PRE 2010 DOCSCity of Fridley, Minn.
BUDDING PERMIT N° < 53 6s
Date:V 10
k
Owner: � Builder �
Address r ��. Address
LOCATIO .' BUL I G
No. -40
Street Part4f Lot
.*
Lot ;___ Block Addition Sub-Divisio� r�
Corner Lot Inside Lot Setback_ Sideyard
Sewer Elevation _ Foundation Elevation
DESCRIPTION OF BUILDING
To Used
- Front -- Depth - Height Sq. Ft. rCu. Ft. 'r
RA
Front Depth eight Sq. Ft. Cu. Ft.
Type of nstruction44Fit. Cost o be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and m compliance with all provisions of
ordinances of the City of Fridley.
In consideration of the payment of a fee of $ W """ , permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the City limits and this permit may be revoked at any time upon violaW? of any of the provisions of said
ordinances.
e.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, Sewer or water. Be sure to we
the Building inspector for separate permNs for these Nems.
.QW4
APPLICATION FOR MUDING PERMIT
CITY OF FRIDIEY, MINNESOTA
Owner's Name /t/errw
A. -./ �.✓�®•a/ Builder2pE.c/
Address
Address_
aZ
LOCATION OF BUILDING
No.o� Street Part of Lot
7iC�sartsov s
Lot .� Block Addition or Subdivision
Corner Lot Inside Lot Z-- Setback 6-- Side -Yard /6
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
1--- 4: �
DESCRIPTION OF BUILDING
0
Sq. Ft. 77 Cu. Ft.
Front /epth�height 169
Sq. Ft. Cu. Ft.
Type of Construction �/���-��� Estimated Cost
To be Completed ���,� zz;�
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts an epresentations
stated in this application are true and correct.
DAZEoff/ -� «,rJ� / SIGNATURE .
(A Schedule of Fee Costs can be found on the Reverse Side.)
Application for Power Plants and Heating. Cooling, Ventilation, .Refrigeration and
Air Conditioning Systenms and Devices .
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE TOTAL,
1.
Furnace Shell & Duct Work ..........................
8.00 $
Replacement of Furnace .............................
5.00 $
Repairs & Alterations—up to $500.00 ..................
5.00 $
Repairs & Alterations each add. $500.00 ...............
2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00
each add. 60,000 BTU ... .................. 2.00 $
Replacement of Furnace ............. . t§.00 $
Repairs & Alterations—up to $500.00 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR Steam....... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal, per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00
GAS FITTING FEES: NO RA TOTAL
1st 3 Fixtures ...................... x $1.50 $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL F= $
Dept. of Bldgs. Phone SU, 4-7470
Location
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct
�;
.11 Fridley, Mnn_ ,b.! 4/ Z< , 19 —
Owner
Kind of Building
Used as 1
To be completed about
Estimated Cost, $ i
Old— Pm" Building Permit No. Permit No.
DESCRIPTION OF WORN
HEATING or POWER PLANTS—Steam, Hot Water, W No
Trade Name Size No- `l
00
Capacity �� �'° Sq. Ft. E.D.R BTU H.P.
Total Connected Load ` Kind of Fuel Z --
BURNER — Trade NameSize No
Capacity Sq. Ft. E.D.R BTU H.P.
Signe' '
By + I; d;a. 4r11iiif
(REMARKS—OVER)
42 2M 7-59 Business Phone No
CRONSTROMS HTG A AIR COND INC
of 9o
D-56 . "109..xeelstor Boulevard, Minneapolis 16, Minn.
am
j. rielght
Width Height No. of Lineal ft. Area
No. of Dane of pane llghts of crack sq. ft.
2
H■AT LOSS CALCYLATIONS Job Address— "`
Coef.1 Btu
Weatherstrips
ASEN.E.
Construction No.
Btu
I Insulation
9,
� ,j d -a ,.l
Glass
Guide
Glass
Exp. wall ae .=��, r
Exp. wall a v Gr p
Net exp. wall
WindowsI
aiS :,_.r
Doors
Reference Out. Wall
Int. Wall Ceiling
Roof Floor
Kind
How Applied
Yes—No
+"'
Yes—No
19—
Floor
I
Ceiling
Tbtal Btu.``
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Fl.lj**V 1000
Room I Length Width
Height ,
Fl.� Room Length Q.�,
Wid
Height
Windows and Doors—Crackage an Area
Windows and Doors—Crackage and Area
Width
No. of pane
Height No. of Lineal f . Area
of Dan�yep lights of crpaacr k sq. ft.
Width Height No. of Lineal ft.
No. of pane ofpane lights of crack
Area
sq. fto
$
'� % �
� �W -7s. �
X.
iJ p
i�rii�
�4
Ay.
fR C2
!
-
G
6✓3
Coef. Btu
Coef.
Btu
Infiltration
" ,
Y + C' e o
Infiltration •.
P0
% V, d
Glass
r
9'
Glass
34 So
Exp. wall
b .r
Exp. wall 9
Net exp. wall
a
Net exp. wall
Ceilin
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
7
1 FI.I It, Room I Lenathf' id/ da Height V
Windows and Doors---Crackage and Area
' W ldth
j. rielght
Width Height No. of Lineal ft. Area
No. of Dane of pane llghts of crack sq. ft.
v of 129
Width Height No. of Lineal ft. Area
No. - of pane of pane lights of crack sq. ft.
Coef.1 Btu
Coef. Btu
Coef.
Btu
Infiltration
9,
� ,j d -a ,.l
Glass
20 'T.R
Glass
Exp. wall ae .=��, r
Exp. wall a v Gr p
Net exp. wall
Exp: wall
aiS :,_.r
1,0x f ,2
Int. wall
Net exp. wall
Int. wall
Floor
+"'
Int. wall
J > 7.+
Floor
Floor-�`"'"K
Ceiling
Tbtal Btu.``
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
22L
15 -
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
F1. Room I Length V Wid i
Windows and Doors—Crackage and Area
Width Helght No. of Lineal tt. Area
No. of pane of pane I1Bhts of creek sq. ft
Int. wall
Ceiling
Floor
Total Btu. is
Required sq. ft. E.D.R. or sq, ins. WA. Leader area
Y1.1 44A,,V Room I l ength j _j
' W ldth
j. rielght
Windows and Doors—Craekage and Area
Width Height No. of Lineal ft. Area
No. - of pane of pane lights of crack sq. ft.
Coef.1 Btu
Coef. Btu
Infiltration
Coef.1 Btu
Infiltration .t
9,
� ,j d -a ,.l
Glass
t'
$" 9110
Exp. wall ae .=��, r
Exp. wall a v Gr p
Net exp. wall
Net exp. wall
t,+
Int. wall
Int. wall
Ceiling
Int. wall
Floor
+"'
Ceiling
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
F1.1 IJAJ Room I Le g:-. /idth / Height
Windows and Doors—Crackage an Area
Width HelBht No. of n=
ft. Area
No. of pane of.pane lights of crack eq. ft.
Coef.1 Btu
Coef. Btu
Infiltration
yo : /yo
Infiltration 1A Vit', 6
9,
Glass -A
! v oo
Glass .
tr, 4,
Exp. wall 5r 11
Exp. wall a v Gr p
Net exp. wall
t L�
Net exp, wall
Int. wall
Int. wall
Ceiling I h=,
+"'
Ceiling
J > 7.+
Floor
Floor-�`"'"K
Tbtal Btu.``
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Total Btu. j
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
CRONSTROMS HTG. & AIR COND., INC. o
D-56 4410 Excelsior Boulevard, Minneapolis 16, Minn. d; IAI
.011000 2 NEAT LOSS CALCULATIONS Job Address
Weatherstrips A.S.H. Guide e.E. Construction No. I Insulation
Windows( Doors Reference Out. Wall Int. WaD Ceiling Roof4-En-1
Kind How Applied
Nes—No Yes—No 19—
I Fl.1 .. J ij Room I Lengt '7* t. Width I A..rL Heisrht JF II F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No* of pane of pane lights of crack sq. ft.
Coef.1 Btu
Infiltration
Glass
Coef.
Btu
Infiltration
Net exp. wall
'
Int. wall
VO
lok 0
Glass
Floor
S, .
Exp. wall,
Net exp. wall
0
Int. wall
Ceilings
►
Floor s
Total Btu. 6 S
Required sq. ft. E.D.R. or sq. ins. W.A. leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.1 Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. fL
Coef.1 Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ina. WA. Leader area
Windows and Doors--Crackage and Area
Width Height No. of Lineal tL Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. k. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Heiaht
Windows and Doors—Crackage and Area
Width Height No, of Lineal ft. Area
No. of pane of pane 11ghte of crack aq. ft.
Coef.1 Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. leader area
F1.1 Room 1Length Width Heiaht
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of -pans lights of crack sq. ft.
Coef.1 Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Ph ne SII
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Lowtio
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg . ............
N
�•
RATE
TOTAL
x
$1.50
r,
U
<3
(�9 °d
'3
i
�p
•
F
•
N
WATER HTR.
GAS
ELEG
Base
x
3.25
$
x
2.00
$
x
3.25
$
1st
/
2nd
3rd
4th
• Future Connection Openings I
New Fixture, Old Openings
Connected with
Sewer El
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg . ............
N
�•
RATE
TOTAL
x
$1.50
�
$�
'3
x
1.20
$
x
1.00
$
x
3.25
$
x
2.00
$
x
3.25
$
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... ✓ x $1.50 $ /•
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $,Z1' -,:F0—
City of Fridley:
nL'OK,�
The undersigned hereby .makes application for a permit for the work herein
specified, agreeing to do all work in strl�,d
cordance with the City Ordinance
and ruling of the Department of Buildin hereby declares that all the fact
and representations stated in this applic dare tgue and correct.
Fridley, iAMi
Owner
Kind of Building
Used as
To be completed about `8
Estimated Cost, $ A 401-V
Old New wilding Permit No Permit No.
ROUGH;• I� I -(0 1
FINAL
42 2M,
Business Phone No.
F4I n
ON
SUBJECT
PERMIT NO.
City of Fridley
121 41
AT THE TOP OF THE TWINS
BUILDING PERM
I T
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
i 1
'l CITY HALL FRIDLEY 55432
J 612-560-3450
910-F15
5/24/73
JOB ADDRESS 214 Pearson Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
6
Pearson's Craigway Estates 2nd
Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Norman R. Johnson 214 Pearson WY. N.E.
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Don Robertson 4919 Jackson Street N.E.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW CSC ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK Construct a 10' x 22' addition to garage
9 CHANGE OF USE FROM TO
STIPULATIONS Agreement signed by neighbor for lack of verifying survey
PERMITS REQUIRED FOR WIRING.
SEPERATE
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
R-1
220
2200
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.
$12600.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.80
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
12.00
STRUCTI N OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$12.80
SIGNATURE OFCONTRAC ORO UTHORIZEDAGENT (DATE)
THIS IS�/\YOUR PERMIT
��W/HiEAAN9PROPERLL/Y^'/VALIDATED
GIC/L✓ j \
BLDG INSP
' ®/1 �
DATE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
ON
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: -'4",M G �, �ONKso., BUILDER: -20 74 erfS®r-1
ADDRESS: -�/� �eq rs oh GUa /l/� ADDRESS:_ i9 /9 �IGgG�s®,� Alf
NO:. -2 /E% STREET: re -A rs c, I, GUcZY /�E
i p
LOT: BLOCK: ADDITION: ee rs®.\'VC ►Gi4yIA�s%�es �si�a�c%��'��
CORNER LOT: INSIDE LOT:.,/\O SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
rareoe- 1444-1- Front: /O Depth: m2 -.Z Height:
Square Feet: -Z Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: j-ood FrO me Estimated Cost:_,$ A"o?.0, ®p
To Be Completed:'/g�
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct,
DATE: SIGNATURE
(See Reverse Side For Additional Information.)
,rt U0
-
1,2.60
3
.10
I, Leonard W. Saumelson owner of the property located at
7800 East -River Road have no objection to the City
allowing the construction of a Gare ® Addition to be located at
. 214 Pearson Wag without the required certif i of survey
that the City ordinarily requires for all new cons recti h.
Signed -
7800 East River Road
Address
Mang 24, 1973
Witness Date .
e
ENGINEERS AND SUQVEYORS
LAND SURVEYINO
CIVIL & IvtUNICIOAL ENC384-AEERINO SOILS TESTING
6418-5laTM AVENUE N. LANG PLANNING
MINNEAPOL15 27. MINN.
KE 7- 3637
�C le II<f
m
'z , o
I
"RE 5Y' CERTIFY THAT THIS I; P% TRUE ANO CI aI2EiLT R:i'RESEN A11p1,1 OF A SURVEY OF THE BOUNppuZIES OF THE
5r)VE DE5Cft;3ED AND OF THE LOW ION OI ALL WILU1SV,j;, !F ANY, T14EREON , ANU ALL Y1519LE EWCROACHMcNTS,
QONl eR OMSP.ID LAND.
• ^y'iINDER DIGIN UZINCI Co., INIz.
v ENGINE -�1<� naD �S�IwE��
by
"RE 5Y' CERTIFY THAT THIS I; P% TRUE ANO CI aI2EiLT R:i'RESEN A11p1,1 OF A SURVEY OF THE BOUNppuZIES OF THE
5r)VE DE5Cft;3ED AND OF THE LOW ION OI ALL WILU1SV,j;, !F ANY, T14EREON , ANU ALL Y1519LE EWCROACHMcNTS,
QONl eR OMSP.ID LAND.
• ^y'iINDER DIGIN UZINCI Co., INIz.
v ENGINE -�1<� naD �S�IwE��
by
SUBJECT
PERMI
City of Fridley
171.5 9
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
' `
RECEIPT
• ___ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 �
� % CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
5123/831
JOB ADDRESS 214 Pearson Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
9
6
Pearson' Craigway Estates 2 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Don R. Blakeslee 214 Pearson Way N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd bm layer but not 3rd. Install galvanized valleys.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Pi hprg1aS_cL_
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
I
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
$1,000
$.50
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-
$17.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
K$18.00
gEOFC ACTOR ORAUTM IZEDq ENT (DATE)
WHEN PROPERLY(A D TED IS IS YOUR PER IT
0�11t�rft"EOF
AA i MM
W R UILDERI (DATE)
BLDG INSP ATE
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations. Additions. or Repairs)
ONHER: � f,-��,�
ADDRESS:
TEL 110: d -c.I !
s
BUILDER:•
ADDRESS: �.
TEL NO:
Construction Location
e �
LOT: tIAOCs ADDITZON: �Z
j C1
Corner Lot: Inside Lots Setbacks Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOR OF OMSTRUCTION
d() Front:
Square Feet:
Depths Height:
Cubic Feet:
Front: Depths _ .� Height:
Square Fest: Cubic Peet:
sype of Constructions its Estimated Costs t
'b Be Cbr.-pleted:
Alt. A Alt. 8
Proposed Drive+ay Width If Now Opening Is Desired:
SEE MVER.SE SIDE OF SHEET
sire undersigned hereby snakes application for a permit for the %irk herein specified,
agreeing to do ,all work lit strict accordance with the City of Fridley Ordinances and
rvlings of the Delx*txtmcnt of Buildings, and hereby declares that all the facts and
representAtiens stated in this applicatio true eorrect.
C—
ass:. 6 SIGNATUM:
Stipulatiosis s � �'
gJAMW
U7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 . (612) 571-3450 • FAX (612) 571-1287
October 31, 1990
Owner/Occupant
214 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
01
SUBJECT
P I
City of Fridley
9534
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
`- -__-� COMMUNITY DEVELOPMENT DIV.
- SEC.
r � PROTECTIVE INSPECTION
1 �'-'1 CITY HALL FRIDLEY 55432
IL
NUMBER
REV
DATE
PAGE OF
APPROVED BY
--"'A ' 612-571-3450
910-FlS
5/24/99
10B ADDRESS 214 Pearson Way NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
() 1 Pearson's Craiqway Estates 2nd Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Stock Roofing Inc. 289 Liberty St NE Fridley 5543 780-3561
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 X( REPAIR 0 MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (22 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED 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
$1885
$.94
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY 0TH OR LOCAL LAW REGULATING CON.
$66.20
STRUCTION O ERFORMANCE OF CONSTRUCTION
Fi a SC $1.88
PLAN CHECK FEE
L FEE
Lice C $51
17'4.02
SIGN A TUBE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI
HE PRO
B G NSP
VALI THIS IS Y BERM
AtE
S-GNATURE OF OWNER,IF OWNER BUILOERI IDATEI
01
NE1W [ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY 44
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 2pq 5 3V
BUILDING PERMIT APPLICATION o9
Construction Address: —7 �� ���� SaaJ G -J ^-,`
Legal Description:
Owner Name & Address: Tel. #
Contractor: sl�l&-� MN LICENSE #//Z
Address: Z %<��,i� Tel. # ZFO` S S
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
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: X e 9 y d �� '2 Z Estimated Cost: $ 15,59
Driveway Curb Cut Width Needed:
DATE: 51j 7' APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL $ L�
STIPULATIONS:
Ft. + 6 Ft = Ft
CITY USE ONLY
ME
Tel. # 70-35 C /
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
SUBJECT
PER:M1?11=-_�
_ �`
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT -
_1_ _30664
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
50
i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
"'"1 CITY HALL FRIDLEY 55432
'
612-571-3450
910415
2/15/00
JOB ADDRESS 214 Pearson Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
9
6
1 Pearson's Craigway Estates 2nd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Olszanski 214 Pearson Way NE
572-3897
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
RNR Construction 12049 Oregon Cir, Champlin, MN
55316 849-4057 6644
a ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION j7 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside House & Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REOUIRED 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
] 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
@@
@
$2.15
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$4,295
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-
$111.25
Fire SC $4.30
S U R THE PERFORMANCE OF CONSTRUCTION
-.b ���4f� a go
PLAN CHECK FEE
TOT EE
License $5.00
$122.70
SIG ATURE OF CON' TO OR AU NORIZEO AGENT IDATEI
EN PR
ALIDATE T IS IS YOUR PERMIT
_
Bl G INS '
,l�
OAtE
S-GNATUREOFOWNEROFOWNER BUILDERI IDATEI
NEW [ l Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION^ n 4
Construction Address: �L S
Legal Description:
Owner Name &Address: R (J 3
(� �Z �4 S fC I Tel. # S%� -
Contractor: X A% IC 6 n 5 i2 tt. c4/ MN LICENSE # 6
Address: )-;� o 49 ®eL- U o— 01/ N Tel. # �H9 -,416:5' '%
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: &`�7E -s-/ O L 1A6,0_6 '12� 614A?146 LS
Construction Type: Estimated Cost: $ '�' �- 95
Driveway Curb Cut Width Needed:
Ft. + 6 Ft =
Ft x $ _ $
DATE: �S!/e�� APPLICANT:
Tel. # W9 - 7 �`S�
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Call (763) 572-3604 for Permit Fees if mailing in application
$ 111"2S Fee Schedule on Reverse Side
$ /30 .001 of Permit Valuation (1/10th%)
$ /S $.50/$1,000 Valuation
$ _ $1100 per SAC Unit
$ 60 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
$ A�a.90
CITY OF FRIDLEY INSPECTION
6431 University Ave NE
Fridley, MN 55432
(763) 572.3604
FAX (763) 571-1287
RATE SCHEDULE
DIViSION
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Pipi Needed with new furnace,
b t not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes ( C�
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Effective January i, LUU.s
JOB ADDRESS f'y Pec�csar� ��
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
$ BTU HP EDR
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE �/ 63
HEA I NG CO tia++en�
i e TEL #
65,re�s+
FAX #
Approved By Rough In Date Final Date __7
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
OWNER J'An 01
Szran. 06
Rate
TOTAL
BUILDING USED AS
Ae-ro L
$ 30.00
$
ESTIMATED COST
� PERMIT NO._ ')
$ 10.00
$
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00
$
No. of Heating Units
Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00
$
Trade Name OtxeLeirc-
(--t r- Size No.
BTU ;300
HP EDR
$ 25.00
$
Fuel HL:1
Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
$ BTU HP EDR
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE �/ 63
HEA I NG CO tia++en�
i e TEL #
65,re�s+
FAX #
Approved By Rough In Date Final Date __7
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
r-niyimm yFNTVENT ANN1= TQR AND r.0MRI IRTION AIR RIFICATIAN
When replacing an ax9shngfitrannn, 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 (1 No ( )
The venting system is plasticfPVC 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 avinfing comb, etien air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes( No ( )
When required to inetall a new cnmhije+ien airy it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes () No ( )
When JOSftlionn a naw venting, SUStem, the undersigned hereby verifies that
it isa 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 appliance has been removed from the common vent and vented
separately as per current codes.
Si7p/Cnmmon Vent and Vent nnnectnr
Yes ()No( )
Infermatian
AgInli nee impe and
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter
inches
Appliance #1 Vent 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 M
HEATING CO:
Signed By: Date :
NEW [ ] �(Q CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: . Pt o!! J) A) (I
Legal Description:
Owner Name & Addressam n a K) M N sio r) d t,-; Tel. #
Window Concepts of MN, Inc.
990 Lone Oak Road -Suite #114
Eagan, Minnesota 55121
Office 651-905-0105 Fax 651-905-1745
License #MN20163493 WI 963862
www. windowconceptsmn. com
MN LICENSE #
Tel. #
o this application, a Certificate of Survey of the
the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width
GARAGE AREA: Length Width
DECK AREA: Length Width
OTHER:
Height Sq. Ft
Height Sq. Ft
Hgt/Ground Sq. Ft
D�
Construction Type: l l l LAJ (M)O IW IltS Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft= Ft x $ =$
DATE: U- � O APPLICANT: 3 Ora % l � C on -h-11 C� .
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ STIPULATIONS:
4 1 �