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City o# Fridley, Min.n..
BUII.DING PERNIIT N° 3 2 3 8
Date: ...� f.....`...:�.�� ................... �
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Owner . . ..... Builder�� °. .. . :: :. ''` . .. .. .... .... .... ............
Address...................................... Address .............................................
� ��, �, LOCATION OF BUILDING
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No. ."... : : :. .:r ............... Part,nP Lot .. „ T ... .
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Lot ........ Block .....,al:.......... A�dition or Sub-Divlsion :......:...... .. .. . ....... " °
.A, .,,._ -., � �' � � � ' '�"' �°,'
Corner Lat ......... Setback �-� Sideyard
. . . ..��. £.. . Inside Lot . .. . :: . .. .. .. . . �;� :. . . .. ..'.. :. �. :: . o.. .. . .
DESCRIPTION OF BUILDING
To� � Used se. ,,, , � � •� � �* . ,., � �
, �� .�. :: .d.� : .. .. .. . . . Fro� . . . . . �. . Dept31 . .: . :: . He3ght . . l=: . . . . Sq. Ft. .��. . .�. . CIl. Ft.�. . . . . .. . �
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.................... Irront ........ Depth ....... Height ........ Sq. F't. ........ �. I'k ........
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Type of Construction � ' � �: ` .. :: .. .... . To be Completed � � r �' .....
....:.......-.::.... �st. Cost... .. ... . ........
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In consideration oP Yhe iss�uance to me oY a permit to coa�truct the building dearibed above, I agree to do
the proposed work fn accordance with the description above set forth and in campliance with all . provisions o!
ordinances of the dty oE Fridley.
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Tn consideration oE the payment of a fee of $. '-` : . . . � . . . , permit is hereby granted to . : -: : `: : :'. . . . . . `. �
....... .... .. ............ to construct the building or addition as described above. This permit ia granted upon
the express coaclition that the peraon to whom it is granted and lris agente. employees and worl�en, fn all work
done in, around and upon said building, or any part thereof, shall conform in all reapects to the ordinances of
F4�idley, Minnesota regarding location, constraction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at aziy time upon violation of any of the provisions of said
ordinances.
;: � � � � :�' �_� � .`�> y
� � . .;�s�„� p:` . . . . . . . . : . . . . :�,�c} Bulldi� Inspgctor
NOTICE:
I This permlt doea not cove� the const�uatlan, Installa#lon o� altera4lon fo� wi�ing, plu ng, gas heating,
sewer o� watar. Be su�e to see the Bullding Inapect8� fqr saparate pe�mit� to� those ams
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INDUBTRIAL , C• E. C O U� L T E R � ��
BU8INE88
eiTr �oTS LAND SURVEYOR
TOPOORAPHIC MAPPINO REGISTERED UNDER LAW6 OF STATE OF MINNBBOTA
LICBN8E0 BY ORDINANCE OF CITY OF MINNEAPOLIB
3300 LYNDALE AVE. 50. MINNEAPOLIS 8, MINN.
TAYLOR 4-0370
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NPLATTINO
� FARM BURVEY6
LAKEBHORE
JUDICIAL
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I hereby certi£y that the above is a true and correct plat of a survey of:
Lot One (1), Block Three (3)� PARKVIEW HEIGHTS ADDITION, Anoka County,
Minnesota.
As surveyed by me this 6th day of August 1958 A. D.
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Signed 's � '
PJiinnesota Registrat on No. 2584
Approved by Buiiding Inspector E
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City of Fridley, 1Vlina.
BUII.DING PERMIT N� 3�� 9
Date: ..��.�/ ...�.1 ..............
�r . , . . . . . ":-'�z:- . ' der �
Owa � . �'.. . . u�l .. ..................... ......
....
Addrt�ss �� `��'. . ���J.�'rf��':C�: . : . � r .�ddress . .. . . .. . . .. .. .. . .. .. .. ..
�L AT[�1 F BUILDINC
No. . . �. / � . Street . . . . . . . . . . ��f. . .'�art o •
� . .. . ............ . . .........
..
Lot . . . . I . . . . . . BPock . . �. . . . . . . . . . . on or Sub-DYvision �'. . . . . . /��7 • . . .
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESCRIPTION O� BUILDING
o be as•
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,o,� . . . . . . . . . . . . . From � �: �. ne� � � > o x��nt ./.Q. .-�. sQ. Fc.%��m. . cu. Ft.S!�.%�
.................... I+�ont ........ ..Depth ........ Height ..�_.. Sq. I't. ........ G�f. Ft. ..
......
Ty►pe of Construction . . . . . . . . . . . . . . . . F�t. Cost. . . .� � � �. . . . . . . To be Completed . � .. . . .� f. .�'J�
In consideration of tihe is�uance to me of a permit to construct the building desribed above, I agree to do
tt:e prop�ed work in accordance with the descrlpt[on above set forth and in campliance wit�► all provisions of
ordinances of the dty of Fridley.
'1 ..................................................
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In consideration of the payment of a fee of $...,1.."�':°:�, permit is hereby �ranted to ...................
. . . . . . . . . . . . . . . . . . . . . . . . to construct the buildiug or addition as described above. This permit ia granted upon
the express condition that the person to whom ft ia granted and �,is agents, employees and worlmien, fn all work
done in, around and upon said building, or any part thereof, shall conform in all resgec�s to the ordinances oE
Fridley, Niinnesota. regarding location, construction, altera.tion, maintena.nce, repair and moving of buildings with-
in the dty limits and this permit may be revoked at a�y time upon violatfon of any of the provisiana of sa3d
ordinances. _ �°
�4�,���1%i�s� � � • � _ . -
NOTICE:
Thls permit does not cover the construa�tion, tnstatla#lon o� alterat(on fo� wiring. plumbing, gas heating�
sewe� o� water. Be su�e to see the Building Inspector � s��ate permlts fo� thess Itema
APPLICATION FOR BIIZCrDING PERM�T
CITY OF FRIDLEY, MINNESOTH
._ �'A�DrAf � _.
`Owners Name ,�DP'.���� ' ���.� Builder -
�iddress O °�v , �`� �'Address ��.�=� ' A �-
- � .. .. . . : ���,flC�:TiON OF BUILDING . . . . .
•: �To. Street _ ._ _' ��art of Lot � - .- . �
Lot,�_ ��Iock � � &ddition or Sub. Div. �
Corner Lot Inside Lot � Set Back '.�
; App�.�cant a�ta.ch to this form Cert3ficate of Surve�. of L-�t and propcased
buildirig� location. . � . . .
, , �. � DESCRZPTION OF BIIILDING
_.,�_;To b.�, uaed as � . . . • . ,-, � .. �� _ ..
. � � �, � . �},l;
ry .. • . .� Fron� �• � ' Depth �He3.ght a
. . . �.
Sq. Ft. � Cu.. Ft. ,. .
F`ror�t ._._.— Depth N�ight - . . - ,
., , . . .
� ``� � � � ; _ _ Cu. �t . _._r__.._-.-- � .
� Type of Construction Estimated Cost� ��__�°—
To be completed �-tl � �--"-� � �-� � . " -
�' .
The undersigned hereby makes ap�l�cation fo'r a permit,for the wor�
herein spsc3.fied, agreeing to do all �iork in strict accordance with �he
Gity Ordinances and ruling of the Department of,Buildings,.and h�reby
declares that all the fa,cts and representa'tions sta.ted�.in this application
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are tru.e and' correct. �� �
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nate��� —�/ • �'��°',� � , signature �. -
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(� Schedule of Fee Costs..can be found on the Reverse Side)_. ..
....- � •
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BIIILDING PERMIT F`EE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any permit
for the erection of any building or structure� or for any addition to
a.ny existi.ng building or structure, or for any alteratiqns��or repairs to
any existing buildir�g or structure, upon �,pplica.tion therefor, require
the pa.�rment by the applicta.nt� �or ��s�.ch permit of fees to the amaunt •
� herein below set,f'orth and in the manner herein prcSvided to-wit:
2.��• For an�r. such per�.it for the erection of any fireproof building�
other than a garage, waxehouse, factory or grain elevator_, cfr'fo�`�the
�-erection��of any .firegroof addition, for similar occupa.ncy� tv an�
existing building shall be at the rate of �1�40 for eucls o�e��tTio��and
cubic feet, or fra ction thereof, in such cubical contenta.
�2�.2 For any such permit for the erection of any fireproof garage, ware-
house, factor� or grain elevator, or for the ere¢tion of any-fireproof
ad3itio� �-for similar. occupancy,;.to any existing building ahA.11 be at the
rate of �1.25 for each one thousand cubic feet�, classified as� "fireproof"
'�y Sectiori 502 of the Minneapolis Building Godea
. . . ;�
.� HOUSES - . . . . . .
2.3 For any such permit.for the erection of any non-�ireproo� b�i�lding
other.than a garage, warehouse, factory or grain'elevator, or'any
non-fireproof addition, for similar occupancy, to any existing building.
Permit �1.00 for each one thousand cubic fe�t.
GARAGES
�2./� For ariy such permit for the erection .of ang non-fireproof gaxage�
warehouse, factory or grain elevator�, or for the erection of any non-
fireproof addition, for similar occupancy,.to any existing building or
for each such building or additiono Ninety _Ceri�s for.eackr one
'thousand cubic feet or fracti:on.thereof,.i�. the cubica,l contents thereof
with a minimun of �4,00� � �
For the purpase of computing fees for building permits the•cubical
�contents of any building._or..ad,dition to a uniform hei ht throughout by
multipl�ring the_ground urea. covered from a point six �6) inEhes below
the flc�or lirie of the basen�n-i;.or cellar to the average height of the
upper surface or to the average height of the roof aurface of the m�in
gable of a pitched roof� _
2.5 �'or repairs or alterations to an existing struGture, the fee sh811
be �.t the rate of �3a00 for each Five Hundred Dollars (�500.00), or
� fraction thereof in the cost cf a.11 proposed. work,
� � 2.6 In no case-shall ths fee .cliarged for.any permit as set forth in
Section 2 be l�ss than �f�,00� ' �
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1ACUZZI BROS. INC.
LITTLE ROCK, ARKANSAS
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FI LTER
SYSTEMS
The latest in a distinguished line of high rate sand
filters from Jacuzzi is the PM Packaged Filter System
with the egclusive "Uni-Flo" underdrain and a new 5
position Multi-Port selector valve.
Years of egperience have proven sand filtration to
be the most dependable and economical method for
swimming pools. Among these advantages are unusual
efficiency and economy due to higher flow rates and
longer cycles. Sand filtration with its multiple advan-
tages is brought to a high degree of perfection by the
�M filter ... the most advanced filter ever produced
by Jacuzzi.
NSF-approved design features corrosion-proof
fiberglass polyester resin tank with moulded-in two
tone blue color.
The UNI-FLO underdrain collector system of cor-
PM FILTER SYSTEMS
SECTION 1025
PAGE 1
February 1, 1969
rosion-proof ABS ... coupled with the all new Multi-
Port selector valve assures unparalled performance.
The PM filter is equipped with the famous Jacuzzi
"U" series pump with bronze case and impeller. A unit
type electric motor of internationally known make is
standard. Single phase motors aze normally supplied
but units with three phase motors are available on
request. Each pump includes an integral hair and lint
strainer ... the over-sized strainer basket provides for
large load capacity without undue loss of pump per-
formance. The basket features varying Verti-Vane
type construction which eliminates smooth interior
surfaces ... leaves cannot close off strainer openings.
PM Filters aze suitable for deck level or below
deck applications and are applicable for either fresh
or salt water.
PM FILTER SELECTION TABLE �
:� _ i_ . _ , _ ,
PM FILTER SYSTEMS
SECTION 1025
PAGE 2
February 1, 1969
RETURN li/2" N.P.T.
o � +
'' 1ACUlli BROS. INC.
�% LITI'LE ROCK. ARKANSAS q
SINGLE TAI�K SYSTEM
WASTE 11/2" N.P.T. SUCTION (SEE CHAR'n
17" M
2 TANK SYSTEM
MODEL RECOMMENDED PIPE SIZE�'
NUMBER K X
15PM2 2 1%z
2PM2 2%z 2
4 ' Based on steel PfPe—copper & plastic pipe wlll
reflect a lower pr�sure loss.
;" -�-.�--------�--- _---X-:---- --�.�-------�------- -_:.K_:-. .. 3 TA►NK SYSTEM
- --------- ----- --°� a
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_T Ki `*- K"�
_ ;_ 24
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d�"___ - _"_________ --1�--' _""""__'"' "__"ll
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X � X �- --I(
..-.,�
(NORNIAL)
MODEL RECOMMENDED PIPE SIZE�'
NUMBER K X
3PM3 1y, Z%
' Based on steel pipe--copper & plastic plpe wiil
reflect a lower pressure loss.
N07E: Refer to sectton 1200 for detailed dimensions on ftiter pumps & stratners.
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S h o w R o A'm°: � Tele. 926-0180 �
D�1K0TA'AT WEST L'AKE STREE_T NATIONAL -
SYARAMIFJO POOL
���I6��l�APOL'IS, MINNESOTA 55416 INSTITUT�
� EQUIFMENT SPECIFZCATIONS
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— a�" � '"1''r A .
City _ " .
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Job Name.: ' � '
� POOL DATAf
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Paol �ize ���;��� � Turnover Aate � Hours y
S�rf�,ce Ar�� ' S�,. F't. Filter Rate � GPM/��,. �'to
� �, Cap�.cit�y Gallons Rate oP Flow GPM
�:� �erimi�er ; Lineal Ft. , q
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PiPING DAT�1 s
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SL1Cti 1021 ,
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FIZTER
PUMP �C MOTOFI
FLQW METE�3.
CHLORINATOR
INL�ETS
SKIMMER
VACUUM FITT'ING
T�iAIN DRAIN �
RELIEF VALVE
FILL SPOUT
LADDERS
DI�VING BOARD
- I�I�HT3
VACUUM.KIT
SAFETY LINE
TEST KIT
HEATEF2
SAFETY K'IT
MAINTENANCE KIT
ST�PB '
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Caty of Fridley, inn
BUILDING PERMIT
Date: July 7, 1970
p�r; Rick�ard Kalow g�� Ayualand Pool Co .,?.nc .
Addre�s 1090 Sathaway Lane �,d� 3400 Dakota Ave .
�°� �� �
N. 1073
LOCATION OF BUILDING
�o, 1090 g�tHathaway Lane Part of Lot
Lot �_�_ Block 3 Addition or Sub-Division 1��rktri c�sa 7�Pi ghts
Coraer Lot — Inside Lot Setback Sideyard
Sewer IIevation _._._ — Founda.tion IIevation
DESCRIPTION OF BUILDING
To be Used sa:
$ mmi g Poo Front —� � Depth 32 � He3ght 3�-8 � Sq. Ft Cu. Ft
�ont Depth ITeight Sq. Ft C:u. Fk
Type of Construction Ei�g.] a s s&_ t_..,.�.�i nv1 F•st. Cost 3�`4.a��- __ To be Completed .� -1- 7 0
Health inspector's stipulations and letter regarding fence.
In cans3deration of the isstiance to me of a permit to construct buil ' g described above I agi�ee to do
th� proposed work in accordance with the description above set fo and in pliance with a�l Pruvis�tona of
ordinances oP the dty oP Fridley.
In conafderation of the paymeat oP a fee of $ 24 . 00 ��t q� hereby graated to Aqualand Pool
.C.q..., I'ri� - to construct the buflding or addition as descrlbed above. Thia permit is granted upon
the express condition that the person to whom it fs graated and his agenta, employees and worlmnen, fn all work.
dane fn, around and upon said building, or anypart thereof, ahall conforrn ia all reapecta to the or8inances of
Frldley� Minaesota regarding lacation, conatruct�TTon, alteration, maiatenance, repair and moving of bufldings
within the dty ]imit� and this pernait anay be revoked at any time upon violation of any of the P��� oP said
ordinaacea
� � � Buildin8 Inspector
i/��
x�x r�xzcx
NOTICEs
'I61s psrmt� d� aot eover t6e eoa�roeHon, install�ioe fer vrirtee, plumbiee, en heaHng, a�wr or water. B� �un io »e
tin Bailding lespeetae for e►paraM parmtt� for fhets H�ms.
� / 1
� � -�-*� •� _ '�
��
APLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME :_ � ��1�1Z� l��i�tt 0l.�/ BUILDER: (� �O � �d ~�-�(° �
annx�ss:_ L04c� ��I�u/�!�' �l�u� Annx�ss: .��o� �9�# �/�� �'r.s'f�b
�1
NO •. � O S TREET • C�'�•i� l�`Y 0.d ��lo �
f
LOT : � BLOCK ; � ADDITION : l°Z6C(�� L-� l.(� ��"F� ��� I� a
CORNER LOT: INSIDE LOT:� SETBACK: SIDEYARD:
Applicant attach to this form Tt,io Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
�ESCRIPTI OF BUILDING
� �
To Be Used As: S�C�[luP�� �� �
��� ��� �r �P
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth; Height•
Square Feet; Cubic Feet:
����t�6 �s�° �/
1�ipe of Construction: ✓P�''�� Estimated Cost:_ $ `T���s �
P �
To Be Completed: �'� �— � �
The undersigned hereby makes application for a permit for the work hereia
specified, agreeing to do all work in stt'ict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts aad representations stated in this application
are true aad correct.
�
DATE : (0 °� � � � S IGNAT[JRE :
(See Reverse Side For Additioaal Information.)
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N
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
� �
� �
� • COMMUNITY DEVELOPMENT DIV.
� •,i ------�
r � � PROTECTIVE INSPECTION SEC.
� ` �"'t � CITY HALL FRIDIEY 55432 NUMBER REV.
1----� � �'� 612-580-3450 g10-F15
JOB ADDRESS 1090 Hathaway Lane N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION
oescR. 1 3 Parkview He
2 PROPERTY OWNER MAIL ADDRESS
garry Ralow 1090 Hathaway Lane N.E.
3 CONTRACTOR MAIL ADDRESS
Same
4 ARCHITECTORDESIGNER MAILADDRESS
5 ENGINEER MAILADDRESS
8 USE OF BUILDING
DATE PAGE OF
5973 /' /
ts Addition
ZIp PHONE
ZIP PHONE
Z�p PHONE
P
. 12122
R
�� ( ��
APPROVED BY
SEE ATTACHED
S(iEET
LICENSE NO.
LICENSE NO.
ZIP PHONE LICENSE NO.
Residential
7 CLASSOFWORK � N� �, ADDITIOId ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct 22' x 30' Addition to Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS Obtain moving permit for existing garage
SEpERATE PER
MtTS REQ�IR�D FOR WIRING,
TING, PLUN1E3tNG AND SIGNS•
�EA
TYPE OF CONST. OCCUPA
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUMBINO, HEATING. Wood Frame
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 660
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 STALLS
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ��O OOO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 7
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $37 , OO
STR ION OR THE PERFORMANCE O CONSTRUCTION.
�PLAN CHECK FEE
�
- SIGNATUREOFCONTRACTORORALTHORIZEDAGENT IDATEI . ^ WHEN PROPERLI�R
GROUP OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
GARAGES
SURTAX
$5.00
SAC CHARGE
$42.00 rt
D THIS IS YOUR PERMIT r
Q � � �S � ''�..:
`�
GERA�D T. COrNE . `aT SUR�Y� C4i1�PANY R691A7�IDAHO AVE��„
l�l,� rftl�^:c':w�Ck AvE 5
(;^_,i_pFN VALL"cv MINN E,��jD �1 ht FYORS ��KIYN PARK, MINN
a.caiar�a�a m�n�s r.s�s aF sse� oF �x�sar�a
LICEFBED BY 9�DtNAIiCC QF GITY Ol D[INbTEAPOLIB
691T I/I8h1� .A�P 1, �b�•�
11inn�a{w�li-. �1�nnr ��.ta �ia`�fl
NDUSTPIAL :L�DIC�A� �,,�rbe�o�g �ertificarte �UMBININCi MORE THAN 30 YEARS OF
�.: ;r:��nERCIAi - 1'OPf�f.�kAVH1CAL LAFJp SURVEYWG FXPERIENCE IN THF
�ITY 10T5 PLATTING 1RETRpPpUTAN AREA
IedVOICE N�. 2996
SURVEY FOR: RICHARD KA
c W �°'� f�nt e �
LOT 1� BLOCK 3, PARHVIEW HEIQ�TS ADDITIOAI
"Ne hereby ce�tify that lhis �s a true and co��ecf represente-
tion of a�sur�ey of the boundaries oi fh6 a6o�e describad
}and aod 16e location o4 etl bu�Id;ngs end �is'r�le enuoack-
meots, ii any, from or on se�d lend.
a
Surveyed by as this I.I�L day oi _.6�-..—. 19 �Q
�� ��
� � / (°f �rf ; s` . - `�`�� .�� � ,;.
Sig�fed _ � ' .:, -�F' • ,-�!�- re_� ii'� _ °-,`"'� %��
T SURVE�IS CdA4P.4NY
e��
�
��
A�.PLICATION FOR RESIDENTIAL, ALTERATION9
OR AllDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME : � BUILD� °
annxESS : l� a���ss •
No : . /� �a s�� : _ �,�-��
0 �'1
��
�
LOT: �_ BLOCK: a� ADDITION. � ������
CORNER LOT; INSIDE LOTt SETBACK: SIDEYARD:
Applicant attach to thia form Ttao Certificates o£ Survey of Lot a,nd proposed
building locatian drawn on theae Certificates.
�ESCRIPTION OF BUILDING
To Be Used As; .
� z�.., Front :�.� ' Depth : �d f Height ; _ , � ,r'
��
Square Feet: Cubic Feet:
Front• Depth: Height:
Square Feet; Cubic Feet:
Type of Construction:, ��_� Estimated Cost;_,S /'°D, �d�
To Be Cotnpleted; �'����
The undersigned hereby make� application for a permit for the work herein
specified� a�reein� to do all work in stfict accorda.nce with the City of
Fridley prdina�nces and rulings of the Deparfi�ne�t of Building�, aad hereby
declares that all th� facts and repgesentat3ona stated in this application
are true aud coxrect.
0
DATE: 6%��ti � � SIGNATURE : G�%i� .. � '� ������i� ;
' ��
(See Reverse Side For Additional Information. ) � -� �� � � ,�,,�` �' j=' ��=���`�� �t �
� --� � � �m
_' , !' ,: '� a J
` � , -� __ �_: _ .
;�
g r�.�-�,+ r
6j
6
.� �( _� i
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�
...."
BUIL�ING PEFc��i�`�� t=�� �;CHE�[JLE
SECTION 2. 'T'he Inspector of Building� �ha11� before issuing peYmits ior the
erection of any building or structurea or for any addition to any existing
building or structure, or for any altexation ox xepairs to �.ny existing
building o� structure, upon application therefore, xequire the payment by the
applicant for such persnit of fees to thc aniount he�-ein below sef� forth and in
the manner herein provided to-wit:
UNLFORM BUILDING CODE o Type 1, 2& 4� �� 015 fs�i e�,ch on� schousand cubic
feet, or fracti'on thereof, in such cubical con�en�s. Type 3& 5-$1.85 for
each one thousand cubic feete
ADDITIONAL INFOR�9ATION
�or t�ie purpo�e of compu�cing fees £or building �e;c�►ite� tche cubical contents
o$ an� building or addition, is dete�nined by �multiplying the gxound area
covered from a point six (6) inches below the f_loor line of the basement
o� the cellar to the �verage hebghts of 4�h.e u�pPr sur�'ace or to the ave�age
heigh;t of the roof surface of the mafn gable of a pitched roof.
For repairs or alterations to �n existing s��ucture, the fee shall be at the
rate of $3.00 per each five hundaced dollars ($500.00) or f�action thereof in
the cost of al]. proposed worlc.
?si no caae shall the fee charged for �ny permit as set forth in Section 2 be
lesa than $5.00.
VBRIFICATION OF FOUNDATION
NOTE; Permits �or eon�truction will be issued a miniYmim of 24 houra from the
ti,mc� of applicaCion� to a21�w for proper xeview af the propos�d structt��e a=ad
of tt�e coastruction �ite�.
A Certifiad Survey of the lot, showing che location of the foundation, onee it
hae been constxucted, wi11 be requix�d be�o�e proceeding wit�a the framing.
CERTIFICATE OF OCCU��!�NCY
Ap���.G�t�.OR for a Cextifieate of Occupancy �h�ll i�� �de icen (10) days px�ior
to the use ox' occupancy of any stru.ctu�e for which �, build�ng pexmit has been
iasued; aad said s�xucture shall not be used og occug�ed until a Cextific�te
of Occupaticy hae beerc isaued.
.
sue�ecr PERMI
City of Fridley 2 0 8 7 0
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
; � R
� `y __��� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ��% ,� �,� �
1 = �
� �"'1 � CITY HALL FRIOLE� SS43Z NUMBER REV DATE PAGE OF APPiiOVED BV
�'""'� � �'� � 612-571-34b0 910-F15 6/11/91 / /
JOB ADDRESS 1090 Hathaway Lane NE
1 LEGAL LOT NO. BLOCK TRACT OI; ADDITION SEE ATTACHED
DESCR. I. 3 Parkview Heiglits Addn SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Stephen Eggert 1Q90 Hathaway Lane NE 571-4576
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 14' x 22' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See nota,tions on plan.,
����4�1�:i�i�
Before di�ging call fo�
alt utitity lacations
�54•0002
REQUIRED BY LAW
TVPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFiUCTION ZONIN(3 SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 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 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 VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2, 350 S�- s�-8
WITH WHETHER SPECIPIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEHM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $54.00 Fire SC yS`2.35
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
$N A $57.53
SIGNATUiiEOFCON�RACTORORAUTMORIZEDAGENT IOATEI yyH PROPER Y I AT 7HIS IS YOUR PERMIT
' � ' J � � �� / /
Si TU O OWNER NER BUILDER� IDATEI BLDG �NSP DATE
� [ ] Effective l,/1/91
ADLN � I�1 ATID i�-2
1�,t��t [ ] Building Permit Applicat3ar►
CbaLStructiaci Addr+�ss:
Iegal D�iP�ticn s ^
Owr�ex N�e & �►.�,�..,..,.� . j [ L� �` �V �`��7�-� Tel . # � � 1 � �J °7 �
����.
C�actoz': ��Zi Z�el. c�3 eC ��� g��l C)
�: . ,- -
Attach to this applicatian, a Dertificate of Sv�vey of #he
lc�t, with the proposed oor�stn�ctian drawn an it to scale.
D�PIO�T �' II�OVH��
L1VII� ARF.�i: Ietigth Width iie.ight Sq. F't.
Q�RAL� AREA: IPT�1 Width Heit�t Sq. Ft.
�Cdt ARE�i: Le�gt'h __� Width �'� Hgt/Grau'�d �-2 ° Sq. Ft. �
�•
.
�� � 0� � � ����•��
Corner Ivt [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Zj�pe of �structi.oai: �1�-c��'-r4 ('►�'� Fstiioated aost: $ � � �
Ap�rox. Cc�letian Date: � � �i °3 Z , f �f `� (
Pro�osed Driveway Width If New Openi,n� Is Desired: Ft. $ S
Width + 6' See Back Page
DA'PE:
• �' ��: �/.��t.1 -
/ � '
P�ermit Fee $
Fire S�azge $ '� l `� ��
state s�rci�aYge $ � � �'�
SAC Qzarge S
Driveway Escr+ow $
Park Fee $
sewer Main Q�arge S
�•� �:
��� ��+1������
�,, �
�C' �
�_
� �:�__.
�
$ �'�o �
QTY Q6S Q�II�Y
Fee Sciyac�ule aci R�ver�.�e Side
.001 x �exmit Valuatian (1/lOth $)
$.5o/S1,000 valuatian
$650 per SAC Unit
�t. pA� �i �t. pB�� �%e
Fee Determined bY F��ginee�'irg
�� �Y [ ] � N�Y [ ]
0
� � �;
�� � G� `C� r v C�
l�� �
E :��• � �, � �=i��Y�4 i:�: _ �.:i_�� �►
The Chief Buildirg Official shall, before issuing penaits for the erectiaaz of ariy
buildirg ar st��e, a� far� any addit3an to any eadst,ing buildirr� o� strwcture, or
for atiy alteratian ar repair to anY e�in4 builaincl ar�, u� a�ii�tio�
th+exefore, r+equire the payment by the applic�t fas e�ch petimit of fees to the am�unt
herein belaw set forth aT�d 3r► the �nrwr �,�,�i n prvvided to-wit:
'!�L VAIIJE
$1 to $500
$501 to $2, �0
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
��
$15 (Mini� Fee is $15 plus �i�axge)
$15 for fixst $500 plus $2 for eacii a+dditianal $100 or
fractian thereof, to and 3r�Gluriing $2, 000
$45 for first $2, 000 plus $9 far eac3i additioa�al $1, 000
or fractian th�ereaf, to arid includi� $25, 000
$252 for first $25,000 plus $6.50 for each additiaa�al $1,000
or fractian thereof, to and it�cluciing $50, 000
$414.50 for first $50,000 plus $4.50 for eac� additicnal
$1, 000 oZ' fraCkiCel tiaereof, to ai�d irlCluding $100, 000
$639.50 for first $100,000 plus $3.50 for eadi �ditional
$1, 000 or fractioal t2aereof, to and includirig $500, 000
$500,001 to $1,000,000 $2039.50 for the fitst $500,000 plus $3 for each additional
$1, 000 0�' frdCtiodi t�aereof, to sr�d includi.ng $1, 000, 000
$1,000,001 arid up $3539.50 for the firs� $1,000,�0 plus $2 for each additional
$1, 000 or fractiaai thereof
�tIVEi��Y �Pl�BIC�T ffiQaO�W
(C�r�crete �rb S'tre�ts atilY)
Alternate ��A�� ; ROro�va1 arYi replao�e�t of a� ar�d gutter aazly - Driveway width plus
6 feet titoes $13.50.
Alternate "g" ; Re�oval and re�laoe�nent of a� azxi gutter ani ir�tall a 3 foat wide
approach with 6 it� de�th -�ive�y width plus 6 feet times $15.75.
1'/�+; �:� �'c M � , •i' ��.�i,i� � y • �
P�erm,its for coa�stn�ckicn wi11 be iss��ed a minim� of 24 hairs fra� the time of
applicatiaai to allow fas proper review of the proposeci stn�re ar�d of the
ooa�tn�ctian site.
A Qertificate of S�uvey of the lot, si�owing titie lxatian of the fau�datiaaz aa�c�e it has
it has baen aoristtvc.�tsd will be requited before grooeedirg with the framin�.
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ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 iJNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�63) 572-3604 FAX: (763) 571-1287
: 1090 HATHAWAY LN NE
: 243024310037
: PARKVIEW HGHTS ADD
: LOT 1 BLOCK 3
: BUILDING
: RESIDENTIAL
: WINDOW/DOOR REPL
PERMIT O.: 2004-00867
DATE ISSUED: 06/09/2004
VALUATION : $ 5,255.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R317
OF TI� 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS.
REPLACE 3 WINDOWS AND 1 DOOR WITHIN EXISTING OPENINGS.
STATE LICENSED CONTRACTOR 1
APPLICANT
RENEWAL BY ANDERSEN (20130983)
1920WCORDC
ROSEVILLE, MN 55113-
(763) 502-4777
OWNER
EGGERT STEPHEN H& MARY C
1090 HATHAWAY LN NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN 5TATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances goveming this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel �e provisions of any other state or local law
re�g constru tion or the performance of construction.
BUII.,DING PERNIIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
LICENSE SURCHARGE
TOTAL
PAID WITH CHECK # 35449
125.25
5.26
2.63
5.00
138.14
�'ermjf ��s
�sp��#�on Car
�I/I//ee�� d'�
To �p�o 11�
��r ra Post
Bldg Insp V� liat
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
04/02/2004 FRI 13: 21 FAg ��-� ELDER JONE9 �� �� �� �� „� U��� �' C�j 001/001
�/ -- --
N� [] � CITY OF FRfDLEY Effective 4/1/2004
ADDN [ J 6431 University Ave NE, Frid.ley, MN 55432 (763) 572-3604 Bldg Insp
�-T�R I 1 SINGGE FAMILY AND DUPLEXES R-'I AND R 2
(763) 571-1287 Fax
BUILDfNG PERMIT APPLICATION
Construction Address: � �q �-� � b� l��tt.� �,y�
Legal Description_ .
Owner Name � Address: 5�t..�.. �a4 �.l °� �' TeL #�(p3� S�-1 •�(S'�(v
Contractor. vy MN LlCENSE# o�OI�JO�$�J
Address: RENEVVAL BY ANDERSEN Te�. #�S I' o� (0� "'7 �'��'
1920 COiJNTY ROAD "C" WEST
ROSEVII.L�, NIlV 55113 icate of Survey of the
� drawn on it to scale.
LMNa AREA:
GARAGE AREA:
bECK AREA:
o-rH�:
DESCRlpT14N OF IAIIPROVEMEN7
Length Width Height Sq. F�
Length Wdth Height Sq. Ft
Length �dth Hgt/Ground Sq. Ft
�e�o lC�. c,.e. 3 c,�;► ��� S t, l� o cx� �� (: iv :�,-h �►�, '
�.�—�`'� ^� -
a
Constn�ction Type: Estimated Cos� $�J d o1cJ� ��
priveway Gurb Cut Width Need�d: Ft + 6 Ft = Ft x$ _$
DATE: mC�l, dy, AppLICANT: Gri.� Tel. � RSo�'3y$•i00y�
Call (763) 672-3604 for Pcrreit Fe�s if ma�7ing in application. Faix to 763-57h-4287 if using credit c�rd and we will call
you for card number.
Perrnit Fee
Plan Review
Fire Surcharge �
State Surcharge
sac cnarga
License Surcharge
Curb Cut Escrow
Erosion Controt
Park Fee
Sewer �Main Charge
T07AL
Ct1Y USE ONLY -
$ 1 o�iS. � S Fee Schedu{e on Reverse Side
� ' 65% of Permit Fee
$ �. � le .001 of Pennit Va(uation (1/'I Ofh%)
$ , l� � $.50/$1,000 Valuation � �
$ $1350 per SAC Unit
$ �.00 $5.00 (State Licensed Residenfial Contractoi��
$ Alt "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
ty
$ �3 � �' STIPULATIpNS:
�
04/02/2004 FRI 13:21 FA%
NEW []
ADDN []
ALTER [ ]
Construction Address:
Legal Description: _
i-�� ELDER JONES
ii
� 001/001
� �'�':•'�� .. _ .. _...
�
" CITY OF FRIDLEY Effective 4/1/2004
6431 University Ave NE, Frid.ley. MN 55432 (763) 572-3604 Bidg Insp
SINGL.E FAMtLY AND DUPL�S R-'[ AND R 2 (763) 677-1287 Pax
BUILDING PERMIT APPLICATION
Owner Name & Address: ��LA 4 _ �qQQ�(-� 'ret. # �(�3. S� I .� (p
Contractor. v
MN LICENSE# o�OI�JO��?J
Address RENEWAL BY ANDERSEN Tel. #�pcJ I' �{0`[' `1 T� T
1920 COUNTY ROAD "C" WEST
ROSEVII.LE, MN 55ll3 icate of Survey of the
� drawn on it to scale.
. DESCRIPTION OF IMPROV�MENT
LMNa AREA: Length Width Height Sq. Ft
GARAGE AREA: Lengt(� Wdth Height Sq. Ft
DECK AREA: Length Width HgU�round Sq. Ft
OTHER: '
� �.Q,I�1 .
It/�/�� � ��
Construc�tion Type: Estimated Cost $'1 LJc�[ ��—°
priveway Curb Cut Width Needed: Ft, + 6 Ft = Ft k$ _$
DATE: � O APPLICAIIFT': Tel. �`Z �a� •�'7 S� l4 Q 7�
Call (763) 6i2-36Q4 for Permit Fees if ma�Ting in applicafion. F�c to 763-5T'1-'i287 if using credit card and we wlll call
you fvr card number.
Permit Fee
Plan Review
Fire Surcharge �
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer �Main Charge
TOTAL
CITY USE ONLY -
$ �• a� Fee Schedule on Reverse Side
� 65°/a of Permit Fee
$ t-1 . DO .00'1 of Permft Valuation (1/10fhh%)
$ o? 0G � $.50/$1,000 Valuation � �
$ $1350 per SAC Unit
S S.0 O $5.00 (Staie Licensed Residential Contractors�
$ Alt "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreemerrt Necessary [ ] Not Necessary [ ]
$ Q , as
STIPULATION�:
04/02/2004 FRI 13:21 FA% ��-� ELDER JONES / C� 001/001
.. . : . . .. • . . .�\\l �.���`��-�.�./�� .._.::
�
N� [] . CITY OF FRIDLEY Effective 4/1/2004
�QN I� 6431 University Ave NE, Frid.ley, MN 55432 (7S3) 572�fiO4 Bldg Insp
ALTER [] SINGL.E FAMILY AND DUPL�fES R-1 AND R 2
(763) 571-728� Fax
BUILDlNG PERMIT APPLICATION
Construction Address: � U� � ry ��-`1'Y�3i�l.�Ql.
Legal Description:
Owner Name & Address:
Te(. �
Contractor. U �% MN LICENS�# o�OI�JO�$�J
Address: RENEwAL BY ANDERSEN Tel. #�pS �' o��0�i � y�'� �7"
--' 1920 COUNTY ROAD "C" WEST
ROSEVII,LE, MN 55113 icate of Survey of the
� drawn on it to scate.
. DESCRIPTION OF IMPROV�NIENY
LMNG AREA: Length Width Height Sq. Ft
GARAGE AREA: LengEfi Width HeigFtt Sq. Fi.
bECK AREA: Length �dth Hgt/Ground Sq. Ft
o-rH�: .C7 _� 0 c� �u�` a,� ; d\—�/?G S�
a�� �
Construction Type: �� Estimated Cost $ �LJV
priveway Curb Cut Width Needad: Ft, + 6 t= Ft x$ _$
DATE: V �S APPLICANT: Tel. # '" � � �QY�
Call (763) 672-36Q4 for Permit Fees if mailing in application. Fax to 763-57'1-1287 iF using credit card and we will call
you fo� card numbe�.
Permit Fee
Plan Review
Fire SurcF�arge �
Staie Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer �Main Charge
T07AL
CIIY USE ONLY -
$ J. �� Fee Schedule on Reverse Side
� 65°fo of Permit Fee
$ � • � .007 of Pennit Valuation (1/10fh%)
$ I • � $.50/$1,000 Valuation �
$ $1350 per SAC Unit
$ � �'� $5.00 (Staie Licensed Residential Contractors)
$ Alt "A" or AI�. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreemerrt Necessary [ ] Not Necessary [ ]
$ � STIPULATIpNS:
Buildin�,
Inspections
763-572-3604
BUII�DI�TG
RESIDENTIAL APPLICATION
CITY OF FRID►LEY
Permit No.:
Received By:
Date Rec'd:
Da� �� Z 3- 06 YOUR E-MAIL ADDRFSS �� r�n s��oI �� i on �5 . C ��-•
SITE ADDRESS � C7n1� � �f�Tl-1� Ir�i�� �E
THIS APPLICA1�iT IS: ❑ OWNER
1'Rt7PERTY OWNER/ N,�,�: 1M/1YG� I�GG�1�C.�" � s���� �.6GC�n� .
TENANT .�wDxESS:J o`i o(��Tb-lAw/��C (.�k�l� crrx �� m v�� STAT I�IP sS`��'3�
PHONE:_'7i73 —5� � -�S-1C
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
N.°�:_ RENEWAL BY ANDERSEN
sT.a� r�cF 1920 COiTNTY RD. "C" WEST
.e,�DxESS:_ ROSEVII..LE, MN 55113 crrY s�ra� z�
PHONE 651-264-4777
❑ sINGr� F LICENSE #20130983
❑ T9J0 FAI�_
QADDTfION ❑ GAR.AGE/SF
❑ BASEMENT FlNTSH ❑ ROOF
❑ DECK ❑ SIDING
❑ SWA�IlvID�TG
�rE oF woRx: o� 0 ADDTfION
❑ MAIIQTEIaIANCE/REPAIlt O REMODELING
❑ DRAIIJ TII E
I�THER
DESCRIBE VJORK BEING DONE: �2 �.�1l.�C�, �� 1 r�(JOFJS 1 r� NOfYI �'
SIZE OF IMPROVEMENT
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDWG
� Vinyl
❑ Aluminum
❑ Other
VWINDOR'S ��
IN EXISTII�iG OPENINGS L�l'Yes ONo
OR FOR NEW OPEIIINGS-DESCRIBE SIZE OF
OPENING CHANGES & �
TYPE OF WWDOVJ TO BE INSTALLED
D HOUSE & GARAGE
0 ATfACI-IED GARAGE
� DEfACI�D GARAGE
❑Soffrt
❑ Trim
❑ Fascia
LOCATION OF WINDOWS
NUMBER OF WII�IDOWS �
HEIGHT
B.ASENNIENNT REMODELING SUBMIT:
1. Existing Fl�r Plan
2. Proposed fl�r plan
3. List of slruchual members to be used
F�
FOR NEW CONSTRUCTTON INCLUDING DECKS,
ADDITIONS_ & PORCHES SUBMIT:
1. Site Plan/Survey showing the ezisting slructures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDUI:E)
TOTAL JOB VALUATION $�`�1 �l .w OCCUPAl�TCY TYPE
Permit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$ 3 • �f t�
$ (�,�'i ,
$ � .pZT—
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation — Minimum $.50
.001 x Permit Valuation (1/10%)
$5.00 (State Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks pavable to: City of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in
conformance with the ordina.nces and codes of the City of Fridley and with the Minnesota. Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which requires review andapprovat o€plans.
SIGNATURE OF APPLICANT ����� PRIlVT NAME T)1'n S U-� L�IC— DATE �� z� I�� -
--r
Page 2- Building Residentia.l Application
BUII.DING PERMIT FEE SCHEDULE
a
����
The Chief Bui.lding Official shall, before issuing permits for the erection of any building or
structvre, or for any addition to any existing buildin.g or structure, or for -�y al�era.tion or repair
to any e�r.i.sting bualding or structure, upon application therefore, require the payment by the
applicant for such permit of fees to the amount herein below set forth an.d in the manner herein
provided to-wit:
TOTAL VALUE FEES
$1 to $500 $23.50 (Minim.um Fee is $23.�0 pi�s surcha=gej-
$501 to $2,000 $23,50 for 1�` $500 plus $3.05 for ea.ch additinnal$100 or fraction, to and
including $2,000
$2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional$1,000 or fraction, to and
including $$25,000
$25,001 to $50,000 $39125 for l� $25,000 plus $10.10 for each additional $1,000 or fraction,
to and includin $50,000
$50,001 to $100,000 $643.75 for 1� $50,000 plus $7 for each additional $1,000 or fraction to and
including $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 includi.n $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 including $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
fra.ction
VERIFICATION OF FOUNDATION
Pemuts for construction will be issued a min;mum of 24 hours from the ti.me of application to
allow for proper review of proposed structure a.nd 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 Depar4ment
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
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Building Permit Services Iqe.
112Q Ea� £'Oth Sireet "
Bloomiug�o�„ MI�I 55420
Phone: (952; 345-604T -
Fax: (952) 8�4-49.09
To whdm ii may concem: ,
We � Elder-Jones Bu�ding Pe�mit Sezvice, Inc. are acting as an. ageni for Reneqrai i3y
Auderson ,�Tf there �re an.y. ques�ions, or i£fb.e.g�nit has ta be picked ttp in person, please give
, us a call a� the nvmber•aba�re. If the pe�ii can tie mailed back to us, we have enclosed a
self-addressed envelope for your canvenience. '
Thank you, ' � .
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Kara Bensan ext 147 � "
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Efder-JoRes Building Permi� Service, Inc.
i120 Easi 80f[� Sireet � Bloomingfan, Minnesofa 5542Q-f498
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�03��91,�QO�a'�D 1�� Q� F.� C�1 �64 4Q�9 Ren��a� By �Z��r�e�. �-�� E���r Janes - �[QOfI0Q.1
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� �� � n�soS� ��r o� r�n� � �taus�� � - .
� -- �;- Constr�iction Cad�� at�d L%ensing t�ivisior�
` 443 T�faye�{e Roact �I. . � •
St. Pau�, iUfN SS'f 5�43114 •
' REblEWAL AM�ERS�'N iNC
j 920 COUNTY RD C W +
' ROSEVILE.E, MN s�fi3 ` , -
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�., �' Stats oP Mirtnssota • Cot�struotion Codes and �iaensing Division
�� � : '� Departmentof L.aborand (ndustry Teteplio�e:.(6&i} 284.-5085 J , •
- 443 Laf�yeEEe R'oad N. E rrtall address: dlf.contractor@state.rim.us
' St, Paul, MN 5515�-4344 � . . Wsbsi�e address: www.dofl.stata.mrt.us
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. Res�denfial B[�i(ding Conf,�actor License �
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Legal N�me: RENEWAL ANQERSEN WC ' Bustness Stittcfictre:
DBA: � ' � ' _ ' CORPORATI4N '
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�d�'�: i 92b COUNTY RD C W '
, RdSEV[U.E, MN 55113
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Lic�nse [dAn�6caiion N�unber: 2o�f3'o9ss _ QuaiifSru�g.Person: DAV[D L FADDLER ,
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L• iosnse Expiration Da�ie:�.3/3Y/2007 Continu�ng E'duca�on: 7 houFS due by 3/31/2007
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