AF - 34885�
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City of Fridley, Minn.
BUILDING PERMIT
June 28, 1965
Date: .—��____� ._�
� ,_����r
N° 8044
Owner: __._..._.__ _._..._.....____._.._._..._...__.�.___, suilfler _.. Garden Cit_y__ Const..__�o.._.
......-�- �-�------._ ............._..._
Adaress _._7835 A1den�Way ._...___...__._-------.------.----_--._ Adciress __801_ 2nd__Ave.._No. -
LOCATION OF BUILDING
No. 78��__.. Street .�den _WaY_.._....---__.____---��.__.....- ............._---.------_. Part of Lot ••-••_------....__.._...___---.___-----___.._..�
Lot _.._.._.�26..._.__ Block _..__.___._6 ._._._.._..._._._. Addition or sub-Divisian Pearson! s_Crai_gwa.y Est..L_ 2nd �dd.
Corner Lot _._____..____ Inside Lot
Sewer Elevation
To be Used as:
New Dwell.ing
____.�.____.�._._.._._....._ Front
Gara�e & Porch _ �nt
Z�pe of Construction r r$n e
Setback .----•-------.---.•-----...._.... Sideyard
--------- Foundation Elevation --------•--._
DESCRIPTION OF BUILDING
Depth ...---•-•---...._.._. Height ....._....----•-----.. Sq. F� ___.._.._....__ Cu. Ft
De th _ Height ....._.....--.-•----_ Sq. Ft. _.._...--•--•--._. C�. F'�
p _..__...---•------
•---.. Es� Cost �20�000.00--•----.---.... To be Completed ....._........_._..._.
New Dwelling
In cansideration of the issuance to me of a permit to construct the building described above, I agree to do
th� propoaed work in accordance with the description above "t forth and in mpliance th all provisions o
ordinanoea of the city of Fridley. ^` ,G' ,y,L �' ��
�,L,`� �� -'� ��
`�'�
In caosideration of the payment of a fee of �._�.0.00 ----•---••----.., permit is hereby granted to�.�... � e����1�Q�1...— �
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
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, repair and moving of buildings
within the dty limits attd this permit may be revoked a t any time upoa violation of any of the provisions of said
ordinances.
Allen Jensen B�� ��
NOTICE:
ihis p�nait do�s not eowr th� eons�ruetioe, hwtallallon for wieLiy. Phrnd+ino. Yas h�aNn�, »w�r or wN�r. 6� sun to »�
fh� duiWiea Imp�elor for s�paraM p�nahs for fha� inna.
�
APPLICATION FOR BUILDING PERMIT
CITX OF FRIDLEY, MINNESOTA
�:°`t r't �,...� � ; ; `�'�� j.,/ }1
. .�a � i�,! t_d. Vl�d�� g'.. �
OWNER `S NAME BUILDER ° �' �^"�
anDxESS �DxESS �a/—,-�7.�i��� ,�%
LOCATION OF BU D NG
No. `� ��� Street P �/�/f� Part of Lot
LOT BLOCK � ADDITION OR SUBDIVISION � � ^ �.,,�Q
�
Corner Lot Inside LaT vSetback � ` Side-�Yard ����
SEWER ELEVATION FOUNDATI ELEVATION
Applicant attach to this form Two Certificates of Survey of LoC and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be ed as:
� �
�. ' �t �, t Front� , �� �j Depth_�Height � �
Sq. Ft. f ��� Cu. Ft. �� �'
.:� � � �
C� � Frcmt '� Depth �? %�'' Height 1 5 _
sq. Ft . � �,�; cu. Ft . /_�=C�
Type of Construction ��_ Estimated Costf� �� � d (�
--� � �. � S -'..
To be canpleted__ �S�'�� � ra
�
The undersigned
agreeing to do
aad rulings of
and representax
DATE �.
hereby makes application for a permit for the work herein specified,
all work in strict accordance with the City of Fridley Ordinances
the Departm
ions st�ed
/ x'�'—.
�r J
(Schedule of �ee Costs can
nt of Buildings, and hereby declares that all the facts
in this application are true and correct.
�.a: �� 'L 'e ✓ i ... " � ' i � 4 t� : l� s ° � _ �.; lJ ,
SIGNATIIRE
be found on the Rever Side).
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BUILDING PERM�T FEE SC:HF.DULE
SECTION 2. The Inspactor of Buildings shall, before issuing any peranit for the
erection of any building or structure, or for any addition to any existing build-
ing or structure, or for any alterations or repairs to any existing building or
structure, upon application therefore, requira the payment by the applicant for
such permit of fees to the amount herein below set forth and in the mancrer hereia_
provided to-wit:
2.1. For any such permit for the erection of any fire�proof building,
other than a garage, warehouae, factory or grain elevator, or for the erection
of any fire-proof addition, for similar occupancy, to any existing building,
shall be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical Contents.
2.2. For any auch permit for the erectioa of any fire-proof garage,
Warehouse, facCory .or grain elevator, or for the erectian of any fire-proof
addition, for similar occupancy, to any existing building shall be at the rate
of $1.25 for each one thousand cubic feet, classified as "fireproof" by
Section 502 of the Minneapolis $uilding Code.
HOUSES
2.3. For any auch permit for the erection of any non-fireproof building,
other than a garage, warehouse, factory or grain elevator, or any non-fireproof
addition, for similar occupancy, to any existing building - permit $1.00 for eseh
one thousand cubic feet.
.,
GARAGES
2`4_ For any such permit for the erection of any non-fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non-fireproof
addition, for similar occupancy, to any existing building or for each such
building or addition - ninety cents ($0.90) for each one thousand cubic feet
or fraction thereof, in the cubical contents thereof with the minimum of $4.00.
For the purpose of computing fees for building permits, the cubical contents
of any building or addition to a uniform height throughout by multiplying the
ground area covered from a point six (6) inches below the floor line of the
basement or cellar to the average height of the upper surface or to the average
hei.ght o£ the roof surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall
be at the rate of $3.00 per each Five Hundred Dollars ($500,00) or fraction
tisereof in the cost of all proposed work.
2.6. In no case aha11 the fee charged for any permit as set forth in
Section 2 be less than $4.00.
�-.
. �.
4� MINDER ENGINEERING CO., INC.
LAND SURVEYORS AND CONSU�TING ENGINEERS
6418 56ih AVENUE NORTH, MINNEAPOLIS 28, MINN. - KE 7-3637
GVJL AND MUNIC/f'AL EN6INEER/N6
LANO SURYEY/N6
L AND PL AMN/NG
SOfLS TEST/N6 _ �
S. G. Pearson
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Lot 26, Block 6, Pearson's Crai�wa,y Estates 2nd Addition.
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A����r �;'� �ws�'�.
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W� NEqiBY CEitIIFY ?NI.T 'F1NS 1S ATR{!E AND CORRECT REPRESENTAi1M�1 OF A Sl1RVEY Of TNE BOUNOA{l1ES OP THE LANO ABdYE DESCR1Qfp
AN0 4f THE IOCAT40N 0: ALL 6UIt011NiS, lf A1SY, tNEREON, AND Al� VIS18tE ENCROACHMENTS, If ANY, FROM OR ON SA19 1.AN0.
� - ` MINDER ENGiNEERiNG CO., iNC.
DATEO �HIS—_OAY 0� s�f`��±"�?''�r_ ►.R 1�5�
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s�e�ECT PERMIT '"`�
City of Fridley �- 7 3 5 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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� • COMMUNITY DEVELOPMENT DIV.
r � L � PROTECTIVE INSPECTION SEC. //� ,s ��
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' A� ����1 � CITY HALL FRIDLEV SS43Z NUMBER FlEV DATE PAGE OF APPROVED BV
`'��'J\.i �.J
612-571-3450 910-F15 12/13/83 � �
JOB ADDRESS �g35 Alden Way N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2Fj 6 Pearson's Craigway Estates SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Bill Stevens 7835 Alden Way N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO
M. B. Enterprises 1785 Lois Drive 786^4901
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
C NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install A Class "A" Chimne fox� a wood burning stove
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install combustion air t�o existing furnace room area. Install fire alarm in
bas�nent area.
ERM�� S �����1RED FOR �VlR.tNc�,
S�p�RA�� Q � � }:i��lc,
-'i,= l�,�l�'r ;'� i.lh•,►t7'�iC, ,iy.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT 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 PER�OD 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 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 WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT S1-�OOO $.5O
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $1%<SO
.�- PLAN CHECK FEE TOTAL FEE ,.
�- �� l� � — - � } $18 . 00
si nruaEOF �RA r iDaiE� WH N PR PE �'�� A ID D THIS IS%YOUR PE`PyMIT
A t r' � �' ^ �
. ��4 C,� � r� �
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S�GNnTURE OF OwNER �iF OWr+EF BU�LDER� iDATEi DG �hSP ��FTE
Effective �ug. 1, 1981
C1TY OF FttIOLCY '
/+('t'LIC/1T1a1 f0(t 1'.CSIOL"i�Tl/',�. DU1LD1t:G PLr��1TS
(f�ch•�. Alteratiuns, Additions. or Rcpai�s)
OF�NER: /�, �` S ��� t,.._.�
AD�RESS: 7� 3 S �l�e�. G✓�, y
TEL K0:
'QUILDER: ✓Ll � ��. �r/j�/� s �-S
110aZCSS: i 7 C� �a , s %��-
TEL IjO: % �� —Yg� �
Construction Location
STJtIxT t1� : , � 3 � srr�r: ���-.� f �, ��.
�
DITIO'i : ` ! f ,
L07': �((�- BLOC7C: �- AD . ��,'} � .`,C _ � it��-i :_ �i'� ''.' •-,�
Cozncr Lot: Insicic I.�tz � Sctback: Sideyazds:
J►p, lic.vit attach to tliis form two Ceztificates of S1�rvcy of lot and
pzopo�ed building location draan on certificates to scale.
DESCRIPTIO�� OF CO::STi;UCTIOi�
Fzont: Depth: Height:
Sguarc i'eet: CUbic Fcet:
�ront : �P� =
Neigl�t:
Square Fc�t: Ctibic Teet:
, � —. �
. _ � ��. _ !-�- `� � � c : - < <` � � C� " �
'l��pe of Co:,�truction: ��/�� �� ��� 2 / Estimated Cost: _S��a ��'
', ` ' i^ i- _ t X � ._ ��' , ;•�� v � � . �` �. � �
7b Be Cbr.:plcted: _ �'�% � v�-;; ; � -���'`��
I►lt. A J►1 t. 8
Propos�d Dr�vcaray Hidth If New Opening Is Desired: S S
, SE� PiVF.R;E SIDE OF StIE�T .
9S�e undersioned hereb;� mal:c� nrplic�ticn for a p^rrzit fcz the �vzk he-ein sp�cified,
egreein3 to d� .all �ork ir, strict accozd3rice f�ith the Ci�y of 7'ridle�• Orcii>>ances t,id
zuling� of tlie Del�.�rtment of Dui:din�s, and hereby decl�zes thit all tl�c facts and
represc��itiens stated in this applic�tion are true and correct.
D�7T: �2 � �2 � � -? SIGNATI3T.°.:
$L1j�UlrtlOnS :
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C����-� CC��� �
,2�S-�-vr� Cx-'15LG�,
� .Ill��
. - _ �•• _
The Chief Building Official shall, Defore issuing permits for t�e erection
of any Duilding or atructure� or for any addition to any ezisting building
or atructure or for any alteration or repairs to any exi�ting Duildiag or
atructure� upoa application therefore, reQuire the paymeat Dy tbe
applicant for auch pe�it of fees to Lhe amount berein Delow set fortD and
in tDe aanner berein proviCed to-xit:
��tal �aluation
=1.00 to �500.00
=501 to �2�000.00
=2�001 tc =25�000
Fee�
=10.00 (Minimum =15.00)
=10.00 tor tAe firat =500 plus =1.50
for each additional =100 or fraction
theraof� to and iacluding =2�000
=32•50 for the firat =2�000 plua =6.00
for each additional =1�000 or traction
thereof� to and including =25�000
=25�001 to =50,000 =170.50 for the firat =25,000 plua
=�•50 for each additional =1.000 or
. traction thereof, to and including
=50�000
l50�001 to =�oo�000 =283.00 for tbe firat =50�000 plus
=3.00 tor each additional =1�000 or
fraction thereof� to and including
=100�000
=100�001 and up =433.00 tor the first =100�000 plu�
=2•50 for each additional =1,000 or
• traction thereot
Plan Cbc�ck: 25 percent of Duilding permit fee.
Driveva� Dapres�ion Escrow: Concrete curD atreets oaly.
Alternate •A": Removal and replacement of eurb and gutter only -
Driveway vidth plu� 6 feet time� =13•50
Alternate *B": Removal and replacement of curD and gutter and
ir,stall a 3 foot vide approach with 6 ineh depth - Driveway width
plus 6 feet times =15.75
.. • ..�.: ..
Per�.ita for construction rill be iasued a minimum of 24 houra from the
time of application to allrn+ for proper reviev ot tbe propo�ed atructure
and of Lhe construction aite.
� Certificate of Survey of the lot, ahowing Lbe location ot Lhe toundatioa
once it has Deen con�tructed vill De required �efore �roceedina xith the
framiag.
sue�ECT R O.
City of Fridley 19057
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � EIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
i ; L' �
r � � PROTECTIVE INSPECTION SEC. � ��� �
1 �
i
'l � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
`�����./ �.J
612-571-3450 9�0-F15 ��g�g� / /
JOB ADDRESS �g35 A�.C�2I1 Way N.E.
1 LEGAL LOT NO. B�OCK TRACT OR ADDITION SEE ATTACHED
oESCa. 26 6 Pearson's Craigway Estates 2nd Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
William Stevens 7835 Alden Way N.E. 574-0551
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E., Mpls. 55418 781-9548
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS Z�P PHONE UCENSENO,
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Reroof Dwelling
9 CHANGEOFUSEFROM TO
STIPULATIONS
Rr�of can be 2nd layer but not 3rd. Install ridged galvanized valleys.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIF 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 CONS7RUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAVS 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 GAFAGES
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 $2 �OOO $l. OO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $32�50
STRUCTION OR THE PERFO�iMANCE OF CONSTRUCTION.
• / PLAN CHECKFEE TOTALFEE
- �1 { �� � � ' k. f'` i�., ,.,__ •7 �c' �,� � $33, 50
,.
s�cn,aru e Fcorv'an Oaoan�rr+oa�zeonceNr ��ArE� WHEN PROPERLV LIDATED TNIS IS VOUF PERMIT
�, Q.�'�,,�-�"e �^C Ci`t � � % G
S�iGNATURE OF OWNER IIF OWNER BUiLDERI IDATEI BLDG INSP ` r)pT -
N�+' � � City of Fridley Effective 4/1/8�
ADDt� . [) i R-1 AND R-2 �
ALTER. [ ] Euilding Permit Application
Construction Address: l���__-'_S _� fi �/�C=_ i��_, �i .7 c
Legal Description:
�=
Owner Name & Address : �-� • / � t ���� �/1 " � / �--� � ��� ,c` ,� Tel. � �� % � -C S �� /
Contractor: f l ) � c_ )c. �.� i, �%< i� � � �� � (r...,,: Tel . 4 � � � "y � ��
�_ / ' �
Address: "� S� /_ � l � t� �� �� i, ,� t__ �-�� t �,,�!/ J �s //j�� � i- y /��
�'—' —
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, Kith the proposed construction draWn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback
�
� � �,-�:,�
Type of Construction: r` -� � � � `�i �l �'= (; �� �-
Estimated Cost: $ _
Approx. Completion Date: � � �" r <- ,,
Proposed Driveuay k'idth If Neu Opening Is Desired:
Alt. A Alt H
4
$ g --
See Back Page for Explanaticn
' ° _ -
D�TE: � - �5� � �Y" � APPLICAI;T: � ��C �i :� 1 � � - _,`_ � --,>�--� Tel . �k � �% � _S ���
�
CITY DSE ONLY �
Permit Fee
Plan Check
State Surcharge
SRC Charge
Park Fee
SeWer Main Charge
TOTAL
STIPULATIOt1S :
� "'��.� �:l
v
�
S � - �1 �5
S
�
$
� -� S
Fee Schedule on Reverse Side
25p of Building Per�it Fee
$.50/$1,000 Valuation
a475 per SAC Unit
Fee Determined by Er.gineerin@
Agreec,ent Necessary [ ] Not Necessary [ ]
BIIII.DING PERHIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of ar.y
building or structure, or for 2ny addition to any existing building or structure, or
for any alteration or repair to any existing building or structure, 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-xit:
Total Valuation
51.00 to �500.00
�501.00 to $2,000.00
$2,001.00 to $25,000.00
g25,001.00 to $5C,000.00
$50,001.00 to 5100,000.00
�100,001.00 ar.d up
Fees
$10.00 (Minimun Fee is �15.00)
$10.00 for the first 3500 plus $1.50 for each
additional �100 or fraction thereof, to and including
�2,000.
S32•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
ir,cluding �50,000.
$283•00 for the first
additional � 1 , 000 or
including :100,000.
525,000 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 a1C0,000 plus g2.50 for each
additional �1,000 or fraction thereof.
DRIVEWAY DEPRESSION ESCROH
(Concrete Curb Streets Only)
Alternate "ti": Removal 2nd replace�ent of curb and gutter only - Driveuay width plus
6 feet times 513.50
Alternate "B": Removal and replace�ent of curb and gutter and in�tall a 3 foot wi�e
approach �ith 6 inch depth - DriveWay xidth plus 6 feet times $15.75
VERIFICATION OF FOUNDATION
Pereits for censtruction uill be issued a mir,imu� of 24 hours from the time of
aFplication to allow for proper reviex of the proposed structure ar.d of the
construction site.
A Certificate of Survey of the lot, sho�ing the location of the foundation once it
has been constructed will be required before proceeding with the fr�ming.
�
sve�ecT PE .
City of Fridley 32147
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
' ` RECEIPT NO.
� �
' ' COMMUNITV OEVELOPMENT DIV.
r � V � PROTECTIVE INSPECTION SEC. ��A ����'� 1�+� "..° ��/�/
� � � '£..� . �{.
� , /"�1 � CITY HA�L FRIOLE� SS�ZZ NUMBER pEV DATE PAGE O� AVPROVEO BY
�'""�"� �'' 612-571-3450 910-F15 9/7/O1 � �
JOB ADDRESS 7835 Alden Way NE
1 LEGA� �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 2( 6 Pearson's Craigway Esta�es 2nd Addn SHEET
2 PROPERTV OWNER MAIL AODRESS 21P PHONE
William Stevens 7835 Alden Way NE 763-574-0551
3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO
Renewal By Ar�dersen 350 73 Avenue NE, Fridiey, MN 55432 763-502--4777
� ARCMITECT OR OESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO
20130983
5 ENGINEER MAII ADDf;ESS ZIP pHONE IICENSE NO
6 USE OP BUI�DING
Resident�a�
7 CIASS Of WOqK
❑ NEW O ADDtTION O ALTERATION �7 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace three windows within existing openings
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors ir. aZl sieepir.g rooms and on a�l ievels of the
dwell�ng per Section 310.9.1.2 of the 1997 Ur.iform Bu�ld�ng Code. Caulk
ar.d flash all exter�or oper.�ngs.
Perr��� ���,���;,����� Cards
r��;�a � K� ����
`f f 1 �..� �5, $'� ia
TO �5�3����1�i����i�'" �� �Y�l
TVPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING. MEATING,
VENTI�ATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULL ANO VOIO IF WOiiK Oii CONSTRUCTION 20NING S� FT CU fT
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OFi IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED POR A PERI00 OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OfFSTREET PARNING
1 MEAEBY CEFTIFV THAT 1 HAVE READ AND E7(AMINEO THIS APPLICATION 1 STALL$ GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECi. ALL PROVtSIONS Of LAWS VA�UATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL 8E COMP�IED
WITH WMETMER SPECIFIED MEREIN OF: NOT. TME GRANTING OF A PERMIT �S�7OO �Z.HS
OOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE Ofi CANCEL THE pERMITfEE SACCMARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT�ON OR TME PERFORMANCE Of CONSTRUCTION �IZS .^LS Fire SC �S .%O
PLAN CHECK fEE TOTAL FEE
" ense S $5.00 $138.80
SGNS7UQE O� CON"AACTOQ OR �UTtiOA�2ED OGENT i0�7E� 1�EN ROPEALY VALIOATED THIS IS VOU PERMI
� � V
S�GNaTUAE O� OwtiEQ��F pwrvEQBw�DEQ� �D�iE� B� w5P �r rF
_ �
r�w � �
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[� S�tGI.E FAMi�Y AND DUPI.EXES R-i AND R-2
BUII.,DING PERI�IIT APPLICATION
Constructi�n Adriress:
,
�� � v L , , ,
�.i�i,� i ;�r.. , ,� �
- ,
Legal Description: -
w;1�•, a`�cY, �' 3 S��{ •O�s 1
Owner Name & Address: _ � Tel. ## �(Q� .
Renewal B}� Andersen MN T.ICENSE #
Contractor: 350-73rd Ave. NE
Address: Fridley, �v ss432 Tel. #
763-502-4777
Attac; #M�`i20130983 ;y of the
lot, W1U1 Lfle PIOPoSCU`c;u��uuLUVU uiawu vu �� to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
�
Length
L.�ngth
Length
DESCItIP'r101v QF �g;QV�1�E1�T ,
VVi�.th
Width
Width
��
Height
Height
Hgt/Ground
�� .
Estimated Cost: $ S,
Sq. Ft.
�q. Ft.
Sq. Ft.
_ . ,. r . �
Driveway C�rb Cut V�Tidth Needed: Ft. + ti Ft = Ft x$ _$ �
� r - —
DATE: L�� •� APPLICANT. Tel. #`,��• 3`�.� "UL� ��
Permit Fee
F.ire Surcfiarge
State Surcharge
SAC Charge
Lic�nse S�xcharge
Driveway Escrow
Erosion Contxol
Park Fee
Sewer Main Charge>
TOTAI,
S'TIPULATIONS:
CITY USE ONLY
$� a� • o� � Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/lOth%1
$ �� � $.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 [ ]
� I �
�
�
Building PLUMBING Perrnit No.: `1-��� °��
Inspections R]ESII�E�TIAL APPL�CATION Received By:
763-572-3604 CITY OF FRl[DLEX Date ��� (VI - 8 QQJ
DATE May 4, 2007 YOUR E-MAIL ADDRESS wnelson anlarsonplumbinq com
' si�,aDDxESS 7835 Alden Wav NE
THIS APPLICAT�'T IS: [7 OVl'NER [�CONTRACTOR
PROPERTY N,a.�E: William Stevens
owtv��v ,,,DD�ss: 7835 Alden Wav NE ciTr___ Fridley STATEMNZIP SrJ432
�'�NANT pxo�vE: 763/5740551
CONTRACTOR �,�,,�E: Larson Plumbinq, Inc.
SUBMIT A COPY pP S'TATE LICEI`iSE � 3341 PM £XP DATE 12/31 /20�6
YOUR STATE ADDxESS: 3095 - 162nd Lane NW CITY Andover s�rarEMN z.zP 55304
LICENSE WTTH pHONE 763/427-7680 FAx 763/427-9448 �
APPLICATION
PERMTT TYPE � S�GLE FAMfLY (J TWO FAMILY ❑ TOVdNHOUSE
TYPE OF WORK: � N��' ($ REPLACEMErif
DETATLED DESCRIPTION OF WORK �Nater Heater Replacement
PER MS I6B.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 i500 = cost of tabor x.OS =
�OR PROJECTS WHERE LABOR EJ{CEEDS $500, FEES ARL BASED ON $16.00 PER FIXT'URE, EXCEP'f 1��HERE NOTED. FIXTURES� ([NDICATE TOTAL
NUMBER OF EACH BEL01�
BATH SINK/LAV FLAOR DRAINS SHOWER WATER PIPING
_ BATHTUB GAS PIPING �eF,D c�rrtiCExs� SWir4NIING POOL � WATER SOFTt�TER ($35)
_CLATHES WASi-IEit �KiTCHEN S1NK WA?ER CLOSET BACKFLOW PREV. ($lj)
DSSHWASHER _ LAUNDRY TRAY WATER HEATER ($35) � FOR IRRIGATION
,_ WATER METER OTf-�R
�
' PE1�MI'i`EE�PROJECTS>�'OIZ.�Cli�IDE�t:$500, . .: ' . .;: �` . . - .,,PERA�1iT�EE.FOR PR07ECTS';DUER �50Q::
Permit Fee $__.��,__,�Q Number of fixtures @$10.00 x$10.00 =$
Surchar e ,50 Number of fixtures @$15.00 x$15.00 =$ �
i'OTAL DUE $�_.�Q Number of fixtures @$35.00 x$35.00 =$
State Surcharge = $ .50
Total = $
THIS I5 AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
T 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 wiEh the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is nat to start without a permit; that the work will be in accordance with the
approved pian in the case of all work which requires� review and approval of p3ans.
S[GNA'NRE OF APPLICANT ��� ��' ;•- pxirrrrr,�r,-sE Wendy Nelson DA7'E 5/4/07
.::;;.� PL'Ef1SE I�0„TE SEP,?�TE;PE. ... T'S.�AR� RE UIREb F�R �i,II:I.bING; E11ECT`RICA�."<A�:TvfECHATtICAL VJO�tK':'... :`�
.Q.
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
Inspeciions
763-572=3604
DATE
SITE ADDRESS _
THIS APPLICANT IS:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
❑ OWNER OCONTRACTOR
PROPERTY OWNER/ I N,�:
TENANT �.,.
CONTRACTOR
SUBMIT A COPY OF STATE LICENSE �
YOUR STATE LICENSE ADDRESS:
WITH APPLICATION pHONE
PROPERTY TYPE
S � (�--. i,J� � crT�
' C��� �
0
c���lw�� �V ..•
EXP DATE
FAX
PERMIT TYPE � �DITION ❑ GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH �`$OOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
� MAINTENANCE/REPAIR
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
ttwr uvc�
NUMBER OF SQUARES .2
GARAGES
PROPO�ED SIZE:
PROPOSED HEIGHT:
SIDIlVG
❑ Vinyl
❑ Aluminum �
❑ Other .
WINDOWS
IN EXISIING OPENINGS DYes �No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
IACAT'ION OF WINDOWS
OF WINDOWS
Permit No.• - �
Received By:
,-,_�_n__,�
WID'TH HEIGHT
ATE_ZIP
STATE Z[P
BASEMENT REMODELING SUBMIT:
1. Existing Fioor Plan
2. Proposed floor plan
3. List of structural members to be used
Ft.
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
l. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING T E 997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ ��� OCCUPANCY TYPE
Permit Fee $ � 3�i J See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge $ �`5 .001 times the total job valuation
Swcharge $ /�7 .0005 x Permit Valuation Minimum $.50
License Surcharge $ -rj .(;(; $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft= ft x$21 =$
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary () Non Necessary ()
Total Due
Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in
confortnance 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 � 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 work w' �iire�i-eview a approval of plans.
SIGNATURE OF APPLICANT � - PRINT NAME �J7�. I � � DATE 7 � � �� � !
Page 2- Building Residential Application
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permifs for the erection of any building or
structure, or for any addition to any existing building or structure, or for any alteration ar repair
to any existing building or structure, upon application therefore, require the payment by the
applicant for such pernut of fees to the amount herein below set forth and in the ma.nner herein
provided to-wit:
TOTAL VALUE FEES
$� to $500 $23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000 $23,50 for 15` $500 plus $3.05 for each additional $100 or fraction, to and
including $2,000
$2,001 to $25,000 $69.25 for 151$2,000 plus $14 for each additional $1,000 or fraction, to and
including $$25,000 �
$25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,Q00 or fraction,
to and including $50,000
$50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $1,000 or fraction to and
including $100,000
$100,001 to $500,000 $993.75 for ln $100,000 plus $5.60 for each additionai $1,000 or fraction to
and including $500,000
$500,�01 to $1,OOQ,000 $3,233.75 for the In $500,000 plus $4.75 for each addirional $1,000 or
fraction to and including $1,000,000
$1,000,001 and up $5,608.75 for the ls` $1,000,000 plus $3.15 for each additional $1,OOQ or
fraction
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 proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the frarning. New Houses Onlv
City of Fridley
Building Inspections Depariment
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977