AF - 34875�City of Fridle , Minn. �
Y
BUILDING PERMIT �0 4o1s
Da�: _..� 3 u - �.`�
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owner: ....._..__..�..._____.�..._._..._..__... __.... ____..___.__ suilaer _
Address ._._.. _ Addre� ��.1-,�� � �6
�y O TION OF BUILDING
No.°•7Z� ._ Street _...__._...._.....�_... _......._....._ ............._...._._. Part of Lot ___
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Lot ....._..!_.._.._._........ Block _..._.._...�..._...._ .............._. A tion or Sub-DivIsiari !� _.._--.•--._...��� _����
coraer Lot _..._ ..................._..---._ Ina�tae r.ot _..._......._..----_---.._..._... setback _..._....__..._...._.__.._� �Siaes►arat _.___._.__.:.__._____._..._
Sewer IIevation
To be Used as:
����_._
Fo�mdation IIevat3rru
DESCRIPTION OF BUILDING
Front �v.._.�...P% Depth .��.W�. ayHeight ....1_.�_0. � Sq. Ft, �� Gu. F't .! ..��
..._ ............._..:.........._......._........_... Front ....._...._._...._.. Depth ....._......._....__ Height �............ Sq. Ft. ._.._....__...._.. Cu. F't.
1�e of Construction ...................._............._............._........ Eat. Co���..��.�.._..°...�.'....... To be Completed ...---.._._____..
In consideration of tt►e issuance to me of a permit to construct the building describefl aboye, I agree to do
the proposed wo�k � accordance with the description above set �tyr and� �ompl�ttce with all provision� oP
ordinances af the d of Fridley. ° 1/ �� ) //
. In conaideration of the payment of a fee of $._� '�-.-, Permit is herebY granted to� _..._.._..___..__._.....___.._..
-.- to construct ttie buildin� or addition as descxibed abave This permit is granted upon
the express candition^that the person to whom it is �anted and his agents, employees and workmen, in all work
done in, around and upon said-building, ar' any part thereof, shall conform in all reapects to the ordinances oP
Fridley� Minnesota regaroling"�Ibcat[on, construction, alteration, maintenancx, repeir and moving of buildings
within the dty limits and thie permit may be revoked at any time upon violation of any of the provis�tons of said
errlinanrea�a_
NOTICE:
Tids permit does not eover ttre ceeshveNon, ina�aNatie� ferlwirL►g, P�umbio9, 8� �a�le. sewer or water. Bs wre to as
the BniWing InspeeFor for aeparate pereeils �o� t6�e item�°�
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�ddress���
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�PPLIC�:TION �FOR $UILDI[JG PERA��
CITY 0�' FR.IDLEY� MIlV�TEI
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� Bu3.7.der
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Address
.;, � ; . LO�1�T1'�N OF BUILDII__
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No.` �,�, S�x°ee�, ..�,����" _ . P€irt af i,ot _ _ .�
: . ,. . - '.
, : '� � �-.
' ���� P _.
Lot ._;,�._: Block : ` &dd3tion ar Sub.� v. • 4� .� �;. - .
C�rrzer Lot � Tnside . Lot � Set Bacl� ��� - �
.. . s, r •� .c . x. .. a , , . . . . . . . .. . ',;., ' -%. '� .. . :- ..
,;;�ipp�lioa.��� attach to= thia form CertiPic.a.te of. Survey of it,t �.nd propos��
�.;b�s�i.n� ,locat�o�i.• . . - <. --. . _
, . _ .. --. - - , - , .
DESCRIPTi01V OF BIIILDING _ �,:- 'r..� •_,�:::' ,: -�
To b�; used as . . � J '"
_, .; ; : .. . : A f .
.! .
� - � Frorit r�; Depth �� - ::He3g�� ' � . ' L.
. �o:� , ,
. ;, , �. Ft. 3 7 �' �. �.- �,,�_ : . . . , ,= � - -.
� � .
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. -
FrQnt _ pepth. �.Neight, - _
.,_ . ,.. -� ,._
�-s �'. • ' � � '�i; _.. F''t. - � ' ,f/' . �,
;; _ , � _ . � �-;���►-, ' ,�' . _
, ` ������ �
:T�p� of Construction . E�timated Gos� ��y��=�.-.- ...
; .. d - °� -
To be completed - -� � � -•
� _,.� �
T�e,, unaexeigne,d here�y makes� apnlication f.or a: permit fog ti� 'i�b��t-- �'l
: _ _ , - �+ � _ . __��
ii�reui speci£ied, �agreeing to do aZl work in strict accordahc�` ��Ir ��ie`
'����r-"`Orc�i.nances and rul3ng af the Department of Build�ngs, �a:nc� liere�y "
d�ecl�res.tha.t a11 the facts and representations stated in this application
are true �a.nd � co ect. . , ,
l�.ter Signature _ - - - . � � � .
, .
, .�. .. . , .. . . ;.j . .U:., '."),:_
(A Schedule of Fee Costs can be found on the Reverse S'ide) =.' '�`-'�_
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� �IIII,I�Il�1G. �ERMI, T F'E� �G�EDULE ;
$eetion 2. The Inspector � of Buildirigs �s�al.l, .�efore� issuing an� permit
for the .e�action of any building or st,ruCtvre� °or for a�r addition to
any existi.ng bui]:d�ng�or stru�tureD or for any alteration� or re�airs to
an�r exi:stirig buil°d"ing�- or struc�turey ug�n app-lication therefor, require �
° the pgyment.by�the applicant.for such p3rmit of fees�to the-.amor�nt
heY'eiti �eloi�r `set' for�h and in tYie mari:.�ier h.er�iri provided to-�'t: �,
2..1 For an� such perr.iit for� the erection of ax�r fireproof biiil.ding�
other than a garage,� wa,rehou�e; fa�ctor� or grain elevator, c��.- fo� the
erectiox� of any -fireproof ad�ition, for simi.lar occi��ane�, t.o an� -� `
existing bui5.:di�ig sha71 be at the ��te of �1.:40 for each one thousand. ,,
cubia- fee�.,. ox fra �ction t�.ereo�, in such cut5ical: contents.
.._._ _.
' �___
_.u.__ ' � ;--, . , � . ,;,....
-
2,.2� For aarry auch permit for the ei°�c'cion of any"ft�eprobi°�.t'age� wes�e=
hqus�,-,:�etory p�° g�aiii ele�r�tor, o-r. tor tiie erection of any firepra0f
addition for aimilar oc�upanc�; to �,�ig exis�ing�6uilding shall be.at t�e
r-ate of �1.a25 for each one tnolzszuld cu'oic f'eet, classif�.ecl as "��'epr�of�
b�r 5ection 502 of the I'�nneanol;; s Bu� ld�i.�g, ,�adQ A � '�:���� �
HOIISES � �
2.3� Fo�_��y such. per�it for �he erec�ion of an�r non-fireproof buil�:in�
other than a ga.rage� waseh0use; factory� o� gr,ain elevator, or. any, •.
norr-fi.rep�oof addition, for sir•.�1ar occ�paricy, to any existi.ng building�
' �__: . , °
.... -
Permit �7..00 for each one tho�.s�.nd �ub�cMiee� . . _ _ ,
_ ,_ .
- , ,:.._ . : � • • ;�.
GARAG ------- n ,
: ,.... ..
2.4 .For any such permit for the er2�c�iori- of� any non- e aof gei'a��� "
warehouae, factory or grain elevator, or for the.erection of arty noX�
fireprpof' addition, for sim3.lar occiipancy, to any existirig b�r�.it� or�
for ea�M s�ich. . buzlding os; addition � N 9 nety Cents f r, sach ane .�; ,
0
thousand cubic f'eet or fraction _thereof in the cubical contents t�ereoi
with a mini�¢um of �/� > 00 .. .. . . .: , : �
For the;.���r�o$e; of computi.ng. rec� fo�- �uild�z�g: �per�iits the cubical _
�" contents� of auy b�.i7.din� or ad�;��io?� �co a uniform heigh� throughou� �'
mult�.p�.y3.r�$. �he� ground :� �, c�'•��� ed ,f'�on �, point six (6) .in,Ehe� below
�' the fl!+o�r line of the b�..se��:� �. .�^° t;��i.laz- to�� the average height of �lie
..,:... upper �:surface or -�;o �_�E_.�v.e: 4��: r�i�?;�r, o� �hs roof, surface, of the ma.in
gable of a pitched roof�
� 2, 5 For repairs or r±l �cra �-�o:is to a�_z e::isting �trurture, the' fee shaTl
be at the rate of �p3�00 .for ��.c�i .� �:r� Hancr�d Dollax� (�500.00), ar.
'� i'raction thereof :in �cY:e ::os�. o�°. ��.?1. Fro�avsd„ wo^'��
,, .
' 2.6 In no case shal7. t'^^ �'c;� c;�_. i t?;°�:.:'..iGK .:3nS- .�srnit a.s set for�h i.n
Sectiom 2:be l�ss, .tharF ���r0�, - •� . .
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Caty of Fridley, Minn�
BUILDING PERMIT xo 4165
Date: ...�
�{ � �� - �'�
Owaer: _..._......._........___..___.___....._.___ ____ __......__.._.._ Buil _... .. ____
4/��� r ��
Address_.._. ._.__._.__._. . ._.._._ Address __..._.._-__...._.....__..._._. . ._..........._._._..__...._._._.___._.._._..__
OCATI N OF BUILDING
No. ....�.�.�._.� `[.._ . Street _ _. . _.__ ._......_... _.._. . ..._...... _. .. Part of Lot ......
Lot ....._ .............._..--•--........ Block _.._...........—.•--._....---•-----•---.. Ad�it.ton or Sub-Division _......._--•---•--......_. .
Carner Lot ....._ ............................. Inaide Lot ....._....................-----••--.. Setback ....._............._......._...._....._ Sideyard
Sewer Elevation
To be Used as:
G�`�.,�------__. . .
G���_
Type of Conatruction
Foundatton IIevation
DESCRIPTION OF BUILDING
�' - �� ..�...��
�t��-�nepr.� r�..�...�Ox��,t .��.-e� sQ. �-c. _. .._. � cu. �-c. . __._ _
Front....._ ................. Depth _...._......._.... . Height ....._............._.. Sq. Ft ....._............._.. Cu. Fk _.._............._.
���-�? `�—"
........................._..._..........---........ Fst. .._ . ....Q--�---�--..._........ To be Completed _._..__..�.._.._.__....._........
In conaideration of the �issuance to me of a permit to construct the bnilding described above, I agree to do
the proposed woa�k in accoFdattce with the description above set and in compHan with all provisions of
ordinances of the dty of Frldley. X�.t.�S� d� .��
In consideration of the payment of a fee of $._�..._........__..---, Permit is herebY granted to..._......._..__....._...._..._._.._...___
....._ _..._....._....._..........._..__ to construct tt►e buildin� or addition as described above. This permit is granted upon
the express conditfon that the person to whom it is graated and his agents, empioyees and worl�en, in all work
done in, around and upon said building, or any part thereof, shall conform in all respecta to the o�dinances of
Fridley. Minneaota regardfng location, conatruction, alteration, maintenance, repair and moving of builalings
within the dty litnits and this permit ma.y be revoked at any time upon violation of any of the pravisions of said
Oidin8IICe8. _ .e s `
NOTICE:
1
Buildin� Inspector
This permit does net cover the eonefweHon, iustallaNen for wirtee, plumbiag, gas heaHag, �erer or waier. Be wre ta aee-
fhe BuiWing Inepecior for separafe permtts for �hese ken�s.
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CHIIVIlVEY AND STACK VERIFiCATION
The undersigned hereby verifies ttr�t the.existing chimney or stack:
1. . Has been carefuUy exami�d Y� (�) No ()
,--�, �
2. Is &ee from n�st or deterioration Yes () No ()
3. Has no foreign objects lodged within Yes () Nv ()
4. Is securely sapported Yes () No ()
S. Meets all current Code r��tirements for size
and total BTU'� co�cted Yes () No {)
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's p
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7. Has a liner been pmvided for wat�
8. Has combustion air been provided _� 8� a���% 7
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Remarks: . . ��y�,��.
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List ALTERATIONS Being Done: , � J I y�� %
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HEATING CO: °
Signed By: ' - --
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SUBJECT
City of Fridley 2 6 6 8 6
AT TNE TOP OF TNE TWINS g � I L D I N G P E R M I T
�
; � R NO.
� • COMMUNITY DEVELOPMENT DIV. � � ��
� ♦v �'���•�
r � � PROTECTIVE INSPECTION SEC.
`1 i �
•.-- A�/"';.� CITY NALL FRIOIEV �5432 NUMBER REV. OATE PA6E Of AVPROVED BY
L ,� 612-57�-3a5o 9iaFis 7/17/98 / /
JOB ADORESS 7598 Alden Way NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 1 3 Elwell's Riverside Heights P1at 2 SHEET
2 PROPERTV OWNER MAIL AOORES$ ZIP PMONE
Kathy �Toner
3 CONTRACTOR MAIL AODRE33 21P PNONE LICENSE NO.
Lloqd E Larson Const Inc 1025 Northdale Blvd NW Coon Ra ids MN 55448 4009
4 ARCNITECT OR DE3IGNER MAIL ADDRE88 21P PHONE LICENSE NO.
755-4057
5 EN(i1NEER MAIL AODRESS 21P PMONE LICENSE NO.
8 USE OF BUILDINt3
Residential
7 CLASS OF WORK
O NEW � ADDITION � ALTERATION 0 REPAIR O MOVE � REMOVE
8 DESCRIBE WORK
Construct a 40' x 30' Living Area Addition; and a 21' s 24� Garage Addition; and an
x Foyer
9 CHANOE OF USE FROM TO
STIPULATIONS See notations on plan.. VAR ��98-20 for front yard setback approved by
City.
�'
���iNj� �
Before drgg��8 �11 for �
all utility ��n�
��`1� pE ��Q��ED z.
R�rrs �F���. �, sY I.�1�y
��IR�:. �Tlt��, p���INS. ` � _
` �t�� �G[�S".
SEPARATE PERMITS ARE REQUIRED FOR ELECTii1CAL, PIUMBIN(i, HEATINd. �PE OF CONST. OCCUPANCY t3ROUP OCCUPANCV LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOiiK OR CONSTRUCTION ZONINti SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCEO WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOO OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWL(i. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAW$ yp�UAT10N SURTAX
AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $140 529
WITH WHETHER SPECIFIED HEFEIN OR NOT. THE GRANTING Of A PERMIT � �%O. Z6
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CFIARGE
PROVISIONS OF ANY OTNER STATE OR LOCAL LAW REGUTATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTFiUCTION. $I � O9L. Z.r7 Fire ..�'G' $` Z�F�.53
PLAN CNECK FEE TOTAL FEE
%�4.Q �� License SC $5.00 $1,308.04.
� IG � AUT O EDA6ENT ioaTE� _�,�� MEN PROPERLY Y DATED THIS IS YOUR ^PERMIT
� 1 6 W / �/
� / '{/
� SiGNATURE O� OWNER UF OWNER BUILDERi �DATEi g�pG i$p �)pTE
� �
NEW
ADDN
ALTER
Ll
Ll
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CITY OF FRIDLEY
SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION ��$ �
ConstructionAddress� +%S 9 � � � oi �
,�
Legal Description: �
,
Effective
7J°
�
�`/
Owner Name & Address: __/�a,.�--� � '�� � e,,� Tel. #
Contractor: .� 10 u��,� �. c Q �, Gcr n.s�- .,Z h e� MN LICENSE #�-/ e� o�
Address: 1d � S No rf'h c�a � Q, B! v c� �� r, �r�.s M Tel. #�'v�'�5'—y o� �
Attach to this application, a Cert�cate of Survey of the
lot, with the proposed construction drawn on it to scale. �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTI�R:
��� 9�3��
DESCRIPTION OF IlVIPROVEMENT � X�°�
�e- ���? 2 � s�'�. 3
� � f �, �� r ✓ � y7�
Length �o Width 3 0' Height � Sq. Ft. l���L� �%' �
� �
Length �(} Width a� Height Sq. Ft. J'r.��C �, II
I..ength �Vidth Hgt/Ground Sq. Ft. � 9��%� 7�
�o en ,�r � r X �a ' = /1�/,�7'. /ab
� � � 1 ,
Construction Type• /�r �-. ,�. � Estunated Cost: � � l � / � �n7
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
�a�: � �-'u. h `I'� APPLICANT: .� lo ��1' � L�r� o �, � Tei. # �s,s - �o g ?
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surchazge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS :
� I�z�
$ l���
� ��. �
$
$ ��
$
$
$
$
�� �
----'— -
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1�0 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Deterinined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
• ' J
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BUII.DING PERMIT FEE SCHEDULE
The Chief Building O�cial shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such germit of fees 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,�1 to $25,000
$25,001 to $50,000
$50,001 to $100,�
- � ;,
�_.
$100,001 to $500,0�
$500,�1 to $1,OQ0,�0
$1,000,�1 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,0� plus $12.50 for each additional $1,0�
or fraction thereof, to and including $25,000
$349.75 for first $25,�0 plus $9.� for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $SO,Oi}0 plus $6.25 for each additional
$1, 0� or fraction thereof, to and including $100, 000
$887.25 for first $1 �, 000 plus $S . QO for each additional
$1,0� or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,0(m or fraction thereof, to and including $1,000,0�
$5012.25 for the first $1,0�,0� plus $2.75 for each additional
$1, 000 or fraction thereof
DRI�WAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Perauts 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 construction site.
A Certificate of Survey of the lot, showing the locarion of the foundation once it has it has been constructed
will be req�ired before proceeding with the framing.
.. +,
�
Staff Repor� VAR #98-20
7598 Alden Way NE
Page 4
The property is not a perfect rectangle and angles outwazd from west to east. The
topography and shape of the lot, in addition to the location of the existing house, make it
difficul 1 buildin addition on the roperty and meet all the setback
very t to p ace a g p
requirements. The portion of the proposed garage that would extend into the required
front yard has been nlinimized.
The proposed attached gazage will be located over 19 feet from the interior property line to
the north. The northeast corner of the gazage will be 30.4 feet from the. properiy line
adjacent to Alden Way. Due to the angle of the lot and the angle of the house, only a
portion of the gazage will not meet the 35 foot setback. Of the 24 foot width of the gazage,
12 feet will not meet the 35 foot setback and the remaining 12 feet will meet the setback.
Therefore, approximately 30 square feet of the gazage will be in forwazd of the required
front yard setback.
The site plan indicates that the new addition will be attached to the existing house by a
narrow hallway. Ms. Toner's mother, Vietta Toner, presenfly lives at the home. Being that
Vietta's vision is becoming worse, the Toner's have decided to leave the old portion of the
home as is, so that Vietta will not have to learn the floor plan of a new home.
The lay� out of the new house would make it easy to convert it into a duplex. The Toner's
have indicated that they will not be using the house in this fashion If the variance is
approved, a stipulation indicating that the house shall not be turned into a duplex would
seem appropriate. �
PREVIOUS COMI'ARABLE VARIANCES GRANTED
Gail & Edward Ahrens,198 Mercury Dr. (May'9�: They were granted a front yazd setback
of 15 f�t for a gazage addition
Theodore & Collen Raines, 5221 Fillmore St. (May '95): The were granted a front yard
setback of 30.5 feet for the construction of a garage and great room.
RECOMMENDATION
Staff has no recommendation due to the fact that his reque.st is within a previously granted
d'unension
. P �r'_...��.-���---�.
If the variance is approved, it would be appropriate to include a stipulation that the house
shall not be turned into a duplex. _
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CHIlVINEY AND STACS VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined � Yes (�) No i)
2. Is fiee from nist or deterioration Yes () No ()
�3. Has no foreign obje�ts lodged within Yes () No ()
4. Is securely supported .
�
6
Meets all ciurent Code requirements for sizz�e
and total BTU's connected
Has total heating BTU's of
All other BTU's
YesONoO
Yes ( ) No ( ?
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ()
8. Has combustion air been provided for water heater Yes () No ()
Remarks: . �
List ALTERATIONS Being Done:
HEAT�NG CO:
Signed By:
Date:
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COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When realacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from n�st, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specfications inciuding sizing, length, number of elbows and termination. Yes () No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category i Central Fumace Venting Tables for fan
assisted and natural draft appiiances.
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
When required to install a new combustion air, it wili be sized and installed
To meet the cuRent codes and manufacturer's specifications.
Yes ( ) No ( )
Yes ( ) No ( )
Yes( ) No( )
When installing a new ventin�a svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does inciude AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes () No ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Y�s () No ()
Appliance Tvae and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter - in Type
ALTERATIONS: (Describel
HEATING CO:
Signed By: Date : -
NE1N [ ]
ADDN []
ALTER [ J
Construction Address:
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MM 55432
SINGLE FAMILY AIdD DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�"'�sr'�� �,
��— � c 3�
(763) 572-3604 Bldg Insp
(763) 571-1287 Fax
Legal Description: /
Owner Name & Address: �c.��1 �vtic r Tel. # �.�� �7�.�.�7�/' ��%
Contractor. c, vc �°vhs �� �n. MN UCENSE # o��'��S'v �p f
Address: ���.5 C�q��r�«n /�c� S, Tei. # � S % �f.� � ��'i 7.S—
LMNG AREA:
GARAGE AREA:
f �7 X�3:i_1 � ��
Attach #o 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 �dth Height Sq. Ft
Length • Width Hgt/Ground Sq. Ft
OTHER:
/� ��� �`°�
Construction Type:��r o� 9ti�r� �a�x�6 Estimated Cost: $�.�G d���
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: APPLICANT: __� I%t �n ��s ��� c�� Tel. #
Call (763) 572-3604 fo� Permit Fees if mailing in application. Fax to 763-571-1287 if using credit cand 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
� �_'� Q ��'
$
$ e
$ a
$
$
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necressary [ ]
TOTAL $ ^ �� STIPULATIONS:
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $5�
$501 to $2,�
$2,001 to $25,�
$25,(K?1 to $50,�
$50,�1 to $1�,�
$1�,001 to $5�,000
$5�,�1 to $1,�0,�
FEES
$23.50
$23.50 for first $5� plus $3.05 for each additional$1Q0 or
fraction thereof, to and including $2,�
$69.25 for first $2,000 plus $14.� for each additional $1,�
or fraction thereof, to and including $25,OQa
$391.25 for first $25,� plus $10.10 for each additional$1,�
or fraction thereof, to and including $50,�0
$643.75 for first $50,000 plus $7.� for each additional
$1,(�0 or fraction thereof, to and including $100,000
$993.75 for first $1(�,� plus $5.60 for each additional
$1,� or fraction thereof, to and including $5�,000
$3,233.75 for the first $5�,000 plus $4.75 for each additional
$1,� or fraction thereof, to and including $1,�,000
$1,000,001 and up $5,608.75 for the first $1,�,�0 plus $3.15 for each additional
$1,Q00 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed siructure and of the construction site.
A Certificate of Survey of the lot, showing the l�ation of the foundation once it has it has been constructed will
be required before proceeding with the framing. New Houses Onlv '
CITY OF FRIDLEY PERNIIT NO.: 2005-00132
6431 UNIVERSII'Y AVENUE NE
FRIDLEY, NIN 55432 DATE ISSUED:
763 572-3604 FAX: 763 571-1287
PRINIBD WITHOUT ISSUING 2/2/2005
ADDRESS : 7598 ALDEN WAY NE
PIN : 103024120018
LEGAL DESC : ELWELLS RNERSIDE HGHTS PL2
: LOT 1 BLOCK 3
PERNIIT TYPE : BUII.,DING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING
VALUATION : $ 1,600.00
NOTE: UNDERLAYMENT AS PER STATE BUII..DING CODE.
APPLICANT BUII,DING PERNIIT FEE 57.05
SULLNAN CONSTRUCTION COMI'ANY FIRE SURCHARGE 1.60
5885 BLACKBERRY TRAIL STATE SURCHARGE, VALLJE 0.80
INVER GROVE HEIGHTS, MN 55076- TOTAL 59.45
(651) 43fr8975 ppID WITH CHECK # 1415
OWNER
TONER VIETTA
7598 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 laiow the same to be true and conect. 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 p visions er state or local law
regulating co or ce of constsuction.
Applicant Date
Bldg Ins Date
CFAAR ATF pFRMTTC RF(1TTTRFTI F(1R W(1RK (1TFTFR TNAN T1RRC RTRRT) AR(1VF.
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 r'AX: (7631571-1Zif7
PRINTED WITHOUT ISSUING 2/2/2005
ADDRESS : 7598 ALDEN WAY NE
PIN : 103024120018
LEGAL DESC : ELWELLS RIVERSIDE HGHTS PL2
: LOT 1 BLOCK 3
PERNIIT TYPE : BUII.,DING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ROOFING
VALUATION : $ 1,600.00
NOTE: UNDERLAYMENT AS PER STATE BUII.,DING CODE.
APPLICANT
SULLNAN CONSTRUCTION COMPANY
5885 BLACKBERRY TRAIL
INVER GROVE HEIGHTS, NIN 55076-
(651) 436-8975
� :I�I_ :_
TONER VIETTA
7598 ALDEN WAY NE
FRIDLEY, N1N 55432
AGR�EMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if const�uction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify tha.t I have read and examined this
application and know the sazne to be true aad 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 conshuction.
Applicant Date
Bldg Insp Date
PERMIT NO.: 200�00132
DATE bSSUED:
BUII,DING PERMIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
TOTAL
PAID WITH CHECK # 1415
S�YANA'1'� Y�KMI"1'� K�(ZUIK�ll r'UK WUKK U'1'tl�lt'1'HAN ll�SGKlt3�ll Af3UV�.
57.05
1.60
0.80
59.45
ek��4�y
Building MECHANICAL Perrnit rTo.: U
Inspections RESIDENTIAL APPLICATION Receivec� By•
763-572-3604 CITY OF FRIDLE�' Date�: � 09
DA� .Sa� aq , aooB YOUR E-MAIL ADDRESS
srrE annxESS "159 � �A 1 �l.e r� 1�-1 N t
TfiIS APPLICANT IS: ❑ OWNER �]CONTRACTOR
PROPERTY NpME: '�,r b '�'�„s.%loa,� b
OWNER/ ADDRESS: �?SQ � R� �e. ri ��� CITY i �'��1 STATE ih1�LIP gS�f3a.
TENANT PHONE: �1�P3 • 5`l t-�s'1 b5 �
CONTRACTOR �p��N�; CENTERPOINT ENERGY
SUBMIT A COPY OF
CONTACT PERSON: JOANN 7s INREN
YOUR STATE STATE LICENSE # E}� DATE
LICENSE WITH �D�s: 93�0 EVERGREEN BLVD STE �rry "�0011i� °RAp.IDS STATEMN ZIP3�5�3�
' APPLICATION PHO� 763 — 757 -- 6202 F,e,X 763�757--6701
PERNIIT TYPE �SINGLE FAMILY o Twa FaMU,Y 0 TOWNHOUSE
TYPE OF WORK: ❑�' ��'��EMENT � AI-TERATION/REMODEL
DETAILED DESCRIPTION OF WORK 'Sv+g�u.�\ `(Le.���C �e mc� �
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS Wf�RE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOVi�
Equipment Installed MFG: �� MODEL: V► � Q.i_ '�{ S1ZE T�J �� � ���
MFG: MODII.: SIZF/BTU
MFG: MODEL: SIZE/BTU
A/C $25.00 FIItEPLACE (GAS) $15.00 _GAS RANGF/OVEN $10.00
AIIt TO AIIt EXCHANGEER $15 FIREPLACE (WOOD) $35.00 IVEW GAS GRILL $10.00
_BOILER $35.� �iJRNACE $35.00 GAS UNTT HTR $10.00
_CFIDVINEY LINER $10.00 GAS DRYER $10.00 POOL HEAT'IIt $35.�
DUCT WORK $10.00 GAS PIPING $10.00 VENTII.ATOR $15.00
PERIVIIT: EEE P-RO7ECTS FOR UNDER $500 : • ". � - ` . �: _ 'PIItMIT FEE: FOR PR07ECTS OVER $500`<=
Pernut Fee $ Number of fixtures @$10.00 x$10.00 =$
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 � x $35.00 = $ 35 �
State Surcharge = $ .50
Tota1= $ 3S.Ja
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTII., PROCESSED
I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of a11 work which requires review and approvai of plans.
SIGNATURE OF APPLICANT �� �° � tv� ROGER HOFFHEIN DATE �� aq'Oq ��-
` PLEASE NOTE:; SEEARA - PERMITS ARE RE UIRED F.OR BUiI.DING; EI,ECTRICAI: AND MECHANICAL WORK=- ::'
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERNIIT
RESIDENTIAL PERNIIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS �EXIS'TIl�TG HOME 0 MAKE-UP AIR
REOUIRED FOR NEW/EXISTING HOMES
- � Combt�st-ien Air (See note below) ---- - - -
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendrnents
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Ga.s appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REOUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
— --- -- 6. Duct �esi�m U,�C 1346.Ob8-3� --- -- - - ----- --- - - -- --
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.
�
I
$uilding
Inspections
763-�72-�604
7b�-502-49i7 FAX
DATE �
SIT� ADDRESS
T'HIS APPLICANT IS:
PROPERTY
(3`9f�NEit/
TENANT
SUBMIT A COPY OF
YOURSTATE
LICENSE, BOND AND
CERTIFICATE OF
IN3U.RANCE
PERIVIIT TYPE
TYPE OF WORK:
❑ OWNER
:�! ' # :�� f�
� ;�r - .. , ..; :.: .: ,�
f _ ,� , �.� :�� _
�.
YOUR E-MAIL ADDRESS
N�
ADDRESS: �'$ �S s II a9�Y( IAI�fv N�
PHOAIE: ��?'!j� S�"I — IO�}"(OS
STATE LICENSE
� • ,t,l��l���r�
�- -.: �,,
�. �� �• ���'.' i a �
CITY �1/I !� �QN STATE�IN ZIP S r+ � Z
STATEBOND#
ADDRESS: gZ�O OvIf�L4/l St lU� CIT'Y �
PHONE 710?'✓' ' �✓�{ � ZI % �I FAX
SINGLE FANIILY ❑ TWO FAMILY ❑ TOWNHOUSE
❑ r�w
DETAILID DESCRIPTION OF WORK
�x�LncEn�t�1T
�{P DATE
EXP DATE �.,......°.•��^'°
STATE�,ZIP � ��
_ -a- �. /.- �i G�,�il
PER MS 16B.b65 the permit fee is a minimnm of $].5.00 or 5% of the total cost np to $500.00, whicheyer is greater, for the
improvemeirt,, insta,llation or replacement of a residential fixttue, excluding the �xtaues. (This should reflect oniy the cost of labor )
Labor cost unda $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = plus SO surcharge
OR
FOR PROJECTS yVFIERE LABOR EXCEIDS $500, FEES ARE BASED ON $] 0.00 PER FIXTURE, EXCEPT WE�RE NOTED. FIXTURES: (IIdDICATE TOTAL
NI]MBER OF EACH BELOV�. MINIMUM FEE $1550.
BATH SIlVK2AV ' FLOORDRAINS SHOWER WATERPIPING
BATI3TUB GAS PIPING (NEED QTY LIC� SWIl�IlVlING POOL WATER SOFTNER ($35�
CLOTHES WASHER KTfCi�( SINK WATER CLOSET BACI4LOW PREV. ($15�
_ DISHWASE�R _ LAUNDRY TR,AY " �„WATER HEATER ($3.5) FOA' IRRIGATION
WATER METER • OTiIER
Permit Fee $
Surchar�e .50
���
Number of fixtures @ $10.00 x $10.00 = $
Number of fixtures a(,i $15.Q0 x$15.00 =$
OR Number of fixtures @$35.00 I x$35.40 =$ r� �
State Surcharge = $ .50
� (MINIMUM �15.501 Total = � '�5• �
THIS IS r1N APPLICATION FOR A PERMIT-NOT VALID UNTII.. PROCESSED
I hereby apply for a plumbing permit and I aclmowledge that the information above is complete and accura2e; that the work will be in
conformance with the ordinances and codes of the City of Fridley and rvith the Ntinnesota Consuvction Codes; thax I understand this is
not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in the case of all woric which requires review and aunroval of plans.
SIG�IATURE
.�PPROVEI3 BY
?i�R[?TE:PEIt11xtITS',�lR���Q'[7IRE� FOR'B.TJTL'DING:.LI:;'.i;TR1G:�L._�I�1D'�v1E-CtTAN7�.�I;.�.i�(�RK
�:'��' �D� .ii °.':[d�8�
�illlCD.�fl1� _iH15pCa�OE1S �8'd3al"'�91�d1L
��+� 1 ?niversin� :�venue ��IE. �ridle��. i�iil�f ;�•�?�^_
'b� � ; � -� b{.)� _
..��:�: �r��-��)�_..�.a.;,,
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KATHRYN A
2B, BARB
KATHLEEN A
Location Address
7598 ALDEN WAY NE, FRIDLEY, MN 55432-0000
7598 ALDEN WAY NE, FRIDLEY, MN 55432-0000
7598 ALDEN WAY NE, FRIDLEY, MN 55432-0000
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https://prtinfo.co.anoka.mn.us/(e2ablyzwi13qn45512222sug)/search.aspx 7/22/2009
�uilding ��, 1��'r Permit No.
�nspections �,���,1�'�., �.�PI,IC,�.���1°� ' e �-
763-57?-3604 ��� ��` ���I.J�-�
763-502-4977 FAX a c� :
EFFECT7VE �-19-09 .
DATE (0 O
S ITL ADDRESS
THIS APPLICANT IS
OWNERJ
TENAI�IT'
SUBMTT A COPY OF
YOUR STATE
LICENSE, BOND AND
CERTIFICATE OF
INSURANCE
PERMIT TYPE
TYPE OF WORK:
❑ OWNER
NAME:
ADDRESS:��'
PHONE:�
NAME: V'�
STATE LICENSE #_
STATE BOND # _
ADDRESS: 52��
PHONE �
'�SINGLE FANIILY
❑ NEw
DETAILED DESCRIPTION OF WORK
YOUR E-MAIL ADDRE55
0 TWO FAMILY
►`' ' �' � M' I�I
CITY i'1
EXP DATE
EXP DATE
crr�r n 1ei+
FAX – � �
❑ TOWNHOUSE
'��
FF.FC ARE BASED ON $10.00 PER FI7CTURE, EXCEPT WHERE NOTID. FIXTURES: (IIdDICATE TOTAL NUMBER OF EACH BELOVV). NIIIVIMUM FEE
$3550. .
BATIi SINK2AV FLUOR DRAIlVS SEOWER _ WATERPIPING
BATHTUB CiAS PIPING (NEED QTY LIG� SWIlIM�VG POOL _ WATER SOFINER ($3�
CLOTF�S WASHER KITCHEi�1 SINK WATERCLOSET BACKFLOW PREV. ($IS�
DI3HWASHER LAUNDRY TRAY �,WA1ER HEATER ($33� FOR IItRIGATlON
— — _ WAT'ERMETER _ OTT�R
�
THIS IS AN APPLICATION FORA PE[tMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in
coriformance with the ordinances and codes of the C'rty of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in the case of all work which requires review and approval of pIans.
SIGNATUR.COFAPPLICANT ib'ZZ�'/�"� �'""��/�'G PRINTNAME �i .�L ���Gf' DATE�IO �d
PCEASE"1V(OT'E SEPARA-C'E'PERl�[IT`�",�I�E':I?�.C)LJIRED��'OR B'[IIT�TT�ING:. ELECT'RT�tiL.. A�ilD-ivIECL-TANIC �I: WOI3K.
��tty �� ��i��ey
�aaaic�i�g �as�e��nons �e���em�
b431 Universiry Avenue NE. Fridley, lY1N ���3?
763-�7?-360�
F�Y: 763-502-4977
.. . .. . .. ......._.....__. `�