODS MECHATTICAL BOX 1085 FOREST LAKE, MN 55025- (651) 257-4951 � `.I_��_ � YONCE DAVID & ALOI LAiJRA 7580 ALDEN WAY NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 0 # GAS RANGES 0 # WATER TRMT APPLIANCES 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 conect. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or no� The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or locallaw regul 'a��uc�pn or the performance of construction. Bldg PLBG PERNIIT 1�RINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (E3�ST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 6161 � SEPARATE PERMITS REQUIltED FOR WORK OTi�R THAN DESCRIBED ABOVE. 1 0 0 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.00 0.50 35.50 Building - Inspec�ions 763-572-3604 763-502-4977 FAX dAT7: From: 6127221021 Page: ?l3 Date: 8/7/2008 4:08:21 PM �UIY,DIl1iG ItESiD�NNT'�A.II A,PPLI�ATYt1� CTI'Y U�` I+'RY�LE'Y _ VOUit B-MAIL ADUItFSS �,� S1TC A!)URBS9 , � j� j� . '1T�lIS Art�LICANr iS: 0 pW�g �pNTxar.rOR ��r�r o�rr� �� ., . . :�� . �:�_�� �� ; � .�I . .1 .t � ' a �, ���.�.�r . . `�� �d '3 � a E cnY,�r r4-n �� .sza'��y,rP� SL�. corrr�ac�ox nar��.xs �' �-1 �� �, �. c�nr 1 � 3L]BMIT A COPY (N� PIIONL �f� z, ��2� 09� � �.—�TAZ'� S D(e YOUlt srATELIC��Sr: , . _ Fnx�_d�o1• �D2,�_ STA1ii UCL�NSE 0� . LxP 17ATG l�i�P�TY i`YPF Wt3�LL l+AMtLY/NLW C��ISTR.UCI'tUN g�; � '•— � ��U FANIILYMFEW CONS'1RUL710N cmnnrcc ' a sns�t�vr � 0 nBClG TYPF� n�.scRm�S woRtc smacr NiN NUHII4f:R pF $QUARi� �. �..a�a$ PitOt'OSfiD St7.R: PRt)P(}SED HEICiHi': � 0� V�1 a a�cm+nnm L'1016ar NBOY HtJMB C�NSTItt 1t'PION 1N Lk�i.1'T1N� OP13NlNtiS OYes ONo OR I=QR NEW OPL�IV(NGIS•DL4CKIBE �,r OF qAENJNCi L'HAIdGffi � AI,L Pe�mit Fc�e I'!un Revie�v Fire Surcl�rge Surcharge Licanac Stu�harge SAC C`�ge Curb C:ut Es�row Erosian Conl�rol Pazk 1�� Sewar Maiq C:l� � d su�rn►a ��� . �. .� O ADi31TlON O RLMpu�.WO �Hi)U5E ONLY d Iipt1SR & GARA(,3� U A77'ACHED GARAQB � DBTACH�I) (}�OB �� O'fr6n dr•� LOCATIAN OF �VIIVCIV Wg L] DRAIN T1LL� O o�r�a2 �arLUVC THE COST OF LABOR uBC:1�rsE sqlED�} ►.L Kub� � t�s ��� tans�ri• ��,4 n �•� .[�t�Mrr: 1. IIaisdng Floor Plm� 2. Propoead Aoor plan 3. i.�t of stcucioral m�(�s m I�o g� r•ox nrewc,o�ucrtaiv,Na.unn�rc� ���.c�cs, A�PI7TONY .4c PO�HlS c��,� i. 8ito Ylse/$�yey �� �g �� �� � n�r� p�oject. 2. Two aats ol�on p�m 3. 8ae�gy C�alooTetionx See Bardt Pege tar Fee ScheduIe ---- - b3% af Building Petmit Fee ,001 timas tha to�al job valu�tian -0005 x PcRnit Valusti� 1VIlnimum $.SO $5.Q0 (Stete Lioe�ed Rc�eid�tis! C:ar�acto�s) $1825 per SAC tlnit (Plans to MWCC for deterreination) ft+b8m_ t�x$21 r$ $450 Conseavation Pl� R�view T cc netermined by F.ng;n�g A�eement n�rY () Non Nec�erY i} 7'FIIS L4 AN APPLICATIWd FOR A PF;RI�T NA1' VALID t/tV'fli, l'RQ�.SS� -- --- — I�Y aPp1Y fur a halld�g P�t and I tedge lhet tho !o[orr+mdon ebovo is comple:ta and ��. aF tt� C�y of FrtdleY �� the� M ���. � . dmt t� work wUl �s m ounfotma�wo wdth Ihe mdtnanc� md oode8 �mmit OB srte; diet the woric WW be m � �nd li� fs RDt S Peam� but Oniy � ePP���+ f0i a ° � oasc of all werk vv1►i�:b iear and appmvat �p� attd wo�lr 1� not to ss�rt wtU�out e S�CNATURE 4F APPLt ' RINT NAI1������ .� C� DATL,g� API'ROVF.A BY ..��11' `�rQi�1P�a �r� .. � s�: ��_ DA,TE—,