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AF - 45168I�1 n �: � � ��' City of Fridley, Minn. � 1 I ' ' I � i, .: : � � '' - � �' _ , � ��1� � � � � G�� .� � .i.��:9' 1 \� J Y � ;a"s / a.,a.'/.� � , � '��f . - .✓/ _ / - ` - � � � � LO TION BUILDING No. °,�L.�� street yPart o Lot Lot �__ Sl�k �_ Addition or Sub-Divisfon � Coraer Lot � Inside Lot � Setback r��._.� .+.._ Sideyard � �� evation _� � c� �' � vation % , �� `��_ DESCRIPTION OF BUILDING �T Used • ` ;�y�. Front�� Deptl�ae'.�-- Height � Sc1. Ft .�!c�i�—� Cu. F�y�l�h�6� Front Depth fTefght � Scl. F't. �� Cu. F� � Zj►pe o4 etion Fs� Cost ��—��r �' � r To be Completed In consideration oP the isauance to me of a gerrnft to construct described above I agree to do the proposed work in accordance wIth the drescrlption above set fo pliance with a11 Provisions of or8inances of the dty oP FFiiidley. cr' �� In conafderation oP the PaYment oP a fee of $.�_ __ , P�t is hereby granted to to construct the building or addition as d�cribed above. This �ermit is granted upon the expr�s c�ndition that thepe�o n to whom it is granted and hia agente, employees and worl�nen, in all work done in, around and upon said building, or anypart thereof, shall �nform in all respects to the or8inancee of Fridley� M3nnesoffi regarding lacation, construct�on, alteration, maiatenance, repair and moving of bafldiuga withiu the dty limits and ttiia permit may be revoked at aqy �ime upon,�6�la on of aay of the Provisions of eaid ordinances. / 1 � i/ / i' Buildiag Inspector Nonc� 'IYs permtt d� ne� eersr Nro eemlmeHoe. �talldla� te� WGtne, piumbieg, ea haHeg, awar m wtlsr. e� arre to �s t6a Building I�e hr aparaM p�re�6s foe fkas tt�s. , .. , ll;PPLICATIO�T FOR BUILDING PEAM�7t ,, r�°� r„�, � . . ,. , • . _. .: ;.�.� � _.. � CITl'.� OF FRIDLEY, MTNNESOTA , ,; , , �� ° ' . �� '. ; , . , , ow�a� s �var� �� 1 + �rII.n� .'�r` i+� ` C ��1 �c+�� C, ADDRESS'.� � �: , �-'. � . � . . , , . � ,. �ADDRESS �� / �� : �G�B�+ _ , . , • ' . , ._ , . , . .� LOGATION OF BU�LDZNG . � . _ . . . , . . .Co-AR DE�vq � ' No. ._ ��`� � �r�� ;, Street� . ,$art of Lot Lo� �. ' B1ock. � '; Additioa�,' qt.�Sc�bdivision (s-`U�-��v�ir�P �� Coraer Lot In�ide Lot�Setback �� , Si�le-Yard�� %� `� SEWER ELEVATION �� FOUNDATION ELE9ATION - Applieaat; gXtach �o this form Two Certificates,:,of Survey :of i,ot �au41 proposed build- ing .lcication drawa on thet�e..Cgrtific�tes . , , , � � - � � . . .. 9 . . .,.. ,.�. ..... , DESCRII�T'tON OF BOILDING ' ,.._:..:.. To be sed as: . a . ,. �:..,. �, , . . , r..� .� ; Front � Depth 3� � Height � ,, .S:q, , F,C c �`�. /�v Cu . , Ft . ,, . . . , Fiont � `�'� Depth � Height � , . � 'Sq� 'Ftr 'flD7r� � Cu.; P't. . . Type of Construction � � �stim$ted Cost �% �O�c� • .-� To be Compieted �' � ct {p � . . 4 . The undersigned hereby makes applicatio� fo� $ peraait for C�ie work kerein.epecified, agreeir►g ta.do all work in etrict accordaace with the City of Fridley Ordinances aud. rulinga �f `Ehe Department of Bu3ldings, and l�ereby declares that aIl �he facte and represeatatioms stated ia Ch3s application are t,{�Ie and correct: : DATE � /O SIGNATURE � �Schedule of Fee Costs can be found on the Reverae Side). ^ . ,.. � . • t_ r_ � y - • � c BUII.D7NG PERM[T FEE SCHEDULE Section 2. The Inspector of Buildings shall, before isauiag anq pertnit for the erection of aay building or structure, or for aay addition to any exi�t- ing buildin� or strucCure, or for°any aiterationa or repaira to any esisting building or s�cructure, upon application therefor, require the payment by the appl3cant for such permit of fees to the amount hereia below set forth and ia the maaner hereia prov9.ded eo-wit: 2,_1. �'or aay such permit for the erection o.f anq fire-proof buildin�,,other than a garage� warehouse, factory or grain elevator,.or for the erection of any fire-proof addition, for s3m31ar occupancy, to aay esi�ting building ahall be at the rate of $1.40 for each oae thousaad cubic feet, or fractioa thereof, in such cubical�coatents. 2�.2. For any such permie for �he erection of any fire-proof garage, warehouse,_ f�.ctory or grain elevatos, or for the erection of aay fire-proaf eddition, for similar occupancy, to any existing buildiag shall be at the rate of $1.25 for each one thousand cubic feet, clasaified as 11fireproof" by Section 502 of the M3nneapolis Buildi�g Code. HOUSES 2.3. .For aay such permit for the erection of �.ny aon-fireproof buildiag othe= thaa a garage, warehouse, factory or grain elevator, or aaq noa-fireprQaf addition, for simflar occupaacy, to any exi�tiag building - permit $1.00 for each one thousand cubic feet. GARAGES ?.4� For auy such permit for the erecxion of aay non-firepraof garage, . warehouse, factorp or grain elevator, or for the erection of any non-fire�proaf addition,_�or--similar occupaacy, t� enq existiag building or for each auch �_- -building.or addition - niaet�• cents ($0.90) for each oae thousand cubic feet or fraetion thereof, �a the cubical contents thereof with a minimum of $4.00..- For the purpose of ce�put�tng fees for building permita, the c�bical contents of aay building or addiCion to a uniform height throughout by multip�ying the ground area covered from a point si� (6) iaches below the floor line of the basement or cellar to the average height of the upger surface�or to the average height of the rQOf surface of the maim gable of a pitched roof. 2.5. For repaira or alteratioas to an enist3ng structu�e, the fee ahall be at Che rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction . th�reof 3n the cost of aIl proposed work. 2.b. In .no case sha11 the fee_.char�ed for:.a,ny p�,erm3,� a{s 8�t forth in Sectioa 2 be less.than $4.D0. ^ � . � 4 „ . -s FIARVEY A. CAR7WRIGHT ANOKA GOUNTY iURViYB M6NfiEPIN COUMTY SURVEYB MINNEAPOLIf iURVEYB 6410 PALM BTREET N.W. 8UN8eT 4-7886 OWNLR INDUfTRIAL � JUOICIAI� BUSINE88 — TOPOORAPWICAL CITY LOTB — ►LA7'TING 5�m Teraplin � x� � � � v � 0 � � � � � � � � � � � Cl�iBTWR=t�ST & OLSOH LA1VD SUR vEYORS REOI�TSRtD YND6R I.AMIS OF fTAT6 OF MINNt80TA LIGSNitO dr OROINANCi OF CITY OF MINNEAPOLIf 326 PLYMOUTH BUtLDING FEoERa� 9-8721 HENNEPIN AT SIXTH • MINNEAPOLI3 3. MINNESOTA �9iurbcpor'g �ettiiecatt GOMBINtNG TNE RHCORDS OR J. E. HILL, Civa ENaiNeffR eetwe�isM[� �ua C. F. SANDHOFF CIVIL ENCi1N6ER 68TABLIBN6D fY08 JAMES NELSON SuRVevoR lBTABLIBM6D tYEt METROPOLITAN LAND SUpVElrORB, [BTABLIBMED �ae� Imroice 22 876 � Ira� l'�� 3 �---'' '� � � � �� __-- __--�� ` � � " � % o s�� -- ., � O ,,.. �, =� I o 1 �� 9� I � I I�.�reby cer�Gii�* th�t th.is is � true and corrPct re�rasontation of a survey fl�'a Zot 9, �lock l, G�.rdona 1�e3.al�:nci Gardens !is svrve�ed by me this 9th day of I�ovember' 1962. % �I, � � � �/., � / ' �� . SIGNlD �� - GA IGHT AND OL90N m'° q'' � � � � � � I 0 m :4 O V� x � N � � � � � y � � o N H y G ° x '" � � � o '��z �� .�� $ � o � � � m � � � � � � � w � a � p �� . �o � z `� � � � � f _ � � � �. I � � � C� w � �. � Y M m y � ¢ `r ►+ ' W c�i � � � �. c� o � � y N�� o� 0 O y � � . � . . � � � x �a �e „ o N � po4�, � .� � � �o Qy � r � o w � � �. � F� o� � � � � � �� z � � � � e� b � � C c � � O c � Q' � w � o � � � � � � � � � �0 M m ro 0 � 0 0 0 O O � � 0 0 � 0 � � m O r � � �', °e � M I W �W �� M � � y O � H � UJ y � � A � fD • � ; `a. : � � � � a a o °o � � � � x� a�-' fD P � y ' � � � � �0�� S � � ��y1 Q�ry+% ~(� � � ��ry7. � � � � � ~ fA• (A• fD � W y f�D � [n p R° f� �� ° R° y � a c� � � � y � � � � � � � y o � '��, � � � � �:� �� '� ��o � � � ° �Q�. � � m � �, e � � � o � � ro � 9 � y o � a � � � o a � : � a t�7� . . ~[� � O . � � O . . p E9 C . . � O p . . � O � . . O 0 Q : lJ O . . • � p . . . � . . . . � • . . . � : : : : : : : : : � : : : : : : : : : � � � � � 0 0 0 0 0 � �.�� o � � � � ¢' � . n m � � � � � � w � �g N � w N � � � � � � 0 0 0 0 o a o 0 0 �� 0 � � c �� d � � �c� O �� ro � � Z Q � � ° O � � "� 4° � � � � � � � o �. ° � O � � � � LI � q V � Q O w��' A � � � � � � a.a� w o y m�G;H y H, ,c7 � � �p ro � y W �� p°wp�� a � � ` p �p �• � � � y d�� bo . � ��o � S�� p;�� w � et � o e � �b� o �� w �� S m �b w � � py`�F�t , ��a �� p'op ��,o �y� y r1 � � �R,� � � � �'��. � � �� `,-►fi�� Q` 8 �7 ��'! � ia''i ►+ lD y�'a' CO rp iv I� �� D � rD" � � T H _ m C m � � m x » � M � � � � � � g a � V y� V � o � v � � � �" � � 0� . r � _. � � O � �� n� 0 o'_; �a o� 0. D a' � � '�n, - rt A � 3 � �� D � 0.� v< —`• �. � � 0 � �v � � � � o. �� 6 w� �' r �76 ' 9 HEAT LOSS ,. . - .. ; � � � , r �� _ r , �� IONS DEPAR11Vff.NT OF BUILDINGS 1VIINNEAPOLIS. MINN. .S.H.V.E, Construction No. Insulation ..`°...`.°...`"., Guide ' ows rs Reference Out. Int. Wall iling Roof Floor Kind How Applied � es No , I e No 19_ Fl.� ./ Room � Length Width He'ght Length idth Heigh Windows an oors—Crackage and Area Windows and Doors—Crackage and Area � �Yldth Helght No. of Llneal f. A a W th Hel . ot Llneal ft. Area � No. of pane .. o[ lig te ot r- e'�Yt. �� N� o � e o�p 1! te o! cr c eq. tt. . . _ � � _ , - I'"� - �'� � '' � � Infiltration Glass Eap. wall Net exp. � Int. w 1 - � � Ceiling Floor To Btu. Require s. ft. E.D.R. or sq. ins. W.A. er area F1.� ,� , Room � Length Width '"'"'"Eieight ' Win ows and Doors—Crackage and Area Wldth Hetght No. ot Lineal ft. Aree No. ot pane ot pane lighte of crack eq. tt. WGE. DiU GIBSS Exp. wall Net esp. wall InG w� Ceiling Floor Total�� equir .R. or sq. ins. W ader area '� FI. ` ' Room � Length idth Height Wiadows and Doors—Crackage and Area W1dth 1g No. ot Llneal [t. Ar N Dane e II dte ot c eq � �Illl�ti$iIOA Cslasa Exp. wall �" Net exp. wall �1 Int. wa , E Ceiling Floor ""` - Total tu. Required sq. ft. E.D.R, or aq. ins. W.A. l.eader area Infiltration Glass � Eap. wall Net eap. wall Int. wa 1 Ceiling Floor �"" Tota tu. sq. t . v.t� C�:.�-C.- � ws and or H 1 t � e o p e �� or sq. ins. W.A. ead� im � 1-ensth ""'�Vi —Crackage and Area �.�p oi Lfneai [t. � iahte of creclt� ei �838 EEp.—� � Net eap. wall Int. wall Ceiling , Floor Tot tu. Requue . k. .`� F7. Windows and Doors- Width Hetght No. of nene ol!p�e I� Infiltration B� � " C� ['l �� """"'�",�` �r `r ,�'G � � c" ` `'' � sq. ins. W.A. - �der are I ength �idt +�'""'E�eight ;rackage and Area ;� �o. ot Lfneal fR. Area !g te ot crack ea. %, r Glass Eap. wall (%' e�-= NeE exp. wall Iat. w ll Ceiling' Flo� � ' ."" + 7 al Btu. � Requircd sq. ft. E.D.R. or sq. ins. W.A. I.eader area _' r •` � _... _+c i j. a • • a S+,k as6 ' ' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. Guide ws s Reference Out. Wall Int. Wall Ceiling Roof ' F7oor Kind Y N 19— Fl. - "' oom � Length idth eight Fl. R m I Windows and Doors-Crackage and Area Windows and Doors—Cr Wfdth HelBht No. ot Llneal f. Ares Wldth Hetght No N p ot Ilg a of aq No. O a OL p 11g e B Infiltration Infiltration Glass Esp. wall �.. "� � Net exp. wall Int. wall Ceiling Floor �" ••�"" ,�. To tu. R quired sq. ft. E.D.R. or sq. ins. W.A. I.eader area F7.� Room � Length Width Windows and Doors--Crackage and Area Wldth Helght No. oL L1nea1 tt. Area No. of pana ot pane lighta of crack eq. it. Ii16��1OII I Glaaa Exp. wall Net eap. wall : Int. wall ' Ceiling Floor Total $tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room � Length Width Windows and Doors—Crackage and Area Wldth Helght No. oi Llneal ft. Area No. 01 yane ot pane Ilghte ot crack eq. ft. � Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling 1� loor Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area Btll � Btu � Glass � Eap. wall _ Net eap. w Int. w ll � Ceiling � Floor � Tota tu. � � � 1VII1�iNEAPOLIS. NIINN. Insulation How Applied ckagL� and Area � I ol Llneal LL: Aree � te oL crack eq. 1 � � � FI.� Room � Length Width Height Windows and Doors—Crackag� and Area Wtdth Helght No. ot Llneal tL Area No. of Dane of pane llBbte ot crack eq. ft ' In&ltration Glass �p. Wau Net eap. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7.� Room I Length Width Height Windows and Doors—Crackage and Area Width HefBbt No. of Llneal [t. Area No. � o! vane ot pane Itghte of crack eq. tt. Coef.l Btu Infiltration Calass Eap, wall Net exp. wall Int. wall �y Ceiling Floor Total Btu. Required sq. ft. E.D.R. or,sq. ins. WA. I.eader area � � M d � y � �. � tx y p �"� . � : °x : � ' M • M : o . W . m � ' � � � • E!! � N � �y •• H �n � W � � � �� O � m � N � . O • o � : O . � : : I I I � �C k >d � � � O O P � � � � 0 G� � � � � w @ � � x � � � � � � � � � � ,.�� N m � � � y � � � � ' O � 'd �+ .Q r� � �. � � : � � N : � � : � R+ o � �. � ' 0'4 � . . . . � . . . : td : : : : : � : : : : � O k P! k k k iE � � W N W H ►+ ►+ C�1� O � O O O � {f3 ffi {f) {!� tA � �(� � lJ� "� . , �� . � �a � � 1� � --� m � n 2 m C r m � � � �. � ~ � � ,' cz � � Stories 8 � WATER � R r'r► riosF'rs � � URINALS enrH •' n�s 0 p~. � � ' BASII� � � � �„ SINKS � �. � W�+ '� TRAYS � � m b 8 8 M �� p � � o m � O �". �' D' � p. p � w fZD �p f'� Fn ��-b ~ E � a � rr� O � � � � �+ OQ• � �' w ro c �`� � � � � z � � � � O � �. � � � � � � a o �� ' O � i.. b . \ I DRINK. FOUNT. s►+wRS. ROOR DRAINS CATCH BASINS �wro V✓ASHER GAS APPL GAS RANGE GAS OPENINGS +� • 2 i � 1� �n D m A m � � p aa� � � �� `� �a� � y � � � ot,, °� a � � � � � � �• � � ��o � � � �' p � �a s�► � � � O � �. � b � �-� � � o�� p � yn p � � p � O � O � y � y ��°' a�� ° �� ~ O M � � � 'J'� ro � 3�� ' � � � � ,�j w0 Rx &� i� � M � �, i� � m � �i 'o. � ' � � • � � {0 � � � � . G Q. �' ro w � M � � M W � � � b �d' m A � � A O � y y SUBJECT P� 12182 Cit of Fridle AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� r ; � R � • COMMUNITY DEVELOPMENT DIV. r ; �.-------� (�'/l��' � PROTECTIVE INSPECTION SEC. � � 1 = � � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV �'�•'� � ,�� 612-560-3450 910-F15 6/15/73 � � JOB ADDRESS 5951 Gardena Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 9 1 Gardena. Meloland Gardena SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Donald M. Roux 5951 Gardena Lane N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 8 USE OF BUILDING � Residential 7 CLASS OF WORK Cj� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Construct Swi.�ing Pool (40' x 16') 9 CHANGE QF USE FROM T� STIPULATIONS See flealth Inspector's Memo dated June 13, 1973 SEPERATE PER I�iTS REQUIRED FOR �NIRT��, - �ATING, PLUMBIN� AN� SIGNS, H SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPEtdDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�1 ANV 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 VA�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1a31O .%S DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REC3ULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � $9.00 PLAN CHECKFEE TOTALFEE �, %`�7vt-d • t�}- �'j'1. �,�� -/s-'.9 $9.75 SIGNATUREOFCONTHACTOHORAUTHORI2EDAGENT IDATEI W EN P P L DATED THIS IS YOUR PERMIT -- � C°J��73 SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI - BLDG INSP �ATE ,�; A1�PLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ��`�� 1' i � � � o v :. � � ,,.,.1 t.DM•� . � � . �. �/, t //_'�Ld i'i � /„� . � � . 1��..� ��. // � NO : _.,�5"/ S TREET : �Gr/!-��a� ��.v , LOT: � BLOCK: f ADDITION:��.11� .�%,g�, � �e�e.t�' CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicaat attach to this form ltao Certificatea of Survey of Lot and proposed building location drawn on these Certific�tes. To Be Ueed As; �ESCRIPTION OF BUILDING Front: Depth; Height: Square Feet• Cubic Feet• Froat• Depth• Height: Square Feet; Cubic Feet: Zj►pe of Constxuction: �Q�c-U-t�",q, �c,u.�, .�6eI Estimated Co�t;_$ /� /O ��°� To Be Cotnpleted: � � �„� The undersigned hexeby makes applicativn for a permit for the work herein epecifiedi a�reein� to do all work in stiict accordance with the City of Fridley Ordinances and rulings of the Dep�,r�ent of Buildinga, and k�ereby declares that all the facts and representat�ona stated in this a.pplication a�e true at�d co7�rect. DATE : SIGNATURE •'�`�O � � ` �? ' �,t.e� _�__, (See Reverse Side For Additioaal Information.) � � C�� - / �7 S�. '� � , BUILAING PERNIIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing pexmits for the erection of any building or structure, or for any addition to any existing buildis� or stxucture, or for any alteration or repaira to any existing building or stt�tcture, upon application therefore9 require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein pravided to-wit: � UNIFO'�MRM BUILDING CODEo �pe 1, 2& 4-$2.15 for each one thousand cubic feet, or fractioa ther�oi� in such cubical co�tentse �pe 3& 5-$1.85 for each one thousand cubic feet, . ADDITIONAL I�IFORMATION �or t�ie .purpoee of computing fees for building permits, the cubical contents of any building or addition, ia determined by mul.tiplying the ground area covered from a point six (6) inches below the floor line of the basement or th�e cellar to the �verage heights of the upper suxface or to the avexage heigl�t o£ the roof surface of the ma.in gable of a pitched roo�. For repaire or alterations to an existing structure, the fee shall be at the rate of $3.00 pex each five hundred dollars ($500.00) or fxaction thereof in the cost of all propoaed work. In no caee sha.11 the fee charged for any permit as set foxth i,n Section 2 be less thaa $5.00, � VBRIFICATION OF FOUNDATION NOTE: Pez�taits fox eonst�cuction will be issued a miniffium of 24 honra from the time af applica�ion, �o ailow for propex xeview of the proposed structu�e aud of tt;e co�truction �ite. A Certif3.ad Survey of the lot, showing tl�e loeation of the foundation, onee it haa iaeen constructed, will be required beiEoze proceedin$ with the framiug. CERTIFICATE OF OCCti�'ANCY Appl�a�tiot� for a Ce�tificate of Occupancy shall be ipa.de ten (10) da.ys prior to the use or occupancy of any structure for Which � building permit has been iasueda and said st�i;�,ture shall not be used or occupied until a Ceztificate of Occupancy ha� bee�'3.asued. . 0 0 t ' Plau Revi�a Of Private Pool k�or ' S951 Gardena I.�ne AI.�. The �ollor�in� items n�ed con�id�raeion; . 1. On� �ki�ex $. One inlet on r�op and oa:� it�l�t on bottom (].2" �rtom top and 12" f�om battom' 3. G�tt�ea mu�t be �elf-clo�in� end �el�-l�tt�hing � �. Prw�de ��n�ll dack at bo�eam o� l�dd�x (�I�oue 3� � 3� or la�e�r) $. P�'a�vride � b��k-fla� p�cev�neo�r on in�id� oft hou�e in �teY l�n� to out�i� �pi�ot u��d �o �f11 pool. 6. PTa diving bo�rd will l�m� pra�tided. 7'. 6kirrane�e�p pumP� s�nd fii��r� mu�t b� N.S.F'. �pproved. 8. Tu�snov�r �ate �au�� be ],.� haur� or 1�� iehou� �ceedin� g��oummended �il�c�caeiox� sat�� 9.. Eiect��l mut�t io� �gproved tiy' �h� �lm�tgi�l. Inap��teu. u App�aved �aub��t �o �bov� ��tmm�nt� �une 13, 19i3 1��1' �'. I�'Pii�� I3t:AI.7:H ZiiS�'�TO� 0 /= .;- _-- � �� „ �, . �� br� r,�� "� .�ri ,. �'4"`~= ;H�`C~"^v . . �,� : �. ��=%� `� � �� --�� `'---°� • �:; �;= �,.�;,:t;� '" ��-- � * � �.--�, � � �" � f .� � � ��x�� ;,:, � �v,- �� .� ;,,,., � MODEL #2720-88 (20 #. Vacuum Hose) ` MODEL #272fr-88 (26 #. Vacuum Hose); These kits are designed to provide all of the equipmeti necessary for proper pool maintenance (when a thru wa' skimmer is used) at the lowest possible cost. , Each kit is packed one to a carton. Sl1PERIOR NIAINiTENANCE ICIT� � � � r'""`� MODEL #2g2�-8$ (ZO #. Vacuum I� MODEL #2926-88 (26 #. Vawum ( MODEL #2935-88 (35 #. Vacuum� These kits (for customers using a thru-wall skimme7 N the convenience of a telescopic pole, the superior leaf skim which may be mounted to the pole, and also the added c�, venience and operational efficiency of a large weighted va�� uum head. Each kit is packed one to a carton. 1\ � ' _ . � � ;,. Model #2391 (replacement cartridge for Model #1110) J, #all, w/53 pleats. � Model #2392 (replacement cartridge for Model #1141) !� tall, w/106 pleats. Model #2393 (replacement cartridge for Model #1162) tall, w/106 pleats. All replacement cartridges are packed in an individua`i which also contains two new foam gaskets ta assure F sealing of the element assembly. The individual box for easy shelf storage and display. Packed six to a carton. r r% l �I ,�; - Ur MODEL #2095-77 ��-� � �, �� ; ti. ,; ,� ,�� ----_ _. SKIMMER �-� ` �� . , ' �� _ �.�.�v .. �... . ,�� -. *. �� .. �_ . Packed one to a carton. �; '}� s �>: �� .. ,; �,� i � �f} ,� ��1,� 3{r� � �� ; A large, well designed, automatic surface skimmer, which employs the floating, hinged weir principal (as found in most in ground swimming pools). High quality injection r�olded body provides for the remoaal of the leaf basket from the exterior of the pool (on pools with top rails up to and including 10" wide). The unit contains an automatic throttle control so that suction over the weir may be regulated. The vacuum attachment (designed for use with either 11/a" or 11/2" vacuum hose) plugs directly into the face plate of the skimmer; thus, removing the necessity to pull the vacuum hose over the top ofi the weir. For added protection all vacuummed water passes thru the leaf basket on its way to the filter unit. The Thru- th� wall Skimmer comes with a direction control eye- ball inlet fitting and complete plumbing kit. Doughboy's skimmer is truly the ultimate in thru- the-wall skimming systems for the above ground pool. , � � ¢ Q � � Do�� rllh��j � � �� . >> ., � 1400 SER IES Standard models available • 1/3 H.P. - 9'/� sq. (eef filter area • 1/2 Fi.P. - 13-3/ sc�. feet filter area (wiCh� o(f-on switch) • 3/4 H.P. - 203/ sq. feet filter area � (W��n o�rr o�, sW��cna ' ` � � �� ' � �Y �> �� Dou9hb�y `�, �. ., ��_� : ��.o. } �. 3 POSITION BACKNVASH D.E. FILTER V-IAIR AiiID LIf�T POT Again Doughboy provides more — a large 5'h-inch removable basket assures ade- quate protection for the pump from debris. The tremendouly increased area provided by Doughboy"s basket assures continued flow even though substantial amounts of material may be trapped in the basket. SPIN-SURETM PUMPIMPELLER Patent Pending Another poughboy first! This impeller completely eliminates the problem of corrosion of the steel motor shaft while running in the water chamber of the pump. The rust and corrosion protection fea- tures mentioned above is actually a secon- dary benefit. THE PRIMARY FUNC- TION OF THE SPIN-SURE IMPELLER IS TO PROVIDE SAFETY FOR YOU. BY TOTALLY ENCASING THE STEEL MOTOR SHAFT IN AN INSULATING MATERIAL THERE IS ABSOLUTELY NO POSSIBILITY OF ELECTRIC CUR- RENT BEING TRANSMITTED THROUGH THE MOTOR SHAFT INTO THE WATER CHAMBER OF THE PUMP AND SUBSEQUENTLY INTO THE SWIMNfING POOL. � � l J��Ii �� - �t� � � � �- "p � �� ;;�� HEAVY DUTY PUM� AND MOTOR Doughboy�s new whisper quiet pump is the result of proper engineering and the application of hi-impact molded products to provide a pump which is impervious to pool chemicals and completely corrosion free. The combination of the SPIN- SURETM impeller and the heavy duty pump provides greater flow during the entire filter cycle. Standard models avaitable • 1/3 H.P. - 9'/a sq. feet filter area • 1/2 H.P. - 133/4 sq. feet filter area (with off-on switch) • 3/4 H.P. - 203/o sq. feet filter area (with off-on switch) BALANCED FILTER ELEMENT ASSEMBLIf The newest and most efficient interlock- ing element construction known to the swimming pool industry. The ELEMENTS ARE SPACED ONE FULL INCH APART to provide proper flow and distributipn of the filter aid and to assist in a high level of efficiency for filter cleaning. Each individual element grid has scientifi- cally engineered orificing to�provide for total hydraulic balance through the entire element assembly. It is the coupling of this hydraulic balance in each grid with the balanced design of the POSI-LOCK manifold itself that provides a totally balanced system. � r� f I � �;,�; �� r I ;' � il ��: ' �� I � I ,� 'r RELIEF-O-MATICTM �atent Pending This EXCLUSIVE DOUGHBOY FEA- TURE removes the necessity for manual release of air from the filter system on a daily basis, as the automatic system is in operation at all• times. opp6ABpi �' �� ' i: ,� i�. II �'- m ifA��°' CLEAN-O-CATORTM BACKWASH INDICATOR GAUGE This EXCLUSIVE DOUGHBOY FEA- TURE provides a complete non-mechani- cal indicator to tell the operator when the filterunit is in need of backwash cleaning. �aYent Pending POSI-LOCKTM GRID MANIFOLD DES. PAT. .No. 218,518 PAT. No. 3,536,195 This EXCLUSIVE DOUGHBOY FEA- TURE provides for the positive rotation of the grid assembly. Each grid and each spacer is independently locked to the permanent manifold system, thus assuring positive element rotation to provide proper cleaning. Another important feature of the Posi- lock manifold is balanced hydraulic flow during filter and backwash cycles. � � , �� THREE POSITION ��"�, � BACKWASH VALlJE � DOUGHBOY'S EXCLUSIVE THREE- POSITION VALVE is designed for com- plete filter cleaning with the minimum amount of effort on the part of the oper- ator. Doughboy�s valve has a positive locking position in all three operating zones; thus, avoiding the inadvertent movement of the handle during filter operation. By merely rotating the handle in a clock- wise direction (approximately one quar- ter of a turn) with a slight upward pull, the valve will find its own internal guide- way and slide upward to the next position. 1. FILTER POS�TION With the valve in this position �� the water flow pattern is that ° which is required for normal filtration of the swimming pool PUMP , and is also correct for the addi- FlLTEq tion of the filter aid to the unit. -'� 2. BACKWASH POSITION With the valve in this position the entire force and flow of the pump surges on a reverse pattern thru the element assembly for proper cleaning. The process of cleaning the grids from the in- side out combined with positive rotation assures the ultimate in PuMP �\I"�� cleaning. _ FlLTER 3. VACUUM TO WASTE = The Vacuum to Waste position wnsre is designed to allow you to vacuum an extremely dirty swim- ming pool directly out the waste port without contaminating the filter unit itself. In addition to this very important function, you may also empty the pool by using a vacuum set or other suit- PUMP ablesuction lineand again pump- ing the entire volume of the water without the necessity of � forcing it through the element WASTE assembly. �Doughboy Recreational � Domain Industries, Inc. 10959 Jersey Boulevard, Cucamonga, California 91730 � � � �� c �O � � C � � n � y• � .� o' �� c� 3 � ■■� ■■■■ �-�o �,�' m °z �`4�°z�o� � � �� . . 3 � �O � ... � �� x� � � � .� � O � �� y f1 j t+] �� CrJ O � O `��o��'� _ N N G ��'��d~�b � m " � � tj I� t�-;� � G� � t17 C2i A � N � d � � Fi� � L'��+'J �7 � � � m p p�nz.��y�� ` �=�� m ��ocid�„O�, c�� , j � � r' g;�a� r' �'� -�-�; ; ��,� <. x ��r �_-�� , �16� : D oa :��r'�C�bz �'` �� ' °:�" � 4�s Ox�� `� � � m g.� � � � pQ � l7 Z� O H t�l "'g" '� < � � � � �� m � ro�� .r(�i' O O �' � , �,c`��,t � ' � � � C+7 G� � y � � � � � � �» � tr1 � � � [ "'Y'� ; �� , � � �� ° c c� � 4� � � �' N `� 0 � � '" z x o � , � .� � � ' e� � z C�:� �� ~ � � � �`�' � �} �� , � o� �" m � �� ` � � � ,-ko d �'.o � -� � � b � � � . �'N � � 9 � r-� b s �� M.� ;, ; O � �� O O � B C��Y OF F�IDLEY HEALTH AfdD SAFETY INSPECTIO� BUS INESS NAME : �� i� DATE : ��.�, ,,,� �,�L� �'4 � OPERATOR: TEL. � ann�ss : ..�"'�;'..�° j� �_ �°:�,�. , -�P� oF Bus . � On this date, the health authority made an investig�tion of the �ubject faciliey. The deficiencies noted at thie time and the necessary corrective measure� are �iven below. If you have any question$ concerning this m�tter, please feel free to call on us at our o€ficea (City Ha11, 6431 University Avenue N.E., Fridley) Telephone No. 560-3450, Ex. 41. � .� .:�-�. . _ _ _ �_ ,�,. _ � . �,.r_ �:' .� � ` -'" ,� ....r�"f �= -`_�. �.� r - - - - � � � � � � . J.�`'ii�.�.:.�... `/ -.' �. ; - �- ,- - �.� ..a��../..- _ a � � `. f 13eaeived by�i 1_" � �iealch Authoxi.cy d�- � !� ��•— � ��p tA � y � r o `� �• � : � •C] Q :� i .C) � :'-d '�' •o 0 • :� �. N � .m .� . �"S . • . � : � • N Ba �°g • � �q �� . �9 c -` UZ �Il � � � . � p po �. � � rt o � • � � � � • W � N � r � ee � a � � R '° � °' x � � c�i � w 7: 8 A J � -Ci � p � M � C � � x � � H o � � °° p °. � � � � � � � � � � ' di C [ . O J m ',a D 'O �5 .� . ." � ' .. '� � : �i a � ° w Od • ; pd � � °~�° . � ' . : ' � ' : a g � . . •. °•° 25 . . : . � . : : ; . . � : : : • � . � . . � . . O . O �t � tt M x x x x �e x �; � � �. N � � �°a :�: � � 7� g o�i , g ;,,� � G�i S �i, � `�' $ ,�j� . . � u M.!i p w en w tw N v► �l O � I O r r I � o t" � � 1 � � � � u `� � � D A + ,. O � 1 . 1 , ti � ' � ' • � . '� 0 a. a � ro � � o A a e � �" �, s � � � D r � � � � .�L. m C r m �' o � � O�. � i� b � � a a � o g O 0 N .■.., ' � ��1 � , ...■' ' ' �� ! • ■�■■, : .■.�' �� a � N M � o�'". � ��- t�' s � � 3eoriea w�t�R o,o�: uRU+�u.s nns �� SINILS w� TqAYS DRINX. fouwr. y+r►�. i�opa Da�iNs GTCM lASINS AUTO WASM� G15 � oas a�NCE GAS OPENiNGS . • z .• c+ N i p � � r+ � �5b a ao.� ►Ai � � � � .°. 00 � � a � �� A w � � �� o � � � �, � o� �s 6 �� A y p� fA :i �dti � b � �n �- .A�.w m � C. o, � �� 1 � y � UN1 � O,% m � �e �o � � �� A M �� ' ~ f0 � m 7 � 3�" � � � � � � a aA � � � "q p O O r� � �l A�1' � � w � ° . � � � � � � � � w � � � i � � � � �. • � � � � � . � � '� � � � o � � � � v-t � R.. � � � t�7 � y � ` . F�'� � d � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � �L _____ COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. 1 i i � � ��'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF �----� • •�� 612-571-3450 910-F15 5/11/84 � � JOB ADDRESS 5951 Gardena Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 9 g 1 Gaxdena Meloland Gardens 2 PROPERTY OWNER MAIL ADDRESS ZIP I�onita Bi.edler 5951 Gardena Lane N.E. 571-8983 3 CONTRACTOR MAILADDRESS ZIP Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER MAILADDRESS ZIP 8 USE OF BUILDING Residential 7 CLASS OF WORK 8 DESCRIBE WORK Construct a 9 CHAN(iE QF USE FROM STIPULATIONS 1749 ..��1�- APPROVED BV SEE ATTACHED SHEET PHONE PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 1 v 7Gl ��A�� tilitie� OeYOr� dig'��ng call local � �t�. �E►.EPHO'NE � �.L�CZRIC - 6P� � �EC�l��RE� �� TO �EP��T� PERNf[�'S R��RE� �� 11lRti�C�a �11��'G��. ��.��E��t�� A�t�� Stf,�(�� SEPARATE PERMITS AHE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. WOOf� FY�i 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 ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �' AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 14,850 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 LOCAL LAW REGULATING CON- $]_],O. SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE �` 2%.63 �SIGNA OF ONTRACTOR� UTHORIZED T IDATEI ' HEN PRI F A �� SI N E F OWNER IF OWNE BUIID R� � ATEI ai nr; iNSa OCCUPANCYGROUP IOCCUPANC`r'LOAD 1 SQ. FT. I CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $7.43 SAC CHARGE None TOTALFEE $145. 56 RL IDATEQ THIS IS YOUR P�RMIT p� [] Citq of Fridleq Effective 4/1/84 ADDN. L � R-1 AND R-2 pLTER. L � Building Permit Applieation Construction Addre Legal Description: 0 Property O�ner/Address: �o�"� e �� e�� °' Tel. # �7/ �'� �� Contractor : l� �� ' Tel . # _ Addresa: � LI9ING AREA: GARAGE AREA: DECg AREA: OTHER: Corner Lot [ ] Attach to this application, a Certificate of Survey of the lot, raith the proposed construetion drawn on it to scale. DESCRIPTIOA OF II�IPROVEMENT � Length �_ Width %� � Height __ Sq. Ft. Z�8 _ Length _ Width _ Height Sq. Ft. _______—. Length __ Midth _ Hgt/Ground Sq. Ft. ��/ �1V� �.f1�C/ z � Inside Lot [] Ft. Yd. Setbaek Side Yard Setback Type of Construction: �L� � r �^'� ¢' - Approx. Completion Date: � � �S� Estimated Cost: $ � �� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: - $ $ -- See Back Page for Explanation DATE: � .� APPLICANT: P Tel .� S7/ �'9 8' 3 Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAL STIPULATIQAiS : �� CITY IISE ONLY $ 1i �,� Fee Schedule on Reverse Side $ ��.�,� 25� of Building Permit Fee � ',. �� $.50/$1,000 Valuation $ - $425 Per SAC Unit $ - Fee Determined by Engineering � � P� Agreement Necessary [ 7 Not Necessary [] $ / �/ � ' BIIII.DING PERMIT FEE SCHEDULE The Chief Building Offi�ial 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 repair to any existing building or structure, upon applicatio n therefore, require the papment by the applicant for such permit of fees to the amount herein beloW set forth and in the manner herein provided to-Wit: Total 0aluation $1.00 to �500.00 Fees $10.00 (Minimum Fee is $15.00) �501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for eaeh additional �100 or fraetion thereof, to and ineluding $2,000. $2�001.00 to $25,000.00 $32•50 for tY�e first $2,000 plus $6.00 for eaeh additional $1�000 or fraetion thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and ineluding �50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and ineluding $100,000. $100�001.00 and up $433.00 for the first $100,000 plus $2.50 for eaeh additional $1,000 or fraction thereof. DRIYEfiAY DEPRESSION ESCRW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh With� 6 inch depth - DriveWay Width plus 6 feet times $15.75 9ERIFICATION OF FOIINDATION Permits for eonstruction 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 onee it has been eottstructed will be required before proceeding With the framing. /c�, �� - �G� 3a.� J 3X�. �'�1.ov I la �� _ .� :�� W �p W � F� p01 Oa o fd 7M 3 ��''J jMUrl a� o7J�� W J�O=J ^��NO _��nd 2 e22 u pd x e A'� '� 4 J µ tQ �LL� r �i� � � 3 J a c W J F 't � �3� � z � �� i� N 17 � �� '�/ W M) �� Id tJ3 � �3 rb NQ= ' �y JO=�� ! v� �9�+�rao ~� ;pW„�Y OF F:�AU jdv�l �► �. ? 6 °p W��' 3 z" � �c' iuN F4�nllp� � � 1 W ,ri .. , u 3 � W ' � �. •, , � - ,� o =y - � � � i', u Za�'�' �.. I � Q o �, Ao3�� v j � � BaNOK I � � = a i�rQ J _ I G= O F- P] �;.� ' J � W m <h� � „ ~ �gaa� _ � < LL o ��e' .0 �o u► e°� F JKA�� - :� J iJ: � • _ t f �N�YIt� � 17I Ifl > J i� �o i �� Q ra W u� J 0 � 4 V� � ��~�?� a p u� Z dr? � 5 r J � NG d �p � u�°� � a�'" . rJ �1. r e — ♦ e�=_a � �h �j 4 3 � � � J O � �0 z p A � �O Q o �,n� uaW ~ � z < �F� �LL O „ �„� 3 z�„ 3 L�a uy � A mNa � �o� r n�� w �a� � �a � � J P V o� m � F � � O 4 ;y a � ; �. �Oq N � , Q Q IQ � � 3�p�z � OpJ~1��07 r n rp�a W a zaa��a � �wW?ap oda > Y u►-f. da a o>��oN=,,1 g a FNotY1 `; � ,,,;��, �� a --- _ '�f Z n ; 4N . A � --+ Q o O ,o �n j� y � ' e� r 0l3 c� � � � \ � � ��3 r � � „ �� x I W � � �I r�? ° ifa Z \ = � s�ado . ` a y a�6 �� s� $d.. �� a � y Q� � Z;S e >>7 LL,r N= '� rNx N�W 2e Q J0� o„ TafO�� Z „�p_ -�:. s J� 3 s3 3= p� u pW Z W� s W �a v +' a m r 'V N r � A u � � P? a$ gu J�u OO N 1.� � 2 � O ,i'� �� ' � ; � a 1 1— ` �' ��, " _ d� �W : �. r rI 4 �li ` � A d � �F �u u� J� 1 a J� V MI 6 0 i3 T� e. � � u � 0 � V NE1�1 L� ADDN. [ ] �,,TEx. I J City oP Fridleq �R-1 AND R-2 . Building Permit Application �I�� ' Effective 4/1/8�1 Construction Address: S/�� N� �' Legal Desoription: �� 9�1at� � eAn�� N�'��'� �A��s Owner Name & Address : p�� d�� s9g� �� ' Tel . # ✓�7� � o,a 3 Contraetor: �bCpf1/� �L � P�4T�° + � Tel. � ��"p�o� Addreas: 3%G,S /�0. �lo. R�'J. �� /°Ll�ik��l /K�✓ .,5��5�� LI9IAG AREA: GARAGE AREA: DE�: OTHER: Attaeh to this application, a Certificate of Survey of the lot, With the proposed construction draWn on it to scale. DESCRIPTIOH OF D�!?PROOEt�NT Length liidth Height Sq. Ft. Length Yidth ._ Height Sq. Ft. Length _._. Width Hgt/Ground Sq. Ft. _ ;� xs'� � �'�►r� Sw��a�� Pooc Corner Lot [] Inside Lot [� Ft. Yd. Setbaek Side Yard Setbaek Type of Construction• Estimated Cost: ��'� Approx. Completion Date: `�� J� J�a Alt. A Alt B Proposed Drivexay Width If NeW Opening Is Desired: � � See Back Page for Explanation r Tel. # ��..2'I`0°9 DATE: �"��'�F APPLICANT: �"-� Permit Fee Plan Check State Surcharge 3AC Charge Park Fee Ss�rer l�lain Charge TO'rAL CITY IISE OALY � Ca�. �� Fee Schedule on Reverse Side � 25x of Building Permit Fee � . � �.5oia�,000 vaivation � a425 per SAC Unit ' a Fee Determined by Engineering � G � - STIPULATIONS: /� J-� � ��--� � _ ``�—(,�� / �- n�� Agreement Necessary [ ] Not Necessary [ ] s, � � �. � 0 BIIII.DING PSRMIT FSE SCHBDIILE The Chief Building Official 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 repair to aay existing building or strueture, upon application therePore, require the payment by the applieant for such permit of fees to the amouni herein belo� set forth and in tbe manner herein provided to-xit: ?otal oaluation S,.00 to a5oo.o0 F@es ' r �10.00 (Minimum Fee is a15.00) • �501.00 to a2,000.00 �10.00 for the first a500 plus a1 •50 for each additional �100 or fraction thereof�� to and including �2,000. �2,001.00 to a25,000.00 �32•50 for the firat a2,000 plus �6.00 for each additional a1�000 or fraction thereof, to and ineluding �25�000. �25�001.00 to �50�000.00 �170.50 for the first a25�000 plus �4.50 for each additional �1�000 or fraetion thereof, to and including a50,000. �50,001.00 to �100�000.00 �283.00 for the first �50,000 plus �3.00 for each additional �1�000 or fraction thereof, to and including a100,000. �100�001.00 and up ��33.00 for the first a100,000 plus �2.50 for each additional �1,000 or fraction thereof. DRIYEiiAY DEPRBSSIOA BSCRW (Concrete Curb Streets Only) Alternate "A": Removal and replaeement of curb and gutter only - Driver�ay Width plus 6 feet times a13•50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach With 6 inch depth - Drivexay Width plus 6 feet times �15.75 VfiRIFICATION OF FOIINDATION Permits for construetion Will be issued a minimum of 24 hours from the time of application to a11oW for proper reviex of the proposed structure and of the construction site. A Certificate of Survey of the lot, ahoving the location of the foundation onee it has been oonstructed Will be required before proceeding vith tbe Praming. � ,�� .. ._ , � � � ; , � � , � � �°' � � � ��,�, . . - �; I�q � '. , ,` � : �� : _ � � NATIONAL �4ty� N�►rth !�au�nt�r Road ��, PlyaAauRh. Mrl liS4�1�1 • t61S�! ��OQO ��a ' DAT� �`'� 3""'� �. ,. ; , �tTIF�A'� 8i'�GxF��11T,TQN� �� +Cuaa��a�et;r Pnul L��.edl�r ,,� ; , , Ad+�x�a�a� , , . ,. Ci�� a a p , ; � . p'��e' 4mm �. �O!'F ce � St�}b�it�e y $�.�8ni�! 7ae,.vov �'� 1'.en R � ....�..�.,. ��.�.:�...�.,�.� . , ,� C�N�TN�I�'AL POa� ° Q T ' , oo �� . da shape 1 f3 � a b t�ec�� Tuasriover Rate Haru�a � , ��aQi' �►ooatia� +��s oP �"low '�„��f�M � �� , �...�. x ap xy e. �'e�i�nb�et* L�tt.F�. �Fold �m ��,�� Sa�r,�a�as Araa .. ��1,� �� . , . R ;Q �i� , e , , ,. t om , , • • _' �.�k. ' _�� I�T.��!;�STi.'a I�E�� I��I�� .+k � - _ Fa�=Z�T+�i c- . ,� :� e �l�11�f `.�'"i_ :. _ � . F - ��I� LIST CHE�KEii 8Y CONSTRUCTiON FOREM�AN RECEIVED BY (Cuatomsr�a Sig�natuTe) , ., , . ; •; , � � i ,, , . , . � ,, � , ,, r .,. , .�� ,. .. ,. _ : ,_ ,, ,� , . n .. � . . �„�r, 4 ,�� '�i� r .� � ��rj�) I� J _ �. '. i 4'"t i t i 1 ll t � , ty �� ' ( , .: � . :..' i � t , . 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'`--_ _- ~ � � •y �� g� , (�l! � > � �� e.�..�-..m�3 -� " :��a� ` � �i��' �e� . � � i�i � .... �^_ , . ,, �-,-.__,__. . __> _ _ ..... . ,,�:,_._�. _ . _. _. : . _ . ,,,�- — - - ---------- ° _ _ _ . _ ^ _ _ , f ,�� a, � �� .. .; ,�; • _ _-- 3 �.� �_ _ ��. � �_ - � ,, - -=� - 3 ._" �\\ .,��;- _ _ iy "�',-.�\ t• -- \ v \ � �� `�� : ' �-� ,` \� � " 0 0 " \ z : , '' 7_ a- + _� � y ... �. _ �: . e � �� \ - �,�� . � � �, � �� ,�,.� � �� ►�►� � � �� S-200 Series � �, s-zi sys � � . w i � � �.� � �� e � � ` ' t.-: : �` � � �1 , . �� i � �.- —� '�..�w' � / � � ��,c\,,`��; �'�,�� A high performance totally corrosion-proof filter series that combine superior filtration and features with ease of operation. Designed with the pool owner _ :.��And, 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- 1� mate in high rate sand filtration. SPECIFICATIONS — S-200 and S-240 Basic Filter Unib u__.. _ _ ____ FILTERTYPE:�HighRateSend—iVo.'hsilicasand(.45mm-.55mm FILTER TANK: Injection molded ABS UNDERDRAIN: Precisionslottedlaterals CONTROL VALVE: EPosition Vari-Flo—lever action handle SUPPORTBASE: njection molded ABS PUMPRANGE: 'F�to2HP(30-80GPM) . DIMENSIONS S-200: 23'h" widex 36" high (597 x 914mm) , S-240: . 27" wide x 42" high (686 x 1067mm) ,�,�� SPECIFICATIONS — S-200 System II and S-240 System II PUMPandMOTOR:�HaywardSuperPump—ULapproved('hto2HP) � FILTER/PUMP BASE: Deluxe platform base PUMP-VALVE CONNECTION: Quick connect Lexan union PERFORMANCE RANGE: 3o-80 GPM '` DI MENSIONS S-200: 31" wide x 33" deep x 37" high (787 x 838 x 940Pnm) S-240: 31" wide x 33" deeo x 43" hiah (787 x 838 x 1092mrt ERFORMANCE DATA FILTER AREA � @15 per � Fliter � No. S-200 2.2 sq. ft. Fllter No. S-240 3.14 sq. ft. ft. �:___. 44 gpm 63 FEATURE� OF TFiE �-�9� ��RB�� ,. 6VIANUAL AIR R�LIEF for easy, safe manual re- � lease of air from system. �ULL VIEW LEXAN° DOME. Clear 6" threaded inspection dome lets you see operation of filter and provides convenient access to top of filter. n iOP 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. �4l�TOMATIC AIR RELIEF. Automatically purges filter of any entrapped air during operation of the fiiter system. �ORROSIOR!-��F, FIEAilY-DllTY �ILiER iANK. Injection molded of tough, durable ABS for dependabls all-weather performance with only minimum care. f�OLTED CENTER FLANGE. 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. �-POSITION HAYWARD VARI-FLO CONTROL �ALVE 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. �NION LOCKNUTS make assembly or disassem- bly of the control valve easy. [�FFICIEN� VUIULTI-LATERAL UNDERDRAIN AS� �EMBLY. These precision engineered, corrosion- � free, self-cleaning laterals give totally balanced flow, even when backwashing. Laterals individu- ally thread into center collector hub to assure positive sealing, and allow for fast, easy servicing. �UPPORT SKIRT. Rugged and attractively styled to provide strong, stable support for the filter as- sembly. Totally corrosion-proof, too. @RAIN PIPE ASSEMBLY allows for total draining of filter for winter or service. �/a" garden hose con- nection thread for easy hose attachment. Drain assembly is replaceable from outside of filter. ALL FILTER COMPONENTS are serviceable using only a screwdriver and wrench. The S-200 and S-240 High Rate Sand TURN OVER Filters are available with three base options: _ - ( allons) @25 gpm 7. Standard pump mounting base. r s. ft. 8 Hrs. 10 Hrs. 2, pump/filter platform base. ��'°v 15.840 19,800 3. Deluxe pump/filter platform base� "<�, — 21,120 26,400 The System II Series is fumish�8 compi�te with ��Hayward UL Super Pump an �Clear. L ,� 55 gpm 26,400 33,000 All components factory asse bled on deluX�� .�`"�� platform base. . — <� �. 22 560 28 20� System il Series available wittr �/q, 4, i�>�n P L, � 30,240 37,800 Pumps. Your dealer will recommerjd� I ith the pump horsepower tha��t'will prov[��tirr,� 78 gpm 37,440 46,800 performance, at the lowe9t pperatfn�3 � �, ,� ., � * System II separate cdi�p`�t�erits ¢ choice of Super or Ma��}iijip�; HAYWARD POOL P��CTS, INC. 900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEY 07207 with �. �� a�an�a�� g� > I�� a��E �'�6��:sy�aR� �°�� 1 Phone: (201) 351-5400 Printed in U.S.A. �3uilding It13�Ct1Qi15 763-572-3604 763-502-4977 FAX l3UILDING RESIDENTIAL A PPLICA,TION CITY OF FRIDLEY Permit R�ivcd By: n�� d �-3-c5$ DA� 06/03/2008 Yo��,,�D�s jgl�eke12@gmail.com �,�p� 5957 Gar ena Fridley MN 55432 �� TH1.4 APP,UCAN't' IS: TENANT CONTRACTOR SLBMR A COPY OF YOUR STA7E L10EN3E PROPERTY TYPR O OWNER OCQNTitAC1UR ppD�g: J.7J I va►uCna a.�� nc C� W I(1NLI- � T r � �; w : s• �� 5� �� o�� oa�oga F,ix 763 -31�4435 siar� ucsxse a� 20494354 � DA� 03/31/2009 �INC,f.F. FAl1+HLYM�1►QON$7RI1CTfpN 'f4Y0 FAMQ.Y/Nb'1� cx�N.�rRUCRON O BASt£MENTFIMSN p ROpF o �� o �n�c SIZE �RA1N TII E a� a �+oNnnKa paot "i'YPE OF WORK: O iVEW HOMECC►NF7'RtrC17pN � qppp�QN O MA1N7'�ZIANCFIREPAIR O RF.Mt1AF9.iNG DZSCRIUE WURK Bffidti DONR� ram e ys em �� SIZEOFIMf'ROVf'.MCNT I.F�JCsTH WIl)'l'H HEItiH'C PT IVU� F SQUAR6S �_� O HQUSE dm (iARAQE O A7'1'At:Ht�,'D GqltpG6 t. F�ng Floor ptm 1'1tUPOSED STZE:. 2. Propated 8am plmo O I�i'iYACi113n (3ARAGH 3. Liat af �tw� mcmUos qe 6e wod PROP03ED HETlQNT: � O V'myl D Alwniaum G OUxr L7So�t � 7'rart 0 F� WIl�TQ01N6 1N liXls CtNLi OPENINGS �Yes ONo It�CA71iJN uF WiNDOW3 I1N 1� IR MtIW Qp�t(�.Dp.SC[t�8 SI'E6 OI° QPF.N1lN(}I C1iA�1df8$ $ 7YPG OF WINDOW'I� H1s INSt'PALLBD MlMBEROF W1N!)OWS AI,1. FF:FS ARC B� O1V VAI.itA3'i0lVi pYCLIipINC TpE C:(kti 1' UF C TH � 1997 [iRiC FFE SCH&DU4E } 'OTAL JOB VALUATION S i800.0 ,.,.,,■ Plaa Review Fire S�ur.harge �n� License S�urcharge sac c�, CC.� Cut l3scrow �an.vion ('.�mtrol i'aric I�oe Sewer Maia Char� Total Due S s s ' a� a S S � � FOR NEW CON6TRl1CfItUN iNC`i.UD1iJG DtCK$, Alil?L1IOW4. � P�lRC'.I�TS.� l. Sils Wart{Sun'ey elwwiny U+e �xi�aing sWieturos �� 2. Twn set� of ca�U�cliuo pla� 3. Faw�r Cateul�diu�s Sae Bardc Pa� for Fee Schedule 65% of Buil�mg !'eimit Fa .041 tin� d�e tota) job valuation .000s u Pe�,n;,, valwuion M;nimum �.So �S.UO (Smt+e Lic�cr�sod Residaitial Cont�acturs) �! 82S per SAC Unit (Plans to M W(.'t: for determinut�n) R+bft= RxS21=S �45t1 Coa�senratian Plgn Riwiew Fsv D�mnim;d by Ea�g Agrnemeni r�rY ( ) 1Von Nexssary' ( 1N�ke C±I�ks I�YeMB to: CSri et Fridie.r THlF. IS AN APPI,ICATlQNi jsOR A ppd�Mll'-N{)T dALfu UN17L PR(�$SBp r�'�Y �IN+�Y �' e� perm+t �! 1 aeknawlad� d�ar d�e insoamation +ibwe is oamNate� ar�d eoauatc; ttmt Wo a�vrk will bn in � cvhh ffir a�tes a�d vutu� of tlte {.ily �t Frstley mid whh the M6�a C�rnclinn C omt I Ihuc � na e PGrmit but adlq m a�pfirati� Gw a pamit mid wai is �s 10 Mml wiFhun! u pemU �m � thet the wort � be m�dm�oe �aith the � P��ofall aumtc vvhieh rc.qni�as revmw and epprovel �plaus, SiGNA7'[JRF. -- - A APPROV�U !iY 1E " PRQVTNAM� Jack Gieseke DA'I`I'3 DATE Building Inspections 763-572-3604 763-502-4977 FAX , , DATE �/ e -� SITE ADDRESS _ TH1S APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY EFFEC7'IVE I-1-08 YOUR ❑ OWNER �CONTRACTOR PROPERTY OWNER/ I NAME: " TENANT ,e,DDRESS: ` CONTRACTOR ADDRESS: 73� SUBMIT A COPY OF pHONE �o� YOUR STATE LICENSE STATE LICENSE # (.j G�'E%evi.Ci l v��(c�� ) =� �� e ' -�J ^�' ` y Z ,5�� i.� Permit No.:aGO� �� Received By: D��'� ' ATE�ZIP�� FAX ��.� 5 .� r� Z � � � EXP DATE .��3/�G'�` PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE 0�DITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FIN[SH Q ROOF O DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER TYPE OF WORK: DESCRIBE WORK BEIIVG ❑ NEW HOME CONSTRUCTION � ADDITION Q MAINTENANCE/REPAIR ❑ REMODELING .. �.r � �- Qv,� ROOFING ? ? NUMBER OF SQUARES JJ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl � Aluminum ❑ Other WINDOWS M EXISTING OPENiNGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WII�IDOW TO BE INSTALLED 0 HOUSE OM,Y �}iOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE HEIGHT ATE"�`Y Zne�.� YZG FI' BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, OSoffit ADDITIONS. & PORCHES SUBMIT: ❑ Trim 1• Site Plan/Survey showing the existing structures and proposed project. ❑ Fascia 2. Two sets of construction plans 3. Energy Calculations LOCATION OF WINDOWS NUNBER OF ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ N� G TH�E 1997^ i��EE SCHEDULE) '�/ OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge Total Due $ $ $ $ $ [a�._'lln See Back Page for Fee Schedule 65% of Building Permit Fee ` .001 rimes the total job valuation .0005 x Permit Valuation Minimum $.50 $5.40 (Sta.te Licensed Residential Contractors) $1825 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: Cityo uf Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a pertnit and work is not to stazt without a permit on site; that the work will be in accordance with the � roved plan in the case of all work which requires review an proval of plans. SIGNATUREOFAPPLICANT�� ' PRINTNAME �•J�l,�'� �,�/�`'' DATE �� ,� APPROVED BY DATE Page 2- Building Residential Application BUILDING PERMIT �EE SCHEDULE The Chief Building Official sha11, before issuing permits for the erection of any building or structure, or for a.ny addition to any existing building or structnre, or for any alteration 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 FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional $100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 p�us $14 for each additional $1,000 or fraction, to and � including $$25,000 $25,001 to $50,000 $391.25 for 1�` $25,000 plus $] 0.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional $],000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or ' fraction to and includin $1,000,000 $1,000,001 and up $5,608.75 for the 1�` $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to a11ow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv . City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 ' 763-572-3604 Fag: 763-502-4977 �uilding ;tnspections �763-572-3604 �UILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Pernut No.:� j � V;� lJ' Received By:� :�Ars � (Z�S �(t7 D��-� . . �„ YOURE-MAILADDRESS �P12�5Gir1 ti-C',In.A,1w►��., W.vr��.�/�G��1^.� :�r�,�wnxESS Sq _ t f�ard-�rc� �'HIS APPLICANT IS: O OWNER �ONTRACTOR ,PROPERTY OWNER/ TENANT Y: CONTRACTOR � ' SUBMIT A COPY OF :YOUR STATE LICENSE �i WITH APpLICATION - PROPERTY TYPE � PERNIIT TYPE � �p� o� wp�c: i)ESCRIBE WORK BE1NG ; ��IZE OF IMPROVEMENT ADDRESS: ClTY STATE ZIP, PHONE:�t �2. ) �I�q" �'l Id�D NAME:�.Inaw�i� O r� W i�nd� W c� - STATE LICENSE #�Qc} Qb1 "�. EXP DATE 03 �1 Z. ADDRESS: �10�'►l�w� LbA N C1TYj1►Qu��{bP.Q STATFM��LIP,,,�Z�S b PHONE(�cs3�S�U-2esy �...i.,._��rx��...�� BASEMENT FiN1SH O ROOF 0 DfiCK ❑ SNIN(3 ❑ swnrn� ' NMBER OF SQUA1tF.S .•-�1RA,GES .-`ROPaSBD S1ZE: �ROPOSED HEIGHT: :�G 6] Vinyl s7 Aluminum ' ;a Other . • VINAOWS V E3QS11NG OPENIId(}S f�Yes ONo :aR FOR NEW OPENINOS-�)ESCRIBE SIZE OF :?PENING CHANGES 8c :YPE OF WIIdDOW To BE nucTar.t .�n Ai �� n �i ❑ HOUSE & GARAGE ❑ ATTACI�D GAR.AGE O DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia ❑ DRADN TILE 0 orr-�x 0 /1 �c� i LAC,�ATION OF WINDDWS w�►d�v�s �,�. �..nra g P �. Pa� Aa�a�r � �. �,� w.-2 Ft. aASEM�Ft.r'T REMODEr _n�r, ct tRturrr• 1. Existing Floor Plan 2. Proposed floor plan 3. List of strucwral members w be used FOR NEW CONSTRUCTION MCLUDMG DECKS, ADDIT1�Nc .e vnqC}� ctlRtuttT• 1. Site Plan/Survry showing the existing structures and proposed proje�, 2'. Two sets of construction plans 3. Energy Ca�culations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LA,BOR AND (USING THE 1997 U.B.0 FEE SCi�EDULE) TOTAL JOB VALUATinN � r c ..,.n rn .� .,...�.. ►„ . ..,... �._ ._ ermit Fee lan Review � ire Surcharge �rchatge �.icense Surcharge :AC Charge :wb Cut Escrow •rosion Control :ark Fee �swer Main Charge $ $ $ $ e TERIALS: See Back page for Fee Schedule 65% of Building Permit Fee .001 times the tetal job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: Citv of Fridlev Atfan THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED ;hereby apply for a building permit and I aclrnowledge that the fnformation above is complete and accurate; that the work will be in �nformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a �:rmit but only an application r a pe ' and work is not to start without a permit; that the work will be in accordance with the approved °an in the case of all work w requ' eview and approval of plans. 'GNATURE OF APPLICANT PRMT NAME ��"� Ir�P�3U1� DqTE �p �'Z� � �("�'� � � LL6irZOS-£9L ��3 � � =t�09€'�LS-£9L Z£t�SS I�I `�a�pu3 -- — -- - - - — -- � a�a��-�is�a,�{�f3-{ £�9- - - -- - -- — _ _ _ �uauz,µ�daQ s�ua�l�adsui �mpi?nS ,�aiPu3 �� t� I�O sasnoH nnaK •�u�.� ay� q�� mPaa�oid aio�aq paimira� aq II?^� IIo��P�o� �uqsz�ca ay� �o uoR�e�oi aq� �utnnoqs `�ot a� �o �anmg;o a��g�a� y •a�is uor��nx�suo� aip 3o pve am��n�s pasodo�d �o nnainai �adoid io� nnop� o� aor�t�ddB �o auii� aq� uzox� smoq �,Z 3o umuitucut e panssi aq II� uono�suo� io� s��d 1�QLL�+'QN1103 �i01�IOIZd�I3I2I�A uou�g dn pas t 00`000` I$ so pp0`i$ �oqTpps qaea jo3 Si'£� �ld 000�.000`[$ I a� i�3 SL'809`S$ 000 OUf� i$ �Pn[°� p� °; �o�� jo 000`I$ [�O?�PP$ �I�a =03 SL'ti$ �id 000`OOS$ ai a� 1O3 SL'££Z`£$ 000`000`IS �3 i00`OOS$ 040`OUSS �PnC�� P� o� uo�lqp.g lo ppp'[$ �aoytP'�� [� l03 09'SS �ld 4Q0'pDi$ „T 1O3 SL'£66$ 000`OOS$ �; I00`001$ : OOd OOi$ �P�i�� Qae o; uou��10 QQO`I$1BUO�lPP� K�� 1O3 6$ �i� 000`OS$ i j�3 SL'£t�9$ 040`OOi$ � IOObS$ 000 OS$ �!Pni�� 3 'uot�e.g lo Q00`I$ l�p!�PPB �I�� io3 pi'OI$ �ld 000`SZ$ t j�3 SZ'I6£$ OOObS$ � l00`SZ$ OOU 5Z$$ T�P�{��' pue oa `uoq�.g iu 000`[$ i��NIPP'a �l°8a l03 tilg sn(d OUO`Z$ „T Ia3 SZ'69$ 000`SZ$ � i00`Z$ 000`Z$ �Pnib�T! pae oi `uoq��3 l0 00 i$ lEUO�ibpP� q��a l03 SO' £$ �id OOS$ ,� [ 1O3 OS` £Z$ 000`Z$ � i OS$ (a�leq�ms sn�d OS'£Z$ st aa3 umwi�y�) OS'£Z$ 005$ �; i$ 5333 �fl'IHA'Id.LO,L :�inn-o� papinoid utaiaq iauuv�u aq� u� pue q�zo� ;as nnoiaq cnaiau �rn1ou� a� o� saa� 30 �;auad t�ons io� }cr��d�e aqa �q �.u�u�i�d a� aimbai `a�o�asa� uoR�ijdd� uodn `am��nz�s io �uipjmq �ur�sixa �Cu� o� atedaa io uot�.�a�.� �ue io3 io `a.m1��►s so �utpjmq �uAstxa �us ol uoRtPPQ �u� io� .to `amlon�s �zo �uTpimq �u� �o uot��a�a aqa, io3 sa.cw�ad �umsst azo3aq `Ijeqs �i��0 �TnPimg 3a�i� a�1.L �'IL1Q�HaS ��3 ZIIARt�d �1�IIQ'IIl1S uoi��e�tjdd� �t�.uapisa� �uipjmg - Z a�d Building �Inspections �7b3-572-3604 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: -=�� L(�� Received By: � � �� a� q Z4 1C� YOURE-MAILADDRESS�QaP,fbVv-O.C�„Ga�n�uw�eC�ry�L•r��- �.ow.. �r� anDttE.ss _SQ SI C�afd� na L ItV IV :fHIS APPLiCANT IS: O OWNER [�COMRACTOR PROPERTY OWNER f: TENANT ., � CONTRACTOR �:; SUBMIT A COPY OF ' "YOUR STATE LICENSE ' WITH APPLICATION ; PROPERTY TYPE � PERNIIT TYPE c! � �rE o� woRx.: NAME; ADDRESS: CJTY STATE ZIP PHONE: — N,4ME: Cing,naiJi o,n w i�,dt�w STATE LICENSE #�Oc.�y Q b1 �L EXP DATE _ 03 �1 Z,., ADDRESS: S�lO�t7 '1�w� l �I N CITY�►Qw p.Q STATF�,_MNLIP_,SSyZ� PHONE�]i��S��i�2dS�1 c�vini_7��-ut..�i►.tu ❑ BASEMEIJT FINISH O DECK � QESCRIBE WORK BE1NG DONE: SIZE OF A�IPROVEMENT ?JiJtvIBER OF SQUARF.S ^+,AXiAGFS �ROPOSED S1ZE: �ROPOSED HEIGHT: `z,IDING � Vinyl � Aluminum ' :7 Other . • r,i'INDOWS 7V EX[STING OPENWQS Yes I]No 5R FOR NEW OPENAi(}S- ESCRIBE SIZE OF �PENING CHANGES & CYPE OF WII�TIIpW TO $E MSTALLED? �� ❑ RQO� ❑ SIDINQ D HOUSE & GARAGE � ATTACI�D GARAGE ❑ DETACHED GARAGE �Soffit ❑ Trim ❑ Fescia IACATION OF WINDOWS - � L►ati t'p tiv� � �dk�'�NUNBER OF'WINDOWS 3 I DRADV TILE JOTHER r►. BASEMENT RFMflflxrt n.in er m�.nr. 1. E�tisting Floor Plan 2. Proposed floor pien 3. List of swcmral members to be used FOR NEW CANSTRUCTION 1NCLUDMG DECKS, ADDITIONc .e vnuruF„� p�� I. Site Pla�/Survey showing the existing swchues and proposed project. 2. Two sett of construction plans 3. Energy Calqitations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIAI,S. (LJSING T'HE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATi[�N e � t.r . f.. .,,�.,.,.,, . .,.,., __ __ _ 'ermii Fee 'lan Review °ire Surcharge iurcharge ,icense Surcharge sAC Charge ;wb Cut Escrow srosion Control °ark Fee �wer Main Charge —$ �-�', r� $ "7t`�> -$ _ $ $ Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pa able to: Ci of Frid_ley Attach THIS IS AN APPLICATION FOR A PERMlT-NOT VALID UNTIL PROCESSED hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in onformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a ermit but only an application fo a permit and work is not to start without a permit; that the work will be in accordance with the approved lan fn the case of all work whi requir review and approval of plans. IGNATURE OF APPLICAN'f PR1NT NAME_ _7Cd'`'�' � (J111 DATE �! Z�L `�� :a LL6t�-ZOS-£9L ��3 - ��09€'�LS-£9L � Z£bSS I�NI `�a�Pu3 �K anuany �tts.�antun t £ti9 - — -- - - - — �uaurµe a��aa��aciscr[�t�j��# - --- - - -- - - - - ,�aipu3 �o �t� i�0 sasnoH n�aN ��unu� a�. q�� a�o.id aio�aq pam►b�i aq ijtnn uoqgpuno� �uqsi�ca a� �o uoR�ooj ac� �utn�oqs `�oi a� 30 �anms �o a��rt�a� H •a�cs uor��nusuo� aR� 3� P� a'��s pasodoid �o n�auai iadoid io3 nno�e o� uoq�TjddB �o auzr� aq1 mo� smoq {,z �o umuittrcui e panssi aq ijtn� uoa�nAsuo� io� s�tunad 1�OI.LdQNR03 301�IOI.L��I.3RI�A � uotl� dn pae t pp`OOU` i$ �o p00`i$ I��a6PPg �I°'� 3°3 ST'€$ �ld 000`000`t$ i a� iO3 SL'8U9`S$ . 000 OUtS i$ mPn[��? 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