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PRE 2010 DOCSCity of Fridley, line. BUILDING PERMIT Date: _ { Owner: Address Address LOCATION -,V BUI�DING No. Street ,�Part Lot _ Lot Block clition or �ub-Divisio Corner Lot Inside Lot Setback Sideyard Sewer Elevation _. Foundation Elevation DESCRIPTION OF BUILDING -� �, t�go Front ��,� Depth Height Sq. Ft. Cu. F +� Fro t DepthHit+' t — Sq. Ft. Cu. Ft. Type of Construction - F Co t""To 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 all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , 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 violatioof any of the provisions of said ordinances. _ _ ,� �° Building Inspector NOTICE: This peewit does not cover the construction, InstaffWan for wiring, Numbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these Items. } 9 ori V1` �_. APPLICATION FOR BUII,DING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address I II LOCATION OF B G No. Street Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SE6JER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed 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. DATE , r �:` - - (A Schedule of Fee Costs can be found on the Reverse Side.) I A Application for Power Punts and.. Heating. Cooling. Ventilation, 199 igm aand Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: BATE TOTAL , 11 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 A'Urnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU .................. 2.00 ; Replacement of Furnace .............................. . §.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 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL lofst 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 $� ROUGH FINAL 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. Fridley, Minn / ee' 19 Owner rr�s���r ��.Z o S� Kind of Building' Used as To be completed about 7" s� Estimated Cost, $ Old ew. uilding Permit No. \'S Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Wann-Air—No Trade Name Size No 6 A/ 6- Q Capaci0,f0 Sq. Ft. ED.R BTU H.P. Total Connected Load Kind of Fuel `� .' BURNER — Trade Capacity. (REMARKS -OVER) Size No Sq. Ft. EM.R BTU H.P. Signe By usneHI10ne x!10- .... .. .. Jai/ CRONSTROMS HTG. & AIR COND., INC. Job Name D46 4410 Excelsior Boulevard, Minneapolis 16, Minn. v ee HEAT LOSS CALCULATIONS Job Address A.S.H.V.E. Weatherstrips Guide Construction No. I Insulation Windows( Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Yes—No Yes—No 19— r R-1 Room I Lenffth 'I Z Width J,::) Heistht P II / Fl.l Room I Lenitth i `/ Width e 9 Height T Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. s 13 7 13 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Coef. Btu Infiltration him "' m 63 Glass +® 5A v Glass Exp. wall . 4r Exp. wall Net exp. Wall Net exp. wall Exp. wall A- ip s ;� Int, wall 6 Ceiling Net exp. wall / P?j Ceiling Floor ; O d a ore Int. wall Ceiling d ,., 0 �' J �" Ceiling 4 6 '0 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FI.I .. ' e Room I Length V Width I Heifrht I' Windows and Doors---Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. s 13 7 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Btu / him "' m Glass Glass Glass ra Exp. wall . 4r Exp. wall Net exp. Wall Net exp. wall 4 7 Int. wall Net exp. wall Int, wall 6 Ceiling ® / P?j Ceiling Floor / / c1 4r Floor Ceiling d ,., Total Btu. -? C Y-► Required sq. ft. E.D.R. or sq. ins. WA. Leader area FI R Length w•dth / Height oom t Windows and Doors—Crackage and Area t Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Coef. Coef.1 Btu Infiltration 'PO ye ,g o d Glass Glass Exp. wall d 6 z, Exp. wall Net exp. Wall Net exp. wall 4 7 Int. wall Net exp. wall Int. wall 6 Ceiling ® / P?j ea d Floor ® �� Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. t Coef. Coef. Btu Infiltration 31 Y'40 Glass Yd Glass Exp. wall I r) Exp. wall 2 ,e.Ar- Net exp. wall 4 7 Net exp. wall Int. wall 6 9" ® / P?j Int. wall ® �� Floor Ceiling d ,., 0 �' J �" Floor Total Btu. I Required sq. ft. E.D.R. ora . ins. W.A. Leader area s FI -1 -Al. Al Room I Length /®= Width 9 Height r Windows and Doors—Crackage and Area Width Height No, of Lineal ft. Area No. of pane of®vane lights of crack sq. ft. t Coef. Btu Infiltration T Y'40 Glass Glass Exp. wall I r) �p�� Exp. ••_.. Net exp. wall 4 7 Net exp. wall Int. wall 6 o e (ro Ceiling ® �� Floor Ceiling Total Btu. 1 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i 19.1 _ :: Room 1 Lenath '2 1 Width / Y Heistht P Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. t Coef. Btu Infiltration 1 IV Glass �p�� Exp. ••_.. e yI Net exp. wall 6 o e (ro Int. wall Ceiling o a 4n) Floor Total Btu. If o_ a'P Required sq. ft. E.D.R. or sq. ins. W.A. Leader area CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 October 31, 1990 Owner/Occupant 7851 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. 6431 University Ave NE Fridley, MN 55432 572-3604 BATE SCHEDULE Effective On January 1, 1996 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ;Y57 Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) &" 'Ga0tango— Gas Dryer 02Conditioning — All Sizes All Others/Repairs & Alterations (LIST.ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1 % of Value of Appliance or Work Rate TOTAL $ 20.00 �) $ $10.00 $ $10.00 A State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed 16 a side yard without written permission from adjoining property owner. The undersigned hereby makes application fora permit for the work herein specified agreeing to do all work in strict accordance with the City Codes ar rulings of the Building Division, and hereby declares that all the facts and representations stated in this. application are true and correct. Z — 1995 '04/" BUILDING USED AS ESTIMATED COST 5/&q:90 PERMIT NO. No. of Heating nits Circle One (Steam) (Hot Water) (Warm Air) Trade NameSize No. BTU I/pd2 HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU I HP EDR Sharp Heating and Air Conditioning 4854 Central Ave.. HEATING COMPANY NE21 (612;572-0459 Signed By _ Tel No. Approved By,_ Rough—In Rough—In Date Final Date V FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE NOTE: ill through #8 required when using a side vent furnace. CMMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes O 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: List ALTER A,TIONS Wing Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY PERMIT NO.: 2004-01481 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 572-36U4 YAX: (763) 571-1287 ADDRESS : 7851 PEARSON WAY NE PIN : 033024340016 LEGAL DESC : PEARSONS CRAIGWAY ESTATES 2 : LOT 13 BLOCK 2 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER SPEAKMAN DAVID A & THERESA 7851 PEARSON WAY NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. ;ITY OF FRIDLEY INSPECTION DIV. 431 University Ave NE 'ridley, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 0 ,� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT S �� MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR - Ss Wa Urinal Shower )Id Opening, New Fixture Wash Tra.K MDrain Floor Auto. Washer Gas Ran a Water Heater Gas Electone m nt Basee '> SPEAKMAN, DAVID / 117 Iain Water Leader $10.00 7851 PEARSON WAY NORTHEAST _2005 ;ump/Receiving Tank $10.00 FRIDLEY, MN 55432 Floor 1 $35.00 OWNER _ (763) 571-0447 Vater Heater -Electric $35.00 Vater Heater- Gas** $35.00 1 BUILDING USED AS ST ore�vt� Sas Range** Floor Sas Dryer** $10.00 ESTIMATED COST �� o�D PERMIT NO. lack Flow Preventer Required ( )Yes ( ) No n 1 1 ` Type $15.00 Floo r3 Floor 4 ILUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 6�c'n 'e - a.S ow AAW- Jew Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein )Id Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes leer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the fads flow Off Basin $1.0.00 and representations stated in this application are true and correct. :atch Basin$10.00 SPEAKMAN, DAVID / 117 Iain Water Leader $10.00 7851 PEARSON WAY NORTHEAST _2005 ;ump/Receiving Tank $10.00 FRIDLEY, MN 55432 Vater Treating Appliance $35.00 OWNER _ (763) 571-0447 Vater Heater -Electric $35.00 Vater Heater- Gas** $35.00 1 BUILDING USED AS ST ore�vt� Sas Range** $10.00 Sas Dryer** $10.00 ESTIMATED COST �� o�D PERMIT NO. lack Flow Preventer Required ( )Yes ( ) No n 1 1 ` Type $15.00 PLUMBING COMPANY 1 V O C � ` OVA Zeinspection Fee $50.00/Hr kLL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL FEE SIGNED BY TEL N0. ('1012) $27-51033 Approved By Rough -In Date Final Date $ .6z MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST $ �SOF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY.FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 N Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No( ) The existing combustion air is"zed 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 appliance has been removed from the common vent and vented separately as per current codes. Yes ( ) No( ) Appliance Type and Size/Common Vent and Vent Connector Information 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 Tctal 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 Diameterlin Type Appliance 93 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: Building Inspections 763-572-3604 DATE SITE ADDRESS THIS APPLICANT IS: BUILDING Permit No.: RESIDENTIAL APPLICATION Received By: CITY OF FRIDLEY Date Rec'd: YOUR E-MAIL ADDRESS Pea rt/ a H ❑ OWNER )EICONTRACTOR PROPERTY OWNER/ NAME: See Back Page for Fee Schedule ADDRESS: CITY STATE ZIP TENANT 65% of Building Permit Fee PHONE: $ �_ CONTRACTOR r� I NAME: $ /i > A .0005 x Permit Valuation Minimum $.50 STATE LICENSE # �" if 205 --?(35,9 XP DATE �' G SUBMIT A COPY OF n� � ctif s t- . U Y' ` i�ta CITY S'� a t0� L STATL � IP YOUR STATE LICENSE WITH APPLICATION ADDRESS: �- 57— 21 t-(,1.3 Curb Cut Escrow $ PHONE FAX ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE $450 Conservation Plan Review ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS Agreement necessary ( ) Non Necessary ( ) ❑ BASEMENT FINISH 'ZROOF ❑ DRAIN TILE Make checks payable to: City of Fridley Attach Stipulations ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW'❑ ADDITION ❑ MAINTENANCE/REPAIR © REMODELING DESCRIBE WORK BEING DONE: (-Q R`ab HEIGHT Sq. Ft. SIZE OF IMPROVEMENT LENGTH WIDTH BASEMENT REMODELING SUBMIT: ROOFING ^� OUSE ONLY NUMBER OF SQUARES 9 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. 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 $ o7CJi9 OCCUPANCY TYPE Permit Fee $ a e�'" See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ �_ .001 times the total job valuation Surcharge $ /i > A .0005 x Permit Valuation Minimum $.50 License Surcharge $ `� ; 6 C> $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 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 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 fo a p; rmit wo is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whi a ires a iew nd approval of plans. '7 SIGNATURE OF APPLICANT �� PRINT NAME 1 �C /" " DATE r� `7