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AF - 34910n ( 1 Date: • • �_� I ^ �I~� � � Caty of Fridley, Mi.nn. BUILDING PERMIT ��. `��� ��y� N° 7111 r - ;�' � ,= �, � , i _ �.:� :y I/ .i� - ...�c. , �i , _� ��i�t� t// I.�.�-- � i LO T ON O��DING No. street � �' � r.ot Lot _.._�..�.�.._ Slock Ad tt� or Sutb-Div�si� . Coraer I.ot Inslde Lot -r'� . Setback ..��'� Sideyard ��� Sewer IIevation Fotmdation IIevatlon �� � • � / ;. `` �' / �� ,� � r.l _._.. .,, ��. . _ . ,;, :,, _�� � :l .;�.L/�l�% � �,/' . . �' ' �' � „ � :.,, �/ J l // / J // / / � ���/ _ ; � �J� ..':s� .,� // — ./ ;�i � , ., � ' ��r� In consi�leratlon of the fesuancae to me of a permit to conshvet the builaing described above I agi�ee to do th� propo�ed work in acoordance with the d�scription above �t ffi pliaa wlth afl prawlsione of or8inaaaes of t8e dtq oP Fridley. � In cam�deratt� of the payment of a fee of �-, permit is hereby granted to to c�onstrnct the building or addition as d�ccibed above. This�rmi t fs �ranted up� the express c�ndition that thepe�on to whom it is graated aad his a,�ents, emplo and workmen, in all work. done ia� around and uPo�n eaid building, or anY �theneo� ��� �r�ec�� ��or �c� o�F FrlaIleY� Mlnaesota loc�tlam, ea�nsltruct� �in�a .w.�l,t7ah�in,,�t�he,, dty liaoiffi��a permit may be revoked at any�@ upan violation of a�► a� the P��� oP sa�d va�+u+aaaa."co� / { A /: /'� � � NOYIC� 7W � doa ue1 eew� da ceedeoa�e�, � hr �. PG�g, 0+� k�. aara� er wat� 8� a�+o to a� da Bui� le� to* pputl� � Ior � k�s. � y _ � � y . - �"r�, -� _ . � -_ �. . _ .• - _.. - _ --'.'� "� � y� �' - � r � - -- .. . � - � � - . � _ � r � _ . � . _ . � _ �. - _ . '. Y a� ,.� •�,�. _ . . � a . .� � � � .. . . � .� . . ii�P� 6B?'S H� +�tS � � - . : � _ . . . , , L+�.��n� .. 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'4 � J v ° ���� � - � � � � �� �� ` L0� 6, �����, �, � � . . �� � . , r � � � �����A���� � ������ �����. k ���-�� v � � u� ��� �� ���� - t . .� ,. �: a ��. ,, , � . �� � �� s�� �� �t�, � � � �� � �'�,��e�������, � ��������;�, ������,��.�,����a.��y���� _��y ,�...........�a�� ,..._... �..,��. _ - . 3UBtJiQ$AN ENG/NEFRIIUG, INC. Y. , ., �/e� fr Srd" • �4 �t�l.�E. 1"= 4�'' ay �F -�' j ,�� ���'-� � w �_ ._ _ � ,�,: _ . � . � '! ,.. ... . . . � vf '!s b� . .. .. � � f _�������. � _' ._�f � . . . �r . .. , _ . . . � �� ¢ � � � � . ��, ' _..� �.� .. � , ' c � � "� � � ~ � y � � � M �. � � o � � � �� p � � � : � � � : o o : 0 : o. : � m � : : � � . • M . . . : � : : : • � . : . • � . . . � : � � � � � . � � � � : O O O � [+] � � �� \ O � � 4 �� � � � b � w � a'C M � � � � � z x � � � � � � ������� �,��� � � :o � � b � ,� � � °° �� � .��. a : �, � : N . � . bd o : : � � . . . � � . . . . � . . . . : � : ' : : 0 6E CC 5d id iS �4 W N CA �-+ F+ t�+ � v�i p e�i� o o O � r� r» �e aa s» A� y �� o� 0 Q x -\r � � � � 1'�" � m � 2 m C r m o � a� � ��. � �6 � � � z 1 ° � � � 0 r e O z � O z �� �r C rt � p W • I� � io � . � �� �,������ m stortes � � � WATER a.osErs � �� �TM o� � � �� � i � 5�� � W,� rnnvs DRINK. FWNT. \ sww�. FLOOR DRAINS GTCFI �] BAS�NS � AilTG WASHER � � 8M O m �cr a. a � � °�. ►, � � b � \V � a � � I � � �� N 1 � � � Z � � I I n RANGE GAS OPENINGS a • z � � � � �� � �. � � � �� °N, � � � � � � � � � � � ���� �,�o � � ��� � � � ���� �°°� � m �' ���� � � o' �� p � o � � C � �• � ►4 ����y �° � �a � m � �' � � � �� ��ti ���� � o �'��' •. A�� m �, � 33 � � �' � �� � ao ��1� p �' a M � �� � � � � n � � �' d �� o. °- � t« � `� M , W � b ' o '� m � A r e � d � .\ �I n � r� City of Fridley, Mi.nn. BUILDING PERMIT ��: AUGIIST 24, 1966 p�: JOH1V E. NIEYER � SAME � 7868 ALDBN WAY N.E. A� F1uDLEY, 1�N1�BSOTA 55432 ���� N° 8976 LOCATION OF BUILDtPIG Na 7868 �t ALDEN WAY N. E. Part of LDt � 6 gl� . 4 ��� pr g���� PEARSON' S CRAIGWAY ESTATES, Znd Addn . Coraer I.ot g Instde Lot Setback to rear si� 5�4�� Sewer IIevatlam Fo�mdat[on IIevatton DESCRIPTION OF BUILDING To be vsed as: sTORa� � �'6�� ne� 10�6�� �t io� s�, �, �s a�, �, �so �t ne� �t sQ. rt. co. �t. Type of Camslructta� B�R F�st. Coat _$200.00 To be Completed Ia co�s[deratlon oP the issnsnae to me of a permit to e:omstruct the builai�og described above I� to do th� propose8 work 4a ac:mrdance with the d�rlptia� abave set forfh and ia c�mpliance with a'll p�ovYaions of �nanoes oP the dtY ���Y• l._. .�, � � o_ i Ia �malderatl� of the E�yment oP a Pee arP �;�00 � permit ia heneby �ranted to JOHN E. MEYER to oomstrnet the buildi�g a� adaitlon as d�crlbed �bove. T6is� t is �aanted upon the exp� �aitlam that thepe�son to whom it is ted ead his a�enta, �ploy� ea� worlsanen� ia a11 work. dame in, aro�md aad upoa seid b»ilding, or e�ny thereo$ sha11 coffia�m in aII r�pects t� the o��lneaees aR F'ri�IIeY. Mian�ota locatiam� elteratton, meiat�enaat�� r�pa9r and movi� oP b� wi� clty ]imits�� permit ma,y be � st aip► time uEwn viQlstloa of a�+ aR the provisians oP said c:r�uwt�t�w BELISLE �8 � NOTIC� 16N p�ee�B dea �! aa�a da �e, � hr �, PIum6leq, oa �p, arwr ��!� wn to a� dn lo�t� !e� �ar ppnd� Pamtb far t6�a �. s e . . APP`LICAT��. FQR BVILD2NG PERiNiT � _ _, ,, a, . ` , _ . .. F , . .. , . ' � �� CITY OF -FB�.�[,. NII�SOTA .. � . OWiQER' S N� �?�/�ca �'r� , �- , �� ^e � . ` BDILDER � � ADDRESS �� l P� � �t�e ro � 3 )n�a,, � _ � � . ADDRBS S _ , .. ' � ' � . LOCATIQN OF $'�'LLDi�G �_ � , � ATO. STREBT ;, � PART QF LOT � �. LOT (D BLOCK � ADDITION OR S�BDSViSIOS ��r� �� o� � � P. CORNER LOT�IN3.�DE LQT� , SETBACK � � iDE-Y�D`� � �� .° � . : , . �� . ' SEWER ELEVA'T`tOR , . . . _ _ _ . FODNDATiOR �Si89ATI0A,�,�,�_�-�.---.-- Applicaat attach to thie form Two Cefti�ficates o� Suivey of Lot �and � propo�ed�� � � building location drawn oa theee Certiffcates. � � . , DESCRIPTIO� OF BUILI�A�G � . . -, : , , To be uaed as;' � � ; rF `• �. ')( � �J � Frant / % � Dept ji�_Hei�ht l � Sq. Ft. °%� ,Cu. Ft. . . , . _ . _._..», ^ ..._.�;'.._... . . . . � . . _ __ . Front ' : - Dept ��Seight . , Sq. Ft. � . ' ' .. Cu. .Ft. ' ;;. � Type of Conetructioa��nc.P�fie. Rj�vc.I�--. . Bstimated CasC ���L,-� _� _ . . . _ . . . . • � . , � ,.,,._� � � . , -.�:. . . • To be comp3etea �o�.\1 0� �lo b � . — , �, .�._....._.��.,...� » The underaigaed hereby makee application for a permi.t for the worTc herein specified, agreeiag to do all work in strict accordance.,with the Citq_ of Fridieq Ordinancea and�rulin�s.'of'_the De�artmeat of-Bu�ldiage,.and.hereby declarea that all the facts and repreeeatatians stat�e�,iA_thie app�icat�c�t are true and correct. . � . � �� (Schedule of Fee Costs can be found on the � 0 � . evers Side). .. � . . .. - � t � .. � � -, . ,..� � BIIILDiNG PER'MIT FEE SG'BEDtILB SECTIOR 2. The Inepector of Buildings shall, before iseuing any permit for the erection of anq building or structure,�or For any addition ta any esiatin� buildin� or structure, or for �ny alterations or repairs to any exis�in� � building or structure, upon application therefore, requir� the paymeri,t by the applicant f�r . such g�rmit of f�e� � to the �nou#�t. herein below eet fcrtt� anii in the manner herein provided to-wit: 2.l,. For an,y such permit for the erection of any fire•proof building, othei tha e garage, warehouse, factorq or $rain'elevaevr, or for the erecCton of anq fire-proof addition, for�similar occupancy, to any eaisting building, shall be. at ths.rate of $1.4� for �ach.oae thousand cnbic feet,_.or.fraction thereof, in such cubical contents. 2_.2 For any such permit for.the erectirnn of anq fire-proof gara�e, warehouse, factory�or grain elavator; or for the erection of any fire�proof addition, for s3.milar occupancy� to any esisting building shail be at the rate of $�..25 for each one thousand cubic f�et, classffied se "fireproof" by Section 502 of the,IK�nneapolis Bu�ldiag Cade. . HOIISES 2 3r For anq such permit_for the erectio�,of any noa-�ireproof buildiag, other than a garage, warehouse, factorq or grain elevator, or any non-fireproof addition, for similar occupancy, to any existing bui�ding » permit $1.00 for each one thousand�cubic feet. GARAGES 2.4. For any euch permit for the erection of anq non-fireproof gara e warehouae, factory or grain elevator, or for the erection of any non-fire-proof addition, for similar occupancy, �o aay esisting buildiag or for each such building or additioa - ninety centa .($0.90) for each one thous.and cubic feet or fracCian there-of, in the cubical coatents thereof with the minimum of $4.00. For the purpose of eomputing feea for buildiag permits, the culsical contents of any building or addition to a uniform height throughout by multiplyiLng th,e _ ground erea coverec3 �rc� a point six {6j inches below the floor l�ne of the basement or cellar to the average h��ght ai the upper surface or to the average height of the roof surface of the,main gabla of a pitched roof. 2.5. For repaixs or alterations to an euisting atructure, the fee sha11 be at the rate of 43.00 per each Five Hundred Dollara ($5QQ.00) or fr�c��t�n thereof in the cost of a11 proposed work. 2.6. Ia no case shall the fee charged for any permit as set forth in Section 2 be lesa than .,54..00. ; STORM REPAIR DAMAGE FEES: . Residential; Eatimated Cost of work.up to �yf;0.fl4 •�5.�0 Estimated Cost of �o:�i�c-�e'ri:,i_�`J:.�.-�1� - Y�,L,r�O Co�er�ial; Estimatec�"�+4t o� c�oz k u�� t� ,�+"�ti;r;i�� ��? �'r''`Q Estimated „ost or �7ork over $SGi��. il0 - $2�.-dJ s � _ � n � F+ Pt rt rt � � �r�� A O �" o � � M � � rt O � wro � � a �i a � I �w� n m ' � . � ; � ; r�. ' i �€ r* r r H �� �� o►af �� H � 7d N�C n �� �z c� ro � � H � � � 0 0 H tn F' � � � w ,� . m � � v � � N O A� rt , � 09 � - a \ n � � � � n a w � . °a ~ � ro r � � � � b ro � n � � � � � w A�+ ' p�, c1' �t rt .-. m m v� � � r � � • � � 0 � � � rt � � c� � Qo z x AcnH � y W �F W N t'� � ao�r+ - H c�i � a � aa•o°z 7~d � � �r1 v, v, ta �N�� N � �� p o �� H H W [_] F': � O N �da � �, � � h � � H � 2 G M � b �47 � 0 m K 0 n x � • ;d ri r~-� n, m � r m n n o � o � d ro"' ro� W z�, O � � � � � ,~d' � � H m cm rt � `° �� �� r F"' `.�d O P' 0 1-�+ c�o ro w $' � ~ �-�h M. � � W W '�O� F~+ � �C a ►-� a � � tu rt rr w� � N. � � � c�irt � V a� � � Y �°t rt � . O � �� tn tn tn tn tn r r t-� ►-� n� � 0 0 0 0 0 0 0 0 0 0 � 0 0 0 0 0 �. P+ C �6 P+ ti � th O tCi� O � n � t�., � � � � H � d Rf •� � � � x �' � � g � � � � � � � � ro � � � � o .z a � � y � � � � � � � ro " � w m °' � ro A. �C y � ;� � � � a ��t K n y �'` ~' � ;* � rt � o � m o � � � 7d �r � � � M �i � � � . fr � W � QQ C N � � � � m a oe � � C���111 O M C M � � � � M ' �~ I o z � � l ` � i fl O t� tn {n in t� F� O O MW row ynty A A✓ !D N w ro � � M � �k O � a� a a ��� � �w m ,��,w� M MfkD w p��M ��w� `�� �° co w � r °� o � � w � m � � g a � �~� � ~ � wn'h,b w � � W � w n � F�'.w�rt r�t K � � W W O � G m n � � rr � � � a o �r � � � � ro t�0 r� fhp� W '�C� f�D F+� K � � w o � r � k � � t° "m x� p �m�om � tD y��� �, ~ S c�f '�C X W � N �O fI F+ � M R fD fD 0000 � � 5' O � O b' a �' m m V � a� � a p m � � � m cn c� _ d c m y � � r c� a -i � z 0 z 0 f m � a� � O t�i� o n -i C O S z mD � � ti � � � N m� O 3 O N r-- C7 � <z' i � m � N � O Z . � m � � c� m � n --1 O Z D Z C c"� � -< O T '�'1 � C r m -�t m � m � e* < fD ° � 3 � �o � sue�ecT PERM N City of Fridley �. � 9� 3 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � R NO. COMMUNITY DEVELOPMENT DIV. / v PROTECTIVE INSPECTION SEC. i � r � -----; � . , � � /�"1 � CITY HALL FRIDLE� SS43Y NUMBER REV DATE PAGE OF APP OVED BY �'""'� � �'� 612-571-3450 910-F15 / / JOB AODRESS 7g6g Alden Way NE 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 Pe O� �d SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Me er d - 8 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADORESS IIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK O NEW �J ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK t t 8 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. ,. ���������� �efore d�?gin� call for all utility locations 454-0�02 � I�ITS REQUIRED FOR REQUIRED �Y LAUV gF. :�,RATE PER V''i;;��i�G, HEATIIVG� PLl1I9�i�liidGi 1�1�6D �ii'.-1�IS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE f;EQUIRED POR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIH CONDITIONING. 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 SUSPENDEO OR ABANDONED fOR A PERIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GApAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER.SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S C)HO �F.34 DOES NOT PFiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHEH STATE OR LOCAL LAW REGULATING CON- STRUCTION R THE PERFORMANCE OF CONSTRUCTION. ZLF9.7S Fire SC S.CS PLAN CHECK FEE TOTAL FEE �O^��� � License SC 5.00 167.77 SGN TUaEOCCO �RACTOROiiAUTMOiiIZEDAGENT �DATEi WHEN PAOPERLY LIDATED THIS IS VOUR PERMIT A �: SiGNATUAEOFOWNEAi�iOWNEABUiLDER� iDATEI BLD �NSP �i TE NEW ADDN ALTER [) [� [l Constcuction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 8/ 1 /95 _�� ��� Owner Name & Address: .� �, ,.�.�� /�/� �r�� Z Tel. # � � j _ •� 3 Z � � Contractor: ��� o� ,,,� � NiN LICENSE # ' Address:_� �� � r Tel. # '7 7_/ - [o �� Attach to this applicahon, a Certificate of Suivey of the �M lot, with the proposeci constiur.�ion drawn an it to scale. DESCRIPTIOAi OF I11�PROVEMENT LIVING AREA: Length _� Widm (p p Height � r Sq. Ft. !,� O��,�'� GARAGE AREA: Leagth V1�ddi HeiSht Sq- F� '���'Z. `v DECK AREA: I.ength Width Hgt/Gr�nd Sq. Ft. OTHER: . Coraer Lot [] Inside Lot [] Ft Yd S�back 3 4 � Side Yard Se�acks -30 �� � � Type of Construction: F.�mated Cvs� $ T-- ��. � Approx. Compl�ion Date: Driveway G'�rb C�t Width Nee�d: _ DATE: APPLICANT: Pe�mit Fee �ire Surcharge State SurchaFge SAC Charge i.icense Surcharge Uriveway Escrow Erosion Control Park Fee Sewer Maia Charge TOTAL �T'IPULATIONS: $ . S_ � (o�l � �.3y $ $ g< � $ $ $ $ $ %. {Cost on Back�. Ft + 6 Ft = Ft x$ � _$ Tel. # C��_ ' ! Fee Schednle on Revease Side .�1 of Pe,�nnit Valuation (1/lOth�) $.50/$1,000 Vaivation $850 pea SAC Unit $5.00 (State Licx� Residenti�l Contractors) Alt "A" or Alt. «B" Above $450.00 Coa�n►ation Plan Review Fee De�mined by Eoginee�iag Agreement Nece�azy [ ] Not Necessary [ ] . A BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the e�edion of any building or slructurE, or for a�ty addition to any existing building or struchue, or for any alteration or repair to any existing buiiding or slruchue, upon application therefore, require the paym�t by the applicant for such �rmit of fees to the amount herein below set forth and in the manner herein provid� to-wit: ' TOTAL VALUE $1 to $S00 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,�0 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for fn� $500 plus $2.75 f� each additional $1� or fraction fihereof, to and including $2,(�0 �$62.25 fcx first $2;OOO.pins $12.50 for each additional $1,000 or fractio� the,reof, to and including $25,000 $349.75 for first $25,000 pius �9.00 for each additionat $1,000 or fra�tion di�eof, to and including $50,000 . $574.75 for first $50,000 plus �.25 for each additional $1,000 a� fraction theaeof, to and inclnding $100,000 $887.25 f� f�rst $100,000 plus $5.00 for each additionai $1,000 or fi�dion thereof, to and including $500,000 $2887.25 for the fn� $500,000 plus $4.25 for �ch additional $1,000 or frac•,tion thereof, to and inclnding $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additioaal $1,000 ar fiadion ther�f � DRiVEVf/AY DEPRESSION ESCR�W tco� c� sa� o�y) Altexnate "A" : Removal and repla�cement of cmrb and gut:� only - Driveway width plus 6 feex times $13:50 Al� "B" : Removal and replaceme�t of corb and gutter and in�ali a 3 foot wi� approach with 6 inch de�th - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Pe�mits for con�ructi�n will be iss�ted a minimom of 24 hours from the time of application t4 allow for p� review of the proposed strucd�re and of the cans�ruction site. A C�ertificate of Survey of th� lot, showing ti�e location of the foundation once it has it has been c�nstruc�ed �vill be required before proceeding with the iraming. � . ��n7 721 3136 DEC-12-1995 12�29 r ^ PANELCRAFT SheSt'I 'H�R� TRpN$�tJ�'!"�'ANCE WQfl �� __. � _.. ._..� .�- - •-- •�— ._M..�. .._. 612 721 3136 � Job: �� •--•;i1lI�YE"R �. _.. .._.- ..�_ �.._}_.. ..�,l--...._._._ .�..._.._. .�_.._ �- Adcfre�s:�86'8 Afd n Vlt� N,E� �—` rt"'—`—E�---�--• — Job # _ ' . . .. _ __ -. .__.. _N _ . 'l814 �_ ' ; �`—° : � •._.�- _. _'_��, ; . j— _�. ....� _ .— .—�.. _ -- . _� GEIUNty � ROOF .�.. _ —;--.—.. � � �__._., � - _, _ . ..-j-_ _ . ._ • `. • � Floa' �rrea area sq � i+U.factor IU-iacdor.' arca _ __,�! lnsulatetl area �' . .__._' ._._. - -- I -• .—ea ( • •• --•• ..�.•—•- � f! 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A].den Way NE t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 6 4 Pearson's Craigway Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADORESS 21P PHONE John/Lillian Meyer 7868 Alden Wa NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of MN 3118 Snellin Ave S M ls. MN 55406 721-6628 2179 4 ARCHITECT OR DESIGNER MAIL ADDiiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS 21P PMONE LiCENSENO 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW g ADDITION CJ ALTERATION ❑ REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Construct an 11' x 8' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plans with Permit ��23923 issued 12/15/95. Variance #96-01 approved 1/24/96 for sideyard encroachment. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SO. FT. CU. FT. AUTHORI2ED 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. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALI.S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATtON SURTAX AND ORDINANCES GOVEFiNING THIS TYPE OF WOFK WILL BE COMPLIED �493 �.SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OH CANCEL THE pERMIT FEE SAC CHARGE PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCT N OR THE PERFORMA E OF CONSTRUCTION. W21.00 Fire SC �.SO � -��- PLAN CHECK FEE TOTAL FEE .�'ti��.r/�`-' % Z�0 �G $22.00 51GNATUREOF RACTORORAUTHOR12EDAGENT IOA Ei HEN PfiOPERLY V DATED THIS IS �UR PE/g,MIT . �y � ar �7�iff" S�GNATUREOFOWNEAIIFOWNE�:BU�LDE:�I IDATE� BLDG NSP rypTE NEW ADDN ALTER � [] [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Applicati.on Effecdve 8/1/95 . � ConstructionAddte.ss: ��� �1 �� c�nl l�A� IJ � C�. _ Legal Description: Owaer Name & Address: J�+�,�.t � l_.+ �� �� i���,R. Tel. #�'? !-53a � Contractor: �t T aF rN,� _ MN LICENSE # o'i.l 7� Address: 31 l$ sn�E i I �� V,4,/� S v(s .,�+� �S40tn Tel. #=1 � t—(o co 2� LIVING AREA: GARAGE AREA: �� �n: o�: Attach to this application, a Certificate of Survey of the lot, with tl� proposed consuvction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft Length I[�± Width �� t Hgt/Ground V�.g:Es Sq. Ft. $���' Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks ��E� Type of Constcucti.on: �� � � Cost: $ �'3, 9 7 Approx. Completion Date: '�j� � 19�p (Cost on Back) Driveway C'tirnb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ nATE: l 2l,e q� APPLICANT: �rvto�l/ T Tel. #�/-(n� Z�S Permit Fee Fire Surcharge State Surcharge SAC Cbarge Licen� Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ l, a� $ , 3J $ �� $ $ $ $ $ $ $ 22� �`' _ M� ' � � � Fee Schedule on Revease Side .001 of Pe�mit Valuation (1/lOth%) $.50!$1,OD0 Valuation $850 pea SAC Unit $5.00 (S'tateate Licen�d Residential CouuUrractors) Alt. "A" or Alt. "B" Above $450.� Con�vatlon Plan Review Fee �►e,termined bY Engin�ering Ag�reeme,nt Nece�azy [ j Not Nacecsary [] _ .� �S /G� 0 ��� ��C -�� ,�Z��l� �s�� y,� � 3°7 �, ... . . , , �. BUILDING PERMIT FEE SCHEDULE The Chief Buiiding pfficial shall, before issui,ng permits for the erection of any buiiding or st�vcturE, rn. frn. any addition to any existing building or struchure, or for any alteration or repair to any existing building or slruchu'e, upon application therefore, require the payment by the applicant for such pernnit of fees to the amount herein t�low set forth and in the manner herein provided to-wit: ToT�, va�,uE $1 to $S� $SOl to $2,(�0 $2,0(?1 to $25,� $25,(ml to $SO,p00 $50,�1 to $100,Q00 �s $21 (Minimum Fee is $21 plus s�u charge) S"L1 for first $S00 plus $2.75 far r,�ch additionat $100 or fra.ction the�eof, to and including $2,000 $62.25 for fnst $2,OOO.plus $12.50 for each additional$1,000 or �fractio� th�eof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additionat $1,� or fraction th�f, to and including $50,(�IO $574.75 for first $SO,OOp plus $6.25 f�. each additional $1,� or fraction thereof, to and i�luding $100,000 $100,�1 to $5�,000 $887.25 f� f�rst $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 �� r� � . �f� ��� $1,000,001 and up $2887.25 for the first $500,000 pins $4.25 for each additional $1,000 or fraction thereof, to and including $1,0OO,OQO $5012.25 for the first $1,OOQ,�p pins $2.75 for each additiomal $1,0� or fraction thereof n�w�Y n�x�ssjox Escxow tcon� c� sa� o�y) Alteznate "A" : Removal and re�lacement of curb and gut�r oniy - Driveway width plus b feet times $13.SOe Alternate "B": Removal and replacement of an�b and gutt� and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 fe� tim�s $15.75. VERIFICATION OF FOUNDATION Petmits for con�ruction will be issved a minimum of 24 hours from the time of �plication to allow for proper review of the Pro�osed structure and of the cons�ructioa site, A C�atificate of Survey of the lot, showing the location of the foundation once it has it has been consf�ucted will be r�uired before Proceeding with the framing. ;_ v e ' � SYtl�eG� . City of Fridley � AT TNE TOP OF TME T1NIN3 g � � L D 1 N� P E R M I T ;� � `L ����� � COMMUNITY DEVELOPMENT O1Y. r � � PROTECTIVE INSPECTION SEC. � 1 i � � �"'1 � CITY MALL fRIDLE� SS�J2 NYM�ER �----� • •,, 612-5��-3ab0 9�aF�s JOB ADORESS 7868 Alden Way 1VE t LEGAL �OT N0. BLOCK TRACT OR A�QITION oescA. 6 4 Pearson's Cr� 2 PROPERTY OWNER MA�L AODRQ$$ John Meyer 3 CONTRACTOR MAIL ADQRESS Reliant Energy Minnegasco 6001 Lyndale Ati • AiiCh11TECT OR DESIGNER MAIL ADORE88 5 EN(i1NEER MAII ADDRE$S 8 USE OF BUILDIN(i Residential �ATE I PAGf O� 11/1/99 / / ,�....... ..... 3045! _�- ECEIPT NO. �v � / PROYHD BY SEE ATTACNEO Estates, 2nd Addn. SNEET ZIP PMONE 321-5238 21P PHONE LICENSE NO Mpls 55419 321-5238 20169856 ZIP PMONE LICENSE NO. 2IP PNONE LICENSE NO 7 CLASS OF WORK ❑ NEW O ADDITION � ALTERATIQN � REPAIR p MOVE O REMOVE 8 DESCRIBE WORK 9 CHANQE OF USE FROM STIPULATIONS TO Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUtREO FOR ELECTRICAI, PLUMBING. NEATING. VENTiLATING OR AIR CONDITIONINfi THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION AUTMOR12ED IS NOT COMMENCED V111TMIN 80 DAYS. OR IF CpNSTRUCTION OR WORK IS SUSPENOEO OR ABANDONQO fOR A PERIOD OF 120 DAYS A7 ANY TIME AFTER WORK IS COMMENCED. 1 NEREBY CERTIFY THAT t HAVE REAO AND �XAM�N�O TMIS APPLICATION ANO KNOW TNE SAME TO BE TRUE ANO CORRECT. ALL PROVISICNS Of LpW$ AND OfiOINANCES GOVERNING THIS TYPE OF WpAK WILL BE COMP�IED WITH WMETHER SPECIFIEO MEREIN Oii NOT. TME GRANTING Of A PERMIT DOES N07 PRESUME TO GIVE AUTMORITY TO VIOLATE O:i CANCEL TNE PROVISIONS OF ANY OTNER STATE OR IOCAL LAW REGULATINti CON- STRUCTION OR TNE PERfORMANCE Of CONSTRUCTION S�GN4TUAEO�CON•AACTOpOpOUTMON�IEOoGENT �DATE� � P�rmj$ �nspection Cards To �ill �e i�aiied �o�e0�n�r To Post N(3 SQ. FT OWI,G. UNITS STALLS ATION I85 ' IIT FEE 3. 25 CNECK FEE ce�s�S $5. CU FT. OFFSTREET PARKIN( IGAHAGES 1.09 C CMARGE ire SC $2.19 T FEE 1.53 rHis i��a v�pM / G LOAO .. o �W [ ] ADDN �� l ��°Z� l ��� °% � �D 93 Effective 5/10/99 [ l CITY OF FRIDLEY [] SINGLE FA1�Y A��TD DUPLEXES R 1 AND R-2 BUII,DING PERMIT APPLICATION � q!, s.� � 0� � �1 Construction Address: "'g (Q � �/�� � � �/. �'' �� Legal Description: � � � 9c- , �, A,r� Owner Name & Address: ��� /y/eut/L Tel. #�2/- 5"2 3�? Contractor: e� � f' �iu.� 4� %i%a� �s�a NIN LICENSE # Z d/!� 98�(a Address: (�Bd/ �u�tda.Q }�v► °s' /�%� /?�i✓ S�S�//9 Tel. # 3 Z� " SZ `� � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. D�CI�IPTIOI�i O� �It0�1'�E1W"� LIVING AREA: I.ength Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. �� Construction Type: �- Estimated Cos • cL%�� t. $ d r Driveway C�ub C�t Width Needed: Ft. + 6 Ft – Ft x$ _$ . DATE: Z?� APPLiCANT: � Tel. �# �2/- 5�� �� CITY USE ONLY Permit Fee $ ,� s"' Fee Schedule on Reverse Side Fire Surcharge $ ,.�, / � .OUI of �ea�mit Yal�ti�n (1llOt�%? State Surc ar _—� — �-5f�t$3;6Sf�-i�a�tio� – _-- -- -- - — – -- SAC Chazge $�— $1050 per SAC Unit License Surcharge $ ��db $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. °A" or Alt. "B" Above Erosion Control Park Fee Sewer Main Chazge TOTAL STIPULATIONS: $ $ $ $ /. 3 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Neces'sary [] r - ` - BUII,DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the ere,ction 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 $2�,fltii to ��50,000 $50,001 to $100,000 $100,001 to $500,000 $S�,�l to $i,000,000 $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.C� for each additiona.l $1,9�- or fractioa 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 &action 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 $5�,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 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRFSSION 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 locadon of the foundation once it has it has been constructed will be required before proceeding with the framing. � .. . � '•:� . B R ROOFING CORP (�)Ql I.vndalr :1vr S, 5uitr C•�linnrapali.�s. 11� ,i:r4l') Phonr: 6l'?-�9�9�U � Fax: bl'�-i98-Ob;O u; uu.6anner-roofin�¢.com MEMORANDUM TO: CI'lY PE(L�I[T DEP:1R'I'�fEN'I' FROb1: B.\N�;ER ROOFI�;G SUBJEC'T: RF1.L��f'1' ENEGY `fIN�iEG.�SCU - - DATE: 9/13/99 ��G'hen processing a building permit for Reliant Energy I�finnegasco please be advised that Banner Roofing is in a joint venture with Reliant Energ�s- blinnegasco. Please issue the permit in the correct name (Reliant Energy Minnegasco). The checl:, which is attached, is onl� for payment, which will be issued from (Banner Roofin�. If you have any questions please call us at 613.798.�970. . ':'I .�' . . .� .. ._ * � D �� 7 O � � c� fl- � =: �• � N � N. -� N � A � � o � � � �� O �a � �' � � .o a � � � °' N � � c'� � � a . � rt � 0 _ .t � m z N '� n � O Z � rn rn � � V C O \ _ 1 � o cNn � � A �• d � \ � p, �• � D � -a oi � � 0 1 O x 0 � � �D r N m � m � � � oi cD � � � d o °v � m 1 � Q O � �-,�,� a � � � m m��� a �,o,a� n, ,� � •-*; �- Gq N. ���� N � �� Q �. — ov s � � o � a � n, 6 � po� ,�<_'°' � � N p� � � O N �•aya � � � � � � � � ��°�� � �D Q. n �` � A p O = a a� ��c�.o � � N � c° a3� 3 A fl1 •�+ O •+ _ -�. � p� �.O A � � � �-r N Ci �D c �o N O � �, a � c� � Q � f��D � � �O �. S < � � � N � � � �. � � N. �' a c�D � O _ �o � N � r � � Z n c� � � cW � � � � a� a c� Z d � S 'o v_� N m z 0 v � D _ 0 7 � � D cNo N � N cn 0 0 � o�i a�i a�i n c ai N N v� O 7 Q. � .� ���0/ f0 � � -a. N N � � � � � � � ym p�ZfCD � �D " 7 � •=�r � � a • � � �o � �,�a 1�� °-_� v �s � � � c � � � Z,�D'��o �� � n � � � � �� W C ` n f�D � 1 �s � �► t� r r � W 0 0 0 0 � °o o° °o °o a* m � t� 6� t� � O Q � � -*�ao�z �-��,o — C � � � � � � °' cD =� � � � � N 2 O � C�% � � a� � n �D o p � � � .m �. c�n a �n m r N . �y �r"z� v �o� _ � � .-* N v � N -s 3 v m � a � m v � � g � 'U rn � � z 0 � m N c� _ f�l v C 1" m � � o` � � � 0 z � � C m N • cn rn � v �» � n � p. � 00 � _ �° _ � (77 'rl 01 (� N�.W� �-+ 01� C � .P?c'� z fp � ,�p � m w < � N c� Z z� m� m � � z � a � � z � r �� �O L� Z 1�1 .n a� -a � O� Z� Z� v� as � z ZD vz .� v o= Z �Z �n O m 3�r N Z z� v� v �� m � NO Z � m � <' N � � L al � _ � � r N O O O COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When reqlacina an existin4 furance, 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 venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and teRnination. Yes () No (). The undersigned also verifies that the replacement unit is a listed assembly and meets the cuRent codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Verrting Tables for fan assisted and natural draft appliances. The existina combustion air is sized and installed to meet the currerrt codes and manufacturers specifications. When required to install a new combustion air. it will be sized and installed To meet the current codes and manufacturer's specfications. Yes ( ) No ( ) Yes ( ) Na { } Yes ( ) No ( ) When installing a new venting svstem, the undersigned hereby verifies that it is a listed assembly and meets the cuRent 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 common vent and vent connectors sized and installed corr�ctly after an appiiance has been removed from the common vent and vented separately as per current codes. Yes () IVo () Appliance Type and Size/Common Vent and Vent Connector Infiormation Appiiance #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 Connect�r Height �t Length ft Diameter in T'ype Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 �ent Connector Height ft Length ft Diameter in Type _�� 1 . \ 1 � A �_. • HEATING CO: Signed By: Date : � , sue�cti , R�N� C�ty of F��aley 3 2 7 9 2+ � A T T H E T O P O F T M E T Y� I � N S � u � � p I N� P E R M I T ; i. � � RECEIPT NO. COMMUMITY QEVELQRAIIENt OIY. , I r � v • �� PROTECTIVE INSPECTION SEC. �� i--_. A ��'��'.; CITY MALL fRIDLEr �3i NUMBfR ' NEV DATB PAGE Of APPROVEO BY � L J� 612-571-34Cp 9t0-F15 7/17/02 � � J08 ADDRESS 7868 Alden Way NE . 1 LEGAL �OT NO. 9LpCK TRACT OR A�011'ION SEE ATTACNEO oescR. 6 4 Pearson's Craigway Estates 2nd Addition SHEET 2 PROPERTY OWNER MAIL AQpRQ$$ ZIP PMONE John Meyer, 7868 Alden Way, Fridley, MN 55432 763-571-532$ 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Renewal By Andersen, 1920 Ctgr Rd C W, Roseville, MN 55113 651-264-4777 20130983 4 ARCMITECT OR OESIGNEfi MAIL AOORESS ' i1P PMONE UCENSE N0. S ENGINEER MAII AODRESS . 21P PMONE LICENSE NO 8 USE OF BUILDING Residentiai 7 CLASS OF WORK - C� NEW O AQDITION O A�TERATIQN p REPAIR O MOVE O REMOVE 8 DESCRIBE WOpK ' Repiace 8 wi.�dows withi� exis�ing openings. 9 CNANCiE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Bui�.ding Code. Caulking and flashing for all exterior openings. SEPARATE PERMITS ARE iiE0U1RED FOR ELECTRICAL, PLUMBING. MEATIN(3, �p� � T �C �ANCY (iROUP OCCUPANCY LOAO VENTILATING OR Alq CONOITIONIN(i THIS PERMIT BECOMES NULL AND VOIO IF WQRK QR CAf�$TRUC�TI{��I �ONING SQ. FT CU. FT. AUTHORIIED IS NOT COMMENCEO V�fiTHIN 80 OAYS. OR IF CONSTRUG�TION � OR WORK IS SUSPENOED OR ABANQON�O FOR A PERIQO OF 12Q OAY$ Ai ANY TIME AFTER WORK IS COMMENCED- ' NO. OWLG. UNITS OfFSTREET PARKING I MERE9Y CEHTIfY THAT I HAVE READ ANQ E%AMIN�O TMIS APPUCA710N STALI.S GARAGES ANO KNOW TME SAME TO BE TRUE AND COQRECF. ALL PROVISIQNS qF LAW$ yp�UATION SUATAX AND OROINANCES GOVERNING TNIS TYPE OF WQ.RK WIL� �� CpMP�lEO $11,490.0� $.5.75 WITH WMETMEF SPECIFIEO MEREIN OR NOT. TME GRANTING Of A PERMIT OOES NOT PRESUME TO GIYE AUTMORITY TO VIOLATE Oii CANCEL THE pEp►y►IT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAI. LAW REGULATING CON- �ZO9 . L�S F�re SC � 1 Z.�F9 STqUCTION Op TNE PERfORMANCE Of CONSTRUCTION p4AN CN�CK f EE 70T EE Lice 5.00 31.49 S�GNATUpEOFCON•iiACT0�10pAUTMOp�2E00GENf IDATE� ME PROP VALID TMIS IS YOUR PERMIT � �� S�GNATUAE O� OWNEp��F OWNEp BWLbEA� IOAT �. ` - BL ��NSP � � � qqTf C� r ' �- �[ ] ADDN ALTFR Il [] Constcuction Address: � Effective 5/10/99 CITY OF �RIDLEY � SIlVGLE FAMII,Y AND DUPL�?�.S R i AND R 2 BIJILDING PERMTT APPLICATION Legal Description: • . , . Owner Name & Address: �p�(V '(i1�-�. � Tel. #�(03 ��7�'/- s3a� Contractor:, ���o�� 't�v► A��e�rS�e.�� � MN I:ICENSE # ci� 1'�i �"� Address: 19a� C.Ot,�n� �! ao►d C. We,S�, � 1rC� t1n�5F�11� Tel. #(o51•al�l•4�^1-� Attach� to� ihis appl�cation; x'Certifi�ate��of �Su�vey: of-fi�e � lot, with t�he��roposecT�onst�ictioa dravvii�on..it to scale. LIV.ING AREA: GARAGE ABEA: DECS AREA: �1'�iElt: � ; 5� . � � • � �a�� e � � �r;� i-ength Width Height � Sq. Ft. Length Width Height Sq. Ft: ��h � Widtli � - HgtlGround Ft. , n _ �. . . . . . �' —:-- . T" ' '�('�'�. Const�vction T � v �� ��a cost: � 11,49d Driveway C�irb C�t Width Needed: Ft. + 6 Ft =_ Ft x$ � —$ . DATE: �I ��j�t�,l "�o� Permit Fee Fire Surcliarge � State Surchazge SAC Charge Lic�nse S�ucharge Driveway Es�row Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 09. as $ l.� $ '�J. �J $ $ ,�.�, • � � $ $ $ $ $ � Tel. # 952► •34,5•(�l�- CITY USE ONiY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%} $.50/$1,000 Valuation $1050 per SAC Unit $S.OU (State Licansed Residential.Co�etorc) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined bY Engineering Agreement Necessary [] Not Necessary [ l � �4 �, . � St--cl-�bd4 .. 0 � C � Z b � � �� F � � O �' O '� � S � � � � � C -� - n � � � m � � o ° z � � D �� � � � � �� � � �m D �� 13 � S!� fV � � ��� ���< ��� � � � � � ��� b� � y a � � � m � � � � � � � , 1 ` C11 Y UI� Fk1ULtY �-������������� � �� � .� � � _ --� � � . � � ���� �� -�� t � � � r � :� � � • � 5 � �g � � � �i � C fD m � � a� I �I I I�! I I I� I I I c�r� o��+,�+�paoo�oo c° � � � � $ � � °o o � � �u . . � 0 0 � � � 0 � � � �. 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Z Io I ( I I � I 1 I ( I I � ������������ N O O O v O;'d V V�I N;p► ;V °o °o °o °o g °o o °o °o o° °o o° g -� C � W z � 0 � .� �' � a n N w � m � � � � � � �c a � � � p1 p1 N a a c� m � � �c a c� N N d � � -" � ' � � � a � � � A .. Q, a Q � � d � ' ? o ; ? N �, y fA � � 01 � � � yq � • a c�' �i o A � � � m � -� d .i a � � a � °' � W � � w d��.� � v► g -„ �a � � o � � d � � � ���o A�x � � � v► y N 7 O "� � C W Z T � � m � � Z O � m O �r ` � E� 8 � N N —� � � ���� c� aw� (p � • N!'/ V � C Q � w'Zd•� �I�� v � � � ZZ 'mN v n G z v < �. � W ti c� � � � � � � � � O ` d � J Np O COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When realacins� an exisUng furance� the undersigned hereby verifies that the ven�ng has been examined and is free from rust� deteriora�on� obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plasticlPVC and meets all cuRent codes and manufacturer specificadons including sizing� length� number of elbows and termina#ion. Yes () No () The undersigned also verifles that the replacement unit is a listed assembly and m�ts the cuRent codes and manufacturer's specifications. This does include AGA-GAMA Cat�ory I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existlng combustlon air is sized and installed to meet the cuRent codes and manufacturers� spe�f'ications. When required to lnstail a new combustion air, it will be sized and installed to meet the cuRent codes and manufacturers specifications. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) When instailing a new ventins� svstem� the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers s�cations. This does inciude AGA-GAMA Category l Central Fumace Venting 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 () Aas�liance Tvae and SizelCommon Vent and Vent Connector Infonnati+�n Appliance #1 Type BTU Input Fan Assisted or Nat _� Appliance #2 Type BTU Input Fan Assisted or Nat ._�, , Appliance #3 Ty{� BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vertt Type Vent Height _ Diameter �.., inches Appliance #1 Vent Connector Height ft Length ft Diameter _ in Type __,____ Appliance #2 Vent Connedor Height ft Length ft Diameter in Type Appliance #3 Vent Co�nector Height ft Length ft Diameter in Type _ ALTERATIONS: (Describe� HEATING CO: Signed By: Date : _ _ CI"IYOF FR(DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 August 16, 2002 Mr. John Meyer 7868 Alden Way NE Fridley, MN 55432 Re: Final Inspection at 7868 Alden Way NE Contractor: Shiloah Water Co Dear Mr. Meyer: A plumbing pernut was issued on October 23, 2001 to install a water softener at your address. Accorcling to Section 4715.2800 of the State Plumbing Caie, a final inspection shall be conducted on the work authorized by this pernut. As of this da.te the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your pernut open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no insgection called for by homeowner after notifica.tion" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. D�/mh En�gineering WATER AND SEWER Permit No.. 76�-572-3552 PERIVIIT APPLICATIUN Received By: �� 76�-571-1287 fax CITY OF FRIDLEY �� EFFECTIVE 7/12010 APPLICATION DATE: / v� 6�/� YOUR E-MAIIJFAX: THIS APPLICANT IS: ❑ OWNER B�..ONTRACTOR JOB ADDRESS: ���� �� c�� n �/f/ Q �l NEW CONSTRUCTION PERMIT# (IF APPLICABL.E): PROPERTY Np�: � OWNER/ aunx�ss: �� b� A- l�1 � v� Vt A A,la crrx ,I,ENANT STATE Z� PHONE�(�� S i/ S� a- � CONTRACTOR N,�: S ��� SUBMITA COPYOF �DRESS: � 7 Q- �2�u� /1 CITY STATE zrn S',� 3 y� YOUR STATE ` �, � LICENSE WITH PHONE !� � i� 'F E� � j L CELL PHONE�� � Z - 2$'a ��6 3 S�- APPLICATTON STATE LIC # STATE BOND: EXP DATE: 1. Narrativelwritten description: — a�-� �y � � , 2. Please attach sketch showing curb line, utility line, building, etc. with distances an 6ack page. 3. Stipnlations: ��� G I �l i f �������1�liy e� 7 i��� .�J55 0/�' j%�1 �� G�h� Odf:. �/e�� �,S 1��+���jr ^�i� C2 ��.U� �s �_=�a� (, PERMIT TYPE � SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERNIIT $50 ❑ WATER L1NE REPAIR $40 0 SEWER LINE REPAIR $40 0 ADD STATE SURCHARGE $5.� ❑ SAC CHARGE @ $2100 = ' TOTAL $ t' IS � OTHER CHARGES (II�' APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIlt, iNSP OR SHIJT-OFF / EVENINGS, WEEKENDS 8c HOLIDAYS $125iHOUR-BILLED TfIIS IS AN APPLICATION FOR A PERMTT NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley. I understand this is not a permit but only an application for a permit and rk is n to sta�•t without a rmit. SIGNATURE OF APPLIC PRINT NAME: � DATE: � A APPROVED BY: _ DATE: �U s �rS COPY G �: � UITLITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENG ERING City of Fridley Engineering Department v�t� 1 umv�r�r�y tivenue i�n, rnaiey, ivuv ���+�� 763-572-3552 FAX: 763-571-1287