AF - 46987.
City of Frid�ey
� 4T TNE TOP 0� TME TwIN4
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r �'L--"'--� GONMuNITY pEV[LO/MENT OIV.
� � � MICTECTIVR r�t�CT10N OpT,
� � ,.--•` ; prv ��� s�uO�RY fNt
�..._.�.� .� Na-sw•a.w
Job Address
�
nw�er —'
Contractor �
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Kind of Building �
Comp etion Date
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PLUM� I�r, PERf1I T,qPPL I CI�T I���d
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ss one
aress Phone
� " �/C�Is C�r� � o�-/ -,� ;�/
e
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Plumbing Fixture Rates: N0. RATE TOTAL
Number Fix tures x $2.00 �_
Future Fixtures x $1.50
New Fixture-Old Open. x $1.50
1
Catch Basfn x $3.25
----�
Water Heater-99,000 BTU x $3.00
Ground Run Old Bldg. x$3.25
Elec. Water Heater x $2.00
Gas Fitting Fees•
lat 3 Fixtures x $2.00
i
Additional Fixtures x $ .75
Gas Range-199,000 BTU x �$5.00
Re airs & Alterations +
See �Description; Code
State Surchart�e .50
TOTAL FEE $ , ��
The undersigned hereby makea application for a permit
for the woxk herein specified� agreeing to do all work .
i�n strict accordance w ith Che Citq Qrdinances and rulin
of the Department of Buildinga, and hereby declare that
a1l�the taGte and repxesenCations atated in this �
application are true�gnd carrect.
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1 � L-- --� cor��mvn�irr �v��o�*aer+r �iv.
� � i P��ECTIVZ 1��"iCTION G+Yt�T'.
�` � r._"► i CIYY MAIL R�icsLi� 6��2
3..._..J�i �.J &1�'680-3t8Q •
Job Address
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Contrac,tor
nd of Bui�ing
ompletion Date
lI�
s�:J>
Permit No.
HEATIidG PERMIT APPLICATIOi'�
�� Rf Y.
910-F17A 0
Ad ress
2/15/73 � 1 ' 1
�aa� ss C��� �
Use <
sz,imate os t
�
,rP�oveo er
800
ne
G�AV?'r'YY ;�»�Bd J�1R: �'� T��� '�eating/Potaer Plants ��
i�rnace �hell & Ih2ct �i'a�rk ... . ... . . .. .... ..a10.00 � Steam ftot Water Warni Air
Replacement ot F�.2rnace ..... ..... .. 6.00 i L.�°hl�� Y
Trade Name
Repairs & Alterations—up to ;500.00 6.00 5--- -.---
Repairs dc Alterations each add. y500.00 , g.p� _�__�__ Size No. � l� �j 3 �37
p,�C�, ��q � Capacity Sq. r^t
Fumac� Shell tS� ihxct Work ta 120,000 BTU ....... .. a20.0o 5-1-�' � EBR ��BTU Ton .
each �dd. B�,�o BTt7 . . . ..... .. ... . . .. . . . . 3.W ; 3' � Total Connected oad
Replacement of Fl�rnace .. . .. . .... 6.W =
Repairs dc Alteration.s—�zp to 5500.Q0 , s� � Kind of Fuel
Repairs & Alterations each add, a500.0U . 3.Q0 i Burner
�TEAb4 or HQT WR.T�:R 5Yffi'i'El�i Trade Name
F1�rnace Shef1 3c Lines—to 400 sq. .*t. F.DR Steam �20.40 $____.__
Size No.
I iltrnace Shell & Line--ta 640 sq. ft. EDR F�ot Water 10.(m S_ __ ;
Each add. 200 sq. tt. EDR Steam �.1)A �._ __._ _._ Capacity Sq.Ft �
Each add. 320 sQ. ft. EDR Hot Water 3,00 ;�_
EDR BT'U Ton .
OIL BDRPiiR—to 3 gal. per hour 6.00 S _
over 3 gal, per hour—See �'ee Schedule '�M„^'Qi� �� °�py�
GAS BURPSE� cup to 1�3,� BTU) b.0� _ /' � �,� , !
vv�r I�`9.L�L0 8'i'U See Feo �chsduls J
GAS FI'PTIPoG F�i;�: Id0 RI�iE TOT'AL
lst 3 FSxtures . xa 200 E��-�
Additional Fixtures x .�b S _
Gas Range to I9�,C� z$ b.� _
.50 SCate Surcharge
RIR CO;tia)Y�t3:il::ti �, �� � !i'�
Fla?d HE?a.'TII�G B�'3i'�'"�t 3aa F�a Sch�rdrJa `
V�:3�'ILATITtG SYST�?'3 $
AL'I'EEiXTiO:dS k f�£PAIEiB TOT3'.L F°:� i • S�
�0�1��3 _
f`IP7A2, _ % — Z �% �,
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Suburban Air Co�d�tioniaq Co.
6419 Center Dr+ve
" Min�eapolis, Minne�ot� 6543?
�igna'� ture — �
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SUBJECT P 12536
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � REC .
� i L____._ COMMUNITY DEVELOPMENT DIV. �//����
r � � PROTECTIVE INSPECTION SEC.
� � /"�1 � CITY HALL FRIpLEV 55432 NUMBER REV. DATE PAGE OF APPHOVED BV
� ----� . .,�
s�2-sso-saso 910-F15 5/10/74 � �
JOB ADDRESS 6491 Arthur Street N.E.
1 LEGAL LOT NO. BLOCK TRACT Ofi ADDITION SEE ATTACHED
DESCR. 2S 4 Harris Lake Estates s"EET
2 PROPERTYOWNER MAILADDRESS 2�P PHONE
Howard Boyer
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Erco Incorporated 3231 Central Avenue N.E.
4 ARCHITECT OR OESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
C� NEW ❑ ADDITION [� ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK Construct a 29' & 34' x 36' & 29' Dwelling and a 22' x 24' Garage
9 CHANGE QF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide a verifying survey
before capping. Check water table.
SEWER SERVICE (Mississippi Street)
8' East of Manhole (E. Inv. 874.24)
Wye Elev: 874.28
Top of Footing: 878.28 Mini.mum
WATER SERVICE (Mississippi Street)
Approx. 12' to 14' East of Sewer Service
SEPERATE PERMITS REQUIRED �OR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTI�ATING OR AIR CONDITIONING. WOOC� FY'dIRe
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 ].lO�i 32 � 615 Total
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�1
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 OFiDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PEFMIT �3%�303 �.S.6S
DOES NOT PRESUM O GIVE AUTHOFiITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIO OF Y THER STATE OR LOCAL LAW REGULATING CON-
STRUC E P RFORMANCE OF CONSTRUCTION. $61.00 $300.00
PLAN CHECKFEE TOTALFEE
/6 �% 379.65 �
SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT 1 A7E1 . WH N PRO ER Y A I AT THIS IS YOUR PERMIT �
��
SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP � DATE
APpLICATION FOR RESIDEN'TIAL, ALTERATION, �
OR AllllIT'ION BUILDING PERMIT
CITY OF FRIllLEY, r4INNESOTA
; _�
OWNER `S NAME •� � LDER • C%�—�6 ��
ADDRESS : ADDRESS :���j� ���G/`�,�
NO • . ` `p� S TREET •
��,� �� S;- ���`_ .
e
LOT : � � . BLOCK: � ADDITIOly¢/0�.�'� I. (' ��,�� �S/.9—/��
CORNER LOT:_ � ZNSIDE LO'T: SETBACK: �� /
S I DEXARD : U '%� � '`
Applicant attach to this form Ztao Certificates of SurveY of Lot and proposed
building location drawn on these Certificates. !
DESCRIPTION OF BUILDING
To Be Used As:
,�
�f
�.
� �
._J�� � f � .L/ �r-- Fxont � � L�Depth : �(�� �T Height : � � ry1
�-� -„�—. , , � ^ !
Square Feet, �,'„ Cubic Feet. � �� � ��_\..
G��'�--C�L Front: �'y Depth• �-.- � Hei ht•
g �
Square Feet; � � Cubic Feet: i; ,;i j�"'` � �
. Type of Construction: �i�y�'Y7,�� Estimated Cost: � `� � � �
.
To Be Complet�d : �(f G /' f/� 7� �
� , st 4 .�:,, - � � � t�' ,�, -� �t p�.e "'°..,� S � "v � I �'' �. � .
.��
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The undersigned hereby makes app�icati�an for a pexmit for the work herein
specified, agreeing to do all work in st'rict accordance with the City of
Fridl�y Ordinances and rulings of the Department of Buildings, and hereby
declaxes that all the�facts and representations stated in this application
are true and correct. /.i
DATE: 5���� SIGNATURE•
(See Reverse Side For Additional Information.
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�i4y of Fric#l�y . �;�
APPl�cat�on f�ar Plum'btt�g ��S �€s� �'�� ��t ,:l
. --- Dept. of Bld�s. Phon� 3&fl-3450 .. .
DESCRIPTfON OF KJOH� • �_ /! �/ 9� ,'1t'G L�/"
Numbar, Kind at�d Loca2iea of Ftxlurei �"'� ���
N w�TE� ,,,r�. City oi ilridley:
a N -
-� � � � p � r =� � gZI�Z ° � � � �
o{; �_� � 3`� �.� ��,� 3� 5� 7� 7� 7$ r w ws ncc. The undersigned hereby makes apDlication !or a permit for th� vrork herei
� ' (� � �n �; r C r O < 3 V U a C� .
__ specified, a�reeing to do all work in strict accordance with the Cit� C}rdinana
$e� � � % and ruling of the Department of Build:ngs. and hereDy declares that all the fact
— � •. and representations stated ia this appllcation ue true and co ect
lst �
2nd _ PYidley, Mina l� ��
3rd Owner � � C CZ ,
{� Conaxi�d witis Kind of Bui2ding �'�l
• Futuso Coan�ct5on OponinQs S�wr�z � Used as
* N�w Ffxtus�. Old Oneainqs Ctsapool �
To be completed about
P�ARTIAL RATE SCHEDULE est;m3,�a cost, s
' � � � Old--New. Building Permit No: P�rmlt No. �
PLIIMSIIiQ;i17�TURE R1lTES: NO. RATE TOTAL `
Number i'�xtures . . . . . . . . . � x 32.0o a �T � Signed /�•���'v GL ta2 e l�c
��/� U �
Ftilure Ftixf�ire O��cning . ....:. . . .. .____�— x 51.50 5�+� � . gy � .
New Fixture Old Opening. ... . x a1.50 =_-_-• Businrss �ne No �� �� L
Catch Basin . . . . . . . . . . . x 53.25 s
Water Heater �Up to 99.000 BTU). •.• � x 33.00 S � v � .
New Ground Run Old Bldg. . . . . . . •. . x $3.25 $ ROUC3Fi
II.ctrte W.'c.s H.at,�. . . . . . . . . . . . s 52.00 = fTNAL // /a - 7 5'� •
�1t8 FI?TI2(C FEEB: NO. RATE TOTAL
ist 3 Fixtures • . . . . . . . `�' ° � . .
..... �xS2.00 = • ,
Addit3onal Fi:tures . . . . . . ..... . . x ; .75 ; '
Gas BsaYe to 199.000 BTtJ ...... ..... ' x 55.00 3.�.�
. a� � . •
.
REPAIRS k 1►LTERA?TON3—R.lu !o Cod• .50 State Surcharge • .
. Descsfytio» . . . . . . . . . . .. . . . . . . . ... . . . ... . . . ... . ... . i '
' TO'PAL FF.E � � . ' . .
• � , •
SUBJECT PE O.
City of Fridley ° 35
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
; � RECEIPT N .
� ; L �����_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. /�
1 �
l_-_-� �/'��1,'� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
Z 612-560-3450 910-F15 � �
si%a
JOB ADDRESS 6491 Arthur Street N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ZS 4 Harris Lake Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Howard Boyer 64�1 Arthur Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Aladdin Pools 4738 - 42nd Avenue North 535-1466
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAIL ApDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
RAS 1C�II'tld.l
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION p REPAIR ❑ MOVE ❑ REMOVE
%
8 DESCRIBE WORK
Construct a 16' x 32' Swimming Pool
��v�on� - E�.�CT�IC - ��s �cc.
9 CHANGEOFUSEFROM T° REQUlREb BY ��W.
STIPULATIONS
Pool �ntractor to provide for future enclosure wall footings without
endangering � pool wall or foundation wall. Provide 3 foot deck on all
sides of pool (See plan as marked) See stipulations on letter dated
July 17, 1978 from Environmental Officer for pool.
SFt �RATE PERMITS REQUtRED FbR W�RrNGj
��Ar���. p[.�1�+rB�nrG A�vo 5rGNS,
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 C�MMENCED 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. N0. 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 $7rOOQ $3.rJO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL L REGU ATING CON-
STRUCTION OR THE PERFORMA E OF CONSTRU i �, /' $42.00
y
AN CHECK FEE TOTAL FEE
G��, � $45.50
S�GNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PR PERLY VAIIDATED THIS IS YOUR PERMIT
�'1 � GQ� Rj'oz-%c�
SiGNATUREOFOWNERIIFOWNERBUILDERI IDATEI ti BLDG iNSP �ATE
_ _ _ ; _ _ _ �.;.;
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� � C I TY Uf� != f� I l�,_(_Y
' /1PPL.I C�1'f I�i! F(1[t RC5 I i�(=lVT 1,'1[_ LU I l_U I �1G t'F�RMI TS .
' t�'�El�t, �L'TLRI1T10t�S, ��L`DI T I O�JS, OR REP/1T RS )
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" owrtvr�• D �C.� � Y �o � Y �vz�vLR• � c,�<-�i �� /- ��c� � �'
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Address :�q y�i��-" l� �� C"J ���Ct Rddress : '����'� -/ �"?y7 cY ��/ e 1 � O
Tel. 2vo. : � � � �' � � � � .'
No. `�'� � f streeL- s �/�./�.� U.Cf.� �,� �
' �-'�'�-.�, �,
7,,OT: �� BLOCY.: � ADDITION:
COF2PdER LOT: INSID� IAT: S::,TB11CY.: SIDLYJ1RriS:
Applicart attach �to this form �uo Certificates of Sur
buildiny location drawn on these Certificates.
of Lot and proposed
DESCRI PTIOfd OF BUI LDI NG
To Be Used I�s: .,�L-�C� � Vti� ��� 1 1�'l �o o�_ '
� _
Front: Depth: Height:
Square Feet:
Cubic Feet:
Front: � Depth: � Height: �
Square Feet:
Cubic Feet:
�
Type of Construction: '�-� �,-� C� Q� � Estimated Cost: $��d, ��
�.b� �e Completed: �� � �G � �} 7 � �
�
Proposed Drive�aay �4idth If New Opening Is Desired
Alt. A Alt. B
$ $
(SE� REVERSE SIDE OF SHEET)
a
The undersigned hereby makes application for a gexmit for the work herein
specif5.ed, agreeing to do all ��ork in strict acco�-daizce with tlie Ci.ty of
Fridley Ordinances aiid rulii�c�s of the Denartment oi i�uildings, and her�by
declaies that all the facts and represcntations stated iil 4his applic �tion
are true ��d correct. See reverse side for aclditiorial ��o�-mation.
J ,/ /
DATL: % %� �� SIGrATURE: �-���� t � �`�` ` � ✓\.
StipulaL-ions:
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Cii'l� O� FRl��..El�
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-345�
July 17,
1978
Mr. S. E. Thayer
Aladdin Pools
4738 - 42nd Avenue North
Minneapolis, NIl�i 55422
Re: Swimming Pool Construction at 6491 Arthur Street N.E.
Dear Mr. Thayer:
This letter is to make clear this departments requirements .for the swimming
pool construction at the above address. ,
1.
2.
3.
4.
5.
�
7.
8.
9.
As indicated, three (3) skimmers approved by the National Sanitati.on
Foundation;will be provided.
As indicated, one (1) inlet of approved design for fresh and/or
repurified water will be provided.
As indicated, a main drain of approved construction will be provided.
The filter and pump shall b e approved by the N.S.F. and be of
sufficient capacity to provide a minimum turnover of at least two (2)
times in 24 hours. This department recommends a turnover rate of
6 - 8 hours.
A deck of at least three (3) feet wide, measured from the pool water
edge, shall beprovided which extends completely around all private
residential pools. Above ground private residential pools may be
pravided with decking of a minimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the
City.
The diving area will be acceptable provided there is no overhead
obstruction.
Fencing or other effective means including but not limited to walls
or buildi.ngs, acceptable to the City, shall be provided to positively
controT all access to public and private residential swia¢aing pools.
Fencing shall meet the following criteria:
(a) T'he fencing shall prevent the entrance of children and be Wi.�thout
hand or foot liolds that would enable a person to climb over it.
(b) The fencing shall be at least 6 feet high and entrances shall be
equipped with self-closing and self-latching gates capable of
being locked.
(c) Self-closing and self-latching devices shall be placed at the top
of the gate or otherwise inaccessible to small children.
(d) The opening between the bottom of the fence and the ground or
other surface shall be not more than four inches.
An autoinatic chlorinator should be provided with a suitable test kit.
All electrical and plumbing installations shall be inspected and
approved by the City Inspection Department.
t
��
Mr. S. E. Thayer
July 17, 1978
Page 2
10. All electrical lines must be great.er than 15 feet away from the pool
surface. An alternati.ve is to bury said lines.
11. The pool fill spout must be air-gapped or protected by a vacuum breaker.
12. Suitable safety equipment to include but not limited to a ring buoy
and rope that is 1� times the pool diameter, and shepherds craok pole
must be provided and mai.ntained with the pool at all times.
Furthermore, these and any other requizements must meet the provisions of
the Fridley City Code, Section 115, Swiinming Pools. The building permit
is approved contingent on final inspections and approval by the City.
If any questions or problems arise from this letter, please feel free to
wntact me at 571-3450.
Sincerely,
� �
. /�!�_l��.�
. _
. .,�
. ���� - . -
SJO/mh
CC: Mr. Howard Boyer
6491 Arthur Street N.E.
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lo�d Nt�nniny si�li�t�irj� e�7S Miyhway No.6f N.E.
tand Surv�yie�y � • f • ( Minn�o��lit,
s.;is r.����� �/%�t/IP('1f1��� �/jt!'. M;��. ss�a3
Civil Enyin��riny T�l�Olaw� �Lt-AObb
Mvakipol [nyieK�riwg Erig�Ll@eT9 /t ..�911tV@�OTS A�fO �� ���
Mort�age Loan Survey tor CRCO � NC.
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Fi2AME CONSTRUCTION CU�S�RUCI'ION (Ri ��I:t1E
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/ 1. �,c��� iox air f 1!m � g
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FIG� #1.,,_PLA�N VIEW ��Ua= 1/�'" ���-3
P'IG. #1 SECTION
FIC. �$ S�i�tN9
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FIG. #3 SEC2IOt�
1. �nterior air fil� __:� 4�
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5. E�cterior air �'flm . •.�...
TO?�I. ER� 1�;41
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'TOTAI. {A} �+,s.�
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WAi.L S$CTION - "fiiiZK Gpr �(s�''c F lit� PAt�E
NQTE : U�B 12X OF OPAQUE i�IALL AREA FOR 2�j,y T� I �i'R I'T� ,'P !f bY�, �D,
FRAME COAF�TRUCiION W1iSTALJCTI(3I� tRi 1i,�LUE
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�'I�. l�1Q SECTION
FIG. #2 SBCTIQN
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FIG. �3 SECTION
rozu. t �1 #,�� �
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COMB�Liz' _ ( . 12 X .1�- )+{ , $� X . .��) _�^ � .
t�'S£ .s�
1. �nterior sir filta �.p��` `
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WAi,L SF?CTION � �. �„���� C �'� �� PAGE
!�iUTE: i7SE 12X 0� UPAQt3E F�!►Y.L AREA P'UR
FRA�ME Ct3i�T1Ri?CT'ION CQ1Q� 0�1 tlt) '�,kfi.tlE
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2. �
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� - 4. 4.
5 S•
y 6. Exterior a,ir,, fi}�, 4,%7
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FxG. _li1� PLAN VIEW "U��= 1/R= � :
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FIG. �1$ SECT%Qi�
�IG 2'�'SBCTYON
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FIG. #3 SECTION
1. Interior air filtq 0.88 _
2 . _-____._._.,. .
3 . _,_,,.,_�..� -
4 . _,,.,_,�,,,,,,,,
5 . ..�.�.._.�,.,,,
6. Exterior air fiZta Q,:�7
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4.
5.
6. Fatterior air .fi�:m p,l?
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2. .
3 .- - —., - --
4.�" � �.yNr .�i�CL _.�G�:�
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6. Exte,rior air f i�� � 17
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sus�ecr PE IT NO.
City of Fridley �
AT THE TOP OF THE TWtNS g U I L D I N G P E R M I T
r
� � RE IPT NO.
' COMMUNITY DEVELOPMENT DIV.
� ; L_������, .
r � � PROTECTIVE INSPECTION SEC. �3D �
1 = �
4� �'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPqOVED BY
-----�: `•J 612-560-3450 910-F15 ���'%� � �
JOB ADORESS 6491 Arthur Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 'ZCJ 4 Harri s Lake SHEET
2 PROPERTY OWNER MAIL AODRESS ZIP PHONE
Howard Bo er - same as above 55432
3 CONTRACTOR MAIL ADDRESS 21P PHONE L�CENSE NO.
Erco, Inc. - 3231 Central Avenue N.E.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO.
6 USE OF BUILDING
Swimmin Pool Enclosure
7 CLASS OF WORK
❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR p MOVE ❑ REMOVE
8 DESCRIBE WORK
9 CHANGE QF USE FFiOM TO
STIPULATIONS
i. Fooiings io be at pooi.
2. Bottom depth all around pool.
3. Specify interior finish on plans.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTI�ATING OR AIR CONDITIONING. � OCk 0l f Y�a
THIS PERMIT BECOMES NULL AND VOID IF WOfiK 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 1296 15 552
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CEfiTIFY THAT I HAVE READ AND EXAMINED THIS APP�ICATION STA�LS 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 �33 075.00 16. 53
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CNARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 62 . ZI
PLAN CHECK FEE TOTAL FEE
9/� IR 5. 55
GNAT RE FCONTRA RORAUTHORIZE�AGENT �(DA7EI . HEN PRO E Y A ID D THIS IS YOUR PERM17
9/8/78 4/R/7R
iGN TUR OWNEfill WNERBUIlDER1 IDATEI � BLDG INSP qAT
C�TY a�= i=lZ; �)LCY .
�f'}'LI C/1T I UI� f'Oft I;l:5I llf=NT I ItL �sU ] 1_ll l i�lG PLiZ1�1I TS
��V�LW, �LTL"(t/1T1 UfdS, II1?llI T I U(dS� OR RL"f'A1 f2S)
OHiI�R: I3UII,ll�R: �/` � ��%'�--'-'
Acadr.ess. (��%��. �'l .i �,l�ddress. ���J% ���1'��� •
--�
Te ]. . No . : �i,��,��� / � • �
td�.:�!�� 5treet: � ��'._.--_ •
� .
LOT: � S i3LGCY.: `�? ADDITIOhI: _1_�1�'�..��
CORNLR LOT: x Ii�SIDE :IJT: SLTBACY.: SIDL'YARDS:
-7---
Applicart attach �L-o this f�rm 7tao CcrL-iii.cates of Survey of Lat and proposed
btti.Iding ?ocation dra�rm on these Certificates. .
DESCRI PTIOhJ OF BUI LDI �G
'X'o 13e Use� 11s : �l-�J/� �'r, > .r� � �C9a L � Gt.�C' � Sc1 2-�'�
�ront: �fi Depth: �� ' Heiqht:
Square I'eet: /Z � (o Cubic I'eet: /����.Z
I'ront: Depth: Heiqht:
� Squaie Feet:
Cubic Feet: �
Ty�e af Construction:�cLG vz �27�''� E-� Est�mated Cost: $ 33 •�
7ro I�e Complei:ed: j/_ / -- `7 �'
Alt. A Alt. B
I'rcipcsed Driveway 1ti'idth If :�ew Openinq Ts Desired $ $ �
(5E� }2�VERSE SIDE UF SHLET)
The undersic;iled l�e!'eb}� makes application for a permit for the w�ork lierein
s�e�if.�.ed, agreeing t:o do all ��ork in stxict accozdance �aittl the City of
�rid].e�7 Ordinances and ruliiigs of the Depa.rtment oi I-�uildings, a»d hereby
dec�ares L•hat all the facts and representation:� •ated in i:his applicatian
are true and correct. Se� xeverse side � � �'oi:al inio��ation.
D7�T�: `�iFYY�%� SIGNATURE:
��.'y`'..,_'_""
�
Stipulations: . '
/ �OOT t n!(,�'S `7a ' �3 £ ,�' �'Qa ,C. .�2y,rs1/x /z �� ��3sz �c�.�,rn.�
�-z.a�
B�t�m ���; i9-L cl�� /.s', s�
t t1�o�.-n,o R�� .. ��C��
•�t S��c-c F� /.tJTf..G�sx- F �,.�� 5�- �►�J , e�c� . ` /
� . .� 3
r'c� � � �'�' . `� 9`�/• � 9
TELEX: 29-0718 WATERBURY FRLY
CABLE: WATERBURY MINNEAPOLIS
TELEPHON E: 612/571-4100
� �� I ' " 1 '1 i ' I
7801 Elm Stree+ N.E.
Minneapolis, Minnesota 55432 U.S.A.
September 11, 1979
Office of tne Building Inspector
CITY OF FRIDLEY
Frictley, Mn. 55432
Good morning:
I woulci like to make an appointment with someone from your
office to ins�ect the home addition completed for me early
tnis year.
Specifically, we have three 8-foot, triple glazed, patio
doors that were installed overhanging tne footings by 3-1/4",
resultinc� in a gradual collapse of the base on each door.
Tne inaker of these doors, Weathershield, was ca].led out to
repair the rallers on one door which were jammed on
installatiori. I was led to believe that they would not
further warrant these doors due to faulty installation.
The information was relayed to the prime contractor, Erco, Inc.,
who in turn advised the sub-contractor, a D. Erickson. No
contact has been made during the ensuing months to me by this
firm.
Due to the considerable amount o£ money invested in the footings
and these doors, I do not relish watching them deterio=ate to
the �oint of falling into the yard tYiis winter. At the same
time, I do not relisn recalling D. Erickson to repair this
fault, as they have canvinced me they have no �nterest.
I would liice �to have this situation rectifiec: b�r; competent
construction people against a legal judgement to bill said
cost ;�ack to D. Erickson.
Before proceeding I will need a second, competent opinion,
and I therefore request your earliest consideration to our
meeting at my house.
HGB/lm
cc: Erco, Inc.
An Afflliat� of
Yours sincerely,
. � F-1 ^7
Ho ar G. Bo r
6491 i1E Art r St.
Fridley, Mn. 55432
, �,
��,►�.U, � . ��
�.r� ..r
.
;�
�.!�y
sue�ecr PER .
City of Fridley 17 3 5 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
, � RECEI NO.
' COMMUNITY DEVELOPMENT DIV.
i �1: --���-, �
r � � PROTECTIVE INSPECTION SEC. �
1 �
� � /��'1 � CITY HALL PRIDLEY SS432 � NUMBER REV. DATE PAGE OF � APP OVED BV
�----� • •�� 612-571-3450 910-F15
1/5/84 � �
JOB ADDRESS �gl Arthur Street N.E.
1 IEGAL LOT NO. BI.00K TRACT OR ADDITION SEE ATTACHED
DESCR. 2�j 4 Harris Lake �S'tcit2S SHEET
2 PAOPERTYOWNER MAILADDRESS ZIP PHONE
Howard Boyer 6491 Arthur Street N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
DuAll Service 636 - 39th Awenue N.E. 788-9411
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PHONE IiCENSE NO.
6 USE OF BUILDiNG
Residential
7 CIASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOFK
Repair fire damage
9 CHANGE OP USE FROM TO
STIPULATIONS
SEP�RATE PERMITS REQUIR�D FOR 1NIRlNG
H�ATlNf�, Pl.�!l�l�4NG ANC� SlGNS�
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.
AUTHOfIIZED 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 GAFAGES
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 �,_Ynnn $800 .,S�SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT X�S7SX
�OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFMIT FEE SAC CHAFiGE
PROVISIONS OF ANY OTHER STATE OR IOCAL lAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�.S.00
PLAN CHECK FEE TOTAL FEE
$15. 50
- S�GNA E GONT CTORORAUTHOFIZEDAGENT ionrEi WHEN PROPERLV VALIDATEO THIS IS YOUR P MIT �
' � G� �
SiGNATUAE OF O�NNEFl UF OWNER BU�LDERI IDATEI BLDG iNSP �� - DAT
Effective �ug. l, 1981
CITY Of FItIOLCY '
/+t'PLIC/1Tla� FOt� �CS1Dl'i�TIP.� t3UlLDU;G P�f5�1TS
(Nc�+•i, A1 terstions, Additions. o� Rcpairs)
iF
pk;NER: `f''c�lv d Y� � o � �°>'
AD�I:ESS: � 9/ '� ��
TEL K0:
STTtT�T NO : . � � � I STJtEF%T:
,
.
t3UILDER: ��� ��G� .Sc°Yd�� �
ADa'tCSSy' _�� � .��r�i /� d t� �/C
�
TEL I10• %�P��' � ��/
nstruction Location
j,p��; gl,ppC ; 11DAITIO:i :
Cozncr Lot: Insicle Lots _ 6etback: !� Sideyazds:
1►p�lic�v�t attach to t)�is fozm t�.�o Ceztificates of Survcy of lot and
pzopo�ed building loc�tion draan on certificates to scale.
DESCRIPTIO�� OF CO�;STi:�JCT10N
� (lP � Front: Depth: Heiqht:
Sguare Feet: Wbic Feet:
Front: Depth: Height:
Square Fe�t: Cvbic Teet: _
'.��pe of Cor.struction : �'� Ya � �Z^
Rb Be O�r.�plcted: � � �
�p0
. ��
Estimated Cost: S •
7►lt. A 7►1 t. B
Propos�d Dzivc�+�ay �+idth If Nev Opening Is Desised: S S
, S�L PiVF.R;L' SIDz OF S}IE�T ,
9S�e unclersioned hereb:� m�):c:� n�plie�ticn for a penzit fcz the �otk hezein sp�cified,
agreein� to 80 .all �ork ir, strict accozcLvice with the CiLy of I"ridle�� Ordi»ances tnd
rulii��� of tlie Del�.irtm��t of Duildings. and hercby decl�res th�it all tl�e facLs and
represc��iticns stated �n this applic�tion arc true and cozxect.
D`T'E: / ` � �� SIQ�iAZV2'y:
Sti��ula�i�ns :
� �S��v
�� ��v
��
f '� �'
J �
�,
�
SUBJECT P ��
City of Fridley 6 9 5 2
AT THE TOP OF TFiE TWINS g U I L D I N G P E R M I T
� � RECEIPT NO.
� �
� ; y ��+�� COMMUNITY DEVELOPMENT DIV. � �� �
r � � PROTECTIVE INSPECTION SEC.
1 = �
� �'�'1 � CITY HALL FRIDLEV 55432 NUMBER . REV DATE pAGE OF APPROVED Bv
�""�" �'' 612-571-3450 9t0-Ft5 7/31/9.8 / /
�os nooaess 6491 Arthur Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADD►TION SEE ATTACHED
oescA. 25 4 Ha.rris Lake Estates SNEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dennis Carlson 6491 Arthur Street NE 759-4499
3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO.
Same
d ARCHITECT OR DESIGNEq MAIL ADDFESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL AODRESS ZIP PMONE UCENSE NO.
6 USE OF BUILDING
Residential •
7 CLASS OF WORK
❑ NEW D ADDITION D ALTERATION �] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (26 Sq) 2nd Layer
9 CHANGE OF USE PROM TO
STIPULATIONS Roofing can be the 2nd layer but not the 3rd.
TYPEOfCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIREO fOR ELECTRICAL, PIUMBING, HEATING,
VENTILATING OFi Alq CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION ZONING SO. fT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
pR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV TNAT I HAVE FiEAD AND EXAMINED THIS APPLICATION 1 STA�LS GAFiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS 7YPE" OF WORK WILL BE COMPUED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT � 1, 629 �.81
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE Oq CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING coN- $54.00 Fl SC $L.E)Z
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TO FEE
56.43
SiGNATUAE OF CONTRACTOA OR AUTHORIZED AGENT IDATEI � E P V VALI T THIS IS UR PERMI
!^� � � r
SiGNATUREOFOWNER�iFOWNERBUIIDERi iDATE� B G iNSP ��FtE
NEW
ADDN
ALTER
��
[]
�)
CTTY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-Z
BUILDING PERMIT APPLICATION
Effective 1/1/98
ah� �
��D ��
�
ConstructionAddress: � � �J � � ,��� �,/ � � /��t
Legal Description:
Owner Name & Address: ��► ri :�.S �°'�,i-/S � Y� Tel. #
�Contractor: � f� �j //¢/ f�� S� �'[_/��. MN LICENSE #
Address: �e % � Tel. # %,5�7 - l�y 9
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 �A,REA: - Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: ��14� � �o�S-� d �o �tr.c� -L L° - --
-- --- -�-
a(.D S�. ��� C.�-r-� �
�
Construction Type: /�� � � L'o,/-�o v-✓� Estimated Cost: $' — - ��� �
� �' (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$
DATE: �-� I- g S APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
,
;[/-P-�►r►, S � ��5�.-� Tel. # � .S�i - �y r �j
CITY USE ONLY
$ �� 7/ �� Fee Schedule on Reverse Side
$ , �� .001 of Permit Valuation (1/lOth9b)
$ � / $.50/$1,000 Valuadon
$ - $1000 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 [ ]
$ ��- `/�
r � ^ '�^
,
_
_
o�a�
crnroF � y� �
FRtDLEY
FRIDLEY MiJNICIPAL CENT'ER • 6431 UNNERSTTY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
May 17, 1999
Dennis Carlson
6491 Arthur St. NE
Fridiey, MN 55432
Re: Final inspection at 6491 Arthur St. NE
Contractor: River. City Sheet Metal
Dear Mr. Carison:
A mechanical permit was issued on March 6, 1998 for the property located at 6491
Arthur St. NE for a new fumace. According to Section 305(a) of the 1991 Uniform
Mechanical Code a final inspection shall be perFormed on the mechanical permit. As of
this date no inspection has been called for.
You wi11 be given thirty (30) days from receipt of this notice to respond. {f we do not
hear from you, we will expire the permit and any inspections on this installation will
require a new permit.
Any questions can be addressed to myself at (612) 572-3603.
Sincerely,
`li,
Barry Riesch
Building Inspector
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
I�esidential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Othe�s/Repairs & Arterations (LIST ON BACt�
1% of Value of Appliance or Work
Commercial/I ndustrial
1.25% of Value of Appliance or Wo�{C
Rate TOTAL
$ �o.00 $�_�
$10.00 $
$10.00 $
$10.00 $
$ 25.00 � $
State Surcharge
TOTAL FEE
Effective On January 1, 1997
JOB ADDRESS � 4}� ,�,��1 J� �'�` /V,�
��
�l/2� �
The undersigned hereby makes application for a permft forthe work herein
specified agreeing to do all wo�lC 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 ar true and correct.
8 . ' �1�
OWNER ��L7/S ( �d'ls�h
BUILDING USED AS ,��S�GC�-�tGQ
ESTIMATED COST `�j� PERMITNO. �-�<<t�-•-�
DESCRIPTION OF FURNACE AND OR BURNER"
$ Na of Heating Units / Circle One (Steam) (Hot Water) (Warm Air)
Trade NameJ�j'� Size No. vl��f� 2�,���
BTU jZ �;�oa HP EDR
E�
$ .50
�� I
MINIMUM FEE FOR ANY HEATING COOLING ENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE �.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
�Air Conditioners can not be placed in a side yard without
written permission from adjoining properry owner.
Fuel RJ�2'f: Total Connected Load�.�D, U�
Burner Trade Name Size No.
BTU HP ` EDR
HEATING CAMPANY � Gt��� ��� /
Signed By Tel No. 7s��/ ��
Approved By Rough—In Date Finaf Date
FILL OUT BACK SIDE F STACK VERIFlCATION ON
q�PLACEMENT FURNACE
.. . .
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chiunney or stack:
1. Has been carefully exami�ed Yes � No ()
2.
� �3.
4.
5.
6
7.
Q
Is free from n�.st or deterioration
Has no foreign objects lodged within
Is securely supported .
Meets all current Code req�irements for size
and total BTU's connected
Has total heating BTLT's of /Z 5- aD � _
Ail other BTU's �0, �> 4�
TOTAL B'TU's / f�5 ;D�
Has a liner been provided for water heater -
Has combustion air been provided for water heater
Remarks: .
List ALTERATIONS Bein� Done:
HEATING CO:
Signed By:
Date:
«
0
��.
Yes �Yj No ( )
YesONo�
Yes � No ( )
Yes(�No()
Yes �j No ( )
Yes � No ( )
� S � -� T�'�
sue�eti � . � � , RMIT 1�0. � ,
City of Fridley 3 2 3 7 8-'
AT TME TOP OF TNE TWINS gu ILDING PERMIT
r RECEI
� .
� � •
� • COMMUNITY DEVELOPNIENT OIV.
� ; V������_, .
r � � PR07ECTIVE INSPECTION SEC.
1 � �
`.--. A;�'��;'; CITY MALL fiilOLE� SS�SZ NUMBEN � pEV O�TE PAGE O� APPROVED BY
t �� 612-571-3450 910-F15 1/7/02 � �
JOB ADDRESS 6491 Arthur Stree� NE <
1 LEGAL �OT N0. BLOCK TRACT OR ADOITION SEE ATTACMED
DESCR. 2S 4 �axxas Harris Lake Estates SMEET
2 PROPERTY OWNEFi MAIL ADDRESS Z�o PHONE
Dennis Carlson, 649� Arthur St�NE, Fridley, MN 55432 763-574-1531
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO
Dennis Carlson (same address) BL26215480
4 ARCMITECT OR OESIGNER MAIL ADDqESS ' ZIP PMONE UCENSE NO.
5 ENGINEER MAII AODRESS 21P PNONE IICENSE NO
8 USE OF BUILDING
Dwelling
7 CIASS OF WORK , ;
C� NEW O AODITION O ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
New vinyl siding
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniforr.t Building Code requires that a weather-
resistive barrier be placed over exterior sheath�ng to protect the interior
wa�l covering. Exceptions to this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is r�ot a weatherproo� covering unless the
manufacturer sta�es this in the application guidelines.
Ca11 for inspection of wrap be€ore covering.
" TYP�OfCONSL OCCUPANCVGROUP OCCUPANCYIOAD
SEPAFATE PERMITS ARE pE�UIREO fOF ELECTR�CAL, P�UMBING. HEATING,
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULI ANO VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU fT
AUTHORIZED IS NOT COMMENCED V�1ITMIN 60 DAYS. OR IF CONSiRUCTION y
OR WORK IS SUSPENOED OR ABANqONEO FOR A PERIOD OF 12q OAYS AT �
ANV 71ME AFTER WORK tS COMMENCED. ° NO DWIG. UNITS OffSTFEET PARKING
1 MEREBY CERTIfV THAT I MAVE READ ANO EXAMIN�O THIS APPUCATION STALLS GARAGES
AND KNOW TME SAME TO 8E TRUE AND CORR�CT. ALL PqOVISIQNS Of �AWS yq�UATION SURTAX
AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL 8� COMPUEO @
WITH WHETHER SPECIFIED MEREIN OF NOT. THE GRANTING Of A PERMIT W4sOOO.00 �Z.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TNE pEqMl7 FEE . SAC CHARGE
PROVISIONS OF ANV OTHER STA7E OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERfORMANCE Of CONSTFUCTION ��F.00 Fire SC
PLAN CNECKfEE TpTA�FEE
$103.25
SiGH�iUiiE O� CON'AACTOQ Op AUTHOQ�ZEO �GENt ID�TE� EN ROP � VALI D T►+i5 iS V Uq ERMiT
� r ' � /
/�T—S�Ga�ivaE �O NEa��cOWti aBWIDER� `� �O�TE� . �� � � � ��ti5a � - - � � natE
�
NEW [ J Effective 1/1/2001
ADDN [ J , CITY OF FRIDLEY ,(763) 572-3604 Bidg Insp
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: (O �` � � �T��'��� ����
Legal Description:
Owner N
Contract
Address
Tel. # ��3��5�- �.�� �
nnN ucErvsE # 13C aGa/s'y8�
Tel. # 7��-cS���'/S � /
Attach to this application, a Certificate of Survey of the
lot, with the p�oposed construction dr�wn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Fk
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width HgUGround Sq. Ft.
OTHER:
Construction Type: �/� �h �// h Estimated Cost: $ ��d �� o'
Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x� _$
DATE: /- 7- � � APPLICANT�� /7' Tel. # %� 3���� /� /
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
$ `, o?S Fee Schedule on Reverse Side
$ � � .001 of Permit Valuation (1/10th°to}
$ �D(� $.50/$1,000 Valuation
$ $1150 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 I 1
� /a�. �-'
Building
Inspections
763-572-3604
DATE ' �
SITE ADDRESS
THIS APPLICANT IS:
�
ERTY OWNER/
TENANT
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
�� N� �li�
�OWNER �CONTRACTOR
!f� �
Permit No.:
Received By:
Date �d'
ADDRESS: (21��II �'f�v� S7� � CITY 7�/�l ��`� STATE�P�l3�
PHONE: %<t 3 �—S ? S� — �S� / •
STATE LICENSE # EXP DATE
ADDRESS: CITY STATE ZIP
PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTIi
O O FAIv�ILY/NEW CONSTRUCTION
PERMIT TYPE
TYPE OF WORK:
SIZE
❑ BASET�NT FINISH ❑ ROOF 0 DRAIN TILE
❑ DECK ❑ SIDMG �OTF�R
❑ SWIMMING POOL
�:l
DESCRIBE WORK BEING DONE: �i� S�2 � � � 9�`� f f �/ ��`^1
SIZE OF IMPROVEMENT
ROOFIIVG
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDIlVG
❑ Vinyl
❑ Aluminum '
❑ Other .
WINDOWS
IN EXISIING OPENIIdGS ❑Yes ONo
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES 8c
TYPE OF WINDOW TO BE MSTALLED ��i
O HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
�Soffit
O Trim
❑ Fascia
LOCAT'ION OF WINDOWS
� fS NUMBER OF V1�IM
WIDTH HEIGHT
BASEMENT REMODELING SUBNIlT:
l. Existing Fioor Plan
2. Proposed floor plan
3. List of strucwral members to be used
Ft.
FOR NEW CONSTRUC7'[ON RJCLUDING DECKS,
ADDITIONS. & PURCHES SUBMIT:
1. Siu P1adSurvey showing tl�e acisting strucWres
and proposed projea.
2. Two sets of constructi� plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997�B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $� �?,S� f OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Due
$ �.�: �Z�
$
$
$ �
$
$
$
$
$
$ ,
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agteement necessary ( ) Non Necessary ( )
Make checks aavable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge 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 1 understand this,is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT � ./5F � PRINT NAME �`e'^'�� � ��rf ° � DATE -� �- ° 7
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