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AF - 35986� ... i � -�- .. .> .�.� . _ . . . . ._ - . . . � " . . i; . . �_ . ��t"i.�.��. 4» , r. . 5, � � �N £, :.�:. 4 , :. .. '. . .. . . . _ . . _ , i. . � � � � : � � . � - ' � � . ... � -- . Y y �pJ�• ( '� II � ^ � �OiJ'l�I1pq( ' �J IEL. . J J A�i�r�t3t, o , �� "_� Gi.�i�� r.�'R��'I�fV� 11�/�. � ,/Irrirto/o � K ' _ {dq!.1P-M� � � � .. .: . � . ' . � . � . . . . .. . .NIA[r �'�Va� � -�- fn�i►�E'ers E Survec�s ____ "' �1"w��l��►'�! 1� \ ��i� f •s u�dlXt�ldSKl �1 �S ' ,:� ,°': . , . �� . NQRTH �, s�`' � «ti , , �) � '� - �; � _ I � q � � ( � � �. � $ . $ -0 K � � < x �:!` �. .. � . �.�� - ��; � � > . Y. . . . , . .. � �e" -'l ' : :E.; � . , £ .'_�S � ` _ . . .. $ e �'°"`� , . ,_ .:. . . ` � . 114 W J � '. �� 96.39 --�'' 76T" AVE. NE. s '� I � � W � 0 . O\ V � e4 Y °��i��' . u.� ".�= L�fNQJ�S UT�ClTY � Gi4�1/NN�.E EASEN,ENT �� "`.�;, ��. ��....�. /��Al��'pOR . T �RAG� . . �. � ._ . . <, : . ,A ? � ; . CY!`,�+�1!'r�"!� QR' ./M�!'/1 _ , ; ; til�9liiv +w� �ri�w .. �,r w►m►.rei �ara�li�iir,,�('�+M+��1�t.+rr �'iM. riwy Asw:ird r..r,.od r �. Mrr..✓�M �1e �ro�Mds.�'.�F�w r.r�Mi�f 1�.d. Ac ,.r�s� #�r� �e�..--- �y ..�.�+��lE . �i��,�p�eNI�ER6�tl1#. IAtC- '�� j ; ; r . �' �, �' ..��i' " " L:�.. -, > �` � � '�' �: : r �� tt y-. 4 "' �. - � :� 0 � �y Z � ;( y � N� d � yfs = l � ya � a � I �" � � p � � _ _L _ �y �..i�sY —..a� � � • • City of Fridley, Minn. BUILDING PERNIIT` �zs`�S� N° 7252 n.t�: �:-- —,�(a z_ � owarr: _ �.., _, suuaer�.l.—�......[._:.._..._..._..---�-- AdBtss � - _..�._._.._. _�.._,..__ Addrex —_ �/ �y� ;)[ LOCATIO OF �U141,D/I�G Na ._v�L...� 3haet ��7_1��.�._ .l../ F ot Lot /./,.1_--�� -�- , / ._ .._.._.. . ......-�-� ---'—+-�..�.._� Lot _._..--1..----- Hlocic --�_._..__._._ Addftlon or Suh-Divlai� .,��"!��.'—_K� ✓ � � / ` Corner Lot __..—___.._ Indde Lot _.._..—._...__...^. Setback �,f�.--._... siaeyara . i..l.Z_.__.�,- -._r_ sewer Paevstlau Foundatlan IIevatia� DESCRIPTION OF BUILDING ��,v ' '/`/ %u�el� r�t __�`-y�! nevm ...,�� x�ar,t ._,Z,.tL sa. Ft.,Ll.1� c�. r�.,.�� ..__.� __.._._ neatn -..-- 'eJ�� ht ----6t3' �. r�c. ------ Cu. Fc Type of ._�._ . � Fsk _.�y`7'�...�o be Co�pleted _._..—.-- In coneideraUon of the issuance to me of a permit to c the� propaed arosk �in accordence with the description abave a�diaeacee o1 the city oP Fridley. p�ons ot 7a cwodderati� oP thc P— . payment of a fee o! �._._.__._., permit ia hereby granted to--�_—.._ to oonshvet t6e building or additi� an deecribed above. Thia pernut is granted upoa the expreea condiUa�n that thepe�oa to�whom it is granted and his agents, emploY�e and worlanen, fn all wark. ��ne 1n.� amimd and uP� said buildin8� �' �S' P� thereof. shell conform in all reapecte to the ordinaaees of Frld1eY� Minnmota reB�B locatiam, constructiat, alterati�, maintenance, repair and moving ot buildlnSs avi� d� limiffi and tl�ia permit msy be revoked at ara' tln�unoaA ola� °f anY of the P�viciona of said / li f•_,ss�r�r,rs �.�r-a� NOTIC�Es Thk P�Y dw eef aevK Nw wmhuaimy tn�hllrien far rvM�nt. PW�w N� �M�l. awr w rrv. M am ro w fln laiWip Yy�dee hr wPNh P�in fer 1h�a iMea � � � . ..- ,� `_ ' ' _ � ow�ta's s. . APPLICATION FOR ,8t1I�,DII�G PERMI�T ,, ,.:, Ci�7C OP FRII$.E,Y..2(IIi�u4�A BUILDB& � �--�" � a;� , a� , � � � , _ , . . : _ .,....,_.:.. ., r . � . . . . ._ .. . ,:: . � �:, �,. .. :.. !_r.., . �- . � ' �. ::,. . ,.. , . .:' ;., ,� , : . .. , ., , �., ,� , � � - ':. � : _. � .,�.�C�c. .,:7Gob -6`.�-.�.:,G�s�.�..-�: . , ; <., �--LJ Lo�ATION oF 8.��4TC. ,. _ _ .. No! _/�`'�`� 7 G�t;C.. �e-v,,e . h� Stxest !� . Part,; of Lot �r. •e,, , .,�. - _.� .,: LoE:'��nlocic ��1►ddi�iop ox $ubdivi�9�on__ �orY►�r Lot " " Iheide LoE `�etback_��TBide.YStd. � SES�B BLB9AIION POUNDATIO� BLHVATIO�i /��}sliespC attacII_,to this. �o;�p.,Tao Qgxt#ficatea qf.Sys�!ey..o� Lot:and praposed buiid- iog, �oc�t�qr,i drap�i'oa thsde �e;Eiflcatee. ' ` . _ �. , DBSCRIPTION O! BiJILDING To be wed ae: _� - .: , ,, .., , . ,,, : :._ . ..; -. , . ' : �onC`----�.-.„-,...tlept}i. �r-.`.---.'�'a ht• . i& ., .. , Sq. Tt. Cv. Fk. -- , ; _: t ,, � ..: _ , lhronf DspEh � s ; > Height,' ,. __. g9, l!t. ,Cu, Fi.;_ ,. , . „ .. . ... ,, Type of Ccns'ta-�ctian . _ _ ' $sti.oPeed Qoa;e:.- 2o be Caoplet�d � _ � , � _ �, �. . , � ,; r � : ,.! ; _�� The ui�dbteYgned"het�ebj+�makes�applicatioa,for a p�� ,p=� tll4 vg�rl� j�sr4�n-e��cified, agreeiag to do all aork ia atrlct acco=dance viti�i''C�t�'Citq `of Pridley Ordinaeces and ruliags ef;the Departmeat of Bui�.i.dipge, aRd herebp��'Ipt �k�t i�l the �acta and reprmsefita'eio�s stated id"C6fe'aPPlicatiod ase ti� �d corrgfk, ; o �s /6 �Sehadnle of �oe. G�sts e�a be found on the &warsa Sida). �-�y � 5 • �. �_ � . ,`"�--s. �. ..k - Z �:s 4 M � BUII.DIb� PERMiT FSB SCEIPDULE • Section 2. The ii�spector of Suildings shall, before isauing aay per�+it for the erection of any building or strucEure, qr for.any,adddtion to any exist- ing building or etructure, or for any alterationa o'r repaita to any existing buiiding or atructure, upoa application therefor, require the payment by the agplicsnt for auch permit of fees to the amouat hereia below aet forth and in [he mamer hereia provided to-wit: .. ....... ... . .. . . .. . . ... . .. � . � . . . .. . . _ .. _ ... . . P . . . . .. . . . . 2+1. For any such permit for the erect�an of aPy fire-pioof buil��,: other qhan:e.garage* wasehause, facEorq or grain-elevator-, or for the erectioa of anq ffre-prbof sddiCion, for similar occupancy, to any exietiag buil$ing ahall be at the rate of ,��,40;for,each ona lhouexrd nubSc feetti' or fsaction thereof, in such cubicsP coeEents. 2.2. `Por anq such pe:mit-.£os the erection`ot'-Say" iire-proof garage, warehouse,_ " factory or grain elevator, or fos the erection of any fire-proof addd..t.ion, __'. fer similaz_occugaacp,"to any exisEing buildiag ahail-be at t6e rate of $1.25 for each one thousand cubic feet, clasai�ied aa "fireproof" by Section 502 of ,. the Minneap6fte- Bitilding..Coda. ' ` . : i , ` 2IOUSS3_ _ . ' � - 2_3. Por ariy sstch"perm#t for rhe`erection of any non-fireproof 6uildiag othez than a garage, warehouse, factory or grain'elevhtor, or anq aon-fireproof addi[ion, for similsr occupancy, to any exieting buildiag - parmit $1.00 for each �e thousand cubic feet. GARAGES 2.4. For any such permit for the erection of �nq non-fireprqof garage, wsxeha�ee, fattosy-oz-graitt 8levator, or for'"tlie�-erection of any aon-flreproaf addition, €or-eimilar occupancq, te sny ex�ating building or for each such __..--building or addt�lon - ain,aty-cente ($0.90) fo� each one thoueand cubic feet or fraetion thereof, in the cubical contenta thereof with a minim� of $4.OU.� For the purpose of oamputing feea #or building permita, the cubical contenta o£.any.building os addition to a uniform height throughout by �Lripl�ying the ground area covered from a point sifc�-(6) inches below the floor line of she basement o= ceil�t to``the aver-age 2►eigh�'bf the upper aurface or to the average height of the tfof surface of the main gable of a pitched roof. 2_5. For repsira or alterations to an existiag atructure, the fee shali be at the rate; of $3.00 per each Five Hundred Doilare ($500.flD) or fractioa tlier+eoi`fti tiTf�^'cc�st bf' a�`�`. �{�ogo�2d work. , _ . - �,� n „ . ... . 2.6. ` In t��i' c�$�� ►s�%�e =i�e,'�char8�. �' �Y-P��. sfi! set forth in 3ectien 2 be l�bs tkian $d.bb': _ _ _ �� — + �� f�� P � ` . • A' � _- .. 4►�y' •�' g- � O O� ti � � � � � �� ` m � L� � `s � U � .� � � ni � 0 0 ag � � a �g � �u A 6 z �� i ��v � �� 0 3T� . .�.. U Y�W. wa�1 �� .�x� � � 3v � a"o � � � � e � 'tl ev 7a � � W � � �� ri a � N ffi � � W � � � �� •� B ,• A v� A � 9 � d I .. �b�� r � s� � � �mva � � � �� 6 �� E b � +� � c. o °� �' � z � � �'m' � � O "wC D E° t� � �N � < a s� • z • . S'JNIN3d0 s� 3`JNW � ,� � M311SYM o� SNIM ralY� SNIVlq .� �� '�Niao sAVUi XSVM SMNIS m�� snNian sa3wv m � : m m �g � � ' U � � m R v p� p • M q � � � 0 � , M � O ',�i O � a F F w w ,,, �� g$�i, c�i g o% g� g n g � a'"�s w 8i Fd °.� n°C N» w�» W K x x x x w M x K x _ � I I z I � I U N : . � � : : � . : W .: : : .. . .. . . . Q � � g� J � � : m : 25 �o : a m � � w � � E : � $' � ° O �y .+ �� ` �. a a m 0 b :] a� � 9. � � � � � . Pti iC �, � S m a e� y� a�i � .� �' � � � � g w x ° r� � � � t� � n p y w z � z z W 7. U B z" q F•�+ � U' � � .7 a W C4 v � m ceI Z W �d � � � � � � 0 M � � . c��y of F�a��, a�. 6431 Uni�eraity Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT j�yg; _ 7une 20�_ 3972 11524 p��: Kenneth S6ribner ��, S� ---.----, � 7600 Bacon Drive N.E. A�� Same ----�-- u.u__. LOCATION OF BUILDING 1Po, 7b40 g� Bason Drive N.E. Part of Lot _ t,p� 1 glp�k 3, Additia�n or Sub-Divlsion ., M��or Terrace Addition Ea¢'nBi' Lot X Ins[de Iot Setback _ Sideyard ---_–. _.__ [_._;�._: �'� FoundaUon IIevati� DESCRIPTION OF BUILDFNG 7ro be vsea ae: Garaae Fy,o„t 24! �p�, 26' xei�t _10'� Sy. rt. _._624` �y1, �, 624Q' . � . Front DePth � � HeSght _ .� Sq. Ft. _._.._— Cu. Ft ---.—:... Tylfe oi Qoo84vrt[on�I.44�_F2'ame Esk Ca�t �$2i826. �__ To be ComPleted __L.y_88L—_ Stipulations: Poat and beam conatruction and provide a hard surface drive, . Sn �lwodderatton� ot.the issuance �to me o! a t to conshvet t11B bUllding d�cribed above, I agree� tq dp� 1hC D� :work in accordance with the �above set Yorth and fn cwmpliance with ali provisiona o! Ormoanoes od the dty of Fridtey. �y—�/ �/ ? �`��!?'i±=_� 1 41 SeaL•e Surcharce In caoeideistion o# the paymeat of a fee of a--�Z, 0_0_,� �. pem�it 3s hereby g�nted W Kenneth Scribner � to conshuct ;he bwlding or addition as deseriberi above. This permit is granted upoa fl�e espress condition that the person to whom it is� �aated and -his �agents, employees and workmen, in all work -� dme in, around and . upoa said building, or ax�y part thereof, shall � confoxm in all respects •to the ordinances of � F�d1eY. Mlnnesota regazding location, conehuction, alterationt �xneintenance, � tepair� and moving of bu11�g . 7i1� citY limits� and t�ie permit may be revoked at any i�me upoa violation of any of the Provisions oL saI$� . � NOTICE: � I ..7hb�.pawif.dws.wt eowr iM eonafrvelion. inp�0afios for wiring. P��R�'IW h�+Nnpr �w�r w waMr. B��on�b;�w NN lYildin0� Infp�clor for s�MrN� Pkmhs for ih�w ifsms.� � .. � .. .. s° � _. ROY J_ �:ANS�:N Fot fhe exclusive use o1 North $iar Abskact 3 Tifla 6uaunty, Inc. �3907 Sp��n� 1u� K.va . . � tand '�unc=�or . ('�j ft � �� Q'�\ /�\/ NoPA�m. Mmn. ySifl . -�wo , � - r o,_��-r ►�t rr j Tekplrone 9)6�5678 Ci En, ��er . oF PrsorERtv oF' Kenn�+.th i:: Scr1b^er c<n� C7�?ie. F. Scrihr,er� h�zshs^�i •-d ��-i"e LOCAT�ON ?6�'`� Por.on Str:�et, Fri.le;•, !.'inneQota � � � � .' O[SC'.NIBCU AS FOlLOWS (.�t 7� Bl ar.k� jr t' .ua^K-r.�or 1' sr�c�� ,��oka �},�inn�sot�� i . " I, . . :! . � I ,r. . ' . �. . i . � uv.�s' - , 1 � . ----- S.,r' :� .; , , � . .�: Y� . . . . .. � '"• W � Jsg� :w- % � � 'I 1�l a° ; £ Q . , V. e � . : . n ; v, � � �a . l � . � � . S• � �iP . . . . � J� ' : � � • S � .. � ; � - �� 3 ` . � . . � . . . . �/_" r �♦ . .; . � ps�� ('°y' � . ' . . . .. , . 2 S',p�C.e'+,y . t �,r : R.;1�� Y . . . . � 1 K �• ' i � '. , _ �_ � _ rzs' -_- . '� . , .. _ . . i . . � — — -__.1.,-__ . . a r ' _ r... . � . � . . . . .\ . . � � . . . . i� . - . � _7� . , . . • . - � . i . . , � A ' � y ,' . - � . . ' � - ' . . . .' � - �i _� : . %�/"%rJ/_�'i� . . "'__. _��.._.__ . � . . . .. � : .. ' . , , - , � � , . � � � � . . � Z . . . , . �_.. . . . . . . .. � 1 5 „ � S 7 • , \ � � . � , . . . � Scale: _—L.__inch = _�1% lcrt ' � . , ��CF:itT[FICATIi Oc [.00ATIO\ Oi� itU11.D1\G . . CERTI[�ICATF, OP SUR�'F.Y � .� ( hereby cenity thnt oo_../Sp(.Zi.r....,..G-*.-v.__14_GJ. � 1 hereF• cenif�• �hat oa__- -_. -_._ ---- ._. 19-_--- i m:�J. a x�n•r)' o( �hc I<Kation of �hc builJrng(�) on� ihc abuve . I+urvcY�� Ihc prn{xrty Jescribed �ahuvc anJ Ihat lAe abo�•c plal ��[IVKRjC'Cl{ {1fb[kflY nnd that Ihc I.xation of.saiJ buiiding(sl Is • ix a rnrrcfl reprcscnlati�m of �nid survcy. ew�eetly show•n on thc al�orc plaL -� , . . . . �� _ . . � . .. . � _ �' . . � �/�� .•+c:r �. �� ROY J. HANSEN, REGISTER[D SURVEYOR N0. 6274 � sY ..10:.7 . _' �l �'PLI�ATION FOR RH51DENTIAL, A�T�RATION, OR AllllITION BUILD�NG p�j2MIT CITY OF FRIDLEY, MINN�SOTA OWN$R�S �IAMLi.�'.✓.JrT.� � �S.r�..�s,✓�PBUILDEB._(�Gr ADDRESSe �ofl .r4�fca�7 ,O.P. .d.E. ADll�&SS: �io..�� NO:, 9Gso STREET:19AGo.c7 o.P. .d.F. IAT C / BLOCK: t� ADDITION s i,9c,va.i✓,�.�o� TfP�°�€ CORI�ISR LOT:�_INSIDB LOT: SETBAC&: SIDEXARDS AQplicant attach to thia form 1Wo Certificates of Survev of Lot and psoposad buildiag location dsawn on theee Certificates. HESCRIPTION OF BUILDING To Se Ueed Ae: -,�-<�._/Ja-�o Front: > � Depth: a?/ ' Height: /o � Square Feet: �C� 1� Cubic Feet• (, ��/ � ' Front• Depth: Height:�� Squarn Feet; Cubic FeeC• 'l�+pe of Coastruction: F,P,v�vE Botimated Cost: $�c�oa. � To Be Completed: _� o r1 ir � c. 7'a- The undersigned haraby makee application for s pe�it for ti�a wpxk f►e�rBi�A specifi,ed� agseeing to do all vork in attict accordanca wi[h the Q�ty p� FFidley 0lMi�.nanens and snlinga of the Deparesoat of Buildings, aqd heRSb�r docla7Cas that all ihe facts and representatione atated in this appllaRl�ola esn tsue aad wrrect. AAT$: ,,,� a7o_91 SIGNANRE: ��.�sy.'f S'y��^ � (Ses Aavessa Side For Additional Inforniation.) �Q S�$ ��az� Cd,-r S�R � f� f-�,S . ',/�f/ S�'et� S �rz��r 6/.� / 3,y r • �� ✓ � �`¢ � � i �� . T � i `- BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing peruwit8 for the etection of any building or structuxe, or for any addition to any exlsting building or structure, or for any alteration or repairs to any existin8 building or structure, upon application therefore, require the paymes�X by khe appliaant tor such permit of fees to the amount herein below e�et; forth azld l.xt the manner herein provided to-�wit: UNiFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thoueand cubi,c fe�t� os fraction thereof, in such cubical contenta. Type 3& 5-�1.85 f9r each one thousand cubic feet. F� ADDITIONAL INFORMATION For the purpoae of computiag feee for building peimite, the cubical contents of any building or additioa. i• determined by multiplying the ground area covered from a point six (6) inchea below the floor line of the basmient or the cellar to the average heights of the upper aurface or to the average. height of the roof eurface of the main gable of a pitched roof. por repaire or alteratione to an existing structure, the fee ahall be at the rate of $3.00 per each five hundred dollara ($500.00) or fraction thereof in the cost of all propoeed work. In no caee ahall the fee charged for any pe=mit ae set forth in Section 2 bs lesa than $5.00. VSRIFICATION OF FOUNDATION ppTg; Permits for eonstruction will be isaued a minimum of 24 houra frap tha xime of application, to allow for proper review of the propoeed structure and 01: Che oonetruction site. A CaFtifiad Survey of the lot, ahowing the location of the foundaC�v16� OROe !.fi has been construoted, will be required befo�e proceedina vith the Pxaming. CERTIFICATE OF OCCUPANCY Applicatian for a Certificate of Occupancy ehall be mnde ten (10) days p7C14T tp the use or occupancy of any structure for which a building permit has k6sA is�ued; and said atructure ehall not be used or occupied until a Certificate of Occupancy hae been issued. � � `� ■ . CI"i`Y OF F�ID�.�Y 8431 UNIVEqSITY AVENUE �N.E., FHIDLEY, MINNESO7A 55432 TELEPHONE (872)571-3450� July 18, 1979 Aqualand Pool Co., Znc. 3400 Dakota �lvenue South St. Louis Park, MN 55416 Re: Staimming Pool Construction at 7600 Bacon Drive N.E. Dear Sirs: This letter is to make clear this department's requirsnents for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, three (3) inlets of appmved design for fresh and/or repurified water will be provided. 3, As indicated, a main drain o£ approved construction will be provided. 4. The filter and pymp shall be approved by the N.S.F. and be of sufficient capacity to pmvide a minimum turnover of at least two (2) ti.mes in 24 hours. This depar�ent recommends a turnover rate of 6-8 hours. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minim� size of 4 feet by 4 feet at pool entry points and provided that such decking has the appmval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7, Eencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private reside:�tial swimr.iing pools. Pencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to cliunb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped V7ith self-cYosing and self-latching gates capable of being locked. (�c) Self-closing atul sel€-latching devices shall be pl.aced at the tog.' of the gate or othen,�ise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall ba not more than four inches. 8. An autcanatic chlorinat�r should be provided with a suitable test kit. r Aqualand Pool Co., Inc. a July 18, 1979 - Re: 7600 Bamn Drive [d.E. Page 2 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. Al1 electrical lines must be greater than 15 feet away from the pool surface. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuiun breaker or air-gapped. 12. Suitable safety equipment to include but not li.mited to a ring buoy and rope that is l�t times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furtherrtqre, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is appmved continqent on final inspections and approval by the City. If any questions or pmblems arise from this letter, please feel free to contact me at 571-3450. Sincerely, � STEVE31 . OISON � Environmental Officer SJO/mh CC: • Mr. Ken Scribner 7600 Bacon Drive N.E. E� � n�..� . � : . .. . . . . .. � .. . — � ,'„"� ��. . . . . . � . . . . . � . . . R(�UALAND � � S h o w R o o n� : Tele. 920�8244 � OAKOTA AT MIEST LAKE STIIEET „r,�;°r'�' np2E �—�� —�y MINNEAPOLIS, MINNESOT� 55+16 '�'�T4 Since 1961 EQUIPMENT SPECIFICATIONS 0 Customer (`"(J SCJ�-! /3N 72._ Address aCON [ tr City f i S ATE nw� . ZIP Phone Home l ffice Submitted Byt c - L'/ POOL DATA� Pool Size dc Shape �� r�t � 3 Z�/L Turnover Rate � Hours - Surface Area Sq. Ft. Rate of Flox O GPM Capacity 04 Gals. Perimeter LIN F"f PIPING DATA� � SUCTION I� t�� RzT4HIi3 —� L�� d(�� '-�� S�h MANZFOLD (/.9 � " j LINER STYLE �'%/t11`c C.. /4.P.lrt7 SER.# COPING STYLE BOTTOM HATERIAL' FILTER o4 — q�V PUMP & MOTOR � yL, SKIMNIERS — DIR. FI,OW INLETS MAIN DRAIN C CHLORINATOR O DISCHARGE � MANIFOLD A-�/,t THERAPY FITTINGS � POOL HEATER .�T & �p C , " POOL STEPS C � � LADDERS � HANDRAIL ,Va- ANCHOR CUPS ESCUTCHEONS c DIVING BOARD - SLIDr^, K� tLlt � ! � T /T�' POOL LIGHTS DECK BOX D MAIPITETIANCE KIT TEST KIT � VACUUM KIT AUTO POOL CLEANER' WALL FITTING '� POOL CO,VER � INFLATEABLE I�ME p POOL CHEMICALS DDCK WORK � ^ �� FENCINC NOHK � c WALL ORH O - LLL+�:'�RICAI; GA5 LINIC OTHF.RS y � .` � �t . � . . . .. .. ✓ , i � � . . . o � I � � _o . , , v m Q � � � � Z O �- U \ • � � i �.. � .. . � J w <J t p � cN 6 ��. <a � � � o � z �� ' � e ..-4� . � � a .. a W • N b -v �� '� � ��a � m �i a �S � > 6rJ m i p W � . � Y N ..O - J F� r �. . . Q O= W1��<W � � ( J . ��4' N�� ¢ � � .J .�. .- =� � .6 pW i= mg " � ' �D . . � Y:�y.' 1 M J O •�Z � . �.M....:'�0a � _ I O � H �1 I � r P = - N �7�� n - -� T - N :OW s. , �Z _ m� i � 'e wu � J( � W L � � - - O. y0 _i - " H P LLO N`� P O J . <*�� .�'d��m�'° L . �iz'u°-F � � a . . ��E ' :'„� � � '� � ` .3 'rtu:. . � ' , � V , � F ¢�op� �� o � J � Et aw �a W W a J U S} �- .� ¢ i I � : � � � x � N m � o '" Q � � W 0 J � H � N � U Z Z J � �O N aW � u J Z � _ �m. . '��:w_ �� N 4' O � � o �� Q �,� a ... LL�:� Y � I ';• H � � ' Q � ti Q � . I� . � ' N � �'. �' U � 1�'�I�� L 4j� :. 'TL M �.i �. . � _ °i y J � J W � �� n � �w ` x 3 � � b 0 Q 1 W Z � � A � r V U , m E � � i �N �y y ..3.3 p 4S M1 . � � � O Z O � N � ip O ti j ♦ a V 4 W O u.a N o W W � -- 4 �` Y � ' 41 � F� C .2 =�' E W .. � J J � F O y r d 4 Q Y F K � d u� V C O ! < 1 O O K R S R 2 2 W � u w W > m a a i � : � �W..�u a� Q � P ssaar 6 i . . .. ;��..�. i �, . . . � sue,ec, � " . . . �PERM� . ... ��ty of Fr�dley �� 5 3 4 9 ATTWETOPOFTHETWINS g�lLQI�� P��ERMIT � � �� . .. . .��ECEIPTNO. i �, - •� COMMUNITY DEVELOPMENT DIV. � �' �Y"'i'�'� PFlOTECTIVE INSGBCTION��SEC. . �� 9 . . / . l. l . . . . . , �� "9' � qTY HAIL FRtD1,EV .� .55432 NUMBEp R{Y '� 6S E � PAGE OF AP➢ROVEO 8Y . �'.,•.�' `-' b12-571-3460 9io-F�5 7j19%79 / / _. �os aoi�pess 7f00 Sstcan Dri,ve N.E. � � 1 LEOA! ��TNQ.� � �BLOCK� TRACTORAODITION , - . � . �� SEEATTAGHED�. �� DEBCR. �.j � . - 3: � � MEdl�OWIDPC�1" TEi�'$G@. . . . � SHEET . � . . '� P PROPEA7YQWNER ' � � MAILADDRESS � � � . ` . ZIP . .PNONE . .. . . : ; .� ; Ket34 itrnar 76QQ Bacon Drive.N.E. 784-8415 I� � � 3 LONipACTbfl '- � �� .MAILADORESS � � � . Z�P � PHONE '�- UCENSENO. � . Pac>l Co. inc. 340o Dalwta Av e South 1� s a � 4 A �I�CTORtSE516NE1i � . �� . MAILADDRESS . � � � ' � 21P � .. PHONE LICENSEN0. � ' �� ENGLNiER -MAILA�DRESS � � . Z�P � � �PHONE- � �-LICENSfNO. � . � 8 U$E�OFBUILPFNG�.. . . . .. . � .. � . . � � . . � I CLAS...OFWORK ' '.. . . . � � � ��.� N£W�� ❑ ADDITION ❑ ALTERATION� p' REPAIR ❑ MOVE�� L7 ��REMOVE . 8 DESGpIBE WORIC � `. �� . . . . � � � . � ' . . .. . . . � :t, . . .. � . . . � �. � 9�GHANBEOFUSEfROFk.. � FO �� - � � � . :� � �� STlPUL�4TION5 " . � - � �� . . . . . .. See etipulations on letter dated Ju1y 18, 1474 fro� Envimramental o£�ic�z'. SEPERAIF PERMITS REQtiIRE� �4R NNR�Q HEATENG. PLUMDING AN0 SIG@!S. WARN�i7 �M �B�E cs�ti bcai uUiitles 1E1EP110NE. •.f.I.ECTRtC • GAS Etc. R�QUIR�D 6Y LAW . SEPARATE PERMITS AR� PEOUTAED FOR ELECTRICAL, PLUMBING, HEATING, PE� �- Si �. OCCUPANCY GROUP � OCCUPAN�V 40AD .` � - VENTiLAT1NG OA AIP �CONDITIONINS'i. � � � ' �' FNIS P&RMit BECOMES NUCL AND� VOID IF �WORK OR CpNSTRUCTiON Z�ry�N('i ��. -:50�. fT.. � � CU�. FT � � . . �� AUTHOR{2@O IS NOT COMMENCED�WITHIN 60 DAVS, OR IF CONSTRUCTION - . � . .. �. . QR WOAfE IS�SUSRENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT � � � . ANY TtA4E. AFTfN WORK IS COMMENCED.�. � NO DYt�.G. UMLS �'� OFFSiFEET PApKtNG ' � I MER�BY�CERi1FY THAT 1 HAVE�'REAO AND EXAMINED THIS APPLICATION 1 $TALLS 1;GAflAGES� � �. ANOKNOWTNESAMET08ETRUEANDCORRECT.ALLPROVISIONSOFLAWS. yq��A7�p�y-�? . . SURSAX . . � . ..� - �� AN� ORDINANCES T30VERNING THIS�TYGE OF WORK.WILL BE�COMPUED �� .IHITM WH€THER SCECIiIED NEREIN OR N07. TNE�GRANTING OF A PERMIT �71�00 .� � ��3iHO . � ;, `QOES.NOT PflEBUME.TO GIVE-��AUTf10RITV TO VIOLATE OR CANCEL THE pERMIFfEE.' �� SACCHARGE. " � � PPOVISIONS OF ANV�OTNER ST 3�OR.LOCAL LAW REGULATING CON-� -�� . �� , TRU6TIQN � TNE PERf RMA) C�� Oi GONSTflUCTION. S4$�QD. NONE � ` . � �/ � PLANC ECK EE �-� TOTALFEE i �:ql, r . � . �y . �5].�BM,... \.,, ��pg� � e �r�r: a�rEQ.n � iontei WHEN PFOPERLV VALIDA7ED TH i5 YOUR PERMiT � �4� 40 ; � �, /��/� � � ., ., z. . 1*/ - k .. �(�i¢{�-(.Y�jJ�.�� $�� pFOWNERUfOWNERBUIIOfRI . �l�—� bG WS? � </ R iE - � � CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: �t'�/II S C/�IB�I/F/Q BUI LDER : /QQ�%��/UO `�� . -�c . ADDRESS: 7640 j�jACDrP� lI/�/1/E ADDRESS:3�f6C9LL9/f0!/�f�If�So• �GS TEL N0: '7S�/—Q4�/S TEL N0: �o2�—S��i� Construction Location STRfiBT NO: �i� �� STREET: ��C� D/lI U[� . . LOT: / BLOQC: � .J ADDITION: M�AL}iLV�'PDO� TLCJS�ACL 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. DESCRIPTIOW OF CONSTRUCTION �SE,Ei%?'1/�('h`EO 5��°iF/C9Tiog �� CeQOlA_IJ� �L Front: Depth: Height: Square.Feet_ � L% Qibic.Feet: Front: Depth: Height: Square Feet: Cubic Feet: . . �GlX3�% � Type of Construction: SU%%�9��yG �G:��- Estimated Cost: $ 7��0 �� Sb Be �mpleted: /9(%G 79 /��P/QQ� Proposed Driveway Width If New Openinq Is Desired: Alt. A Alt. B $ $ SEE REVERSE SIDE OF SHEET �e undersigned hereby makes application for a permit for the wvrk herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the DeparUaent of Buildings, and hereby declares that all the £acts and representations stated in this application are true and correct. nAmE: 7 -l8 7j src�AZVr�: �,��' Stipulations: +�p : � / � s� � � / —�J'fpaw�..x„ ♦ J\ � � ($I'� � N �� BUILDII�G PERIdIT FEt SCNEDULE SECTION 2. Tha Inspector of tluildings shall, before issuing pennits for the erection of any building or structure, or for any addition to atty existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � N�W CONSTRUCTION: Single Family iiomes and Garages: $4.00/1.000 cubic feet.. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY D�PRESSIONd (COncrete G11rb Streets Only) � Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x�15,75 Alternate B: Removal and replacement of concrete curb and . gutter and install a 3 fo�t wide approach with 6 inch depth; Driveway width plus 6 feet x$17.85 �DDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contenis of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof surface of the main 9able of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred doZlars`($500.00) or £raction ttiereof in the cost of all proposed work. In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. � � � � � ►1: 1 NOTE: Permits for construction will be issued a minfsntun o£ 24 hours from the time of application to allow for proper review o£ the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. CERT,�,�ICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten C10) days prior to the use ar occupancy of any structure for which a building pezmit has been issued; and said structure shall not be used or occupied until a Certificate of.00CUpancy has been issued. . � , � CITY OF FRIDLEY 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 �� . TELEPHONE (812)571•3450 July 18, 1979 Aqualand Pool Co., Inc. 3400 Dakota Avenue South St. Louis Park, MN 55416 . Re: SWimming Pool Construction at 7600 Bacon Drive N.E. Dear Sirs: This letter is to make clear this department's requiranents £or the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, three (3) inlets of appmved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a mi.nimum turnover of at least two (2) ti.mes in 24 hours. This department recoimnends a turnover rate of 6-8 hours. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which e�ctends cwapletely around all private residential pools. Above ground private residential pools may be provided with decking of a miniminn size of 4 feet by 4 feet at pool entry points and provided that such decking has the appmval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be pmvided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that u;ould 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-latchinq 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. 8. An aut�atic chlorinatnr should be provided with a suitable test kit. Aqualand Pool Co., Inc. July 18, 1979 Re: 7600 Bacon Drive td.E. Page 2 9. All electrical and plwnbing installations shall be inspected and approved by the City Inspection Department. 10. All electrical lines must be greater than 15 feet away from the pool surface. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacutmi breaker or air-gapped. 12. Suitable safety equipment to include but not li.mited to a ring buoy and rope that is 1'� times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requir�ents must meet the provisions of the Fridley City Code, Section 115, Swi�ning 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 contact me at 571-3450. Sincerely, � �/l�i..� / • , " . .c-r' � . - . - sJO/mn CC: Mr. Ken Scribner 7600 Bacon Drive N.E. ,� � , � �:_... ROY J. .ANS:N �. � for iho ezclusive use of Norfh S4ar Absfract & Tiflo Guarenty, (nc. .��p� Spi�� tns �:n.n Land; urve;or � � � � iE �� j � : � � { �V �Y . . ua. ��m, ra��.��. 1�)t3 �. ��,�o � . )� V L/ Tcleplro�e 936567+i Ci En�ineer KE�nn��th t. Srrit�r,r,r � nci �7�,?i� `cr•i?+n�r, hu�,..;,,.t ..:1 �rtC�� UF P�tv�jf:°�77v Uf��_..__..._.._.._. _ _,,...�.__.�.,......��._ _ . .�----.�_..._..�,.^,.,. �ocnr�or+ �5%� �G�en °Lc�'�eL� FY'i':le;:� .'.:1n:tr.r�ote � ��. �,i., _.,.,er �"A�r�r � �� 7akN� 1'=nn�-Q•.�� . . i 1 .. . .DCSCflIBCU AS FOLLOWS�yQ�11 ►.��1r f 1! �A'-"-n — ` �'"� i.� '- � . . . . � . . i, , . . . . . . 1 � t�.� �. � ' � . . .�� .. i \, - ' .. i 7S� I .. � . .. .. . . i . � . � . � I . . .. I . . . . .. .{,S ��. `\ 11 d. 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Icc�Onn nf thc hudJingl�) on ihc abuvc f sur�cycd iflc pr��{nny �feccribcd ahuvc nad Ihat thc elwva plat .� d�c rit•ed prc�perty nnA�th�t ihe� locannn uf �said builJing(sl Iti � is ;i earteFt repre�enl�uion o( �niJ iurvey. cUrrect{X stsuw•n on ihc__:abo�c p1u. � . . ' � �. . _____�'' _._...��'� �-., � ��s-...�_�.r._. � �^, . ��,�_t`��,� � ROY 1. HANSEN, REGISTERF.!';. SURVEYOR �0. y274 . ' �� . _ .....�.+.+.-.-�—�e �'�'� ' _ - � sue�ecz � . p �. ' �ity O� Fr��y = a `� - : �TT��flF,�� - QUI�.flIt��P�RMII' . �� - cor+MUiam pEVE6.ovt�t8ta7 wv. -� � REGEFPTlVQ. i , � �,�•:•••-•��: P807ECIIYE IMBP�C7CZ#!I 88F . , . � � . . � -*': r� ' ,� . i - : . = � � . . . ` ' • ' �� r �'�.'�.. (YTY }Iq}J: F{�j�(,f„Y ,: �$,j�: . .NUYBER AEY. �.. ��`f63F�° � P�GE OF APPROVEU BY�� n.F a_ �-;� ,.:.. BtY.6eo��SO .� � .910.F75 �� .'..� �T7 �.� � � -..� : �c� �`°°� _ '��Qq saaon' Hrfve N.E. . " � � � L ?lQ�.�� QkOCK " TAACT09AOOITION .. . � �� ' �� . . ..SEEATTACkfEO.. ."..'�: � _, �,:�p• �. :: ��:. ,� M@d�C�l400x'�.:�'!BY�"iLCB�. : . . . � 9HEfT -.-' _ ":. .B;PA[�p.. a, yOWNE�:� '� MMIn¢IIkE&S -- � ..�, � � 21P�. PHQNE ��..: '�° ..:. - �@ffi�i,.@�3-�i`C;7.jN3fi:T �.. �ff�' �,�¢E?1] UF2ii@-�N.S. � ' � f� �_ .. �.. �, `��:. MA1Lk@f7RFS$ . ., . ... � ...ZIP . PH6NE � � L1C£NSENO. ;�- . . „4�_ �ta CPnst. : ° '#sik �� flE319NER . .. KU�k�E6& �. -.. � . � . -�' �r.ZIP .�)PHONE ��' llCEH6EN0. , . . .;.:. � r... ��.:, .. . , . ' . - MRILRQDAESS�'� - ` . ,.Z1P . . pHOHg� � IICEN$ENB. . , - z:_ . ' ..,. - ... � . . ;....., ��: r.. _ ' .::�. � ., . ... .,; _ . . - n _9ilILiKN(i �a�.dez►t3aJ, '.- T''�8S7iF1NESA1t <: . � �:. , . - . �: . , � 4 NEW� � eSDDITION .:� �i � AiTEHATI�N �. � O R€PA1R ❑�': M%?YE :C1 ��YE e --PS4e��c . E��S'fir laccre a�-b#.c1c £ront �. , , ' "' f . . : ; . ^ I � ' _ � : �-� ..-�_ , , xRGM . . . . . To : . - Fiseplaca. att�ent qiren to owne�. �sl� #€�' d�pex i.nspectioat. � ,'. ' � �`' _ +. �� 4 SEf�R/t'� F�RA41tS - REQt14RE#3 F� i�fIRiNG, _ < �iNt�, PLUM�3tNE`: ANt� SfGN�.., ,:,, << _ ,- -- �� . � �� F,� 9$P�j1,tTE�ERMIf$APE.REQkIIR��1�18 ,�L,'TRICM4., R,1IMBINO, HEATING, �. '- _ ,, aCGUPANCY QROUP OCCWAAICY tDA¢ ., : =. ��nrn�a��rys oa ��i coH�rne��-- � s• ' t , - � ° . �, � -� SHIS P�RWki-$ECa0F1ES t1t1Ll X�tA#;,�]'WD 1F W[ihfG QR-G(1MSTPUCTION �Z `s :� '*. . 5Q fT � � CU, FT. . � ' �: , = �: AtffiM4A1�BC IS N¢i'E.`QJAMENC'iG�'1NN 80 LiAYB. Q�F IF LONSTAUCTION .. . ':. , 6R,Nf�iK:1$ BUSpHNOED OR�$A.-NDQf4ED fOR A PEQIpQDF"i20 OAYS AT � �� Abt1`"T�ARE�:AFYER WEiiN( fS C411a41�NG€O. - ' . .. i1O �`ti. }#�S .:�OFFSTNEE7 PAR- FNti . � , = I�HEREQY-(jEH711�y THAT 1 HAVE AEAQ ANQ�:E%Ah1{NEp THI5 �APPI,ICA710N �.� ;,� STA,L4S. � � GAqR¢E3 ._'ANBJSN04TtSbESAMETOB&TqUfqN�CpARECT.ACtDROVISIONSOFLAWS .VA��ry �' ` _ � . '� AM6� G(}1FE{xy4N6 TT1fS�:TYPE OF WQRK W144�BE COMPLIFA. �� p � $. �S . ''W;IT7t lYl1ETNER &�ECIFi�D H��(EiE4 �OR NOT. TMF t3AAN71N6 OF A PERMIT_ � . ..,. . ��- ,i�I}ES'M[#Ti�APS4C�E�TO fliVE RGTtIQRITY i0� VIOLA7E OP-�CANCEL THE..�pEpM�r�rEE„ SACCHABGE � ' f+AQYiSIf'I�l$OF ANY�OTHER S7FnTE��OR LQCAt �AW AEGUMi1NO CON-- �� 8'FR�E�flO�Y�iiA TH£��FEHFOR6da9NCE ��F CONSTRUCTION. � $`�«� � , . .. •. y � �� . . . � �. PLAN PEE z' ; � _ ,: � t :�,`9.'!5 � ' � ;t�,: 1NMStDRONkUTHORIZEO4GENT.� (D�TEt � WNEN �Y V#LIDATED�THI$ IS YpUR DERMIT ��^- _t . � -��' 3-�3-�7 � , .1 m �on. i � ,. nnr . � � . _ ' , - . .. .,_ . . . � . . �_ . .� -^ �. .�, . �fi . .- -., c .. ` - . .. . .. .�� .. � � � ..r_ : ... _�... ;... . _ , . �. �..� ::.. CITY OF FRIDLEY APPU CATION FOR RESIDENTIAL BUILDING PERMITS �NEW> ALTERATIONS, ADDITIONS, OR REPAIRS) _ OWNER: �E•dw/E7'H �CS�.Pi.c4.r/,t`.e BUILDER: C�A�? Tt',s�1P.drlA �,eP�l� Address:7�o� .C�.a�o,r� D.�° .r/.E. Address: �qL.ri,J.c_ Tel. No.: No• : " lii�DO Street; 0 t.o�r: / si.ocx: �3 AnnxTioN: ,/_il �A-D6i-e� r7700�2.� 1�ar A� CORNER LOT: INSIDE IAT: S�TBAQC: SIDEYARDS: Applicaht attach to this foxm 2Wo Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Fmnt: Square Feet: F'ront: Square Feet: Depth: Cubic Feet: Depth: C11bic Feet: Height: Height: 4ype of Construction: �.p��e.t� f,Qo,✓�-/��PE/�.�'E�timated Cost: $�ov. °� 2b Be Completed: � /�'�p}�rv� l - � /Alt. A Alt. B �Proposed Driveway Width If New Opening Is Desi�red $ $ (SEE REVERSE SIDE OF SHEET) 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 rulinqs of the Department of Buildings, and herel�y declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. nax�: (�- � �7 sicNnTOxE� _, �� _ 5"� _� _ Stipuldtions: � / � Q� , %S , /s � g' � �� , � r BUILDING PER��IT FEt SCHEDULE SECTION 2. The Inspector of Buildings shall, before is��ing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing buildinq or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.. PLAN CHECK: 25 percent of building permit fee. DRFVEWAY DEPRESSION: (Concrete Curb.Streets Only) . Alternate A: Removal and replacement o£ concrete curb and gutter only; Driveway width plus 6 feet x$11.75 Alternate 8: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with �p 6 inch depth; Driveway width plus 6 feet x$15.�'r :11 �►:.. l �i�. �1 Ebr the purpose of c�puting fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the raain gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. Zn no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimwn of 24 hours from the time of application to allow for proper review of the proposed structu,re and of the constzvction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. C ' • .1 Application for a Certificate of Occupancy shall be made ten (10) days prior to the. use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. � � � �► _ �.: . 4 . CITY OF FRIDLCY Effective suy. i, i9ei ��%v APPLICA�';OFt fOfi RCSIDLNTIAi. BUILOIGG PL-Rt�{ITS (Hew, A1#entions. Additisns. or Repairs) �� as7 ONf�ER:.f��-./v „��-.��,�E.r EUILDER: ADDP.ESS: r�tffi �.��.J � .rG.E. ADDR[SS: TEL R0: ' >�.l_ ,�.l�� ' TEL N0: Construction location . srn�r No=,�� ar�r: , Srr�f.�.J �r. .,.!E. i.m: st,oac: norarro�+: Gornes Lotz „_�,� Ineiile Lot: 6etbaCks Sideyazds: 1►pplieant attach to tUis fwns Oro Certifiutec of Svzvey of lot and pzoposed buildfny loeatian draxn on cestificetes to scale. Fzont: DESCRIPTIOit OF CONSTRUCTION Depth: Squane Feets Qibie Feet: Front: Neight: DeptJi: lieight: Sqaare Feat: �bic reet: 7ype of Cbratructionr �YE.f�� DE�°�,�4xrii.J Bstimated Cost: _S ^f �(�j-S� � 7b Ss Cbr+pleted: 7►lt. A 7llt. S Froposed Dr3veway Fidth If Hew Openiag Is Desire3: �_ i�13.� i , SEE I�VER;E SIDE OF SHEET � 15�e undersiynea bezebg makc� app2ie�tfon for a perioit for the w,ork herein specificd, agrQeing to 2lo,all work fri etzict accozdanee With the City of Fridley Osdivances and rulL�ye oi !he D¢partmcnt of Duildings, and A�eby declares thrt all tlie faets and represontatiens stated ia this application are true and correet. a�r$s „g_/�� sica�nzv�: ati�i.ttoM: � =� � � �,� �Q.>-��ca� ��o� SIIILDING YERMIT !'EE SCHEDULE TAe Inspeetoz oi builainqs sh�ll, before issuing permits ioz the �z�etion oi any building oz •trueture, oz tor say additioa to any •xistiag buildinq or strueturs, os for any alteration oz sepairs to any �sistinq bnil0lny oz •tzuetur�, npon applieation therefoze, requiz• tAe payaent by the spplioant foz such permit of iees to the uouat b�rein b�lox set iozth and in the ■annez hezein psovidea to-wit: 7'OT71L V71L011TSQi i1.00 bD jSDD.DD iSDl Lo t2.000 SZ�OCl ta i25.OG0 i25,001 to 550.000 i50,001 Lo 5100�000 5100,OD1 and up � j20.A0 )[inim� Fee Si5.00 plus sureharge =10.00 for the first SSDO plus 51.50 for each additional 5100 oz tzaction thereof, to and iaeludiig 52,000 j32.50 fqr the firct 52.000 plus 56.00 foz eseh ad8itional 53.000 or fraetion theseof, to and iaocluding t25,000 6170.50 for the first 525,000 plus S3.SD foz each ad8itiorul i1,000 or fraation thereof, to �nd incluQiag SSO�ODO i283.00 for the firat 550,000 plus 53.00 foz eaeA additional 51,000 oz fraction thereof, to and ineluding 5100,000 8443.00 ior the fizst 5100,000 plus 52.50 foz each additional S1,OD0 or fraction Lhereof PIAN C'i�CK: 25 percmt of bnilding permit fee DRIVF3iAY �PRESSION ESQtOW: Concsete Wzb Streets Only . 111teznate •A": Remov�al and zeplacmosnt of cvrb and gutter only , Dziveway vidth plus 6 feet z 513.50 111Lerna�e •8"s Rsooval and replscement of wzb ar�d guttez and install a 3 foot wide approach with 6 inch depth Drivevay ridth plus 6 feet �[ 515.75 VER7F;CATION OF FOUNDATION Pe:mits tor construction vill be issu�d a minimian oi �4 hours frao the time of applicatioa� to allw foz proper reviev of the proposed structure and of the construction site. 11 Certificate o! �rvey of the lot. sAowiag the loeation of the foundation once it Aas been oonsttveted vill be required before roceeaing with the framing, [ , � �I �. �� . � .. . suwec� . '. `. : � PERMIT NO. City of FricYleY � ^ 0 19000 ATTNETOPOF7HE ��S � BU��IL�� 7 ER�--IT �� ` a ,.. .. . . .. � � ACEC£IP? N0. . � COMMUNITV DE`�F.�Q�M�NT DIV. � r -.•a� Y'^ "� PROi6CTIVE INSPECTtlYN SEC. .� . � . . .� . �,,.�9G�.. � � , � , � �'7� � CITV MALL FRIO�EY '� 5b�32 . MurBER NEV ..' D+�TE- PAGE � oi �PPROVEO ev 1'"""'��' t '� �(}12�'i71-3460 � 970-Ft5 � .� 6I9I87 � � � .�� 1O8A006tE5S . ']600 BdCOri^>Dr3ve N.E. � � .. � � � � 1 IEGAL�-�� 107NQ. � BLOCK ` TFAGTORADOITIOM . � � � .��.SEEAtt�CHED �-DESGP�. � 3 �� MflBdQGffiOOY�:F4'rX'�dCB.� . . � SHEET . 2 PRpP@RTYOWN€R � MAILADDRE8S �� ZIP VNONE � � � Renneth A. ScriUner 7600 Bacon Drive N.E. 784-8415 3 CONTqACTbp M#IL A�DRESS � � � rP � PNONE - �, LICENSE NO. �@ � 1 AHC(AITEC70RbE8MaNEF. � �IL�ADDPESS � Z�P �MONE � LICEM$lE.NO. � 5 EN6INEER � MAIL�ADDRESS � � � Z�P PHONE � LICENSENO. � e U6ELFBUICb1 G � � . � , � � � . � . RPSif1E'IItidl � . � � � � . � - � 7 CLASS4F WOflK � � � . . . � . � � ❑:.NEW ❑ �ADDITION � ALTERATION � ❑-��REPAIR ❑ MOVE ��.0 FBMOVE e oescAisewonu Ira�ta�2 steel Sidin 9 .CNANQEOF�F18@FROM � � �� TO � � . .. � 'm,..,, � . � . . Stt�l1LAT10N3 � � TVPEOF � � OCCUPANCY6ROUP OCCUPANCVLOAD SEPARATE PERMITSARE REQUiRE�FORtR�ECTRICAL, PLUMBING, HEATING. . YENTILAT{NG OR AIR CANW?IONIN¢. � � � THIS PERMtT BECOMES NULL �AN��-'VOIO IF WORK ON CONSTHUCTION ZONIN6 : �� ]'!. SO. FT. CU. FL � � AUTHORIZED 15NOT.COMMENQE�:WITNIN:60 DAV3, O(i IF CONSTRUCTION �. . � OR YJOqK: I$ SUSPENDEb OR A6kNDONEO��iOA A P�HIOD OF 72p OAVS AT � � � � �� ANV iIME:AFTER WORK Ib COMMENCED.� -� �� NO. DWG�B. ONIE$ ��' OFPBTPEET PARKING �� I WEAE�V CER71iY THAT t MAYE READ ANA.EXAMINED THIS APPLICATION 1 �� . StAILS � GARAGES � ANBKNbrVTHESAME.TOBETRUEANOC�RRECT.ALLPROVISIONSOFUWS yAIUATION -.. � ` SURTAX AN��pH6MAlYG.fS p6YERtNNCa�TH15 TYPE OF WORK WILI BE COMPUED � ' WITM WHETNEA SPECIFIED HEREIN OR N07. THE GPANTING OF A PERMIT $2 � SOO S1+.Z S � DOfS�NOi RRESUME TO�GIVE AUTHORITY TO VIDLATE OR CpNCEL THE pERMITFEE , SACCHARGE PROVISIONS OF ANY OTNER STATE OR.LOCAL LAW REGULATING CON� � �� .�� 9TRUCTION OR iHE OERFORMANCE OF CONSTRUCTION. $.3$. SO� � . � PLAN CH FEE� 70TA�FEE . � ` � $39.75 ��. SIGNATUNEOFCOIYiR�CiOPORAUTHOFIZED�GENT iDniEi WMEN PROPERIY IDATED THIS IS VOUR PE MIT � . � . . � � . ��6... sL. ' � . S�{'i �ATUREOFOWME tl �NEPBUIL E i w iO�Ji � �N v � pni NSYI I ] ADDN. ( I et,TEtt. I I City oP Fridley R-t kND R-2 Building Permit Appliaation Effective 4/7/86 Conatruotion Addreas: '�� a � � '� � Legal Deaoription: L�T / BLi�rL� y'� �✓� s �;?-" � T��—/ Owner Name & Address: .�L�.r1c3►'•G� _,.,��.4��•�/•��l/� _ Tel. # 71s�!✓/J Tel. # Contractor• ��% , Addresa LIVING AAIIA: GAAA(iE AREA: DSC[ ARB9: OT6BR: Attaeh to this application, a Certlficate of Survey of the lot, with the proposed conatruetioa draxn on it to seale. DESCBIPTIOH OF II4PFOYSI�NT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Nidth Hgt/Ground _ Sq. Ft. Lsr�L �ri�,�.� Corner Lot [] Inside Lot [] Ft. Yd. Setbaek Side Yard Setbaek Type of Construction: Eatlmated Cost: $ -�� Approx. Completion Date: � �� Alt. A Alt B Propoaed Driveway W3dth If New Opening Is Desired: S � — See Baek Page for Explanation DARE: 6� 9.j9 APPLICANT: Tel. # 7/9� i'l��l� Permit Fee Plan Check State Suraharge SAC Charge Park Fee Sever !lsin Charge TOTIL STIPIILATIONS: CI?Z IISE ONi.Y $� Fee Schedule on Reverse Side $ �• a� 25f of Building Fermit Fee � �.50/�1,000 Valuation $ $525 Per SAC IInit � Fee Determined bq Engineeriag a ; �� 9greement Heceasary [ 7 Not Necessary [] a25°U � Sc, ��p U e,� } � Jo•J BIIII.DINi6 PBRMIT FSS SCHBDDLE The Chief Building OPficial ahail, bePore iasuing permita for the erection of any building or atructure, or Por aay addition to any exiating building or atructure, or Por any alteration or repair to any ezisting building or strueture, upon application therefore, require the payment by the ap�licant for auah permit oP fees to the amount herein belo�c aet forth and in the manner herein provided to-wit: To8a1 Yaluation F�ea •— 11.00 to E500.00 E10.00 (Minimum Fee is �15.00) #501.00 to �2,000.00 =10.00 tor the firat a500 plus E1•50 Por eaeh additional �100 or fraction thereof, to and ineluding 32,000. �2�001.00 to �25r000.00 azs,00,.00 ta aso,000.00 E50,001.00 to �100,000.00 �32•50 for the Pirat �2,000 plus #6.00 for eaeh additioaal ;1,000 or Praetion thereof, to and inoluding ;25,000. #170.50 for the firat ;25,000 plus ;4.50 for eaoh additional E1,000 or fraction LhereoP, to and including �50,000. a283.00 For the first additional �1,000 or including �1U0,000. �50,000 plus �3.00 Por each Praetion thereof, to and $100,001.00 and up �433•DO for the firat E100,000 plus $2.50 Por eaeh additional E1,000 or fraction thereof. DRIYBYAY DEPRSSSIOH BSCROH (Conerete Curb Streets Only) Alternate "A": Aemoval and replacement of curb and gutter only - Drivexay rridth plus 6 feet times �13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot xide approaoh xith b inch deptd - Drivevaq xidth plua 6 Peet times �i5.75 1►BRIFIC►TION OF FOQ1iDATION Permita for constructlon vill be iasued a minimum of 24 hours from the time of applieation to allow for proper reviex of the propoaed atrueture and of the coastruction site. A Certificate of Survey of the lot, sbosring Lhe location of the foundation onee it has been aonstructed �rill be required before proceeding xith the framing. g.s y�r r. � � . .� ' SuBJECi Cii�- of Fridley AT THE TOP pF THE tWfkS . BU ILD�I ;� �� ` �� WMMUNI7K OEVELOPyENT DIY. . r � � �' � PqpTECTlyB INSPECTION SEC. �. , , , - F �... �"Y : GTV HALL PRIDLEV �� 55432 NUMBEA FEV. �.`.'� r `.� 612-571-3450 910-Ft5 ioe nooRess �6Q0 &acon Drive iv<E< 7 LEGAL �OT.NO. BLOCK � TRACTORADMTION oesca. 1 3 Meadowmoor Terrace 2 PRdPERTYOWNER MAILADDPESS Kenneth Scribner 7600 Bacon Drive N.E. � . 3 CONTRACTOR MAILADORESS Same � � 7 APCHITpCTOH-0ESIGNER MAILADORE83 � � S � ENGINEER MAll0.DDRE83 `..e^� F �-sx�'- � PERMIT 2�52; � � . RECEIPT NO. � .�zvi3 1TE PRGE � OF 4PPpOtlED BY SJ14/90 � � ZIP PHONE SEEATTACNED SH6ET 7 "ClA&SOFWORK � . ❑ NEW � ❑ ADDITION ❑ ALTERATION �. REPAIR O MOVE. ❑ .REMOVE e� DESCH18EWONK Tear o�f and Reroof Fiouse (15 Squa.res) 9 CNAN6EOF-0$EFROM SEPARATEPERMITSAREHEOUIREDPOP.ELECTFICAL,PLUMBING,HEAiIN6, �� VENTIIATING OR AIR CONDITIONING. � TNIS PEHMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AU7HOR2E0 IS NOi COMMENCEO W�THIN 80 DAYS, OR IF CONSTRUCtION � � . OR WOPN IS SUSPENDED OH ABANDONED FOR A� PERIOD OF 720 OAYS AT ANY TIME AFTER WORK IS COMMENCED. �. - NO�. �OWLG. UNI I HEREBY CERTIFV THAT I HAVE REAO AND E%AMINED THIS AVPIICATION �- ANOKNOWTXESAMET08ETRUEANDCORRECtALLPFOV1310NSOFUWS yq�UAT10N AND�ORDINANCES GOVERNING THIS TYPE OF WORK WILI. BE COMPUED WITH WHETHEFl SPEqFIEO HEREIN Oli NOT. TME GRANTING OF A PERMIT � S7SQ �� DOES NOT PRESUME 70 GIVE AUTHORITY TQ VIOl11TE OR AANCEL TME pERMITFEE PROVISIONS OF ANV DTMER STATE OR LOCAL LAW REGULpTINQ COM-� STRUCTION OR TNE PERFORMANCE OF CONSTRUCTION. SZS� OO PI.AN �NECKFEI SIGNATUPE fANTReC ORORRUTMOAIZEDAGENL IDAiE� WME �. � .�.,.., �;�E.'C ,.�.,� �/s��90 � � . M ... � STALLS 50 I � [] � [ I � �� ••� ti� j�H(�- Legal Da�eriptio�l: EffeCtiVe 1/1/90 R-1 AND R-2 Building F�rntit Applicatian � ' �III�' '1• - �; .= - .,� CxYttY3G'tOR': _ iSc�f 'I�E1. # " -= Attach to this application, a Certificate of Survey of the lot, with the pro�,ed constsuctim� drawn on it to scai.e. I+iVINC3 Ai�1: IEi1C�t'.h @lRAC,E AREi�: Length n�CR AREA: Ierx3th O1�RR: T�i ..r:«• .; .�- i r-�r� s �s, Width Height Sq. Ft. width Heic�t Sq. Ft. Width Hgt/Grourid `_ S4. F't. Cbrner I�t (yf Inside Iot [ J Ft. Yd Setback Side Yazd Setbacks 7ype of �struction: �,�ar' i/o�tr,� Estimated oost: S %� D'' Approx. ornq�ieti� nate: A-as� 90 ___ _ _ Pibposed Driveway Width If New _ _. _. _____ Opening Is Desired: F't. $ $ Wi th + 6' See Back Page L�A�TE: _��s�90 APP'LICANP: Tel. #�A�.Ps�iG� CPPY DSS CAII,Y Piexmit ree State �ud�ar,ge S�AC CY�an�e Driveway Fsc,rnw Park Fee Sewer Main Ci�aYqe , �. r .t $ �/. O � $ S?� S $ S g o2/.5,� Fee Schedule on Revetse Side $.50/$1,000 Valuatiori $600 per SAC Unit Alt. °A" or Alt. ugn Abwe Fee rp+A,,,�;.,� bY EncJineeri*�9 A�gz�rent x�sa�Y [ 7 Not N�sa�Y [ l _ _ _, On all new roofs or tear•offs and replacement roofs, §tate Code requires that 2 tayers of 25 �b. felt, �I�@�@9 (9$�tl�&4 b� installed to a poin# 24 inches 8� �F�ffi �it�lrlor well Iine, or the use of other �9p��o9 undod�yment membrane. -� - , �! . � !L�� i?!.Y�4 i�:�' :_r;i:�� 1 ' Rhe Chief Huildirx� Official shall, before ��>;*� permits far the erectiw� of any t+,;�dinq ar sts�uctu�e, or far ariy additi� to azry existing buildirg or structure, or for arty alterati� ar regair to az�y exi.stirig buildi� or stxucture, upa► application therefone, sequire the payioent by the applicant for sudi pennit of fees to the amautt he.nein below set forth and in the maz�nex herein pravided to-wit: ZOTAL VAIIJE $1 to $500 . $501 to $2,000 $2,001 to $25�000 $25,001 to $50,000 $50,U01 to $100,000 $100,001 tA $500,000 �� $15. (Minimm� Fee is S15 plus aut3tan�e)_ $15 far fizst $500 plus $2 for eadi additioQ�al $100 or fracti� thereof, to and includin� $2,000 $45 for filTst $2,000 plus $9 far each additi�al $1,000 or fraction thereof, to and includirx� $25,000 $252 for fisst $25,000 plus $6.50 for eadi additiona7. $1,000 or fraction thereof, to and includix�g $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fzaction thereof, to and including $100,000 $639.50 for fizst $100,000 plus $3.50 for �c3i additi�al $1,000 or fxaction thereof, to ar�d incl�ing $500,000 ---- — —e° ,_ ._- _ _.� --�. - - _---- _ . I �$500,001 to $1,000,000 $2039.50 for the first. $500,000 plus $3 for each additi�al $i,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 far each additional $1,000 or fraction thereof DRIVEWI4Y D£PRES6I�I FSCIidW (Concrete Gurb Streets On1Y) Alternate °A": Removal and x�laoement of curb and gutter a�ly - Driveway width plus 6 feet tilnes $13.50. Altexnate "g": Ramval and replaoat�ent of ciu�b and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. . - . �� . .; Permits for oonstsuction will be issued a minimmi of 24 hours i'ban the time of applicati� to allow far pxnQpx xeview of tl�e proposed stnicture ard of the �ion site. A Certj,ficate of S�trvey ef th� Tot, shdw.ing the location of the fwixiati� �ce it has it has,.been c�structed will be required before prooeediryg with the framing. i. _� � �u p da � _ " . Z' � � � ' ' �. � �O � 3 t� a: � �.-� �. .. O €::N�„.:' y ��xi�L Q � w c t� ¢° F- � � ¢ w a � O � Z � � lL ( � � . a � 0 LL Z � F U • J a < � � Z F Nw Z Z Ilj Q NNp O � � u Z �•Z � o � m � C� O LL vl � L a b 3 N l4 V � � � � � � � � u N iy3 .�C 9 � � U b � � $ a � f ° w o \ � � $ u � '� � +M 3 Y � �, � u o �' � a b � � v �, � � c u g o . nu�� y� p 3' a c � a a ' o n Y o � � a a ; p e '� . E-r w� � m o u. v ° ��5 � ¢ w a r � � 0 Z d �� o O m N p N � H LL � 2 W a h ��Z a o_ m � I I I I I I I( I I I I I �I _- -- - -- _� _ _ __ _ � 8888o$88go8S $ r� o vi r: � i. r� o i: o 0 o ui y Q H W N N N- N H H H N N N N Z Z I I I I I I I I I. I I I? I � �.. � tl ' Y Z � � Q N a Q a W � � d O � � � o v o w¢ :' � y� V M Q N R� W � C �'� v0� ¢. ; ,� F a b � $ � p N O Z tl C m c a W � � y�, a� CLL7 � � � m�° �°�`o e` m!. a o o�[ j Z 'c a '" n m o u u oi � 3 ti �� 00��3��Y�=tla�WoyY� �'o� J V V Y O q C �$� i� q �tl V~ Y � a zOm�U¢° a�333c7t7t� ¢'� u�l vi � L U 9 N � � W LLJ F � Building Inspections 763-572-3604 o,,,� - Z$ - d SITEADDRFSS 7801 7HI5 APPLICAN'f IS: TENANT BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR &MAIL ADDRFSS �OWNER �❑CONTRACfOR . Ken Scribner PHONE: Received By: Date liC�7 l.V1V 1lAl:l VK N�E: �ar ValleY EXOprion SUBM17 A COPY OF S7A7E LICFNSE It xotnxss EXP DAIE anv�� YOUR STA7'B I.ICHIdSB ADDRE55: 1700 93rd laM ne (,q]y elelne STATE mn,'[p�$Jr�9 WITHMPUCATTON � p}�ONE �637552321 � F� 7637555390 PERMIT TYP6 ❑ BASFIv1ENT FINISH � DECK DESCRIHE WORK BEING S.ABAGL'S PROP03HD 517E: PAOP0.S6D HEI(3FI1': �� O Vinyl O Aluninum O Othn �]YS w ex�sruvc3 or�¢acs ove. orao OR FOA NEW OPENA]OSDESCNIBE SIZE OF OPENING CHANGES t Plan Review . Fire Surcherge � Surcherge Licenu Surcharge SAC Charge Curb Cut Esanw Emsion Contro) Park Fa Sewer Main (�arge ARE BASED ON ❑ xouse s c.uuce ❑ nrracxEn cnxnce O DETACE�D GARAdE OSofit O Trim ❑ Fexia IACATION OF WINDpW$ THE 1997 U.B.0 F&8 SCHEpULE) ❑ DRAIN 71LE ❑ OT}lElt BA�ER!F*!'!' �MOD��'1.� c�1HMli� 1. ExitfingFloorPkn 2. PrapaeedfloorPlen 3. Lirto[etrucmnlmm6enb6euttd FORNEW CONS7RUCf10N MCLUDING DE(aSS, ADDL110NS. R PoRCHES SUBMif� I. SkePIarJSurveysMwingtheuisti�atruclura � P�Pa%� Prol� z. rvomeorcorotruc�ionylans J. EnetgyGlculations a `7 "/. ✓i � 5ee Back Page for Fee Schedule -- 3 -_ . - _ -_ _ ._. 6$%ofBuildingPamitFee S , "Sl� .001 timea the total job valuation--. . .. . _ . _._.. _._ : . a �-"ISS .0005zPernritValuarion Minimum$.Sp a S. '�D 55.00 (Shte Licensed Residential Conaactors) S 31550 per SAC Unit (Plans to MWCC for determination) S R+6ft= ftxS21=$ a 5450 Consmation Plan Review S Fee Detem�ined by Engineering S . _ -- - Agreement necessmY ( ) Nai Necessa*Y ( ) � THIS IS AN APPUCATION FOR A PERM[T-NOT VALID UNI'!L PAOOESSEU Lhereby apply Cor a building permit m�d I aclmowledge that the infortnation above is complete and accurate; that the work wiil be in wnfomrence with the ordinances and coda of t1rc City of Fridley and with the Minnesota ConstrueNon Codes; that 1 understand this is not a permit but only an epplication fo ' and work is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of all wmk �' � qm � e and v lana SIGNANREOFAPPL.ICAN7C � PRIMfNAME`•�I._y_BernardDATE G�U L/