AF - 34895n
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City of Fridley, Minn.
BUILDIIVG PERMIT
��: March 11, 1969
p��; Charles E. Johanson g�� Same
� 580 69th Ave. N. E. A� Same
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11�° 10i33
LOCATION OP BUILDING
No. 7847 Street Alden Way part of Lot
Iat 28 Slock 6 Addition or Sub-Divisia� Pearson's Craigway Estates 2nd
Corner Lot _ x Inside Lot Setback - � Sideyard —15 � 20'
Sewer �evattaa 835 .44 838.41a
Top of Footing
DESCRIPTION • OP BUILDING
To be vsed as:
e��-ing Front �+� Depth 26 � Height 20' sq, �-t, 1190 Cu. FL 23,s800
Gara�e . �t 20' �p� 22' g�t 10' gq, �-t, 440 �, �, 4400
� op ���� Frame �, �_$25�000 To be Completed
SEWER LOGATION - 45' lead out of Ma.nhole at Bellaire & Alden
WATER I,OCATION' - 121' North of Ma.nhole
In consideratlon oP the issusace to me of a permit to construct
th� proposed work in acoordance with the d�scrlption above set�or
o�'8inances of the dtq of FrI�IIeY• /`
t above Y a�r+ee to 80
wlth a'll provisions a�
Ia camsdderaHa� of fhe paymeat of a fee of � 43 .00� �t is herel�Y �eate�l to Charlea E.
Johaas on, Inc . to c�str�uct the builciing or addition as d�cribed above. Thisp� t is granfed upon
the expre� conditton that thep to whom it is granted aad hfs ageuts. employees an� worl�en, ia all w�k
dome in, ero�md and upon said b�linding or aay� ther�oY, shall c�onform in aII r�pect8 to the o�ainaac�s of
FritIIeY. Bd3�nesoffi gloc�tton, conatructioa, alteratian� maiatenance, repair aad moving � b�lciin�s
wlo�� dLy limits��this permit ma�► be r8voked at any ti�ne upa� vtolatta� of a�► of the P�vlsions of sa�d
° Official
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NOTIC�
11d� � doe� � omror t6s �, t�ataqa8m hr �r�ine. P�e. e� �s. a�rar m �rater. B� ans to �os
�a BoUdin� I�to� tor t�puata pa�ta hr Nro�s 8�,
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APPLICATION FOR BIIILDING Pk3�MIT
CITY OF FBIDLEY, M71VN + OTA . ._ . . . �
OWNEEc ' S NAME ��t l� S, �.,� 0� a N s� N/ N c. BTlII�ER S�t M�
ADDR.F�s S�o — 6 9�'' !ti A y� ��• ADDRES� 5!�► �,rt�
LOC,ATION OF BUILDING
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� LOT % g BLOCK �° 9DDITION OR SUBDNiSION p..�.N� �'�-�,,�w � 2�-�
• � .
CQRNER L�l.' '� INSIDE LOT SETBACK 3 s SIDEYARD��
SEWE�.. ELEti'ATION TOP OF FOOTING �
Appl2cant atta.ah �o this form Two Certificates of �urvey of Lot and
zrroposed buildix� location drawa on these Certifica.tes.
DE�CRTPTION OF BITI?�D31VG
To Be II�ed gaa.
� � 5 F'�ont � � Depth � �° Hei,�ht � �
, Squa.re feet �[ / �j � Cubic Feet �, �'�� �`� d
.. �,`. .�—
� � � `' Front �- a Depth � a- Hei�ht /� � �
. �.._,
SquarR fee ��J_�,Q Cubic Feet �} C�' ��
Type of Conetruction Estima.ted Cost �. s�e �
To Be Completed %� �6 y
The undersi�ned hereby makea application for a permit fo� the work �
herein apeaified, a,�reein.� to do all work in strict accordance with �he
City of Fridley Ordinances and rulin�s of the Depaxtment o� Buildin,�a,
and hereby declares that all the facts and rep�esentatipns stated in �,
thia application are �rue and correcta
�ATE ��, f �%g SiGN'1TORE
, _
.(Schedule of Fee Costs can be fouzid on the Reverse Sideq)
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BIIILDING PEftMIT�FE� SC�ULE
SECTION �2. The Inspector of Bui�din�e sha,ll, before isau:Lr�g permit�
for the erection of aay buildin� or structure, or for auy add�.tion to auy
�xiatin.� structure .or buildin�, or .for any altexation or �epai�� to arr�y
exi�stix�.� buildix� or structure, ugon appl3cation therefo�ce, req�ire �h�
�.yment by the applicant for euah permit of feee to th� amoumt herein
below set forth and in the manner herein provided to-wit: �
IIniform Bui],dis� Code: Type 1, 2, & 4-$1 075 for each os�e thoueand
cubic feet, or fraction thereof, in such aubical c.�nntents: Type j 8c 5-
$1.50 for_ each one thousand. cubic feet e .
For the purpose of computin� fees for building permi�s, the eubi�al
" cor�,tenta of any 'builclix� �zir � additiox�, to a uniform hei" i�t ' thrpu.�hput by
multiplyin� the �ound area covered from a point si.x �6) inche�s belaw
the floor line of the basemen.t or the cellax to the svera�e height of
the upper aurface or to the avera,�e height of the roof �u7r�.a.ce of the
ma,in gable of a pitched roof .
For regairs or alterations to an euistin� structure, the fee ehall be
at the rate of $3.00 per each five hundred dollars (�500.00) or
fracti,on_ thereof in the coat of all proposed work.
In no case sha.11 the fee cha,r�ed for any permit ae set forth in Section
2 be lesa than $5.00.
DTSSSD Connection Chaxges based on location - Area 1 or 2.
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AT TFF� T0� Oi TME Ti@tIPJSe
�L ���—�—� CORdGAUP1ITY REVffLOPIiIENY 01b.
i PROTECTrvff �iPECTIAN S��'f.
�
� r---e : C�rr H�.►. FRI9LffY 88�2
�,� �,� �i12- 8�0- 3��0
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BUILDII�G PERMIT APPLICATIOi�
910-F1� I 0 I I
Job Address.
Lega� Lot No. Block 1"rac�. or Addition
Desc�.
Pro�erty
ct or
se of Building
l�.ss of Work
escri e Wor
Address
��e; Ve 2��� �a `� �'t A� (d e v� ta A�
Add�ess .Zip
� � ���
signer Addsess Zip
. Address Zip
Permit No.
Receigt No.
See Attached
Sheet
ZiP.s��%�� Pho���i'�%���
Phone License No.
Phone License No.
_
Phone License No.
�� s� �� �o �Ch
New � Addition ❑ Alterafiion �
Remove
ir Move
Change ot Use .
From To
e
� �5PECIAL ASSESSMENTS; • '
If lateral assessments have not been placed on this property, an agreement must be
signed, agreeing to assume such lat�ral assessments before a permit wi11 be issued
Agreemen� Necessaxys
Agreement Unnecessaay: Finance Directflr
J OUTSIDE UTIL�TIES:
� Sewer Elevation: Water Elevation°
� Stub Location: Stub I.ocation: • � �
w
� .
� EUILDING INSPECTION
�
F- Plumbing H.V.A.C. Electrical Fire Insp.
� Signature & _
Date Approved
�
� Registered Engn. Stamp. � Legal Description Check
Exterior Devel. Check Performance'Bond Check
Easements, R/W, Special Agxeements
Final Approval Date
° �.
Ceztificate of Occupancy •
Date �
��i . -
�.
0
DIMENS IONS °
Leng th :
FoR cz� usE ornY
Height : _
Width: Sq. Ft.
Accessory Suildings:
Length: ' Height:
Width: Sq. Ft.
VALUATION• �
Cu. Ft.
Cu. Ft.
Sq. Ft. X Cost = Valuation )
) Tota1
) Valuation
) _
Basement X Cost = Valuation )
)
)
PERMIT FEE: Residential
Total Valuation Fee a
$1.OQ to $500.00 $5.00
$501.00 to $2,000.00 $5v00 for the first $500.00 plus $1.00 for
each additional $100.00 or fraction thereof,
to and including $2,000.00.
$2,001.00 to $25,000.00 $20.00 for the fixst $2,OOQ.00 plus $3.Q0
for each additional thousand or fraction
thereof, to and including $25,000.00.
$25,001.00 to $509000.00 $89.00 for the first $25,000.00 plus $2.50
fox each additional thousand or fraction
thereof, to and including $50,000.00.
$50,001.00 to $100,000.00 $151.50 for the first $50,000.00 plus $1.50
for each additional thousand or fraction
thereof, to and including $100,000.00.
PERMIT FEEa Coznmercial and Industxial
Total Cu. Ft.
� p �
PLAN CHECK•
X $2.15/1,Q00 sq. ft.
X � " ��
Permit Fee
� �'� ',
Take one half of permit fee =
STATE SURCHARGE•
Valuation X $.50/$1,000.00 = � y � �
� � �( '� X $.50/$1,000.00 —
PERFGRhiAIdCE BOND VALUATiON
Blacktop 1.50/sq. yd.
Curbing 2.00 lin, ft.
Sod U.40 sc�, yd.
Fencing 2.00 lin. ffi.
Bushes and Trees 5.00 - 50.00
TOTAL FEE I � /
�
TOTAL BOND VALUE '
SUBJECT � �
City of Fridley 1
ATTHETOPaFTHETWINS gUILDING PERMIT '
r ,
. �
� ' COMMUNITY DEVELOPMENT DIV.
r �L � PROTECTIVE INSPECTION SEC. �����
�� � �"i � CITY HALL PRIDLEY 55432 NUMBER REV. DATE PA6E OF APPROVED 9Y
..--.�•� '•� e,2-sso-saso staFls 4/26/74 / /
JOB ADDRESS 78�� �den Way N.E.
1 LE(iAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 28 6 Pearson's Craigway 2nd Addition SHEET
2 PROPERTYOWNEH MAILADORESS ZIP PHONE
Donald J. Leiverma*+� 7847 Alden Way N.E., Fridley, Minn. 784-9119
3 CONTRAGTOR MAIL ADDRESS ZIP PHONE LICEPISE NO.
Same
4 ARCHITECT OR DESI�NER MAII ADDRESS ZIP PHONE UCENSE NO.
5 ENOINEER MAILADDRESS ZIP PHONE LICENSENO.
8 U8E OF BUILOINfi
Residential
� cu►ss oF woRK ��� � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MpVE � REMOVE
8 DESCRIBE WQRK
�� Add on a ericlosed SGreen porch
9 CHANdE QF USE FROM TO
STIPULATIONS
�E�'ERATE, PERMITS REQk1fRED fQ� �tRINC��
M�ATING, PLUiNBING �APID SIGNSd
SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL, PLUMBING, HEATINd, �PE OF CONST. OCCUPANCYGROUP OCCUPANCY LOAD
YENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION Z SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION R�. 3S9c 3S4O
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS � OFFSTREET PARKING
I HEREBY GERTIFY THAT I HAVE READ AND FJ(AMINED THIS APPLICATION l' STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
WN H WHETHER SPECIF EDNH REIN'OR NOT.OTHE GRANTING OF AOPERMIT $6� LSZ 3.09
DOES NOT PRESUME TO GIYE AUTHORITY TO VIOLATE OR CANCEL THE pERMITF E SACCHARGE
PROVISIONS OF ANY pTHER STATE OR LOCAL LAW RE(iULATING CON- $� OO
STRUCTI OR THE PERFORMAN E Of CONSTRUCT
` PLAN CHECKfEE TOTALFEE
� ,= ii.o9 �
SiG TUREOFCONTH ORAUTHORIZEDA6ENT (DATEI yyH PROPERLY VAUD D HI IS OU PERMIT
_� � - _
¢
SIGNATURE OF OWNEFI IIF OWNER BUILDERI �� 1DATE1 BLDG. INSP pATE
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COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When reolacing an existina furance, the undersigned hereby verifies that the
venting has i�en examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plasticJPVC and meets all cuRent codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existin� combustion air is sized and installed to meet the current codes
and manufaaturers s�cfications.
When required to install a new combustion air. it will be sized and installed
To meet the current codes and manufacturer's specifications.
Yes( ) No( )
Yes ( ) No ( )
Yes ( ) No ( )
When installing a new ventina svstem, the undersigned hereby verfies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Verrting Tables for fan assisted and natural draft appliances. Yes () No ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes () No ()
Apqiiance Tvae and Size/Common Vent and Vent Connector Informatlon
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Cannector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length fi Diameter in Type
ALTERATIONS: (Describel
HEATING CO:
Signed By: Date :
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�a�}e �(�a� pa��e;sui pue paz�s s�o}�auuo� �uan pue �uan uowwo� ay� s�
() oN () saA �sa�uei�dde }�e�p �e�n�eu pue pa�sisse ue� �o� sa�qel 6u�}uan
a�ewn� �euua� � tio6a�e� ywy�-y�y apn��ui saop siy�, �suoi�e���ads
s,�am}�e�nuew pue sepo� �ua,�n� ay� s�aaw pue /��q�tasse pa}si� e si }�
�ey� sa�uan dqa�ay pau6is.iapun a�} `wa�s s u�ua� N►au e u����}s�! ua�
( ) o ��l
( ) oN ( ) ��l
•suo�}��ads s,�a�n�e�nuew pue sapo� �ua.una ay� �aaw ol
pa��e�sui pue paz�s eq ��uu► }� �te uo�snqwoa N►au e ��e;su! o} pa�mba� ua�
•suoi���s s,�a�n�e�nuew pue
sapo� �ua.un� at� }eaw o� pa��e}sui pue paz�s si a�e uoRsnqwoa u�s�xe e�
() oN () sa� �sa�uei�dde �}e�p �em}eu pue pa�sisse
ue� �o� se�qel 6ui}uan a�ewn,� �e.�ua� � tio6a�e� yy�y�-y�y apn��ui
saop si� �suogp��ads s,�am}�e�nuew pue sapo� �ua�n� ay� s�aaw pue
��qwasse pa�si� e si �un �uawaae�da� ay� }ey� sa�uan os�e pau6is.iepun av
O oN O sa� •uo�ew�.we} pue snnoq�a �o �aqwnu `y�6ua� `6wz�s 6utpn��ui suoi}q�
la�n�e�nuew pue sapo� �ua�n� ��e s}aaw pue �n��se�d si wa}sl�s. 6ui�u�
�� pue
O oN O se� •pa�mba� a�aynn paddo�sa��} pue pa}�oddns �(�a�r�U�}uan
'suoqonqsqo 'uoi�e�oua�ap `�sru wo�} aa.� si pue peuiwexa uaaqa� uayM
ay; �ey� seguan �qa�ay pau6is�apun ay� 'e�ue�n� u�slxe ue u►
�O�
Noilv�i�iaan a�d Noilsnewo� aNd a01�3NN0� 1N3A 1N3/1 N
�
�
Clty of Fridley 3 i 6 71
AT TME TOP OF TNE dWIN3 � u I L D i N G P E R M I T
r
; � RE .
� `L ���� COMMUNITY DEVELOPMENT DIV. ���/
r � � PROTECTIVE INSPECTtON SEC.
i---• A ��'��;•� CITY MA�� FRIDLEv SS132 NUMBHN p8V OATB PAGE O� AOPROVED BY
L •�� 612-571-3450 9t0-F/5 3/8/O1 � �
JOB ADDRESS 7847 Alden Way NE
t LEGAL �OT NO. BLOCK TRACT Oli ADOfT10N SEE ATTACFIED
oescR. 28 6 Pearson's Craigway Estates 2nd SMEET
2 PiiOPERTY OWNER MAIL AIDDRE$$ IP HONE
Brad Richter 7847 Alden Way NE
3 CONTRACTOR MAIL ADDRESS �P PNONE LICENSE NO
Thurs Construction (Revin Thurs) 5717 113 Ave N, Champlin, MN 55316 763-424-5624
4 AiiCMITECT OR DESI(iNER MAI ADORESS 21P PNONE LICENSE NO.
9346
5 ENGINEER MAII AODRESS ZIP PMONE LICENSE NO
8 USE OF BUILDINfi
Residential
7 CLASS OF WORK
O NEW � ADOITION O ALTERATION �;J REPAIR O MOVE � REMOVE
8 DESCRIBE WOfiK
Reroof House & Garage (25 Sq) TearOff
9 CFIANCiE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
� r rc vr w
SEPARATE PERMITS ARE NEOUIREO FOR ELECTqICAL, PLUM9ING, HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMlT BECOMES NULL AND VOIO IF WQRK OR CONSTRUCTION ZONINd
AUTHORIZED IS NOT COMMENCED Y�lITHIN 80 DAYS, OR If CONSTRUCTION
OR WORK IS SUSPENOEO OR ABANDONEO FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DW4G.
I MEREBY CERTIFV TFIAT I MAVE REAO AND E%AMINEO TMIS APPI,ICATION 1
ANO KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS Of L,AW$ yp�UATION
ANO ORD�NANCES GOVERNING THIS TYPE OF WORK WILL BE COMP�IED
WITH WHETMER SPECIFtEO MEREIN Oii NOT. TME GRANTING OF A PERMIT $2,557
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TN� pEqMITfEE
PROVISIONS OF ANV OTMER STATE OR LOCAL LAW RE(3ULATING CON-
S U TION OR TME PERfOFlMANCE OF CONSTRUCTION ��i3.LS
PLAN CMEC.
,Lice
S�GNA UpE O� CON'NACTOp OA AUTMOp12ED OGBNT IOAiE�
,� '>
OCCUPANCY GROUP OCCUPANCY LOAD
SO. fT CU FT.
OFFSTREET PARKING
STALIS GARAGES
SURTAX
� �1.28
SAC CM GE
Fir C $2.56
$5
$92.09
��S IS R�IT
��V
n�re
NEw► I ]
ADDN []
�►�.�R Il
Construction Address:
Legal Description: _
Effective 1 /1/2001
CITY OF FRIDLEY (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Owner Name & Address: � �G� ; ��. �- -��- Tel. #
Contractor. -�v rS �v�c'"�'� MN LICENSE # �..3��
Address:� 7 I 7-11 ��.� � e i(Jc� . Te1. # 7���.� 5< � s?�c2�
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this appiication, a Certificate of Survey of the
lot, with the proposed constnaction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width
Length . Width
Height
Hgt/Ground
� /'_ _ %��1�' �n�
Sq. Ft
Sq. Ft
Construction Type:� �rt�v�--�-u � �!�/-' Estimated Cost: $ � _ _ -- �5��
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: 3 - � - O ) APPUCANT: ��-u�-�.. �-�c2 . Tel. # °� � � - ya y-S/o d �
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STII�ULATIONS:
Call (763) 572�604 for Permit Fees if mailing In application
$ c�� � Fee Schedule on Reverse Side
$ �. S � .001 of Permit Valuation (1/10th%)
$ l-a8 $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ �-06 $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 [ ]
$ 9� a
�
BUII.DING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits 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 $2,000
$2,001 to $25,�0
$25,001 to $50,0�
$50,001 to $100,�
$1�,001 to $5�,0�
$5�,�1 to $1,000,000
$1,(m0,001 and up
FEE5
$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 $1,0�
or fraction thereof, to and including $25,000
$391.25 for first $25,�0 plus $10.10 for each additional $1,0�
or fraction thereof, to and including $50,0�
$643.75 for first $50,000 plus $7.00 for each additional
$1,(�0 or fraction thereof, to and including $100,0�
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $5�,�
$3,233.75 for the first $5�,000 plus $4.75 for each additional
$1,� or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,� plus $3.15 for each additional
$1,� or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate °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 $23.25.
VERIFICATION OF FOUNDATION
Permits for conshvction will be issued a minunum of 24 hours from the time 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 of the foundation once it has it has been constructed will
be required before proceeding with the frazning. New Houses Onlv
sue�eei • � PE
c�ty of F��a�,�� � 32142
�
AT THE TOP OF TME TININS �� � � D I N G P E R M I T
„ �
� �; v ����� � COMMUMiTY OEVELQRNl�NT OIV. ���e���� �/��
� PROTECTIVE INSPECTION SEC.
�
i__--� �r"' �'i CITY MALL FRIOLE� li3�J2 NUM9ER HV OATB PAGE O� APV110vE0 er
L 612-57�-34b0 eiaF�s 9���01 / /
JOB ADORESS 7847 Alden Way NE �
t LEGAL LOT NO. 9LpCK 'iRACT OR ADDITION SEE ATTACMED
oescR. 28 6 Pearson's Craigway Estates 2nd SNEET
2 PROPERTY OWNEA MAIL AOQRQ$� ZIP PMONE
Br�.d Richter 7847 Alden Way NE 763-574-0450
3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO
Ross Bros Inc 5859 N 114 P1, Champlin, MN 55316 612-867-8341 20242812
d ARCNITECT OR DESIdNER MAIL ADDRESg ` ZIP PMONE LICENSE NO.
5 ENGINEER MAILAODRE$S tiP PHONE UCENSENO
8 USE OF BUILDINt3 �
Residential
7 CLASS OF WORK , . _ ,
O NEW O ApO1TION O ALTERATIpN �] REPAIF; O MOVE • O REMOVE
8 DESCRIBE WORK
Reside House & Garage
9 CHAN(;E OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior shesithing to pratect the interior
wall covering. Exceptions for thfs provision wou�d be if sheathing is an
�.pproved weatherproof panel or when the siding is an approved weather
barrier. Viny1 siding is not a weatherproof covering unless the ffianu�acturer
states this in their application guidelines. Call for inspect�on of wrap
before covering.
'`' TYP N T. OCCUPANCY(3ROUP OCCUPANCYLOAO
SEPARATE PERMITS ARE fiE�UIRED FOR EIECT:iICAL. PLUMBING, MEATINd.
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULI ANp VOID If WQRK QR GAI�STRUCTIO{t� �ONING SO. FT CU. FT.
AUTHORIZED IS NOT COMMENCED V�fITF11N 80 DAYB, Oii IF CON$tRUG�TION �
OR WORK IS SUSPENDEO OR ABANQON�D FOR A PERIQO OF 12Q OAY$ AT
ANY TIME AFTER WORK IS COMMENCED. ' NO: DWI,G. UNITS OiFSTREET PARKING
I HEREBY CERTIFY TMAT I MAVE pEAO AND EXAIY�1N�0 Tt11S APPUCAiION 1 STALLS GAAAGES
AND KNOW TME SAME TO BE TtdUE ANO CORRECf. ALL PROVISIONS Of LX1W8 yp�UATIbN SURTAX "
AND OIiDINANCES GOVERNIN(i THIS TYPE OF WpRK WILL Q� COMP{,IED �12�000 �C).00
WITH WMETMER SPECIFIED MEREIN ON NOT. TME (iRANTING OF A PERMIT
OOES NOT PRESUME TO GIVE ITY TO VIOLATE OR CAMCEL TME pERMIT f HE SAC CMARGE
PqOVISIONS OF ANY p7HER ATE O �OCAL LAW REGULATING CON-
TRUCTIO ME PERFO ANCE ONSTRUCTION �z�9..25 Fire .S�'i �12.��
' i=��PLAN CMECK FEE TOTAL FEE
�w License SC $5.00 $232.25
S�GNATUREO�CON�RACTONON4UTHOp1ZEDAGENT iO�iE� WHE ROPERLV VALIDATED TMIS IS VOUp PERMIT
� -��--� /
S�GNATUNE O� OWNEp ��� OwaEa Bw�Ofa� i 1T$� . ` pG� �qgo � � � qatE
G �_
NEVN [ ]
ADDN []
a�r�R Il
Effective 1/1/2001
CITY OF FRIDLEY (763) 572-3604 Bidg Insp
SINGLE FAAAILY AND DUPLE�(ES R-1 AND R 2
BUILDING PERMIT APPLICATION
Construction Address: �R'°�� e41 d�t� lil��/
Legal Description:
Owner Name 8� Address: �.ra�� ���.�'�. Tel. #-t�3 - s7y -e ys d
Contractor. ��ys �v� �y�� MN LICENSE# r3� - zvzy�z.sl Z.
Address: _S g�' g ,n . �u�� \ L c��.N.a�..ti Tel. # cQiz- g�-t- ga �) l
LNING AREA:
GARAGE A�REA:
DECK AREA:
OTHER:
Attach to this application, a Certificafe of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IAAPROVEMENT
Length Width Height Sq. F�
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
i��� a� �v.�� .�.a L�v4v.a.c, -�
Constnaction Type: U�� \ 5.1�.,� Estimated Cost: $ %� �(�
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: �' -'I � � � APPLICANT• Tel. # %\Z - 41 a °� o �
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing.in application
Permit Fee �
$ ��S Fee Schedule on Reverse Side
Fire Surcharge $ /� U� .001 of Permit Valuation (1/10th%)
State Surcharge $ �- D � $.50/$1,000 Valuation
SAC Charge $ $1150 per SAC Unit
License Surcharge $ �-C3 �$5.Q0 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL
STIPULATIONS:
$ o� • o���
�
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alterarion or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such �rmit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 to $25,0�
$25,�1 to $50,0(�
$50,001 to $100,000
$1(m,�l to $500,000
$5�,001 to $1,000,000
$1,0�,001 and up
FEFS
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,0�
$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 $1,000
or fraction thereof, to and including $50,0�
$643.75 for first $50,� plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,00Q
$993.75 for first $100,000 plus $5.60 for each additionai
$1,000 or fraction thereof, to and including $500,0�
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,�0 or fraction thereof, to and including $1,�,000
$5,608.75 for the first $1,�,0� plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "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 $23.25.
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 the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundadon once it has it has been consttucted will
be required before proceeding with the framing. New Houses Oniv
.. _ ,
, sue�eCi _
c�ty of F��a��� � 32526
�
AT THE TOP OF TME TMVINS �� J f L D I N� P E R M I T
; � RECEIPT NO.
� `v � CQIrAMUMITY DEVELQRMENT OIV. ���
r � � PROTECTIVE INSPECTION SEC.
1 . �
i---.� ��"' �'� CITY MALL FRIqLEY "S.i�a2 NuMBEA Ev O�T@ v�6E O� A6vaOVED Br
� 612-571-3asp 9�aF�s 4/23/02 / /
+
108 ADORESS 7847 Alden Way NE
t LEGAL LOT N0. 9LOCK TRACi OR AbO1TION SEE ATTACNED
OESCR. 2$ 6 Pearson's Craigway Estates 2nd s►+eer
2 PROPERTY OWNER MAIL ADQR�$$ 21P PMONE
Brad Richter 7847 Alden Way NE
3 CONTqACTOR MAIL ADORESS �P PMONE LICENSE NO
Ross Bros Inc PO Box 253 Albertville, MN 55443 763-497-6024 20242812
4 ARCNITECT OR OESIGFER MAI AODRE88 21P PMONE LICENSE NO.
S ENGINEER MAILADDRE$8 . 21P PMONE LICENSENO
8 USE Of BUILDING
Residential .
�,.,
7 CLASS OF WORK
❑ NEW � ADDITION O ALTERATION ❑ REPAIR O MOVE � 0 REMOVE
B DESCRIBE WOfiK
Construct a 16' x 12' Deck
9 CHANdEOFUSEFROM TO
STIPULATIONS
See notations on plan. �
SEPARATE PERMITS ARE REOU�pEO FOR ELECTRICAL, PWMBING, HEATING, �P OF CO ST. pCCUPANCY aROUP OCCUPANCY LOAO
VENTILATING Ofi AIR CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOIO IF WQRK Ofi CpNSTRUCTIOM yONIN(3 S0. FT CU fT.
AUTHORIZEO IS NOT COMMENCED Y�lITHIN 80 OAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED O:i ABANQONED FOR A PERIOD OF 120 pAYS p� "
ANY TIME AFTER WORK IS COMMENCED. ' NO, OWIG. UNITS OFFSTREET PARKING
I NEREBV CERTIFV TMAT I MAVE REAO ANO EXAM�N�O THIS APPUCAr10N 1 STALLS GARAGES
AND KNOW THE SAME TO BE TAUE AND CO�iRECi. ALL PROVISION$ OF L74W9 yp�UATION SURTAX
ANO OROINANCES GOVERNING THIS TYPE OF WQRK WILL �E CQMP(,IEO �
WITM WHETMER SPECIfIEO NEREIN Oii NOT. TME GiiANTING OF A PERMIT �2� 11Z �I.OS
DOES NOT PRESUME TO GIVE A O ITY TO VIOLATE OR GAMCEL TM� pENMIT f EE SAC CNARGE
PROVISION f ANY OTHER ATE LOCAL LAW REGULAT�NG CON- @�3.25 F C.' SC �2.11
STqUC7 N O TME PERFO NC F STRUCTION W
PLAN CN� K FEE T � FEE
'Licen SC $5 0 91.41
S�GN4iUpEO�CON:AA fiORAUTMON12EDOGENT iO�TE� WF�E PR LY VA�IOATE TIiIS IS V UR PEiiMIT
_ ��3 -tS 2.
S�GNATU�iE O� OWNEA��F OWNENBU�LDEp� I ATE� � '� B� ��p5p ' rya1E
R Af
NEW [ ]
ADDN ( ]
�� IJ
CITY OF FRIOLEY Eftective 1/12002
6431 University Ave NE, Fridley, MN 55432 (763) 5723604 Bldg Insp
SINGLE FANIILY AND DUPLEXES R-1 AND R 2
BUILDING PERMITAPPUCATION
Cohstrudion Address: -7�y`? �A- ��� 'W�
Legal Description:
Owner Name 8 Address:��d �i���,�� Tel. #
Corrtractor.� �5 _ MN LICENSE #_�,c.- �azy z..�� Z.
Address: � a "��k �3 d1���.'��� � � 5 � �t'3 Tel. # '7 �a - �-t 9 i - � a z,.�.
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IAAPROVEMENT
Len9th Width Height Sq. Ft �
Length IMdth Height Sq. Ft
�
Length I l.e 1Mdtl� l'z- HgtJGround i. Sq. Ft
Construction Type: �CC.� Estimated Cos� $.�I// o'�-. �
Driveway Curb Cut Width Needed: Ft + 6 Ft = $ _$
DATE: ?/-Z�- az APPUCA : Tel. #�71e`�— �4`z� l�Z`�
Call (T63) 572-3604 tor Permit Fees ff mailing in application or Fax to 763-571-1287 if using credit card and we will
cail you tor ca�+d number.
PeRnit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
� �✓�� �.�
$ . /l
� �
$
$�_���
$
$
$�
�
$ ��
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 Ucensed Residential Contra�tors)
Alt. "A" or Alt "B" Above
$450.00 Conservation Plan Review
Fee Determined by �Engineering
Agreement Necessary [ ] Not Necessary [
STIPULATIONS:
M
BUILDING PERNIIT FEE SCHEDi Ti F
The Chief Building Official sha11, before issuing permits 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 $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,�1 to $100,000
$100,t101 to $500,000
$500,001 to $1,�0,000
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 $2,0� plus $14.00 for each additional $1,000
or fracrion thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
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 $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fiaction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb 5treets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feef times $17.00.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minim�m of 24 hours from the time of application to allow for proper
review of the proposed structure and of the consizuction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be
required before proceeding with the framing. New Houses Oniv
d a
� /��,
����
�n
,
i
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Minnapoln. Mmnnou 86�3�
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Burmwite, M�m�ou b6337
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FRIDLEY 4.:,., .
� `� BOARD OF APPEALS �.3
� , EXHIBIT No_ 8= 4��0�� .
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. This Is a t►d� aud corr�st npr�s�ntetion of a sury�r of th� bovndort�s e/ tIN land ebor� d�ssriMd m�d o/ Ih�
�(eeofion oi oll bt�ildl�s� i/ mqr� �b�new� and all visibl� �ncroaclae�nf�, {I awr� hem o► an soid lend. Tbis se►wr i�
, amd� a�lr M soew�ctlew wifh o w+srfqo�� loen eew b�in9 ptes�d en tM prop�r�r end ao Ilobiltf�r is a�sum�d
��s�pt te ►h� hold�r ef weA n�wtyey� o► onr o�h�r Int�nst asq�ind bp �h� hoson ef s�h wwrroey�. It Is
w�nrood end oPnsd �owu ts hov� bf�� ples�d fe� tM perpos• o! �sfabit�hin� Iot lin�� or bone►derr
sen�n. Oet�d tats,�Tar o�A. p. 19Z,% ,
� su'suas�N ENC�iNeEa�Na, �NC.
�3(r8 ';+';. E�te�� rs S verers
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Not Pl�bihMd: All RiaAt� Reaervad ._ �
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City of Fridley
6431 University Ave NE�
Fridley MN 55432
(763) 572-3602 or Fa�c (763) 502-4977
- --- _=— =- = =- �Water�nd:�Se�er=Per-mit Application
❑ New Connection []Utility Line Repair/Relocation
0 E�sting �Water and Sewer Connection
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Date: ,,, '
Jab Address: �'C��% �'loi� U►�!/J .
Name of Applicant (Plumber)�G�-�i'�..�� C� 5�-�. �"'`- `
NameofPro Owner: /�-� �e � �2�� �`c�h�
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Existin.g Structure Permit #
Permit Type: Sewer Fee:
Water Fee:
Meter Fee:
Repair Fee• 1/ '
Relocation: �
State Surcharge: �
SAC Charge: .
Special Assessm.ent Fee:
Total: $ �b' �� -
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APPlicant Signature: 0 �
Inspector approval•
Water Meter R air - We kend & Holida s $125/hour
Water Connections Permit $50
Sewer Co�ectians Permit $50
tion Fee for Water/Sewer Line R air $40
S iai Assessments See Engineerin
Cost of Water Meter See Util' Bil '
SAC Char ' $1550
State Surchar $ .54
Water Ta See En ' eerin
04/04/O5
FRO� :> -� FAX N0. :95247910�44 May. �3 2006 �:08PM Pi
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YOUR S'4'A?°E AD�R�SS:_ f'3�S"1 1� �_ 'CT�y�iha� d:�.�.. STAT&��9
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DfiTAI�p i)ESCRIPTION t}F WORK
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PER MS 1 bB.665 ti�e per�uit fee ia $ m�i�am of S� �.00 09• 5�/� af tbe f�i r.n� ap to �500.00� whit�evor L� great�r, t'ar dfe
imPrav�c�nt. iastaltaiioa� as r�gle� OR' a ra�id,�tia! f�rpg�e, �ccludirig ffie �. {'Ihis shou3d �tlect only f9�e onst �f Isbor )
i.a�ar ods�. uede�r �300 =�15A0. L.eb4r c�t betvvem� �3t� �:o �500 = ad�t ot 1$bor ,�� x.05 �
���da�crs wf�v� �c��ca. �s � �+s�a �z $ao.�r � �tarn.�$, �xc�nr w�a�+saTSS�. ��: t�acaca�.Ttrrr�a.
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_q� WAi`!�i ,_R�fCFffN SD�C WA1'}73t CLGg$'C � _„_BACICETAW PREV. (S13)
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F�e . � -- l�tbvt nffx�.ures �$1�.00 x t0.00 � S
• • - . 0 N�mb� of�ctmes (d� �15.00 x �IS.(1U � ��
B � Numbet cf �rcr {� 535.00 x�35.00 �$
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rrus �s � �rpwca�a Fa� ��r.r,ror �v.�v.m urmr.. px�
1 h�hy ap�aly %r a buikliag �„� and. !�rdmowi�dge tbet thc. infaamatioa abavo is comgiete and �wata; that tbc wori� A�ili be in
wafOr�fi�ee'evia� !he ord� �el codes of the Gity c� I�tidley► aa�ci a�th �e Artin�►esota Con�tolio� Gydes; tbat 1�steavd ��s is
no� a�it but oni,p aa �►licsei�► fo= a pettait aart veask i� sat ta st�xt �vitbot� a pe�iti; tbat the wor'k will bo is ��aucs with tbs
apprev�d p�laa ��a oase o� whic� requi�a r�viarv �nd �►al ofpl�s. �
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b431 Univer�ity ,�,.ven� NE, Fridley, MhT 55432
� . `�b��S7'2 3604
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ifNaFn �t'i� 671$088
� u�a� B�RI!(4 6876 ttighway No. 65 A4E.
�����C NIIrnBapoli9� M�ota 6$43Z
�� , � Saith pMice . . 890-8610
(YeJ & E�nn+crpat EnB�nterrag � sal Ttsuag:� larad Bwoeru�g �/arut Plannina . i tOf CIiH Road
9unt�ritfe. Minn�Ota 5&337
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° `� BOARD OF APPEqLS �3
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, EXHfBIT IVo 8-3 ��60�� .
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This is o true w�d correN roprsse�tation e} a su�yer of the borndaries oi the land obors dese►ibed md of
iocatfon oi oll Iwlldfags� if mqr� thereon� oed o11 visible e�rooclunents� H w�r� from e► on said lantl: Thts �urreX i
rnods only ia cotinealien wifb o n/erlgogp IoOn �ow bsiag placed on'Ms PrupR�tr awd no 1labititp is assuened
except fo tbe helder pf such nw►*gage or a�p other interest ocquirod b�r fhe roown of ;tash awrlgnge. N is
vndarstoed o� agrs�d �u ts h a beee plased fw t#re perposs of e*tabltshias Iot liass w borndory
soraen. Ootsd this,,� n�i % A. p. 19�� . ,
_ SUOURBAN �N�11H6iRINti, IN�. '
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