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City of Fridley, Minn.
BUILDING PERMIT
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Ad� �. Ad�re�
N° '73'76
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i11 t�f�BT8�0II Oi �1@ �l1flII�SB t0 1n@ Of $ pe1R17ft t0 COD81S11Ct 811GV@ t0 d0
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aa�laSIICea oR the dty oP F`rldley. ,
I�a eamslderattaa� of the �yment of a fee oP �_�� �ermit 9s hereby granted to
to constract the buildin� or additfon es described above This� t ia granted upaa
�he exp�ess c�ditton ti�at the�person to whom it is grant�ed aad his agents, ernploye� an� worlmnen, in sll �vork
done in, arouad and upaa said buildfa�, or a�}► thereo� shall c�nform in all r�pecta to the o�alinan� oP
��9, Minaesota lac�t�iOn, aoao��tr� alterattan� matatenanr.� aepair a� moving of b��
wl� dty liaaita��� P�nait ma�r be reva�d at arq► ti�e upon � of aay a� the p�ovisiona of ea�d
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- . � . .. APP�rI;CATION ,I�OI� ;��TILD�NG �PB�'1� ' � , ; _ ;:
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. - " :6ITY, :QF FRII}bEY; P�ENNE.SOTA .. . . �
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OWl�B S �NAi� �� �L�r1 BUILDER 4 � �� � /,7'Hl�l-�SO� ��
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ADIZRESS - _ ..__ . �-- - ;-ADDRT.SS�- _���� - /�i��i✓�/I���/� - --- -
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No. _ � ��'��. -�.;
%OGATIO� Ol� SUILDIA�
' ..part of
Lot__ o��i`Block' � ' � � ; Addit3ou or.. Subdi��.on__ ,,��/�,��� � �'��2���i-4�� ���
,. ' �. � � f. %—.
Cosrier Lot�. . Ttieide �,ot �etback �� Sirle-Batd /��d�s�
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SLWER �QA1`IC1K , P'OU�ATION Rt..EVATION
�#PPiie�lnt, �a�tg�� tq:.t��s �ora� .�'�,to, Ce,rt��ficates� ctf Survey .o�.Lot .and prapatec��: build-,
is�g locatioa draw ,o�i tl�eae � Cert�.f3�cates . ' . . � � . � �
. � � . •� :. � • . . .
DESCBIPTIOi� OF BUILDI1dG � . .. . .
To be u8ed as: . . • . � . .
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��C�i'""-.�C i��j � �" ,�` �,' / ' pe�th� a�..�7 f _ a�igbt �
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: - � :.� �� Froitt • �pth ~ ' Beight / �
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Type of Constructiqn . ���`�,��- ` . �ati�ated. Co��: �� ��
, ;�� ,...
To be ComplE+�t�d �/ � .c,iY= . �l. ��`'' % � � �� . . . . . . . � � '
� ., ... . . .. ;, . .. . , ._ . . , .. . . __
,
The undersigned herebq makea appiicat�op:fq�,a,,,pexm���for. the wark hereia�sp�ctf3ed,
agreeing to dv all work ia strict accordeace witb`the City of Fridlep Ordiaanees aad�
rulia�s crf ,the Depar�ent, o�F . Buildia,�e,, .a�d _�Sereby. ctecl�ares, th al #ac�e and
repreaentatiope etated ia t�i�s�application are tru�, aad orra t... ,
DATE_ �i �/1�Gjf� �� SIGNATt1RB
�(Sevedule of Fee Costs cea be #ound an the �averse Side).
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BUII.DING PERMIT FFE S(�EDULE
Sectfon 2.� T����spector of Buildiags shall, before_issuing any permit for
tbe erection of any building or structure, or.for any addition to anq �xxist-
ing buildin� or etr�cture, or €or any alter�tions or repai�a to any euiatia�
building-;or structure, upoa application therefor, require tbe paqmeat �q the
applica�,t 'for such p�rmit of fees to the amouat h��sin below set forth and
in the manner he�rein provided to-wit:
2.i. �oi��auy such permit for the�erection o� any,fire-proof building, other
than-a gara�e, wareh'ou�`�, fsctory or.grain elevator, or fdr the eractian of
aay`'f_re-proof.add"itioa, for similar occugancq, to aay exiatiag building
shall��a at the rate of $1.40 for each one thausand cubic feet� or fraction
thereof, in such cub�.cal contents.
2.2. P'or anq 8uch_gei�nit foz �h� erection of any fire-pYOOf garage, warehouae,...
f�ctpry or graia 8levator, or for the erectioa of an�r ffre-proaf �,dditioa,
. fdr. siiailar ac�upaacg� to �tiy ex3stis�g buildiag aha11= be at the rate of $1.25
� f.or e�ch one thousaad cuiric feet, claseitied;as "fireproof" bq Sectioa 502 of
: -' th� Miat[eapol,is.,Building Ccde, .
�
HOUSES
2.3. For .aatq , such `permit for the erect3bn of anp nan-f,�.r�proof build3ag
than a garage, warehouse, factory or �rain elevator; or any aoa-fireprvof
additien, for similar occupancy, to any existiag build3ng - permit $1.00
each one thouaand cubic feet.
GAxAGES
athe=
for
2.4. For any s�i�h pesmi,t for the erection of any naa-fireprqof garage:
warehouae, facto�!_ or grain elevafoz, or�for tF�e. erectioa bf any noa-fiLxeproof �
additi:oa,-€or--�imilar occupancy, ta aay euistiag building or for each such �
-building or �ddition '- aiaety ceats ($0.90) for each one thausaad cub�,c feet
or fr�ction ehereof,� ia the cubical co�atents thereof w3th a aEi�ma of $�.OQ.-
. . . . � . -_�, • - — . .. � .. � � a .
For the purpose of ccmoputiag fees for building permits, the cubical coateats
o� eay buildiag ar addition to a uniform height tbr�ghoait by �Ltip�ying the -
ground area covered fram a point si� (6) inches belo� t6e floor line of tha
b�semrant or; cellar to :the average height. of `t�e upper s�face or to the
average height of the r�of �urfa�e of the m�i� gabl� �f a p�tched roof.
2.5. �'or repaire or alteratiaae Co an �iatiag etructuxe, the fee ahall be
at the rate of $3.00 per each Five flundred Dollare ($500.00) or fraction '�
ther�of ia tbe cost of all prapoaed woirk.` �
2.b. ��n ao �a�e, sha],�__the ;Eeei�_chasged:..for:�ay--permi� .a� set forth• in
.Sectioa 2 be less. t�taa-.$4.�. ` "
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City of Fridley 19 9 2 5
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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� �L _��� COMMUNITY DEVELOPMENT DIV. ���
r � � � PROTECTIVE INSPECTION SEC.
�
1 i �
( �'�'1 � CITY HALL FRIDLEY SS432 NUAABER REV. DATE PA6E OF APPqOVED BY
�•'"_�' '•� 612-571-3450 910-F15 5/'31%89 � �
JOB ADDRESS '7841 Alden Hiay N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE AttACHED
DESCR. 2% 6 Pearson's Crai.gway Esta�es 2nd 3H�ET
2 PROPERTY OWNER MAIL ADDRES$ 21P PHONE
Clint/Li.nda Ward 7841 Alden Way N.E. 574-0906
3 CONTRACTOR MAILADORESS 21P PHOIVE LICENSENO.
S3IIl@ •
4 ARCHITECT OR DESI(iNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENdINEER MAILADDRESS ZIP PMONE LICENSENO.
8 USE OF BUILDIN(i �
Residentiai
7 CLASS OF WORK
0 NEW C� ADDITION ❑ ALTERATION O REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 28! Round Swimaning Pool in Rea.x Xard
9 CHAN�EOFUSEFROM TO
STIPULATIONS
See stipulations on letter dated NJay 31, 1989.
Y���f19��Y�7
B iore digging cali focal utilit%s
Tf FHONE - ELECTRIC - GAS Eta�, S�P�RATE PERMITS R��UlRE�3 �R
� �UIRED BY l��V �r�RIiV�, HEATING, PL�M�JNG � ��„
: ;;
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINO, HEATINO, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCY IOAD
VENTILATING OR AIR CONDITIONINO.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. • NO. OWLG. UNITS OFFSTREET PARKIIdG
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1' STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND,ORDINANCES OOVERNING THIS TYPE OF WORK WIIL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $21�300 S�-.ZS
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REOULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $S4, OO
PI.AN CHECK FEE TOTAL FEE
$55.25
SIGNATUREOFCONTRACTORORAUTHORI2EDAGENT (DATEI wH N PROP RL I THIS IS YOUR PERMIT
v+
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SIGNATUREOfOWNER�IFOWNERBUILDERi IDATEt DG iNSP � qATE
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�T� [ ]
construction Address:
IE�dl D�'l�].�lt �
1�1 �AND R-2
�,ilding Pp.rmit Ap�licatian
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/ /'v d�� �Jv , �✓ lFi r siG
Fffective 5/1/88
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I-d �y !� a� ���� �
G 17 S oZ,�✓
o� N�- & �: L�/ � � � .�> � �la l� a � ol �.. # _ 5°� �/ �a 9 a �
Ccmtractor: �,, #
Addres.s:
Attach to this applicatiaaz, a Certificate of Survey of the
lat, with the prc�posed co�stnictio� drawn on it to scale.
�.'I(�T �" Il��ROVII�Tl'
Z1VIIaG �: I,erx��th Width Height � Sq. Ft.
(�RAGE 7�1s I,eng�th Width Heic�t � Sq. Ft.
D�CK �: I�erx�th Width F�gt/Ground Sq. Ft.
o�: � � ��,�,,. � J ,��I— .
Corner Lot [] Inside Iot [] F't. Yd Setback S1.de Yard Setbacks
'I�pe of Co�nstruetion: .,� 5.`., /,( � h,�„ lj� r v � �ii ��p.,� Cost: $� �'G> D°•�-
Approx. Ca�npletian D�te: /I/Px I` �2 w�� JiJ�
Proposed Driveway Width If New Opening Is Desired: �. $ $
� � Width + 6' See HaCk Page
�:��%�� �c�r:�� 1� �� �. #_�'°7y�O9G�
Penni.t� Fee S �� C� 0
State Surcharge $ /, a S"-
SAC C�axge $ .
Driveway Escr�a $
Pax'k Fee $
Sewer r�ain c�arg+e S
. v�
SI'IPUL�TI�IS:
a
$ � �'�'
� 4 �i=i: •;t�
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per S1�C Unit � .
Alt. nA° OY' Alt. nBn AbOVe '
FeB Dete�mil�ed by F'.r�i nr�sri m
� N�Y [ l � N�Y L ]
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� The Chief Building Official shall, before issuir�g �*�+�; ts far� the er�tio� of ar�y
- building or structure, or for ai�y additian to at�y existing �il.ding or structure, or
for ariy alteration or regair t�o at�y existing l�ilding or stnu�tvre, upoaz applicatio�
therefore, require the payment by the ap�licant for such permit of fees to the an�aunt
herein belaa set forth and in ttl�a marnzer herein pravided to-wit:
Z�OTAL VAI1)E
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
�+a.
�
$15 (Minimm Fee is $15 plus sumharcle)
$15 for first $500 plus $2 for eac� ad�ditiar�al $100 or
fractian ther+eof, to ana iriclwcl3riq S2, o00
$45 foY' first $2, 000 plus $9 for each ac�ditional $l, 000
or frackia� thereof, to and it�cluding $25,000
$252 far first $25,000 plus $5.50 for each ac�litional $1,000
or fractian thereof, to and inclwding $50,000
$414.50 for fixst $50,000 plus $4.5o for each additio�al
$1, Q00 or frackion thereof, to and irbclt�ding $100, 000
$639.50 for first $100,000 plus $3.50 for each additional
$l, 000 or fra�tion ther�of,� to ar�i ir�clt� $500, 000
$500,001 to $1,000,000 $2039.50 for the fixst $500,000 plus $3 for eac� additiona].
$1, OQO or fraction thereof, to and i.r�clt�dirig $1, 000, 000
$1,000,001 and_t� $3539.50 fa� the first $1,000,000 plus $2 �for eac� additional
$1,000 or frac�ion thc�reof
�tIV�l7[ �P32E88I�T ffi�
(Oo�crete Czarb Streets On1Y)
i
Alternate ��Au s Re�val and repla�nt of c�rb ar�d gutter oa�ly - Driveway width plus
6 feet time.s $13.50.
Alternate ��g"; �val. and re�laoement of c�rb and gutter and install a 3 foot wide
appro�ach with 6 inch depth - Driveway width plus 6 feet tin�es $15.75.
� ;�• � a+, � �7� ��� a�_oi�n.� 4� ��,I
P�ermi.ts �or oonstruction will be issued a mininmun of 24 h�s frc�n the time of
application to allo�w for p�+o�er review of the pmposed structure ar�d of the
��truction site.
A Certificate of Survey of the lat, slicwir�g the location of the foiu�dation o�e it has
it has be�n can.��tructed will be requiY+ed befor+e prooeedirig with the framing.
e s
- MINDER ��TGINE C�► C4., INC .
�� ENGtNEERS AND SURVEYORS
� ��'L�o ��e � ea�s ��Nv
's�r� �. �i�o�pr� a��c�wurs � WrD Of.ANNINe
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STANDARD
1 HSP S�ND
15 YEAR WALL & FRAME
20 MIL LINER; IS YEARS
IN—WALL SKIMMER
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20 1�IL �± '�s 15 YEARS
DELtJX�`� �1ALL SKIMNIER
POOL {�
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DE_ �—
1 HSP DELUXE DE/TIMER
20 YEAR WALL & FRAME
25 MIL LINER; 20 Y6ARS
DELUXE IN—WALL SKIMMER
POOL COVE
FILTER BASE
INCLUD�D �N A�.L PACKA�_
� STARTER CHEMICAL KIT
CHOICE OF DECK LADD►ER 50' BACKWASH HOSE.
OR SAFETY LADDER • THERMOMETER
SOLAR BLA�IKET DELIVERY
VACUUM SET � , p�I+tONSTRATION
LEAF NET U.L./N.E.C. APPROVEU
TEST K.I7' POWER PAK
POOL SI'l.ES
PR�
STD. STD.± DE� E
TME POOL �TORE, INC.
ooua►NeoY Poo�s
SALES AND SERN�CE
POOL SPEC�NLIST
10100 HiNY 65 N.E• HOWARD HIB8AR0
BLAINE, MN 55434 i��
. � �
APPROXIMATE INSTALLATION
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1�6v � �
CODES TO CHECK ON / i'ERMI T
A. FENCING
B. ELECTRICAL REQUIREMENTS
C. LOT LINES
D. pOWER LINES
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Your family has a style all its
own; a style reflected in
your choice of badcyard design.
Whether your backyard is
square or rectangular, big or
smalt, we've got the pool
to meet your needs. Doughboy
appreciates your family's
unique style and that's why
High Countryis available in such
an exciting variety of sizes. We
also offer two attractive shapes designed to enhance your backyard
decor, our popular round pool and the sporty oval design.
With Doughboy, the choice is yoursl
245c16'
Sq. R 329
Cinl. Cap.8,845
E�. Cml. Cap.10,410
1Nodd IYo.
0�46�1600$
34k18'
Sq. R 5s32
Qei. C�.14�00
F �. � �19.340
0�4648dOS
16'
Sq. R 202
GaL Cap. 5�43b
E�. GaL Cap. 6��0
Nlodd na
OA6lG00S
/ 18' '
Sq. R 2�
Cial. (:ap. 6,700
Exp. Cial. C�. 8,800
plodd IYa
� Qd618�005 .
32k16'
Sq. R �B6
anl. C.�p. ] 2,�0
6�. Oal. Cap. l46?5
Modd Plo.
0�1626�003
385c18'
Sq. R 603
Qei. Cap 16,200
6�.. Q�af. Cap. 21?AO
INodel l'b.
0�4688008
ai�
Sq. R 341
QaL Gp 9,165
r�. c,�. c�. �zo�s
�bad no.
o�ast�.o�
aa�
Sq. R 4S2
Cfa1 Cq�.12,160
� Mo� IYa ,475
0�96L4-0OS
28'
Sq. R 616
Qel. Cap.16,,550
�• � �p• �560
Modd IYo.
OA628005
405c]6'
Sq, R 583
Qel. Cap. 15,660
Fxp. Qal. Cap.19,380
lrlodel Pio.
0�4606�0�5
415c'tl'
Sq. R 756
Qel. Cap. 20,3�R
F�. Ciel. Cep. 26Z15
Modd Ha
0�4611-003
Chartge �' De�gn: Doughboy Recreational expressly reserves �e right to char►ge or modify 1t►e design and construction of any
product in due course of our manufacturing procedures without incurring any obligation or Gabiliry to fumish or install
such changes or modifications on products previously or subsequer�t�r sold.
�9�Y Rec�+�onal is In r� way a�liiaDed wId� erry professional pool installer. Ther+efore, Doughboy c�an ass�une no re.gponsibility
for �rors in a�talladon by the homeowner or said professional installer. lf y�w have die Pool i�lled bY o�s, P�
supe�vise to be s�u+e theY �P�Y � ProPer' i�Ilatlon bechn[ques as �
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Cl1YOF
FRIDLEY
CIVIC CEIVTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
June 1, 1989
Mr. Clint Ward
7841 Alden Way N.E.
Fridley, NII�T 55432
Re: Swimming Pool Construction at 7841 Alden Way N.E., Fridley
Dear Mr. Ward:
This letter is to make clear this department's requirements for
the swimming pool construction at the above address.
1. As indicated, one (1) skimmer approved by the National
Sanitation Foundation will be provided.
2. As indicated, three (3) inlets of approved design for fresh
and/or repurified water will be provided.
3. The filter and pump shall be approved by the N.S.F. and be of
sufficient capacity to provide a minimum turnover of at least two
(2) times in 24 hours. This department recommends a turnover rate
of 6 - 8 hours.
4. A deck of at least three (3) feet wide, measured from the pool
waters edqe, shall be provided which extends completely around all
private residential pools. Above ground private residential pools
may be provided with decking of a minimum size of 4 feet by 4 feet
at pool entry points and provided that such decking has the
approval of the City.
5. Fencinq or other efiective means including but not limited to
walls or buildinqs, acceptable to the City, shall be provided to
positively control all acces's to public and private residential
swimming pools. Fencing shall meet the following criteria:
a. The fencing shall prevent the entrance of children and be
without hand or foot holds that would enable a person to climb
over it.
b. The fencing shall be at least 6 feet high and entrances
shall be equipped with self-closing and self-latching gates
capable of being locked.
c. Self-closing and self-latching devices shall be placed at
the top of the qate or otherwise inaccessible to small children.
d. The opening between the bottom of the fence and the ground
or other surface shall be not more than four inches.
�-^-
�-
�'
June 1, 1989
Mr. Clint Ward
Re: 7841 Alden Way N.E. Paqe 2
6. An automatic chlorinator should be provided with a suitable
test kit.
7. All electrical and plumbinq installations shall be inspected
and approved by the City Inspection Department.
8. All overhead electrical lines must be a minimum of 10 feet
horizontally from the pool surface and 18 feet straight line
distance from the waters edge. An alternative is to bury said
lines.
9. The pool fill spout must be protected by a vacuum breaker or
air-gapped.
10. Suitable safety .equipment to include but not limited to a rinq
buoy and rope that is 1 1/2 times the pool diameter, and shepherds
crook pole must be provided and maintained with the pool at all
times.
Furthermore, these and any other requirements must meet the
provisions of the Fridley City Code, Section 115, Swimming pools.
The buildinq permit is approved contingent on final inspections
and approval by the City.
If any questions or problems arise from this letter, please feel
free to contact me at 571-3450.
Sincerely,
D L G.
Chief Building Official
DGC/mh
SUBJECT P
c�ty of Fr�a�ey 25524
�
AT THE TOP OF TME TYVINS g U I L D I N G P E R M I T
� � RECEIPT NO.
� `v ���� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �C��
� �
i1 = �
-.-. A �"','� CITY HALL FRIDLEY �432 NUMBER iIEV OATE PA6E Of APPqOVEO BY
L •�� 612-57t-345o s�aF�g 9/19/97 / /
JOB ADORESS 7g41 A1den Way NE
1 LEGAL LOT NO. BLOCK TRACT OR ADOITION 8EE ATTACNED
oesca. 27 6 Pearson's Craigway Estates 2nd Addn SMEET
2 PROPERTY OWNER MAIL ADORES$ 21P PHONE
Clint/Linda Ward 7841 Alden Way NE 574-0906
3 CONTRACTOR MAIL ADDRESS 21P PHONE UCENSE NO.
Same
4 ARCFIITECT OR DESIGNER MAIL ADDRESS IIP PNONE LICENSE NO.
5 EN(iINEER MAILAODRESS 21P PNONE LICENSENO.
8 USE OF BUIIDIN(i
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION �] REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (30 Sq) Tear-off
9 CHANdE Of USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PEHMITS ARE REOUIRED FOR ELECTRICAL. PLUMBIN(i, HEATINO, �PE OF CONST. OCCUPANCY tiROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONIN(i 3Q. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, Oit IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PER100 OF 120 OAYS AT
ANY TIME AFTER WOI±K IS COMMENCED. NO. DYYlO. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS CaARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
ANO ORDINANCES GOVEHNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A pERM1T $2, 502 $1 . ZS
OOfS NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pERMIT FEE SAC CMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REOULATINti CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION �7�F.7S F e. SC �L.SO
PLAN CHECK FEE TO A FEE
78.50
SIGNAT � O:CONTRAC OR RAUTMOR12EDAGENT IDATEI FIEN R P VA11D T TNIS IS R PERMIT
� —' ►
S�GNATURE OF OWNER ��F OWNER BUIlOER� IOATE� - BL INSp qaTE
NEW
ADDN
ALTER
[l
tl
�l
ConstructionAddress:
Legal Description:
CITY �OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
U�� �Y, �lJ
Effective 1/1�97
�� d
�` �a�
, !��%� � �
Owner Name & Address: �%i y � � �, n �� 2 r � Tel. # � � �� —Q 9 D �
Contractor: g � � ,p MN LICENSE #
Address:
LIVING A,REA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Sun+ey of the
lot, with the proposed const�uction drawn on it to scale.
Length
Length
I.ength
DESCRIPTION OF IlVIPROVEMENT
Width
Width
Width
Tel. �
Height '
Height
Hgt/Grownd
Sq. Ft.
Sq. Ft.
Sq. Ft.
<°
Cons4ruction TYI���� r o a� Estimated Cost: $ � C'�'-
_���-��._ _ . --.��FP�. �rhPa»7e ar�Bac1�}_ . _
Driveway C�rb �Cut Width.Neec%d: Ft. + 6 Ft = Ft x$ �^ _$ .
DATE: ° 7 APPLICANT: ���,..' � %j,o� Tel. # .`'`� 7 � -CJ �f O 6
Permit Fee
Fire Surcharge
s�� s�n�ge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ L�. ; �_
W �� � l.'�
$ `: a;
$
$
$
$
$
$
c � �,
$ �? - .�
CITY USE ONLY
Fee Schextule on Reverse Side
.�1 of Permit Valuation (1/lOth�) �
$.soi�i,000 v���on
$950 �r SAC Unit
$S.� (Statte Liceased Residential Contractors)
Alt. "A" or Alt. "B" Above
� $450.00 Conservation Plan Review
Fee Deternun�i by Engineering
Agreement Necessary ( ] Not Necessary [ ]
e
�
I3UiLDIi�1G f'ERM[`C FEE SCHEDC°i.l:
"I'he Chief Building Official shall, before issuing pern�its for the erectioi� �f a�y building vr structure; or f<�r
any addition ta any existing building or structure, or for any aiteration or repair to any existinR b�ildin� ��r
structure, upon application therefore, require the payment by the applicant for such permit of. fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,OOU
$2,001 ta $25,000
$25,001 to $50,000
$50,001 to $100,000
$10U,001 to $500,000 �
$5�,001 to $1,000,�0
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $5(� plus $2.75 for each additional $100 or
fraction thereof, to and including $2,tK?0
$62.25 for first $2,000 plus $12.50 rc�r each additional $i,000
or fraction thereof, to and including �2�,0�
$349.75 for first $25,000 plus $9:00 for each additional $1�,0(?0
or fraction thereof, to and including ��0,000
$574.75 for first $50,000 plus $6.25 for each additionai
$1,Q00 or fraction thereof, to and including $1�,�
$88'�.25 for first $�QQ,O� plus $5:00 for eacl� additio�al �
$1,:000 or fraction thereof,:to and includ.ing $5(�,000 �
$2887.25 for the first $5�,000 plus $4.25 for each additional
$1,(�O or fr�etion thereof, to and including $1,(m0,000
$5012:25 for the first $1,�,000 plus �2.75 for each additional
$1,� or fraction thereof '
DRIYEWAY DEPRESSION ESCROW
(Concrete C�irb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Drive�vay width plus 6 feet times $13.50.
Aiternate "B"; Removal and replacement of curb and gutter and install a 3 foot wide �
approach with 6 inch depth - Driveway width plus 6 feet times $1�.75.
VERIFICATION OF FOUNDATIOti
Yeimits Por construction will be issued a minimum of 24 hours from the time of application to allow tor prop�r
review of the proposed structure and of the construction site.
�� Lertiticate of Survey of the lot, stiowinR the tocation of the foundatior. .»tce it has it has heen constructLc+
�ir�:; h;� r�quircd helore �rt,c;e�din�� u�ith thc framii�R_
' �_ �...
c�ty of F��a�,��
AT THE TOP OF THE TWINS
�
� �
� `y _���� � COMMUDIITY DEVElORN1ENT OIV.
r � � PROTECTIYE INSPECTION SEC•
�
l.-__� � '�./ CITY MALL FRIOLEV SS132
t 612-571-34b0
108 ADORESS 7841 Alden Way � NE
LOT NO BLOCK TfiAC'
a
BU ILDII�I� PERMI
910-Ft$
�.,�._
REV
�TE I PAGE O�
5/10/02 / /
ERMIT NO.
32581
�
ECEIPT NO.
� v ��
t�AOVEO Br
t LEGAL • ' "^ ^""" ""• SEE ATTACNEO
oescR. 27 6 Pearson's Craigway Estates 2nd Addn SNEET
2 PROPERTY OWNER MAIL ADpR�$�y IIP PMONE
Clint Ward 7841 Alden Way NE 763-574-0906
3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO
Same
4 ARCNITECT OR OESIGNER MAIL AOORESS 21P PMONE LICENSE NO.
5 ENGINEER MAILAODRE$S ZIP PMONE LICENSENO
8 USE OF BUILDINO
Residential
I CLASS OF WORK
O NEW 0 ADDITION ❑ ALTERATION �] REPAIR O MOVE . O REMOVE
8 OESCRIBE WORK '
Reside House & Garage
9 CHANOE OF USE FROM
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over egterior sheathing to protect the interior waZl covering.
Exceptions for this provision would be if sheathing is a.n approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not a
weatherproof covering unless the manufacturer states this in their application
guidelines. Call for inspection of wrap before covering. Caulk and flash all
exterior openings.
SEPARATE PERMITS ARE REOU�pEO FOii ELECTRICAL, PLUMBIN(i, HEATING, TYPE OP CON;
VENTILATING OR Alq CpN01T10NING.
THIS PERMIT BECOMES NULL ANO VOID IF WQRK OR CQNSTRU�TIO{tl pONIN(i
AUTHOR12ED IS NOT COMMENCED WITMIN 80 OAYS. OR IF CON$tRUCT10N
OR WORK IS SUSPENDED OR ABANQONED fOR A PER100 OF 120 DAY$ A� �
ANY TIME AF7ER WORK IS COMMENCED. ' NO, OYVLG. t
I MEREBY CERTIFV THAT t MAYE IiEAO ANO EXAIy�1N�0 THIS ApP�,ICATIQN L
AND KNOW TME SAME TO BE TAUE AND CO�ipECT. ALL PROVISION$ pf L�►Wg VALUATION
ANO OROINANCES GOVERNINQ TNIS TYPE OF WqRK WILL BE C�MPI,IED @
WITH WMETHER SPECIFIEO MEREIN Oii NOT. TME GRANTING OF A PERMIT y�2 � IOO
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE Oq CAI�ICEL THE pERMIT FEE
PROVISIONS OF ANY OTFIER STATE OR LOCAL LAW REGULATING CON-
STRUC710N OR TME PERFORMANCE Of CONSTRUCTION �83 . ZS
S�GNATUpEOFCON•(7ACTORONAUTMOp�2EDAGENT 10ATE�
Ib�TH� .
'y `
STALIS �GARAGES
$1.05
SAC CMARGE
Fire SC $2.10
Tora� a
$8 .40
�
LOAD
NEw Il
ADDN []
a-� II
� ConstrucGon Address:
CITY OF FRIDLEY Eifective 1/1/20a2
6431 Univ� Ave NE. F�idley, MN 55432 (T63) 5723604 Bldg Insp
SlNGLE FANIILY AND DUPLEXES R-1 AND R 2
BUILDING PERMITAPPLICATION
YU �
Legal Description: �
�` OHmer Name & Address: ��in � Lc.Ja r,i Tel. # 7� .�- S 7 y-O 9 0�
Contractor. MN LICENSE #
Address: Tel. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Ce�tificate of Survey of the .
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Fk
Length Width Height Sq. Ft
Length Vlhdth HgUGrou�d Sq. Ft
'�' Construction Type: U e� S'��n Estimated Cost $���' �
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
t DATE: �— /0 — G� APPUCANT: �/ /`1 � d, C.V � r c�! Tel. � 7�3-57y—O �U �
Call (763) 572-3604 tor Pertnit Fe� if malling in application o� Fax to 763-571-1287 if using credit card and we will
call you fo� caM number.
PeRnit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ 4 ?J, � �
$ �/D
$ J, �S'
$
$
$
�
$.
�
f�
• r
. �
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 Consenration Plan Review
Fee Determined by �Engineering
Agreement Necessary [ ] Not Necessary [ )
STIPULATIONS:
t ..
BUII.DING PERMIT FEE SCHmULE
The Chief Building Official shall, before issuing �rmit� for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,0(�
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,OW
$10(?,W1 to $500,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,Em0
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5,�8.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DFPRF�.�ON ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutt�r �nly - Driveway width plus 6 feet �times $17.q0.
VERIFICATION OF FOUNDATION
Permits for con�tructit�n will be issued a minimum of 24 hours from the' fime of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location� oi the foundation once it has it has been constructed will be
required before proceeding with the framing. New Houses Onlv
.
_ . - .�