The URL can be used to link to this page

AF - 43242SUBJECT P City of Fridley 18392 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � J � � � ; 4�� , . r � � PROTECTIVE INSPECTION SEC. � �,� � . � � l.-_- �;��;,� CITY HALL fRIOLEV 55432 NUMBER . iiEV. DATE PAGE Of APPqOVED BY i �� 612-571-3450 9t0-F15 4/21/86 � � JOB ADDRESS 1495 Creek Park Lane N. E. 1 LEGAL LOT NO. BLOCK TRACT QF ADDITION SEE ATTACHED DESCR. 1}_ 2 Creekridge sHeer 2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE Brickner Builders Inc. 6199 Heather Place N.E. 574-9871 3 CONTRACTOR MAIt ADDRESS ZIP PHONE LICENSE NO. S alne 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK C� NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCfi18E WOHK �nstruct a 39' x 27' Dwelling and a 24' x 24� Garage �� rEtEPHONE - E1E all loca! utilifies 9 CHANGE OF USE FROM TO (1j 1 I��D C. vc V p C) STIPULATIONS provide sod in the front and side yards, Provide City with copy of verifying survey before capping. Provide a hard surface driveway. Paid $1500.00 Park Fee. SEWER LOCATION: Approx. 15' Deep In Street. 75' W. of M.H. @ Arthur St. &: Creek Park Lane (Inv. 878.82) WYE ELEV: 879.12 TOP OF FOOTING: 882,12 Minimum WATER LOCATION: In same trench west of sewer service DRIVEWAY DEPRESSION: Should be in. THE CITY OF FRIDLEY DOES NOT GUARANTEE THE F�CCURACY OF UTILITY LOCr'�TIONS ANB E! =VATIOF�,;. SEPARATE PERMlTS REQUlRED FOR THlS DATA IS FOR ifVFOf;��ATfON PURPOStS ONLY, YVIRWG, HEATING, P�UMBING AND SIGN AND PEr2SONS USING THlS INFORMATION SHOULD VEROFY lT ON THE SITE, SEPARATE PEFiMITS ARE RE�UIRED FOR ELECTRICAL, PIUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOC� FY'dITIG THIS PEFMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PEF�100 OF 120 DAYS AT j�l ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CER7IFY THAT I HAVE READ ANO EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PiiOVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECVF HEREIN OR NOT. THE GRANTING OF A PERM�T yS11O 000 $55. OO DOES NOT PRESUM O GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PFOVISIONS OF HER STATE OR LOCAL LA REGULATING CON- STRUCTION H RFORMANCE ONSTRU �or,. 458. �� Credit from SCI'1001. PLAN CHECK FEE TOTAL FEE �L t��' 114.5 $627.50 + PF iG E OF CONTRACTOR OR AU RIZED AGENT ronrE� „ WHEN PfiOPE VALIDATED THIS IS YO R PERMIT � �.��.�..�P ��.� �o --SiGNAiUREOFpWNER�IFO�NNERBU�LDER1 IDATEI BLDG iNSP PTE RONALD F. MEYER _ LAND S IIRPEYO R LAND SURVEYING SVDDIVIStON DESIGN T6LEPNONE 771-4SB6 D8�3 JE551£ ST. ST. PAUL, M�NN. ��SiOi t I hereby certify that this survey was prepared by me and that i am a duly Registered Land Surveyor under fihe laws of }he State of Minnesota. � �_ Reg. No. 9051 Date: Kovember �. 1984 � , , ��L� � � I ►..., f � Sc.:..... : :.n _ 3p� F (�KS N�-� G�;a � " ` . �VI^ _ jr�� `a•:., O pF FRiDL�Y , , �L `� j f�;:��, �ITY i IONS A�� , �,.', : y.�F�R�� F UTtl.1T`! •�Q�}� ��ES G, r� �S FOR 1 G��,R�J',F,TiON P� ��N SHO��L� ��i��' DaTA �S1N �iHIS 1NFORMA �� pERSONS �tTE. y�RIFY 1T ON THE - - , � 1 �� ,� �� , /2S. 98 /D °i PRaasSEa �f �1 n � NOJS� �1 1 � .[ � i` �� A � 1 .s �1� h 1"� �_ ��,00 u � IX � � .. . p� � ` �� ` / f � - `` , ,��,,,�� l� � -,.,,,._: Y. P�2�y�� Gf THE Cll"Y �C` � � �� ._ � O O 6AR�G� � I � 4. � �^ �1.. �; z 4. �6 � �'� U�`. /�fy E.s� � ( � _ _�- � �.� ..32 . n: �� - ! / /45 , � K � RRK C R��- � � ._ L �4 NE � �, . .',v y ,y`� � � ,' �f � ,� �, � .�o �► ,��f(� �1 �� Q � � N E'. / � ��'��,�� o T_n�icatsa iron monument placed `�efiore tligging C�il 1oCa1 u�it�iit � � �� i=}_E�MOfidE - EI.EC I RIC � ��,5 ��:� z Lot 11. Block 2 � Cr'tEF�RIDGE, Anoka. Minneaota. ; ' �"'' � _ ° � � � `� € � �. � �� ' ' � 0 /1 1 ,�_ �- �'- !z � x- 1� �� 1� -�'r�-. � c� . ,� � � _ � .5 f �. a - �� . C� �9��-,�� .� � � c �� , �� V. � � � �L � v r V � �' � �. �� l �� /� � / d . G�f= �oi r,�X . , � !!/ �i�%/mv�, � �� s � Q � .� �' �� g -� �A � l �� 'S'� a'� ��c�.�� i�dr e � � � .: �gp �G�� 'V ��- r � / 1� f� �d � � --,. J l.�v c�,`r, r �'�S °° � � � / n� �� %��r� N� [� City of Fridley ��r'� ffective �/1/86 ADDN. [ ] R-1 AI�TD R-2 � L pLTER. [ ] Building Permit Application Construction Address: Legal Description:_ Owner Name & Ad ess: Contractor• Address• LIVING AREA: GARAGE AREA: DECK AREA: OTHER: f %J �r � /� G �. 'D � � ,.{' ' Tel. � - — _ Tel . � �� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Corner Lot �jc] Inside Lot (] Ft. Yd. Setback Type of Construction: �� Approx. Completion Date: / - I�- � sq. Ft. l66 / Sq. Ft. �� Sq. Ft. � S Side Yard Setback L� Estimated Cost: $ 1 / 1o6a �ou Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ � See Baek Page for Explanation � DATE: � � D APPLICANT: Tel. # � � l �� CITY IISE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: � y��OO $ I I �. �0 $ �S.Ou _ $ � ► S�,uu $ �— � ala��s� Fee Schedule on Reverse Side 25� of Building Permit Fee $•50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ,. . ._,c:_�..� � � . ; � EXTERIOR ENVEZAPE AVERAGE "U" COMPUTATION �. � , . /^ � OWNER �� . � l.��d�e�� '`�� .,� �`� �,� i ; . � SITE ADDRESS ��/ .S� L-/��=�.�C� �yi�'/cd L,�� ' i i i � !� � CONTRACTOR /J%� s G •�`� �= /Z � �:.•!� � .C�S DA TE ��= �t� pFiONE � �7 ' � i7/ • � � i - • Determine working square footage of each. � � . / � . �v � l. Total exposed wall area ....� bb sq. ft. x•� = ��,�. i , � 2. Total roof/ceiling area . . . . % � / � sq. ft. x ' �� = S��' �� . r � • Total exposed wall area above f loor = a. Tota1 wall window area..,.... .....:........... �% , b. Tctal. door area .............................•... 3%- q c. Total sliding glass door area ................... � d. Total fireplace wall area........... . ........ ... e. Total�wall�framing area (average 10/)........... ��Y�, g3 _ f. Tota], net wall area above floor . .. . . .. . . . . . ... . ._��12v_i.s �/ g. Total rim joist. area . . . . . . . . . . . . . . . L � �1 ...... ...... � ,• Total exposed foundation area = � � � � h. Total fQUndation window area ...................._„ ��'� . i. Total net foundation area above grade........... 3•% g . • . Determine "U�" value of each wall segment. a . a 7 0 X ��U �� j'�/ _ � , .(� �_ � j . b '�%. %q � „U,. • s�� = v�,�• g.6 •' . . _ _ �. 30/. �b X „U„ ,'�y = �1,. % � a. �� X „U„ ,v`v _ �7j.,S� � e. � % �' �3 X ��U�� i b _ �� . --�-- f. ��'�f • S/� X ��U�� • a _ ��, � � . s g_ ti? � „U„ � b �____ _ ��_ . , , �v . v _ �, S, �� - h. �17, X „U„ , 3 � i _ S'3 . � � X „U., � , �7 � _ ' � � 2 � . . 3. � ..............................Total — ZJ �-3 � . � � • _II • r , � ' • • ,- . �'..� A • � • x � ' -2,- _ r • If item #3 on previotzs page is the same as, or less than it�:tt #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = ! � � _ � j. Total skylight area ......................�,... • k. Total roof/ceiling framing area (average 1C�96) 1. Total net insulated rqof/ceiling area......... .) . Determine "U" value for each roof/ceiling segment. 7 X ��U �� _ . • k'X ��U �� _ i . 1 l ag� X��Un � a� � • _ . ' 4 ..................................Tota1 = � If total ot #4 above is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. . �• � � A lternate Buildin Envelo e Desi n . To utilize the tota 1 envelope system method, the values establish�3 by the sun� of items #�3 and #4 shall not be greater than the sum � � of items #1 and #�2. . � l.� +2. _ 0 � 3. +4_ _ . � � 0 l � , � . �- �� - �� a' :�.-, �- . �� i ��L .. ��r:r��,�r,� • /� / z '' ��'� � _ � • 2 � ., s.. y �� , • �'7 �� ?.�.� _ •� � � s'/ � .� �' 2 ��.e..�o��,��, �u,r,J. � • a� 2 '.� 3 " `'�7 ^ __ /r� �� -.�7 . . �-f �;, � , � �vf �;, �� _ . � � _ ,.�o • � = • o ��7 � "',��:�� _ - ys' I ,� - .�� _ �� ___ . � ; _ , Q�� , �,�,,�, • �� t �„_ � � ; �z "' .��,�� • �'.S`' �l__- �� = � a193 '! _ _; G_ �� - � _ _ _ _ ___ . __ ---_ ___ � 2%� 2 , v� ''' _ _ _� _ _ _ __ _ _ _ _ _ ' ; �/� `��u� �� . . , _ _ _ , _ . � _ _ ____ _ _ _ _ _ _ _-- ----------_ � i �� y ��J+ �._._y/�A � �� --- - --_ .. . . _._ J, ._ __ ; _. .. .. . . .._ .. _ i. _ . i .. -.'_--- -- -�---�. _ _ . __ ... � � . ._ . _.__.._._-____.�_- . ; 2 3.�3 = .o�'�, #_ y _ __ _ ___ _ _ _ __ _ _ _ � � _ __ �� __ _ __ _________ _ _ ; _ , ,��_ _ _ ._ _ _ . � �/",W �y�'R�� v Q _ _-_ . _. _ ..---- - ...__ j _ _ _ ! G �� _ _. 1 � _ _ _ _ ___-____ - -_ I � , ,� . , � „Z � i� % - �9 � , � _ _ _ __ ___ ' z� �' L. o�_ _ '� L � � .__ _ � __ : ,/ _ _ __ _ _ _- - --- / ' � f �l�..�s� � � � ' � � ; � , .- . � _ ��,, .,;..1..,� � � _ , _ _ _ _____ � ' � c - d�, a� ; : � �. 7 - . _ _ � . , _ __--___ � � � � ,, , , _ , _ _ _ _ _ _ _ _ _ -_ - ---- _ _ _ � �. , i �� ,. ..�rtura• nuy. ♦. �'Mt C1TY OF FR1DlEY APP�ICATION FOR POMER PLANTS AND HEATING, COOIING, VENTiLAT10N, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCNEDULE lESIOEGiTUL Purroce Shell and Duct 11ork, BUCnet (Al�o r�pl�cwnt turn�cvl Gas Pipinq (P�pinq n�� v! W nw� turrrc�) Ga• Asnge C�� Dtyt! � Air Cc�ditioning tall sise�) All OtAer�/R�peir� and Alteration� 1• ot Valne ot Appli�ncs or Mork cc�r�auci�►W iM�usraint. if o! Value oi Applisncs or tbrk MTE TO'fAL S 20. 00 S"� d O S 10.0o S�v S 10.00 S S 10.00 S a io.00 sJ�,L_o 5 St�t� Surcharq� � rzs Reinsp�ctia� �e� (515.001 itouqh In�p. Oat! !'inal Insp. -�.��i�- ate Appro�al tor ��r�it /`i �/-� MINIMUM rEB ROR 11NY H%ATINC ►LAMIT IS S10.00 PWS S. SO STATE SURCIiARGE �ob 11dd«„ � ��"— y Departwent ot luildlnqs� 6111 Unlversity 1Nr�. N.E.. �rtdl�y, FM SS�72 Clty o[ Fridl�y ' Tel. •571-3150 T!N w�derelqned Mreby wak� applic�tlon [ot a psewft toc th� wrk b�r�1n specflied �qreeinq to do all vork 1n •trlct aceordanc� vith tM Ctty tbd�• and ruliaqs o[ th� Dep�rt�snt o[ Wildinqi, �nd hereby d�cl��• that all tb� facts and repre�entations s ut�d In thls �lic�tlo� �r� trw � oors�ct. lyr. Ninn. °��a � • 1l�p a�a ,L�A,�.�,��-�.�i. �� RI1� O� WILDIMG useo �s S ro sc co�ur�o �soirr � csrtw�rec caar �/I/�� o 0 S .so ��,�� OW - IItU WI1dT11G OENII4 11D. tE1NfT NO. s s D. S� — JlttaeA s4cR rerLtication`toes vitA replwcsent furnace {�eesits •Air Oc+nditioncr�c ca� n�+t b�• pl+�ced ln tiidr rard vithout �rrltten E�•cwis�sion fra� wdtoininq �r.iqhl+or. oescurrtau ar ruwa►cc/wwMC� NGTING or ER OLI111TS. ftw�, Ibt IMt�r, the� Air Mo. ?sade Ns*e ilN ib. ,/1h V � v�� %� c.P.�ccy sq. rc. �ca s'�u __ np 7bta1 Coenecced Load Klxd ot hsl BU�RR ' Tt�ie MYf flft M0. bpacity Sq. Ft .ir ,�� I :. �.!�% � _ � i� .� i i� C1TY OF FRIDLEY APPL[CATION FOR PWMBING AND GAS FITTING PER4IT � a a[ q � � � a Nater ,� m w � w c•a w � ++ a 4. Neater y u .� m h.+ ro � m gd N cL � •.� CI �0 � R � C : 4 U••Ci d F � U Y � u� 0�3 �� ow � g u��s u� � 3 o s �e� � / � lst � 2nd ` � 3rd 4th (R) � Fvture Comection Opening Connected with Sewer (�) � New Fixturt, Old Openirn� water RATE SCNEDULE PLUMBING FIXTURE RATES: N0. RATE TOTAL Ner tl:turet Puture Fixtuzea Old Openiaq. N�w Fixtur• Heer Diapenser Blow Ofi easin Catch Basin Rain Nater Leader Nydraulic Valv• Susp or Receivinq Tank Mater Tr�ating Appliance Hot 1later Heater Gas A�nqa Gas Dryer �— _� _1— g 5.00 S 3.50 S 1.50 5 4.00 S 5. 00 g 5.00 $ 5.00 S 5.00 S 5.00 S 7.00 S s.00 g 10.00 5 10.00 I�LL OTHERS P1ti0/OR REP1i1IRS AND ALTERI►TIONS lt of Value of tixture os Appliance Reins State Surcharge pection !ee S ($15.00) TOTAL PEE s 'J 4 . UU S S S S S S S S S� S �. D � S S S S .50 s %s , S2� Effective Aug. 1, lydl � ` /; �,�( /� 1 Jo�i Addres3 J �G�L//� /`�' _ , `�-� _ L7-� � _. �� Deparia�ent of Buildings City of Fridley Tel. N571-3450 The undersigned hereby makes applicatian for a parmit for the wrk herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and repreaentatio�s atated in this application are tcue and correct FridleY. M�• � " � . 19� G'�— �"') , _ OWNER KIND OP BUILDING _ r�jf�• USED AS f� (_,.[�/ : TO BE COl�LETED 1180UT ESTZNATED C0.ST OLD -1 r�r�► @e7ILDING PEi�IIT NO. PERMIT NO. �� ' % Company �/ Siqned Bp Tel. No. � � � -'��`7 (� �j ROUGN INSP. nate FINAL INSP. '/ � �%' 7 � Da te APPEtW11I, FOR PERMIT � NINIIIUM FEE FOR ANY PLUMBING PERMIT IS 510.00 PLUS TNE S.50 STATE SURCHARGE sue�ecr PER City of Fridley �� AT THE TOP OF THE TWINS 2 0 3 3� � BU ILDING PERMIT „ ,� � `y _.___ COMMUNITY DEVELOPMENT DIV. /_ r � � PR07ECTIVE INSPECTION SEC. � i�I�7 � '� /��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV �""� � �'' 612-571-3450 910-F15 5%7/90 � � JOB ADDRESS 1495 Creek. Park. Lane NzE� 1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED DESCR. 11 2 Creekridge SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE William Carlson 14g5 Creek Park Lane N.E4 572-0422 3 CONTRACTOF MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAI� ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDINCa Residential 7 CLASS OF WORK O NEW f�l ADDITION ❑ ALTERATION � REPAIA ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 16� x 16�' Three �ea�on �oxch Addition 9 CHANGE QF USE FROM TO STIPULATIONS See notations on �la,n. PQrch. ca,n not b.e hs�te.d Faith. othsx than wood unless construction me.ets S'ta,te Energy Code, On ali new roofs or tear-offs and repiacement roofs, State Co�e requires ihat 2 layers of 15 Ib. felt, ��R��N� meN; ed together, be instailed to a point 24 inches Befo�e digging cail for up from exterior wall line, or the use of other alt utili#y locations approved underiaymeot membrane. 454-0002 S�pARATE F�RNf[�'S REQUrRED FQ REQUlRED BY LAW ��, �� P� R , UMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONOITIONING. THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTqUCTION OF WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION � STAL�S GARAGES AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $St��Q +�2•$Q WITH WHETHER SPECIFIED HERE�N OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $87.. QO S7RUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $83.80 SIGNATUAE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI y�/ PROPER Y I AT D THIS IS VOUF PERMIT �, ' �— �/��j�i SiGNATUREOFOWNEF7iIFOWNERBUILDERI (DATEI �9lOG �NSP �)FTE �w � � ADLN [� ALT�R � � tbnstruction Address: I�1 AND I�2 Builciing Permit Applicatian s C��, -��r � la Isga1 Descri�tioci: C2�.0 C�t. Z il Effective 5/1/88 l�� - �vr�(l� til� � o�,e.r rr� � Aaare�: %1 i 1�i O�m r tS� � �A r rotl ��r-e.n r� ��. �� 5�Z-��(2Z c�ntra�ror: - � 2.1�k'— �. � Aadress: Attaeh to this applicatica�, a Oertificate of S�uvey of the lot, with the prono�ed oo�stnyctioa�► drawn on it to scale. i. s: �� • � �� „i:: •,��s„i�,� 7�IZrII�1G ARF�: I�x�th ' W'ldth Heic�it Sq. F't. GARAGE AREA: L�rygth Width Heic�t Sq. Ft. DECR ARF.A: L�ngth ` << Width ` �� Hqt/G�+OUrxi 1%�Z` Sq. Ft. OR�R: 3- SCQ�-�YV (�IC,I� ��.XI� = ZS�. � ., ��-� � � a5��r � r . s�I - s�'i ► .��P C�orner Lot [] Inside Iat [] Ft. Yd Setback Side Yazd Setbacks Zy� of C�onstruction: Fstiatiated Oost: $�i� Approx. Caet�letion Date: 'S(o�� Proposed Driveway Width If New Opening Is Desired: Ft. $ S �,TE: �� \�� Width + 6' See Bac}c Page �cAxr: �, � �785'-965 6 ;# 57z—Q7�� CI'PY USE Q�II�Y � Permit Fee State Surchan�e SAC C2zarge Driveway E'scr�ow Park Fee sewer Main Ct�arg�e $ • w Fee Sciiedule cri Rever�.,e Side S $.50/$1,000 Valuatiat► ; S $575 p�s SAC Unit $ Alt. "A" or Alt. "B" Abv��e $ Fee Determir�ed bY �xJineerir�g $ ��[7 �N�[7 � $ 3 . c ��?:� U��a��°�� iz� �.3-� ` �. �-� 8/'�/�. sTTRn.ATTC�rs: ��%� �' , • Pbaa.� cw� ��r. �'ba, ytrre� �� cmac� �.► z,oaio - y�od w ocr�o u� c�c� �N;o� v �E �, vE.w�. �+tC�s �� S 3�O 0 a � ��Y Geo�, - t .O� �I � L�l�10 iVRyt1I)NO lV�OMMON Op/AM rsur..o�� ..�s�e Oe9 J[i!�[ '..iT. ` 3T, PAt1L, MIMN. 'J3/01 I hereby certify that this survey was p�epared by me and that I am o duly Reg+stered Land Surveyor under the laws of the State of Minnesota. � r— � � -- ti 37. 3 . . i �� , �; , j �~ "'re ` `a is.: , v �1 e � : � ,, C N ', � ; _.._ 1 q .: i 1 � i � �� Ib � �� Scals s 1" = 3�' ` �— �� oo Reg. No. 9051 Date : NO�'°'�� 4� 1984 He . L. � A,ay ,g ,9 c , ,-: ., /25.98 =,r, : �-- w- t '��3 I1 jo � - 21�7- �� I � � � I . I I � -ti;' /y� o � ti �I Z �•� � O o' �� ; d�r� � ° � I ?. 7 �oC1 ~ � p a Z .3 I N � ;' I �� o. /O �'� Ur�i/�f11'`iEl�►� - - � � r �, , — � h�o _ �2. 32 'v ,, Z3 ,�,' � ` � ja �` ^ � Q� � ��o-� ' �o,�df"'. . � �� ' � � K � ARk L A NE N. E. RE�- �/ � o Indicat,�a iron sonvaent placsd Lot 11. Block 2. C�RIDG�. �oka l�'iinnesota. CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PEF%IIT m �.� a� H �. � a u • x w Water �n u� � � � � � �1.� � � w i a Hea[er �.Vi W A CN. N JG N W N L C E W � • � N N ul C� t� •�1 Jf .0 C C i U•� O.c U W usi v a � o� a � i o w u�i g u r� a 3 u � � i o as 'lec lat �, ' � , � � 2nd / r / ]rd Oth (R) � FLWrs Conn�ction Opening Connected with Sever (�) � New FizWre, Old Opening water RATE SCHEDULE PLUMBiNG FIXTURE RATES: N�w �ixtur�� Putur• ti:tur�• Old Opsning, N�w lixture eser Di�p�nser Blow Off ea�in Catch 6astn Ratn Mat�r Leadar Hydraulic Valve Su�p or R�ceivinq Tenk Mater Tr��tinq Appliance Hot Mat�r h��t�r cas Ranq� Ges Oryer '� � RATE S 5. 00 S 3.50 S 1. SO S 4.00 S 5. 00 g 5.00 S 5.00 S 5.00 S 5.00 S 7.00 S 5.00 g 10.00 5 10. 00 TOTAL S S S S S S S S S 5 S S S Back Flow preventer Required. .. Yes () Mo () �p° 5 5. u0 5 ALL OTHERS ANO/QR REPIIIRS AND ALTERATIONS 1� of V�lue of PtYture or Applience State Surcharye Rotns��ection Fee 5 (515.00) TOTAL FEE 5 l.� . �10 S . SU s /S-S C� Ef f ective t9ay 1, 1990 . Job Address � / �� '��j� �� Deparcment of Buildinqs City uf Fridley Tel. N571-3450 The underaiqned hereby makes application for a parait for the wrk hereln specified agreeing to do all work in strict accordence with the City Codas and rulinqs of the Department of Buildinqs, and h�r�by d�clares that �11 the facts and representations stated ln thie applte�tion �ra tave �nd oorrect Fridley. Mn. � � , 19 �� OWNER ��s�� KIND OP BUILDING USED AS TO BE COMPIETEO JIBOUT ESTIMATED COST / �CJ � OLD - NEFI BUILDING PERMIT NO. PBRMIT NO. ! CJ � i / .,fl �.. Coopany /_��7/� .s � �- s ROUGN INSP. Dete FINAL INSP. � V � _ �� Oate �" APPROVAL FOR PERMIT !1[N1NUM FF:G FOR ANY PLUMBING PERMIT IS 515.00 PLUS TI1E 5.50 STATE SURCHARGE SUBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r ! �� ._._ COMMUNITY DEVELOPMENT DIV. r � v � Pq07ECTIVE INSPECTION SEC. � � � � �'�'1 � CITY HALL FRIOLE� 55432 NUMBER F1EV DATE �"""�"� ,'� 612-571-3450 9t0-F15 7�1 JOB ADDRESS 1495 Creek Park Lane NE t LEGAI. �OT NO. BLOCK TRACT OR ADDITION DESCR. 11 2 Creekridge 2 PROPERTY OWNER MAIL AODRESS Williazn Carlson 1495 Creek Park Lane NE 3 CON7RACTOR MAILADDRESS Aladdin Pools 3901 Central Avenue NE, Columbia Heigh 4 AiiCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAtLADDRESS 55421 Z!P PAGE OF i i P� .�7� 209 RECEIPT NO. ��'�7 APPROVED 8Y SEE ATTACHED SHEET PHONE AS��£ PHONE IICENSE NO. 781-5041 PHONE LICENSE NO. PHONE LICENSE NO. 6 USE OF BUlLDING Residential 7 CLASS OF WORK �7 NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOYE D REMOVE 8 DESCRIBE WORK Construct a 15 & 18 x 34� In-ground Swimming Pool ___ 9 CHANGE QF USE FROM TO STIPULATIONS See stipulations on letter dated 7/l�/91 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. , NO. OWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL.ICATION AND KfVOW THE SAME TO BE TAUE AND CORREC7. ALL PROVISIONS OF �AWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIEO $14 OOO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON- $153. QO STRUCTIO OR THE P O MIANCE OF CONSTRUCTION. _�� ,� �/ /Y �. PLAN CHECK FEE � S�GNATUAE OF CONiRAC70R O UTNpRIZED AGENT IDATE yyNE PR� � SiGNATUREOFOWNERUFOWNEFlBUILOER� IDATEI BLD �NSP GROUP � CU. FT. pFFS7REE7 PARKING STALLS GARAGES SURTAX $%�Q� SAC CHARGE Fire SC $14.00 TOTALFEE ��.oa ! LY A AT T IS IS YOUR PERMII LOAD � [l � [ l �� [ ] i�l AND F�2 Buildir�q Perm,it Applicatian � � �, � � f i •. . • .. - . IEg31 D2SC,',Cl�.1GilI Effective 1/1/91 ,�/ � OW!')EY' Nc"l� & AC�r2SSi �i�C.l��(�vv�- � �1. � 0�1�"dC'tG�' ,�f ' �C^r�.. �j �, �l. � : c��x�.t ��'�D � / �: � 4� �— �..��,G2=� ��u-e %I_ �' Attac3i to this applicatian, a Oertificate of Svrvey of the lat, with the p�v��osed oorLStYVCtioti drawn an it to scale. . � .,;,. - . r- • • ca- •�:,.� - . � :,w� •�r• - . • �'i�• �./�I � ::: a�• �1 � �i- �r��'/sY��'�14 W1C3�'1 HE1C�'lt Width Heic�t Wld�l H��C,L�OIIIYl �C /�x /�X SCj. F't. Sq. Ft. SQ. F't. Qorner Isyt [] Inside Iot [] Ft. Yd Setback Side Yazd Setbacks � of ooaLStructi�: Estimated oost: $/�O � 4. 4 O Approx. Caa�letiaa� Date: Pro�o�ed Drive�ray Width If New Opening Is Desired: Ft. $ S Width + 6' See BacJc Page n�: /� ��c�ar: � �. # �F � S�`/ � P�ermit Fee $ Fire Suzrharge S � V, � A State Suzrhazge $ � � � 0 SAC �9e $ Drive�ray Escrow $ Park Fee $ Sewer Main Q�aige $ �om� /��r L�c 6/�iL Viiiii�• � S �i � �� / ( «4M �:�- ._,� Fee Sci�ile an i�everse Sid�e .001 x Pierntit Valuaticci (1/lOth $) $.50/$1,000 Valuation $650 per SAC Unit Alt. ~An OY' Alt. MB�� 70V2 F'ee Deter�mined bY �gir�eeri� Aqreanent NeoessaYY [] Not NeoessarY � � ,;� " �• N ,)� �� ..� ��'�� 5��;�� s - /,� )�! �,c % � 1 �� .Z' �'' f U��, �,�,.r (o. i��/ �-a� /� �!�'�o �LO u c� �,� cJ 12,s � 2� l 0� - IS3,�d �� P ON�LD F. yIEYER LA�YD SIIRVEYOR LAND SURVEYING SUBDIVi6ION DE31GN TeLEPHONe 771-4886 98:; JRSSIE ST. ST. PAUL. MINN. S'3101 I;��reby ce� tify � tiat this �urvey was prepared by me and that I am a duly Registered Land Surveyor under the laws of the State of Minneso#a. d'y�-��C I �� Reg. N o. .9 051 D at e: November 4, 198�+ ,yo . �a � �n�y ,g �,e� I I h � � Scale: 1" = 30' � �: . � �--' h 37 1 1� .� 1 �� 1 � L, , � � . .. � i /2S 98 � �� N �,.a � �8,..5.�i8,�3.33 1 "�✓ /5.: v �1 O � 1 C N 0� n � � .1 1 q � �. 1� � � �� ti� 1 i� �--r--- �Z� �90 1 � ZT•%' ( i ' I � \I I � 1 I f `''" "'° °1 ° z y.o ti �I �O• �� r1 � I �1 N Zf.d7 0 � ♦ � �` � o a 2 .3 ( H ,: i �� /o ,�'� Uf. /�fy �Es..: � _ - �, � — +� �� 62.32 Z3 ,h nz 45l � �� . � K � A RK � R� � / � o Indicatea iron monument placed /O'/ J�. 7 � L � �VE Lot 11, Block 2, C�EII�RIDGE� Anoka Minnesota. 30 � \ II F` • 1I 3 I � � 3 '� o � �� 1 �/. L�. _ _ CiTYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 July 19, 1991 Aladdin Pools 3901 Central Ave NE Columbia Heights, MN 55421 Re: Swimming Pool Construction at 1495 Creek Park Lane N.E. Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, four (4) inlets of approved 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 minimum turnover of at least two (2) times in 24 hours. This department 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 minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval 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 provided 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 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 buttom of the fence and the ground or other surface shall be not more than four inches. July 19, 199i Aladdin Pools Re: Swimming Pool Installed at 1495 Creek Park Lane Page 2 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or air-gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1 1/2 times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming pools. The buiZding 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, DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. William Carlson CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and DuCt Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ "Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 19�0 of Val iof App'ance or Work ,\ $ ��,rl�s �r��'� T� f�G��-_ CommerciaUlndustrial 1�Yo of Value of Appliance or Work $ State Surcharge TOTAL FEE � .50_ $ j� ,Z� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE �.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS C `� `� � �� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. � � 6 ,1991 OWNER �Ll�G l BUILDING USED ESTIMATED COST 3��^- �� PERMfT O. /�1��'`� �_-- _ .__.._. _____--� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Siie No. BTU 1 g �j o 0 o HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY �%�� Signed By ��r Tel No. � S�_� �� Approved By �" �� Rough-In Date Final Date �v�� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE � SuB�EG� P . C;ty of Fridley 2 9 5 3 7 AT THE TOP OF TNE TWINS B U I L D I N G P E R M I T r ; � T NO. COMMUNITY OEVELOPMEN7 DIV. /j r � y � PROTECTIVE INSPECTION SEC. 3v � 9 � . , � � �'�'1 � CITY NALL FRIOLE� SS132 NuMeEN REV O�TE P�GE Oi AVPROVED Bv �.---'�•' ,•' 612-571-3450 910-F15 5/24/99 f � �os AooRess 1495 Cr P r 1 IEGA� �OT NO. BLOCK TiiACT OR ADDITION SEE ATTACMED DESCR. 11 2 C SHEET 2 PROPEqTY OWNEF MAIL ADDRESS 21P PMONE Michael H D ttl - 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO l ARCHITECT OR OESIGNER MAIL AODRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Reside ti 1 7 CIASS OF WORK O NEW O AODITION O ALTERATION X[19 REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof house and ara e(32 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOF ELECTRICAL, PLUMBING. MEATING, VENTIIATING OR AIR CONDITIONING- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAYS. OR IF CONS7qUCT10N OR WORK IS SUSPENDEO OR ABANDONEO FOR A PERIOD OF 12p DAYS AT ANV 71ME Af7ER WORK IS COMMENCEO. NO DWIG. UNITS OFFSTREET PARKING I MEAEBV CERT�FV THAT I HAVE REAO AND EXAMINEO THIS APPLICATION STAILS GARAGES AND KNOW THE SAME TO 8E TRUE ANO CORiiECT. ALl PROVISIONS Of I,AWS VALUATION SURTAX AND ORpINANCES GOVERNING 7HIS TYPE OF WOFK WILL BE COMPLIED 7 7 WITH WHETNER SPECIFIEO MEREIN OA NOT. THE GRANT�NG Of A PERMIT $2742 �1 .3! OOES NOT PRESUME TO GIVE AUTMORITY 70 VIOIATE OR CANCEL THE pEqM1T FEE SAC CHARGE PROVISIONS OF ANV OTMER STATE OR LOCAI, LAW REGUTATING CON• �p3. Z�J F� EE SC �Z. / Y STqUCTION OR THE PEFIFOpMANCE OF CONSTRUCTION V PLAN CNECK FEE T TA� FEE Lice C $5 0 $92.36 GNATU%�E OF CON�AACTOQ OA AUTMOQ�ZED AGENT iO�iEi EN O VAU T D THIS IS VOUR PERMI ' a�� s,L� , ,a iGN4TUAE O� OWNEQ�� OWNEpBUiIOEA� iDA E� BLD �NS� ��1E NEW [ ] ADDN ALTER Effective 5/10/99 [ ] CITY OF FRIDLEY [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII,DING PERMIT APPLICATION �� b 4` � Construction Address: I�I �1 S�ee ��k 1�,� � Legal Description: 1-f � r,,�� Owner Name & Address : . /Uj � C �� q E . � -�-� , Q e �I- -� i � Tel . # � ia - � 7 � - ► 9 3 g Contractor: 0 �;;,� �(` MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTI�R: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height' Length Width Height Length Width Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. Ft. -�-ear�,�-� Construction Type: �e ro o-F �I- G�,�� Estimated Cost: $ �� Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ,5- a y-� � APPLICANT: �� Tel. #�7�, l 9�9 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ _ c�S�' � r $ %, 3 7 $ � r $ $ $ $ % . CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / l Oth %) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] a .. . _. . ,,.��..., ,�.�� ... �� . 131 UniVerSity Ave NE "" 'icfleY, MN 55432 '2-3604 Floar 1 F�oor 2 Floor 3 Fioor 4 UMBING FIXTURE RATES: MaRK NUM NO. FtATE �v �ixtures 1 Opet�ing, New Fixture �— er Dlspe�ser �w OH Basin tch BasM in Water Leader mp/Recetving Tank der irea!'�►g Appliance �ter Heater -Electric � ter Heater - Gas+' `� s Rangs�" i �fY@r'"� ;k Flaw Prevenler Required ( jYes O No .Yp� .--.� $ 7.00 $ 4.00 i 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7,00 $?4.Q0 $ 7.04 $10.00 $10.00 $10.00 �- 1,�� .��' APPLICA7`10N FOR PLVMB�NG AND GAS FITTINC� PER{h!!IT OF' FIXiUR�S TO BE fNBTALIED ON ERCH F100R Wash - - Floor � -� Aulo. i Tray __. Drain � .. Wachpr ENeckive On Jan 1, 2000 1'OTAL JOB ADDRESS I y y s C R E� i< /�,� 2,c. �,� ,,.,,� � � � Water Heater �� Gas Elec �,� � � The undersigned hereby rnakes applicaUon for a permit �or tite work herefn specified agreei�g to do all wark in skrlct accordance with Ihe city codes __ artd rulings of ihe Bullding Dlvislan, and hereby dec�ares t�rat all the facts and representalions sEated i� tt�ES applicatiQn are true and carreci. � �/ d'' , 200� _-_._.__ —..--_ �o �d .��_ $15.00 ,�� Owr�er /�'� � K� rJ �� r �� 8uilding Used As �-� a M � Eslimaled Cost _� 5, �' � PERMIT N0,_ � oi g� � Pl.UMBING COMPANY ?E,22� Uu�2,.¢ c%E.z PG.�Cy nspect�on Fee $47,OOVHr StGNEa BY _ ��- �� TEL N�, ��_.V��v . 07H�R5 ANb/OR REPAIRS AND ALTERA710NS 59b of Value of Fi�cture orApptiance ZU .�b ' � --___.. Approved 8y Rough-In Date Final D� %d (( L� � Siate Surcharge g _.�o 0 � � TOTAL FEE $ 2� pLl1� THE � 50 8TAtE s�R HARC� � � NBUSTION AIR SNALL BE PROVIDED PER UMC SECTION 504{� ANO TABI..� 6-A, COMM�ON VENT IN�O QN BqCK SiDE r O1 i� �o � �. � . _ _ C[TYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287 September 25, 2000 Mike Dettle 1495 Creek Park Lane NE Fridley, MN 55432 Re: Final Inspection at 1495 Creek Park Lane NE Contractor: Terry Overacker Plumbing Co. Dear Mr. Dettle: A plumbing permit was issued on June 13, 2000, for the above noted address, to install a gas water heater. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If 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 (763) 572-3603. Sincerely, _� _� / �_ �ti �� : • � •- • Building Inspections 763-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: Da�'�U U 12008 DATE_ I� IaUG�) � YOUR E-MAIL ADDRESS 1�5c�,rdd� � eQ� C• SITE ADDRE�SS I y q S C'� �C�, k�C�.�( k.. �.OI.Ir�P � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE W[TH APPLICATION PROPERTY TYPE PERMIT TYPE ❑ OWNER I,�ONTRACTOR NAME: tY1 i ��C �-Z T� I-� ADDRESS: � CITY STATE ZIP PHONE: � 3- S� a— I�I J�% — NAME: STATE LICENSE #_ ADDRESS: PHONE ❑ SINGLE FAMILY/NE} ❑ TWO FAMILY/NEW ( ❑ BASEMENT FINISH ❑ DECK TYPE OF WORK: I� NEW DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: Renewal By Andersen 1920 County Road "C" West Roseville, NIN 55113 License #20130983 651-264-4777 ❑ ROOF ❑ SIDING ❑ SWIMMI ❑ ADDITf( LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE r STATE ZIP. ❑ DRAIN TILE ❑ OTHER BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of swctural members to be used Ft. SiDING FOR NEW CONSTRUCTION INCLUDING DECKS, D Vinyl OSoffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structun ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets ofconstruction pians IN EXISTING OPENINGS OYes �No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $/o� � Syy °% OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surchazge SAC Chazge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge $ $ .� $ . � o� $ S� a D $ $ $ $ $ $ a�1�.51 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the totaJ job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $ I550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridlev Attac THIS IS AN APPL{CATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be i conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not 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 approve plan in the case of all work whic r uires re ' w and approval of plans. SIGNATURE OF APPLICANT R T NAME �Sp lf�� DATE J�N U � Building Inspections 763-572-3604 763-502-4977 FAX DATE ��j � � ' D SITE ADDRESS �c � THIS APPLICANT [S: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY _ EFFECTIVE 2-19-09 YOUR E-MAIL ADDRESS r e�e IC f� L r! %l/ L- ❑ OWNER C�C�NTRACTOR Permit No.: Received By: �l]"� Date �: J U N � � � � PHONE: STATE LICENSE EXP DATE ��a STATE BOND # EXP DATE ADDRESS: ' D h CITY � �� STATE��IP��z}. PHONE � �j'7��' �d � % FAX /lD � ` �/ � " �i%Gis INGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE ❑ NEW C�EPLACEMENT /' DETAILED DESCRIPTION OF WORK `"+�' � p' p� C�p 1/'� ��/ � FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (IND[CATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL _ CLOTHES WASHER KITCHEN SiNK WATER CLOSET _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) WATER METER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED WATER PIPING _ WATER SOFTNER ($ _BACKFLOWPREV. $1 ) FOR IRRICATION _ OTHER I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; 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 APPLICA � I/1�� PR1NT NAME J� �� el I� 5 DATE � 070� D „ -�-n �.�L�,�' - 9' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977