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PRE 2010 DOCSCity of Fridley,MinnN° 8043 BUILDING VEIIMIT Date: Jane 28, 1965 194 Pearson Way Builder Garden City Const, Go. Address Address 801 2nd Ave, No. LOCATION OF BUILDING No. 194 Street Pearson lky Part of Lot Lot 10 _ Block 6 Addition or Sub-Divisi� \MMOn' a CraignY Est. 2nd Arid. Corner Lot _ Inside Lot — Setback 4,1Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: New Dwelling Front Depth Height Sq. Ft. Cu. Ft. Atte Garage Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost $20sQ00.0 -0 To be Completed New Dwelling In consideration of the issuance to me of a permit to construct the building described above I agree to d =Poi work in accordance with the descr$ n above set rth and in compliance with provisions ordinances of the city of Fridley. In consideration of the payment of a fee of $29:00 , permit is hereby granted to J. Pearson to construct the building or addition as described above. This permit is granted upon Zwi expressconditicn that the person to whom it is granted and his agentsemployees ane in, arotmd and upond build an dley, Minaceota g location, construction, alteration, maiatenaace, repair asci moving of buildings city ]imitsordins this permit may be revoked at any time upon violation of any of the provisions of said Allen Jensen Building Inspector NOTICE: nb pe mb don not cover the eontr m9m, batathnten for whits phmbbg, gn heding, awa w wafer. Be sura to sex do Betiding tomer Por sopmft permit for thea Bona. V, APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA J. OWNER'S NAME BUILDER--- ADDRESS, f ��i¢ /P S ®�� ADDRESS -06 LOCATION OF BUILDING No. Street �e_ '0ej ® Part of Lot_ LOT ® BLOCK (25� ADDITION OR SUBDIVISION&,/ Corner LotInside LOTSetback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be _ ed as t x'('F �c-ct rent kpth � � HeighC ;� Sq. Ft. Cu. Ft. J,_1 Front Depth �-- Height Sq. Ft. Cu. Ft._ r�l Type of Construction Estimated Cost ® 0 To be completed. 12_0� % -- The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations sta d in this application are true and correct. DATE 40;' 5"'__—SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 52-84-S915.51 City of Fridley Application for Pk=Mng amd Cv= Rtong Dept. of Bldgs. Phone 360-3450 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... x $2.00 $ Future Fixture Opening ... x $1.5o $ New Fixture Old Opening ...... . Catch Basin . . Water Heater (Up to 99,000 BTU) ..... . New Ground Run Old Bldg. ... .... Electric Water Heater GAS FITTING FEES: NO. 1st 3 Fixtures .......................... Additional Fixtures . ..........,....... Gas Range to 199,000 BTU .............. Gas Dryer 1 REPAIRS & ALTERATIONS—Refer to Code x $1.60 $ x $3.25 $ X $3.00 $ X $3.26 $ _ $2.00 $ RATE TOTAL x $2.00 $— * $ .75 x$.76 $ x $5.00 $ 5.00 Description ................................................; TOTAL FEE $ z( } 194 Pearson Way N E City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 9-26-69 19_ _ o Owner _ D Lindquist Kind of Building frame Used as res To be completed about _ 10-1-69 Estimated Cost, $ 10.00 Old—New. Building Permit rmi m..00!> igne _ By EA OLIS GAS CO. Business Phone No ROUGH �g�gQQ �F a1 d y1� 3 ewe 8 O �r O < U << (�9 P N WATER HTR. GAS ELEC. Base I t Ga4 D6e, I — 2nd 3rd — – 4th ° Future Connection Openings e Nes Fixture, ON Openings I Connected w94h Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... x $2.00 $ Future Fixture Opening ... x $1.5o $ New Fixture Old Opening ...... . Catch Basin . . Water Heater (Up to 99,000 BTU) ..... . New Ground Run Old Bldg. ... .... Electric Water Heater GAS FITTING FEES: NO. 1st 3 Fixtures .......................... Additional Fixtures . ..........,....... Gas Range to 199,000 BTU .............. Gas Dryer 1 REPAIRS & ALTERATIONS—Refer to Code x $1.60 $ x $3.25 $ X $3.00 $ X $3.26 $ _ $2.00 $ RATE TOTAL x $2.00 $— * $ .75 x$.76 $ x $5.00 $ 5.00 Description ................................................; TOTAL FEE $ z( } 194 Pearson Way N E City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 9-26-69 19_ _ o Owner _ D Lindquist Kind of Building frame Used as res To be completed about _ 10-1-69 Estimated Cost, $ 10.00 Old—New. Building Permit rmi m..00!> igne _ By EA OLIS GAS CO. Business Phone No ROUGH unroF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 October 31, 1990 Owner/Occupant 194 Pearson Way N.E. Fridley, MN 55432 RE: Monument Sign at East River Road/Pearson Way N.E. Dear Owner/Occupant: The monument sign located at the above referenced intersection has experienced substantial deterioration and is in poor condition. I have been unable to locate anyone who could be held responsible for the maintenance of this sign. This monument sign, which is located within the City right-of-way, has become an eyesore and it also constitutes a health and safety hazard. The City is currently considering removing the monument sign from this location for the reasons cited previously. Please contact me at 572-3595 on or before November 20, 1990, if you have concerns regarding this possible action, so that these may be taken into consideration. Sincerely, Steven Barg Planning Assistant SB:ls C-90-946 CITY OF FRIDLEY Effective Date May I. 19ae APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address i r j Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer • Air Conditioning (all sizes) All Others/Repairs and Alterations It of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1• of Value of Appliance or Work $ 20.00 $ 10.00 $ 10.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 City of Fridley $ Tel. #571-3450 $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application re true and correct. �e $ 10.00 $ r ) �\ Fridley. Nina. n �7 (✓ 9 , 19 9/ State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. P-2--91- Date "2--9Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 - PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission fro, adjoining neighbor. S S S .50 OWNER Lj U v � KIND OF BUILDING USED AS 10 LA.e- TO BE COMPLETED ABOUT ESTIMATED COST ) Q C' C 10996 /� / 7 OLD - NEW BUILDING PERMIT NO. PERMIT NO. / 0 / 9 6 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Not Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name .Size No. e Capacity Sq. Ft. EDR BTU c ouc, HP Company � .. s Signed By Tel. No. G�0 r Kp J Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; I. Has been carefully examined Yes (,) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Da to 06. SUBJECT PERM City of Fridley 2 1 AT THE TOP OF THE TWINS BUILDING PERMIT 2 iR f. --r &"" � _ COMMUNITY DEVELOPMENT DIV. rr PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ,'� 612-571-3450 910-F15 6 10 94 JOB ADDRESS 194 PEARSON WAY 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 6 PearsonT s Craigway Estates 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Doug Lindquist 194 Pearson Way NE 571-8163 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Scandy Concrete Inc 4747 5 St NE, Columbia Heights MN 55421 572-8558 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. PENDING 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Rebuild masonry fireplace 9 CHANGE OF USE FROM TO STIPULATIONS Smoke detectors to be installed adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $10,500 $5.25 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $126.00 Fire SC $10.50 R . E PERFORMAN E OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE XITION �a License SC $5.00 $146.75 SIGNATURE OF NT T R R AUTHORIZED AGENT IDA EI WH PRO LY LIDAT D THIS IS YOUR PERMIT SiGNATURE OF OWNERIIF OWNER BUILDERI IDATEI 3ILDG INSP riAiE 06. NEW (( Effective 1/ 1 /94 ADDN (] CITY OF FRIDLEY ZL_ ALTER (] SINGLE. FAMILY AND DUPLEXES R-1 AND R-2,�-°`��5� Building Permit Application st Lie Construction Address: _ _ pe -_6 frS o V1 Legal Description: Owner Name & Address: LindqLA i e Tel. # 7/ 6 Contractor: Sc Ck n c� J 7 C_ MN LICENSE Address: 7 7 UQ E 5T-6 St Gv AP Q�s s my-) Tel. # S7�-�SSS Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. e ll DESCRIPTION OF IMPROVEMENT Rembuc- l0c� "\JQr-,-- pIace Cera-V,rv__ S,+ru6Uv'�> LIVING ARIA: Length GARAGE AREA: Length DECK AREA: Length OTHER: Width Height Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ j Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $11(""566 Approx. Completion Date: (Cost on Back) Driveway Curb gut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: �� 5� ��, Tel. # 57,7 , gSS 8 Permit Fee $ l9 0 Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ CITY USE ONLY Fee Schedule. on Reverse Side .001 of Permit Valuation (U 10th %) $.50/$1,000 Valuation $800 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 ( ] a SUBJECT City of Fridley M16 AT THE TOP OF THE TWINS BUILDING PERMIT � • RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/29/98 JOB ADDRESS 194 Pearson Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 6 Pearson's Craigway Estates 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Doug/Ginger Lindquist 194 Pearson Way NE 571-8163 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems Inc 11464 Robinson Dr NW, Mpls., MN 55433 757-0097 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Soffit & Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install ventilation to meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6,072 $3.04 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $124.75 Fire SC $6.07 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL F Licen a $5.00 138.86 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI PR PE L LIDATED� IS YOUR PERMIT Irr gl SP � r 0, SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [) Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 b BUILDING PERMIT APPLICATION ConstructionAddress: P L4 0. Legal Description: I Owner Name & Address: W Tel. # 5'jJ�� Contractor: `j.QA I aiaa 1;MN LICENSE # c Qo Address: f 4 (aq_ 6 C. '" Dr AW M01 s 6-"Tel. # —Ta?— 00q Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: �� CA Q, . Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE:dp---AAPPLICANT: Tel. # —, S-7_ Wq� CITY USE ONLY Permit Fee $ \24r-11 Fee Schedule on Reverse Side Fire Surcharge $ • CQ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ Cab $5.00 (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: i a SUBJECT PER R City of Fridley �-- 2 7 9 8 7 AT THE TOP OF THE TWINS BUILDING PERMIT` RECEIP _ __ COMMUNITY DEVELOPMENT DIV. L ------ INSPECTION SEC. r E PROTECTIVE E ; NUMBER REV DAiE vAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910 -FIS 9/28/98 10B ADDRESS 194 Pearson Wa 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 6 Pear on' SCraiggay Est., SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Doug Lindquist 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norway Builders Inc. 4 -5899 90066373 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 26 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $22,28 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fir S $2.23 PLAN CHECK FEETOT Licens C FEE 0SIGNATURE OF CONTRACTOR OA AUTHORIZED AGENT ATEP EN RALID mNSF' j$5.00 E THIS IS UR PERMIT r11 tD BATE S-GNATURE OF OWNER IF OWNER BUILDERI iDATE, a NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER SCJ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION y ConstructionAddress: 19Y Ag,412sov Lz/&l4 Legal Description: Owner Name & Address: 06un ZiWau,-rT Tel. # Contractor: A)O&Wr4y /s.. & WS Lvc MN LICENSE # Address:. sp �. Llouary i i) A261 'G�io,cJ SS"�l2 Tel. # z1e3-5849 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IMPROVEMENT Width Width Width �c- O Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: ke - 40'r Estimated Cost: $ t, '' ;;N (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 171jy Z2g APPLICANT: /Uodccl,�y �cui19F2s [,ve. /�ss �E73d�,u Tel. # yp3-5899 TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ �%"7. S Fee Schedule on Reverse Side Fire Surcharge $ oC3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ tw $5.00 (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: CITY OF FRIDLEY INSPECTION DIV. (G�LQ �) Effective On Jan 1, 2000 3431 dniversity Ave NE Fridley, MN 55432l APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR .k6 $ 7.00 Old Opening, New Fixture � c • • .•tom • �.. $ 7.00 _ _ - $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** �_ $10.00 Gas Range"* $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS._f-Mfie i`s &ZOIE�12— New. Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** �_ $10.00 Gas Range"* $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts .and representations stated in this application are true and correct. LINDQUIST, DOUGLAS !�� , 20 ®I 194 PEARSON WAY NORTHEAST FRIDLEY, MN 55432 Owner, (763) 571-8163 Building Used As ik-61ycvCZ Estimated Cost PERMIT NO._ PLUMBING COMPANY 66-=M A)Ci C-6 Reinspection Fee $47.00/Hr SIGNED BY TEL NO. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 qOR A PLUMBING[GAS PERMIT IS $20 MINIMUM FEE TOTAL FEE $M _50 PL S THE SAD STATE SURCHAPGE - COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing 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 termination. Yes( No(.-) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) 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( ) When Installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I.Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) Is the common vent and vent connectors sized and installed correctly after an appliancehas been removed from the common vent and vented separately as`.percurrent codes. Yes( ) No ( Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat's 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 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date FR�IDLOEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 21, 2003 Mr. Douglas Lindquist 194 Pearson Way NE Fridley, MN 55432 Re: Final Inspection at 194 Pearson Way NE Contractor: Norblom Plumbing Co Dear Mr. Lindquist: A plumbing permit was issued on July 12, 2002 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date 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 permit 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 inspection called for by homeowner after notification" 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. DJ/mtr ' SUBJECT - City of Fridley r6ow32333 AT THE TOP OF THE TWINS BUILDING PERMIT 1 L COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE ,5 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 11/19/01 10B ADDRESS 194 Pearson Way NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 10 6 IPearson's Craigway Est., 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lindquist, 194 Pearson Way, Fridley, MN 55432 763-571-8163 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Seal Guard Systems, 3770 Dunlap Ave N, Arden Hills, MN 55112 651-481-7888 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 200093688 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x S DESCRIBE WORK XXXXXX Replace windows 9 CHANGE 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 Building Code. Caulking and flashing for all exterior openings. Permit Inspection Cards Will Be Mailed To Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3.87 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,737.44 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW Fire SC $7.74 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $153.25 PLAN CHECK F E TOTAL FEE Licen $ .00 $169.86 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE- HE PR LY VVAATED THIS IS YOUR PERMIT B G IN FATE S-GNATURE OF OWNER ,1F OWNER BUILDER, IDATE1 NEW [] ADDN [] ALTER [ ] 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: Lj0jqLA!5k, lq4 em[�50r) !A� Aje —Tel.# 2(g3 S771 a1jA Contractor: f)eat MN LICENSE #Z= Address: 37M Al. Ar&n 1911,1, rnW, 995112- Tel.# 491 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: mrj=3 Estimated Cost: $ 77 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: "�(S/C31 APPLICANT: VA i~Ki Tel. # &5 ! 41911 7f�S CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ 143.2S Fee Schedule -on Reverse Side $ 7.:z4 .001 of Permit Valuation (1/10th%) $ x,87 $.50/$1,000 Valuation $ $1150 per SAC Unit $ sm $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 [ ] r Bi filding BUILDING Permit No.: ao .. - ' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 1-1-09 DATE ! YOUR E-MAIL ADDRESS SITE ADDRESS G THIS APPLICANT IS: ❑ OWNER 10feONTRACTOR PROPERTY OWNER/ NAME: l_ i ,-J,oQ y t S TENANT ADDRESS: P -e vi CITY --W leleT_STATE V`1IJZIP �5 PHONE: - OZ d 1- CONTRACTOR NAME: 1 % %� ��rC�`2e J Z✓-nJ-it- l SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE to EXP DATE AND CERTIFICATE OF ADDRESS:�y t4,4 2-C) 15 Int- CITY �IZ Q (.-- STATO'+'ZIP INSURANCE PHONE l (,d FAX PROPERTY TYPE SINGLE FAMILYINEW CONSTRUCTION SIZE / ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION 32 GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION AINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ? A t S t ��. ( fG C SIZE OF IMPROVEMENT LENGTH 2 Z- WIDTH % _ HEIGHT - l SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES 'ffA77ACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) _ TOTAL JOB VALUATION $ --05 L) X' _ " OCCUPANCY TYPE Permit Fee $ IIP See Back Page for Fee Schedule Plan Review $_ 65% of Building Permit Fee Fire Surcharge $5.60 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ i .`) Make checks savable to: Citv of Fridlev Attach Stipulations THIS 1S AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit 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 of all wotk w 'c :requires review and approval of pl ns. / SIGNATURE OF APPLICANIj �- r '' ' " ti�PRINT NAME C= DATE ,� 4 / Q9 Building 000 00 BUILDING Permit No.: a Inspections See Back Page for Fee Schedule RESIDENTIAL APPLICATION Received By: 763-572-3604 Fire Surcharge CITY OF FRIDLEY Dat l;&J AN 2 0 200 763-502-4977 FAX $ a!-5 7 — .0005 x Permit Valuation Minimum $.50 License Surcharge $ EFFECTIVE 1-1-08 SAC Charge DATE 01/23/2009 YOUR E-MAIL ADDRESS jthompson@thor oon.net SrrE ADDREss 194 Pearson Way $ ft + 6 ft = ft x $21= $ THIS APPLICANT IS: ❑ OWNER ❑AONTRACTOR PROPERTY OWNER/ NAME:Lind ' St TENANT —Dopa 194 Pearson Way Fridley STATE M(J ZIP 55432 Fee Determined by Engineering ADDRESS: CITY $ PHONE: 612-228-7858 Total Due NAME: Disaster Recovery instant -EV ADDRESS: 5400 Main St NE #203A Cny Minneapolis STATE MN zip 55421 CONTRACTOR SUBMIT A COPY OF PHONE 763-571-5319 FAX 763-571-7944 YOUR STATE LICENSE STATE LICENSE # 20630501 EXP DATE 3/31/09 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Repair StuCCO Garage SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SO FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: 13 Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project R Other qt -1 iCM ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MAUI kx ALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 5 000 00 OCCUPANCY 'Il'YYh Permit Fee $ III,Z See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ r) .001 times the total job valuation Surcharge $ a!-5 7 — .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ _ Agreement necessary ( ) Non Necessary ( ) Total Due $ 118.7Z-1 Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be m conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site;hark will be in r ce wi h the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPAC T PRINT NAME Jerry Thompson DATE 1'/20/0 APPROVED BY 1, - ', '® Adm DATE PLEASE NOM.—SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK