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AF - 45795� City of Fridley, Minn.. � BUILDING PERMIT xo 42�8 Date: .....--!_ � �_---��._--- �� -- - �."'_�......"._.._.._.. _. __._._ A � Owner: _............ Builder .��'%�...._•-•_..---__..._.._....:._..._.. .._._._...._. - Gt�� [�� . LOCATI OF BUILDING No. -�---�.�.� Street _ ...... .._�. . .... _......... �-�--....._ .............. Pax't of Lot ....._............._............._......_..._ ..._.__.. .. Lot ....._ .%..�...------....... Block --.--------,--- ................. .......... Addition or Sub-Division :�,�.,Z�_-�-----._._....----• __._ Carner I.ot ......-� ........................... Inside Lot ...�.........._......._........ Setback ..�.�.�-•----.. Sideyard ....-��--��-�`---.._...._............._.._..._.. Sewer IIevation ...........��!...��--.....--_--------••--------------�---. Foundation Elevation ......_�.l,�.....�L. ',1....._...._....._...._......._. _ _ � ,. . ... .... q _ 4�._. .. To be Used as: ��+u��G..�-..--__� ....... FTOIIt GL�f.��........... ��ont �� Type of Construction .................... °� f] �..J 4� B OF BUILDING .(/,�/ ( "� �j P 9 �+ f � �4 % MT/ � �� ...! .! .. � Depth �.T........� � �Height ./.....�`6� Sq. F� ....._---p----._...� � C�u. Ft �......._.... � � --��.'.� Depth :�d..�.''� Height /..�_.`.".�% 3q. F't.'.�.�.. �7 °�_�Cu. F'L �� .................................. Est. Cost.-�.�.��.�.�..�.�......°'°��To be Completed ....._...........__............._. In consideration of the issuance to me of a pernut to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all pro ' ons of ordinances of the city of Fridley. R. � •�---•-----....._. . 2. . .. ._ _ . �..._.____ _ In consideration of the payment of a fee of $..�.�....._."'"..., permit is hereby granted to---•--...--.---•.---•---••----..._ ............._......._.. _..__._........_.._..---.--_...._...._......._....__.... to construct the building or addition as described above. This permit is granted u�n the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, constructian, alteration, maintenance, repair and moving of baildings within the dty limits and this permit may be revoked at any tame upon violation of any of th provisions of said ordinances. � A _ �� Building Inspector NOTICE: This permit does not eovar the wnstrueHon, inalallatioe for wiring, plumbi�, gas healu�g, sewer or water. B� wro fo a� the Building Inspeetor for separate permits for these kems. 4=� �� . y � F: � � ,a � , . : ., , ,��`�" ' � , ,;� � �, ' . � f.�t.�+cx ,�, ` C�r'�t.t�is �#t�t��r��v , � .. : , .. s, � ,.�►.T��,►k : �:; �.��. C Q U L T E R e . . ' . }tATTIH6 >��HI�N�liff � �� .. . .. � - - . � . . . . fARM� f�MftYi . '� qmr tors ` ± LAND SURVEYOR ��ctsMO�re, TpwpRlWr�'�M�ys � RE�l;'TEREfl UtiDER LAYf(i OF STATE OF MINNtSOTA . S1tO�C�wL , .•. ' _., �.. . ' , q„,::.. �� .. . � �� ';- � � � . � LJ�N!/D iY ORDINAN�.if OF CiTY OF MtNN[A►OLIf . , � � � . . ' , 33t9A lYMDAt,.E /►VE. 50. MtNNEAPOLIS' e. M�lVlV. . TAY4QR 4.037p . ,. � � �. � � � . � , > �, _.., _ _ *,. . ;� $utbtpor'�c CtYt�{ttc _ _ � , , V �� J ' '�ON N � � ; {��- � �= SCAL .t •'+:�7• V � �� is � ,�p�� Q� ,� ^a . `� � . .,PO„ � , � � -`� � O T �6 � �: : �(� j � � _.. � - � � _ � •�.,r � , �� - � W � � (�� . i _ � , 1 , � ' � �; � - : .� , � � �� , " ; �_ ' , ��'i` : i " � _ ��'`�� V � � �. � � � . 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' ,.. . -s ;:;, , , .. � .. f , ? ;, � � � .,, � - � , ` ,� , -.. _ ' i - � `.. x:. � . . � , , '&�'� "` . . ' . - � ' . .�_�� . � . �� . � - . . . � .. � .�. �'` ..yy : . . . .- . �, .,.� ., , -. _ . . . . .,,.. . --� o-�� .. , ._ �. "�-: `i. � :�-' za ��:: . . , .:-.�.��'�_ ,. . _. _ . - . . . . . . . . . � . 1 I `� �v � ��` ;� - � . . _ . SUBJECT City of Fridley 15 8 9 0 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � t . COMMUNITY DEVELOPMENT DIV. r � L � PROTECTIVE INSPECTION SEC. �� , '°�/ � � , l i � � ��"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPFOVED BY �---•� � �'� 612-571-3450 910-F15 8/20/80 � � JOB ADDRESS 6��g �ckory Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j,6 ]. OS'I3n311�S Trl].rCl SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Richard Van Heuveln 6979 Hickory Drive N.E. 571-8562 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. ii. Berry 6965 Hi.ckory Circle N.E. 571-2879 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Res identi_al 7 CLASS OF WORK � NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16` x 24' Addi.tion out back of dwelling 9 CHANGE OF USE FROM TO ,$TIPULATIONS 8e1 ��G SEPERlt rF��y ��a �n �o�� ,►�r�ea tE PERI�AITS R�Q{�tRED FOR 1�ry�� RFQ,� ��•CAS�t�, I�AT�W�, PLUM811VC� AND SIG�i� R�i� 8Y J,,4VW' SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 HEFiEBY 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 SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �S"1],�900 �`rJ.9rJ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VtOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PfiOVISIONS OF ANY OTHEFi STATE OR LOCAL LAW REGULATING CON- $%2„OO N�NE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE $36.00 $113.95 SIGNATUREOiCONTRACTORORAUTHORI2EDAGENT IDATEI WHEN P OPERL VALIDATED THIS IS YOUR PERMIT ��.e.�, � �!�'I ��...� t� � 4 �� "�--� � � � c�� SIGNATUREOFOWNER�IFOWNERBUILDER� �DATEI BLDG INSP � TE CTTY OF FRIDLEY • e APPLICATIOi��! F'OR RESIDEt�TIAL E�UILDIPdG PCRMITS (Pdew, �lter�tions, Addii;ions, o� Re�airs.) .-� � Ot�!tdER: � C I �� '� t� �(,�\Jfi C l� AUDRESS: , ? ��/ 7� /!'�.�C% ' ,�, �1�� TELNQ: �"e'�—r��: � . . �,�7� STREET NO: � '� BUILDER: �`� • �c? f h°G � � ADQRESS: � � G� � � �= . . , � , TEL td0: .� %�/�- �-� � �'� � Constructic,n l.ocation STRFLT: � i i f` ?�C C'� �a o LOT : R� I BLOCK : � ADDITION : �" � �`'��-� °A°�. � / G'j / A'--(� Corner Lot: Inside Lot: t---� Setback: Sideyards: ApPlicant at�ach to this form i.�wo Certificates of 5u'rvey of lot- and proposecl.building location drawn on certificates to scale. ' �� DESCRIPTIOtd OF CONSTRUCTTQN � � i A� � ��, ��%� Front: - � � Depth: v�� Iieight: ` � �qua�e. Eeets � e � Citbic Feet:�� -- -_� �. - Fr:, aL: - I'r,:ptli: Heiglit: -------�— ----- Square- Feet: Cubic F'eet: ,/ � 11 �t�t�. c� Type of Construction: �� °��C � ��a �� stim;i�ted Cost: $ �- ;1�� 7[b Be Cbmpleted: / �'— � . ��-- .. _ �lt. A� Alt. B Prop�sec? Drive�+;ay Width if New Opening Is Desired: $' $ 3EE REVEP.SE SIDE OF SiiEET ' �e undersigned herebp makes agplication for a permit for the �rk�herein specifiea, agreeinq to d+� all work in strir.t accordance with the City of Fridley Ordinances and rulings of tYie Departmeiit of Buildings, and hexeby declares that all the fa�ts and representations stated in this agplication ar�e ta;u�" and correct. e� � � vATE: � -- � j — � � srcrrATV�: Sti�ult�tions: � p�S� �a.00 p � � .c� �° �. � t13.�� : s f��e°` K,�`��-�-�� - .• . BUILDI(JG PER��1JT FCk SCHEDU�F'� . SrCTI01� 2. The Znspector. ot 13uilclin<t� �h� ).�., bef-orr: i.c: ,uincJ peL�nits for i:he execL•ion r3t any buil.dJ_ny or :,truct:uzo, or for aily addi.tian L-o ariy a•r.i.:,tine� k�ui�c3inq nr st•rucL-us:e, cis- for any �zli:eratio�l ar re��aizs L•o •a��y e�.i�i:lI1Cj }�tI).�_f.�:�.71Cj or sLructure, upa1� a}�l�lication l:hezcioze, requi.re thc payment' by tlie ap�l.i.c��nt �or. :i11C11 prr.mit o£ fees to. tlae amount herein be].ow �eL- forth ancl in '�iic manne� hc:x�ein provided i:o-r�it: � �-°-1�r:YJ CONSTnUCTiON: Single �amily IIomes anci Ga�ages : J9 . 00/]., 000 cubic ieci:. - � � ` " ' " "- PLi1i� CIiLCY.: 25 Percent of bui.ldinc� pexma.t tee. . DR1:VL'�dAY DEPRL•'SSYOt1: (Concrete, C�.irb Si:reei.s Only) � � Ali.err.��i:e 1�: Removal and rep)_acGment oL concrete cuxb and gui:ter only; Driveway width plus 6 iee�: x�:�,�,75 A1:.ernaL-e B: Fvemo�a]. �!.r.c� zeplacement of concxete eurb and gutter aiad instalJ. a 3 �oot wicie approach. with �� 6�.nl.h deptii� Dr_'i.veway width �plus G feet x$17.85 AnDI.T IONAL I NFQ3�1�T I ON I'ox the purpose of compu�ing iees for building permits, the cubicaJ. contents af any bui].da.ng or addition, is d^i:ermined by multiply�i.i�g i:lze ground area cover.ed fr_om a }�o�.nt si}: (6) inches b�iaw the f.loor line of th� basement or the cellar L-o ttic avr:r.ag� hei_qhts af •�Yie upper surface or to the aveiage height of the roaf surface of �-.he r,iai.n gaL�le of a pitched rooi'. � �'ox repairs or a�terations Lo an existing s'tructure, the fee shal.l be at i�re rate ai $3.00 x:Er eacll five hundred dollars -($500.00} or fraction t;hereof i.n tlie cost af all Froposed work. . . • � Ir_ •no case shal.l f:Jie iee charged for any permit as set fozth �n 5eci:iori 2 b� less � ti�an �7..5�3 pies Y,�� s�;=� �-::a.�r.a<��e- - - -- �EPiF1C A0�1 OF FOU. D�TIQiJ IVOTE: i�ermits yor constru.:4ion will be issu�d a minimtnn o� 7.4 hours from �t1ie tame ai a�plieatzon to al�ow for proper review of the pr.opased structure .and of i:he con�trexction site. ' 1`� GArii�ficate of uurvey of the lot, showing the loca�?on o� the foundation once �.� . has bee:� coi:stnic��ed will be reqttired before pr.oceeding wifih the framing. CtRT I F I CATE OF �OCG.SIP C Apx�Iicafi.ion for a Certificate of �Oc�upancy shal]. bE mad.e ten (10) days pri.ar to the usc or GCCU1�3riCj� o� any st-ructure for whiclz a builcling perniit l�as been a.ssued; and �a.i�: str.ticLUre siial.l not be usec3 or occupied unti.]. a Certif:icate ci Occupar.cy has l��aeaa issued. � ' g ,. Y � � �� o � � �� , �� . �� _�q-� 1 ) � ; � � (.� � �l � �� 1 O � �(�. 1 ' V � # . s .. , � c. � � \ � � O _ � O Q� �8 � '^\ � � V �1 � " (� � (� "i'� C�t � � �• � �� r . � � e Q � C L �` ?� �,p� � = �� . � � � i w � c��.�i'�S�� C:Q�..�-- � ��.°� ��0[�a � � � -��'�- �� -- � - � � �� --��--� - - --�;---__----------------- ___._- ----- ----- _-_.__ � C� ------- ------- ----- - ---_ ---- - _ _ - --- --- -- _-______ �__ -- � ---- --�---_ _---- ----.. � __ _ _ --- . ._ -- - �. m. �; � CITY OF FRIDLEY �y-�.� ° ' 8431 UNIVERSIT1f AVENUE N.E., FRiDLEY� MINNESOTA 55434 �4 � TELEPHONE ( 812)571-3450 , �. Auguat 1, 1983 St. Croiz Pools 13481 North 60th Street StillWater� !�i 55082 Re: Svimming Pool Construation at 6979 �ckory Drive N.E. Dear Sira: This letter is to make clear this department's requirements for the si+imming p�ol construction at the above address. 1. As indieated, one (1) skimmer approved by the National Sanitation Foundation Will be provided. 2. As indicated, three (3) inlets oP approved design Por fresh and/or repurified Water vill be provided. 3. As indicated� a main drain of approved ccnstruction vill be provided. �. Tbe Pilter and pump ahall be approved bq the N.S.F. aad be oP sufficient capacity to provide a minimum turnover of at least tWO (2) tiffies in 24 hours. This department reeommends a turnover rate of 6- 8 bours. 5. A deek oP at least tbree (3) feet vide, measured from the pool vaters edge, shall be provided Which extends completely around all private residential pools. Above ground private residential pools may be provided With decking of a minimum size oP 4 Peet by 4 feet at pool entry points and provided that euch decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstructioa. 7. Fencing or other ePfective means ineluding but not limited to Walls or buildings� aeceptable to the City, shall be provided to positively coatrol all access to public and private residential sWimming pools. Fencing shall meet the folloving criteria: (a) Tbe Pencing aball prevent tbe eatrance of ehildren and be xithout hand or foot holda that vould enable a person to elimb over it. (b) The fencing ahall be at least 6 feet high and entranoes ahall be �q�ip��d wit� se1P-closing and aelf-latching gatea capable of being loeked. (c) Self-closing and selP-latehing devices shall be placed at the top of the gate or otherWise inaceessible to amall childrea. (d) The opening betveea the bottom of tbe fence and the ground or other surPaee shall be not mere than four inches. . . �` �'St. Croiu Pools August 1, 1983 Re: 6979 Hiekorg Drive N.E. 8. An automatie ehlorinator should be proaided with a suitable test kit. 9. �11 electrieal and plumbin� installations shall be inspeeted and approved by the City Inspection Department. 10. All overhead eleetrieal lines must be a minimum of 10 feet horizontally Prom the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury said liaes. 11. The pool fill spout must be proteeted by a vacuum breaker or air-�apped. 12. Suitable safety equipment to include but not limited to a rin� buoy and rope that is 1-1/2 times the pool diameter and shepherds erook pole must be pronided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the pronisions of the Fridley City Code, Section 115, Swimmin� Pools. The building permit is approved eontingent on final inspeetions arid approval of the Gity. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sineerely, STEVEN J. OLSON, R.S. Enviro�ental Offieer SJO/mh CC: Mr. Rieh VanHeuvlen Page 2 �-- : J ., , � pf ��.� �� `� (��' Y � � , Q 1 ��v '`�°� � .�, o , �� _ n�� , �d ��1 d �..rG�� s�' �� C� �A�'" - R�� ' �� : ��av�� i ., I ; ST�f�� D' �� . �� :� �� L� r. y� ��` �`" � � � .� � n� � � � pwhc�•: R�a� VAri�►�JVt�•� G�'�� N �l�r�� on. �e- # S�%�' i'�f%1 � ��d Y �, N71M. i��.�'. ST: ��¢o� Y ��s , 13yd� N�• b�� `i r.e, wRr�',�e, D r� . � '�'3�N',g g sor1. � SUBJECT pE City of Fridley - -" -� `' BU ILDING PERMIT ° � �os3 AT THE TOP OF THE TWINS � - - � � � RE . � `y _____ COMMUNITY DEVELOPMENT DIV. �_ O� J� r j � PROTECTIVE INSPECTION SEC. a � � ` � � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER HEV DATE PAGE OF APPROVED BV �----� • •�, 612-571-3450 910-F15 8/10/83 � / JOB ADDRESS 6979 Sickory Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ],( ], Q3'f,IpdI! � S. TIIlrCl ACZCIl't7.0II SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ri.ch VanHeuvlen 697� Hickory Drive N.E. 571-8562 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. St. Croi.x Pools 13481 No. 60th Street, St.i.11water 439-4476 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residenti.al 7 CLASS OF WORK �O NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOFiK Construct a 36' x 18' In round Swimmi. Pool 8 CHANGEOFUSEFHOM TO STIPULATIONS See sti.pulations on letter dated August 1, 1983 by Environmental Officer. B� r��y��°'g�: �� PERMiTS REQUIRED �R i�1�1'�a 'P�` �N�, ��a�//y SEPER�� qNa SIGNS� Q://� �f'�+j.��o�� FATiNG. PIUMBING !�� i�, ��,�. �y �qsFrfjP.� �� SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED yS`],2 i SOO �S`6. 2 rj WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $9S.5O TRUCTION OR THE PERFORMANC OF CONSTRUCTION. � PLAN CHECK FEE TOTA1 E�EE� 75 � rl lJ4 Y SiGN UaE CONTRACTORORAUTMORIZEDAGENT �DATEI WHEN PROPERLY V IDATED THIS IS YOUR PERMIT ar SIGNATUiiEOFOWNERIIFOWNERBUILDERI IDATEI BLDG INSP nAT � �-- e CITY QF f(tIDLCY Effective Aug. 1, 1981 APPLIGATIOJ FOf� RCSIDEi�TI/1� I3UILDI�iG PCRi�fITS �---==-.. --__---�-� ��"��_:=_°:�_ (Wcw, Alter.itions, Additions, or Repairs) = 7 � Ot��NER: ,�i�: d� �°�� l-%� c.�q�Icr� l3UILDER: S'�. �� 1� -�''/�� -%��'6�14��F�� ADDRESS: _ l��.C�� j �%r�'G�� K: �� ,�dlq'�yIIDDRCSS: �U?'�'�� -�., /�� -_�� '- �i�61/c��, TEL A0: _ S I,0 �' �'�� TEL t10: �fa �-�i�l�'� Construction Location • ST1iI�TT NO: � STI2EET: _�4�i��Q�r_�� . �I%��. �. t � r,o��: /� si.ocx: / rwniTioN: �j`/d'i/� S c� � a� ° Corner Lot: Insicie Lot: 1/� SetbacY.: Sideyards: Ap�licant attach to tliis fozm two Certificates of S�rvey of lot and proposed building location drawn on certificates to scale. / r DE�CRIPTIO�� OF C0�•lSTP.UCTjO�� e�� Z 3 � � /� j,�� ,.-,,,,.�.---�--- � �� Frdrit: De� Height: �/ �/ Square Feet: Qibic Feet: , Front: Depth: Height: Squar.e Feet: C1,ibic I'eet: ��' ��s'"`'p � . /� Rype of Cor,,tructien: Estimated Cost: $ ��", '�1�9 Zb Be Obr.�pleted: Alt. A Alt. B Proposed Driveti�ay �9idth If Ncw Opening Is Desired: $� $ . . . S�� PEV£RSE SIDE OF SiIEET ZSie undersicned hereb�► ma};c� application for a permit fcr the �:�ork herein specified, agreein� to cb ,all wor3; in strict accordance r�ith the City of Fridley Ordinances Znd tuling� of tl�e Delk�rtynent of Buildings, an� 1�ereby declares that all tl�e iact� and represes►tZtiens stated � this app]�ac�tion are true and correct. � D.':T�: � �'� �s'r j SIGNATUI r : . �i ��,�✓ . Stipulations: . �� °��.�,�.f 3 _ �`�--�..� .,r . � �� - ; � � . S � J��'� s 9 �s- � � � �� :�v �g �� f 3 9. �s— �1--- � � • cyn -- �c� The Chief Building Offieial ahall� before issuing permits Por the erection of any building or strueture, or for anq addition to any existing building or structure or for any alteration or repairs to any esisting building or structure, upon application therefore, require the paqment by the applieant for sueh permit oP Pees to the amount herein belo� set forth and in the manner herein provided to-wit: Total 9aluation �1.00 to �500.00 #501 to $2,000.00 $2,001 to $25,000 $25,001 to �50,000 Fees �10.00 (Minimum �15.00) �10.00 Por the first $500 plus $1.50 for each additional $100 or Praetion thereof, to and ineluding $2,000 �32•50 For the first $2,000 plus �6.00 Por each additional $1,000 or Fraction thereof, to and including $25,000 �170.50 for the first $25,000 plus ��.50 for each additional $1,000 or fraetion thereof, to and ineluding $50,000 $50,001 to $100,000 �283.00 for the first $50, 000 plus �3.00 for each additional $1,000 or fraction thereof, to and including �100,000 �100,001 and up $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraetion thereoP Plan Cheak: 25 percent of building permit fee. Drivexay Depression Escrow: Concrete curb streets onlq. Alternate "A": Removal and replaeement of curb and gutter only - Driveway Width plus 6 Peet times �13.50 Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approaeh �rith 6 iaeh depth - Driveway width plus 6 feet times $15.75 9erifieatioa Of Foundation Permits for aonstruetion Will be issued a minimum of 24 hours from the time oP applieation to a11oW for proper revieW of the proposed structure and oP the construction site. A Certificate oP Survey of the lot, shoWing the location of the Poundation once it has been constructed Will be required before �roceedina With the framing. .�v`. � � SUBJECT PE , City of Fridley o 18 5 71 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � S � ECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � �L ----- , �l � �, r � � PROTECTIVE INSPECTION SEC. � � i i � �"'1 � CITV HALL FHIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'""� � �'� 612-571-3450 910-F15 7/30/86 / / JOB ADDRESS 6979 Hicko�y D�'iv� N. E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ],( ], �S'�Rd.ritS Third Addition SHEET 2 PROPERTYOWNER MAILADDHES$ 21P PHONE Rich VanHeuveln 6979 Hickoa;y Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Greco Construction Tnc. 7070 Brooklyn Boulevaxd 560-6178 4 ARCHITECTOROESIGNER MAILADDRESS ZIP PNONE LICENSENO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION �1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Basement Altera,tions 9 CHANOE OF USE FROM TO �TIPULATIONS SEPARATE PERMITS REQU(RED FOR V1dIRING, MIEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OF WORK IS SUSPENDED OR ABANDONED FOR A PEHIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S2 � OOO yS`�..00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- TRUCTI(�N OR THE PERFORMANCE OF CONSTRUCTION. $32 . SO ./�1 PLAN CHECK FEE TOTAL FEE ��-� � '=�c� � �"� " ._ $33 . 50 IGNA REOFCONTRACTORORAUTHOFIZEOAG'h`NT IDA Ei - WHEN PROPERLY V IDATED THIS IS YOUR PERMIT SiGNATUREOFOWNERUFOWNERBUIL�ERi iDATEi LOG iNSP pATE . l�'1�¢' P�1 p� �� City of Fridley Effective 4/1/86 ADDN. I � R-1 AIID R-2 pLTER. [ l Building Permit Application � � � �`� �� Construction Address: ��" � - — Legal Description: .. Owner Name & Addr ss: ��l �'��' ��v'�� Tel. # Contractor: �� C�� Tel. � � "��%� Address• lC� <� Attach to this application� a Certificate of Survey of the lot, xiLh the proposed construction draxn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: ---� DESCRIPTIOA OF IMPROYEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/G�nd Sq. Ft. �/ ��r'L,� � �'�'�J"�-�� I ��tC C'�G- /��j�L/i� l_ �l�-� i� �o�Z` ,� �tl��u� Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback �� Type of Construction: Estimated Cost: $ f Approx. Completion Date: �� /�� 2ad� Alt. A Alt B Proposed Driveway Width If NeW Opeaing Is Desired: $ $ See Back Page for Explanation DATE: � �-� / Permit Fee Plan Check State Surcharge SAC Charge Park Fee SeWer Main Charge TOTAI. STIPULATIONS: APPLICANT: � Tel. � S�lr��''� CITY IISE ONLY $ 3p .� V Fee Schedule on Reverse Side $ — 25� of Building Permit Fee $ ,�.(7� l�.5a0�1,000 Valuation $ �475 per SAC Unit � Fee Determined by Engineering $ �.�0 Agreement Necessary [] Not Neeessary [ J $ �� . � � � BIIII.DING PERMIT FEE SCHEDIILE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure� upon applicatio n therefore, require the payment by the applicant for such permit of fees to the amount herein beloW set forth and in the manner herein provided to-wit: Total Valuation a1.00 to �500.00 �501.00 to �2,000.00 . �2�001.00 to $25r000.00 �25�001.00 to �50,000.00 �+50,001.00 to �100,000.00 , . - Fees �10.00 (Minimum Fee is �15.00) , $10.00 for the first �500 plus $1.50 for each additional �100 or fraction thereof, to and including �2�000. $32.50 for the first �2,000 plus $6.00 for each additional �1,000 or fraction thereof, to and including �25,000. $170.50 for the first �25,000 plus $4.50 for each additional �1,000 or fraction thereof, to and including 350,000. $283.00 for the first �50,000 plus a3.00 for each additional �1�000 or fraction thereof, to and including �100,000. �100,001.00 and up �433.00 for the first �100�000 plus a2.50 for each additional �1�000 or fraction thereof. DRIYEHAY DEPRESSION ESCROii (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50 Alternate "B": Removal and replacement of curb and gutter and insta7.1 a 3 foot wide approach xith 6 inch depth - DriveWay width plus 6 feet times $15.75 VERIFICATION OF FOUNDATION Permits for construction �.ill be issued a minimum of 24 hours from the time of application to a11oW for proper reviex of the proposed structure and of the construction site. A Certificate of Survey of tlae 3�ty shoWing ti�e location of the foundation onee it has been constructed �aiil be reqc�3�ed before proceeding With the framing. r x � v _ �:_ . - -_ - �.�..�- _� �__-�-- �- � _ - . .. _,_ �� •_ < . MINDER. ENGINE G CO., INC. ENGI NEERS AND SURVEYORS u►NO svavev�NO 4o�1.a TEaT�Na CIVIL. �, MIJNIC1p!►L lNpINtERINd LANO PLAIJNINO 6418—SGT" AVENVE N. �/ 9 iJf IIJNEAPOI�S Tf. MINN. � �%j • �� KE 7- 3637 9'3° �C�w�a�i�� !i �er�� O ,' . - Q�� - f� ,8y' 4.,/� . I. E:��',�''s p)f� � a � �� -� �� ' ��. � f�, � f � °,� �;� � : :� SrC I• � �i✓� ~ r tf_� _��.-rOr � �'1 ' 7 �S�o�. � f� U) 1 V' ' r ' �1� N �N �� ) , yl � \� � � � v=� . � � � C� ! r � $Cd ie / �=3c� � � ` �� a , � � uf.�/,��, ,� a.Q,. •� :;-� , � � ----._—_^_.— �-I_`.._,_� , 3►� p � �T► O.� . _ �_ _ . � L. O T l ;, i� `� : °. �� % �'. ,�' �.�f°' r:' ,N' %'�!r.<7 � ,�' � �'�' / WE HERE9Y CERTIFY TNAT TN15 is A TRUE Mt0 CORRECT R�PRESENTATIOtJ OF A SURvEY OF TNE 80UNpAR1E5 OF THE �M1D ABOYE DESCRIBED AND OF 7HE IOCATION OF 11LL BUIIDINGS � IF A�1Y, THEREON , AND ALL VISlBLE ENCQOACHMENTS, IF ANY. FROM oR otu SNO LAND. � _ . AAINQ,�_Q:....F�.1�'-,!►.1�-��.►.�r...>.r.�_: �.-+�_�. , ,__ ._ . . _ _.. ..., , - ,�.�. , _ = s - � ,,,. � � �. _..... .,�_s,.� ,. ,,.�,_ _.. . ,, . , c K � D m -' � � 0 �� . o ui m j N � � o � 3 � Q O O N � a (Q n � a � �- -w � � N � � � � m � � � � � 0 � � m Z � � rn C) � O Z m m � N � _ � m � -� � 0 n m � � L n < m --i 7C °- c �—" W � v � rn a � n m -�-� D �p n � � < � m � � ► � n � w -=-I m�, � p) � Q � � tD Z v z 0 � � a� � � � m � � :�1 � tfl � N L1 _ � Z � � 0 �1 � N � \ � o � < �• �, w N 7 o a �N -a � �_ ai � � � O 0 � O � -a �' D � r � c � m � cci m � � (./'1 �� Q� i o ��- �� c � � -, � a� n � z 3 .� _ -D � N � z 0 m� 0 � � O o � C � l�D O � D �; � uo � � A � m o °'. -t O � � o � i�- � -� O Z D C7 3 D n 0 � n O � � � i D v� m N � N v m � � N � w � cfl m � � t� � o -o o° o° � � � � � `�1 r , I � -n ao --� z � � m � � .O Z = O � � � � c � � _ o � n � � n � O � � � � cD � n � �D "'r � � N � � � n, � z � � o = �o w �� _ � � O �' � C � � v � o m v --��. � � � � � m � � � Z O . � � e.l� \ J � N c � N O ,' Ul � � � � m -°-• a v �D � Z � � � m N �. A� � I � Q °"?�c ° � C .,: 0 3 � S C�„y, � � oo � o � � _7�" c � Op � � � m �. � � � � o p � o° °o ?: m � � � o D � r c v � -° � � j � �D N N � � m � o Q � ¢: s � v7 N W�� • � a �� m � o �D a � � �- vo 3 N: su � � o" a� � o c�u a � � N fj' Q .� � o � � �. � (D ,n� �.l 4�1 .6 S31 O n � � c � O O n n-� � � m �Y °' �` �D � o ,.��,. � � � m � o � � � � •, c� n m ai ,�' � � n �` 0 :� � � m � � � � v j � Q � m C� 2 m 0 C rn � O W � 0 � � � � � V v � � n N Q �� c O � T �''Zm T � � � � N < � � Z � Z � m -� n � � Z � < � � � � � C C� � �. -� O Z Z D � Z � 0.� D � � z� � � � � o� Z� Z� � �v � � �z o � v � � O n C Z � _� � D � � Z � � m O � � � c w � � V CHIIVIIVEY AND STACH VERII+ZCATION The undersigned hereby verifies that the �existing c�ey or stack: 1. . Has been cazefnlly examined _ � � .. � Yes ( �) No ( ) 2. Is free from n�st or deterioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securelY supported Yes () No () 5. Meets all current Cale requirements for size and total BTU's coffiected Yes () No () 6 Has total heating BTLT's of F� E� All other BTU's �� ..5�� TOTAL BTIJ's ��, �'� !� Has a liner been provided for wat�er h� Has combustion air been provided for water heater Remarks:� � � List ALTERATIONS Being Doae: HEATING CO: Signed By: Date: � Yes '�) No ( ) Yes (>o) No ( ) �� a�_ �� SuB�FCT P . City of Fridley ' 2 8 044 AT THE TOP OF TME TW�NS g u I L D I N� P E R M I T ' ' RE NO. � � � `y �_�� COMMUNITY DEVELQPMENT DIV. �� ` r � �� PROTECTIVE INSPECTION SEC. j � . , 0 � s �"'1 � CITY MALL FRIOIE� 5S1$2 NUMBEN pEV O�TB PAGE OF �vpaOVEO Br �----� • •,, 612-57 �-3450 siaF� s / / 9 30 98 JOB AODRESS 6979 Hlckory Drive NE t LEGAL LOT NO. 9LOCK TRACT OR AODITION SEE ATTACHED oescR. 16 1 Ostman's Third Addition SNEET 2 PFOPERTY OWNER MAIL AOORE,S$ Z�P PMONE Ken Gardner 3 CONTRACTOR MAIL ADDRESS Z�P PFIONE IICENSE NO Phillips Const Co 4632 Southmore Dr Bloomin - a ARCNITECT OR OESIGNER MAIL ADORE35 ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRE$S 21P PHONE IICENSE NO 8 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE � O REMOVE 8 DESCRIBE WORK Reroof house and garage (28 S) Tear-off 9 CHANaEOFUSEfROM TO STIPULATIONS Underlaym.ent must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED fOfi ELECTRICAI. PLUMBING, HEATINO, TYPL OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD VENTILATING Op AIR CONDITIONING. ' THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTtON 20NING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED V�1ITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANqONED FOR A PERIOD OF 120 DAYS A7 ' ANY TIME AFTER WORK IS COMMENCED. ' NO. OWLG. UNITS OFfSTREET PARKING 1 HEFiEBY CERTIFV THAT I HAVE READ ANO �XAA�1N�0 THIS APP�.ICAiION STAI�S GARAGES ANO KNOW TNE SAME TO BE TFIUE AND CORRECT. ALL PROVISiON$ OF LAW$ VALUATION SUR7AX AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILI �E CpMPLIED WITH WMETNER SPECIFIEO MEREIN Ofi NOT. THE GRANTING OF A PERMIT 2399 1. LO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLA7E OR �AMCEL TME pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STA7E OR LOCAL LAW REGULA7ING CON• TRUCTI OR TME PERFOfiMANCE OF C�NSTFUCTION %L�.. 7,rj Fire S 2. �F� — 4 P�AN CNECK FEE TOTAL FEE icense SC S�GN4TUAE 0� CON7WACTOA Op 4UTNOA� D aGENT io�rEi � WMEN PROPERI ALIOATED THIS IS YOUR PERMIT �i ' � �0--� S�GN4TUpEO�OWNEp��OWNEpBUILOEp� �OATE� � BLD �h5� � �i�tE rrEw [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: Owner Name & ��ss: CI'TY OF FRIDLEY S�1GLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Tel. # Effective 1/1/98 �� '�� Contractor: ! _ � � MN LICENSE # po a / � / � Address: � ; „ • Tel. # �� / � � �S Attach to this application, a Certificate of Survey of the S��/� lot, with the proposed construction drawn on it to scale. � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgVGround Sq. Ft. v �.,! /! ��7 , C� �: - iL . r C� �i°' ,�-t-a% - f., �v�-- Construction Type: .�`�n�+-e� � r-� Estimated Cost: $_� !' � '�.— �,� � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: -� 3 � ' %� APPLICANT: , � Tel. # � .3 � � `� �/� Permit Fee Fire Surcharge State Surcharge SAC Charge Licens� Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ . F.� Fee Schedule on Reverse Side $ � �� .001 of Permit Valuation (1/lOth%) $ � �U $.50/$1,000 Valuation $ $1000 per SAC Unit $ S. C� [7 $5.00 (State Licensed Residential Contractors) $ ' Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [] Not Necessary [ J $ �� . ��.� � A BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,(}00 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRES5ION ESCROW (Concrete Curb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minunum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing.