AF - 45517Caty of Fridley, Mirm..
BUILDING PERMIT
^ DECEMBER 13, 1966
Date:
�
�1
••��-
�� /��
N� 911'7
B�� GERALD QENN CORPORATION
Addreae Address 1202 HATHAWAY LANE N. E.
FRIDLEY, MZNNESOTA 55421
LOCATION OF BUILDING
No. 1180_..._ Street � HATHAWAY LANE N. E. .�. Part of Lot
Lot — 1 __ Block 5 Addition or Sub-Divisfon .—_ P�E�n1 OAKS, F�? �T ADDITION
Corner Lot _ ine�tde Lot ._._ x Setback 35 � �_ sideyard _ 6' Gara�e Side
Sewer IIevation 905 .76 _ IIevation 908.76
TOP OF FOOTING
To be Used as:
DW�LLIIVG �t 54
A�. GARAGE Front 28
Z'ype of Construction �AMF
DESCRIPTION OP BUILDING
Depth 40 Height ?� Sq. F't. 1��'� C�. F'L 20, 800
Depth 22 ITeight 10 �. � T 602 �� 6, 020
____ ��, �� 20 000_ _ To be Completed �
"Y" ONLY - 178' East of Man.hole
WATER 1VEEDS TO BE TAPPED
In consideration of the issuance to me of a permit to construct the building d t�d above I agree to do
the proposed work in accordance with the description above(� and m ce with a'll proviafons of
ordinances of the dty oP Frfdley.
�
In conafderation of the payment of a fee of � 27 • �� , permiit is hereby granted to—GERALD GLENN
CORPORATIOIV to construct the buflding or addition as described above. This�rmi t is granted u�n
the exprc�s candition that thepers�n to whom it fs greated and his ageuts, employees anc� workmen, in all work
doae in, around and upon satd building, or anypart thereof, sY�all cbnform in all respects to the ordinance� of
Fridley, Minnesota reg locat3on, conatructiTTon, alteration, maiatenance, repair and moving of bufldfnga
within the dty limfta and� perrmit may be revoked at er{y time upon violation of any of the proviaions oP said
ordinances.
(:I'.ARFNCE BEI,ISLE B�� �r
Nonce:
Tbis peeodt d�s nof eovsr ths eeesfweHon, testallaHee tee �rGdne� Plu�abing, ea hsaHeg, awer o� w�fsr. 8� am to as
the Bulldie8 lespedor for separais parrutt� Po� �6as tt�na.
G c
� ��
�'' '
� +s
�
.9. . ��� ' . . .
•�
• � APP`LIC�!7`a'Ql� FC�R $V.LLDIlIG PERMIT
CTTY OF 1�'tt:tD�EY, 1�L*1�TESOTA
� '
� .
. t�.. ..
• ��•� . '�e ��
, �d
. �%
ti
` , AWNffi, S-� NAM�, _ B �.JI�,DER �
�ADDRESS � ` ADDItESS ,_� � �-�:_�'`
LOCATTON OF BIIILDING
rto. / / �s��r� a '7`� � c�.> �,�� Pa� �>�� .LOT �
�.o�. � /� oc� � ,j an�Sa+oR � oR sos��vrssot� � .� c� : .�
s s�`' � �
CORNF� � I,OT �NSIDE LOT�.$THACR � S� �" , SiDT�Y'ARD � f��, S�i �-�
i-'" � � ��
�-" SEWE'R ELEVATIO$ ��� ,
. ��� r�-- � . � "
A�p�Licant attach� to th;e form Two Cart�ficates _pf Susweq of i�t and �tvpased :
�--bu�t,t�,¢ .�.��.tq.:�: �trawn on�..athea� -c�rtificates . .
, Tv �be used as ;
"``.._ . ,
,4
�a
.' `�.
', DESCBIPTION`OF"�IJit.D�A�-
��
0
C / /� v,..r ,.�. « `►
Sq. Ft. f� x_« �:4 Cu. Ft._ ,� ��; �.
, -� � c..s
� Front � �,° Deptb��jiei�ht
Sq. Ft. �� ;_, �� Cu. Ft._ � �� :�: `�"�
Type of Conetruction . Estimated Coa �� ��? °'
To be completed
/
The undersigned �ereby makes application for a permit for the work hereia
specified, agreeing to do all work in strict accordance with the City of •
Fridley Ordinanc�s and rulinga of the Department of Bui dings, and hereby
d�ecT�ares that a1�. the facta and representations steted n thia applic�t3on
are true and coxprect.
� � � � � �t - � � sz �-_ ��,
�(sclzeclule
. _„ kr�
--�� '�� .
� "
. � ,. �
Fee Costs can be found on the Reverse Side).
: -- �-
� � Q s..,-°., � !� .�;_ � �� 'a� �;: �, y�y � i�
A �P
�
� ��<a � � P,� � �,�`�'
._ � ' .. �-,
�
.�= ..
-�<
' s,��: ;;�x
� , .
F � �c •
'f i92' m � ,..31r . r-`r k�:^ �'3} 1e-c � t -G G �' �-.: 1}';.� 7":_
�� ��,'� y x � '�� � s ' � �'„ ar�. � �t� � xa�`P"�L '�� ". , .dtSk,-r� �._ a r ��r^i y.. ^'��`'` ,_.•�y�p `'t �5,�. 3 -� �..y 4 .' -.
y � � �t�sa '�4 '��. � �,�-e�, +� .�} f,. � �a:, � z'����`, ��,�,� :;:a } 7 �- � r+ � e �i6 TM'TS �' � c t r ` �i� t% � �;; ���'
� ` �*' � '� � �.�'$� �e e"..k� R �.�3�a *�} ? ,,, F:� �7 S '�' ., u' �,, ' a a9i �t �s.��� ' S i°�fy� N , .'��
t �`,��. � � .*w � i � � f " y, �,. � �, . .y,w,��,b„ '�,{ t � z�� �. ��t^, � .4.=
� � � � 3 ` i �„=�r`'! ,ry r � ,y� �,. . , �r y,. � c� -v w"' r�
�s � �h�` ��' ` }� _'- ' �cr y s- . ! ,a, " � �l` � �; ` Fj�� :� i ���� a� � }�4 �;. � �S- �' 4 � � � �.,� � � h � �g ,� � � Y�.< „1, ,M� x , ; � ,•' i ..
1
� y.�. _ r' :. �4 f �s` t S. 7s -{ � s. � 4� � - s �T r . � '' u;� s �;, �w. � '� ' . '� ,� r,,, �
> >,��a�, �� �° y � � �y F� -:- c 1 v s�: �,� $j�t-` .� yq "'a��,y� �a: �' € �`'y �.A t?�' i .a; t . �' r + R4-� �'�� 6� �+ �
� a :8.iA65 � �. ;'s .ipb,�: S '� ",?� {1��' '' 1 �` N��`�t '. k, `�yy'�"r ` 4 �,��.,, -�,'�,d �y�, 7 �� ..:'rt �}�.;�k, t ,, >%:'��w + �'S �i '. s � f d�?,� ��.j e ,.,. �
% �'+�e � .�_Y+�' ej it :4 . "g+ � � �k . I
7^ � �2
�1 , � � � � # .. � F¢ J� . �,,y 2' R 7�'X `'s�-�t� � :' +''§ k�^0 j �. ' � �. .�, �pr r q .;�s ,, �a f . L� �;'� � fr :P
� �e �. y . � , � ' 't i. � � �.2 �. y ' . 's r n '� � h ��
v �,�,jf., {� hY-'���F�T,43e; a* t'�g;t:!F,( y, c't'M.�. P+'..'� l��$ � ��M � .-� '� r�keF+,�,��':�� �,�k r% r;�� �4,.f �.,'`'� �.A��,$-0Y �.s���•':'��+, i�,`�i- � N. a. ��`` 5�1,!'�'P �'q �
�:.� �' "�� �,R'' v �'-+' ' �''' '�n ;S t'�"` *� � �� � t �';i Y � '� k",t � �:�a i� .., a�f rr � ��. � � - � z.. A,x, P � +¢•
�,'� � �, � . t .�� y „L �� � :,.^ir � � � � �+� .;a � R X f a t._: ." 6 ro� � z Y ,
i ! �s ^ i : ,--i. �� : s�+. � L +� a. x 4 �!� . '"` ,� ,
� _ •k y ---� - y y ,' .'� �� ::. � � 1 {� � � 1 �.. .�'��` `.� a �. �{:
i. .,�. �... � E� X, . "� � ,,M � � �-, �. �8 r ^ ;�ra , Y" .P"� ti �' ,zi `_ *� �f."�-'..
",.. < .4rg� � � � a� / � y'^ °A- .-. � . �-��y� ,�•.w� i�� r :- �'� �.. � �. �' I � i�
} �'t 3�'- �AA� a, ^� � t t �'x i �y � �'. - ..£- n � _.� : s. x . � `''`� �,; .
� '. a �,, t � '
�t..,r 'i� � 4 y �, � -f � � ' /Q{�c , "' { ,��.� Y ,k,., at� �.� t :.'4
b` � } � �Y ' t � ..� ! '; � �^ . . � � .. � �. ';,_.
� = P "' � �r �w ,��:i� r �, �� - a�..� �" M -C _ " tl 1 ���.
� t _ ' ,r. �., . ,,,�� .� �`;.�L�.. ,y,,,d ::�1.�.� _ � .. '�,�.�
r � ,� ' ri � � �r +� � � : � � r
Y ' 'i -. n � : y � i'� � 'Fr . - •
�:-Y� .�.c7 �- �.,tiw. #.. . � � 'i . � ��j �, _ . . . .
, . j r � _..r-� ,:
. _ • = c _
�,�' .. ,: _. �. : . : � � � � .
.
� �� , '� � - � � °' � �
: - � � �. i=. . , " .
. }�
-- . f o� �
_ _ � `A :� .......,.�' , _ .
"t5 �0-- -
. _.�.. , . _ -
_ a � � .
I I�ereb�l c�rtify �k�at the above i� a tru� and cor�ect p1a� of � 5urvey q�ft '
i.ot I, Block 5, PARkVIEVP �I4S FIRST ADD�TIQN, Anoka County, t�linnesota.
As suaevey�d by me this T9th daY of April 196� A.D.
1 � � Signed
�
- ��9� r.�. eso� Reg�istr�tion l��o. C��67
�� .�� :
� �� � Z ' / � � .
` .
--
_ -- -- --. -�- -� o--- -- —,-- --- — _
� . _ "— � . _" - __ —_.-R� K_�. -�__._ - . .
� TaNY C�1��S��� _ ., _
�
�
�
D
�
�
�
�
0
ci
x
�
N
r���
y x x �
� r M o
H �' �' �
°x x x �
w � 4� o
RP � � M
� �.
� � �
b
� �
�
��
�
�
o $
� �
m
�
$f lA
�
�
y
�
c�vy y
y ¢ `�- nyy
�" `��
a � � �
c�o n: �k,. C9
o �,�, � rJ1
N��
° � .
0
O � .
� .
� :
54 k D4 O
N �
p O O �
fA {A {!� �
W
�
r
o�
I
�
c�
� aJ p f'F
� � �
� � �
� �
� �
� n �
' ` �
� � �
� � z
� Q
N �
�O C]
�1� O
.
b
�
fA
a
a
'�0
x
�
�
G
�
�
0
�
0
0
0
O
O
�
�
Ci7
O
O
fiA
0
r
00
C
�
�
C i
� o
w
oa W
��
�
�
M b
y
�
o �
� o
� �
�
�
�
�.
�:
�:
�:
H C� �
�' a�i � �
� � � �
,fD, o
� �
� �
� � �
0
N ,o
� �
W
~ b ��
0
�
� � �
O
a. � � �
° Od �
� � x �
�' � z
�' o
1-
� � r
�4
ro
�
O
O
C!i
�
�
x°
M
a
�
�
e�����
a� � �
� o
m � � � �
•R¢. .p�' �D cD '�r'
� � o
��., o � m "�
0 0 � � �
�C n R° R° y
�:�� � �
��o
�
� � �i
x �
o � o 0
�. �
��� �
� . �.
�: ��
: : ��
� x �d
. . o �
� � �
. y .
N N Op pp
O O O O
{fl {!! {A ff)
�° � � �
�b �. ��
� � �
� � � � � �
� � �
�
���a��o
� o � g �
�
� � � g �
'd � �'
a, � � o
�'�� ��
o.
go: � o
0
°: : � �
N Cn C7� N pD
O O O O O
�'n EA dl M i�
o �
� � �
n y M
b �
.. �;
e�? iZ
� �.
g
�.
Qq �3
. SC►
�
�
`I
�
► :!��
�°
b � � � Sy
p� �• � m �C
v3 y � �
� � � �
yF. a � � �
�p � O ~
� �*c�y
� � �o
� � � �
����
ro y
a � : �
�,�.
�..
��::
og..
o . .
$:::
a
W cr en Cp �
Q O O O
� � �
0
�
� °�afD �
� ���� °
y��� �
y
w ���� �
� o ��,� ..
fl, � ty c�
�.b �
m ��� R
'� � p � G�
A � ��°� �
O =� w � �'
� ��5'�
����
a��'�
�
�a'op
.�o
�_�� �
� �� ��
a� ��
f'i y � N
����
��o
� �
m `D � a
� ���
N
D
�
i
�
�
m
H
2
m
C
�
�
M
�
Y
0
�
b
r
�
0
�
�
�
�
O
�
� �
0 �w
� �
�
�
'
�
� •
�
3
�
�
0.:�
A �
�. �
� �
�
i�
�
m
D
9
d
��
\
.. - , � � ��� �� � . /% �� �'� _� � Gk� /i�• `L°��
- r � -
�� l� �1.W'Y'1� DEF'ARTMENT OF I�15PECT[O1V � �`�
� � ' m No.
larolatimn
�ef�ee �t. W�Il Iae. Wall Cs�io� Roof Fl� ICi�d �vo► I�ppli�l
. �' 19
�1 // R�om L,e�gth ,�idch Q�ei�ght �1.� Room i.en�ch �lidch Hei�
Q%�, -° _ r�--Crackaee aad Are� II BV'm ad Doon�—Gackage a� Area
t
�
Imbler�t�n
Glaq
_E�. wsq
IVd o�. walB
taa waU
Ce6ling
Floor
Total �ca�.
ieed �. it. E.D.R. or t�. iaa. V�A r mro�
Ro� i.,ea�tl► -�6fi'�h /p Haight
� a �--Crackste aad Aesa
pa
�tr�
�
�
� �,�1 , .
Nat e�. wall
ln�. wad
Ceilio�
Floor
k E.R. or eq. iaa. W.A. Leader area
Il,enph W'�eh
and Doora--Craskage Arsa
�
��q
��
Net es�a ws�
laa v�il
C.eil....� �
►: p•'--°�
.. T�,_�l �9tu.
�
..��
�laracion
�
iFap. wall
Pi� esp. w
Int. wail
Ceilitig
Floor
'To u.
�,
f� E.DR or p. ina. WA L.sader aaea
Il�ea� edth
aod ekaQe ea� Area
Li6lcracian
C�au
Exp. wall // �
Nlet ezp. wall
lat. wall
Ceiliag � :/ ..
Flaor
T�tal &u.
Reyuired ,q. t. E.D.
FI. A
�'l/ia� sad Da
1 tA RNtI
Na ot wea et e�i
Glap
�ap• wa8 0-
N� e�. wail
lnt. w+ell
Ceiling �..
Flosr
Toal &a
or �. iei. WA td�er nraa
I l..entc6 .��idth
�raeluge and Araa
�
�
■
—
a�ea
f,:7
?<
- �,:���._ ����
� �k..�<, , �
�.��L `���-�AY l� �ATIOALS DEPARTMEI�IT O1F r1�5��TI0Ai
1.15.
�►�t�� �ide �msteue�on AI�. Ineeilatio�
� n Refeeease Out. Wap tet. dVall Ceiii�g Ro�f Fl�r Kind l�►
�a � 19�.
Fl R en I.ength .d.�'iidth l�eight Fl.� �� Leaga�► �/�l'a�th � ' t
�/is�oan and Dosra—Crackage and Area �limdnwa aad Doon—Craeke�e a�d �rea
iWidth HolaAt Pio. ot Llasal E8. Araa �IfltA d8o1�At A1o. o! �eal tt. 9na
T1e. et �ane o[ pone Itaht� ot cracBc eQ. tt. No. ot pene et ns IISDts of crael[ q, tL
� �- �,o e -�.�.
:u
. ,.
,. - ,
,.,
_ �
�,,
9�t. eveli
Ceilieg
F7aor
Toaai �ce.
�
.. .�� =
�iL.�,�s'�!7
,, .,,{,
�\��
Ia6ltrati�m
�
�
t� esp. �rall
I�t. �a�l
iee6ea�
Flaor • f �
T�tatl �tu.
0
�
oa �. ams. �.A. l.�ader erea
� Le� W;dch
—Crae�a�s a� Arga
A/o. Llm !� Area
�1rba or er�oia �e. Rt
�
� : --
.__�� � f ' . , . <.: ,
/` / r' '
_ �1��
����/1(,/.�/ �r�� 1, tit._
`: � Y'�: �' C . �
A�1:Pl�D
a1�1�
�. v.an � �
�t �. wali
i�aa. �q
��
��� ; �
T���,� s�.
�����
0
�,������
�laea �
F.�p. wall . ,m►
I�dxt ezp. wall
Imc. wall
Ceilin�
�loor �
Total Beu.
Required aq. E.D.It. oe aq. ins. W.A. L.ea�er ares
FI. � I Len�th �i�
@Vin�a nnd �re-�ruka�e � Area
wraee 8e1�6L Na ot Lloaa tt. 6rea
P1q. � IDses o(gan� Itfhb ot eeeci se. tL
Ias6ltration
�laa
�• � _
�let �. v�all
�t. wa11
Ceilie�g
Flaor �
!'otal Bt�e.
Requiaed f�! E.D.R. or tq. i�. W,A. Leadee ares
FI � � I.en�th i�
��ndaan nnd rs—�ncice� aael Area
IQtA I�bt Na �t nesl p Aep
N0. O! D6ae Ot n6B� Iltbt. ef eraek m_ f�
,: _ �:7�t
�. > / � ���
� ��I
_ _ ��i�
= ���
. _ ri�����
:�
,
e
''�`'�° e // �_ . �
T � ��7� DEPAItTMEN"P e0� iNSPECTION ��
e�eratr� ,: G� Gmoer�ctfion Ido. lns�elation ,
QE/ind0w� D�e� Refxrence Out. �Va1D Int. Wall Ceiling IZ�� F1oaa Kiad ��
��� 0 19
• oom Lee�gth Wi�th d�igbt fil.� lio�en IJength V�lidt6 �t
_ Wendowe nd D�ors—.Caackage and /�rea Wia:�ws and Dooes—Crael�age and Area
tv�d xe►fne No. ot L�aoa� re. wrca waaee Hslght rto. ot Lee �h. ar�a
Pto. ed ot ga e Iisht� ot crack p. tt. No. ol pane et nan� ut�es er �.�..e .1. �.
i9 _ ._.. . . . .
I�a6ltra�eon
G4a�
Exp. evsll
l�let e=p, w
i�:. �►su
c���o�
Floor �
1l'otal �tu.
Recsuirtd aq. k. ��.�r ^iq.�i. ���ader area
Fl. �ooa� Ls��th Vi�idth l��ight
th
\ilindew� aad Q�a�rat�a� ead �ea
i9td¢Po 01e t No. �t L1nu1 tl. Aren
Ida ot paoa ot aee� u�be■ ..� ..e...s ..
�
In6ltration
Glaas
�. wall
Net eap. wa11
i��. wau
Ceiling
�t,,...
Z'ocal �tu.
lZequi�edl aq. ft. E.D.�i. or aq. ine. W.A. Leader aa�m
_ a
Fl.l Room I i�engch �Videh Ha
i
Windows and �or�-�raelcage and Area
:dldth $el�6t No. o! Llneal ft. Aras
No. o! g�n• ot uana llehe. se e....r �.
Gef. �Qu �
�$lteatim�
�8� In6dvatioe
s°.S 9'�' Cl�a,
�''r�di �� � �sp. wall
Tlet ssp. wall — IVe2 e�. waDl
Int. v��ll Imt. w�ll
Ceiling
Floor Ceiling
Floor
T�1 �tn. Toca! �te.
Required sq. k E.D.R. or p. i��. �/.A. Leader area Required sq. k. E.D.R. or u�. i�. R/A. Leader uea
FI. �m � Lengt� �f/i�tb Hsi�ght �, �e�e I I.,e
�/iadowa and Doors--Cracka� amd Area � Widt6
ee�b H.�Bne N�. oc s,ee..i tc. ��, �i/mdaw: a� �ra--Craek��e amd Ar+�a
Ida ot ol pae� II 6¢a ot crack �..d2. WIdtR llelss� Na ot Llnas! ft aArao
� i�10• Oi 068e e[ etnw I/sA�. e� ����.
Ia6lSrati�a�
GI�
Fa�. wall
Alet ea�. w�U
Iat. arall
CeiGng
�1� -
7`�tal �Ru.
��1�.��• �.
�■
�
Q
�
�L '
InGlteataoa
Clae,
F�. .aa1D
Net e�p. wall •
Imc. a��ll
Ceiling
Floor
Taal Bau.
�� ' eq. �t. E.D.I�. oa ip. i�. Q/A t�: at+�
,�� .�
i
�S
�
. City of Friciley
AT THE TOP OF TNE YWIN9
• j �u.----�_� INTER-DEPARfMENT REOUEST
� � j PUBLIC :lORK3 DIVIStON
, j �
l �--�� � CITY HALL FRIDLEY 60432
l�w� � �J 612-660-3450
0
' SE�IER STOPPAGE
SEWER STOPPAGE
AUDRESS 1180 Hathaway Lane DATE
12-26-89
CALL RECEIVED BY Jim Brindle AT 1:40 pm (AM)(pM
CR�W LOCATION WHEN NOTIFIED City Garage
EQUIPMEWT TAKEN TO SITE Pickup truck and jetter.
CAUSE OF STOPPAGE Unknown. The blockage was about 155 feet east of the manhole
located west of the home. The blockage was close to being in front of the home at
1180 Hathaway Lane. �
TIh1E STOPPAGE RELIEVED 2:05 pm
DESCRIBE DAMAGE (IF �INY) _Basement was completely finished with carpeted bath and bed-
rooms and family room. The carpet in the bathroom was totally wet, because most of
the water came up th
�h the shower drain, which did not have a ball check. A
�ortion of the carpet in the hallway to the bedrooms and to the family room was wet.
ANY STATEMEPJTS MADE BY CREW OR HOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM
The homeowner explained that he had been bailing (mopping) water from the floor for '
uite some time before he decided to call the City. Servicemaster was contacted,
and Dester Ki12 was going to call homeowner.
REW AP�D HOURS 2 men, 2 hours !
_-1
sue�ecr PER .
c�ty of Fridley 2 0�� s
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� ` RECEIPT .
� ` _�__��_ COMMUNITY DEVELOPMENT DIV.
r � � � PROTECTIVE INSPECTION SEC. ����
1 = i
� /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�""'� � ,�� 612-571-3450 910-F15 6/18/�.l � �
J08 ADDRESS 1180 Hathaway La.ne NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 1 5 ParkView Oa.ks First Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Earl Niewald 1180 Hathaway Lane NE 571-0245
3 CONTRACTOR MAIL AODRESS Z�P PHONE LICENSE NO.
American RemodeTing Inc. 370.0 Anna olis LN Pl u -
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PMONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION �O REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Res ide �velling
9 CHANCiE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIHED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PAHKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPUED $7pOO,O y�3,'rJO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGUTATING CON- �`9O e OO k'i.re SC yS`% e OQ
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE TOTAIFEE
. �ZQ�a�JQ�
SIGNATURE Oi CONTRACTOR OR AUTHORIZED AGENT IOATE� yy N PROPE LY A THIS �S VOUFi PERMIT
SiGNATURE OF OWNER iiF OWNER BUILDERI IDATEI D �NSP �A
� �`�2 0 �Co� �ALD2° `� �'�' �lc� ��� Effective 1/1/91
� [l
� � � I�1 AND R-2
�� � � Huilding P�ezmit Applicatian
Oonstniction Addres.s: ���Ga ���a�GZ ' ��'� �" �
I,eqal Desc�iption:
owr�er rrame & . �� l
�. � . �sactor• L�"� �� �
. ... - � ;�
LI�T� A�:
C�,R� i�:
.,�.. ,�.�
. �•��•
i�Gv� �a�
�
��
��_ 7�1. � ��/ �����
Z�el. � °J6°�G��-�p
�� i�� �"��"��
Attach to thi.s applicatia�, a Certificate of Sluvey of the
lot, with the propased ooa�stnicti� drawn an it to scale.
D�IPTIC�I 0�'
I,e.ngt21 Width Heic�t Sq. Ft.
Tr�r7 h Width Heic�t Sq. F't.
Ieix�th - wiath x9t/c�au�d sq. r't.
�brner Iat [] Inside�Lo,�c [], Ft. Setba Side Yani Setbacks
Z�pe of �tsuctioaZ: � ^ �G, / Fstimated (7ost: $ a ���
Approx. Ocs�pletia� Date:
Pronosed Driveway Width If New Openiryg Is Desired: Ft. $ $
Width + 6' See Back e
n�: �-/���/ � , �. # ����=�Q��
Permit Fee $ � ° �
Fire �arqe $ :�"
State Stiu�r2�at�e $ � >
SAC Q�ge $
Driveway ��ow $
Fark Fee $
sewer r�ain �axge S
� ���
���:
CITY UbE C�Y
F�ee S�edule aai Rever-.�e Sicie
.001 x Piermit Valuatian (1/lOth $)
$.50/$1,000 Valuatioa�
$650 per SAC Unit
Alt. "A" or Alt. "B" AUove
Fee Det.�,�,,,; *+� by II�9�r�4
� N�xY L l � N�rY [ ]
�
,
�'�� �
��--- �J , o�
-- �6
��� �
��.
O
�
r
'n
m
m
.
��
�
O
�
O
Z
�
m
z
�
Z
�
O
O
Z
�
n
�
�
v
m
�
d
w
�
c
�
s
N
�
m
�
0
D �
�r m
r �
�O �
o = �
N � �
C � -n
O Z N
�v �
x' O �
c � o
� � o
o rn ?
�D
D_
v �
�°—, tn
n� y
�v
D
�
m
�
O
'
�
0
�
�
'� � f�A N ��� C d 01 W� O fD
��c n� ni o� 3 5 S� °' �
m m m -o � � p ,Ti
`D _—"`� °1 ==-���ao�v-�
� � � � � � c�i m N, ao �° �. c
�
� � N N •�-,�, � � � N � �p N
� '� � -� � <, r � N y
N � m D� Q ' N
('"'p N ' �, '�O N � �
, ��.-� „
� � � � �
� m �
c �
m
Q.
�
m
y
�
Z
0
I I I I I I I I I I( I I
� ��+ � Es � c� �r+ ts� En � c� rfl
C71 O O O y O v V�I �I C1� A�I
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
O
.
�
D � fn 'o
� � � r
< � rn �
a � W
�oo � �
n
O
�
� Z
_�
z
0
c
�
S
v
�
�
-n m
� �
a? Z
v °
� �m
�
�
�
� �
v,
1+
�
°:
a
ci
y
.�►
�
4
�
�
v
m
�
�
�
�
W O
c g
a �
� �
C
N
a
N �
n
i :
�J
N
I
�
01 N U�
a a �
co c '�,�'
m �' cc
.�.► ,O� (�p �
.d-►, � N
� � �
y W O
� c. a
o; � o ,
� � d
� � i
� N �
01 � � �
v � � �
�j Q' •�-►
= c'�D �
� rn
�
�
m n o�i
� n A �
m a� �D
7 �/1 �+
a s
o �' �
� � � '
�
� � �
� o ;
n,
.�n. vi '
� ,
�
r
C
�
Z
'n
�
C
�
m
�
m
�
z
O
�
m
-�
O
D
r
L
O
W
�
�
�
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIAIVCES OR THE
APPLJCATION WILL BE RETURNED
• ii ii • ► I ► I ► • ► ► • : � ► � !• �� : • ► _ ' / : ! � ��
When �nlacina an„r existinp furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes ('► No ()
The venting system is plastic/PVC and meets ail current codes and manufacturer
specifications including s'izing, length, number of elbows and termination. Yes (► No ()
The undersigned also verifles that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
indude AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances. Yes () No ()
The QYi�fiina cemhu�en air is sized and installed to meet the current codes
and manufacturers specifications.
Wh@n �2qUlred t0 ����� a new cemh�e_±ien_air� it will be si�ed and installed
to meet the current codes and manufacturers speciflcations.
�en jp�� �p�•� �pr�tinAiy pm, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
speafications. This does include AGA-GAMA Category I Central Fumac�
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes ( ) No ( )
Yes( ) No( )
Yes( ) No( )
Yes( )No( )
... .�«- �..- - ..,.,,_.._�-. .�. -. .��-«. � ..��.�.�
AppGance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliar�ces __ Total Btu Input ,� _ -
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type M
� r r • ► .,- . .;-
HEATING CO:
Signed By: Date :
�
_
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UIVIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
Apri120, 2004
Mr. Earl Niewald
1180 Hathaway Lane NE
Fridley, MN 55432
Re: Fina1 Inspection at 1180 Hathaway Lane NE
Contractor: Lindman Plumbing
Dear Mr. Niewald:
A plumbing permit was issued on March 6, 2003 to install a water heater at your address.
According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be
conducted on the work authorized by this pemut. As of this da.te the inspecrion has not
been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your pemut open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
Buildi�� ._
Inspections
763-572=3604
DATE �� ' � 7
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
VdITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
BUILDING
RESIDENTIAL AP'PLICATION
CITY OF FRIDLEY
�jOUR E-MAIL ADDRESS _
��/U /C�/.D��
OCONTRACTOR /
9 �rJ � /� /vi
l�t� frT A�.cJA �/ �i
i 3 �s �/ -�"� �
NAME:
STATE LICENSE #
?►.� � � : M
€'t� A L �
�',2��/e
Permit No.:
Received By:
na� �`
ADDRESS: C1TY STATE ZIP
PHONE FAX
I� SINGLE FAMILY/M
❑ TWO FAIVID.Y/NEW
O BASEIVIENT FINISH 1� ROOF ❑ DRAIN TILE
O DECK ❑ SIDWG O OTl�R
❑ SWD�MQWG POOL
TYPE OF WORK: I � ��'
DESCRIBE VdORK BEING
SIZE OF
ROOFIIVG
NUMBER OF SQUARES _r� �
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Alnminwn '
❑ Other .
❑ HOUSE & GARAGE
❑ ATfACi�D GARAGE
❑ DEtACHED GARAGE
OSoffit
❑ Trim
❑ Fascia
WII�iDOWS
IN E)QSTIldG OPENWGS OYes ONo IACATION OF WINDOWS
OR FOR NEW OPENIl�l(iS-DESCRIBE SIZE OF
OPENING CHANGES &
HEIGHT
�ASENII-�iT REMODELING SUBMIT:
1. Existmg Floor Plan
2. Proposed floor pl�
3. List of structural memhers to be used
Ft
FOR NEW CONSTRUCCION INCLUDING DECKS,
ADDiTIONS. & PORCIi�S SUBMIT:
1. Site Plan/Survey showing the existing structures
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:
(LJSING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $�G%� OCCUPANCY TYPE
Permit Fee
Plan Review
F�e Swcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
� $3 a�
$
$ � S�
$. / � `� 7
$
$
$
$
$
$
$ d7, (��
See Back Page for 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
F� Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks aavable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMTf-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the wor will be in accordance with the approved
plan in the case of all work which requires revie and approval of plans.
SIGNATURE OF APPLICANT � � Q.2� � PRINT NAME ��1_ �A��E L�/I Id'DATE �� '�
Page 2- Building Residential Applica.tion
`F �, .z _� �
, BUII.DING PERNIIT FEE SCHEDULE
;� . �.,
The Cbief Buildi.ng Official shall, before issui.ng permits for the erection of any building or
slructure, or for any addition to any exisling buildin.g or structure, or for any alteration or repair
to any existi.ng building or struciure, upon applica.tion therefore, require the payment by the
applicant for such permit of fees to the amoun.t herein below set forth and in the manner herein
provided tawit: '
VERITICATION OF FOUNDATION
Permits for constru.ction will be issued a min;mum of 24 hours from the iune of application to
allow for proper review of proposed structure and of the construction site.
A Certifica.te of Survey of t�ie lot, showing the location of the existin.g foundation will be
required before proceedi.ng with the framing. New Houses Onlv
City of Fridley
Buildi.ng Inspe�tions Department
6431 University Avenue NE
Fridley, MN 55432 �
763-572-3604
Fax: 763-502-4977
�.1s .
_
CI'IYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
BUILDING PERMIT APPLICANT: PROPERTY OWNER
� �
I, . �, understand that the State of Minnesota
requires that all resi ential building contractors, remodelers and roofers obtain a state
license unless they qualify for a specifc ex mption from, he licensing requirements. As
the owner of the property at / CJ r , Fridley, I
am exempt from the state licensing requirement I i I am not building or improving
this property for purposes of resale. By signing this document, I attest to the fact that I
am improving this house for my own use and do not intend to sell it. I hereby claim to
be exempt from the state licensing requirements because I am not in the business of
building or remodeling on speculation or for resale and that the house for which I am
applying for this permit, isl the first residential structure I have built or improved in the
past 24 months. I also acknowledge that because I do not have a state license, I forFeit
any mechanic's lien rights to which I may otherwise have been entitled under Minn.
Stat. 514.01.
Furthermore, I acknowledge that I may be hiring independent contractors to perForm
certain aspects of the construction or improvement of this house and I understand that
some of these contractors may be required to be licensed by the State of Minnesota. I
understand that unlicensed residential contracting, remodeling, and/or roofing activity is
a misdemeanor under Minnesota law, and that I would forFeit my rights to
reimbursement from the Contractor's Recovery Fund in the event that any contractors I
hire are unlicensed.
I have also been informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to the City of Fridley for compliance with all
applicable building codes and city ordinances in connection with the work being
pecformed on this property. �
n
Name r�- ' � �: "�, .
Date � r �- l� �
Building
Inspections
763-572-3604
DATE • I � • �
ST1B ADDRESS �
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATTON
PROPERTY TYPE
PERMIT TYPE
�rYrE oF wo�:
BUILDING
RESIDENTIAL t�PPL�CATION
CITY OF FRIDLEY
YOUR E-MAII. ADDRESS
❑ OWNER
�
STATE LICINSE
n
❑ ADDTIION ❑ GARAGE/SF�D
❑ BASEMEI�T FINISH ❑ ROOF
❑ DECK O SIDING
❑ SWINIlVIING POOL
❑ NEW ❑ ADDTI'ION
�iv1AINTINANCFJREPAIIt ❑ REMODELING
DATE / d
't 7�3— 4D�c
SIZE
STORIES
�VIN�WS
� DRAIN TILE
❑ OTHER
,
� /o � �a
Permit No.:
Received By:
Date Rec'd:
���463�
�����
DESCRIBE WORK BEING DONE• 1n�,� ���� �
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sa. Ft.
ROOFTNG
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
❑ HOUSE ONLY
❑ HOUSE 8c GARAGE
❑ ATTACHID GARAGE
O DETACI�D GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
� FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl OSoffit ADDTiTONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures
Q Other ❑ Fascia -— - and proposed-projeck
2. Two sets of construction plans
W��WS �t� 3. Energy Calculations
IN EXIS7'ING OPENINGS.qIAres ONo L�,� O,N OF WINB WS 1�'��' �
OR FOR NEW OPENINGS-DESCRIBE SIZE OF VTC,I a
OPENING CHANGES & .� 2
TYPE OF WINDOW TO BE INSTALLED Cl�'YltJ1M NUMBER OF WINDOWS .7
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COS'I' OF LABOR AND MATERIALS:
TOTAL JOB VALUATION $I 3. �Q9 ooU.B.0 FEE SCHEDULE)
OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcfiarge
SAC Chazge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ q%. a� See Back Page for Fee Schedule
$ � 65% of Building Permit Fee
�'� p .001 times the total job valuation
$ �., .0005 x Permit Valuation Minimum $.50
$ -�j • O� $5.00 (State Licensed Residential Contractors)
$ $1550 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$21=$
$ $450 Conservation Plan Review
$ Fee Detem�ir►ed by Engineering
$ ��_ Agreement necessary ( ) Non Necessary ( )
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSffi
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 pernut and work i not to stazt without a pertnit; th�t the work will be in accordance with the approved
plan in the case of a11 work hi requires r view p roval of plans.
SIGNATURE OF APPLICANT � PRINT NAME ✓/�.� �T1J f I yI DATE �Y ���/ '� n
t �
Building
Inspectians
��3-s�z-��o4
7�i�-502-4977 FA�
srt� npn�ss r � `
TTrrs nrrucnt�rrr es:
OWIITER/
TENANT
SUBMIT A COPY nP
YavR sra�r�
LICENSE, DOND AND
CERT�iCnr� OF
INSURANCE
PERMIT 'iYI'F
TYPE OF WORI�:
f ':� ``�1
f F�
1 `� i
O UWNER
��
��xJ'�B�N�
��. �a^
Pennit No..?A�1"�l�G
�►�J�EN�Y1�Y. AP��.,�����Q� Yteceived $y: e
�ITY OF` FRIDLE� n� 4 d� �� 2 0�
EFNI�:CTIVE 1-1-05
Yau� c•MnII, nrin�ccss b�` fl(�.�, �; ��-� a���: I. 4�.►
„. - - � -
nanRCSS: tf9'O (.-{q�hq.9,,� L. r..rrY
PIIONE: �! �0 5'' .+��! - O�_�
ti'fATF. I.IC'F.NSF
e
TF�yi,rr � S K
�xY ua•rL 1 � ' � / - a
iTATF RO1M N� CJ O�f �,� P'� L}CY UA'fIs ��-- 3 �• c`3'
ADDRF.SS: � tl 3�/ �.- .1_� f �✓ cr�Y ./L�I�n�_ ___�5TA1'E; /r/,_LIP,��I%
�r�tvF _7( f ° �S� , �1� S i=ax `�''S.7 - 9 31- `�'�' .�" �'
�!N(iL� FAiV1iI.Y
Q NEW
J��'�ATT,Fn DESCRIPTIUN OF WORK
❑ TWQ FNyj[,Y G TOWATIIOUS�
�EPLACEMENT
/'
�.���_ S�f;��.� � �--
P�lt MS 16B.665 the permit fee is a minimam o� $I5�00 oe 5% ot Ufe Eotel eost up to SSOO.QO, whichovcr is gre�tcr. for ihC
improvemen�. installation ar rcpiacement of a residentlaI fixntrz, exeluding lhe fixl��s. {This shouId rGIIr.�t only the east of lebur )
Labor cosl undcr $3U0 =$15.00. Lahor cc�.;t Fyetw,�n $300 to �500 = cc7st uf l�bor x.US = plus .50 surch�e
FQR PR()IF.GTS WfIEItE LNiUR GXCGL'll5 $SUU, H�SS ARE BASF.D f,1N $1 �� FR FIXTLIRE. exc�rr vv��� NcrrEn. FIXTIIRF,$; (INf7fCATF TOTAL
N[1MRFR pF F,ACf� $ELOV1�. MWIMUM I'�� $155D.
_ BATH SIIVi(/LAV FLUOR DRAfN$ SIiOWER WA'IER PIPING
—�AT�� �(iAS P1PIhJ(i (NF.FA rfTY I.rr,} —g��p rppL � W/�'j°EA SOFfIVER ($3S)
_CT.OTNE$ WASlIER k:IT'('FlEN SINK Wn'('ER�'I,pgET' HAGKFL�W PRF.V. ($15)
_ UI3kTWASIIER ._ LAi1NC1RY TRAY WATEit I�nTGR (S35} �pR iRItI(7nTI0N
WATCR NIGT�R OTl1CR
T9�IE�IT71lIIARIIIAAI�114 � �
` '°•`" • ""' � � Number of fixtures (a� $10.00 Q x �10.00 = �
Surchar e .50 Number of fixtures (a; $1 S.Od �( x g15.Q0 =$
TOTAL D[TF $ ,�Q OR Number of fixture.s �$35.00 � x$35.00 =$ � D d
.TM $1 S.$0 State Surcharge = $ .SO
MUM $15.SQ Tatai = $ } 't. �
'1'HI51S AN APPLfCATTQN FQR q pEluVil'i'.NOT V/�[,@ �Jr('['[L, pROCESSED
I hcreby apply for a plumbing permit and I acknOwledgC that the information above is compIctc and accuratc; that tl�e work will bc in
conf c with the ordinanr,� �nd Codes uf Ih� Cily ol Fridlcy and with thc Minncsota Con.struction Codcs; that I iu►dcrstand this is
not a pcnnit only��n app j��un for a p�cmil ;�nd work is not to s�tart without a permit on site; that the work will bc in accordance
with thc approv plan i n cJ�/s�'y(j f all work which rcquires rcvicw and approval of pians.
Sr�'i��� DY' .dlY��e� ..��7rT�"+r �r���!�l� � nnnrr �r.��n _ \ �, r�_ � /.. . . �.... - --- I � r/1' s�,'r
MPItOV�D DY
City of Fridle�
Building Insnec�ions Department
6431 YJniversity Avenue N�, Fridley, MN 55432
763-572-3604
FAX: 763�502-4977
UAT�
443 Lafayette Road N. � MINNESOTA DEPARTMENT OF (651) 284-5005
St. Paul, Minnesota 55155 �BOF� & IItiIDUSTRY 1-800-DIAL-DLI
www.dli.mn.gov TTY: (651) 297-4198
�
January 14, 2010
Earl & May Niewald
1180 Hathaway Ln NE
Fridley MN 55432
RE: Chair Lift - Elevator ID# -17549PT09-28R
Residence: Earl & May Niewald
1180 Hathaway Ln NE
Fridley 55432 _
Dear Sir/Madam:
Minnesota Statutes Chapter 16B provides that the Department of Labor and Industry,
Construction Codes & Licensing Unit, Elevator Safety Section, inspect and approve elevators
and manlifts (endless belt lifts) before they can be legally used in Minnesota. An Inspector
from the Elevator Safety Section recently inspected your facility and determined it meets
requirements of the Minnesota Elevator Safety Code.
NOTE: Compliance with Minnesota Rules and the ANSI/ASME A17.1, Safety Code for
Elevators and Escalators does not necessarily assure compliance with the
Americans With Disabilities Act of 1990.
Sincerely,
CONSTRUCTION CODES & LICENSING
.� ��
Tim D.1Narren
State Elevator Inspector
�{cE-2)
�. Julkowski, Ronald, BO, City of Fridley
Ability Solutions - -
This information can be provided to you in altemative formats (Braille, large print or audio). ElFormCE2R
An Equal Opportunity Employer