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AF - 34885� .-. � 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). � � f � -= � `� � .3� � ._-- - - 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 � � �� �ti 6•„r" � r r� `� 7. �..]� w\ X N��� A: � 1,/ t� � � ..Sr`frf� � " � � '� �� , � o - .�E n�d rE�; .�.��:�-y � � � s� �, t-- �.- �� ::� � --- �; : ; _� �. .. . � Q \ � ; � �� �� �., ,. � �y��� \�� .� . � ' �..� '�"""�.� r � � t :�'t'� v ' � . / '.�-�- . "��:V"` �� 1 A`�� Lot 26, Block 6, Pearson's Crai�wa,y Estates 2nd Addition. �'�' � ,�" .� ��t� t�/',,� y �!�, A����r �;'� �ws�'�. � �` 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. 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Q 0 � � O � � ' � = Q ci � O c; � O �. � �� N� =° 3 � N � o � 0.� v< �• � A�p —• ti► � 'o' � 70 � � � �� D 0 D 0. 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 r � � � � � � • COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. //� ,s �� � � i ' 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� � / , 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 : � �i]_.cr✓' � � . a L l'9' �� � ��� /� � C>> ��.�� � r c2� � - ��.c,�— . 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