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AF - 36065'F°@ �-� F � g <2 '� E , ; ��aC i t�, I.�f 5 ��. ��.t�I� ��.�t:r�� .��rt ��t`itc€�. � ��k� ��S��o� I�? �'�e;.�;�� . �. ��r��a�� '''�; ��,�,..:�:�..,w��...�..�� .�:�.,"...:,,:::y: _ .`E:;� ,, ;�' � �#��; ��.�.��::�i.�r� �,�� -�� s: ��.� ��;�� €�c� ��r s. �;�� ;.�� `��: ��.ger�� ft�cz� ��,:4 �t. � ��t� �� af. 4�� Fr.��t; d�: �,� ��t�� #,�resp�rly ias�$l.�d. �� "r�� e�� c� �� .� �c� ��;� ��3�r ��ri��*�- ��3 �� £��.�r �� s��r� ��r �� a�� .� �x��d. Z ��i+� ��rr�� i�a � �� tt�� .��€�eYy. ��: ��i�. ��r ��' �r��rs� � ��ra��r 1�, I�� i �rct �� c�� i�� . �i��OiZ'��#", � �. ,T��'�� B�ci�.d�.� I��r �i.�� a� �`r�:�d��;� �� : �1�� ; ��s�t�: » i��;�� &�� . R�.� l��r��r�at - € �� fi�s �#.�cl� Pix�� a��z ��Le �c�,�� > �� a�� l�.v�z� �c��`�� • • • City of Fridley, Minn. BUILDING PERMIT Jnne 23, 19b5 �: Mz. & Mrs. R. Kennedy (owner) N° �9��° '7995 � __11.�3 Craigway Builder � �eland_.Briek_and 3tqne C.o,�_..._� Address _..�._.._..._._..__._....r._ ..�.._......_--------___._ Address �1? Craigwa� ---------•---_._._... LOCATION OF BUILDING No. ._.�81��__..... Street �_ ll.d�___. n intav 1�I..�..��-----•----------._.._. Part of Lot _ _._ .._._._._..� Lot _______10..___._ Block _.—._._.... 5--._..__. Addition or Sub-Division ._.P.�S�on Crai �a�v..�st.a.�es.r.2nd Add. Corner Lot ______..—.__ In�de Lot ._ ��.. Setback _.___.._...—___ Sideyard __. _._._..._..�_.�.. 5ewer Elevation ._._...__..�.�_._.. .__.�_ _.._____._ Foundatiaai Elevation To be Use@ as: Dwel.l.in_g_____..._..__ Front Att. Garage�� nt 1j�pe of Construction DESCRIPTION OF BUILDING Depth _._�.—.Y Height ...r_._.� Sq. F't —.__..._ Gti. FL Depth � Fieight _.__�.__ Sq. F't. � Gti1. F� ___ Es� Cost .:�Q,�S�Q�.aQO .._........ To be Completed __.._..__......_..._. DwelZing Att. Garage In consideration of the issuance to me of a permit to co� th� propoaed work in accordance with the description above � ordinances of the dty of Fridley. %� in described I agree to do u provisions og In ca�►►siideration of the payment of a fee oi a 6•�_ , permit is hereby graated to ��k�an� R��j{ & S�one CO. to construct the buil ' the express condition that the � or addition as descrlbed above. This permit is granted upon done ' around and u ��On to whom it is granted and his agents, employees and worlrnien, in all work u�, pon said building, or any part thereof, shall oonform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinancea Allen Jensen g�� NOTICE: I ihk p�rxdf do�s not eowr tl� eoastruefioa, Ia�tallNton tee �ri�iso. P��Y. Y� �Y. »wK or wahr. M wn to sN fM suildiee Inip�eloe for ap�rah p�neib for 16a� h«ns. � . � ' �' '� . A.PPLICATION FOR BU- ING PERMIT � .: *�'LY� i 3 tSO.� �?�"t:. si� ? CITY OF FRIDLEY, 'i�INId£SOTA ,.,:,Yn•: Yt� Lz�.r f= r.i;{ et�: _, � � �!� X �� o OWNER ` S NAME f•' '�%i%25 f� ` �� r, n � e! BUILDER Q �'� « `J �/ � "� �ADDttESS �� C(�'/�l �°J r`'.�t�� AUDRESS lrE1' 7�''/'��y.� c,t.� ��. n LOCATION QF B�D 1� ' I . l `� /!/` . J , .� � . No. Street ''� tr ��' Part pf Lot . �, r+.cy !� �:f 1 h�s:.-.- Lot 1�:i Block L� Additionr or Subd�vision / ec2l�sc>s� C?/: �9 �"�r � a S� _ FS �4% Corner Lot Inside i.ot ?/ .,;�etb��k , �� Side-Yard '�si � . !� SEWER E�,E'VATION FOUNDATIDN ELEVAfiION Applic:ant attach to th.i9 form 1'wo Certificates of Survey of Lot and proposed build- ing location dr�wn on these ��tificates. DESCitIPTION OF Bt.TILDING To b ed �s :1 , � � ' � � •r / ; ,l � � �- �'ronC Depth �� Height � _ • � � 9q. FC. � �; �% �f' Cu. Ft. � � ��` �; Front �� Dmpth Height �j� .,� .s Sq. Ft . Cu . Ft . '� % .,i � � Type of Construction 1^�� p�� % Estimated Cost �� : �+ C� --; ,�;o-•be �:omplet.ed The undersigned hereby makes application for a permit for the work herein specified, agreeing itc� �o a�.l work i� strict accordanc2 with the City of Fridley Ordinances and rulings �� tl�e Department� of Buildings, and hereby declares that all the f�cts and representations stated in this application are true and correct. ��.�-� �'� � S.,— 2 �!/�Cc? ,�Sc�ednle af Fee Costs can be found on the Reverse Side). � ti < r .'w� c �'L%� �Q� � � l� � � � .�=� , � � �, �' � •r�'��; is. . ` , .. . . `� �� y: .. ;p'. . . Y�+}.� �.� . �. � i� . . ��.� = �" � . � " BUILDING PERMI� FS8 SCH�`��JLE , • � � Seetion 2. The Inspector of Buildings shal��., be.�or�,issuiag any pereiit for Ehe erection of any building or structure, ar for any add�.ti� ts any exist- ing building or atructure, or for any a�Cergt�ds�s��:or;repatr� to an�y exiating buildi�g or structure, upon application �}er:efor, �eqmire the payme�rt by Che applicant for such permit of fees �tts tlie amount �i�ereiu below set forth and �in the manneY herein provided to-W�t: . . . . . . ., S. -- 2.1. For any �uch permit for the eYe�.tiori•o:fi'any fire�pr�f build�pg. other . �� han a garage� warehouse., factory o.z &�t�Cr e�ev��p�;, � for. the ex��tioa mf , ,' any fire-prpof addi�ion, fQx siuE�],ar``oc,��psaey� �o: a�y �xis�,i�tg bu�ld��g -. . shall be at the rate �f $1.40 for ea�h op� t�ious�nd et#bie feeC, or� Pra�czf�n .. .. thereof, in such cubical aont�n�s. . ..;. �� . � '� 2_,2_ For any such permit fc�....t��ye erectioa of any firerproof g�raae_.-v+�ro�•N.--•,, .. factory +r grain elevator, or f� the e,rectioa �f aay� f,t*�;-p�;nof '.•.c f�r similar occupancy, to any eXisting �taildi�g.shal.l be at .t�e � ...• fo� �eaeh one .thbusand cubic feet;�,.�lasaified as�"fireproq�" bq .5�� the Minneap�ulio Sufidi�lg Coti�,. �',�:�w;,� � ' '�� HOUSES . .. . .. � 2.3.. For aay such permi� for the erection of any non-firepro�rf b�uilding ath�r than a garage, warehouse, factory or. grain elevator, or any �on-firegr.�abf �• '°, additivn, for sim��r ocCupaacy, to any e�ci8ti�tg buildix� - permit $1,.00 for each one thou�antl cc�bi� fee�. � GARAGES :� 2,4. For any such pera�it for the erection of any non-fireproof garag�, warehouse, factory or grain elevator, or for the erection of any non-fireprao.f� additioo, for�similar occupancy, to ar►x existiag building dr for eac� such � __=-fiuilding or addition - ninety cents ($0.90j for rzach one thougand cubic teet ` or fraction thereof, in the cubical contents thereof with a minimum of $4.00.- For the purpose of coflnputing fees for building permits, th� cubical ca�t�tents�� of any buflding or addition to a uniform height throughoiit 'by muj.tit�ying tti�, .' ground area eovered from a point six (6) iach�� bsl�iw the �`loar line bf.the basement or cellar to the average height of the �pper surface or to the • average height of the rpof surface of the maiz� gable of a,�titched roof. �' 2.5.. For repairs or alterations to an existiti� s�suct�� tg �ee s1�a11 be .�y`',� . ;at the rate of $3.00 per ea�Ch Five I�undred. Dollara .($sQO�:dQy or �ractfor� ,s therebf iri �he cost 'bf �all, proposed work, ' �� ' 2.6. In no case shall �he fee�.,chargad :fur any p�rm;� a� set fo�'th ia � ,, � Sectian 2 be less...�haa $�i.00. � . , . ..,� � � �� (, y r. � r ' y i �. � .. 'W�} Sq�� T� '�� gauua� •a� :�� • ��C �� a�� s�a�� a��i p��a� ��a aas�� a� �� r��t �ca�� s '�� t��a,a�! a�� a �faxP'�� !� ��'�� a+�r� �!� ��s��sp axs r+a� �I 'S`d ss�� : � ��►�P��d ��s t�� md��y ��T�� S�I� '�3 "��r�.�� x� �a.�nc�g ��r �� cr� ��t�c�� +�3'�� "�'t� a��3�� $�xi� `�i��? �tn,� ��t �►To��s �s; sa�� s�� r�;afl � ��-�.�� '��t�� s�� +��3��arn �� sapxa�x xcs�i3 ��q� � ��z� �� o �a�s � a��xe �� n��q �r�� I�� ;3 �� aa�ta�� e�� pa��t��.� �.�s� �,�e�a��ar�� x��;� �a��, - �a��aa�� to p��sa� �t�r� s� �a��'�� `��u�,dr� .�� u� � "�� 1� ��s�u ��a� ��xa��-a,a •�t�xuz�� •x� �s��n-�c+�; ex�'3 �Cq �u��r'gtt�a � t�rd�, •a�c�o� � ��; a€ta g�� a�� aa+�s+ca�-�� i��a�ra �� .��a� � � �.��3�'�,� :�� .�� r�: -��'a �<�q� �T�� '�� "�� .�� ,q��,��.�� +� �p� s�r� ��:�� ?� �� ; � ; �;; ��;; �`� �{:� i f,a7i•' �� i,�� -'�.Y �l�4ir f Y.}4F ��TSS ��a��ittt�� '�a��;23 "� 't� �� L��/I �C�€�+d�o ; ar�o�� '� �{��x� P��'t�'t�'I f�rs�� o�.�.x�� • x� 95bt `�I ��f �, � ,� �'� ,� � � � � O� � N � .� � .; m � � L � v 4. V�� ti � ,� � � � ti 1 � � �� c� ti IY� `e � .� 2 � •N y � � _,,� J � a � � h' O � � � �� "�, C ^' r� °' M � � � � � I � � � � V � �� .� � � U � y :� � � ro � 'a �, � U � .«� � o r� •° o O � � � c�i v � ",' � ..o � z � � � � � � 3 0 •.� '� P� f� � U O a � x � h � � � r'' � U �� o. ■ o� � o "C3 n^ t�. � d t(?7 +a � � � v� s. � �� , � •� , �' � aa y s =a� �° o � � N f a � A. � � O � � � �. � � O O t � L v+ .i � � - O � � %�= � � L' •� � 0 � a N d f � H � ._ � � � � � O 3 � � � �'n o. ot V � 0 � � o� o � C � � � .s � .� � � � � X � � � � � � '� �. �� a 0 a � I o� � � ,O V a. � w o� "�2 ?,.� ao v p .� ,� �' ti � � T� '� . � � � ,� � "'' O �+ � � tl ?, p O N tl � 'd •� U .,v,, O �' � �' pUj "��'�' � ' a �" o '� ,�, °'o�a � � V O � '� � A• ��•ti� � � '� ',� � o .°� �' o � ,.' � a"�'N c� � ° '� �` � �°'�o � .� � � � � � � y_.... � � � � �ry � °'� �•° � � � U � � �� ,�a .��o � U � O �� " � � �J �.wa ,tj ,�, .� O O �� "�� '° a. � '� � � �� ' � � .� o � � .ti . �� , � � o�� 0 '� ��o .—��, �°, � o y�� K' � o ao - �,� � •C o� .N N � ,�� '� ' "' '� �..��3 o�� a�'�o � � � s�� ° �, � � � � q+�o R, � �'� � � � � a�'� � � � ,a��d� t�. � � 'N U � a d �� O ��, F � �a � p 'ti' ' "' O C' > �' �' pp • ^' i. ,� � � O � � � O�i tl �j � � a ��,�N a �dW� .°a o '� o'�i '�' C� 't9 s�. R, Application tor Power Plants and Heerting. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work . . . . . . . . . . . • . . . . . . . . . . . . . . . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTCT . . . . . . . . . . . . each add. 60,000 BTU . . . . . ..... ... ..... . . .. . R.eplacement of F�rnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . .. . . . . . . . . . . RATE TOTAL 8.00 $ 5.00 a 5.00 $ 2.50 $ 8.00 $ 2.00 � 5.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDft Steam .... 8.00 $ F�irnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $— OIL BURIvER—to 3 gal. per hour . . . . .. . . . . .. . .. .. . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . 5.00 $ � dO GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ..................... x$1.5Q $__a. DO Additional Fixtures x .50 $ Gas Range to 200,000 BTU x 2.00 $ AIR CONDITIONING � g. d 6 FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE a�� `% ROUGH FIN Dept. of Bldgs. Phone 560-3450 �` City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. FY•idley, 1VIin�S�//.�2�-�� "�L 1g1� � Owner � 9 • %�� I Kind of Used as v �i I To be completed about '/� / T�� / 00. Estimated Cost, $_ 1 � �� Old New. Building Permit No. Permit No. 6��G� DESCRIPTION OF WORK HEATING or POWER PI.ANTS-�team, Hot Water, Warm Air—No. Trade Name ��ry L�i�C�O.s��/.�' i�-yc.�/ Size No.�/C�C �0.3l0 Capacity �,. /��d G /=/YI ��. 6po�, Total Connected Load Kind of Fue " BURNER — Trade Capacity. (REMARKS—OVER) c^��-�.az Size No. Sq. Ft. E.D.R BTLJ H.P. Signe �- � � i sy Business Phone No. ��-�— �f� d�_ FIRE DEPARTMENT MEMO T0: BUILDING IN �!�• ASSESSING SUBJECT: FIRE DAMAGED STRUCTURE DATE: Oct. 21, 1985 FIRE HAS OCCURRED AT 7812 Alden FD-7 John A. Pierro, owner) Oct. 19, 1985 DATE OF FIRE <��.�� , .. 0 sue�ECr P MIT . City of Fridley o 18267 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R EIPT N COMMUNITY DEVELOPMENT DIV. p �/ r � L � PROTECTIVE INSPECTION SEG �,1 . �/ i � � � ' � /'��1 � CITY HALI FRIDLEV 55432 NUMBER REV. DATE PAGE Of APPROVED BY �"'"�� ,�� 612-571-3450 9t0-F15 10/28/85 � � JOB ADDRESS 7812 Alden Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oESCR. 10 5 Pearson`s Craigway Estates 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIF PHONE John A. Pierro 7812 Alden Way N.E, 571-3584 3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZiP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Correct Fire Repai�rs to Garage 9 CHANGEOFUSEFROM TO STIPULATIONS �':,s-�;��n�rC �� ra � ti ,, �_ , R �;T� ��E�;►1i�� -�� ,,.:;;� � , l�1— !� �. _ ke dt��f�d�a, a��t�i f �i�il� �"��_� ?�,w + `f, + R -., r ta..eE� v�.�a t1, :.J t a; ��. �-� �ti TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, WOOCZ Fr�ne VENTII.ATING OR AIR CONDITIONING. THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHEFi SPECIFIED HEREIN OR NOT. THE GAANTING OF A PERMIT $I.S�OOO $7.50 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OF CANCEI THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $ZZO.SO PL N CHECK FEE TOTAL FEE $118.00 SiGNaTIjREOFCONTR�rCT'pA^ aurHOaiZEDaGENt IDATEi WHEN PFOPERLV LIDATED THIS IS VOUR PERMIT � � �` _ �'�'1.c.lh • °�,''�.-i; ( �' � � �' - i _ �� a �' �.� � � GNA7URE OF OWNERiIF OWNER BU�LDERI IDA7E1 BLDG �NSP r14 NEW [] City of Fridley Effective 4/1/84 ADDN. [] L R-1 AND R-2 � pLTER. ( ] Building Permit Application Construction Address: �'��- Legal Description: Owner Name & Address: �c�n ;�j. 1�; ��v`Y`v Tel. �S7/-3S� �,c Contraetor: Address: LIVING AREA: GARAGE AREA: DECR AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTIOA OF ZMPROVEMENT Length Width Height Length �� Width ot. g Height �� i� Lengtk� �_ Width Hgt/Ground A Corner Lot [] Inside Lot � Ft. Yd. Setback Type of Construction: c u � J� -�,� Approx. Completion Date: ! � � /�- - �S Proposed Driveway Width If New Opening Is Desired: DATE: �b - ;,Z.�- b� S Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge 7'OTAL STIPULATIONS: el. # Sq. Ft. Sq. Ft. _;;7a r��0 Sq. Ft. Side Yard Setback Estimated Cost: $ �S �n n Alt. A Alt B $ $ See Back Page for Explanation APPLICANT: � � �� -'� Tel . � S 7 � � 3S�' � CITY IISE ONLY . $ Q. J� Fee Schedule on Reverse Side $ �� 25� of Building Permit Fee $ %�S� $.50/$1,000 Valuation $ — $425 per SAC Unit $ Fee Determined by Engineering � �� Agreement Necessary [ ] Not Necessary [ ] � BOII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of ar.y building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or strueture, upon applicatio n 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 Daluation �1.00 to $500.00 �501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional �100 or fraction thereof, to and including $2,000. $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first additional $1,000 or including $50,000. $283.00 for the first additional $ 1 , 000 or including $100,000. $25,000 plus $4.50 for each fraction thereof, to and $50,000 plus $3.00 for each fraction thereof, to and �433•00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof. DRIVEWAY DEPRESSION ESCROW (Conerete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach xith 6 inch depth - Driveway width plus 6 feet times $15.75 VERIFICATI�N 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 structure and of the construetion site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. _ ��o�G � �, 301 � j � ( `3 �G� � l�,c� � V � � Q . �� sua�ecT PE NO: - --- City of Fridley 218 7 i BUILDING PERMIT AT THE TOP Of THE TWINS i � RECEIPT NO. � � � COMMUNITY DEVELOPMENT DIV. �� ; ------ r � � PROTECTIVE INSPECTION SEC. 1 i � - A '��'�'1, � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPqOVED BV � �� '� 612-571-3450 910-F15 10/18/93 / / J08 ADDRESS �g12 Alden Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I.O 5 Pearson's Craigway Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Sallman 7812 Alden Way NE 3 CONTRACTOR MAI� ADDRESS Z�P PHONE LICENSE NO. Milton L Johnson Co. 525 Lowry Ave NE, Mpls. 55418 781-9548 2093 4 ARCHITECT OR DESIGNER MAIL ADDfiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION t� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroo� House (_44 Squares) Tear-of� 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Provide adequate attic ventilation. Proyide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAfiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $12 � HOO $6. 4O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIO�ATE OR CANCEI THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING corv- $144. OO Fire SC $ZZ . HO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $168.20 S�GNA7UAEOFCONTRACTOAOAAUTNOAi2EDAGENT IDATEi W �jj p VALIDATED THIS IS YpUR PERMIT ` 1�-%lQ� SIGNATURE OF pWNER UF OWNER BUILDERI IDATEI BLDG•INSP r�4TE NEW � J ADDN [ ] ALTER [ J CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 I3uilding Permit Application Effective 3/ 1 /92 �3h7�1 Constxvction Address: 7812 Alden way Legal Description: � Owner Name & Address: David saliman Te�, � 572-9588 Contractol': Milton L. Johnson Company � MN LICENSE A� 2083 Address: 525 Lowry Ave. N.E. Tel. i� 781-9548 � LIVINC ARFA: GARAGL� AREA: UeCK AREA: OTf�ER: Attach to this applicadon, a CertiGcate of Survey of the lot, with die proposecl construction drawn on it to scale. . DESCRIPTIUN ON IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground tti �i� `, � r�' � �('`1 (' S c�' / /� /t �'�`�� c `'T � ` / Corner Lot [ J Inside Lot [] Ft. Yd Setback Ty�e Of COttstruCtioti: Tear-off,re-roof AP��rox. Com�letion Date: Uriveway Curb Cut Width Neecieci: Ft. + 6 Ft = llA"I'F Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Seibacks Estimated Cost: $ 12,800.00 (Cost on Back) Ft x $ _ � , 10/13/93 APPLICAN'T: �-f�c"-�� `�� '�,�--Tel. fY 781-9548 L i C �� Permit �ee $ '' t�f/ ��ire Surcharge $ �� • cQ C Stale Surcharge $ �- � `.%O SAC Charge $ License Surcharge $ � - !1 �> Driveway Escr�w $ Park Fee $ Sewer Main Charge $ 'I'O"I'A L S'I'IPULA"I'(ONS: .. $ /�� -��c �� Fee Schedule on Reverse Side .001 of Permit Valuation, (1/lOfh96) $.SO/$1,000 Valuation $700 per SAC Unit 55.00 (State l,icenseci Residential Contractors) Alt. "A" or Ait. "B" Above Fee Determined by Engineering Agreement Necessaty [ J Not Necessary [] BUILDINd PERMIT FEE SCHBDULS The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any exisdng building or structure, ar for any altetation or repait to any existing building or structure, upon applicadon therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein pt�ovided� to-wit: TOTAL VAI.UE S 1 to 5500 $501 to $2,000 $2,001 to $25,000 � $25,001 to 550,000 $50,001 to $100,W0 $100,001 to $SOO,WO $SOU,001 to $1,OW,000 $1,000,001 and up FEES S 15 (Minimum Fee is $15 plus surcharge) . S 15 for first 5500 plus �2 for each additional $100 or fraction thereof, to and including �2,000 $45 for first $2,000 plus $9 for each additional 51,000 or fraction thereof, to and including 525,000 . a252 for first �25,000 plus �6.50 for each addidonal 51,000 or fraction thereof, to and iricluding 550,000 $414.50 for first $50,000 , plus �4.50 for each additional �1,000 or fracdon thereof, to and including $100,000 $639.50 for first �100,000 plus 53.50 for each additibnal $1,000 or fraction thereof, to and inciuding $500,000 $2039.50 for the first �500,000 plus �3 for each additional $1,000 or fracdon thereof, to and including �1,000,000 $3539.50 for the first $1,000,000 plus $2 for each addidonal $1,000 or fraction thereof DRIYEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. � Alternate "I3": Removal and replacement of curb and gutter and install a 3 foot wide approach with G inch depth - Driveway width plus 6 feet times 515.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours frorn the time of application to allow for proper review of the proposeci structure and of the construcdon site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will he required before proceeding with tt�e framing. / � sue�ecr P E - City of Fridley 2 716 4 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f 1 1 � l ' � COMMUNITY DEVELOPMENT DIV. � ; V'�'�� , r � � PROTECTIVE INSPECTION SEC. � � ' /'��1 � CITV HALL FRIOLE� 55432 NUMBER REV DATE PAGE OF APPROVED B� �""�'� �'' 612-571-3450 910-F15 8/13/98 / / JOB ADDRESS 7812 Alden Wa t LEGAL LOT NO. BLOCK TRACT OR ADD�TION SEE ATTACHED oescR. 10 5 Pearson's Crai wa Estates 2nd Addn. SHEET 2 PROPEFTV OWNER MAIL ADORESS ZIP PMONE Dave & Wend Sallman 574-9588 3 CONTRA TOR MAIL ADDRESS ZIP PHONE LICENSE NO Cr stal� X Kitchen Center 668 N H 169 Golden Valle 55427 544-5950 7200 d ARCHITECT OR DESIGNER MAt� ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAILAODRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION � ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Kitchen remodel 9 CHANGE OF USE FROM TO STIPULATIONS See Notations on Plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS AFE REOUIREO FOR EIECTRICAL, PIUMBING. MEATING, VENTI�ATING OR AIR CONDITIONING. THIS PEFMIT BECOMES NULL AND VOID IF WOFK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOfiK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 7655 3. H3 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRU TION R THE PERFOR NCE OF CONSTRUCTION. 13].2S F� 2 SC �7.65 PLAN CHECK FEE TOT FEE S 5.0 53.73 SiG A fiE F CO � FaC OR R AUTMOAl2ED AGENT iDATEi EN P OP AUD IS IS Y PERM T '� � S ATUREOFOWNEAiiFOWNEABUILDEp� �DATEi F • BL �NS� ��TE NEW ADDN ALTER �l L] � . �-. CTTY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERI�IIT APPLICATION ConstructionAddress : �� / Legal Description: Owner Name & Address: � Contractor: � Address: LG,��' . V,�-+ LNING AREA: GARAGE �AREA: DECK AREA: OTHER: � Effective 1/1/98 �; � � `� �� lo _ � �� MN LICENSE # % �� Tel. # rj�f '¢ _ cJ`�'� Attach to this application, a Certificate of �urvey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIP'TInN OF Il�IPROVEMENT Width Height ��Vidth Height Width HgtlGround Sq. Ft. Sq. Ft. Sq. Ft. �� Construction Type: Estimated Cost: $ �4(Q�j. - (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � � ?J '"�� APPLICANT: �~ �- �✓�(J Tel. # � � CI'fY USE ONLY _� �� L-�d ! a-? � � D!� � <�� Permit Fee ?=ire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee 3ewer Main Charge TOTAL STIPULATIONS: , � �?,�s � � � $ $ $ �. �o � $ $ $ $ �� ,73 Fee Schedule on Reverse Side %�L/-�� .001 cf Pernlit Valuation (1/lOth%) $.50/$�,O�Q Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.Q0 Conservation Plan Review Fee Determined by Engineering • Agreement Necessary [ J Not Necessary [ J BUII.,D .ni 1G PERI�IIT 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 $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $�00,001 to $1,000,000 $1, 000, 001 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 $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $SO,Otxl plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for iirst $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.2� for each additional $1,000 or fraction thereof, to and including $1,000,()00 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSIOl'� ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. 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 Permits for construction will be issued a minimum of 24 hours from the time of application to allo�v for proper review of the proposed structure and of the construction site. A Certiiicate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572- 3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effedive On January 1, 1998 Water Bath Wash Drink, Floor Catch ' Auto. IG�s Gas Misc. Water Heater Stories Closet Urinal Tub Shower Sink ' Tray Fouht. Drain Basin Washer AppL Range Fixt. Gas Elec Basement _ �� Floor 1 ' � � �, Floor 2 Floor 3 — - _ � — Floor 4 � ' 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** Gas Range** NO. RA'iE TOTAL JOB ADDRESS —`� � 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 $ y 0.00 $i 0.00 $15.00 The undersigned hereby makes application for a permit for the work herein �S 1 specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that ali the facts and representations stated in this application are true and correct. � Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS o� 1.5°k of Value of Fixture or Appliance �h� State Surcharge TOTAL FEE $ .50 $�,�5� �y � "� Owner � � �! � �j Building Used As � �. ��`5 Estimated Cost o�� U� PERMIT NO. / �. �� PLUMBING COMPANY /U ��C �j( p�� , �� -�1r s� SIGNED BY � TEL N0. Approved By Rough-ln �ate Final Date -��-L ��' �� MINIMUM _FEE F R ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSl10N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 Sa INCHES. sue�ec* PERMII NO. c�ty of Fridley AT TNE TOP OF TME TWINS g � I L D i N G P E R M I T 2 9 2 5 � r ; � RECEIPT NO. � • COMMUNI7Y DEVEIOPMENT DIV. � �� LL�� r � � PROTEGTIVE INSPECTION SEC. � � � � �"'1 � C�TY HA�L FFlIOIE� SS�J2 NUMBEA REV O�iE v�GE Oi •ovnOVEO Br �""'�"� �'' 612-571-3450 910-F15 4/19/99 / / JOB ADDRESS �g12 Alden Wa NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO oescR. 10 5 Pearson's Crai w Estates 2nd Addn SNEET 2 PROPERTY OWNER MAIL AODRESS 21P PMONE Wend /Dave Sallman 7812 Alden Wa NE 574-9588 3 CONTRACTOR MAIL ADDRESS Z�P PHONE IICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDHESS ZIV pHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O AOOITION O ALTERATION ❑ REPAIR O MOVE O REMOVE X 8 �ESCRIBE WOHK Re lace deckin on existin deck 9 CHANGE OF USE FROM TO STIPUI.ATIONS CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. TVPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBING, MEAT�NG. VENTI�ATING OH AIR CONDITIONING TMIS PERMIT BECOMES NULL AND VOIO IF WORK Oq CONSTFUCTION 20NING SO fT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 OAVS. OR IF CONSTqUCTION OR WORK IS SUSPENOED OR ABANDONEO FOfi A PERIOD Of 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING I HEREBV CERTIfV THAT I HAVE READ ANO EXAMINEO THIS APPLICATION 1 STA�LS GAiiAGES AND KNOW THE SAME TO BE TRUE AND CORFIECT. ALL PROVISIONS Of LAWS VALUATION SUpTAX ANO OROINANCES GOVERNING TMIS TVPE OF WORK WI�� BE COMPLIED WITH WHETMEA SPECIFIEO HEREIN OF NOT. TME GRANTING OF A PERMIT SOO .SO OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OA CANCEL THE pEqMIT FEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR LOCAI lAW fiEGULATING CON- �21.00 �r2 SC SO STRUCTION OR TNE PERFOAMANCE Of CONSTRUCTION PLAN CHECK FEE OTA� FE �22. � S�GNAiUQEOFCON-�7ACTOpOQ1UTMOQiZE04GEtiT iD�iE� N P PERLY ATEO � �OU PER IT �� $�GNATU�7E O� OWNEp��F OWNEpBU�LDEpi ��ATE� BIOG NS� f�ifE Effective 1/1/99 NEW [ l ADDN [ ] CITY OF FRIDLEY �� ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� - : BUILDING PERMIT APPLICATION � �� ConstructionAddress: � - � c 2 �} � c� �. ,� �,� � � `/ /� Legal Description: l � � � ��.�� 5�� -►'� Owner Name & Address: `' � `^` �"I � ``"'� `� ' Contractor• C �-� � Address: LIVING AREA: GARAGE AREA: DECK AREA: Tel. # LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # Length Width _ Height Sq. Ft. �ng� Width � Height ` Sq. Ft. ' Length C y_ Width ��i � i 6.�HSt/Ground 4b-' ° Sq. Ft. 1�� S� � �� OTHER: _. � � i� � b �-/ �2 -e-�' -�� . Y �� e�r�rc i.- . C:..- f'' 7� -� j o {�� . z� �`� p �� ,�� - Estimated Cost: �,� ; J°'^ Construction Type: � � ' c� �- e-�"=`� �� (Fee Schedu l e on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ r ' � y- °� S �� Tel. # '� DATE: `� � � � i APPLICANT: � , �-1 Z- 3�. � S Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge `TOTAL STIPULATIONS: $ �/ o� $� <.SZ� $ � �� $ $ $ $ $ $ $ �'�� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] BUILDING PERMIT FE� SCHEDUL� The Chief Building Official shall, before issuing permits fon talteratioln o� rena rt lany xisti g bu'ld ngf or any addition to any existing building or structure, or for a y P 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 $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fcc 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 $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 $23.25. 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 structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. �- � �. ` ► � G � � y � V \ � � � � � � � � IL ( J _ �, r 6- 1 � � 2i � ` 0 � . � G: � �`' CITY OF FRIDLEY INSPECTION DIViSiON Effective On January 1, 20G2 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS r Bl a Ic�-�i`-' C� A� RATE SCHEDULE OW N E R 1��g cs—� � C, v.� a-c.� Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1�"Jo of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr TOTAL � �D_ao $ BUILDING USED AS ��°S��"p�T'� � ESTIMATED COST '�-�bd� `�� PERMIT N0. �� " DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units�_ Circle One (Steam) Hot Water (Warm Air) $ Trade Name Gc�� —,/nc LAi,•� Size No. 1-� '�/ BTU Z�O o�' o HP EDR $ Fuel ��-T Gi� s _ Total Connected Load � $ $ .50 � �p.Sb Burner Trade Name Size No. BTU H P 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 an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. �� HEATING CO Signel FAX # DATE � � � TEL #�� J *Air Conditioners can not be placed in a side yard without Approved By � Rough-In Date Final Date ��` � �-�- written permission from adjoining property owner. THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED CnMM(�N VFNT, VENT C�NNECTnR AND CnMgUSTInf� AIR VFRIFI ATlnf� When r� In acing an xi� in� f iri�P, the undersigned hereby venfies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (vY No () The venting system is plastic/PVC and meets all cuRent codes and manufacturer specifications including sizing, length, number of elbows and termination. 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 Fumace Venting Tables for fan assisted and natural draft appliances. The exicting r.omb �� ion air is sized and installed to meet the current codes and manufacturer's specifications. When required to install a new comb��t�en air�it will be sized and installed to meet the current codes and manufacturer's specifications. When inc allin� a new ventin� cyc m, the undersigned hereby venfies 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. Is the common vent and vent connectors sized and installed correctly after an appfiance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Yes (v� No ( ) Yes ( ) No ( ) Yes �j No ( ) Yes (�''No ( ) Yes (+�No ( ) ! • • . � • ' . � � ' • 11 11 • � ' / . � � ' 1 • � � " M • � • UI . • � Appliance #1 Type � �� r�- BTU Input z� l�, a� � Fan Assisted or Nat �}��T 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 �G,�ss � Vent Height /� r 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 � � - � •► �- ..- HEATING CO: Signed Bv: � Date : CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE � FRIDLEY, MN 55432 (763) 572-3604 FAX: (763) 571-1287 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE : 7812 ALDEN WAY NE : 103024210001 : PEARSONS CRAIGWAY ESTATES 2 : LOT 10 BLOCK 5 : HEATING : RESIDENTIAL : ADDITION/ALTERATION PERMIT NO.: 2004-02229 DATE ISSUED: 12/02/2004 Rf�,°'� 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. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 APPLICANT RIVER CITY SHEET METAL 9928 BLUEBIRD ST NW COON RAPIDS, MN 55433- (763)754-2199 OWNER SALLMAN DAVID H& WENDY K 7812 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 a8er 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 construction ar the erformance of construction. Applicant �� _ / Date , Bldg FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE HEATING REPAIRS/ALTERATIONS STATE SURCHARGE, MECH FLAT GAS PIPING FEE TOTAL PAID WITH CHECK # 14016 SEPARATE PERMITS R�OUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0.00 0.00 0.00 0.00 0.00 0.50 15.00 15.50 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Rg,�idential Furnace Shell and Duct Work, Burner & Effec6ve 4/1,l2004 APPLICATtON FOR POWER PLANTS AND HEATING, COOLiNG, VENTILATION REFR{GERATION AND AIR CQNDITIONING SYSTEMS AND DEVICES F� JOB AODRESS � S� \ o� �L• a� 1'� W C1�t-dT_� •�- Total �--� l Owner LAVe ��P.�l 'M'(a �N also Replacement Furnace �35.00 $ Gas Piping (Ne+v Furnace, Fireplac Inse )�U�.�t� �'$10.0U $ ��• �0 t- H E GA tl 3 0 6Z. � Gas Range $10,00 S,� Gas Dryer $10.00 $ *Air Conditloning- All Sizes $25.Oa � All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work � - Minimum Fee $15.00 for Residential or 596 of cost af lmprovement whichever is greater on work �ess than $500.00 �gmrnercial/Industrial/lnstitutional 1.25% of Value of Appllance or Work (�ist on 6ack) hlinirtium Fe� $35.00 fer Com�ttercial; lr.dusirial/lnstitutienal State Surcharge TQTAL FEE REINSPECTION fEE $50.00/HOUR $ $ ,50 $ S• Sd *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to Ciry SuildingUsedAs �p 5��'nC'�— -- — - ESTIMATED COST �;i D(i •(�C� PERMIT NO � _ � � :i: :► � ' il�� #► o� Heating Units Circle One {Steam) (Not Water) (Warrn Air) Trade Name Size No. gN HP EDR Fuel Total Connected Load Burner Trade Name 5ize No. 8TU HP EDR The undersigned hereby makes application �o� a permit for the work herein specified agreeing to do all work in strict acoordance with the City Codes and ruli�gs of the Building Oivision, and hereby declares that a11 the facts a�d representations st��r`�i�ji`��ieei �`feta� a�t1C. rrect. HEATING 00 8290 Main St. N.E., Suite 39 �� ° Fridley, MN 55432 . signed Te��- FAX # Date FIIL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMEIVT FURNACE Approved by Rough•in Date Final Date Building Inspections 763-572-3604 DATE I I � SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOLJR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENT_IAL APPLICATION CITY OF FR�DLEY E-MAIL ADDRESS ❑ OWNER � '/. � l � 'I [ ��/ � / 1 % l� L/ � .��. i � ., . • . `, � STATE DATE ADnx�ss:��n rSnrid Rd. #100 CiTY PHONE Eaqan, MN 55123-1339 F� SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY G]�i�EPLACEMENT �ar-� W� ❑ TOWNHOUSE Permit No.: Received By: � D��'��i� V ATF��IP, ATE ZiP 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 = FQR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV� _ BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING _ BATHTUB GAS PIPING pr� C✓rruCEt✓s� SWIMMING POOL WATER SOFTTiER ($35) _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKfLOW PREV. ($15) _ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Permit Fee TOTAL DUE � Number of fixtures @$10.00 x� 10.00 =$ .50 Number of fixttues @$15.00 x$ I 5.00 =$ � Number of fixtures @ $35.00 x $35.00 = $ State Surchazge = $ .50 Total = $ THIS IS AN APPL1i,ATIGN rOR A PERitifIT-NOT VALID UIVTiL 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 understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all �ork which�equues review and approval of plans. SIGNATURE OF APPLICANT NAME � -r � (/ 1 j�%_DATE � ( � � — � � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ��