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AF - 46224J � City of Fridley, Minn. N:� i11 il �)1►Cl�i'� � i�ii�l ll Date: ... �U.... `�. �. .. . S6 ,'..,� _ / V� N° 3557 ` � ,. Suilder '�I.�y�LG{ �. �^.!Kl4Q.es�. �.� Address............................................. LOCATtON OF BUILDING No. �G 6 . s� . . i. �c�•�.�.a...� . . . .. .. . . . P� � � ... .. .. .. . . .. .. .. .. .. . . . .. . .... �t ... /../...... st�x .....�!.......... aaa�a� � sun-n�;� �.s�r.�..<c..t �1.��..e�.......... y y'," corner i.oc ... .... . . .. . Zns;ae �.oc . X ......... serback 33'-0 ... siaevara Id :'a. .". ................ DESCRIPTION OF BUILDING To uaea : ,�/ , b •, !� p� �y. ,� . . . . Front /. �. .. DePth 3K�� H�t �� O. Sq. YY.��r�P. . Wi� .•. .. . FYhrit �.Q. L Q~IkPth .� �. r�• He38ht ..�.,..'.�Y S9. Fk Y. aA . 1y�pe of Conatruction .� .................. �t. 3 CU.FY.�%OSq ��6�0 �. �. xa� y� ......... To be Co�mpleted ................... � 9 °'� '�s �— In oomideietion of the is�aace W. me of a permit W coastruct the building de�ibed above, I agree. to do the prQpased woric in acoordance with the desaiption abwe set fw?h and ia compllence with all Provisions of a�tdinances of the aty of E'rldley. X... . .........� .... .. .. ...... —.. __ _ . — // In rnnsideration ot the peyment of a fee of S.'Q�'•T•....... Permit is herebY 8�'�ted to ................... ....... .. .. ...... .... ... . to conshvct the buildin8 or addition as descrlbed above. This permit is Branted upon the express condition that the peraon to whom !t is �'snted and his agenffi, employeee and worl�en, in all work done in, �around and upon said building, or any part thereof, ahall confoxm in all respects to the ordinances of Ft�ldfey, Minnesota regarding location, constructiam, alteration, maintenance, repair and moving of buildings with- lq £t� d'kjr.,:l�tils. end this permit may be zevoked at any Ume upon violation of any oP the provisio�s of said ort��anc�ea• NOTICE: ` Thir permit does not cover the construotlon, inatallation or akeration fo� wirf�p, plumb , pas �heatinp, cewe� oP waler. Be suce to see the Bulldina Inspector for �epante permifa fo� thme Hema . / ;.� ; �:.� .., �°�' � �o°� � � � +, m� d � �0 C L� � � � O � � N � C a a � a � U � .� . � '� � � 3� O �� A y .� 4 � By� ��.� ��8 � �� o�� : � �� a�'�� a�.�� + P9 x � ., � �a°� �� x�� ' �s&w � .� d o � ��o� , �W � � � � � O u 9�9 � W ; � � . z . .. 5`JNIN3d0 � 39NW sv� �aav N3HSVM snisve . I :I .� .� � O q '6 � � � � E�W t1 I � � � � 1 I� � � � � � a R � z b H o w J � 0 W U N m�d � 3 R a"� � � z � , � �� U \ M 0 o� O F � pp w R n c�q d c�'v o ro a� p .. � �; ro �; K H x+e w w � I � � I � I v � M � �Q 4 �� ° 8 N � K x sa �� I I b � .r � :� : � iniv� W � . _.OS- � swrvna � � ~ - . � . . � � . . O aooid e � � 'SLMHS � . . • pj : . a ' � � �.wno� J � � ' � � wi '�Waa Q : pp . : o W � Gi (4I � � HS/M ` � �y . �, . a�+ Q . � $ pl � . � SYNIS � � � � � � O : rj� a � � � o . . � O � G N !. . � SNISR \ � � � �^ . v � � �fLL O � � � � � � � �Q � � a ST/Nla � W � � .1� �'Y �i vJ A � � V �`C � si3sov � � x�i x U° � Z p�., �� t9 o�q N31tlM � t (O � �y W SG s �i 3S � � sauo � � � � � . * .a] t�9 � City of Fridley, Minn. BUILDING PERMIT ��; ___ SEPTEMB&R 6, 1966 __._ � ��9�6 AT� 9002 Owner: .__TOM SLWSLL ---.--.._ Birilder D. W. _HARSTAII._COMP�_---.Y Addreas _5866 HACI�lAftN AVSPUE N. B�__.__ Aaarnas � 7101 HIGHWAY....��5._ft E PRIDLSY, MIftNESOTA 55421 FRIDLEY, MlNNESOTA 55432 LOCATION OF BUILDING 5866 CI�fANN AVEPUB N.B, _...__...�._. Part of Lot ....--..---.--.--.._.._...__.._� rro. ----.-.—.--- sheet _._... _� Lot -._.. 11--- Bl°ek —.._..-.---- 4- Addition or Sub-DivLaion ....._.. P�_._MAA�R__._.—.._._.� Coraer Lot _.__._..._..._.__ Inatde I..at Sewer Elevatla¢i Setback ---.--._..... Sideyard -- Foundatiam IIevatlon ....---- DESCRIPTION OF BUILDING To be uaed as: 12.6 x 16 ADDR, TO RBAR OF HOUS�t __ 6 �� 9-6__ �;�t 12 _�. �_273 �, � 3,276 --------- Front _._— Depth --- H'eight �--- Sq. FL _._^ c�. Ft Type of Conshuction __...._� — Est Coat �Si�� ___—.._....._ To be CanPleted -- In conaideraUon of the Issuance to me of a permit to construct The building deecribed above, I agi�ee W do the propoaed work in accordance wit6 the descriphon above aet forth a� pd in o^om� ance with all Pr�ona oP ordinances M the dty of FriBey. �. lU� .U�o�'-`^�l �^ 1�. - � Q.�C--., /Q 5��+^�`-� �� Ea ca�aiderat5on of the payment of a fce ot; 4.00 ---_, permit ia hereUY �anted to D. W. HARSTAD COMPANY, IAC. to constrvM the 6uildin6 or addition as deacribed above. T6ispe rmit ie granted upoa the express condition ffiat thepe raon to whom it is granted and hia agenL, employees and worlanen, in all work done in. around end uP� said buildin8. �' anY Part ffiereof, shall conform ia all reepecta W the ordinencea o4 Frld1eY� Diinnesota regaiding locattaa, constructiun. alteratlon, maiabenenoe. rePeu' and mrn'InB of b�'�g� within the city ]imiffi and thia permit may be revoked at any ti� uP� violati� of aqy of the P�vlsiau of seld ordinances. CLARSLiCB Bffi.ISLE 8�1�8 �P�� NOTICE: '� 7Ms p�nde dea aet wwr fla �enreuaMoo, Imhl6Hoe far wlr(ny, plu�+b4y, ya MMiey, nww er w�nr. h mn ro w� '. du Buildi0 6p�Wr fer opnM+ pamib fer 1ha� INnt. � APPLICATION FOR BUILDING PERMIT CIT4 OF FRIDLEY, MItd'iSSOTA owr�x's rinr� Tir� �Gw��,c_ BuII.nEx .QG✓ f./�s�iya Lo. ADDRSSS SBG(i %��9�.r/r1A.n/ �✓E� ADDRESS %/O/ �� GS'�� LOCATiON OF BDILDIt�I(i N0. 5� p�O C STRBBT � cl. G �� a r.� PART OF LOT � II BLOCR :� ADDITION OR SIIBDIVISION�c� 2�t" l. i r c_/ �-�- ��t o/= CORNER LOT INSIbB LOT SBTBACR SIDE-YARD SSWER ELEVATION POUNDATI0I�T ELSVATIOA Applicant attach to thia form T�+o Certific9tes of Survey of Lot and propoeed building location drawa on theae Certificates. To be used as; � DSSCRIPTIOA OP BIIIi.DiNG �3,� X �G �� n�th9-k / 7— Sq. Ft. �%:3 Cu. Ft. 3� %�o Frosit Depth Height Sq. Ft. Cu. Ft. Type of Conatruction_��,y�Lc Bstimated Cost SOOD �— To be compleEed__ L o D.9y,s . The underaigned hereby makea application for a permit for the work herein specified� agreeing to do all mork in atrict accordance with the City of Fridley Ordinances_and rulinga of the Department of Buildinga, and hereby declares that all the facts and repreaeatationa atated in this application are true and correct, DATB �— %— � 6 dJ. � /�t✓ � � (Schedule of Fee Coets can ba found on the Reverse Side), � � � � � __�� _��_ � � �. �:. � � � C �� c � . � Q L C ,� O � � �` � r � � � C � � �� Q � O °n � : m a a � 0w7 O u O J � C '^ � i.q� Fw C y .� ��1y DO� a,,� d-� .s'iU�w ��E' �3�� h Qd'�� 1 d o�x� o`V'�W '.iq�p U V y y aw�u � a �o a `�Q'aa w � w � � w �°3°� b ��vQ � xb �� S A' w A� �ncmo � a�'i � °�' � " .d ��'aov � W�N c,v, w p, � �� F F � vvv U m�m N F rt w �„ o °o °o °n � Oi 10 11') N i 3 O O �6 C a �" 'Jm QIO ua w w w uf o °o 0 o i°n M N In �O N ' � .°-: a 0 R F IC � U d � w .� a z � w � .� P] � S O � 0�. � a v+ `n w ut 0 0 0 0 0 o rca � N W iV N � W : : : . : � : : : � : .� U � a � � � v� � g � � � � $° s : :o� �� o w �.>: o � �: � i = i � J � � O � ��.`,.:.� s �' W � r Q F ?C Cl F !-� a o GL u o 0 7 � �'gI � ��i i d �$ � fI0 r� m Q 7 � q �'' ro o o � c i a a a � � � � � n � a : z� o v d�°� � a� ^vy 3?� e W �+ N +" � Qi d i 3 N F � � � � � � � � �i y � � �i � � � u � � � w q � N E� a a 3 a m o �� I, �� a a" a �t a� a a� W� i d $ m � °o N � N M H O � b � � d � � Q z s� m & � � a � z "T' U (� a � m tG �'+ U F f]A °o �ri a � F F`n `n °'r OG v°�, v°�, o N � O i: iV '/. z � � � x .°1. w w � � O F 0 a w � W � : � m � �. . �i . . . . � ;. w �.. � � . � �, ;: � d y w � � ! d o 7 � [.�.� '. : [-�+ > m x' � o {p . . 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N'C N C1 Y t�. iLi r^^ v v�9c ay �,m u 7 L � y� w H .0 o�C`�° � V � �� aw�� a"�;� �,�_�, ��"�.� Aoo� E3„« ��Ec v .`�c'd n a .tl,:u x � OO Q G C W O .q �� C q�°abi ki � � °�' v,� F �, M 1:..�. 7 01 o H�c.w � dro� U v�,mR S8°o8 � � �o �i � � � F - H q e9 w � �� d � ti � _ . .�..._.._ W__...__ b � U N Q W � Q � � � Q Q F � a rc 4 � � 3 F 4 � � � Q � � U R M � 0 o C 0 0 o w Q � Z7 � ro o m y .Ci a u u � d N " o a � N N M o � :: v 6 6 � � � W �' ^ N G� N a x a � Y. � �i 3 U % w � o � C O 22 m U m a a 5 F So8S8 o �, � � �, � bS N M t9 K �� w : ci .-� �0 F � a° O 0 U � o � A b °� c�o � U J'i m v m � q W 0 0 o a 0 o �w 0 � 'O � � o m „ y 7 N !Uy y d � O O A � o :; « � 6 6 " �a .� � 4 F � . . a � a" � � � .v. A w � O z 8 a° z � d a � � � v � v O m Y. � � Q 4 I 3 ro w 3 � � 88a8 o��.� � � � � � �� __ d � 3 � � ax W W �. N iJ � o � N � � y o u � N � �jI � C G �. a 'a" �^�3i CJ U � � � w � u � � C a w' w F � m � � v" �n x WW w w m S O O O N N M v b � A � F U V W W � W H Pi .. d o � b � � I 'f�'J I P � � � I � x s b J 'O H ,v, F W I A �I � � z � 'u ro � �e a F U F N� ay 14 � a ci k7 � m I Y 0 U 8 S �8 . . v � � � � a F H `n. e' F $F ° a �s � 0 z _� � � u� � � k� v F 4 � � ti c ; ow o H ,� O� O w CL U Q� O� � `� � � m o (.rii M o °+ a p�w i = �" a 'o z z W z � ] F m m nr O V � � �y� � Y�i� �i N xxx � ��% J � � � X R t4 G C w g . �, � a ��v m 6 L7 O � Vl N � b � � 1'O N w m N N � w W a z � N a zNV�+� O �ry � N � y z o Q F F F V x F W 4 w > 4 i¢i � W o j Y I� � � � .. ,_ .m �, ...�- _ =�,T ., ... . . . � � SUBJECT � .. . .. `�City of Fridley ///www -�. ATTHETOPOFTMEiWIN3 � � SUIL��V. �ERMIT � • � • COMMUN�1'Y DEYELOPMENT DIV. ' � y_"" ' r � PROTECTIVE INSPECTION SEC. � � � �"'1 � CITY XALL PRIOIE� � 55632 NUMBER �•_�--�' �•� s�zfiea-a�so . � 910-F15 �oe ao�aess 5866 Haclm�ann Avenue N.E. t� CEGAL�� OTNO: - BLOCK . TRACTORADDITION DESCH.� .. � � ,,....._..<,.... v 5 REV. � DATE ��T� PAGE OF /PPqOVEO BY � � � SEEATTACHEO SHEET LP PHONE ZIP PHONE � LICENSE NO. �*+-aet ZIP PHONE LICENSENO. ZIP PHONE LICENSENO. Residential 7 CLASS OF WORK �. � � , ❑ NEW ❑ . �AO�tTION �7 ALTERATION ❑ REPAIR ❑ MOYE ❑ REMOVE e DESCRTBE WORK � Jalosie Patio Enclosure ( 24' x 13') pf USE �EPERATE PERMtTS REQEJIRED FOR W(RING, IiEA�� PLUMBING AND SIfiNS. SEPAHATEPEPMITSARE REOUIREDFOR ELECTPICAL, PLUM8ING, HEATING, YENT&ATING�-aR AIR GONW710N�NG. . � - . � � THIS PEAM7T BECOMES�NULL AND V019 IF WOA% OR CONSTFUCTION - AUTMORIZED IS NOT COMMENCED WITMIN 80 DAVS. OR IF CONSTHUGTION OR WORK !S SUSPEN�ED OR ABANOONED FOR A FEfltQ9 OP A20 DAYS AT � ANV TIME AFTEF� WORK IS.COMMENC�D -� � I HEREBV CENTIPV THAT I MAVE ViEAO AND EXAM�NE� TMt$ APPUCATION �ND KNOW THE SAME SO BE TRUE ANO COHRECT. ALti PROV4SIONS OF I.AWS . : AND ORDINANCES��.GOVEHNING TMIS TVPE OF WORN 1YRL BE COMPLIED � WITH WHETHER SPECIiiEG�HEREIN OR N(3T. THE GRANTING OF �A PERMIT � ''17(1ES��N6T�PRfSUME�TO �4VE AUTHORITV TO YIOLATE AF�CANCEL THE PROVIgI(}N$� OW� J1NY OTYtER�`STA7E OR L�CAL.LAW REGOLATINfi CON- STRUCTION E PERF6RMANCE�OF CONSTRUC710N. � Nq�U E CONT GTpF 0 AUiHORIZEO A NT � IDAT 1 .,,�% - $1GHAT�IR Q��9WNEAtIF NEPBUILiIEPI I�ATEI % � �: DN �4�5�� 'EE $6.00 CU. FT. 3120 IET PARKING JGARAGES z.is AGE 58�25 APPLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, DiINNESOTA /�OUSE Gc.in✓rG OWNEP.`S IdAi1E: �F� �LvJELI. BUILDER: pAT�O �f��.�-�C-�l.. ADDRESS: SB��c- 1-IALxMA�J N_F ADDRESS: 3Q1H �. ��i 4r_ MP�S, NO:. STREET LOT: BLOCk: ADDITION CORNER LOT: I1�TSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Ztao Certificates of Survev of Lot and proposed building location dra�an on these Certificates. �ESCRIPTION OF BUILDING To Be Used As; ✓AL o5 t F � P.f�rie E'wrc<osu.P�Front: Zqe Depth: �3 Height: �_ Square Feet• .3/ ?� Cubic Eeet• � � - Depth: Height Square Feet; Cubic Feet: STE�L Roo�= �' Type of ConstYUCtion: Fi¢.vyE �G�4JS Estimated Cost: $ � - To Be Completed; The undersigned hereby makes applicatinn 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 representations stated in this application are true and correct. DATE: S��j/7� SIGNAT(JRE; � (See Reverse Side For Additional In£ormation.) L/ j� • / �, � .�,-,,, �_6 �� _ . 1 ' e � � / �s ♦....- d i `�. 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City of Fridley . 320 � ATTHETOPOFTHETWINS �� UILD�NG PERM{T� � REC � � � � � � COMMLNITV DEVELOPMENT D��. r ;.r-- -� ��%�/�� PROTECTIVE INSPECTION SEC. 1 �l �/'�9 • CINHALL FRIDLEV .55132 NUMBER BEY. Dr1TE . .iAGE OF �VPIqVEOBY L•_^� � `•� s12360-7a5o 910-F15 � � � � 9 15 75 �oe aoodESS 5866 Hacla¢ann Avenue N.E. 1 LE6AL ��TNO. BLOCK� TqACTORADDITION � SEEATTACHED oesu+, 11 4 Parkview Manar sHEET � 2- PR�PERTYOWNEH MAILADDRESS - � ZIP PHONE . � 1bm Ewell 5666 Eiaclmiann Avenue NE 9 CpNiqACTOR �MAILADDRESS Z�P PHONE �LICENSENO. Minntonka Paol 10820 ialayzata Boulevard � 4.ARCHI[ECTORDE&GNER MpIL�AD�RESS ZIP PHONE LICENSENO. 5- ENGINEEfl MAILAO�HESS ZIP PHONE LICENSENO. - B USEOFBUILDINO � � Reaidential � cussoFwonK . ❑ NEW O ADDITION ❑ ALTERATION �.❑ REPAIR ❑ MOVE ❑ REMOVE A 8 DESCA�BEWORK Install an in gmund aluwinum and concrete pool (32' a 16') 9 CHANGEOFUSEiROM . � TO � STIPULA'IIONS Stipulations as per Environmental Officer's letter dated 9/16/75. SEPERATE PERM{TS REQUIRED FOR WIRING, HEAiIN�, PLUMg1NG AND SIGNS. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS AXE REOUIRED FOR ELEGTRICAI, PLUMBING, HEA7ING, VENTiLATING OR AIR CONDITIONING. � THIS PENMIT BECOMES NULL AND VOIO IF WORK-OR CONSiRUCT10N ZpNING � SO. FT. W. FT. AUTMORIZED IS NOT COMMEN6ED WITHIN 80 DAVS, OR IP CONSTRl1CTION � � OA WORK 15 SUSPENDED OR ABANOONED FOR A PERI00 OF 120 DAVS AT ��- � ANY.TIME AFiEH WOAK IS COMMENCED. � NO. DWL6.'UNITS OfFSTREET PARKING L HEREBV CERTIFY THAT 1 HAVE READ AND EXAMINE� iHIS APPLICATION 1 STALLS GARaGES .ANpKNO SAM��TOBETRUEANDCORRECT.ALLPROVISIONSOFLAWS y��UAT10N SURTqX AN0.0 INAN GOVERNING TMIS TYPE OF WORK WILL 8E COMPLIEO W�TH: HETNER,S EGFIED HEREIN O . THE GRANTING Oi A PERMIT �S�SOO Z•%S .." p0�. y07�P(iESU E.TO GIVE AUT RITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHAHGE �. Pii � ION9 OF. NV�OTHER STA OR L CAL LAW REGULATING CON- $TRU ION.�O HE PERFORMRN OF NSTRUCTION. S33.00 PLAN CHECNFEE TOTALFEE �( �s�.�..) . 9-�S-�S sss.�s SiGNnTUREOFCONiqpcTOnDRnuTNORrzEDn r+r IDnTE1 WHEN PROPERLY VALIDATED THIS IS YOUR PERMR � ,► _ ,�, Q al�h� 9 — SI. iUflEOFOWNERI�FOWNENBU�LOER� IDATEI BLDG �NSP � DA E APpLICATION POR RESIDENTIAI.,. ALT�RATION, OR AllllITTON BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S I3AFSE: � � �� !— BUILDER• ��TOa�c a � o o c.. ADDRESS: Sglnla - iCA�-ma��J.J I—IJ�, ADDRESS: r O$�-O -�,07�o.-�<i '�-�o NO:. � STREET: ____ IAT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this foxm 7tao Certificate� of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �p O� Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: _Square Feet; Cubic Feet: SN (3aooao Type of Construction: A�.,-... »�o�,.a��r� Esti.mated Cost: $ SSOo, �� To Be Completed: The undersigned hereby makes applicatian for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Depa ent Buildings, and hereby declares that all the facts and represent tions sta d in th�,e�apglication are true and correct. / / DATE: SIGNATURE: �C�,��R � (See Reverse Side For Additional Information.) UO ��.7� �� .7� �a°u�a.. ` C. E. C O U L T E R � °�"••��° � � IA11N 6URVEYB c�rrten � LAND SURVEYOR � Nyti uResHOne TOPCOnA�wICM.v��N6 . � REGISTEREO UNDER LAWS OF $TqTE OF MINNESOTA , I� JUnlcu� � . L�CENSEO BY OROINwNOE OP CITY pP M�NNEAPOLIS � 3300 LYNDALE AVE. 50. MINNEAPOLIS 8. MINN. - TAYLOR 4•0370 �1ICIIP�II[ S �PitIfUBIP ,_ e ._ a Ow�r�iYS_ :IR.wMCt3 `fOn E�wv�� .5866_ w�GterAww� wuv .. . ��4��."Y, n�acw�. �. s�� t ur / _j l �'�Y V � N �•� = �o� �� ' I hereby certify t9at tiie above is a true and correct rl�t oi a;urvey of; --ot il2ven(llj, i3lccY. Faur (!,),i;sRY.V'ii:w t::;:,Gh, �ncka eounty, i,ir.ae�eta, �I - As sur+eyed L;,� r..e t;,is l�tk�, d:�y cf Gcto�er 19y8 A, ;i, �� I / . Si�nrd . - tpr tr f�?�� , I•:in_,F�ota tie�istrati�n :.o._�cy ; -' ��,;,,.� ,� � _�,` � �: . _ �-- S4tz. ArurG E. Cnrts��• d;�.�. L..c � � �� i 1 . � �� ____P__ 9 i _ • �� I g I A _" _ � �' e � p ---- — ... _ _ V I ( l __ 1_ i i--;�� a i N I-�, _ � _ o; y � 1`�� ` Ui -� � ,.0 N - a0� �\�\ •L �� I �EnS � I o 1�. � ., 2� n o I ; l I�� K A'�� i '�,J�: -� �,: I � I� � �� I— — `�' I ° C a \ `�� ---� � l �W� € i�to i � � � i tl � o � I� " .Y <, � w �; Im � � W �• „ ,� _ . _ . ._ — - . _ " __, , '� t, �..�: I .. .,. 1 � • F .. - � j ,'�. E 11 � i � � � � �' 6 � � : ` 0 � � � j � ,� � f N g = � �, � ' � °' �� -�- � " or :." i r � � Y i � � � I ;I I 1 'I ?'. � �2 . %, r '' ` 1' .�I �� I 11 � 1 o ° �r � �� \ 1 a � � \� / "\ ��° ��; . # o .y• � 1 � � � ��, �'�( . a , �_ ��" � � f 41 A � i } I N i p2 � � � j �� , � ��.I � � 6 i :`� . �{ O' .�i . !^ ; e � � ! o� . J —"—'— �. • '_r •-_ . f7 p�i� � . .�� <, � ;� '9 y I . �� ; � a i8 � �e � . �7. . , , . -,�- ,T- �-- i�r.,��A,i%�• �",''+� � �, �,'�'�, � .;:� �C iP� , y:� . ''_ . . n.�r...�"�.Y.Ni?l�!.� . �Y .a 2�:itili .�.:w n4��.p.hr.��. �:..i:: .��T: .. .°:''� ru... �l:F"qit�'.��Nd x:, c f,00� VAwu a SEp°� ,�._ `�� h � G�it�OG9G9 ' o f�l[K�G°a ° O O �Qo o--�-- • 10820 Wayzata BNd, Minnafor*a. Minn. 55343/612 • 54&3281 + .\ � i . �_�.�.\ . The following specifications are issued in compliance with all Fn�e�=y health and construction codes stipulated. All equipment specified herein is NSF approved. The propoaed private awimmzng pool is to be conatructed at �« Nw �^„y,� ,►��. located in �a n��,xn�u�. . The following apecifications include only the installation of oneFeti �axa ..aar.w�� vinyl liner swimming pool and ehall not be construed to snclude any additional strumture or shelter hereafter referred to or implied. Fence requirements are to be done by the owner as shown on the drawing. Any and all changes to these specifications must be approved by Minnetonka Pools and the Fn�� Y department of public health. prior to construction. .These apeciYications do not include operational permit fees or inspection fees. l.6�Fas�z�cN,.. co�+��cr,o.+a ,aY: weu.:a c.+.�'�rrs�c. �i.6Ms cotiwe�cr,uu►s �Y: n�..�•csa�seo 3.'/�MP�Pk11a FCM6ti BY: f'{TMN C�Obs K. AI.� oLGcZl2tCe�� .�rt�S St�K�.b I�c.'� K t`t�wt� i1�.1t`t Cf 10� riZO�'L W Ai'Glt,6 {gp�T .S. Poo�. $,ah�� et,,.uc i-luREACv SWa1��tlah�lwlV�'59�1 �OTCO��t 1.itZA�N 6. f�o` sr,a« �3< <oc.�rco S'F�a,or, ..�� or �e«�� a 9r- �o� r�io« ..�� F•�w�•� +cnsuorua�� .am. r-eeY,,..c.� ?.3'ca+cti�TC ��i�T�o �Kr�ra.<<- a�ea„��s��,. aF �bo.. cu�rr� %y"r'tizr�e� s�.o� Nu�wl'� Ff2oe� t'�eoe. , . �< � �� `\��I DIS7R19UTOR OF FOX POOLS / STRONGEST NAME IN POOLS s w_ } 4 L RECIPROCAI YLUN;BING� All piping shall be located as to meet state code. The skimmer and return lines are to be 12" black plastic 80 lb, test pipe. The main drain is to be 12" 80 lb. iest black pipe. Al1 joints that are buried are to be nylon or FVC double clamped and caulked. External manifolds of 12" galvanized steel- and copper gate valves shall make the control manifold as shown on print. 7ne pool tank fittings are to Cycolac. 'Phe returns are Cycolac eyeball type restr?.ctors 1" inside dimension. ��returns are to be placed to obtain maximum surface circulation. 7'he returns shall be connected in pairs to the return mani£old as shown in print. The main drain shall be cycolac �-3/4 inches round, hooked to a 12" common manifold by a 12" line. Piping and drain location to be laid according to State Code. � automatic skimmert IeSF' approved, shall be located as to give proper circulation. Skimmers are to be installed as indicated. Suction lines inside skimmer are to accept vacuum hose for bottom cleaning. FTZTER AND FU�iPs � One pump and filter combination shall be as manufactured by � Company. Each tank shall be 24 inches ir. diameter and shall. have 3,142 sq, ft. of filter media. Each pump motor is 12 H,P. and capable of 62.84 GPN! which will facilitate 22,600 gallons of treated water each 6 hours. 6 � , � � _ DISItiFECTANTs Chlorinator, Erosion. ADDITIONAL SAFr:TY E�UIPN�EnT: 7'he pool equipment shall include the following items: One test kit cantair�ing accurate tests for chlorine residiaal, PH test, alkalinity content a�d acid demand. The vacuum system shal:l. co^�i�>''; of' one vacuum hose, one vacuum sweep, ard or.e ccllapsable po1-e. The cleaning equipment shall be one wa].l br•ush and one leaf and debris rake. The pool shal.l be equipped with one - two tread stainless steel ladder and one 3 trea.d SS 7.ad�er be placed as indicated on location print. The ladders sha11 be removable tc facilitate cleaning, The safety rope shall be placed at the transition poir.t from shal.low to deep and consist o` z" nylon rope and } floats. A schematic showing operation, backwa�h, ba].ance and priming shall he pojted near filter area. The schematic shall be labeled as to each ga±e val.ve and show sequerce of operation fcr normal backwash and cleaning use. _ , ,. � 4' V L��',�i�1�N S Zhe pool is to be located as shown on detail print. Zhe filter and heatex are to be on the grade of the pool in the location indicated. The existing buildin� and terrace shall be the determining source of placing and elevation. FOOI � The construction of the pool wall is of 14 gauge copper bearing steel, with 2 02. of copper bearin� �alvanized per sq, ft. as manufactured by FOX Pools with a 2" mason sand boitom. Zhe steel wall. erection shall be accomplished as directed oy Installation N:anual, issued t�y FOX pools. The pool desi�n shall follow specifically the configuration as shown on drawing. Niain drain to be 2" deeper for proper flow or w.ater while filtering. The transition as shown on plan. GROUIvDING AND HUGK-UP: The steel panels, the steel concrete reinforcing, the deck reinforcing, ladders and any other miscellaneous metal f'ixture within 10 feet of the pool perimeter will be grounded to conform with State Electrical Code. See print cross section for con- nection details. The filtration pump shall be wired to a minimum of 100 AN,F circuit, 230 volts utilizing� a circuit break_er and onepull switch. All mechanical electric components are to be installed to N:innesota State Code. These specifications are not to in- clude any service to filter area. s a GEIVERAL I:�SFECTIOPv KEbiARKS Zhe completad paol shall be inspected to assure that the entire filter system is free of leaks, th� tank is clean and disinfected and proper safety precautions are implemented by the owner. The specifications do not cover decks, however, supervision to assure proper ins+allation of laddera is provided. These specifications omit sanitary sewer, bath and wading areas, N`.innatonka Pools, Inc. shall maintain temporary con- struction fencing ta warn passers-by of the excavation and equipment, It shall bE the owners responsibility to f'urnish necessary additional safety equipment, There are not port- able water sourc�s included in these specifications or in the pool area, `I'hese specification shall supercede any and all former specifications published with re�ard to this pool by this company. 65innetonka Fools �:.� r � , ¢ r 4 ��/// �/Y%�/'/.%////�% OSeptember 16� 1975 0 � a M O � LL7 N m • � � � H O N W z z � Y W J 0 � � • H � Q w 2 f- ¢ O 2 W � Z w > Q F}- N ¢ w > Z � M � ¢ W �'- z w U U > U ML• Tq1R $W211 5866 Aaclrmacm Avenue N.E. Fridley, Mn. 55432 Re: Swimning Pool at 5866 Hacl�ann Avenue N.E. Dear Mr. Ewe12: This letter will reiterate my conversation with Mr_ Paul Lark on September 15, 1975 and to make clear this departrnents requirements £or the swi�ing pool construction at the above address_ �.. 2. 3. 4. 5. 6. 7. 8. 9. io. 11. As discussad, one (1) skimmer appzoved by the National Sanitation Foundation wi11 be provided. As di.scussed, three (3) inlets of approved design £or fresh and/or repurified water wi.11 be pmvided, As discussed, a main drain of approved construction will be provided. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a m;n;+�+*� turnover of at least t�.v (2) times in 24 hours. This department recommends a turnover rate of 6- 8 hours. A deck, a mi.ni.mum of three (3) feet wide and sloped away from the pool, must be provided arouad the entire perimeter of the pool, The diving area will be acceptable provided there is no overhead obstsuction and meets the requirements of Section 16:0 Diving Boards and Divinq Areas of the 1470 suggested ordinance and regulati.ons covering private residential s*�++�+nq pooZs and published by the American Public Health Association. A fence or other suitable barrier, a minimum of four (4J feet high, that affords no external hand or ioot holds and which is impenetrable by toddlers, must be provided around the entire periateter of the pool. A21 gates and ottter accesses shall be eqaipped with self c2osing and latching devices which are capable of being locked. An automatic chlorinator should be provided with a suitable test kit. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. Al2 electrical lines must be 10 - 20 feet or more away from the pool surface. The pool fill spout must be ais qapped or protected by a vaamin breaker. l, ✓ � . /� Mr. Tam Paviell / � 5866 Ffac]anann Avenue N.E. \% Page 2 12. Suitable safety equi�ent to i.nclude but not limited to a ring buoy and rope that is l� times the pool diameter. and a shepards crook pole, must be grovided.and maintainad with the pool at all times. Furthermore, these and any other require�ei�ts must meet the provisions of the Fridley City Code, Section 115, Swi�ing Pools. The buildi.ng �++�;t is approved contingent on final inspections and approval the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, e�ct. 41. Sincerely, I I��.� L ._� . .�- sao�mn CC: Mr. Paul Lark c% Minnetonka Pools . 10820 Minnetonka Boulevard Minnetonka, Mn. 55343 i Z � � d;�= � � �� V'✓� `� �� ' / �` �' ��'`� ' � � �� '� � �� , y;-,`� . �-,� � ,a-,.c- �� • /' �j ` �� ,,,�-� �� . a . . � . � , � � . :('�� •�pp M � 1S� F�: h • :r 'O � t�s %� , o � i? � . a� a � �> � � � t� � • U,. �i1 � I: � �' � � cy� � Yr • 4A M . V M V � � �. Y Y \� °� wE _ � w � Y �3v� xV�„ � ' A �. V .'� � V �/ Y � ; . •gY.t � o O V �' ~ LS� �^^g �� n � n" �I n, '° a -3 n a zxq;'. ,-7, � 3�� Y T � er�i � V � L: � � �i s. � t• � 'O c! �9' EGsi$� n 4 r � o 0 �� v � � 4 � �. u . �` vEsa� 4. � � „ `9 Q Q: ; o ��x E � vbb a �• G U « a m � r 3.. ' i U � c Y9 . r . : «°i- o . `% . � tf � s�u.�.a r� _ - •Yl..'1"' � � »nr. � L r! r O O � � 1 a� i �.r, �: w �.o � - 0 0 .:,n„w � n o� ° wm. T• �. d � = �,.� w.v+w p v .00,. 1" � 't....s I 0. _ P: � '�s.no� � � •�Mau 41 y,v.� n' � NSYM � n..�s 7 x sw�sv+ aMa • � � W i � H. 7Pt1 O b G � .� � � Y. 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(J v '!. � � -� < U � . � �- .�- �.�.,�.� _�.�_._.�.a s�a�E�, P, 1416 City of FridIey � ATTHETOPOFTHETWINS gUIL.pING PERM�IT �� . � .. � � � � � � RECEIPT NO. � COMMl1NITY.DEVELOPMEN7 DIV. - . � i _ i�"""' � ( � � . PROTECTIVE ANSP£CTION SEC. 1 L�� 9 � CITY HALL FRIDLEY $5432 NUMBEH REV. OATE PAGE OF �PPHOVEO BY .---�' '•� s,z�o-a�sa sio-Fis 6/14/77 / / JOB°ADORESS 5866 Hackman NE 1� LE6Al LOT NO. BLOCK TRACT OR ADDITION SEE AT7ACHE0 DESCR. 11 q Parkview M3IIOS SHEET 2 PROPERTYOWNEP MAILADDHESS ZIP PHONE Tlwmas Elwell 5866 Hackman Avenue NE 3 CONTRIICTOR MAILADDRESS ZIP PHONE LICENSENO. a APCHITECTORDESIGNER MAILADDRESS � ZIP PHONE LICENSENO. 5 ENGINEER . MAILADDRESS ZIP PHONE LICENSENO. 8 USEOF�BUILD�NG � -� 7� CLASSOFWOFK � _ ❑ NEW ❑ ADDITION ❑ AITERATION d( REPAIA ❑ MOVE ❑ REMOVE B DESCRIBE WORK � New f 9 CHAMGEQFUSEFROM � TO - SFLPUTATION3 1. Prpvide galvonizsd ridgeS valleys. 2._ Qpmer agrees that this is only second roof and.agrees to remove ` both before adding a third roof. SEPARATE-PERMITSAREFEQUVREDFORELECTRICA�,PLUMBWG,HEATING, �PEOFCONST. OCCUPANCYGROUP OCCl1PANCYLOAD VENTILATING OR A�R CON�ITIONING. - 7HIS PERMR BECOMES NULL �AND VOID IF WORK OR GONSTRUCTION ZONING SQ. FT. W. FL AUTHORIZED IS NOT COMMENCED WITNIN 60 DAYS, OR IF CONSTp41CTIDN � . OR WORK IS SUSPENDED OR ABANDONED FOR A PEpIOD OF 120 DAYS AT ANV TIME AFTER WORKJS COMMENCED. � � NO. DWLG. UNITS OFFSTREET PaRKING I HEREBY CERTIFV THAT I NAVE REAO AND EXRMINED?M�S APPLICATION STALLS GARAGES - �ANOKNOW7HESAMETOBETHUEANDCORRECi.hLLPA0VI510NSOiLAWS yq�URTON SURTA% ANO OPDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WITN WHETNER SPECIFIED HEREIN OR NOT. THE CaRANTING OF A PERMIT 1 4OO.OU .%O OOES NOT'PRESUME TO GIVE AUTNORITY TO 1fIOLATE OR CANCEL THE pERMITPEE SACCHARGE PPOVISIONS OF�ANY OTHER STATE OR LOCAL LAW REGUTATING CON- � STRUCTION OR TNE PERFORMANCE OP CONSTRUCTION. , � g,QQ . PIANCHECKFEE TOTALFEE � 9. 70 Si TURE:� .CO �� RAGTO OR oR¢EOnGENt �DniE1 . �� NEN Pq PE LY VALIOA7ED HIS I$ YO R PER IT � � � _� � SIG � 0 OWNERU -WNEH LOERI 1 RTEI '� LDG iNSP � pA E CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS, �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: �YyJ � L Gr� c�� I - $UILDER: �1aE=a�!�'i"`"'^� Address: ,t�'�6� —/� �Y� Address: .yc//� `7/�C- �/i/L` � � Tel . No. : S (� G — �� % No.: JT�rP Street: �!/�C�IiI/�/1J/v ��. 1� �- LOT: BIACK: � ADDITION: ��I�W �i14'rl%D� CORNER LOT: INSIDE�TAT: _�. S�TBACK: SIDEYARDS: Applicant attach to this form RWO Certificates of Survey of Lot and proposed huilding location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: � ' Height: Sguare Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimatied Cost: ��p'd .pCj 7b Be Completed: Alt. A Alt. B J Proposed Driveway Wi th If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SI-IEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional informatio/n/.� DATE: (� — �y— % % SIGNATURE: �' Y//'i/J ��/_ /� �� rr Stipulations: � � �itar,z..� r � , J,,� °P�f-' ( v� / _ �,.� ,�,�-'�.�° .� a, ��-'-'� � � �� a �.�-� � � � _ �� - 9.� . i� . � 9 % �- v sue�ec* PERMI City of Fridley 15 3 3 3 ;' ATTHETOPOFTHETWIN$ gUILDING PERMIT � ECEIPT N . ' ' COMMUNITV DEVELOPMENT DIV. , �,; ______' G y r � PROTECiIVE INSPECTION SEL. i L--__� �'�'1� � CITY HALL FflIPLE� 55d32 NUMBER AEY DATE P�GE Of APPROVE� 0Y i 612-571-3450 910-F15 7/12/79 / / JOB AODRESS 5866 Hackmann Av�ue N. E. 1 LEGAL LOTNO. BLOCK TRACTORADDITION . SEEATTACHED DESCR. 11 4 Parkview Manor SHEET 2 PROPERTYOWNER MAILADORESS ZIP PHONE Th�as Elwell 5866 Hacl�ann Avaiue N. E. 3 CONTqACiOR MAILADDRESS ZIP PHONE LICENSENO. Suburban Sidin 112 Mi11 Po T il Hanw r MN 55341 4 8-7 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE UCENSENO. 6� USEOFBWLDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION l� ALTERATION ❑ REPA�R O MOVE ❑ REMOVE � 8 DESCRBE WORK Reside Structure 9 CMANGEpFUSEFROM TO STIPULATIONS SErEAATE PERMITS REQUtRED FOR W1R1I�'u HEAtlNG, �LUMB{NG AND SIGN5. SEPAflATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. O�UPANCY GROUG OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. � TNIS PERMIT BECOMES NULL AND VO10 IF' WORK QR CONSTRUCTION ZONING � SO.FT. CLL FT. AUTMORIZED IS NOT COMMENCED WI7HIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR� A PERIOD OF 120 DAYS AT ANY TIME AFTEfl WORK IS COMMENCEO. �. � NO. DWLG. UNITS OFFSTREET PARKING I MEREBV CERTffV THAT 1 HAVE READ AND E%AMINED TMIS APPLICATION 1 STALLS GAFAGES AN�KNOWTNESAMET06ETRUEANDCORRECT.ALLPROVISIONSOFLAWS VAlUAT10N SURTAX AND ORDINANCES GOVERNING TMIS TVPE OF WOAK W4LL BE COMPLIED WITH WHETMER SPECIFIED HEREIN ON NOT. THE.GRANTING OF A PERMIT S3� OOO BZSY�H $I.. SO DOES NOT PfiESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON� 1S. OO � STRUCTION OR T. PER�OF CONS�TRUCT�ON. .. � � p�- �� q PLANCHECNFEE TOTALFEE p,L/ 7 /�.f �9 $�.9.so SiGN iuAEOrCON�RaCTOaaR GT OPoZEOaGENT IOnT _ � WNEN PROPERLY ALIDATED THIS IS YOUR PERMIT / 1'l ,a n 11t �1�-�v 7 �� $IGNATUREOFOWNEiiJFOWNEPBWLDERi IDATEI BL�G MSP 04i CITY OF FRIDLEY - APPLICATION FOR RESIDENTIAL BUILDIP�G PERMITS (New, Alterations, Additions, or Repairs) OWNER: !%�il ^'�� l �L!� BUILDER ADDRESS: SRGI� .i�f�G�l�'1�d"�!vlfvey�ADDRESS TEL N0: STREEET NO: � STREET� TEL N0: Construction Location IAT: I / BLOQC: _� Corner Lot: - Inside Lot: �� /G1 ,/J� � ,d/ L'�/V �'r�.° '�'�' � i�, ��v ��a �rfi� �oyo ��-'�- �9g�-7a/� ss 3�{ �� t% �'� Setb ack: Sideyards: Applicant attach to this form two Certi£icates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Squane Feet Front: Depth : Qtbic Feet: Depth: Square�Feet: Nbic Feet: Type of Construction: � � S� �� 4b Be Wmpleted: �%.Z�� 7 / Height: Height: Esti.unated cost: $ -� ��0, O� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ S SEE REVERSE SIDE OF SAEET The undersi9ned hereby makes application for a permit ior the rvrk hesein specified, agreeing to d� all wosk in st=ict accordance with the City o£ Fridley 0=dinances and rulings of the Department of Buildings, and heseby decl.ares that all the facts and representations stated in this application are tru and correct. DATE: 7l ! Z'I (� SIINATOI�: Jy��'� �� /A , Stipulations: 7 �O - �J�-� 1� �� c� lci. �� ,, a _ . SVBIECi City of Fridley ATTHETOPOF�HETWINS gUILDING PERMIT i� • � ` ._� COMMUNITV OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. i � � � �'-9 � CITY HALL FRIDLEY 55�33 NuMeER NE� 1----�'"• •'' 612-571-3450 9i0-Fi5 lOB ADORE55 5866 Aacl�ann Avenue NE 1 LEGAL LOTNO. BIOCN TRACTORADDITION oESCa. 11 4 Parkview Manor 2 PFOPERTYOWNER � MAILADDRESS Sally �rendler 5866 Hackmann Avenue NE 3 CONTRACTOR MAILADDRESS Milton Johnson Co 525 Lowry Ave NE, Minneapoli 1 ARCHITECTOROESIGNER MAILAD�HESS 5 ENGINEER MAIIADDRESS � 1 i � �� O�TE v�Gf U� �aanOVEO Br 8/10/95 / / SEEATTACHED SNEET 21P PHONE 574-1527 21P PHONE UCENSE NO MN 55418 781-9548 2083 I�p PMONE LICENSE NO. ZIP PHONE IICEN5EN0 Residential 7 CLA55OFWORK � ❑ NEW O ADDITION ❑ ALTERATION �] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (29 Sq) Tear-off 9 CHANGE OF USE FPOM STIPULATIONS To Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BEGOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT LOMMENCED WITHIN 60 DAVS. OH IF CONSTRUCTION OR WORK IS SUSPEN�ED OR ABANDONED FOR A FERIOD OF 120 OAYS AT ANV TIME AFiER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE HEAO AND E%AMINED THIS APPLICATION ANONNOWTNESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWS AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMP�IED WITH WHETHER SPECIf1ED HEREIN OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TH! PROVISIONS OF ANY OTHER 57ATE OR LOCAL LAW HEGUUTING CON- STRUCTION OA 7HE PERFORMANGE OF CONSTRULiION. SIGNAiUPE O� CONiPPCTDR OR 1 ISTALLS LUATION 2,320 RMIT FEE 77.75 AN CMECK FEE icense C 5.0 Pa0 E � ROUP OCCUPANG�LOAD CU FT. OFFSTREET PRRKING IGARAGES SURTA% w1.�0 SACCHARGE $2.32 Fire SC OTALFEE $86.07 D THIS IS v0 fi PERMIT � Ol.�./�f��, NEW ADDN ALTER ll Il �l CITY OF FRIDLEY SINGLE FAMIGY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 8/1/95 �3o sZ ConstructionAddress: �J � _ _j�i��%� �77 /f at/ .cJ � U�. _ Legal Description: Owner Name & Address: S� ��1 .D�,€� - Tel. #.575�-/� a 7 ContracWr. /YI i C-%.c� 7"Q /-�� cJ �� _ MN LICENSE # �� Address: So"��2 �/ �iE-- �/� Tel. N ��/ - 5.�j�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA_ GARAGE AREA DECK AREA: OTHER: I.ength Length I.ength DESCRIPTION OF IMPROVEMENT ' Widih Height Sq. Ft. Width Height Sq. Ft. � Width HgdGround _ Sq. Ft. Corner Lot [] Inside Lot ��--F ;___ Setback Side Yazd Setbacks Type of Constructio : T� // -o f"� a Estimated Cost: $ •°v Approx. Comple6on Date: � - 9 f ��J a' �' �—� (COSt on BackJ Driveway Curb C�t Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE:' o q� APPLICANTC�� TeL # 9�� 5 � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surc6arge Driveway Escrow Erosion Control Park Fee Sewer Main Chazge TOTAL STIPULATIONS: CITY USE ONLY $� �� Fee Schedule on Reverse Side $ � .001 of Permit Valuation (1/lOth%) $ � . DT� $.501$1,000 Valuation $ $850 per SAC Unit $ �j , t^,(� $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $ $� $450.00 Conservation Plan Review Fee Determu►ed by Engineering Agreement Necessary [ ] Not Necessary [ ] Building Inspections 763-572-3604 DA7E SI'fEApDRE$S M1 THIS APPLICANf 1S: PROPERTY OWNER/ TENANT CONTRAC!'OR SUBMIT A COPY OF YOUR STATE LICENSE W[TH APPLICqTION DESCRIBE WORK BEING CAReS� PROPOSED SIZE: PAOPOSED HEIGHT: +�Se O VBryI O Alumimon ❑ Other BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ��-�-�-- YWR �AILADDR�E,Sg��d�_ Cl C�A(`_��.�VLGi n r-T� O OWNER COMRACTOR -2 ✓1 v Ess: Si�"(o( o,hi-Pw� �H�� . � 'F n� l� E: �c�2— �z-�7 � i cDC� �2.•+ Y�ri o� 5 -�-nc :L[CENSEX s�- EXPDATE 3-31-0' esS: `�oR2_Ll Ctiry 5 u-$ �4ni Crrv _ �'1�3-434-31�8� csY-�In�-I��v_<i_-�� a ensn,�rFmnsx � DECK �- O HOUSE & GARAGE O ATTACHEp GARAGE ❑ DEfACf�D GARAGE OSoffit ❑ Trim O Faxia @7IDCI GOPEMNGS OYa ONo LOCA770NOFWMpOWg OR FOR NE9V OPENING&DESCRIBE SIZE OF OPENING CHpNGES & �— Plan Review Firo Sutcharge Surcharge License Surcharge SAC Charge Gi�rb Cuc Escrow Erosion Control Park Fa Sewer Main Charge VALUATION, INCLUDING THE COSf OF (USING THE 1997 U.B.0 FEE SCHEDULE) ,,., .. O DRAM TfLE ❑ OtHER Received By: '� � "`� D#��°9 T� 14 2008 �.7 2 B�C6MFMRFMODFljf.]C BA ]. Fx�simg Floor Plan 2. Proposodfloorplen 3. Lirt of struchusl many«y b y� �d FOR NEW CpNSTRUCITON QJQ,UpMG DECK$, ADDR70NC .e pnRCHpG Gi �p1 I. S�k Plm✓Smvey showing the wcisting s6votures °^d VroPaud project. 2. TwsasofconsWctlonplare 3. Enagy GloWationt See Beck Page for Fee Schedule 65%of Building Permit Fee .001 times the Wtal job valuation .0005 x Permit yaluat�on Minimum 5.50 S5.00 (Stau Licensed Residential Conuactors) S 1675 per SAC Unit (Plans W hAyCC for deurminaHon) ft+bg� ftxS21=S S450 Conservation p�a� ��eK, Fee Detertnined by Engineering Agreement necessary ( ) Non Necessary ( ) w..-'-- -` ' - - 7HIS IS AN APPLICA770N FOR A PERMI7-NOT VALN UNTIL PROCFSSED "•• u.awns I herebY ePP�Y for a buiiding pennit and I aclmowledge that the informatjon above is complete and accurate; that the work will be in �onfonnance with the ordinances and codes of the City of Fridley snd with We Mirmesota Const�u�on Codes; that I imderstand this is not a permit but only an application for a pertnit and work is not W start without a permit that the work will be in accordanc� with the approved plan in the case of all work �ich mquires rfiviyw and gpp�val of olans. ,. SIC.NA7VRg OF APPUCANT Building Inspections 763-572-3604 763-502-4977 FAX SITE ADDRESS _ THIS APPLICANT I5: OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOURSTATE LICENSE, BOND AND CERT[FICA7'E OF INSURANCE PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY �OWNER OCONTRACTOR STA"CE LICENSE STATE BOND # ADDRESS: C1TY PHONE Fa PERMITTYPE Iic51NGLEFAMILY ❑TWOFAMII,Y ❑TOWNHOUSE Permit No. Received Da� EXP DATE EXP DATE TE ZIP TYPE OF WORK: � NEW �1tEPLACEMENT DETAILED DESCRIP'CION OF WORK i FEFS ARE BASED ON SI0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES QNDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE 535.50. BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING _ BATHTUB . GAS PIPING (NEED CiTY LIC) S WIMMING POOL WATER SOFINER (S _ CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. SI _ DISHWASHER _ LAUNDRY 1'RAY _WATER HEATER (535� FOR IStR1GATION _ WATER METER _ OTHER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing pertnit and [ 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 appli ion for a permit and work is not to start without a pennit on site; that the work will be in accordance with the approved plan in the e of all ork �ch r�_'v,�r es review and ap oval of prnlans. SIGNATUREOFAPPLI � J PRINTNAM�hN I' -�Unn narF F�- i J�-( J� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4477