AF - 45078•
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Date:
Caty of Fridley, Minn.
BUILDING PERMIT
June 22, 1965
�r: T C. A. Emery
�o�ia
N° '79'77
Stuart D. Pengelly
Builder _.` ._.___..._......_.�..__.___..
�,d�$ � 808,. 33rd Ave . fto.. Mp_ls . � Minn..._ �,d�$ � 7836 Alden ,wa� N. �E . ��
LOCATION OF BUILDING
7824 A1den Way N. E.
D�'�,_...�.___ Street ...._..�. ._..______....—_ �_.__.._._.__._..._.._. Part of Lot _ ..._._
Lot __......_$_.__..._ Block _.—.? _._..._......____.._. Addition or Sub-Divisi� _Pearsons Craig Wy Est. 2nd Addn.
Corner Lot .___.__..._...._ Inside Lot _.�.__.._ _ S.etback __�_�_ Sideyard
Sewer Elevatian __.._._.._..__._.._�.._.�....�.__.�__� Foundation IIevatian ------
DESCRIPTION OF BUILDING
To be Used as:
_� Dwelling�.�_ �t _._. Depth _�_�_._. Height ._._.._._.__ Sq. Ft. .— Cu. Ft —._
Att . Gar . � � �t ._._.. Depth ....._ Height _.._..___.__ Sq. Ft _ — Cu. F't.
Type of Construction �Framc ..� _... Es� Cost ......._. ���C?� ......_ To be Completed _.._.
New Dwelling and Att. Gar.
In consideration of the issuance to me of a permit to construct build
th� proposed work in accordance with the description above set fo and in
ordinances of the dty of Frfdley. ,�-�
I agree to do
provisions of
In ca�sfideratiatt of the payment of a fee of �$31.00 ���t � h��, �� � Stuart D. Pengelly
to c�struct the building or addition as descrlbed above. This permit is granted up�
the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work
done in, around and upon aafd building, or anY Part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding lacation, constructi�, alterahon, maintenance, repair and moving of buiidings
withix► the dty limits and thia permit may be revoked at ar;y tune upoa violation of any of the provis�ians of said
ordinaaces.
Allen Jensen �� ��
NOTICE:
ibis p�natf dws net eewr th� eonsfeuaNea, M�aIINia� �er'WGisW P�9. Ya h�N�, awvK w w�t�r. d� wn fo �
�M dutWieo In�p�elor fer s�paalr p�emits for fh� ihim.
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APP'L�CATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNBSOTA
OWNBR' S NAI�D: C. � � • � M �� . $UILDER S�tu a-Q� `� • �� ►� C��-4�1
ADDRESS_S�C:C�� �320 �rc I�, �/l PL� - ADDRESS '�,�.3b �t-J�U �-11+4..� �.E •
LOCATION OF BUILDING
No. 7`�6Z-`� _ Street /�LO� l.Q)� �J•�.P�rt of Lot
----�—
LOT � BLOCK � ADDITION OR SUBDIVISION�f.�f.�-u� � i � �.U13�, ����
. .�D AUO u . �
Corner Lot�Inside LOT X, Setback �jr Stde-Yard , IS�"
SEWER ELSVATIQN ; FOUNDATIOP ELEVATION
Applicant attach to this foxm Two Certificates of Survey of Lot and proposed
- building location drawn on these Certificates.
DESCRiPTION OF BUILDING
To b used as; �
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�cc Prant Depth � ' Height � t'
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Sq. Ft. � Cu. Ft.
-�-- .-- Frcmt � � Depth �� eight / t
,1 '�.�
� Sq. FC. Cu. Ft: �� ��
Type of Construction_ �p.�y,� _ Estimated Cost Z Z��,� �=
To be compleCed ��pz-- ►� � IC `� �
The un@ersigneci hereby makes appiication for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances
and rulings of the Department..of Buildings,.and hereby declares that all the facta
and representations stated in Chis application are true and correct.
DATE � i s' �5 `SIGNATURE ` � > �
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(Schedule of Fee Costs can be found on the Reverse Side).
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�^-�fiiE BUILDING INSPECTOR
City/Vi Ilage of Fridley
For your information, the Minneapolis Gas Company has granted, subjecf_to �
locaC ordinances, authorization to install gas for space heating purposes.
TO ' FpR
Jerry Baer Htg Co 7824 AI.den iTay
C A �ery
Equip, Gas Des Ftu'�1 Heat Loss f�1M I,
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2-11-66 I
This authorization Void after i
Authorization
No. S2_27i05
Heating Company's Copy
Form 196
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Minneapolis Gas mpany �
Sy�ban Divis' I
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By� ���I��1� i
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Application for Power Plants and Heerting, Cooling, Yentilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . 8.00 $
Replacement of Furnace ............................. 5.00 �
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. $500.0(3 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTLT . . . . . . . . . . . .
each add. 60,000 BTIJ . . . ....... . . . .. . .. . . .. .
Replacement oP Furnace .............................
Repairs & Alterations—up to $50�.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . .
8.OU $
2.00 �
5.00 $
5.00 $
2.50 $
3TEAM or HOT WATER SYSTEM
�1 �=
� Furnace Shell & Lines—ta 400 sq. ft. EDR Steam .... 8.00 $�
Furnace 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 Fiot Water . . . . . . . . . . . . . . . . . 2.50 $
OIL BURI�ER—to 3 gal. per hour . . . . . .. . . . . .. . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule
,- �'�.`-' ` ,
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . 5.00 $�_
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ...................... x$1.50 $ �: 1��
Additional Fixtures . ............... x .50 $
Gas Range to 200,000 BTU . . . . . .. . . . . x 2.00 $
' AIR CONDITIONING
' FAN HEATING SYSTEM
' VENTILATING SYSTEM
ALTERATIONS 8c REPAIRS
ROUGH
FIN
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See Fee Schedule
$
TOTAL FEE a � C
Dept. of Bldgs. Phone SU 4-7470
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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.
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F�idley, Minn. --� `-'� � � , 19 �S
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Owner � .- �-L' • _��,� � � r�-... �
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No.
Permit No_���-�
OF WORK
HEATING or POWER PI.ANTS-�Steam, Hot Water, Warm Air—No.
Trade IVame Size No.
Capacity Sq. Ft. E.D.R. BTLJ H.P.
Total Connected
BURNER — Trade
Kind of FueL
Size No.
Capacity Sq. F`t. E.D.R BTLT H,p,
(REMARKS-OVER)
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Signed
sy
Business Phone No.
sue�ecr P
City of Fridley 2 0 8 5 7
' , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RE O.
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COMMUNITY DEVELOPMENT DIV.
r � L � PROTECTIVE INSPECTION SEC. / �
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� � /'��{ � CITV HALL FRIOLE� SS43Z NUMBER REV. OATE PAGE OF APPROVEO BY
�""� � �'� 612-571-3450 9t0-Ft5 5/3Q/91 / /
108 ADDRESS 7824 Alden Way NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 8 S Pearson's ��iif Craigway Estates 2nd Addn. SHEET
2 PROPERTY OWNEF MAIL AODRESS ZIP PHONE
James Black 7824 Alden Way NE 571-2979
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADOFiESS 21P PHONE IICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION O REPAIR O MOVE ❑ FiEMOVE
8 DESCRIBE WORK
Construct a 14' x 14' Deck and a 16� x 16= Parch Addition
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations an plan, New £ootings a,nd posts must be provided for new
porch.
� � WARHIHG
Before d'rggi�g call for
a11 u#ility locations
SEPARATE PER�IITS REQUIRED FOR a54-oo02
WIRING, HEATING, PLUMBING AND SIGNS. .� REQ�JIRED BY �A'1�V
TVPEOPCONST. OCCUPANCYGROUP OCCUPANCV�OAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF I.AWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT �$7 r 300. $3.65
DOES NOT PRESUME TO GIVE AUTHOFiITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $99.00 Fire SC $%.3O
PLAN CHECKFEE TOTALPEE
$109.95
SiG E CO 'AA TOA Au H RIZ GENT iDArE HEN PROPERLY V I ATED T IS IS YOUR PERMIT
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SGNnivaEO iiF w BuibERL iDATE� �� �DG iNSP � Oa7E
� � � Effective 1/1/91
ADIN j� i�l AI�ID 1�2
ALTIIZ [ ] Buildinq Permit Applicatian
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Legal Desc.-ripticn:
On �S
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oontractoz: �• �
Addrr�sss:
Attach to thi.s application, a Oertificate of S1�v+ey of the
lat, with the pz�oposed oazstYVC.�tiori drawn an it to --
�k i�T• �C'� r����
n�a� aa� n�w�r G���r r2� �'�k��o,v
Y�"� a�a: :�r�.r. w��*.h F��.ight sc�. 7��- ��! ��.? crI �` S
t�►,ii�GE l�i: Ie�t27 Width Heic�t Sq. ��j x}=�C, r fYl,t ��► '/l�� T`
DF7CR ARE�,: IPxx,�th /�{ ' width / 'S/ ' Hgt/C�o�u�d SQ• ,�� � �7' rc �- �o ����
OTI�R: � � .
14��c �,a� � ��i� i,'�� � "'2..5�. � � � -.,:, � Shf'�,�c� � "���� F��
Cbrner Lat [] Inside i�t �) �. Yd Setback Side Yard Setbacks
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Type of Do�.struction: r3 S�Ct s� �_ Fstimated oost: ,
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Approx. �letiac� Date: .Tc.�/v 1 S ( �( "' �C�
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 6' See Bac3c Page
n�: S �sc�rrr: �,.��� `�. ��.� � � �. # �-�/-� I7�'/ l��
✓ �5 �-;��t�"�, �d�
Permit Fee $��
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Fire Surc��arge $ '`�� � ti� '��
state Sv�arge $ � r f � �:.�-
SAC Criarge $
Driveway Fscrow $
Park Fee $
sew�er r�1a�n CY�arge S
«4�! � -+- •_,� �
�ee Sciyec�ule an Reverse Side
. ooi x Permit va�uatio�, ( i/ioth $) 2/��.- r� ��'� �,,,5 a�
S.SO/Sl,000 valuation • -
$650 per SAC Unit _- �G�
Alt. "A" or 1�1t. "B" At�ove C 1�� G � �
Fee Detexminad by Ei�gineerirrg
A9Y'� ��az'Y [ ] � ��azY [ ]
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ARE 1� ORDER.1 _ `=�: .
\� Warroad, MN 56763
1-800-34�128. In Minnesota, call 1-800-552-1167
� JOHN TAYLOR
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�I�I*TDER ��TGINEERIN (� ��D. �N� . -
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ENGI NEERS AND SURVEYORS
��NO avav�v�NO : _ , , 9o�t�� TE8TINC3 _
GIV1L 8i. MuNICiOAL $NOINEEp1N0 L�►.NO DLANNINO
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WE HEREBY CE1tT1FY THA7 TH15 IS A TR�1E ANO CORREGT REPRESEtd'T'AT10?J OF A SURVEY OF THE BOUNQARfES oE TH£- ,
LANU ABOYE DESGRlBEQ AND OFTNE lOCA710N OF ALL DUtI.DIN6S, IF AtAY, i11ERE0N , AN� ALL VISIBtE ENCRoAtHMENTS� .�,
,F ,,�,r, FROM OROk1 5^I� Lt�l�lp. MINDER ENGINEERIt�G CO., INC.
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3uilding
[nspections
763-572-3604
?63-502-4977 FAX
�ATE� _-1 C� �
iITE ADDRESS / � 2
I'HIS APPLICANT IS:
PROPERTY OWNER/
TEN ANT
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-i-�&
����
,�l L�aN �v
YOUR E-MAIL ADDRESS
❑ OWNER �CONTRACTOR
NAME: D�I itJ �1 � f�iLl .S D
Permit No.: �Q� �'��13
Received By:�
Dat��d..��' � i� 1 � 2��g
ADDRESS: 7��y �LD�/I � AY CITY �i���`%� fY� STATE�� ZIP
PHONE: „ ;" �7 l � �% �.J d'
CONTRACTOR ADDRESS: lg/��7/! -�/ CITYf7Hf%-i71 L�iC�. STATE/L�//L�ZIP
SUBMIT A COPY OF pHONE %�• `3 Z���' �i�(� Z 3 FAX
YOUR STATE LICENSE '
STATE LICENSE # C/J� !' %�- �. EXP DATE
PROPERTY TYPE I❑ SINGLE FAMILYRJEW CONSTRUCTION
❑ TWO FAMILY/NEW CONSTRUCTION
PERMIT TYPE I ❑ �DITION ❑ GARAG
❑ BASEMENT FTNISH �ROOF
❑ DECK ❑ SIDING
u
❑ WINDOWS
❑ DRARJ TILE
❑ OTHER
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION /� �%
❑ MAINTENANCE/REPAIR ❑ REMODELING �� G— K��� T
DESCR[BE WORK BEING DONE:
SIZE OF
ROOFING �
NUMBER OF SQUARE�
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other ___
WINDOWS
IN EXISTING OPENINGS ❑Yes ❑No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
U�� /—
❑ HOUSE ONLY
fr�f HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
HEIGHT
F'f
BASEMENT' REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of swctural members to be used
FOR NEW CONSTRUCTION iNCLUDING DECKS,
�Soffit ADDITIONS. & PORCHES SUBMTT:
❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Fascia and proposed project.
2. Two seu of construction plans
3. Energy Calculations
LOCA7'ION OF WINDOWS
NUMBER OF
ALI, FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
2(� ,(USING THE 1997 UBC FEE SCHEDULE)
COTAL JOB VALUATION $ J-1 -�` OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Swcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ -� � �s
$
$ � �`L �
---z�
$ '�'�
$
$
$
$
�fi'
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fea Determined by Engineering
Agreement necessary ( ) Non Necessary ( ) �
Make checks payable to: City of Fridiey Attach
THIS IS AN APPC,ICAT[ON FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and t 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 Min, a 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 accor ance with the approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME f/1/L '/ �� %�t L DATF/o.�L�/i dF
APPROVED BY DATE '