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AF - 42712SUBJECT �� O City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; � RECEI . COMMUNITY DEVELOPMENT DIV. �r� � L � PROTECTIVE INSPECTION SEC. � �� r� , , � s , r � �'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED 8Y �""� � ,'� 612-560-3450 910-F15 2/27/75 � � JOB ADDRESS 6515 Fridley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED �escR. 12,13 6 Oak Grove Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ray Carlson 1621 - 66� Avenue N.E. 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE � REMOVE X 8 DESCRIBE WORK nstruct a 40' x 29'4" Dwellin and a 22' x 24' Gara e 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface drive�aray. Provide a verifyi.ng survey before capping. 5oil density will be required if �'��J: footi.ngs are not in na.tural soil. SEWER LOCATION: C9' Deep) 178` North of Ma.nhole (N. Inv. 876.90) Wye Elev: 879.04 Top of Footi.ng: 882.04 WATER LOCATION: 12' North of Sewer Service �;`°`-��6��,T� P�R�IIT� REC�ttiRE[� �"r�,;y; :.'r;`�;'�ti�:, 4�� ti,: � �'�°°�}�I�'�� .�.II�iBIf�(�' l��{� S��i��a. r ,, �. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATINCi, VENTILATING OR AIR CONDITIOIdING. WOOd Fr�[l= THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 720 DAYS AT R�. �.040 ZO � O3O ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE flEAD AND EXAMINED THIS APPLICATION ]. STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT $24,797 �-2.40 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- STRUCTION OP THE PERFO ANCE OF CONSTRUCTION. yS, 4%. G3 $325.00 PLAN CHECKFEE TOTALFEE Z- Z, - J� 385. 03 ., IG EOFCONTRACTORORAUTHORI2EDAGENT (DATEI �/�/H N PRO E LI TED THIS IS YOUR PERMITJ � s � ��' �e7 �� SIGNATUREOFOWNEPIIFOWNERBUILDERI IDATEI BLDG iNSP T]ATE 1! � AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR �llDITiON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 1 _ , � ; � � OWNER' S NAi� : . � ` BUILDER : ADDRESS : (� � � � � ADDRESS : �� — �s NO•. STREET: LOT: BLOCK: �v ADDFITION: ��,�,�,»,..c , ,,�`� � p - `�i CORNER LOT: INSIDE LOT:�_SETBACR: �� SIDEYARD: '" Applicant attach to this form �ao Certificates of Survey of Lot aad proposed building location drawn on these Certificates. HESCRIPTION OF BUILDING �'�� K � �` _ � �o X �� a i y,e�.00 To Be Used As : ,� �, � � � ,� f ,� _ � � �ti �� ` �. �. �: "`� - y pJ, a�1t'�� ° � s ��a�� 1.5�' �`?.�?';„' �``�- _, ��r % Front : Depth : �o�� Height : � :, . �� Square Feet: � � Cubic Feet: �'� Z Z Front : � � Depth : �� Height : �` � �. �� Square Feet; Cubic Feet: �ipe of Construction: Estimated Cost: $ � To Be Completed: - - , ;��ti�� _°� � � �� ; �� — 83 � ��' Io = ��x I►�� le�oS� d ,. The undersigned hereby makes applicativn for a permit for the work herein specified, agreeing to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representaCions stated in this application are true and correct. DATE: � ' � �� °j SIGNA � • � �..� �� ; � � .� . � i� ` � V a� � ��. �` `�. � d� �± � � �� (See Reverse Side For Additio�nal Information.) �� ,� t, �' �� 3, �� Si� � � i� I�! � �� d � 3 ,��o r j �. �� !�� a -� � �`�� 3, � �y � �('.. � � 7 �_ �, � �� _ `_ � � , `� � y� �� I-l--ca�� '� � �. � �� a� ` � ,�..� � ��` � / „ � u �• � �Q� � �� lis�� G s -�' e .E BUILDING PERMIT FEE SCHEDULE I� � , a, _��-� p � �� SECTION 2. The Inspector of Buildings shall, before issuing 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 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 ia the manner herein pravided to-wit: UNIFORM BUILDING CODE: �pe 1, 2� 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical.contents. �pe 3� 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing 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 mai.n gable of a pitched roof. For repairs or alterations to an existing structure, the fee sha11 be at the zate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In ao case shall the fee charged for aay permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required befare proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupaacy 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 occup3ed until a Certificate of Occupancy has been issued. a � a , • �I Mam tNtKe )846066 ' YiYR�AN � �� 68�5 N�ghway Na 6S N E �NOINttRINO I MmnespNq. MmiMypL SS432 -- - - - - -- - - - _ _.. ._ ------ — �iNC.--------- --- -- ---, ------ -----11-- - -- - -- __,------- — --- — - — — ----�_ i� South O�tics ' 5966510 � lltaf i.1fwu� ijwu Eng�n.•rn�,� �•"� 1-v.t�nc � f,i�:,i r,.�r��no � f.anG Plw�unp �� f 1Ut Gdf Road �� - � ��,- Burnatn�ls Mmryfpb SS3�7 Certifica.te o! Survey for ��TY �F cQ��i�EY . W W � V / W � � 1.� � � NOUSE . . ��5a9 ao - . , . Norih line o�' �,ot 12, Block �, oak Grove I�dditior� � I133. 63 Mms. — � ( o_ _ tRq.O 41af -- - ------- - - �. � �� r� $ -�- �° � N o m � �, � � � , � �'�_ � �; �� — �+c- �, � ` � �- Z i� ,2q.o via4 133 63 MtaS 1 rJ� '� ,t \ � �V� � I � d � �, � . �. i I ` w C� I W 1 r�� I Q p '� oe � s�� . o � ��v�J �1, .�� a 1� ;� I Q I o V VR � � youth I�n� o� �ot 13, Block �, Oak Grov¢ Additiorl o Oenotes iron munumert� � �� ,� � Lofis l2 and i3, gloc� �, Oak Grove Addition , Anokq . County�,►'��nnQSOta qnd va.catQd �' �,I�y lyin immQ�iiotly � adjaceni tnereto .�uajQCt fio easem�nts o�` record� i��an�. 1 h�►rby c�rfifr thot ►his is a irua and correcf repr��enta�ion o4 a survey o1 the bounda�ie� of �!►� obew d�serib�d land, ond of the location of qII buildiogf� orson, ond all vitible entroachm�n�s, if onr� �rom o► M �aid (and. A• survsred by m• this�t dor ot� _� �' A.O. 192^j' p, � n SUSURBAN ENGIRIEERINQr, IN�. ` �Ca�Q! ��n��- ho� Engin�rs SurwYor• x — � \� y ,% r bl�:.i' £ � i:- ' y'' t, !� 35 . ' ' `� � �_ -�.�:... � .. _ .��.:_.. . ..r.---- _ --�---- �.�� .___ -._ —.___-_-__�_ �..�._--.__� .�_..� � � � r-- �`� ' �e � � � � % � /�, �� .�� N �1-� �s, �7�' . �D � � Gr�Y� �� — � � �, � � � o� �6�,��_ ��-�y ,�� : ��( � ,� � D � ��ew � �- �� . >� �'- il � • � � �i � ��- � ��S- '! ' v�,' rf� ' K �, �a . - 3�6 � / � �� o . 3 ., � -� o �.1�,9 �� i� �_- � � , � r� � ��'_, �t ,1, , a �� , l, , �,,, � 645-3601 TVViN CITY TESTIIVG �o ENGINEERI6VG LAiBORII�TORY. INC. A�.MOI%Mp�y, �� °y..��e� PROJEC s REPORT D TO: ENGINEERS AND CHEMISTS 662 Cromwell Avenue - St. Paul, Minn. 55114 REPORT OF: DENSITY TESTS OF COMPACTED.FILL_ RESIDENCE LOT 6515 FRIDLEY STREET NORTHEAST FRIDCEY, P�INNESOTA City of Fridley 6431 University Ave NE Fridley, MN 55421 At�.n: Mr Darwell Cla�k LABORATORY No. 11�0013 TEST NUMBER: � �ypECT� Z . � STS DATE: Mar°ch 4, 1975 COPIES TO: ! S� � �� rL� ��r � ��`' � � 2 � DATE TAKEN: F�bwtaa�y 2$Q 7975 �eb��aa�y 28, 1975 Febwuat�y 28, 1975 UNIFIED SOIL CLASSIFICATION: Sand, fine Sand, fine Sand, fine (Moieture-Density Sample gr°ai ned � tt�a�e of gt�a1 rted' � 1 i ttl e gt�c�i I�ed, a 11 ttl e Number) ravel , br°own wavel , b�own gravel , b�own �SP-SM)-1 �SP�SM)-1 (SP-SM)ml LOCATION: DEPTW BELOW FOOTING ELEVATION: DEPTH BELOW EXISTING GRADE: 17'S of NW corner or building 1' 1' 17'S � 22'W of NE 17BS of NE corner corner� oi bu��i�g o7� b�ilding 1' 1' 1° � FIELD DENSITY DETERMINATION: Method Density in Place By Sand—0011@ Method, ASTM:D1556��4 �-#4 Basis) Dry Density (pcf) 109 117 114 Moisture Content �%) 80 4 9 m 9 110 4 Plus #4 Material i%) 4 1 � 8 LABORATORY MOISTURE-DENSITY RELATION OF SOIL: Method ASTM:D698-70� MethOd "A°'' (-#4 �asis) Maximum Dry Density (pcf) 113 m 0 113 e 0 113 e 0 Optimum Moisture (%) 11 m°! 11 m 1 11 a 1 COMPACTION TEST RESULTS: Compaction �%) 96 0 5 Specified Compaction �%) 95 10305 95 101 `� 95 REMARKS: The above test locations were selected by Tarin City Testing and Engineer°ing Labor°atory Inca Compaction meets �pecifica�ions in the above test arease We caution that soils which are allorved to f�eeze will expe�ience at least some overall density loss due to moisture volume expansiono Frost prote�tion infor°mation for soils is available fr°om ou� officeo AS A MUTUAL PROTECTION TO CLIENTS.TNE PUBLIC AND OURBELVEB,ALL REPORTS ARE SUBMITTED AB TNE GONFIDENTIAL PROPERTY OF CLIENTS, AND AUTNOR• 12ATION FOR PUBLICATION OF STATEMENTS.CONCLUDION8 OR EXTRAGTB FROM OR REGARDiNG OUR REPORT9 IS RESERVED PENDING OUR WRITTEN APPROVAL Twin City T sfing and Engineering Laborqfory, Inc. /� B �� / Y , ; � c_r r_ �_ �i�� iW11V CI TESTlNC AND ENGINEEttI�IG LI��ORI�►TORIf, INC, BIVGINEEFtS AND CFiEMIST3 Q��T� �.WYVfy�,y � :y Q �_`'� a 6d2 Cromwell Avenue - St. Paul, Minn. 55114 `� s �.,,.._�A4� MO1STLlRE - DEIVSITY C'.URVE SAMPLE N0. � res�� '�' RESIDENCE LOT PROJECT: 6515 FRIDLEY STREET NORTHEAST DATE: March �9 ?�75 REPORTED To: FRIDLEY, MINrdESOTA coP��s TO: City o� Fr1�le;+ LABORATORY NO. 11 °OO7 3 1 � 1 � � � � � P� � � .� N � 1 � � 0: � 1 1 METHd�D OF 'TEST: TYPE OF M�ITERIAL: AAAXIMUM f�ENSITY: � �� ! . •: � � � .�� ;., � Sand, fine grained, brown (SP-SM) 113a0 lb. /CU. ft. O�TI�tuM iwwoisTU��= � 1 a 1 % 9 10 11 12 �3 14 MOISTURE CONTENT �lo 0 �4' � � �''��8 � � � 560-3450 ANOKA COUNTY 6431 UNIYERSITY AVENUE NE FRIDLEY, MINNESOTA 55421 August 6, 1975 c_/ L�°"'"J �/ �- �._.�° ��'".�� `��,`�°� - 7-r'�/ ss��% � . Re: Verifying Survey for • . Gentlemen: � Please be•advised that of this date,.we have not received a verifyi.ng survey for the a.bove captianed house. . We would appreciate it very much if you would get this surve� into our office no later than September 1, 1975. • . Thank you for your cooperation in�this matter. � • Yours very truly, � � . � • �.� . DARREL CLARK � � Community Development Administrator � DC/cs 0 c � � � � � � V � • � � � �. . �. . o� . . • • � • M r ° N • � O � A • � • o : . .. • � � • �h ' � ' : � o� �o � . �r rt � . � � A �S . � N � �� oe n Y�� p z � � x"� E x �' � w�G R� °i n E c 3 n � � M � � L� ~ � M � � � 1 M f� ~ •"• � C q r' p � � � o'� � � o o, o � A �' x � W N '1 • .F.� 'I) (.Q.. .. x 90 � p ro �' M (a � • � �ii ti �' O '^ Y �": �°°.��'� a �� • • � � • � � . � • • • d 8 • � • . • pq . �, 0 . • • . � . . . � : : . . � . . . : : . . . . . • . . . : . . . . . . : . • • . . . • . . . � O O M K 1e N x x x x x K C71 � N ,� N G1 � � r �'�'' N ".t� � � � �� S � $ $ 8 � -0A <f0 � (A !N M M M M � I 0 •4 � � ri a � � � �� r 0 � o x � � i w G � � �, �� 5 � � � � a � � �O � �� v � W , , � � r I� -D-1 rri � � fY9 C r m O £? z � � a a. y � " b � � x � ° � a �. . � �" .x 0 � �� H o. � 3 � �. � r. � µ • 1+� H 1� "' 60 1 ' '��'' I ° p' � � �S�orles � � • � - � y wwnR � 4�06tTS � ' �f u�;w�u 7 p urN � �vo3 O � a d uu� � � SiH� � � w� TMYS ORiN[. ioU►Ir. 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J, � � � N � � � �' b � . � � � 7 0 i � i � 1 1 ' i B z . 0 � � � :d �f � 2� �� a � �� '� ^ a ° � � ;�� a�? � m O A a � � � O 8 . � � W �J. 61 O 'A � $ � � i�l M M !i � � C7 ]7 V1 � �l `J Z] C cl n � i` � C'7' b _ti ~�a� � -n` p0 i. n� � �c��. �� ro � 4 � �f C 7 .- ':! � �� qo� ti ;: � a � �� .`� � "" �Q .. ;�s� m`-`-°�a �r � �' � i V ? n a�ba °' ya �. = ��^� �� °`o� � �, o A h d � �`en d a � �.�f� �� ,-p �� o � �� ,s � �� '...�"4 � � � c�, r� � i P�1 A � � � � � � � , ., �� c`.f .� � � � � `� �J : �.-�� f syr� � � t a� �� . r� � � � ; .'�� u, . a�. �� r:♦ ( 0 c+�o c..S ^ '� awo t� : J �;� @� e. •.i r. y �� e� � � k•t '• ��A �� i �.� � r k� O f.� rb �a aa �� w� � � �� z 0 a i � � m � _ A � O � > r O r° �'q Q � m O �� o � � '_ _ o-° � -+ �Q�> � � �=rr � .i.o � .1� � ��= CJ a � � -n m v A o� N � � � � � � � . � r � 0 3i� r�$ ma; � 0 � N � Z -� m 3 '0 � � � C � m v � � � � � Z m m O � � � � O 2 � � O• D -1 .� N 1 � Ii � I I � n a r n c r � O z N 2 m m -� � � 0 N � � � m s a g Q � � io a x � s o�. � 0 s s � a d 3 � � � : � � � ' _. �� N � OI mImIV �INIAIW N � L� � � O r � � > O Z � � -�� _;�� N�g � n'!1 70 Z � d1 tA i �� m c�< D" � D�= v � p � m � i i > c a � 3 ��; > m D> r 9 z ��• O�� D m u� > m q Z p o Z o o O a a m o z n � m'� A � � O � � � � O r Z Z ; � � ° rr- � A . � � a o �Cl'�R s— � � p o m � p � m a Z m � A m m � � � ; _ � � ; � f�' � , � ; i om � i i � C e � m= � 0 ; x � n : r � . �o ; cm x t �� ' o � � ; t '' 2 0 ; � n � m r � ' ' am — � ; e� , � c � p= � ' o � ' _ � ; ; ; � A ' ; p r p � � � � ; C� ` � ac 6 0 � � ; . ' ' x ; ; ; . ; � A m r O a m 7C C i • � = G _ m (0 G� o�c� �zrr z�=m PI�pI � I I 1 I I 7 1 � r � r � n � � �• �� x c� � m o n ao N � � A oi N N � S� Z�° � � � �, ��3 � � � Z � �� m C v Z � �� D � � �� II � � n n i � 0 Z I m m -� N O N �., � .-- � � SUBJECT City of Fridley ° 15 818 AT THE TOP OF THE TWINS B U I L D I N G P E R. T r � � RECEIPT NO. � `L ______ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. ' i ' 1 ��ti � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'""� � ,�� 612-571-3450 910-F15 7/8/80 / / JOB ADDRESS 6515 Fridley St. N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 12 & 13 6 Oak Grove Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Hard 6515 Fridle St. N.E. Fxidle 55432 571-7096 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Minn Pa e Prod cts In 92 5 St N - 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Ins 11 17' ' In- round vin 1 s�+++�� n 1. 533 s. ft. 9 CHANGE OF USE FROM TO STI PU LATIONS See letter da.ted 7/8/80 for stipula.tions from the Environmental Officer. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAI, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ].Il 1K2't8.�. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT R 1. ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ].O OOO.00 y�`3.00 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- STR ION OR THE PERFORMANCE OF CONSTRUCTION. (O.00 � PLA� CHECKFEE TOTALFEE � � ��- 63.00 G ATUREOFCONiRA OHORAUTMORIZEDAGENT (DATEI WHEN IiOPER Y V ID E T I IS YOUR PERMIT � /� �� SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI G iNSP �ATE n CITY OF �RIDLCY • • A('PLIC/1TIINV FOR RESIDCNTI/1L QUILUIPaG PERMITS (i�ewy Alticnations, Addii:ions, or Rcpairs) OlrllJEa: �'�• i9N ,�A��'� ADDRESS : � � /S � �� S7; � - TGI. n10: S��- �e'96 0 BUILpER: ,_ ��'li�ti��`�� c-++��s4C'� �(�s��'�-l� 11DDRCSS: G�i'Z ` ,��u ��: �/.: �l .It ��.� -- � . �s7�1 TE� re0: `� �o -/.�/3 ' Construciion Location STRT�T NO : �S/5 STI2EET: t'`� i��-i S� ./U,� . . � . LpT: %Z d- (..� IiLOQC: � ADDITION: O/4� h�� tJ� �`'z`� � .. Corner Lotz � Inside.Loi: V� Se'rback: Sidey�rds: Applicant attach to tl�.i.s form two Certificates of Survey of lot and ' proposECl building ].vcation c3ra�an on certificates i:o . scale. � DESCRIPTIO�� OF CONSTRUCTION - � �S-r�a� � �7 X 3S ` T� - ('��.,.-,� �,��w� ��- . . ' i'ront: � D4pth: • Height: • Squa�e. Feet: Glibic Feet: . Tr.o:z�: Depth: � Height: Square• Feet: Cubic Feet: Type of Con�i�ruction : �Y. /�j�� 'i�o� �. d` s��i�TAC Estimated Cost: $/Q O�d o'° Zb Be Cbmpleted: � ^ `�- � �• � • R . � � • ^ . Alt. A Alt. B Proposed Drive��ay Width If New Opening Is Desired: $� $ '� . , . SEE REVERSE SIDE OF SAEET Z�e undez:sic�ned herel�y makes application for a permit for the h�ork� hezein specified, agreeing to do all toork in strict accordance with the City of �'ridley Ordinances and rulings of tiie Deparixaent of �3uildings, and hereby declares that all the facts and zepres�ntations stated in i.his application are true and correct. DATE: / - / " �� STG6IATUF� : S�ipulationss ��< � �� ii� �� '� L rGts� j ov . � � �-� . ��° 'r � � �; r�.....�.�e�,. . i _ ,�c,�. ��- � :. � -�.,�. � ��_ � � ,. � . �.r�.� . IIU)LI)1(JG PCR(�17 rC� SC{IrDULE' . ;1.C'�:tQ1� 2. 'Pl�e Xnrs)�ecLor. ot l�uil.cliruJ�� ..lial.l., bcfor.c 9.:� .uing pc»ni.�� or the erccl:ion aI any buiJ.dinc� or. :�LLUCt:urc, or. for any �aa�.L�.on L•o a�ny cYi:;t�.nc� btiildiny ox ::LxucL-ur�s, . cix �'or. any altcra�iori or. zc�,�air.:, to •any cr.i.�i:S.ng }�uS.l.cli.ng or sLr.ucturc, UJ)GJl aril�licati.an. 'L•hcr.efor.G, x'equx�:c thc �aymenL• by thc: appl.zcan� . for. :;uch per.m9.L• o� fees tio, t•he amount hezcin bclow� seL• l:orth and i�l t.lic manncn c�rcS_n Provic]ecI L-o-�•riL•: • )�J:t�J COtdS7.'P.UC'�IOtJ : 5ing].e ].'ami].y IJome:� and Gar.ayes : $� . 00/)., 00� cul.�ic �eet. � S'I.P�td C1i1.CY.: 25 percent of l>ui.lding nex�ni.L• fee. . nizivr•.c•7nY ll�l'RL•'SSIOIJ: (Concrete, Curb �trects Only} ' ' • niternat:e I�: Itemoval and rep].accmenL• of canczeL-e cuxb and qutter only; Drivew�.y widtti plus 6 Seei x Y�5.o75 1�lternaLe }3: Remova]. and repl.acr-_ment of cancrete curb and . ' guttcr and instal7. a 3 foaL- wide appro�zch with �' ' _. 6 ir,ch dept-h; Driveway width plus G feet x$17.85 ' •�, .� . ADDI T I Otd/1�. I t+�FQR�liT I ON I'or the �urpose of comput�ng iees for building permits, the cubica]. contents of any buildinq or addition, is dctermined by rnu1L-iplying i.he ground area cavered irom a po�nt sir. (G) inches beloca the floor line of L-he basement or th� cellar to the average heights ot L-he upper surface or i:o the avera�e height of the roaf surface oi the ;aain gab].e of a pitched roo�. . � For repairs or alterations to an existang struct.ure, the fee shall be at the xate . o£ $3.00.Per each five hundred dollars-($500.00) or fraction i.hereof in the cost of all proposed work. . . � In •no case sha].1 ihe fee charqed for any pexmit as 5�L- forth �n 5ecti.on 2 be 1e�5 � than $7.50 plus $.50 state surcharge. . ' VERTFICATIO� OF F4UNDATIOf� � � NOTE: Permits Lor construction will be issued a minimtmn of 24 hours i'rom the time of appli.cation to allow for proper review ot ihe proposed stxucture and of the . �onstL-uction site. A Certi.�icate oi Survey of the lo�, shotaing the location of the ioundation once it lias been constnicted will be required before proceeding with the frama.ng. • - CERT I FI CATE OF ��GUPANCY . = � • � . Application for a Certificate oi Occupancy shall be made ten (10) da��s prior to the use or occu�ancX ot any structure for wliieh a� building permiL- ha� been �.ssued; and said structure shal?t not be used or occupied unL-il a. Certii�.cate oi' Occupancy has been issued. 0 • � � . • . � _ ' . . . , � � . i • � � � `� . � � F � ' y� �ti 1%,«�' �. :' � :� j�' g?�� d .u�T �,.-. �� . � �� , .. �y � �1 . �gd�9`�'t ^��y�k ��p `j�r ,�rr;. �- .�y Kx'P :.s:� f ��,, ��' '�`�., �'� + a��,�,� � _ :� r��` h � -.��.. � ;�r � r �.3 :r�:. 4 ��.....a��,��^;:��:� �_ 1980 . g_ � 's �„'� ':�� . � ��'K � F �� , � 6431 UMIVERSITY AVENUE Rl.E.ti FRIDLEY� MINNESOTA b5432 Minnesota Package Products Inc. 6922 - 55th 3treet North . � North St. Paul, NII�T 55109 TELEPHONE ( 812)571-3460 Re: Swimmi,ng Pool Construction at 6515 Fridley Street N.E. �ar Sirs: This letter is tp make clear this depart�ment's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) sk�mmer approved by the National Sanitation Foundation wi11 be provided. 2. As indicated, two (2) inlets of approved design for fresh and/or repurified wa.ter will be provided. 3. As indicated, a main draa.n of approved construction will be provided. 4. The filter and piunp shall be approved by the N.S.F. and be of sufficien� capacity to provide a m�nimum turnover of at least two (2) times in 24 Tiours. This department recominends a turnover rate of 6- 8 hours. � 5. A deck of at lea.st three (3) feet wide, measured from the pool waters edge, sha11 be provided which extends completely around all private resideritial pools. Above.ground private residential pools may be provided with decking of a minim�nn size of 4 feet by 4 feet at pool • entry poi:nts and provided that such decking has the approval of the Gity. 6. The da.vi.ng. area will be acceptal�le provided there is no overhead obs'truction. � . 7. Fencing or other effective means includim,� 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. Fenci.ng 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-•wtth se3f-closing an� self-Iatching g�tes capable of _. � _ . . . , _ - � - -� - _ _ beirig locked. � (c) Self-clos�g and self-latching devices shall be placed at the top - of the gate or otherwise inaccessible to snall 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 autnmati.c chlorina.tor should be provided with a suitable test kit. 5 � - ..w„ ■ 4 � Minnesota Package Products Inc. July 8, 1980 Re: 6515 Fridley Street N.E. Page 2 9. A11 electrical. and pliunbing insta.11ations shall be inspected and approved by the City Inspection Department. 10. Al1 electrical lines mus� be gr�ater 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 vacuum breaker or air-gapped. 12. Suitable safety equipment to include but not li.mi.ted 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. E'urtheimose, these and any other requirements must aieet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on fi,nal inspections arid approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 57I-3450. Sin cerely, STEV J. O N Environmenta ficer SJO/mh CC: Brian Hardy 6515 Fridley Stxeet N.E. � � R �. � - - •m. •- r• � � t9.'%,s� .. . �-�+°: � � _ /�...::.._.. _—� �..".y � _—,. �.. ._.., .-.-�� _ � , k. . �_� << . � .. : . „ .:. . _ _.. - . ��i • •� � � _ _ ��.: � i �.�� „ , _ - . �--� � — _ _ - _ \ �� :,;�, „-`°' ` � - - _ �- - - `� ,- --7�,.----�---�' -� , � _-��.., j, ";�, -_ ,_ _ _ ,� _ ,�, ,�� b �'' - � . �` = - . _�� .�'. . � � � � / / �o� „` �. �\,` _ e r � �4 �� , _ , �:� � �� . �;, � _ �-� � ; . . „ . a o _. , � � ► ' , ` , . ; � . ..r`�;. .µ -�: .-�. �� S-200 Series '� ` '/ S9W �n , , \ �� -': ��.. _ . . �' �` � :� ` \ S-200 Serles System II , . �;. .. ,� 1- ' � �, �,' � � � � _ � �l , ;�_ _ �� i ! ,- f{. � A➢C, .k— M�j'M1 � 16f k �' 3'£ � � � � � \k : .. �� .. ' � .,�.�, —. � ' � _„ : � f., .. _. ., . �:. '��' c �' �� -i � �,�, A high performance totally corrosion-proof filter series that combine superior filtration and features with ease of operation. Designed with the pool owner in mind, the S-200 and S-240 filters produce clear, sparkling water with only the very least , attention and care. From ''see- �- thru" dome and maintenance- free construction to convenient, easy-to-use control valve, the S-200 Filter Series is the ulti- mate in high rate sand filtration. �E 1'l1R � �'� -�� MANUAL AIR RELIEF for easy, safe manual re- lease of afr from system. FULL VIEW LEXAN° DOME. Clear 6" threaded � inspection dome lets you see operation of filter and provides convenient access to top of filter. � TOP DIFFUSER. Assures even distribution of water � over the top of the sand media bed. All internal pip- ing is 2" to give smooth, free-flowing performance. AUTOMATIC AIR RELIEF. Automatically purges filter of any entrapped sir during operation of the filter system. CORROSION-PROOF, YiEAVY-DUTY FILTER 'T/lNIS, Injection molded of tough, durable Cycolac� for dependable all-weather performance with only minimum care. BOLTE� ��IV'T�� F�ARIG�. Provides extra strength and securely and safely fastens tank top and bottom together. Allows for future service ac- cess to all filter components without disturbing piping and connections. 6-POSITION HAYWARD VARI-FLO COIVTROL VALVE with easy-to-use lever action handle to let you "dial" any of the 6 valve/filter functions. FIL- TER, WASTE, BACKWASH, RINSE, CLOSED or RECIRCULATE. UNION LOCKNUTS make assembly or disassem- bly of the control valve easy. EFFICIENT ��Te-L�'�Re�� N��RDR,A,IN A�- SEMBLY. These precislon engfneered, corrosion- free, self-cleaning laterals give totally balanced n flow, even when backwashing. Laterals individu- -- ally thread into center collector hub to assure positive sealing, and allow for fast, easy servicing. SUPPORT SKIRT. Rugged and attractively styled to provide strong, stable support for the filter as- sembly. Totally corrosion-proof, too. DRAIN PIPE ASSEMBLY allows for total draining of filter for winter or service. 3/a" garden hose con- nection thread for easy hose attachment. Drain assembly is replaceable from outside of filter. �� BR�� P��i��9�R9g� are serviceable using only a screwdriver and wrench. The S-200 and S-240 High Rate Sand Filters are avallable with two base options: 1. Standard pump mounting base. 2. Deluxe pump/filter platform baze. The System I I Series is furnished complete with Hayward UL Super Pump and clear Lexan union. All components factory assembled on deluxe platform base. System I I Series available with'h, �/, 1, 1'h and 2 HP pumps. Your dealer will recommend the model with the pump horsepower that will provide optimum performance, at the lowest operating cost. HAYWARD MANUFACTURIIVG COMPAIVYs INC� 900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEY 07207 / Phone: (201) 351-5400 Haywa�d and 5-200 are trademarks of Hayward Manufacturing Co., Inc. Printed in U.S.A. . r � . i�; V1 . � 0 � i..� ` �� C� �_ It � � m a fl� wZV= �vi 0�� c� 3�=2 �� m�im �m �p�c �� ma'�� O v�am Na z � a=�� m° �� m<m om wm o� b rn � W � � b I � �� o b � j � � N � � , V � a � rn a , i 00 00 __ � D � �� Ci �� o� � z �mm �a �5 � �� Ny a N �--� � d� �- C ;'ODbOcn O-�Z ,Zm Z��r�po ��NZyn �ODD�ZVOo � �D � � OmmD�n r�v�mm D z � X�� v �D OZ TI � r w b� � � � D'vD��O , (/�DZD�Z . � Z p Z � � Ofrn(�ti pm ��CG,�DfA � < m wmcov� °��W�� tn*;�O D �r �mZ�t�n v�� m � m � c z =i � o� .o. c'n o ci a a a 00 0 � m � �'�tcn �oomDm � � m�n�rn �O�Z� in�vmZ � Zw� m� �m 70 � � X b a � x o z i ��OD-�I� OnOmZ�p r rD � 3�'�v �� xDwc � �ppvm �/:. Z �I � � :' �� ,� � �j c S z � O � �n s A 0 Om r ZJ y i � 9 C i� �� >D �/� �ym � SN � Z� \ � mm �, a myo � �� m O N IA p �� D 3Z y0 wl F N r ; Z � c 3 xcZ ��xC� �O^; m=Z O n ? S 3 ��x m __.......�. � w bi n T r A 4f N ± � 23mgD r9Nt c�a�m��p,oa 2mrr�<�1T'ti0 OD� �1Z1 22 �Zi �OZZV m0[n 3 �: c < _ � � 3 S!, mfo ��Z� Z Z OD r mm0 cm ��r c n�� ZN �� 3 FmX m <r m�n C<n as D� D ��m �� iy 9 �_� m� 2.1. � 3�D �S � D �p� D � � mZ= Z� m fDj DO� �V � ZXS �� O "'mm� D � D� �m� 3 v � T 3 ZQOZ a"';c rt�3 ; m�� mmm0� m �amp N 9 9 � T �g3� m-i?� ��3p � c 30 �f O t rDrQD Zm?3� T ym� �y2Zm $z�zc�-i x T m D r 3im vo �cm0 Dmn � Cr � � D Oo O 7C n�n � Z � G) a Z O C) Dm � ❑ � � 1 ` �� „� � � � �p� �Drr=Z�m � a a ZD�O-DIti N �_ mn� y iNmym=m Oar� m ` ��OmpCmi 7fD')~ D s�=�C�9y0 m 3 t��Srtir W r Zm��m�� m�>9No� � � ZO�N �p v a °N °D � � N m D� � y � � � � r �r nD �Z -m r Q y � 0-�r ~�9 rc0 �v_n N r m � D D O 3� r�^'a ,�Z ZDm GZ1� <m N / N N y D m � a D � N I J !i �/C �t N ti C 2 li PAGF/C POOL � PAT/0 � ' � ' . . �� - � ,� _- s� MINNESOTA PACKAGE PRODUCTS, INC. � t 6922 55th Avenue NoKh North St. Paul, Minn. 55109 Phone 770-1313 CUSTOMER NAME ' � " � �j -%�,�`� � °� , ° DATE � ' .' �°°�° � ADDRESS � � � %� `� � �f� ` - �' HOME PHONE ; �' ` ,`��` POOL SIZE .� � A -� � ,'� ��_ � � WORK PHONE s��-"' �' =`s�'` t a Directions to job site #� --a J � - A— a'� s� �`;+-'�.` .T+`r� �t�^r� '�' "'i�• r r 's _ , .. , ..f / ' ." � Y . m . , � (rM �(C K � � ' � _ — _. � ____ �.�2. ' � � �_ -�. #.' a'°. Dicgram pool site in relation to house, garage, property line, and wires. (Allow 3" variance) ! � .e , �� k. � -� _.u,.�_z_.,��-_ _� ° �g" .�._. s ;� �: � � � r e �r� � �;�� C F �� W � r �d : �1'� �� - — — -..�.�,.,�,.�,� _ _�-_ � = � �.�,� , � �� +� ` �"-- �� ... l . �y r i :.,4 ..r�.:' �...�!�d � z ,�,�� " � '`��°�'` - ":� ��.� � (� ' c �� v �_�" � � r� � i4 i� ��- �� t� LL�. _ ,�..:� < �Ng;_;��:.�..:; �e� ^� � � ��!i` �y� '��;,,, � <�� -- .�_ -, ��, .� � '"`` � � .� , � .��AQ � �� .� � � ;r � �� 6 . s 'R°",�5� a 1. Location for dumping excess dirt 2. Indicrne deep end by ()C). 3. Mark location of filter and/or heater by (#2). ' 4. Indicate approx. elevation of pool in relation to a permanent fixture on the property. If there is no permanent fixture, mark the diagram with the symbol (A) at grade point. �;� (`� � � «�"��' �`'� , ��'"� '�` `"� � /�'' 5. �II trees, clothes poles, power lines or any other obstruction be encountered3 Yes ❑ No _{] If yes, explain - - — 6. Does customer wish to retain any or all dirt from pool excavafion? Yes -� - If yes, explain 7. Indicate and explain cny special instructions not covered above. ¢� - `zk --.?� _ ;� �- ° 8. Pacific Pools recommends that the customer construct a retaining wall as soon as possible after the pool is completed. Yes ❑ No [�` Show in diagram. 9. Customer understands that some damage may be done to the yard and/or driveway while entering and leaving the yard during construction. Inifial here ��"°�� . 10. Customer acknowledges receipt of grounding instruction sheet, arrd is responsible for grounding and electrical wiring of :'�. <'ry the pool. Initial here ` -''�"� . 11. Customer assumes responsibility for the gas installation of heater if appliccble. Initial here � -� . Crew Chief Use Only Inspection Required 1. Walls ❑ 2. Plumbin9 ❑ 3. Footing ❑ 4. Electrical ❑ 5. Other ❑ Call Mr. CT Phone No. SPECIAL NOTE TO 7HE CUS70MER: If you wish to change: fiiter position, slope of land, or anything else atated in this outline, please cal) our office — 770-1313. Crew chiefs are not authorized to change anything on the job or make any promises for work to be done by them. Any Changes that are not authorized by the office will be charged at o standard raTe — oo exceptions. �i' f � .Fr - . '1Y�"" „wT�A' , � � � _ - - Seller Signature r "'' '��'� '� Customer Signature - - - '�� .. ;`r�;�.,,.� � v, z r y O M o ,.� o r.i Vz M H �yt H N �rt m R7 � � m � � N M :�j � �• H a `� �� W � a`�"� �,, 0 � o y oa r H M °o p O y ►i r-i O K (Z!7 w n 0 � N N 0 0 O O � a ' �,' � O M � 'w x �t r rr O M �i r r� m � rt o � 0 C I I I ac x �e +�-r y+ tn o r w 0 0 0 O O O N � H H M z c� 'ri nf � 2 n rt� s rt�'� �°r ci n r n xr�� F� Y• � �n G� b1 x�� h � a n a n � � �. � n � n `� n� i G� o m� � � cP 5� R� �U w a o � m K � F-� � fD 1-a�• 'r � o � � � o o w `� m cy � I I I I � I I I I k k x �e pe k tS % k � 4/1 i!� iA M i/! Lf N i/1 N lJt lJ� �1 O VI t71 N N W 0 0°o 0 0 °o o'°o 0 'tl r -i"'.. � � � M H x H C � '� t�s�i �-�-�1 � � D --� m N n �.: d •° rn Y H [!1 N iq N N V7 �N N t/l �ilf 'Cf1 iA i/f t? V/ i/l i// H ( �, O o � r9" �. � � p � ` � P �� H � � � o � � , C � l � z z � o ro ro �o /� '� F�1 I J � •�� .b M '� H I � w w� w z RI y �rt � c� \ � � tj � � � m N a y � I " � � o t��i o p' � � � � H N N J ' N o � ro . � � M [ - � � . tn ) H � � � o w � � � 0 M N � � �I N . � �� M A W N N $tOX�CB r v:,� a• n. a � o p n —' _ �sre' 7, M Closets � C � � Urinals N �+ a f�ath Tubs M N � $asins O µ � � Sinks � � • � Wasl► Trays w �. Drinkinq �q Fountains Showers n Floor Drai 0 � Catch q Basins � nlLomatic a Washer £ cWr Gas Appl. � Misc. FiXt � � Gas Range t+ S �t n Other N N N � �S � n V�i O iC[a� Fi �y H � C7 t�7 � [+] O � � d � � a H �H+ y � G� � � C IH . � � `� M � p, � � � �g �C 'J r .� oR.m� U G M � n r r• F �a y R+ �. a m a n H � (WD � K�w a � � O � C H O ''C � � N i�4' � E u r"�� o � w r a�y � Y� W N W�t � y K F'• rt W W O 5'moy m ��u `� rn C y q K w,xo aro n n a �. 1+� �C lD o �r w n � o c"+w�'M N N (p (D G � a a,�+n a rr �e x g � � M � � �• f� �`"� P� _ - • - . _ ~ '�C N � 1��? yy NMc3 R�i i� n c�r m �ao y V� F+ M �� G r� r w N ( v \ � y, --"'-` � v r .-. f� � � 0 G � "r1 O b � E r' 3 -~-� tJ -< � O D � � Cy `i7 v d N r rn -� -� � � G� -� iTl � s � 0 C � c a N n m -n 0 i N � F < � � n N r+ O � O 7 Z m v a n � � � � , � d m N 0 • E Y M /y r� � 7 � R �� m �� K � �o a �r �. w �o 1� � �• 7 �o m ... M I�D � V� � r W O �.3 S� ��+1. �o N � 'ro0 D C �3 O r � O � 1-+ r'7 7 �o t��7 0 '�O '�o n � �o ro y � M t�n �z �r• a 1 a° N K � � \ � o� � ��O O � �Cr M �� ts7 � � ' z � b � � � � H �� • t�Zpn � � � z � i � � o !% � � N � N �z a ao � � �a o� � � O�x7 M y �y r fA 1'r Mry� N n �o � N 7 'O � :* O�` � � � � '1 'C p W C�p b� H 7 � m � � m � � C � Q' C � Y � � g o r� 'q � �q i� 9° � � ' � r � �� s Eg ro � � � � � �P � ' �J � M «. 2 fA ro !�! n H N z *n � N W 0 0 0 � y K a K � � ° M n � � m N N N � o � n .� r �° y y� i F+ W F+ M � A �O (j W N Mp� � �-.' K W � z a� � o r �o 0 � fci� � '�O 1�+• �3 �� P� � b �u O w �o �u r t�+ � s� m a � �ro� � � � `�' w a r. �i �J �� m o c �i rt x ,�� o � Tx� �j N � � r � o 0 � o N N N ��2� M trl O O 1 2 M z y �n ° � O � o� N�+ y�y M y o z O `� n tp�1 H � � �11. M�p M H 0 � �� L� pp e0 ' N m mre� MM i G�q � �b'O M� `y W �t �pw � � m$w �� r � o�, ti C b a` � � r� ! �g� ro �► � � � ��i � �:�' r. � i i N N N t/! � hr 1-� i� � N i'.0 0 0 0 o b . y 0 0 o O ' ta 0 0 0 0 , fA fA N N ,. � . t" � ►e a v, �� Q� F+ K a��.a � m� � � M � ? 7 m �G � o�g� ��9�� W A ~E N °' "n �, ro r 7 C ►�• �b.., r• � w x a m d F'• l,• R p� m � K r• �G r• O a w o � r m Oi O ►�• 7 n M m a� � � o n � A � a�c� � ��o �m=� e�� e n�� gn�x r rt� N�o I��O n ~ m m � � 5 m � � o r r• � F+ a �� Zw � o� � � : m U1 M i � NN t O� 1� O K i � � i v i � i` � A I �W r j C a r• ! � , M � M• � K � e � . m � z � �; K3 w' � i � t � �� A W N � - }1 _ f. � � � r P�n A � � � �n z � o � 0 Z m � � � � Z s-� N O z —1 v O S = a Z�S � �� N 3 O y r d� m m � � i�: m � H � O Z m T r � m � D �1 O 2 a a O f'1 � T T � d � F: M M fD f) � r• < R v d r* fJ � a � � � r r �o �o � � CHIMtJEY ANJ STACK VERIFICATION The undersigned hereby verifies that the existing chimney o r s tack; . � 1. Has been carefully examined Yes (,) No O. 2. Is free from rust or deterioration Yes O No (:) 3. Has no foreign objects lodged within Yes O �No O � 4. Is securely supported Yes () No•._( ) . 5. Meets all_ current Code requirements for size and �. - total BTU'connected Yes (� No t�� 6. Has Total hea ti ng BTU' s of � -�' All other BTU's �• TOTAL - . Rema rk s Com pa ny - - --- Sign�d ��- - Da te � • sue�eti NO. City of Fridley 32033 � AT THE TOP OF TME TWINS g � I L D I N G P E R M I T ; � RECEIPT NO. � ` COMMUNITY OEVELOPNIENT DIV. ��_3604 e�� r � v � PROTECTIVE INSPECTION SEC. � i , � r°"1 � CITY HALL FRIDLE� SS13P NUMBER NEV DAT@ PAGE OF ACPqOVED BY �.---� • •'� 612-571-3450 et0-Ft5 7/25/O1 / / JOB ADDRESS 6515 Fridley Street NE - t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. i2,13 6 Oak Grove Addition SHEET 2 PROPERTY OWNEFi MAIL ADOR�S$ 21P PMONE Brian/Sharon Hardy 6515 Fridley Street NE 763-571-7750 3 CONTRACTOR MAIL ADORESS ZIP PMONE LICENSE NO Same 4 ARCMITECT OR DESIGNEIi MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII AODRESS 21P PMONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW f� ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 OESCRIBE WOf;K Construct a 12' x 9.5' Deck 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. SEPARA7E PERMITS ARE REOUIRED FOR ELECTNICAL, PLUMBING, MEATIN(3, TYP� OF CONST. OCCUPANCY GROUP OCCUPANCY lOAO VENTILATING OR AIR CONDITIONING. TMIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTMOR12ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OF WORK IS SUSPENDED OR ABANQON�O FOR A PERIQD OF 120 DAY$ A7 " ANY TIME AF7ER WORK IS COMMENCED. ' NO. DWIG. UNI7S OFFSTqEET PARKING I HEREBY CEiiTIFV TMAT I MAVE READ ANO EXAMINEO THIS APPLICAt10N 1 STALLS GARAGES AND KNOW TME SAME TO BE TFIUE AND COPRECF. ALL PROVISIONS Of LAWS yALUATION SURTAX ANO ORDINANCES GOVENNING THIS TYPE Of WORK WILI B� COMPLIED @ WITM WHE7HEi; SPECIFIEO NEREIN OR NOT. THE GRANTING OF A PERMIT � 1� ZS 7 y� . C)3 DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OF CANCEI TME pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ��}].90 Fire S �p1.ZS PLAN CNECK FE TOTAL F $49 78 S�GNAT�� f ON•AACTOpO AUT RIjEDeGENT IOATE� EN P f1 V LIDATED I IS �� Q � - �GN4TURE O� OWNEA�� OWNE BUROEp� AfE� BLOG NSO � ppTE A NEW ADDN ALTER � �}�. , [ j Effective 1/1/2001 [] , CITY OF FRIDLEY (763) 572-3604 Bldg Insp .[ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION , / . U _ (�I � Construction Address: lo.�/-� ��/.D GEY � � � Legal Description: Owner Name 8 A� Contractor. dress� ,�iQifl�v L.� 05',�/�iPDiv' �i Ah'✓�Y Te�. # 7�3 - 0557/ - 7�'�5"D , �_ MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Sq. Ft. Length Width Height Sq. Ft. Length /02 Width � HgUGround �� Sq. Ft �/� � � ,�� Construction Type: Estimated Cost: $ ��% °� �- Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � " o'j�r �/ APPLICANT: ��i9RD�l! ��IRDy Tel. # 7(a� - �`�/' 77Sd CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge �t•�r�L STIPULATIONS: Call (763) 572-3604 for Permit Fees ff mailing in application $��, �Fee Schedule on Reverse Side $ � ��' .001 of Permit Valuation (1/10th%) $ , � $.50/$1,000 Valuation $ $1150 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary ( ] Not Necessary [ ] $ L � �� BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits �or the erection of any building or structure, or for any addition to any existing building or structure, or for any �iteration or repair 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: TOTAL VALUE $1 to $500 $501 to $2,000 $2,�1 to $25,000 $25,001 to $SO,Q00 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000� $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $SO,Q� $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for constcuction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv . �- � �— i�..� w � 1� � / W � � � � i?'i� _� 14 �� Land Plonning Lond Surveying Soils• Tesfing Civil Engineering ' Municipal Engineering Mortgage ( f\ � �� a N ca .�° � %S sf[,T"lr'��L�1 �� 6875 Highway No.65 N.E. � (� Minneapolis, �%jl�g�%,�C��'rijl�� I 'ylC� Minn. 554�2 �, Telepho�e 78�-6066 Engineers & Surveyors Areo Code 611 Loan Survey for �QY l...l�� t...�j� � N��h line u.� �ot i2 � I�loc� C, �ok C, ro�rP t1dd��tio� _. �� '? �._ 133.�3 Me4s +"`1,0 Pln� ^ . ,��r�\�.��, � M (;AhA ; � � � M ��. r' ,- �, ,�. a � �� , 1 ` — — — —,� -, � � F�)��,:�A11J�,� `: Q , N � �'��-`j e' � ` • J �,� �.,��.'�� .� �'�' � � �, t � 3�.'�� ,= ►��j.o riat �, f��. '3 i�1Fa';. A` � ,� :1 �f�► V � �� :� � (�� 1 . �- ��;��1��1 �I!1� ��' �Of �'1�� b�',�! �a�l)q�; taY'p'vQ A�7it��.)ri � �1:�i1�F� � i �n--h � n �� U � I : !� � L I `� ' " � --�--, '+.� i � � �, � -1 - � � J I m � �` I � �-� � I F� I • C � ,��' L �Q � � �� i.��.--- � i LoT'1 L`� c�nd 13 ,(�I�x:l�. Co � 0<.�� Gr�ove /�ddifiot�� Ar��ka Count�,l,N�intl�;ot�� a��d vacUted �' alley lyinc� �mm�c�iately �a�I��UCEr�� fh��rE t� .�'ub�� to ��r��t, o� �eco��4 i�'a►n�y. 1 . This is a'true ond correcf represe�tation of a survey of the boundories of fhe land abova described and of the location of oll buildings� if any� thareon� ond all visible encroachmenfs� if any� from or on soid lond. This survey ia mode only in connection with a mertgage loan now bei�g placed on the property ond no liability is ossumed except to the holder of fuch mortgage or ony other interest acquirad by the reason of such mortgoge. It is understood ond agreed n monumenls ho7 e been loced for the purpose of esfablishin Ipt lines or boundary cerners. Dofed fhis�doy o��l•r - l,p, D. 19� g - SUBURBAN ENGINEERING, INC. ' Engin� s 5 rvQyors br � ��1 �%' c-.��.;f-. �. � J 1 �/ NO. _ , ..��-�a - _ _. 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G��..cr��. 3��2`G i 2,X�n oc�� ` �s l � 6��o s�-S The Home Depot #2802, 5650 MAIN ST, NE, FRIDLEY, N�T 55432, (763 Wed May 09 15:57:31 2001 The materia�.� in this deck will cost $�56.99 �� File saved as: f:\dn�decks�5090E044.DEK � '�� 3D View � , � �,(,�L �. � ^ �_� `� 1, �L ��'�� / � . - �� .�'pi/��i , S -/y1�rx D��'� �� M/y ��li,� �iz�' r ��/ ��`� � � � „� � v o/ � C�,e�,�a,6/F , �1•��/,�a� ��2 , � 9�� U�C W �•? .�'`�.S � ,eo / � �� h JOB � � Q � ' �G 1/� SHEET IVO. r � � � �� OF DRAWN BY DATE $Cq� -- — — � ^ I 4 i i � j ° ` ' � ; , , > r—_; 4�_ ` q , ' � _ � � ._ __ ,. � � � � � l ( ... . � E I � � � ........ i ..— -- —.. ,__-� _ �.__.. � ....._� � .. .. � -- j ... . . f ... . � .. �_. ._. , . e . .� i ' ! j i � i � i � � I � i � i r �� 1 1 � , „ . __ � , � _�_�_ _ � — — _ , u _ ', i �I � , — ��— — � --7°-T.=- I ' � __ r , �° � e � " � i ' � __ .�._. __._._ _.�.�.____s - ._ ,_ .... � _ � ._... _ _ _ . _ _ __ , � _..� � �.� W ....._ � � � + i _ � � i � i �i j i � ; i ; � � �, I e .� ... � ...._ ....... .i._ � � � � � .�, .... 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S . .. . ' . _ . __ � • � � i ;O . ;_ � _ , ___ � � � �� .,� � �� . __ � , � � , �D i � � �. � fi � .��.�___. , -- -. � '�_ _ ._: _ _ _ __ __. � �__ ,:v.. _._.�� — � �� ,. _..,�. � _ ,x_ __� ___ ____ _ ' RINT E �I26O BA�TIIMORE STREET� BIAINE� MiNNESOrA 5 5449 PNo E• - - - ADDRESS PIN LEGAL DESC ' :_��IY M1' PROPERTY TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 FAX: : 6515 FRIDLEY 5T NE : 133024140113 : UNAVAILABLE : LOT BLOCK : BUII,DING : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL 571-1287 PERMIT NO.: 2004-00671 DATE ISSUED: OS/10/2004 VALUATION : $ 16,730.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENII�TGS. REPLACE 14 WINDOWS WITHIN EXISTING OPENINGS; WRAPS & DOOR STATE LICENSED CONTRACTOR 1 APPLICANT CUSTOM REMODELERS INC (1748) 474 APOLLO DR LINO LAKES, MN 55014 OWNER HARDY BRIAN L& SHARON K 6515 FRIDLEY ST NE FRIDLEY, NIN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 da.ys or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and exa.mined this application and l�ow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating trucrion or the performance of construction. Anolican� /\ Date � � � � _��:� - .� � . -�� BUILDING PERNIIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 45543 Permit �nspection Cards V�i118� Mailed T'o Homeor�ner To Post C�L'DAD ATC �L^D11iliTC� DL'l�TTiDL'T D/lD [i7l1DV 11TiTCD T77AAT TDOl�mm�T A7�/l�m ......� . ��. � �.... � ....��..� � .. ��....�..��....� � ...�� .. ......� .. � a�....�� ....... .........iv...ua..ia.+ � aa..v • u. 279.25 16.73 8.36 5.00 309.34 N� II AaDt� Il ALTER� [ ] Construction Address: Legal Description: _ Ovmer Name 8� Addre Contractor. Address: L9VING AREA: GARAGE AREA: DECK AREA: OTHER: �a�� CITY OF FRIDLEY Effective 4/1/2004 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMITAPPLICATION �� / o��L� °(�� I ��' �.�,�D QD�.I ,��-�1 � � � Tel.#`7(0��.571-775"� _ MN UCENSE # ! '% � � h 5"o I� Tel. #(� 7r( " 7 �f �6 `�,('-, 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 Sq. Ft. Length Width Height Sq. Ft Length Width HgUGround Sq. Ft Construction Type: � W� Estimated Cost: $ d- � ;� Driveway Curb Cut �dth Needed: Ft�= Ft x - ..� � S - �_ �P�� O � DATE: ��" J�"O � APPLICANT: Tel. # � � '� �"t��I� �' ID Call �763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we �arill cal! you for card number. Permit.Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - �- �� • aS Fee Schedule on Reverse Side � 65% of Permit Fee $ • .001 of Permit Valuation (1/10th%) �_ �► � $.50/$1,000 Valuation � $1350 per SAC Unit � � � �� $5.00 �State Licensed Residential Contractors) � Alt. "A" or Aft. "B" Above � $450.00 Consenration Plan Review � Fee Determined by Engineering � Agreement Necessary [ ] Not Necessary [ ] � � e�� STIPULATIONS: � � . ADDRESS PIN LEGAL DE5C I PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�i-36u4 r�ax: : 6515 FRIDLEY ST NE : 133024140113 : UNAVAII.,ABLE : LOT BLOCK : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION s�i-iz�� PERNIIT NO.: 2004-01807 �� l � DATE ISSUED: 10/06/2004 VALUATION . NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERNIIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114- OWNER HARDY BRIAN L& SHARON K 6515 FRIDLEY ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 da,ys at any time after work is commenced. I hereby certify that I have read and examined this application and lmow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a pernut does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant _ _ Date Bldg Insp Date ELEC PERMIT FEE - NIIN (RESn STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 118132 ar.r.-�� i� r�iuvu 1 J 1<Gl j u 11cG11 t'vl( W VlCli V 1 t1�K 1 riA1V LL" Jl:KltS1;1J Ati V V L" . 20.00 0.50 20.50 � r 0 � n � N v m � � -N-I � � � � � O Z O z � v n Pfl �L C � � m v a < a � � 0 � � . � � ?� � � n�i F*D 0 � a 0 � � � � 0 � � 0 7 �D � � O n � � m z � m � 0 z m m � 0 ` 2 O � � O � N r �D � c m �. v m a� �i � • v 1 � O �� 3 � 3 0 3� < � �' � � � � g� o � � O � n �, 01 � \ � 3 (�, ao � w o��i � � m 3 G rn v � m � � 0 � N � a � � � � � 0 � v � � c � � � a 0 m � ��'� v � � — �D3�� .g� <tn ; o � � � o $ N � p � � � � y � � � C 1 � y f•1' O O � � W � N o � � " � � � � a 0 � 0 � �i � N v � � N � � m � N v � oa z g c � � v � N N � � � ,� 0 3 �i .o � � � � � 3 � � �� a c ° �Q � `�+ O F � � Qo N x � ,cNpi, o 0 0 ,c�i� I� O O o 0 0 � � � +� � � � � � � i i � � V � � c� � c O. ' a �o� m� � � a �� o� a � o .°� °—' 3 o � �� , _ �� . �o �� m � � � � -� �� m' � n � � a � � �u `° m � � W m � � a m z � ,� _ -� m �° I� c W�.{ � � N C a .�ti, m = Z � � Oc3o o'a , � � 6 c� .� � � �= o �� _ � � � � a � 0 � _ a o � m N � � � Z � 0 � � � r � � � � � v 0 � � -� m � � � z O � C a 3 a+a � `c% �� Ci a (JI �G F' � w z � '�t't � � � �P • �, ^'�°r � a �� m � � (� C v � '�� v IV � � � � 'O ei ,�:' � Z � � m 'v .�� r � � :,�'+ � Z 0 � Z '� a� `o � � W � 'O ° � Z � � � �" O za zv c� _ � = "'� Z m � �. � c� zo° vZ v� G C m m �� 0 Z � cD m � � N � '�.1 � � .� � � FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AIVD COMBUSTION AIR VERIFICATION When realacins� an existin4 furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastiGPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existina combustion air is sized ansi installed to meet #he �urrent co�e� and manufacturer's specfications. Wh�n required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specificatsons. Yes ( ) No ( ) Yes ( ) No ( ) Yes ( ) No ( ) VilP��r� ��alf�� a rts� v�n�n� �vs�t�Mn, th� undersigne:d hereby verifies that it is a listed assembly and meets the current codes and �nanufacturer's specifications. This does include AGA-GAMA Category I Centra� Fumace Venting Tables for fan assisted and natural draft appliances. Yes () Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. No ( ) Yes ( ) No ( ) Appliance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type � BTU Input (�� Fan Assisted or Nat �� Appliance #2 Type W� BTU Input oc� d Fan Assisted or Nat ��4 �T Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input c>a � � / Common Vent Type -e-� n� Vent Height ,�(� Diameter � inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height �ft Length I�� ft Diameter .": in Type �T Appliance #3 Vent Connector Height ft Length ft Diameter . :=in Type �i�� HEATING CO: c� ��-� �l�— � � �--- Signed By: Date : `7� —��2��C� P En�ineering WATER AND SEWER Pemut No.: 763-572-3551 pERMIT APPLICATION Received By: � 763-571-1287 fax CjTy OF FRIDLEY nate xec'd:`L � EFFECTIVE 6/9/09 APPLICTATION DATE: //�� 0 � YOUR E-MAIL ADDRESS: THIS APPLICANT IS: ❑ OWNER ,�O CTOR JOB ADDRESS: � S/� � 6 ST, NEW CONSTRUCTION PERMIT# (IF APPLICABLE): ' PROPERTY NqME: ,�,,.,,, �� a,nDxESS: S/S S%. crrx sTA� n,.tiz�r s'sy� z TENANT R • PHONE:_ 7G3 �.r�1— 7 7J O CONTRACTOR NpME: � r ,, �, v °�"' 'H SUBYDURSTATEOF �DRESS: /6�S"a 6�l��= CITY STATE�1�(IZIP 5�308 LICENSE WITH PHONE CELL PHONE: L/�2 — N 0 9- 9 4�/ �— APPLICATION STATE LIC # O? 8 STATE BOND: EXP DATE: 1. Narrative/written description: n � „ � � � � � � �,-u 2. __Please attach sketch showing_curb line, uh•lity line, building, etc. wit6 distances. _ __.___ _ PERMIT TYPE ❑ SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERMIT $50 ❑ WATER LINE REPAIR $40 ��" � ❑ SEWER LINE REPAIlZ $40 ❑ ADD STATE SURCHARGE $.50 ° 3� � ' ❑ SAC CHARGE @ $2000 = �l�L. �� i1 OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / wEEK�•1DS & HoLIDaYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances a.nd codes of the City of Fridley. I understand this is not a permit but only an application for a perm' d wor is not to start without a permit. SIGNATURE OF APPLIC A N'�' A, PRINT IdAME: �� Y � DATE: �/—A y� �� F 9 f� / APPROVED BY: � ' `.:'�e"' � a - _ . . .. . DATE: Jl I % U �-. . � ;, _ d COPY GIVEN T�: � UTI ITY BILLING (only if new meter) 0 PUBLIC WORKS ❑ ENGINEERING (:ity of r'ridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3551 FAX: 763-571-1287 �"'' � . � y � . ,<t'� , '* +�. . �{'�is�Y`� e . . . � . . w, . . - , : „ �. ..4 . ' �� „ 2 . ,:. i . :. ' . • .:: . " �. a . . , . �. rl .� -� � �': l�'-'`��-��,� 9 1 ' , �''v � � h - r }� ;. / } S � �. I '0� .� . _ z, i � �� *�:�?. , , - .� � . . , � , , � - . . � i - � . , . �_.� �, , ., .x i 2_ � � � . ,:;1'. . � ,�. �r . �� r - , "s .' : . . . . . - ' -{a�`•. 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': �' ,,� . ; M" _ „ �: =•3�'s , .��,�� <; rs,�`"�e � T � � '}�� 3 - 4� -�- ' ` . . . � � �' Y � � � .. � . > .� � � S I`h y�Ynv�� „� �' W _ ; � tF � '�y,�' ` �:�4 v�k ,. ' I I �� ,ry $��" � . � t � .�:t��'0r.e�T. „ . �...rs{.KYK. , raLt,,. ..4.,k-':..�,�'"u�� ..w��`Z'�$3v.e,�_u3�:.�'��.,�'�.. _ y`'.`?..' ��.':'s V'- '_ Buitding Inspections 763-572-3604 ?b3-S02-497? FAX PLUMBING RESIDENTIAL AppI,ICATION CITY UF FRIDLEY DA7'6 �� ZS I� YOCR E-MAIL ADDR�45 S17�nnbxESS � 5 I S R � AL � S•�r THISAppLICANTIS: ❑OWNER l�Cc]urserrno O�VIYER/ TENANT Si7BMiT A COPY OF Y4UR STATE LICENSE. BQND AATD CERTTFTCATE OF rnisttrRawcE PERMIT TI'PE TYPE OF WORK: Permit No.:�� -p� Received By:� Date Rec'd: -� S-c� NAME: J� t!9� Ai ��' !�' /2. rj �wnxess: �e 5'� a FR� bt�y S r , crrY /=R.��t � srA��► zar.'r�'�l�2. PH01�: `7 L a S 7/-'7 7 S"�7 NAIUII?: STATE LICENSE � TerrY pyera�ker plumbing, �n� —� DATE STATE SOND li _ $OZ � M81f1 $tr� _ EXP DATE ana�ss: Anoka. MN SS303 s•rATE z� pxo� [�hV6�LB FAMILY O NEW DETAILED DESCRIPTIQN QF WORK D 7iN0 FAMII,Y "•- ' p T0IVNHOU86 J�ILEPLACEA3EIVT FEFS ARB BA$ED ON $70.00 P�lt FDCT[JRE. EXCF.PT WHERE NOTED. FI?CTtIRES: (II�T1}ICATE TOTAL NLIMBER 535.50. � BLOR+). MINIMIJM FEE ._ BATH SINK2AV �FLOOR DRAIIVS ^ 3HOWER p�� 9 YVA7ER PIPING —�T�T� _ GAS PIPi1VQ (NEBD CITY 4iG7 _ SWA9MIlVG POOL �l` ./ _ CLOTH�'S WA^aF�i _ KITCHEN SINK VVATER CLO►SEf WATER SOFlNER ($3� _ DI15H WASHER , LAUNDRY TRAY _WATII2 HEATER ($33} FOIt 3RRTGATION •{a 1� . , . _ WATER MSTER � OTHEIt THIS IS.1N APPLICA7TON FQR A PERMIT-NUT VALID UN17L PRpCEgSED . I hereby apply for a plumbing pe�rmit and I�cl�owledge that the infonnation al�ve is complete aad accwa.ke: that the work will be in canform�ce with the ardinances and cndes of the City of FricIl�y and with the Mianc�sota Construction Codes; that I a�larstand fhis is not a penniit but uniy an appticattpn for a permit and work ie not to srart widiout a pe�it on sito; thet the work yv�, ��c� with �e appmved plen in the case of all work wlrich requires review and Bpproval of plens. SIGNA7URE OF APPLiCANT PRINT NAA� +� ��./C �� IC' fj d qA� DATE ��/� , v City uf Fridley Building Inspect�ons Department 6►431 University Avanue NE, Fridley, NIN 55432 763-572-36�1 FAX: 763-502-4977 ___ _ .—� Wd 6Z�LL� 4 L 600Z/SZ/64 �e��a �L%L :a6ed °.. unnou�jun :ii�o�� .. . . _ . ^ _ ......, .._ _ .... � T Building PLUMBING Permit No.: �� Inspections RESIDENTIAL APPLICATION R� 763-572-3604 CITY OF FRIDLEY vate Rec'd: � 763-502-4977 FAX EFFEC'fIVE 2-19-09 DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: O OWNER �ONTRACTOR PROPERTY NAME: � �v ��- �, �� ,�y� OWNER/ pDDRESS: �� /�� CITY fd2�� ' y STATE "' ZIP TENANT 'Z �, 3 � � � I � �' ,c,a PHONE: Co1vTR.�CTOR NAME: Terry Overacker Plumbing Inc SUBNIIT A COPY OF STATE LICENSE # YOUR STATE 502 E Main St LICENSE, BOND AND STATE BOND # A11p� MN 55303 CERTIFICATE OF pDDRESS: STATE ZIP INSURANCE pHONE (763)572-8880 PERMIT TYPE �SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW ��PLACEMENT DETAILED DESCRIPTION OF WORK _ __ l►�-r'.y�-,�-c.e � � � %�"•-z-`�� .+�'--� FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE T07'AL NUMBER OF EACH BELO�. MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER _ WATER PIPING gp'pH'pUB GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION — — WATER METER OTHER � i E_ ��i n 1� � r 1 4' " ��. , ,; � � � a z i : i �_,�.r' � � � �s � r�adQT�r�,:�,��+�Q,�,,,,,p,S��c��`.,,�.�_M.�: i " � � s' �! q �j p / V k �' R =� �i � ' ` �g �y ,Qq @ ; .. � � . + i ��*f"��V{i��1'R�l��A�,�.�,': �t, [�� i ! r I T�u R y.n,�r vr UF,..�, �� ,r >, 3 : Ir 1 -�r � ti: l� �: r., i ` i � 1 ��, � i i � � �t f�. 1 'P r �;+a �� '�� r ��ti� �,x,,,,,,�;�, `+�� ,,,..,�, � p . � E �' i_ i i i ��, "h x �, � � � "Jt�r Y F i �� I i iit�oifi�� `�{� !ir�" �u 1�� 1� k, ry F � di ��4t 6.� {� �� '�}�Y^'T""4' � � i �� ! � . � 1� ri�ai t'�°� �+3' d �t'k + �} �� I : �i� ^+"'�"°; ti 4; t�� t "�'�'� � .•��1 4 3a ^ X w.; i f L �'C :y K r �.�, �.. �'�T `�� ' f I - t h ;;� 4 t: ` � �� :�� - THIS [S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing pernut and I acknowledge that the information above is complete and accurate; that the work will be in conforniance with the ordinances and codes of the City of Fridley and with the Minnesota Constzuction 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 APPLICANT C <.i- A CLv.P�_ PRINT NAME �� C I[ i% /� r2 0.J � DATE �� 9/�i�, �� r .�Q` r.' � �TM'�'�L,��' ':, : ��► i;�i;Ri° '�+ ' :F.'�.+�F�,�.S�4��° ��F.r��4r!'�e{ �c. '.� , �+ . City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977