AF - 34900�
�
City of Fridley, Minn.
BUILDING PERM[T
��: Nov. 20, 1968
p�; Carl Britton g�� Charle s E. Johaason
Ad� - A� 5 80 6 9hh Ave . N E
___ Fridley, Minuesota
�'yS� s�
N° 10030
LOCATION OP BUILDING
No, 7857 s�t _ Alden Way p� ��t
Lot � Block 3 Addition or Sub-Divisi� Pearson's Craigwaq 2nd
Coraer i.ot X Ins[de Lot Setback 35 � Sideyard 10' 2 0'
ge� g��� 835 .4A g��C�Q
Topc�o6 Footirtg
DESCRIPTIOW OF BUILDING
To be Used as: [�p � 25 � 10' 840 8, 400
Dwellit�.g �t �_ Depth �" Height —1�.' Sq. Fk __194�. Cu. Ft 16.000
_ Gara,ge �t ___2�� �p� 2�! _ Height .�� Sq. Fi. _�_ Cu. Ft 6��
Type �of Construction _ F�e� F�t. Cost ��.�,5 �.Q4� To be Completed
�EWER LOGATION 92' North of Manhole
WATEB LOCATION - 84' North of Ma.ahole
In cons[deratton of the f�uance to me of a permit to construct the build
the proposed work fn acxardance wtth the d�sentption above set and in
ordinanoes of the dty oP Fridle�'• /�� �
Ipr�o s o�f
Ia con�deratton of the �yment of a fee oP �6 •�� � peraiit 9s he�eby �rranted t� Charles J6hansoa
the expre� condition that ��t �whom it� �anted �� a�lbed above. Thia �ermit is �raat�ed upon
doae 9n, asound aad u p �ta► employeea 8Ad wor� ffi all work
P� �n��, � i+i►Y �thereo� shall arnform in aII �spects to the or8inanc� aR
Fridley, Minnesota location, cwnatruction, alteration� mainteaan�se, repair aad. mo�� g oP build�
w1�� dty liaaiits��i� peranit may be revaked at say time upon vlolatton oP aay oE the P��� of se�d
Belisle
� NOflC�
ild� pamh do� net eerer t6s as�eua�Oa, � hr wl�8. P�9. 9� �. �� rral�r. B� sw� ts �
d� ��� hr ap� pum� Por t�a 8tnu.
�, y
APPI,ICgTI01V FOR BZ]'ILDINC PERMIT
CITY OF FBIDLEY9 N�OTA
ow� �s N��� ,� ,� ,� � BIIII�DER CHARLES E.� :IOHANSON INC.;
venue . E.
��x�s ,���ss Fridley, Minnesota 55432
�cc�zzoN oF BIIr��,�c
�o o ���� s�r � n �,�Sl w � �,�
LOT BLOCK ,3 �'JDITIOIV OR SIIBDT�'ISIOIQ� uru� .Z- ^^�-�
CORII,TER IdOT v II�TSIDE IaOT SE'�.'BAf�K 3 S �I:�EX'�RD�o
SEWER ELERT9TION
TOP OF FOCTII�G
9.ppliea:r�t atzach to this io� 'I'q,ao C��tiii�ate� of S�usvey oi Lot ar�.3
propo�eci build�.��g lo�atio:�b ds��,�n. on the�� Ce�tiiicates a
DESCR��'I'i0N OF B17ILDIlVG
To Be TJ�ed A�:
�� �� �
Fx�o:ca.t o Depth a-� Height � �
��� ��.��� �: _
�quare ieet % v o o Cubic Fe� � [� ,� �' e� � & �i �� �
F�ont �- �Depth oL =� Height , �
Squ�,re f�et � ���� Cubic Feet � �"� �
Type oi Con�tru.ction ��, , ,L. Estimated Cost � S� d a
To Be Completed f u..w.� / _,,L�i (, �'
The undersigned hereby ma,k�� application for a per^mit for the work
herein. speci�ied9 a.g�ee� to do all vrork ixa. strict accordance with the
City of Fridley Qrdinax�.ces and rulinga of th� Department o� Buildax�.gs 9
and hereby decla,�e$ that alI the faets as�.d rep�eeer�tations st�.t�d in
this applieation a.�e true �xa.d correeto
DATE �!i% O �l /�� iS ��GNATURE �
(Schedule oi Fee Costs cat�. be fouiid on the Reverse Sideo )
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SECTION 2o The Inspector of Buildin�s sha,ll, �efore issuang pernit�
for the erection of axay building or �t�u.et�ure s o_r for any addition to an.y
existing �tructure ot buildi.ng, or ior ax�.y alteratioxa or repa,irs to any
existi.ng building or strueture9 upoza applieation therefore9 �equi.re the
payment by the �,pplie�.t for �uch pe�it of f�es to the amouut he�e��.
below �et forth and in the manner herein provided to�wit:
Uniform Build�.ng Codee Type 1y 2, & 4-$1075 ior eaeh one thou�azid
cubic feet, or fraction thereof y i.n. sueh cubical c:ontents a Type 3 8� 5-
$1050 for each ox�e thousand cubic ieeta
For the purpoee oi computi.ng fees f°or building permit� 9 the cubic�,l
contenta of any building or addition. to a u�aiform height throughout by
multiplying the ground area covered from a poi.nt aix (6� inches below
the floor line of the ba$ement or the cellar to the avera,�e height of
the upper �urface or to the average height oi the roof su:c�face of th.e
ma.in gable of a pitched roofo '
For repair� or alterationa to axa existix� structure, the fee shall be
at the �ate oi $3,00 per each iive hund.r�ed dollars ($500000) or
fraction thereof in the cost of all proposed worke
In no case shall the ��e eha,r�ed. for any permit ae set forth in. Section
2 be less than $50000
� ,_
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City of Friclley�, in�n
6431 University Ave. 1�. E., Mmneapolis, 11�inn. 554�2
L�UILDING PER1ViIT
Date: - Ju.T 27� � g] 1
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p�; Bud Rotter g�� Master Pools
,A�g _�$�.Z Alden we�� E,,, Ad� 9�00 W_ Rlnomington Frp�a$
LOCATION OF BUILDING
No _�$S.Z._._.... Stceet Alden W�,�r N.E _ part of Iaot
LOt J B10G'jC - 3 ACI(I1T13011 OT S13U-DIV�BLOII� -.. .17oar�anv� � Q �!�+n3 o�wna T�'atnta�a 7.,d
COTt3P.r LOt .�,X..._..�._.. Tl]BffIC IAt SCt�CiC S�t�yBT(I
Sewer Elevation " Foundation IIevation
To ue v�ea �:
DESCRIPTION OP BUILDING
Ut�S�erground Pool �nt Depth Heiglst Sq. Fi. Cq. Ft,
Front Depth Hei�ht Sq. Ft Ca. Ffi.
Type of Constructioa F.s� Cost ..�.5�000.00 To ��p��g As Soon Possibl�
Stipulations as per Health Officer's memo dated July 15, 1971.
In cons�tderation of the issuance to me of a perrnit to construci tIie b I agcee tp do
4he P=oP�d work in accordance with the description above set ia �Fh � provisions o�
pr+ciinanc� of the dty of FrYdley.
— 50 S a S»rr'harge
.
In c�side1s13ou of the payment of a fee of $�Q�.Q._.� permit 3s hePeby gl�ited t�+ Mantt±r Pnn7 R
to construct the builclfng or addition as described above. This permit �s grauted upon
the express condition that the person to whom it is granted and his agents, employees and wor� 9n aII Work
done in, az,ound and u�n said building, or any part thereof, shali c�nform in sIl respects •to the ordin�nc�s o�
Fridley, Minnesota regarding location, construction, alteration� maintenance, repair and moving of
WIo�� dty limits aad this permit may be revoked at any time upoa violatioa of azty of the provlsdons of
�----��' �-� �
- CLELRFNGE BET_,TST•E
:,
NOTICE:
Thts pormh does aet eove� the eonsMueHoe, installatfon foe �9, P«�8r 8�
6eating, aswer or wraler He sas ta a�
t6s BuiWing laspeeto� fo� separate peradts for theae hems.
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� 1. All equipment, pump, filter, and ski�ners should be N.S.F. approved.
I believe Swimquip has all of their equipment approved.
2. Place one inlet to "sweep" step area.
3. Decking is unclear on plan. We recammend about a four foot deck
around pool.
4. We suggest some depth markers on pool.
5. No electric liaes or sewer near pool.
6. Check with Electrical Inspector on grounding and on lighting.
He ma.y want low voltage lightiug or other.
7. Yard or pool must be fenced.
8. Where is pump � filter location? It should be above grade.
The pool at 7857 Alden Lan� is approved subject to above comments.
HARVEY J. MCPgEE
July 15, 1971
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APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Oi�TiQER' S NAME :��/i d �D ( /�'e. BUILDER: 5/ K'�.' ! (J�� � ��-�! �
r�
��5: �� � l �����5. oa c� � � � �
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NO:. STREET:
�2��
LOT : BLOCK: � ADDITION :�� �1 OC a�S 1D�: GJ 7'" `.,
%�_:�
CORNEA LOT:��_INSIDE LOT: SETBACK: SIDEYARA:
Appliaan� attach to thie form 11wo Certificates of Surve9 of Lot and proposed
building loaatioa drawa on these Certificatee. �
To Be U�ed As=
HESCRIPTION OF BUILDING
Fi'ont: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height;
Square Feet; Cubic Feet:
Type of Gonettuction: ���;�� �cD�✓r� /�lEatimated Coet:_$ 5�
�
To Be Campleted:
The t�ndessigaed hereby m�kea applicatisa for a permit fo= the work herein
epecified, agreei�g to do all work in sttict accordaace with the City af
Fridley Osdiaaace� and rulings of the Department of Buildings, and hereby
declares that all the facts and representations etated in this appllcatioa
are tzue aad correct.
DATB a " SIGNATITRE : f'
(Se� �,evsxee Side �pr Additioaal Information.)
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�`��`�'' Sc- �t'r/�.����� 6,'�xi,� ��;4 �'-� � �l � c� .w � ����, r� � � �
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�BUILDING PERMIT FEE SCHEDULE �-
SECTION 2. The Inspector of Buildings shall, before iaeuing permits for the '�
erection of any buildiag or structure, or for aay addition to aay existing .
building or atructure, or for any alteration or repairs to aay existing
building or stxucture, upon application therefore, xequire the paymeat by the
apglicaut �or such pes�it of fees to the amouat herei.n below aet forth and iu
the maaner herein pzovided to-wit:
UNIFORI�i BUILDING CODE: 7�►pe 1, 2� 4-$2.15 for each one thousand cubic
feet� ox fractioa Chereof, in auch cubical contents. �►pe 3& 5-$1.85 �or
each one thoueand cubic feet.
ADDITIONAL INFORMATION
For the purpoae of camputing fees for building permite, the cubical contents
of at�q building or addition, is determined by multiplying the ground area
cavered from a point ei�c (6) inches, below the floor line of the basem�t
ar the cellar to the average heights of the uppes surface or to the average�
height of the roog �uxface of the msia gable of a pitched roof.
Fox repaire o� alteratione to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fractian thereof in
the coat of all proposed work.
Tn ma.caee ehall the fee charged for any pe�it as set forth ia Section 2 be
lees thaa $5.00. '
V�RIFICATION OF FOUNDATION
NOTEs Pesmi.te foz soastruction will be issued a minimum of 24 hburs fram the
tim� of application, to allow for proper review of the proposed structure and
of the coaeCSUCti.on site.
A Ce�ctified Survey of fihe lot, showia� the location of the fauadation, oaae it
hs� been coaetzucted, will be required before proceedin� with the framia$.
CERTIFICATE OF OCCUPANGY
Appl3.cation £or a Certificate of Oceupaacy ahall be made ten (10) days prio;
to the uae or oceupancy of aay structure for whi�h a building pesmit has beea
iseued; �tud said sttucture shall not be used or occup�.ed until a.Certi�icate
of Occugancy hae beeu isauad.
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sue�ecT . PERM .
City of Fridley 15 6 6 5
AT THE TOP OF THE TWINS B U I L D I N G P E R M I T
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� • COMMUNITY DEVELOPMENT OIV. g
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f � � PROTECTIVE INSPECTION SEC.
1 = �
� �"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'""'� � ��� 612-671-3450 910-F15 4/16/80 / /
JOB ADDRESS ?g57 Alden Way N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 7 ,3 pearson� s C�ai 8 211d SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Ri..chard er 7857 Alden Wa N.E.
3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAII ADDRESS ZIP PHONE LICENSE NO.
5 ENtiINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDIN(i
7 CLASS OF WORK
❑ NEW � ADDITION �7 ALTERATION O REPAIR � MOVE ❑ REMOVE
8 DESCRIBE WORK
Install basaqnent fi.replace
9 CHANCiE OP USE FROM TO
STIPULATIONS
�ER€RATE PEf��qt?S REQUiRED faR ��Rp�;,�,
�'fi�. P�.�t��� ��i� SI�NS.
SEPARATE PERMITS ARE REQUIRED FOR ELEGTRICAL, PLUMBING, HEATIN(3, NPE OF CONST. OCCUPANCY OROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, Ofl IF CONSTRUCTION
OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. 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 tiOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINO OF A PERMIT �2� ��Q y��-. Z5
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REOULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�-r'J. QO
PLAN CHECKFEE TOTALFEE
$16.25
� SIGN U OFCONTRACT O UTHORIZEDAGENT IDATEt WHEN PROPERLY VALIDATED THIS IS YO ii PERMIT
� � " � --f%
G ATUREOFOWNERtIFO N RBUILDERI IDATEI BLOG INSP �ATE
CITY OF FRIDLEY •
ARt'[.ICiI'fIOi� t'Oft (�ESIDENTI/tL C3UILI)IP1G P�RP�IITS
. (Wear, Alterai:ions, l�ddil;ions, or Re�airs)
� 01JP�ER: � C i�� f2 6�`' �Z
ADDRESS: �— ���-��/�`%
--��------
TEL tVO:
STR�ET IQO: ! � ��
LOT: /
BUILQER: . �� �
AUDRCSS: � ,�� ,�
TEL t�lp: '
Construction Location
STRE�Te /�-LIJ E�XJ � �
IILOQC: � ADDITION:
o f}l� C.l:/ ,4-t�
c�N !�
Corner Lo�: � Inside Lat: Setback: Sideyardsc
Applicant attach to thi.s form two Certiiicates oi Suxvey of lot and
proposed building J.ocation dratian on certitica�es to scale.
DESCRIPTIOtd OF CONSTRUCTION - �
Fxont: � Depth: Height:
� Squa�e. Feets Cul�ic Feet:
• Fronte Dep�.h: � Heiglit:
Square• I'eet: � ' t�abic Fee�:
Tj;�pe af Construction: � 5��� iF'P�L�cr4C �
7U Be Oamp_leted: ���1 �l ` '
Propased_ Driveway Width Tf New Opening Is Desired:
�q � vr.v
Est�mated Cast: $ ��v� ~
� Alt. A AIt. B
$� $
. SEE REVERSE SIDE OF SHEET
The undexsigned hereby makes application ior a p�rmit �or the work herein speci.fied,
agreeing to do all work i.n strici: accordance with �he City of Fridley Ordinances and
rulings of the Deparinient o� Buildings, and hereby declares i:liat all th� facts and
rcpreyentations stated in this applica�ion�x� trt�zd correc�.
DAT�: Y^ %G - �C� SIGNATUIZE : �
Stipulations:
. ��,��
i
/ � v '�
�
0
. - ' �_�
� ' � "'� .
� liU1l_1JJIYl:7 t'CJ�t'IJ I 1"GG :��tl[:J1ULi: ,
aI::C'Sx01•� 2. 7.'l�e 7n�,pcc:L•ar. of: l3ui.l.cli.r��J.^. ::h�7).7., ?�cfor.c x�:.uing }�enniL•a tor �he erccL•ion
df any )�u5.a.ci:i.ncJ or :;truct:circ, or. �ar. aliy ��cicii.Lic,n t:o ;u�y ar.i.:.:L•i�uJ Uttilcli.ncJ ar strucLux�e,
. a1' fo�- <1n, alt:cr��L•.i�ii o� r.e��air.:� t.o •any ex.,.,i�xi�c� l�ui.lcli.»g or :�L�:ucture, up�n .applic:ation
'�1zcr.efar.c, icqair.e Uie raymcnL• by the apZ�].i_r.ai�L• i�r. :.uch 1�exmS.t- of fees to. 4:he amounL-
hcrein t�elaVr seL• Lor.th �ind iJi L•lic manncL t�crezi� nrova.dac3 La-w�.L: • •
. )Jls'6? CO2d�.`I'ItUC7.'ION: 5.i�iy2c kami�.X lIomes and Gc1Y�1qC.�3: $4.Op/J.,000 cul�ic teC�.
PI,At� C11]:CY.: ?.5 per.ceni: of bui.ldin�� r�er.mi.i� fcc. ,
UItTVEP7111' D�l�RL•:�SxOI�: (Cc�ncret.c, Curb �treeL�:; Only) . '
• � A1L-c:rn�it:e n: I:c:moval ancl rep].��zcr:ment• of concze�e cur.b and
gutL-er OJl�..y; Dra.vcr�ay wid�li plus 6£eeL- x Y�5o75
rtl�.ternat.e 13: Remova7. and a'epl.acemeni: of cancrete curb and
� . ' gu�ter and a.tista].J. a 3 f.00i: a�ide ap�,�zaach zaiU� ''
' ,.. 6 inch depfili; Dri.ve�ray width �plus G ieet x$17.85 �
jil � e , � •►
7'0� the purPose of comput�ng iees for bui].dzng p�rmi.ts, L-lie cubical. contents of any
bua.ld.i_nq ar addition, is deL-ermi.ned by mulL-ip].ying i:.tie �round area cavered i'rom �a
��aa.n� �iy (G) a.nches below ihe ilaor line oi the basemeni: or �h� ceZlar L•o tlze
average heiqhts af the upper surface or to the average he�ghi: ot the �roof surface
of t-1ie main gabte of a pitched roof. �
Fox re}�ai.rs or alterations fio an existing st�cLure, �he i'ee shall be at the rate
. o� �3.0� Pex each five hundred do�.lars -{$500.00) or fracL-ion tllereai a.n the COS�
oi all proposed work.� . . �
In •no case slial.l L-he tee charged tor any pex.mit as set forth �.n Sectian 2 be less �
thati $7.50 pius $.50 state surchax�ge. '
� � , VERT,�IC�ZIO�! OF FQUPdbAZION -
' NOT�: Perma.ts for construcL-ion caill be issued a miiiimum of 24 haurs from the t3me
oi' a�,�plication to allow �cir praper revieti,r oi i:lie praposed structure and of the
aonstruction site. �
?� Ceri�i�icate of Survey o� the 1.ot, showing the location of the foundation once a.t
has been coa�structed will be xec,�xuired befor_e pr.oceediiie� witli the framang.
��RT I FT CATF OF �C�lJ�'/��CY . .
Applica��_on tor a Certifa.Gate oi Occupancy sixall be made t-en (10} da��s prior �a the
use or occupancX ot any stzucture for wtiicll a buildiiig pei�nii� has been a.ssued; and
sa.id siructuxe shall not ue used or occupied until a Ccrtiii.cate oi' Occupancy has
been a.ssued.
,
�-� -- �
' . .
0
r _
�
�
DATE:
TO:
FROM:
SUBJECT:
� �
Community Development Department
PLANrTING DIVISION
City of Fridley
September 21, 1992
Elsie Hanscom, Cashier
Michele McPherson, Planning Assistant
Temporary Sign Permit, SI #92-24
The Management of Michael Servetus Unitarian Church has complied.
with the terms and conditions of temporary sign permit, SI #92-24.
Please return the deposit in the amount of $200.00 to:
Michael Servetus Unitarian Church
c/o Kate Kemper
?857 Alden Way N.E.
Fridley, MN 55432
MM/dn
M-92-595
��( CITY OF Fili�t,EY Effective 8/15/89
�ry TEMPORA�Y S�GN PERMIT APPLICATiON
� Applicant/BusinessJChurch: ` .
Address: G �� �" '� '`�
City/Zip/Telephone:
o��+��"— "' �e'7/—�.S' j� :
Sian Erector:
Name/Business:
Address: a -
City/Zip/Telephone: - S '� '3`3�
Address:
Descriotion of sian:
( ) Balloon ( .)
Length
Zoninq:
Porta-Pane1 (�C) Banner � j other
Heiqht Square Footaqe
Building Characteristics:
O Industrial Multi-Use Buildinq O Free-standing Industrial
- ,=- -- - -
( j-- �aa�me�cia� -i�iu��i�Tse-�t�-�d�n�g -- { - - }__�'ree-Stand3.ng--Commercial --- : -- - -
( j Free-Standing Institution
Number of Permits Allowed Per Year:
1- 5 tenants in building 2 permits allowed per year
6- 10 tenants in building 3 permits allowed per year
11 - 15 tenants in buildinq 4 permits allowed per year
16 or more tenants in building 5 permits allowed per year
Period of Temporary Si n Displavc
Erection: �-- Expiration: �� � �
(Approval for 14 days only)
Permits Grarited this Year:
1.
3.
5.
Fees:
Under 40 square feet in area
Over 40 square feet in area
* Deposit .a-,...e,2�
2. `
4.
- $ 24.00
- g 60.00
- �00.0
Receipt � ,Ziv' �� �
Receipt: Q�,
Receipt:
_ ._ ,_ _ __ ��- _ --. #-� -T2rei dep�it wi-�Y--�- cashed---bg- the-�-Ci-t3t: -- Ths d�posi� �3�1 bo
refunded if the temporary siqn i9 ren►oved by noon of the ne�t �
busineas day after the temporary siqn permit eapirea. �
The undersigned hereby makes applicativn for a temporary sign
penait for the work herein specified, agreeing to do all work in
strict accordance with the City of Fridley ordinances and rulinqs
and hereby declares that all the facts and representatives stated
in this application are true and correct.
/_ �, l ,
� . �� --
Date �
�plicant (please► print) � '
i �.� ��-l�. � er v�rt'v s �"� �'fi'�r t�v1,
Owner (please printj 4a�...V Y�e-
s.��•�c� i 7l�S' 7
Date �`�City Sign
��� ���� �� � �
��
. ����• j�b�ll,
;ode Enforcement ' ` �
`" % _ _ �--( 'tv -,'�,'�4-� � ��'`�-�
l�
�-�.� . a�t�..�..� �- -.� ��.� _.�-.,.�
� _ :�
� C% Community Development Department
� PL�NG DrviSION
Ci�y of Fridley
DATE: September 13, 1994
Td: Walter Cole, Accounting/Data Processing Clerk
FROM: Michele McPherson, Planning Assistant •
SUBJECT: Temporary Sign Permit, SI #94-7�9
The Management of Michael Servetus Unitarian Church has complied
with the terms and conditions of temporary sign permit, SI �94-19.
The receipt number is #3179. Please return the deposit in the
amount of $200.00 to:
Michael Servetus Unitarian Church
Kate Kemper
7857 Alden Way N.E.
Fridley, MN 55432
MM/dn
M-94-543
�
�a 5��
Applican
Address:
City/Zip
Sign Ere
�ITY �F FRIDLEY Effective 1/3/94
TEMPORARY SIGN PER1`��T APPLICATION
Name/BUSiness: ��- (J��.,q �,, .-- //t�._.�Q� �fl�.�---
Address:
City/Zip/Telephone:�
Period of Temporary Sian Display;
Erecti.on: C��•�.t.�-- e�.,�� a1,� 3 Expiration: _,�pM� �, a� �
( 4 days maximum)
Proposed Sign Location:
Address:.
Description of Signs
�
Zoning:
( ) Balloon �( ) Pbrta-Panel (� Banner ( ) other
Lenc�tk� Height Square Footage
Building Characteristics:
) Mu1ti-Tenant Building (✓') Free-Standing Building
The undersigned hereby makes application for a temporary sign
permit for the work herein specified, agresing to do all work in
striet�accordance with the City of Fridley ordinances a�d rulings
and hereby declares that all the facts and representatives stated
in this application are true and. correct.
c
Date
Date
owner (pleas� print)
Date City Si�n Code Enforcement
FOR OFFICE IISE ONLY: ��.�/ �% � G��
Previous Permits Granted this Year: `�
Yes, Permit No.
Temporary Sign Permi't Number:
Fees•
No
SI � �(�I
Under 40 square feet in area -$ 50.00 Receipt; ��'
Over 40 square feet in area -$ 80.00 �teceipt:
* Deposit - 20. �. 0 Receipt: 3���
* THE DEPOSIT WILL BE. CASHED BY T�iE CITY. The deposit will be
refunded if the temporary sign is removed bp noon of the next
business day aft�r the temporary sign permit exp3r�s. THERE AILL
BE �► 2-3 WEE.R W�IT A�'TER EXPIRATION PRIOR TO APPLICANT RECEIVING
REFUND.
��
sue�ecT PER
City of Fridley . 3 0 7 3
AT TME TOP OF THE TWiNS g U I L D I N G P E R M I T
� � CEIPT N
� `y � _ COMMUNITY DEVELOPMENT OIV. ������� �///
r � � PqOTECTIVE INSPECTION SEC.
� i �
� �'�'1 � CITY MAIL FRIOLEY 55132 NuMBEp REV D�TE PAGE Or APVROVEO Br
�""'� � ��� 763-571-3450 s�aF�s 9/11/02 � �
JOB ADDRESS 7857 Alden Way NE
t LEGAL ��T NO. BIOCK TRACT OR ADDITION SEE ATTACNEO
oescR. 7 3 Pearson's Craigway 2nd SNEET
2 PROPERTY OWNER MAI� ADDRES$ 2�P PMONE
Richard & Rathleen Remper 7857 Alden Way NE 763-571-5599
7 CONTRACTOF MAIL ADDRES3 �P PMONE LICENSE NO
Same
d ARCHITECT OR DESIaNER MAIL AOORESS ZIP PMONE LICENSE N0.
S ENGINEER MAII ADDRESS 21P PHONE LICENSE NO
8 USE OF BUILDIN(i
Residential
7 CLASS OF WORK
� NEW O ADDITION O ALTERATION O REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Construct a 24' x 25` 2nd Accessory Building
9 CHANOE OF USE FROM TO
STIPULATIONS Stipulations per SP 4�02-07 and VAR 4�02-14 to reduce the side yard, which
opens onto a side street from 25` to 13' and to reduce the side yard setback on
a forner lot for an accessory structure within 25 feet of the rear lot line, when th
home to the rear faces the side street, from 30' to 13';
1) the garage shall be architecturally compatible with the existing home and finishe
with the same siding and color scheme.
2) Provide a hard surfaced driveway.
3) The garage shall not be used for home occupations.
4) Total squa,re footage of all accessory structures must not exceed 1400 sq ft.
5) Obtain all necessary permits prior to construction.
See notations on plan.
SEPARATE PERMIT�
REQUIRED FOR: �1��
TYPE OF CONST. ��p g� � CUPANCY LOAO
SEPARATE PERMITS ARE RE��� ING, MEATINfi, ��n 'L`a1 ��
VENTILATING OR AIR CONDITIONING.
AUTHORI ED IS NOT COMMENCED WITMOIN 80 OA SR OR F CONSTRUCTION ZONING SO. fT�C�p AoOn • CU FT_
i!•!•7� L
OR WORK IS SUSPEN�ED OR ABANOONEO FOR A PER100 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED NO DWLG. U KING
I NEREBY CERTIFY THAT I HAVE READ ANO EXAMINEO TMIS APPLICATION 1 STALLS GAAAGES
ANO KNOW TME SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF �AWS VALUATION SURTAx
AND OROINANCES GOVERNING THIS TVPE OF WORK WtLL BE COMPLIED �12�28•z $6.14
WITM WHETMER SPECIFIED MEREIN Oii NOT. TME GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pEFMIT FEE SAC CNARGE
PROVISIONS Of ANY 07MER STATE OR LOCAL LAW REGULATING CON-
STqUCTION Op THE PERFORMANCE OF CONSTitUCTION �223.25 Fire .S�'i �12.28
PLAN CNE K FEE TOTAL FEE
$241.67
SiGN4ru �CO pACTOA uT OAGENt IOATE� EN PROPEpLY VALIDATED 7NIS IS YOUR PERMIT
Gy��� � "�
S�GNOTUAEO�OWNEp���OWNEpBU� p� �DA-I TE°�L- G �hSp �_���tE
_ e
_
_
�OF
FWDLE.Y
FRIDLEY MUNICIPAL CENTER • 6431 Ur1IVERSTTY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
CITY COUNCIL
ACTION TAKEN NOTICE
Richard & Kathleen Kemper
7857 Afden Way
Fridley, MN 55432
Dear Mr. & Mrs. Kemper:
On Monday, September 9, 2002, the Fridley City Council officially approved your request for a
Special Use Permit, SP # 02-07, for a second accessory structure (garage), legally described as Lot
7, Blodc 3, Pearsons Craigway East Second, generally located at 7857 Alden Way.
Approval of this special use permit is contingent upon the following stipulations:
1. Petitioner shall obtain all necessary permits prior to construction.
2. The structure shali not be used for a home occupation or living area.
3. Total square footage of all accessory structures must not exceed 1,400 square feet.
4. Garage shall be architecturally compatible with existing home and finished with a
complementary siding and color scheme.
You have one year from the date of City Council action to initiate construction. If you cannot
begin construction in time, you must submit a letter requesting an extension at least three
weeks prior to the expiration date.
If you ve any questions regarding the above action, please call me at 763-572-3590.
Since y,
Hi kok
Co munity Development Director
SH/jt
cc: Special Use Permit File
Address File
ary in
Action Taken Letter- Kemper
Page 2
Please review the above, sign the statement below and retum one copy to the City of Fridley
Planning Department by September 23, 2002.
Concur with action taken.
C-02-114
NEw [J
ADON �
ALTER ( J
CITY OF FRIOLEY Effective 1/1/2002
6431 University Ave NE� Fridley, MN 55432 (763) 572�604 Bldg Insp
SINGLE F/�@AILY AND DUPLEXES R-1 AND R-2 �"'�
BUILDING PERMIT APPUCATION ,�
. — G � �
Cohstrucaon Address. ��°s � � � �� �'� i
Legal Description: La� 7�L,� ����2 �o.0 s/� iGw� y Z,v,a
Owner Name 8 Adcl.r�ss: � r��i a a�cl � �.�� �e�e�t. �� /�P� Tel. # �1�3 �T�-s'�S '�"�- '
Contractor.
LICENSE #
Address: Tel. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
Attach to this application, a Certificate of Survey of the
lot� with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Lengd� ��/ Width Height Sq. Ft Go6
Length Width Hgt/Ground Sq. Ft
Ol'HER: -- �
�puD 1
Construdion Type: ��� � Estimated Cos� $ �� a��
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: � � �� ~ � APPUCANT: ,�� l G�� ��� ��— Tel. # ���o� "�ll �- ��5�
Call (763) 5T2-3604 fo� Pennit Fees N mailing tn appiication or Fax to 763-571-1Z87 if ustng credit card and we will
cali you tor card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ 3.a 5
$ ��
$ •
$
$
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1J10th%)
$.50/$1 �000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservabon Plan Review
Fee Determined by �Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ • STIPULATIONS:
�
BUILDING PERMIT FEE SCHEDULE
�,r
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,
u�n 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:
TO'FAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,00D
$1Q0,001 to $500,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 plus $3.05 for each ac�ditional $100 or
fract�on thereof, to and including $2,000
$69.25 for first $2,�0 plus $14.00 for each additional $1,Q00
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 $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,�0
$993.75 for first $100,0� plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,�
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,(m0 or fraction thereof, to and including $1,000,�0
$1,000,001 and up $5,608.75 for the first $1,0�,0� plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb 5treets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
Permits for constructio� will be issued a minimum of 24 hours from the time of application to aUow for proper
review of the proposed structure and of the construction site.
" VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of die existing foundation will be required before
proceeding with the framing. Ne�v Houses Only '
_
_
crnoF
���
FRIDLEY MUMCIPAL CENTER • 6431 UNIVERSITY AVE.IV.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
APPEALS COMMISSION
ACTION TAKEN NOTICE
September 3, 2002
Richard & Kathleen Kemper
7857 Alden Way NE
Fridley, MN 55432
Dear Mr. & Mrs. Kemper.
On August 28. 2002, the Fridley Appeals Commission officially approved a request for variance,
VAR #02-14, to reduce the required 5ide yard setback for an accessory structure which opens
onto a side street from 25 feet to 13 feet; and to reduce the side yard setbadc on a comer lot for
an accessory structure within 25 feet of the rear lot line� when the home to the rear faces the side
street, from 30 feet to 13 feet on Lot 7, Blodc 3, Pearson's Craigway Estate 2rd Addfion, generally
located at 7857 Alden Way NE with the following stipulations:
1. The petitioners shall obtain all necessary building permits prior to construction of the
garage.
2. The garage shali be architecturally compatible with the existing home and finished with
the same siding and color scheme..
3. The petitioners shall install the c�de-required hard surface drive.
4. The garage shall not be used for home occupations.
You have one year from the date of the Appeals Commission action to initiate construction. If
you cannot begin construction during tt�is time, you must submit a letter requesting an- �-
�xtension at least three weeks prior to the expiration date. �
If you have any questions regarding the above action, please call me at 572-3599.
Sincerely,
��/
��
Paul Bolin
Planner
Piease review the above action, sign below, and retum the originai to the City of Fridley
Planning Department by September 16, 2002.
PB:Is Concu� with action taken
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Side yard of property where proposed accessory structure will be located
RECOMMENDATIONS
City staff recommends approval as secondary stt-uctz�res are permitted under special use
permit in the R-1 Single Family District.
STIPULATIONS
Staff recommends that if the special use permit is granted, the following stipulations be
attached. -
1. Petitioner� shall obtain all necessary building permits prior to construction.
2. Petitioner must install a code approved hard surface driveway by June 30, 2002.
3. The structure shall not be used for a home occupation or living azea.
4. All vehicles shall be stored on a hard surface as approved by the City.
5. Total square footage of all accessory structures must not exceed 1,400 square feet.
6. Garage shall be architecturally compatible with existing home and finished with
same siding and color scheme.
7. Accessory structure must meet proper setbacks if variance #02-14 is not
approved.
09d04i 2002
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PAGE 0�l
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�
sua�ECT P IT NO.
c�ty of Fr�a�ey 33316
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
� � RECEIPT NO.
• COMMUNITY OEVELOPMENT OIV. /��
' j L' �
r � � PROTECTIVE INSPECTION SEC.
i•-_- � ��'�';•, CITY MALL FRIOLEY �5132 NUMBEN REY OATE PAGE Oi APPIIOVEO BY�
� �� 763-571-3450 s�aF�s i/8/03 � �
J08 ADDRESS 7857 [�den Way NE
t LEGAL LOT NO. BLOCK TiiACT OR ADOITION SEE ATTACNEO
oescA. 7 3 Pearson's Craigway 2nd SMEET
2 PROPERTY OWNER MAIL AODRES$ Z�P PMONE
Richard � Ra.te Kemper, 7857 Alden Way, Fridley, MN 55432 763-571-5599
3 CONTqACTOR MAIL AODRESS 21P PMONE LICENSE NO
Adva�ce Home Products, Inc, 3770 W. Broadway, Robbinsdale, MN 55422 763-521-9211
4 ARCNITECT OR DESIGNER MAIL AOORESS ZIP PMONE LICENSE N0.
2332
S ENGINEER MAII ADDRE38 ZIP PMONE LICENSE NO
8 USE OF BUILOIN(i
Residential
7 CLASS OF WORK
�] NEW � ADOITION O ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WOqK
House addition & bath remodei - 2nd floor
9 CHANOE OF USE FpOM TO
STIPULATIONS
See s�ipulations on plans.
SEPARATE PERM�T�
REQUIRED FOR:
P �N� ANDnSl6��
SEPARATE PERMITS ARE RECUIREO FOR ELECTRICAL. PLUMBING. MEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANC� LOAD
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION 20NING SO. fT CU FT.
AUTNORIZED IS NOT COMMENCED WITNIN 80 DAYS. OR IF CONSiRUCTION
OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOO OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING
I MEREBY CERTIFY THAT I HAVE READ ANO EXAMINEO THIS APPLICATION STALLS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAW$ yp�UATtON SURTAX
AND ORDINANCES GOYEANING TNIS TVPE OF WORK WILL BE COMPLIED
WI7H WMETMER SPECIfIEO MEREIN OR NOT. TME GRANTING OF A PERMIT �4S�OOO.00 �L�F.00
OOES NOT PRESUME TO GIVE AUTMOiiITY TO VIOLATE OR CANCEL TME pEqMIT f EE SAC CMARGE
PROV�SIONS OF ANY R STAT Ofl LOCAL LAW NEGULATING CON-
STRUCTION OR ME P RMAN CONSTRUCTION $623.55 Fire .SL' ��F8.0�
PLAN CMECK FEE TOTAL FEE
Licens $5.00 00.55
S�G 4TUAEOFCON:NACT0�10�1AUTh10p�IEDOGENT iD�TEi HE Pii V VA�IpAT TNIS IS VOUR PERMIT
� � �_�3
S�GN47UAE O� OWNEp��� OWNENBWIDEN� iD��Ei B� � B ip qorE
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NEW (]
ADDN [ j
a�r�R Il
Construction Address:
Legal Description: _
Owner Name 8� Addre
Contractor. � R�
Address: � 7 �� -
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction TvG
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572,3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPIICATION
Tel. #7 63- �7f_ss'�1
MN LICENSE #
�� g s�a,r �--
Attach to this applicabon, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
�• r
Length � Width �� � �Height � �Sq. Fk
Length Width Height Sq. Ft
�•
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Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
/'�'L �.- fc S'% /� 1� �-h
DATE: LD�� �- �� APPLICANT: �+r a.-c a- �.�..,.� a Tel. #-�� �,�=,�'/- a!/
Call (763) 5T2-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewef Main Charge
TOTAL
$
$
$
$
$
$
$
$
av
$ ��• $�S�
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,OQ0 Valuation
$1200 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 [ ]
STIPULATIONS:
rrs,-s r
/
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 alteration or repair to any existing building or structure,
upoa applicaaon 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 �
$50,001 to $100,000
$100,001 to $500,000
$5�;001 to $1,O�,OQO
$1,000,001 and up
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 fraetion �.ereof, to ac�d including $25,�00
$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 addidonal
$1,0� or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fractian 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
$5,608.75 for the first $1,000,000 plus $3.15 fur each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW �
(Concrete Curb Streets Only)
J
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 fe�t 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 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 framing. New Houses Onlv
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""�' MEYER, BORGMAN AND J OHNSON, INC.
' CONSULTING STRUCTURAL ENGINEERS
January 29, 2003
Richard Kemper
� ?85'i"Alden yYay_NE
Fridley, MN 55432
RE: Plans change — Closet addition to 7857 Alden Way NE, Fridley, MN
Deax Dick:
John E. Meyer, P. E.
Richard E. Wiehle, P. E.
Daniei E. Murphy, P. E.
Michael J. Ramerth, P. E.
�
This is to inform you that per your question, the 1'/a x 7'/a microlam new closet floor framing members may
be changed to be 2x10 joists at the spacing and number now shown for microlam units. They are to be SPF
(spruce-pine-fir) no. 2 or better material.
Sincerely,
MEYER, BORGMAN AND JOHNSON, INC.
i
i � ������ /`-�-
ohn E. Meyer, P.E. /
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Kemper letter
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■ 12 South Sixth Street Suite 810 Minneapolis, MN 55402-1564 612•338-0713
� 4913 Matterhorn Drive Suite 300 Duluth, MN 55811 218•722-1056
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Fax 612•337-5325
Fax 218•722-9306
E �""�,' MEYER, BORGMAN AND J OHNSON, INC.
CONSULTI*dG STRUCTURAL EfWItdEE�S
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THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
CAMMAN VENT� VFNT C�NNECTnR AN� CAMBIISTION 41R VERIFICATInN
When :� �n acin� a�Y��inQ fiira�nc _, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The ver�ting system is plasticJPVC and meets all current 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 specfications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
ThQ PYi IiC�'111A _emb ��on a�r is sized and installed to meet the current codes
and manufacturer's specifications.
Wh@I1 �Ull�d t0 �nstall a new cembucfien air it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Wj'�@n inctalline�a new ver�tina c,�v,�.c+am, 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
Venting Tables for fan assisted and natural draft appliances. Yes () No ()
Is the cflmmon 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 ()
' • • , 1 ' l�c' . 1 • 4". • 11 11 � 1 - 1 : 1 • a 1 � / 1 ' N � 1 • �11 , � • �
Appliance #9 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Applianc:s #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector 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 ft Diameter in Type
r r•� .� �.�-
HEATING CO:
Signed By: Date :
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE ��O "" O
SITE ADDRESS _
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOURSTATE
LICENSE, BOND AND
CERTIFICATE OF
INSURANCE
PERMIT TYPE
TYPE OF WORK:
PLUMBING
RESIDENTIAL APPLICATION
� CITY OF FRIDLEY
STATE LICENSE �!
STATE BOND #
YOUR E-MAIL ADDRESS
OCONTRACTOR
�
'e �% CITY
Permit
R���ea By:
Date�c :
EXP DATE
EXP DATE
ATE ZIP
ADDRESS: CITY STATE ZIP
PHONE
�INGLE FAMILY
� NEW
❑ TWO FAMILY
�LACEMENT
FAX
O TOWNHOUSE
DETAILED DESCRIPTION OF WORK � �, G� � .� � � � f f , ,� � p � � � � �,�,�� �,
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FI7CTI)RES: (INDICATE TOTAL NUMBER• OF EACH BELOW). MINIMUM FEE
$35.50. �
,_ BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING
_ BATHTUB _ GAS PIPING (NEED CITY LIC) S WIMMING POOL WATER SOFTNER ($
,_ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PREV. $1 )
,_ DISHWASHER _ I.AUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
_ WATER METER OTHER
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work wili be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a pennit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in the case �ll wo�which requires review and approval of plans.
SIGNATURE OF APPLICANT
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
�— /U �