PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT' N° s 1 s s
Date:
Owner: 6196&0 90e EBunder
Address 1 Address
LOC TIO UILDING
No. 10Street ,,,,.► Part Lot
Lot _ Block AdditionSub-Divisio�
Corner Lot — Inside Lot Setback �y�_� Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
TO Used I if 4f
Front Depth Height Sq. FL cu. Ft. 4 47
nt Depth ' rr Freight ,�� Sq. Ft. Cu. Ft.
Type Of nstruction Est. 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 in compliance with a'il provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ f i f , 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 violation of any of the provisions of said
ordinances. AO--%.; .R `"l
NOTICE:
Ibb permit does not corer the condructloo, lnstaliatlon for wbb& phimhieo, on hodh% sewer er water. Be sure to see
the Bnildtno lespeetor for srparde permits for these fto=6
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
641Owner's Name Builder &94=
f'�
Address
LOCATION OF BUILDING
No. %3o Street�,� &, g Part of Lot
Lot Block Addition or Subdivisio
Corner Lot Inside Loth Setback Side-Yard�►o'
SEWER ELEVATION FOUNDATION ELEVATION s—
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
qAfze
To be sed as:�-4 A4-
,:r r
Front 140- Depth PV' Height
Sq. Ft. Cu'. Ft.
l Front Z:E Depth Height
Sq, Ft. Cu. Ft.
G
Type of Construction g� Estimated Cost 3 3'a
To be Completed , 4 J
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 stated in this application
are true and correct.
f
(Schedule of Fee Costs can be found on the Reverse Side).
X ..
Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU V7
GRAVITY WARM AIR:
RATE TOTAL
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 $
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $—
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
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. EDR 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
0.1
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $S�
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 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE i�--
ROUGH
FINAL
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 trueopnd correct.
Owner
Kind of Building
Used as ��_e
To be completed about
Fridley,Minn- /,d& �
Estimated Cost, $
O1dBuilding Permit No. Permit No. 12-0
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No L�
Trade Name ����� Size
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Loa Z Kind of Fue ✓
BURNER — Trade Name Size
Capacity Sq. Ft. E.D.R.4-Aal &* BTU H.P.
SUBURBAN HEATING & SHEET METAL
8419 CENUR tR DRIVE N. E.
Signed MINNEAPOLIS 21, MINK.
By
48 2M Business Phone No
(REMARKS -OVER)
Compliments of North Central Public Service Co., . 1101 , W,
HEAT LOSS CALCULATIONS
DEPARTMENT OF
Weatherstrips
A.S.H.V.E.
Construction No.
No.
Guide
No. of Lineal ft. Area
lights of crack sq. ft.
Pindowa
Doors
Reference
Out. Wall
Wall)
Ceiling
infiltration �6,
I
r
Glass
IInt.
2 2 -'A -
YExp.
FIM- I .. __.%
Length'
"Width A_/ Heiffht !;V II
Btu
Windows'
Doo
ckage and Area
_
Area
sq. ft.
No.
Width Height
of pane of pane
No. of Lineal ft. Area
lights of crack sq. ft.
I No. of
lights
Lineal ft.
of crack
,3
i�
2- Q<aq
infiltration �6,
Pu
r
Glass
"S
2 2 -'A -
YExp.
FAP. wall XL
Coef.
Btu
Infiltration
17467,
,
Exp. wall
Net exp. wan
ZO
1,376
Glass
Int, wall
Floor
Coef.
,$
G
Exp. wall
Required sq. ft. E.I)4t. or sq. ins. W.A. Leader area
g
Glass
Net exp. Wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Exp. wall
2Y
Exp. wall
2 2,,80
Int, wall
Net exp. wall
Int. wall
Ceiling
,
Ceiling
Ceiling
Floor
Floor
Total Btu.
Total Btu.
Required sq. ft. !2.R. or sq. ins. W.A. Leader area
Fl_ I Length / Width /- / Height
Windows and Doors--Crackage and Area
_
No.
Width Height No. of Lineal ft. Area
of p e of pane lights of cra sq. ft.
Area
sq. ft.
No.
Width
of pane
e�
I No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Caef.
Btu
infiltration �6,
20
),?,-
Glass
"S
2 2 -'A -
YExp.
FAP. wall XL
Net exp. wall 174 1
za 1
17467,
Int, wall
Exp. wall
Net exp. wan
Ceiling
Int, wall
Floor
Coef.
/
Total Btu,
f
Required sq. ft. E.I)4t. or sq. ins. W.A. Leader area
Fl. I / I Length /- / Width -,-7/ Height 9"
Windows and Doors=Crackage and Area
_
Width Height
No. of pane of pace
No. of Lineal ft.
lights of crack
Area
sq. ft.
No.
Width
of pane
Height
of pane
I No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Coef.
Btu
Infiltration
Glass
Exp. wall
Net exp. wan
Q
Int, wall
Coef.
Btu
Ceiling
Btu
Infiltration
Floor
Glass
Glass
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Exp. wall
Insulation
Roof ( Floor Kind I How
'l L Room I LengthVe;�e/ lVidth
Wlndows d Doors—Cmckage and Area
Height
Btu
Infiltration � � 210 116 j
Glass
Exp. wall
Net exp. wall p k6-0
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. I Room I Length Width Height
Windows
and
Doors—Crackage
and Area
Width
of pane
No.
Width
of pane
Height
of pane
I No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Coef.
Btu
Coef.
Btu
Infiltration
Glass
Glass
Exp. wall
Exp. wall
Net exp. wall
Net exp. wall
Int. wall
Int. wall
,
Ceiling
Ceiling
Floor
Floor
Total Btu.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
Fl. I Room I Length Width Height
Windows and
Doors—Crackage and Area
_
No.
Width
of pane
I Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Coef.
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
Compliments of North Central Public Service Co.,
HEAT LOSS CALCULATIONS DEPARTMENT OF
INGS
Weatherstrips A.SJLV.E. Construction No.
Guide
Windows Doors Reference Out. Wall IInt. Walll Ceiling I Roof I Floor I;
FL I,/..a� Room I Length o Width /),Height Jr m
Windows and Doors—Crackage and Area Windows and Doors—(
No. I of vane
I Hof ane I P
No.
idtli Height
oY pane oY pane
No. oY Lineal ft.
lights of crack
Area
sq. ft.
S
Area
sq. ft.
Z
y 4ro
1
Coef.1
Btu
Infiltration �"®
p
,Om ,0
Glass
v�
Glass
Exp. wall
Infiltration
Net exp. wall
Int. wall
Z
Btu
Ceiling
Floor
O
D
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Exp. wall
J FL I Ao,11 Room I Length 12, Width /L Height R"r
Windows and Doors—Ciackage and Area
Doors--Crackage and Area
No.
Width height No. of Lineal ft
of pane of pane lights of crackj
Area
sq. ft.
Z
3
1
Coef.
Btu
Infiltration
7,0a
v�
Glass
Btu
Infiltration
Exp. wall
Net exp. wall
Int. wall
10-
Btu
Glass
Ceiling
Floor
S
Exp. wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
-) _FL I Room I Length , Width / 7— Height 7
Windows and
Doors--Crackage and Area
_
Width
No. of pane
Leight No. of
oss pane lights
Lineal ft
of crack
Area
sq. ft.
Area
sq. ft.
Coef.
Btu
Infiltration
Coef.
Btu
Glass
S
Exp. wall
Glass
Net exp. wall
Exp. wall
Int wall
Net exp. wall
Ceiling
Floor
Int. wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
J
Insulation
Length ) / Wit
mckage and Area
MiF���- WMAK-W;
/ Height
Btu
Infiltration 14%:Z -I
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling ® 40
Floor
Total Btu, ,-
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room I Length Width Height
Windows and
Doors—Crackage and Area
_
No. Width
of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Coef.
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 I
Fl. I Room I Length Width Height
Windows and
Doors—Crackage and Area
No.
Width
of pane
Height No. of
oY pane lights
Lineal ft.
of crack
Area
sq. ft.
Coef.
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
City of Fridley
Application for Plumbing and Gas FittingP'
Dept. of Bldgs. Phone SII 4 -
DESCRIPTION OF WORK / "� - s—
� ' •� 6
Number, Kind and Location of Fixtures Location E ,
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE iOTAL
Number Fixtures ......................
x
$1.50
Y
— x
Z
OO N
N
`�
�•1
�Sa
Z
�o
•
F
`
N
WATER HTR.
GAS
EIEC.
Base
IR
$
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
! x
$1.5o
$—-�
Additional Fixtures ....................
x
.50
$
1st
,
2.00
$
f
2nd
3rd
4th
• Future Connection Openings
e New Fixture, Old Openings
Connected with
Sewer ❑
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE iOTAL
Number Fixtures ......................
x
$1.50
Future Fixture Opening ................
— x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......x
�G
2.00
$
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
! x
$1.5o
$—-�
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE
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.
Owner
Kind of
Used as
Tobec _
Estimate ost, $
Old—ew uilding Permit
ROUGH A 6 _ � 2 -
FINAL
.1161�0.42 '2M
a
City of Fridley
Application for Plumbing and Gas Ruing Perndt
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
q
3
U0'
?
�O
F
N
WATER HTR.
GAS
ELEC.
Base
1st
2nd
3rd
4th
• Future Connection Openings
New Fixture, old Openings
I
Connected with
Sewer �
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL.
Number Fixtures x $2.00 $
Future Fixture Opening ................ x $1.50 $
New Fixture Old Opening .............. x $1.50 $
Catch Basin ... ........................ x $3.25 $
Water Heater (Up to 99,000 BTU) ...... x $3.00 $
New Ground Run Old Bldg. ............ x $3.25 $
Electric Water Heater a $2,00 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... 2 x $2.00 $ 2.00
Additional Fixtures x $ .75 $
Gas Range to 199,000 BTU .............. x $5.00 $
install (1) gas grill & (1) lite 6.00
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ 8.00
Location 7830 Pearson Way
City of Fridley:
53-84-5915.51
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, NCnn_ June 26, 1970 , 19_
Owner Ldnoard Shea Jr
Kind of Building IrAMe
Used as residence
To be completed about June 30, 1970
Estimated Cost, $_90 -W
Old-ANew. Building Permit No Permit No.
Signe
Burin on
w�� �vNEAPCL1S
GAS CO.
ROUGH
FINAL
42
suBdEcr
PER
City of Fridley
12520
AT THE TOP OF THE TWINS
DING D[RvITT®
r
DUI
N0.
• ______ COMMUNITY DEVELOPMENT DIV.
~
INSPECTION
rECEIPT
1/Q,
r PROTECTIVE SEC.
� �
I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
5/2/74
JOB ADDRESS
8
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
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 41 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK Construct a 20' x 16' Addition to Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
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
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
—�
32O
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
$71p
3.50 3.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. -
$24.55
STRU N OR THE PERFORMANCE OF CO STRUCTION.
'4
PLAN CHECK FEE
TOTAL FEE
L 4�4 �- 4-1--f�o /
$2&:05
I
NATURE OF CONTRACTOR OR ORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS I YOUR PERMITaA-A,
. �
s
1
BLDG INSP D E
,SI NA' RE OF OWNER IIF OWNER BUILDERI (DATE)
Mortgage Loan Survey for 114R /E=1rVA5VZ
44
e
-'G
Pea-rson's Craigwcy Estates
2nd I'Aditio:*
N
This is atrue and correct representation of a survey of the boundaries of the land above described,and of the
location of alt buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is
mode only in connection with a mortgage loan now being placed on the property and no liability is assumed
except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It
understood and agreed no monuments have been placed
for the purpose of establishing lot lines or boundary Minnesota Valley Surveyor &
corners. Dated this 2Lvday of A. D.,19_¢,
� Eooaeers, Corp.
Minn. Beg, No, 9293
MINNESOTA VALLEY
SURVEYORS & ENGINEERS CORP.
17008 E -17TH AVENUE SOUTH BURNSVILLE, MINNESOTA 55378
ph— B90 775o
Mortgage Loan Survey for 114R /E=1rVA5VZ
44
e
-'G
Pea-rson's Craigwcy Estates
2nd I'Aditio:*
N
This is atrue and correct representation of a survey of the boundaries of the land above described,and of the
location of alt buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is
mode only in connection with a mortgage loan now being placed on the property and no liability is assumed
except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It
understood and agreed no monuments have been placed
for the purpose of establishing lot lines or boundary Minnesota Valley Surveyor &
corners. Dated this 2Lvday of A. D.,19_¢,
� Eooaeers, Corp.
Minn. Beg, No, 9293
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : �j, BUILDER:^ -mac-
ADDRESS: '28 .5 D GULet/ADDRESS:
NO:. 1936 STREET: ( �
LOT: S BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth:
Square Feet: Cubic Feet:
Front:
Height:
Depth: <o Height:
Square Feet; a U CubicFeet:
Type of Construction: Estimated Cost:_$ O D Q
To Be Completed: '
The undersigned hereby makes appl.icatiDn 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 stated in this application
are true and correct.
DATE: SIGNATURE:
(See Reverse Side For Additional Information.)
WaOA i , 'G un T -04o0
I
J(V
30,u - x'
0006)(6,0v= G}Z,UG
�f �
SUBJECT
NO.
City of Fridley
7""i
AT THE TOP OF THE TWINS
B U I L D I N G P E R M I T
_17279
�
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
//D
t I ,
j J \ ,,� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
1. 910-F15
10/7/83
JOB ADDRESS 7830 Pearson Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
6
Craigway Estates 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Leonard Shea 7830 Pearson Way N.E. 571-0594
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 121-x 7' Deck and enclose 12' x 6' Entry
9 CHANGE OF USE FROM TO
STIPULATIONS
Before digging call local utilities SEPERATE PERMITS REQUIRED FOR WIRING.
TELEPHONE- ELECTRIC -GAS Etc. HEATING, PLUMBING AND SIGNS.
REQUIRED BY LAW
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
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
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND GOVERNINGTYPE WORK WILL BE OPERMIT
$3,350
$1.68
HER SPECIE EDEREINIS
WITH WHETHER OR NOTOTHE GRANTING OF AF
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-
$44.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$11.13
$57.31
SI N. RE OF CONTRACTOR Fj.RUTHI ¢EDAGENT (DATE
WHEN PROPERLY V ]DATED THIS IS YOUR PERMIT
A/rl
ot? 10191,0_3
BLDG iNSP E
SiG ATURE OF OWNER (IF OWNER BUt DER) (DATE]
�f �
CITY -OF FRIDLEY
. Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PLEMITS
New,, Alterations, Additions, or Repairs)
OWNER:
ADDRESS: - 3o
TEL 110: f7/ —4 S_' 9'Y
-7_0077— /�
•BUILDER:
ADDRESS:
TEL 110:
Construction Location
STREET NO: STREET: C -00 -
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOR OF CO?'STRUCTION
�40N i �71bFront: Depth: Height:
4 ✓ d Ot Square r eet: 2� Cubic Feet:
19�e��4
Front: Depth: Height:
`
SquarV Feet:
/
Cubic Feet:
Type of Construction:
Estimated
Cost: S 1 O
'lb Be Cbr.ipleted: 13,0
Alt. A Alt. B
Proposed Drivciay Width If New Opening Is Desired: $ $
SEE PZVF.ILL' SIDE OF SHEET
9Sie undersigned hereby makes application for a permit fcr the:ork herein specified,
agreeing to do.all work in strict accordance with the City of rridley Ordinances and
rulings of the Department. of Buildings, and hereby declares that all the facts and
representations s a�ted/in this application are true and correct.
DATE: �® SIGNAITUT-E-
Stipu,,lant(ioons : "
CI7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
October 31, 1990
Owner/Occupant
7830 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 INSPECTION DIV. Effective On January 1, 199-6
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES , /
JOB ADDRESS�� �d� CJA 7
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Sumer — rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00 $ representations stated in this application are true and cort.
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace) $10.00 $
OWNER -Z—ZI,)
Gas Range $10.00 $ —'
BUILDING USED AS ®%
Gas Dryer
$10.00 $ ESTIMATED COST __ __ PERMIT NO. �
*Air Conditioning — All Sizes $10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
I% of Value of Appliance or Work $
Commercial/Industrial
1% of Value of Appliance or Work $
GAS P(PE fbP- F-�gf- ?LACE
State Surcharge $ 50
TOTAL FEE s /s2)
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $ SO STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING
Signed By
Approved
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
)AIC
-
x
NOTE: #1 through #8 required when using a side vent furnace.
CMMnY_AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
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's connected
Yes ()
No
( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks:
HEATING CO:
Signed By:
Date:
im
SUBJECT
City of Fridley
25378
AT THE TOP OF THE TWINS
BUILDING
PERMIT
��
-------COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION SEC.
r
NUMBED
REV
DATE
8/18/97
PAGE Of
APPROVED BY
i
� �""1 � CITY HALL FRIDLEY 55432
k''612-571-3450
'�'t
910-F15
JOB ADDRESS 7830 Pearson Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
6
Pearson's Craigway Estates 2nd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP .PHONE
Leonard Shea 7830 Pearson Way NE
571-0594
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 tA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 10' Shed
9 CHANGE OF USE FROM
TO
STIPULATIONS See notations on plan.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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 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
1
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-
$34.75
Fire SC $1.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
OTALFEE
$36.25
SIGNATUR SOF CONTRACTOR MORIZED , N7 IDATEI
_x
E FPR
Y VA I TEO THIS IS YOUR PERMIT
IN
• /
PATE
GNAT E0 OWNE IIFO ER IDATEI�BfDG
im
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �s3 7P
BUILDING PERMIT APPLICATION
ConstructionAddress: JYUP 1 /- Z
Legal Description:
Owner Name & Address: �,nl/12) Sr, Tel. # e-31
E
Contractor: [_ �, �,� �, SMN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Tel. # 5 2 2 - C>.j�
b
DESCRIPTION OF IMPROVEMENT
LIVING .AREA: Length Width Height Sq. Ft.
GARAGE AREA: .5 Length Z Width il.? Height ---Z— Sq. Ft. Q
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: >,� , `� �� _ Estimated Cost: $ y; �'' �� 4�1'
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = -Ft..,x $ _ $
DATE: APPLICANT:
Tel. #_I 3 2Z -
CITY USE ONLY
Permit Fee $ 1� Fee Schedule on Reverse Side
Fire Surcharge $ aL .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $950 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. ";k" 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:
MINNESOTA VALLEY
g rn SURVEYORS & ENGINEERS CORP.
G
12000 E.I2TN AVENUE SOUTH BURNSVILL E, MINNESOTA $5378
�j•0 EaG` PA— 890.7750
Mortgage Loan Survey for A4Q
LU �
v�
I
_.Ot 5, oc'
Pen son's Crai;;w-: r:stntes
2 Iii ..ddit * I
This is a true and correct representation of o survey of the boundaries of the land above described,and of the
I... of all buildings, if any, thereon, and oil visible encroachments, if any, from or on said land this survey is
mode only in connection with a mortgage loan now being placed on the property and no liability is assumed
except to the holder of such mortgage or any other interest acquired by the reason of such mortgage, it is
understood and agreed no monuments have been placed
for the purpose of establishing lot lines or boundary Minnesota Valley Surveyors &
corners. Doted thlsi:�day of 111:v A. D. 19_ lo _
En��ecre r Corp. -
by_,-�- l' %" �� RLS
SUBJECT
PERMIT NO.
City of Fraley
AT THE TOP OF THE TWINS
BUILDING P E R
M I T
Ir
L. COMMUNITY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATEPAGE
OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
9/19/97
f'
JOB ADDRESS 7830 Pearson Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
6
Pearson's Craigway Estates 2nd
Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Leonard Shea 7830 Pearson Way NE
571-0594
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
New Haven Construction 4208 83 Ave N, Brooklyn Park, MN
55443 566-5225
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20077950
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 Sq) 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 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
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
$2,001
sm $1.00
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-
$74.75
Fire SC $2.00
STRU(KION OR THE PERFORM CEO CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$82.75
SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDA. EI
WHEN PROPERLY n1DATED THIS IS YOUR
X-Or�A4 .&�
BLO (NSP
/'PERMIT
-G
-
r)ATE
SIGNATURE OF OWNER,,F OWNER BUILDER) IOATEI
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 78-�;O peq
Legal Description: /
Owner Name & Address: l-e07'IRr� �j�� Tel. # ✓��/- O. i�
Contractor: V ga c/eti/ 6:;vc ST fvG 0' / &4/, �C MN LICENSE #_ X0;;>?
Address: L00 9 .93 4V A-,<- s" VY,? Tel. # 15-6 6 - �ad5
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Width
Length Width
ength/ Width
2-V00h( �dvSL aA (r.
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
Z
pp e�
Construction Type: k00 'F VBG// I q C'yyl-el Estimated Cost: s_3
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:.-?-,)-)- 9 APPLICANT: Tel. #-6
STIPULATIONS:
. , If
CITY USE ONLY
Permit Fee
$ /, �]S
Fee Schedule on Reverse Side
Fire Surcharge
$ a 4�
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 1,60
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
_
$
$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
$ 61
STIPULATIONS:
. , If
CITY OF F.RIDLEY INSPECTION DIViSION Effective Juuuary 1, 2003
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer.
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
',ommercial/Industria I
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
StElte Surcharge
TOTAL FEE
AINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
2EFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
ILUS THE $.50 STATE SURCHARGE
,EINSPECTION FEE $47.00/Hr
Air Conditioners can not be placed in a side yard without
mitten permission from adjoining property owner.
JOB ADDRESS ® e'a.1-SD YA wT f�.'
OWNER kP_ Q. �ECr
TOTAL
BUILDING USED AS LLA )n q
$ .30, Da I
ESTIMATED COST o?OC?�- PERMIT NO. 4
DESCRIPTION OF FURNACE AND OR BURNER
$
No. of Heating Units l Circle One (Steam) (Hot Water) Warm
$ Trade Narne & Y� ra e—Y Size No — /
BTU HP EDR
$ Fuel _ Total Connected Load
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 _ ZZ—,13-03
HEATING CoRiVer City Sheet Metal, Inc.
9928 EN-ebira St. N.W
Signed Coon Rapids, MN 5 33FEL #
FAX # - 754-2999
Approved By.�L Rough -In Date Final Date _� 07,
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
When Mpla .,lnnan exi`finaf tri, 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 y 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 assembfy
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 p_idsfing cn h ,stinn air is sized and Installed to meet the current codes
and manufacturers specifications.
Yes} No ( )
When required to insfan a new anmhustien aim WIU be sized and installed
to meet the current codes and manufacturer's specifications.
Yesk) No( )
When ii cfn�tri g n new ypnfinngyggm, 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 W 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 o No ( )
Appliance #1 TypeE� �'� BTU Input Fan Assisted or Nat
Appliance #2 Type igr
ii/ BTU Input ! °® Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input !j200..
Common Vent Type ,f Vent Height Q Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length It Diameter in Type
Appliance #3 Vent Connector Height ft length ft Diameter in Type
l_ River City Sheet Mobill. Inc.
. .
HEATING CO: 'AA'N 19 P)MGM3 SZ66 Coon Rapids, MN 65433
Signed By: �I I1N t��S Iltt� �aAla D463 2199 I'I 03
TOTAL P.05