AF - 45039�. . . �
City of Fridley, Minn.. 2�
BUILDING PERMIT � � o
� N. .6501
Date: _...a,.[.•-••_..-...�.�L_._:.V t�..._...� ._...__.. ..____._
...... _._._
lr��� �
Owner: .. .. . _. ._...._... _. Builder _.._.. ._ .... .. . ...... ...... . ... .. ...__...__. .....<
Address....._......._».._._..__..._....____._..._...._._._.._...__..__.___.._.._......._.._. Address � ...__._......_...,_....._..._____._.._..._._.__......._..._.._._._._.___...____.._.
•
r 1
U
C I O BUILDING
No. .��.� ....... Street ...__. . .. �.. _ _ . .___ . ..4�..t.'......_..... Part Lot •--•-
...
.. _._._
7....._. _._._.._..__._._....__.._
Lot _....y�._ ._ ............._ Block ....._...._.._...�........._.._........._._. Ad 'on or Sub-Divis�o� ..... ..w. .w _ �.�__. . __, .._._ � •
Corner Lot _.__..__......_........ Inside Lot _...�..._......_..... Setback ._..�...��..�......._..--•----.. Sideyar .---�4�._..1l�.,��...._.._._..�....._...
Sewer Elevatian
Founda.tion Elevation
DESCRIPTION OF BUILDING
To v�a `
..._ ._. . Front ,��� . Depth ....._�.�. Height .....� �. Sq. F� � ....�.� Cu. Ft ��.I1.Lt..O
_�.._.._..._..._..._........._.... ..__ Front __:___..._.__ Depth _.____..... H'eight ....._..... Sq. Ft. _.___._......_. Cu. F�
. _.._.._..._._
.. ,� �►+
Type of Construction ��=1�`,� _...__.. Es� Cost •���....°.._........ To be Completed ____._.._._.....�_.._._.__._.._
In consideration of the issuance to me of a permit to c
th� proposed work in accordance with the description above
ordinances of the city oP Fridley. ,
c
In consfderation of the payment of a fee of $.�..��"
the building described above, I agree to do
�attd ' ce with all p ons of
�, r-i �i�
is hereby granted to��
._.._...,_......___..._._.....__�...____...__. to construct the building or additbi as described above. This permit is granted upon
the express condition that the persflr► to whom it is granted and his agents, employees and worl�nen, in sll wark
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repa.ir and moving of buildings
ordittancea �� �� �d this permit may be revoked a t any� e upon vio]a�ipn of aay of the provisions of said
.., .� / 1
Building Inspector
NOTICE:
fik p�emit doa ne1 eowr � eonst�vdioe, in�tallaHon fe� wiefnq. Plumbing. oas h�atie�, aw�r er wat�r. B� wn to sN
th� BuiWing Inspkto� for �parah p�rmits fw fha� iNms.
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APPLICATION FOR BUILDTNG PERMIT
CITY OF FRIDLEY, MINI3ESOTA
i �
� - - ��. � ��,.�� _i /� .._ /
/
� • • - - /,, .i�.r _ _ : • •
LOCATION OF
~�
No.,� � Street _ Paxt of Lot
Ir�t ___� Block. �_ Addi ion or 5ub.Div. ' _
_` ..
Corner Lot Inside Lot�,�,5et Ba.ck� � Side-Yard �_ l� �„
SEWER ELEVATION F'aUNDATION ELEVATION
Applicant attach to this form Certificate of 5urvey of Lot and proposed building
loca.tion.
DESCRIPTIOI6 OF BUII.� Il�TG
To b used as:
' F�ont � DeP� .d [�2.� �i�t � �----
Sq. Ft. Cu. Ft.
Front ..� �_ Depth _ Iisi�ht � ,_,,,,,
.
5q. Ft. �
Type of Constru
To be comple
�
•
i
ted
\ o 0
� _ -.\
The undersigned hereby �a application for a permit for the work herein apecifiad,
agreeing to do all work in strict accordance with the City Ordinances and ru].ing of
the Department of Buildings, and hereby declar a� 1 the facts a.nd representa-
tions sta.ted in this applica.tion are true and orr t. _ ��� �
DATE � ,-�! a � � � SIGNATURE
(A Schedule of Fee costs can be found on
. .. . i
....
Side.)
•
`�
A� �
d'
, APi�#iEation �or t�o�wer Ptants and He�ating. Cooting. Ventilation� .Refrigeration and
Air Conditianing Systems arrd Device�s �
PARTIAL RATE S�HEDULE nep:. of Bldgs. Phone SU 4-7470
GRAVITY WARM AIR: RATE TOTAL . Location �a � i�.�S�� �/`��
Furnace Sheil & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $
Replacement of Furnace ............................. 5.00 �
Repairs & Alterations—up to $50Q.(}0 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $
MECIi. WARM AIR
Furnaee Shell & I1uct Work to 12U,000 BT[T . . . . . . . . . . . . 8.00 $
,.
each add. 60,000 BTiJ ....................... 2.00 � ��__
Replacement oP Furnace ............................. 5.00 $
Repairs &•Alterations—up to $500.U0 . . . ;_ . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. $50Q.00 . . . . . . . : . . . . . . 2.50 $
3TEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. FDR 5team ...... 8.00 $
Oa
F'urnace Shell & I�ine—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 $�v
GAS FITTING FEES: �NO RATE TOT1�
lst 3 �xtures ...................... �r�Q �
Additional Fixtures ................. x .50 $T—
Gas Range to 200,000 BTU . . . . . . . . . . , x 2.00 $
AIR CONDITIONIMG
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS 8c REPAIRS
ROUC3H
FINAL
�
See Fee Sched.ule
$
TOTAL F$E �
��,p0
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all wark 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.
Fridley, Minn. ���G 7 , 1�
Owner
Kind oi
Used as � r.r> F G. � ��r/ �
To be completed about /, '" �S —"��
Estimated Cost, $ / ���' ��
Ol ew uilding Permit No. ���� Permit No.�� '�'�"'Z°�
DESCRIPTION OF WORK
HEATING or POWER PI�ANTS�te ot Wa%r, arm Air—No.
Trade Name��,:— ` I` L -- Size No.
��
Capacity Sq. Ft. E.D.R. BTiT H.P.
E��
Total Connected Load ��� C Kind of Fue
_._
BURNER — Trade Name� Size No.
Capacity � v� 5q. Ft. E.D.R. BTL7 H.P.
,',;�
�� < e 4M 7=39
Signe � � �
By �
Business PIione No• ���', ���
(REMARKS—OVER) r
M
a ._ ... �,� �.."a. .. . . ,-..,.�
City of Fridley
App�ic�rtian for Plumbing and Gas Fitting Pen�it
Dep� of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK °"J��� �
Number, Kiad and Lxation of Fixtures Location 1
t
I� � Z = � } Z
� VI Y ~
� F m �
� if'j � n�F � �+ 3� o�
Base � '
lst
2nd
3rd
4th �_�_ j I I I I
• Future Coanectioa Openin,qs
� New Fixiure, Old Opeaiags
(� WATER HTR.
� y Z(Zj Z Q S WU' Z � •
urf LL� V�< 3 � g � 4a (�j p° R N GAS ELEC.
PARTIAL RATE SCHEDULE
3ewer
Cesspool
PLUMBING FIRTURE RATES: NO. RATE TOTAL
Number Fixtures ...... . ... . .... .......—� x $1.50 $ �/ �
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25
Water Heater (Up to 200,000 BTU) ......---.�-- x 2.00
New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25
$
�-�=
$
GAS FITTING FEES: NO. RATE TOTAL
lst 3 Fixtures ..........................�— x $1.5U �--L�a�---=
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTiT .............. x 2.00 �
REPAIR3 & ALTERATIONS—Refer !o Code
. . .................................
DescripUon ...............
TOTAL F'EE ��
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 I3epartment of Buildings, and hereby declares that all the facts
and representations stated in this application are true and corrert.
Fridiey, Minn �/�, 19—
Owner v �' � ����s�`�
Kind of Building ����-- -
Used as ��-��LGI���
To be completed about � l`� f�*-�
Estimated Cost, $ f��� �
Old�uilding Permit No. �O Permit No. c:� ��d
c:....�a 9��i-L ���� ���i�r �
ROUC3H ! ' � � "' �
FINAL
e z sM �-s9
BY—r �
Business Phone N
sua�ecT HMIT N .
City of Fridley ' 2 2 7 4 5
, , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R O.
r
� � �0��
� • COMMUNITY DEVELOPMENT OIV.
' j L'---�'
r � � PfiOTECTIVE INSPECTION SEC.
1 � � REV. DATE PAGE OF APPHOVED BV
l_-_-�'��"'1,,� CITY HALL FRIDIE� 55432 NUMBER
i 612-571-3450 910-F15 7/21/94 � �
JOB ADDRESS 7823 ALDEN WAY NE
� LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2(F 6 Pearson's Crai wa Estates 2nd Addn SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Sig/ Marty Rockdahl 7823 Alden Wa NE
3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO.
Advance Home Products 3770 W Broadwa Robb'n 521-9211 2332
4 ARCHITECT OR DESIGNER MAIL ADOHESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW C� ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 16' x 9'4" Three Season Porch and a 10' x 15'8" Living Area Addn
9 CHANGEOFUSEFROM TO
STIPULATIONS See notations on plan.
L� .
������ �
B�far� digging r.�11 fnr
alt utility Incations
45�-ODO�
R�Q�JIRED BY LAW.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHOf±IZED IS NOT COMMENCED WITHIN 60 DAYS, 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED
WITH WHETHER SPECIFIED HEFiEIN OR NOT. THE GRANTING OF A PERMIT �17� 13O �H.S7
DOES NOT PRESUME TO IVE AUT ORITY TO VIOLATE OR CANCEL TNE pERM1T FEE SAC CHARGE
PROVISIO S O ANY O H R ST LOCAL LAW REGULATING CON-
TRU TIO O THE P F M OF C NSTRUCTION. �189.00 Fire SC 17.13
� � PLAN CHECKFEE TOTALFEE
License SC $5.00 219.70
SIGNATUAE OF CONTRACTOR OR AUTHOAIZED AGENT �DATEi HEN PROPERLY V ATED THIS IS YOUR PERMIT
; Gt� Cf% -- �--r��l?y
� SiGNaTUAE OF OWNER iiF OWNEF BU4DERi �DATEi �DG �- P �°TE
N E�'V
ADD1�I
ALTER
[ ) �c����Effec;tive /i/94
{ I � CITY� OF FRiDLEY � � � �
�
� J SII�GLE FAMiLY AND DUPLEXES R-1 AND R-2 1 �'� ,: ���`�,�-�
Building Permit Application � �' �,� � �
�
ConstructionAddress: "%,'��3
Legal Description:
Owner Name 8r. Address
Contractor:
Actdress: �� 7n �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
C� �- /'�%A r
ww
�.
H
#
MN LICENSE # PDO� 33 �
Tel. # S�/-9�1/.
Attach to this appIication, a Certificate of Survey of the
lot, with the progased construction drawn on it to scale.
DESCRIPT�ON OF �MPROVEMENT �
� , �
Y.ength - l` Width �� Height 16 �� Sq. Ft.
Length Width Height Sq. Ft.
Length Width HgtfGround Sq. Ft.
Corner Lot [ 1 Inside Lot [] Ft. Yd Setback Side Yazd 5etbacks
Type of Construction: {„ �A�.� Estimated Cost: �I��"�Uv�A
Approx. Completion Date: 3- !�"/an �- � s / �� /jo, J�
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + Ft = Ft x =$
DATE: �- / 3- y� APPLICANT: � Tel. #�� /
%d /
f�� cti S' TY USE ONLY
� ��
Permit Fee $.�o► ��' Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/lOth°�)
State Surcharge � . �� ', $.50/$1,OQ0 Valuation
SAC Charge $`�, $$00 ger SAC Unit
License'Surcharge $ ' �� $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Controt $ $450.00 Conservation Plan Review
Park Fee $ Fee Determinecl by Engineering
Sewer Main Charge $ Agreement Necessary j] Not Neces.s�ry [ j
TOTAL $ ' . ._.� �- f ° _
� ���, � �,
ST! PULATIONS: -
CITY aF FR(DLEY tNSPECTIQN DIV,
6431 University Ave NE
Fridley, MN 55432
572-3604
i� �
�i
APPLICATIUN FOR POWER PLANTS ANp HEA7lNG, CflOLlNG, VENT!lATION,
REFRIGERATION AND AIR CONDITIUNING SYSTEMS ANp DEVtCES
Residential
Fumace Shell and Duct Work, Burner —
Aiso Rep{acement Furnace
Gas Piping (Nesded with new furnacej
Gas Range
Gas Dryer
*Air Conditioning — Afi Sizes
Rate T07AL
$ 20.00 $���
$ 10.00 $
$ 10.04 $
� 10,00 $
$10,00 $ �C3, U o
All Others/Repairs & Alterations (L1ST ON BACt�
1�0 of Value of Appiiance or Work � 2 pa o°`
�r� r3Ac,�
Commercial/! ndustrial
t% oi Value of App�iance or Work
State Surcharge
TOTAL FEE
Effecfive On January 1, 1993
�oe AaoR�ss �7 8' Z 3 A� � s� �� �� �
ihe undersigned hereby makes application for a permii for the work herein
specifled agreeing to da ali work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that ail the facts and
representatiflns stated in this application are true and correct,
� � � f � ,199;��''
OWNER �� G �"`' �j/� �� �t�C �C � �`� L
BUILDINGUSEDAS �Gu/�L�//lJ �r''
ESTIMATED COST _� U O o � � PERMIT NO. J;�
� : � � i :,� si i
��. 0� Na, of Heating Units Circle One (Steam} (Hot Water) (Warm Air)
Trade Name Slze
BTU Mf' EDR
$ Fue� Total Connected Load
�
$3U,�v
._.\�
_ _ _ _ . - _-._��--- _-----
REFRtGERATION/AIR CONDtTtONING PERMIT tS $15.Q0
PLUS 7HE �.50 STATE SURCHARGE
��.
REINSPECTION FEE $30.00 �
�
*Air Condftioners can not be piaced in a side yard without
written permission from adjoining property owr�er,
Burner Trade Name /� Size No.
BTU HP EDR
HEATING COMPANY �_� SfZiQ SG<� CC!`� �C'i2 /-�l� .
Signed By� � �-t Tel No._L � 1--1 S G e' ,
,
�
Approved g�i,�,� Rough—In Date Final Date ry.����f
� ����� �
� � l.�l �� `��' �1 3 �q�
F1LL OUt BACK SIDE FOR STACK VERf�ICATION N
REPLACEMEN7 FURNACE
CHIMNgY AND STACR YERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ( j
2. Is free from rust or deterioration . Yes O No ( j
3. Has no foreign objects lodged within Yes () No ()
4. Is secureiy supported Yes O No O
5. Meets all current Code requirements for
size and total BTU's connected Yes () No ( j
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
�
List �lterations Being Done:
�_I � �':.�c� � <wG- fZ� ni,d, ieo �
/� e� �vi� z� n�n ��S.i 10 � Ta ,�r1�� .� �� � f�.9-s�' h r�� �,r�iL
!�� � /�-� . .
HEATING COMPANY /� G C�.� ���SG/� CG /7 �-G%t ��'rL. G
S igned By ¢�����.'/
Date �-" �� "'— '�T �
� � � � " � SuBJEGT . � " � � � . -
c�ty of Frid�ey 320�
AT TME TOP OF TME TWINS ��� L D I� G P E R M I T
r
RECEIPT NO.
! �'��_, COMMUMITY DEVELOP�MENT OIV. ��L_3604 ���}�
� � PROTECTIVE INSPECTION SEC.
r , ,
� � �"'1 � CITY NALL FRIOLE� 55�32 NuMBEA REV O�TE vAGE OF •PVqOvEO 8r
�.---'�•' �•' 612-571-3450 9t0-Ft5 7/17/O1 � �
108 ADORESS 7g23 Alden Way NE �
1 LEGAL �OT NO. BLOCK TRACi Ofi ADDITION SEE ATTACMED
oesca. 24 6 Pearson's Craigway Estates 2nd Addn SNEET
2 PiiOPERTY OWNEF MAIL AOQRESS ZIP PMONE
Marty Reckdahl 7823 Alden Way NE 763-571-7183
3 CONTqACTOR MAIL ADDRESS ZIP PMONE IICENSE NO
Bechard Masonry 1709 Walnut Cir N, Eagan, MN 55122 651-406-9810
� ARCHITECT OR OESIGNEF MAIL AD�RESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUIIOING
Residentiul ,
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION [� flEPAIR ❑ MOVE � O REMOVE
8 OESCRIBE WORK
Tear-off and rebuild chimney from the roof up
9 CHANGE OF USE FROM ta
sriPU�arioNs
7YP@OiCONST. OCCUPANCVGROUP OCCUPANCYLOAp
SEPARATE PERMITS ARE REQUIREO FOF EIECTRICAL. PLUMBING. MEATING,
VENTiLATING 0�7 Alft CONOITIONING
THIS PERMIT BECOMES NULL ANO VOID tF WORK OR CONSTRUCTION 20NING SO. fT CU fT
AUTHORIZEO IS NOT COMMENCEO WI7NIN 60 OAYS. OR IF CONSTRUCTION 2
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 1zp OAYS A7
ANV TIME AFTER WpRK IS COMMENCED ' NO DWIG. UNITS OfFSTFEET PARKING
I HEREBY CERTIFV TNAT I HAVE READ ANO EXAMINED THIS APPLICA710N �- STAILS GARAGES
AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS Of LAWS yqLUATION SURTAX
ANO ORDINANCES GOVERNING THIS TVPE Of WORK WIL� BE COMPUED �2�[FOO �I,ZO
W17M WMETMEA SPECIFIED HEREIN OA NOT. TNE GRANTING OF A PERMIT
DOES NOT PFESUME TO GIVE AUTMORITV TO VIOIATE Oi; CANCEL THE pERMITfEE SACCHARGE
PROVISIONS OF ANY OTMER TA7E OR IOCAI LAW REGULATING GON- .@83.25 Fire SC �Z.�FO
STRUCTION OF P RF NCE O C TRUCTION `�'
PLAN CNECKfEE 7 A�FEE
� % 86.85
. S�GN4TUAE OF CONCFA(;TOQ OQ �UT�+OA�ZED OGENT �O�tEi MEN RO V VALIOA D TMIS IS VOUA /P�EAMIT
..,�L/ C �V _V/
/ S�GNa�uaEOFOwaEp��FOWNEpBU�LOER� �O�TE� . g� �ti5o � � r�t�E
/
N E1IV [ ]
ADDN [ ]
ALTER [ ]
Construction Address:
Legal Description:
Owner Name & A�
Contractor: �
Address:_��
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER: �
Effective 1/1/2001
. CITY OF FRIDLEY (763) 572-3604 Bidg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Tel. # i
MN LICENSE #,
�o�? Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
►�i�d:I�1
0
Sq. Ft.
v
Construction Type: Estimated Cost: $� 7��
0
Z�j��
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � � APPLICANT: � � Tel. # h�� �vU [ O < O
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
Call (763) 572-3604 for Permit Fees if mailing in application
$ �;,��� Fee Schedule on Reverse Side
$ � �S�C� .001 of Permit Valuation (1/10th%)
$ /� �C� $.50/$1,000 Valuation
$ $1150 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 $ C�� � • � _�/
� � ' C-`' � �_r (' � �E-y �
STIPULATIONS: .___---------- �.
l�i•�`�s
.. .
Tlf OF�FRIDLEY INSQECTIOtV DIV
•31 University Ave NE
� idley, MN ai432
� 63) 5T2�s�'"
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� �,� � ,� ` �^���
�
APPLICATIOS� FOR PLUMBING AND GAS F1TTlN� PERWIIT
Etf�ctive On Jan 1, 2002
_UMBING �IXTURE RATES'
NO. RA7E TOTAL
0
�
eu� F�ctur�
Id Opening, New Fature
aer DESper�ser
bw orf easin
atch 9asin
Jaln Water Leader
�' umpiReceiving Tank
LL �a� Treae+rg Appl'rance _
"d hat�t Heatar -Electr!c
� later Hea� - Gas'"` __�__
u ;� {��e,.
� �g ��i.
� ack Flow f�reventer Required {}Yes () No
TyD�!
� ;einspedion Fee 347.DOfHr
�
3 �.00
$ 4.00
S 5.00
s 7.00
� 7.00
S 7.U0
; 7-UO
$'f0.00
$ 7.00
$14.00
3�4.00
$10.Q0
♦i • /�' �i� ►�i� � -- ,
The undersgned herehY makes appliccation for a permit for the work herefn
� specified egreeing to do all w�k in str�t a000rdance with the c+ty codes
and rulnigs of the Buibdng Division, and hereby declares thai au the facts
and r�epresentatbns stafed in this apptication ave true and correc�
Owner
jt�. � &rildmg Used Aa rP �l( 7,�.
Est[rneted Co�t
►1. ' ��
.;
PERMT I�OC). f � � �-�'
$15.00 PLUMBWG CONIPANY ��
iCG
s+a� ev _1y��,� _ �� No. - - S� �� � �
� 1L OTHERS ANLII(%R REPA►RS AND ALTERATIONS
N 1.59� of Vabe of Fixture ar Applianc�e
�' State Surct�arge
�
� TOTAI FEE
� .5fl
. �� _��
FAX � — � �
ap�ay� gy Rough-tn Date Final Date ��o� ��-'�
:�; �' ;; FEE OR ANY PLUM6NGJGAS PERNIIT �3 320•QQ
PLUS THE �.60 S7ATE SURGHARG�
:OMBUSTION AIR SHALL BE PROVIDED PER UMC SECiION 504(A} AND iABLE 6-A. . COhAMON VENT tNFO ON SACK SlDE
_
_
C[TYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
August 16, 2002
Mr. Segwald Reckdahl
7823 Alden Way NE
Fridley, MN 55432
Re: Final Inspection at 7823 Alden Way NE
Contractor: Northwoods Mechanical
Dear Mr. Reckdahl:
A plumbing pernut was issued on May 7, 2002 to install a water heater at your address.
According to 5ecdon 4715.2800 of the State Plumbing Code, a final inspection sha11 be
conducted on the work authorized by this pernut. As of this date the inspection has not
been requested.
The permit fee that was paid covers the inspecdon to make sure the work was completed
according to the Codes. We will keep your pernut open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the petmit "no
inspection called for by homeowner after notification" and take no further acdon.
To set up the inspection or to have any questions answered, please contact the Building
Inspecdon Division at (763) 572-3604.
DJ/mh
sua�ecT ERMIT NCb. '`� °,
City of Fridley
AT THE TOP OF TME TWINS g U I L D l N G P E R M i T
r
� ` RECEIPT NO.
� • COMMUNITY OEVELOPMENT OIV. �jQ
r � V � PROTECTIVE INSPECTION SEG V DD
� �
i-_--�,��"' �'� CITY MALI FRIOIE� SS132 NUMBER REV D�TE v�GE OF AvPRO�EO Br
Z 763-571-3450 9�0-Ft5 8/26/02 / /
J08 ADDRESS 7823 Alden Way NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
DESCA. 2LF 6 Pearson's Craigway Estates 2nd Addn SHEET
2 PROPEiiTY OWNER MAIL AOORES$ ZIP PMONE
Segwald & Martha Reckdahl 7823 Alden Way NE 763-571-7185
3 CONTFACTOR MAIL AODRESS 21P PMONE LICENSE NO
Rite-Way Waterproofing 448 Lilac St, Lino Lakes, NID1 55014 651-786-0550
� AFiCMITECT OR DES�GNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADORESS IIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WOFK
p NEW O ADDITION [� ALTEFiATION O REPAIR p MOVE O REMOVE
8 DESCRIBE WORK
Insta�i basement drain tiie �i� system
9 CHANGEOFUSEFROM TO
STIPULATIONS
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIqED FOR ELECTfiICAI, PIUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOIO If WORK OR CONSTRUCTION ZpNING SO. FT CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOFi A PERIOD OF 120 DAVS AT
ANY TIME AfTER WORK IS COMMENCED NO DWLG. UNITS OFFSTREET PARKING
I HEREBV CER7IFV THAT I HAVE READ AN� EXAMINEO TNIS APPLICATION 1 STALLS GARAGES
AND KNOW TH� SAME TO BE TRUE ANO COARECT. ALL PROVISIONS Of LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMVLIED �Z�OHO y�1.O�F
WITH WHETMEF SPECIFIED MEREIN OFi NOT THE GRANTING Of A PERMIT
DOES NOT pRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE pEqMIT FEE SAC CHAFGE
PROVISI Of ANY H STATE OR LOCA �AW REGULATING CON• �83.25 Fire SC �Z.O$
$TRUCT q TNE ER MA E O N UCTIO ���
�� � � PI.AN CHECK f TpTA EE
� Cit i nse 6.37
Si�N4TUREOFCON7FA qpqAU�NOA�IED�GEN� �O�TEi EN ROP Y VALIOA E TNIS IS VOUR PERMIT
• � �� �
$�GNnTUaE O� OWNER��� OWNEaBUI�pEA� ���TE� gl rNSO �I�/E
NEV1! [ ]
ADDN
ALTER [�
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572�604 Bldg tnsp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Cohstruction Address: �$ Z� � t,,D�71� (A� �(J 1� �
Legal Description:
Owner Name & Address: SEc5G1AC.D �r �/lAcfL�Ef4 �iF�-KDA�. Tel. #�-1 R63 � Srl I-�'71 � s
Contractor: Rite-Wav Waternroofinq MN LICENSE#
Address: 448 Lilac Street, Lino Lakes MN 55014 Tel.# 651-786-0550
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. F�
Length Width HgUGround Sq. Ft
. - . -��-� � � -��
Oo
Construction Type: Estimated Cost: $_O� � � g0 .'"""
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _�
DATE: S - ZI� --OZ APPLICANT: `���G�G�c Tel. # �il�� 6SI " �6 `OSS�
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ c�.3_ 2.�
$ _ C)
� /�a `�
�
$ `'
$
�
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ � � •J STIPULATIONS:
sua�ecr � IT .
C�cy of Fr�aley 3 2 2 0 4
AT THE TOP OF TME TWINS g �� L D i N G P E R M I T
f
� RECEIPT NO.
� � ��✓/
� • COMMUNITY DEVELOPMENT DIV. P�!F�'.°.
� � ._-_..-� .
r � � � PROTECTIVE INSPECTION SEC. �� ��✓� �J CJ
� � �"'1 � CITY MALL fR10LE� 55�32 NUM6EN pEV O�iE PAGE 0� •GVAOVED Br
�""'�"� �'' 612-571-3450 9t0-Ft5 9/28/O1 / /
10B ADDRESS 7823 Alden Way NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
DESCR. 2,�} 6 Pearson's Craigway Estates 2nd Addn SHEE?
2 PROPERTY OWNER MAIL AOORES$ ZIP PMONE
Segwald Reckdahl 7823 Alden Way NE 763-571-7185
3 CONTRACTOF MAIL ADDRESS Z�P PNONE LICENSE NO
Rite Way Waterproofing 448 Li1ac St, Lino Lakes, MN 55014 651-786-0550
4 ARCHITECT OR OES�GNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUIlO1NG
Residential
7 CIASS OF WORK
O NEW O ADDITION ❑ ALTERATION �7 REPAIR O MOVE O REMOVE
B OESCRIBE WORK
Install interior basement drain tile
9 CHANGEOFUSEFROM T�
STIPULATIONS
TYPEOFCONST OCCUPANCYGROUP OCCUPANCY�OAO
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING. HEATING,
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTRUCTION zONING SO. fT CU FT.
AUTHORIZED IS NOT COMMENCED WITMIN fi0 DAYS. OR If CONS7qUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PER100 OF 120 �AYS AT
ANV TIME AFTER WOfiK IS COMMENCEO. NO DWLG. UNITS OfFSTREET PARKING
I HEFiEBV CERT�FY THAT I HAVE READ AND EXAMINED THIS APPIICATION 1 STA��S GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING TMIS TYPE Of WORK WILL BE COMPLIED
WITM WMETMER SPECIFIED MEAEIN OF NOT. THE GRANTING OF A PERMIT � 1� 9OO �. 9S
DOES NOT PRESU�nE TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CNARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING cor,- �66,.20 � Fire SC� �1.90
STRUCTION OR THE PEAFORMANCE OF CONSTRUCTION
PLAN CHECKFEE TOT EE
Cit i nse 69.05
$�GNAiUAEO�CON'AACTOQOA4UT�+OQiZEO�GENT iD�TEi HEN R P VA�IDAT THIS IS V ii PERMIT
� � ��
-- S�GNA7UAE O� OWNEA��F OWNER BU�LDEfi� iD��Hr Bl0 �NS� � ����E
. � -
NEVV [ )
ADDN []
ALTER �p
Construction Address:
Effective 1/1/2001
CIT1( OF FRIDLEY (763) 572-3604 Bfdg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Legal Description: `7Gv..-k�.►�,r 1�.. ..� � �;1.< <,.,,�}�,n�
Owner Name & Address: �
Contractor: 'Z.�'�.e -
Address: �u � ( 1�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Tel. # '?(.�3-� 57 i-'Zt SS
MN LICENSE #
�_Tel. # (nS !� 7�a-OS$o
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTtON OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Lengt� Wdth HgUGroun¢ Sq. Ft.
.. •�7� /1 _ N . w � /'� A � �r� /` /� w � _ / _.
Construction Type:� � Estimated Cost: $ { a�O .°�
Drivewa Curb Cut,�.Width _Needed:. Ft, + 6 Ft_= Ft x$ _$ M
y -�� ; � T . ;�
. p... � � ''" . ; � -� . �. r y z." � � �� ..�
DATE: G�-( �--0� APPLICANT. Tel.# C:�%^-�h2�-�SS�� j
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
�����
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
(o(Oo�(J
$�,��0 ;R'� Fee Schedule on Reverse Side
$ .°i a �.001 of Permit Valuation (1/10th%)
$_, , � $.50/$1,000 Valuation
$�---�--- $1150 per SAC Unit
$ �L'� �° n-/ (� ���� . d Residentia{ Contractors)
$ Alt. "A" or Alt. "B" .Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ j Not Necessary []
:.����
�'o��t
', ����
ClTY OF FRIDLEY INSPECTION DIV.
6431 U�i��rsity Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-9287
PLUMBING F(XTURE RATES:
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF
RES TO BE INSTALLED ON EACH FLOOR
NO. RATE TOTAL JOB ADDRESS
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`"'
' Gas Dryer'`*
' Back Flow Preventer Required OYes O No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
� 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.04/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS.
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$ .50
$1����
.m��_
Effective On Jan 1, 2003
��' , i
The undersigned hereby makes application for a permit for the work herein _
specified agreeing_ to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that al( the facts
and representations stated in this application are tnae and correct.
���7% ,ZO�
Owner
Building Used As_�_��[G'S�il'���'
qO -�C`' ._
Estimated Cost y��� ,_ PERMIT NO. ��,r� �
PLUMBfNG COMPANY
SlGNED BY
Approved By
RougFt-In Date
�� ��
Final Date '
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
PLtJS THE $.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON SACK SIDE
.
/—
_
_
CITYOF
FRIDLEY
�
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-l287
March 23, 2004
Ms. Martha Smith
7823 Alden Vt�ay NE
Fridley, MN 55432
Re: Final Inspection at 7823 Alden Way NE
Contractor: Shiloah Water Co.
Dear Ms. Smith:
A plumbing permit was issued on December 17, 2003 to install a water softener at your
address. According to Section 4715.2800 of the State Plumbing Code, a final inspection
shall be conducted on the work authorized by this permit. As of this date the fina.l
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 days 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.
DJ/mh
\
,