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AF - 45865� Caty of Fridley, Minn. BUILDING PERMIT Date: Ma.y 2, 1967 N� 921� ��_� 37s��% p�r; R� Swenson B�� Ra.y Swenson 5615 Camden Ave. No. Address Address _._.. LOCATION OF BUILDING No. 7075_ Street —�ickory Drive � � p� of Lot Lot 4 —__ Block 1 Addition or Sub-Divis�ton .___ Ostman's 3rd Addn. x 35 ` 10' Corner Lot — In�tide Lot _.._. Setback —_ Sideyard — 2 855 21 Sewer IIevation �.85 2 . 1 � � • Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling �t 45' �p.� 22 & 23�qght � 20 � � 1005 � � Front Depth H'eight .r. Sq. F't. G�. I+'t. Type of Construction Frame �� T $11, 000 _ To be Completed SEWER LOCATION 77' East of manhole WATER LOCATION (Ties to) 74.5 ' N. E. of Manhole • �1 126.5' N. W, of Ma.nhole. Should Be 67' E, of Manhole � In �deration of the isauance to me of a permit to construct the building descrlbed above I agree to do the proposed work in accordance with the descrlption above aet fo in pliance with a'll prov3aions of ordinancea oP the dty of Fridley. � � � .. $100.00 NS D In consideratfon of the payment oY a fee of $ 30. 00 ��t is hereby granted to Ray Swenson to construct the buflding or addition as described above. Thispe rmit is grantefl upon the express condition that the peraon to whom it is granted and his agents, employees and workmen, in all work done in, around and u�n se3d building, or anypar� thereof, ahall conPorm in all respects to the ordinancee� of Fridley, B?3nnesota regarding location, construct�fon, alteration, maiatenance, repair and moviug of bufldinga within the dty ]imits aad thia permit may be revoked at ar{y time upon violation of aay of the proviaions of said ordinanc�. CLARENCE BELISLE �� � NOTICE: 'Ihis perm(t do� nm eovsr ths eoamnetion, Installaltoe fer �rirlee, pluesbtne, en hsatine, mwee o� wafs�. B� wn to ies 16a Buildine Inspsetar foe separat� parmhs Por thas tlfnu. � k � w APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S -�C. BUILDER� • ADDRESS ��/� � o ADDRESS � LOCATION OF BUILDING ` �r NO.�� ,� STREET � ` � � LOT BLOCK ADDITION OR SUBDIVISION � fijrisd �� CORNER LOT INSIDE LOT � SETBACK .� S— SIDE-YARD �'� pSEWER ELEVATION S�� ��l TOP. QF F00 ING ���'�'� /�-�-u�t � Y'7 .� • �p � P `ZG't� z �� �L� %'i ? � . � -�-° Applicant attactY to this form two certificates of survey o�lot a4id proposed building location drawn on these two certificates ./a� •� ' 7�1GG� �` $� DESCIPTION OF BUILDING�� � �ry /� � �/ ► . • To be Used as: (j�� � �3 - y� -- Front Depth 1,� � Height - ��� � Sq. Ft. /���� Cu. Ft. i'�/' � ��,f' � Front - Depth Height Sq. Ft. Cu. Ft. Type of Constructio ���7�., Estimated Cost �/, � To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Qrdinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE ' �%//G� �� � %� �� SIGNATURE • � `�_ � (Schedule of Fee Costs can be founc� on the Reverse Side). f 4 � f �i` �t �� f t f r� � '� �. � /� � 't� f^ � r' /t�Y �_ ( _ / „ ,� t. �.('('.-. ,. r � .. "� ..._ . � ! ° a _ �..�' � ��.. y � d (� l .. _ � � �� , ,.°� �;` V � 1��^ � K� �..� -� � � /Y�.. i> . �,1� ,� ��,.ly '� L� � r � � � � A / 1 i e -- * - / BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any existing building;or structure, or for any alteration or repairs 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; Ur..iform Building Cod'e; Type 1,2, & 4- $1.75 for each one thousand cubic feet, or fractian thereof, in such cubical contents. Type 3& 5-$1.50 for each one thousand cubic feet. For the purpose of computing fees`�for building permits,.the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the ' roof surface of the main gable of a pitched roof. , For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each F.ive Hundred Dollars ($500.00) or fraction thereof in the cost of all proposed work. In no ca-�e shall �the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location- Area 1 or 2. � � � � ! _ . �'° \ .. -' ��\ r - 0 � < , � _ ,_. . , _ _ r ;_ . , , } _. . � �.;. �LOCK 1 ��S'[�RN S "; �HtRCy� �GQtTiClN: , _, _ __ _ ._ . _ . . : � �. �� • � �Q 7 v l�f.��l� �i2,� DrP , ,_ � ����. �C. �. �OULTER , - , su�nai�r � , � ►wn. susva,re ; �,�. � LAND SURVEYOR ��� !O/�OlIAPNIC Y/VrINO Rfi4I8T{�RBD UAIDBR 4RW8 QF STATB QR MINNBBOTA . JYDiG1A4 � 1. . � LIGL�NSSD�lY ORQINANCB OF CITr OF �liNNiAtOLif .. .'. 9300 LYhlQALE A1iE. SD. MINNE�1PfiL18 & MINN. � j - ' ' TAVLOR 4-0970 ;, � i, � ; , . �At�� ��l'� � — � � lfto� _ 100 i RoN , ; ._. _ _, — _ -- .�:� __ - �_ -_-- - - - _ - - -� . ,- _ - --- -�i ���►1..�; 1�=��� - -- .-"���_� 11ti[i%/ -�aSa.9':��1nt . o . _ r ,. 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O : : : � � � � � � o 0 0 p O O p � � 0 t� a.Q.� ' y � b G.�� ro y �V � � y a�,�� � � � O•� � d d°v� � �, �ro � f`"�D � O (y GL pd�`4 y�� �i . �y'C'1 d a� � ���� ���� p='��i �a�p �coao M ���w � a� �.� o���► �yf�DM ,e►��� .ir+ $ � � �' � '� m � �k G' D � r � � m � n _ m C m � � � � �o � � � �l � 0 4 � O O � `m � � � � � O � � �� �� � � 0� ' � ' �� �� 3 � h 0 � 0.:� �� � � � �� ' � � � � D � o. \ � , HOUSE HEATING TEST RECORD ����� , ADDRESS �� ��'� � APT. F OOR CITY SUBU � � OCCUPANT OWNER ` HEAT LOSS DATE HTG. INST. GAS CO. METE BAD SOLD BY INSTALLED �Y �%�� %� � Eleetrical Work By Gaa Line By ��— TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER `���c� G DE��_��� CONVERSION MAKE � � MAKE OF BURNER Model � �.� � ��3''.%� z%� � Model Serial �-�-4'� �,� ��,� Max. BTU Rating INPUT �C�.�� MAKE OF FURNACE Model ��-�.� �CONTROLS N THERMOSTAT __�_� Heat Plug V�nt Sfze � Valve ��°��`° KIND OF LINER,�� °�5�7E ,�, � NONE Limit �� �'����-�� DraftHood ,��T_Regularor Limlt SeMing �� Fi Iters Size Number Fan Setting ,� -�� f�-� Chimeay Loeation Inaida � Outaide Pilot Type � Chimnay Construdion Pilot Make Pilot Model �" �����= Smoke Bomb Wiring � Pllot Timing �����-� Draft ��� Test Tag L.W. Cut Off 9� or Pressure Lighting.lnst. �� Prossure � � Ps�r�ee�re�,CO � � � � � ate Tested — Input CFH �'� S� P�c'eF(t ��'�� ��mpany Testing � -� Staek Temp. �?�'"r� Pereent CO ��� Name of Tester Form 235 � � City of Fridley, Minn.. BUILDING PERMIT Date: June � 18,, 1969 p�r; _ Terry H. Micklay g�� Same Ad� 7075 Hickory Drive Ad��s Same ����� N° 10293 LOCATION OF BUILDING No. ���5 g�t Hickory Drivd p� of Lot Lot 4 _– B1ock 1 Addition or Sub-Divisian Os tma.a' s 3rd Addn . Coraer Lot _ Ina�tde Lot X . Setback Sideyard Sewer Elevation — Foundation IIevation DESCRIPTION OF BUILDIN� To be Used as: Gara�e Front �'__ Depth 25' Height 10' gq, �, 450 �, � 4500 Front Depth I�eight Sq. Ft. Cu. Ft Type of Construction - Frame �, �_$1100.00 _ To be Completed In consideration oP the isauance to me of a permft to c the proposed work 9n accordance with the description above orrlinanc�s of the dty of Frldley. . ����'/ P _' � the building described a e I agr�e to do h and in compliance ProvIsions ° of In conafderation of the payment of a fee of�.09 , germit 3a hereby granted to er �kley to canstruct the buflding or addition as described above. Thia permit is granted u�n the express condition that the person to whom it is granted and h3a agente, employees anc� worl�en, in a11 work done in, around and u�n said building, or any �art thereaf, shall conform in all reapects to the ordinances of FridleY� M9nnesota regarding la:ation, construction, alteration, maiatenance, repair and moving of bufl�ng� within the dty limits and this pernoft may be r�voked at aqy time u�n vio� ti�of any �Of the Provis�tona oP sa�d o�dinaacea, � NOTICE: flds perm(t does eof eevsr ths com�rveHee, ta�tallaHoe fe� wirtag, plvabine, en hseHeg, saw�� or wah�. B� suns to sss t6a &tildteg InspteDo� for aparab oarmils Poe �6ess thms. �s —�:� � _ AFPLICg�ION FOR BUILDING PERMIT CITY OF FgIDLEY, MINNESOTA .. � �� � OWNER �S N9ME r . ' a BUILDER S e� ��. .^ A:DDRESS "°' " pi . AUDRESS LOC�TION OF BTTILDIIVG .. N0. 'D 7 ST1�EEr .'a. oa H o+ •�J'-G , I,OT � BLOCK I ADDITION OR SIIBDIVISION V� N/:1�.Lt,� S�"� � � CORNER. LOT INSIDE LOT %'C SETBACK SIDEYAl�D -_..�� SEWER EI,EV'A`PION TOP OF FOOTING Applicant attaoh to this form Two Cextificates of Survey of Lot an,d proposed buildit� location drawn on these Certificates. DESCRIPTION OF B[TILDING To Be IIsed' A�: �.Cirm.qe , , t � �� � Front /$' Depth " ,� Heigh�t �O Square feet °Ci�� Cubic Feet '�S tr'd Front Depth Height Squa,re feet Cubic Feet Type of Construction �y'G�,{,�,� Estima.ted Cost � �( D D To Be Completed The undex�aig:ned hereby makea application for a permit for the work herein epecified, agresing to do all work in strict accordan.ce with the City of Fridley Ordi_nances and rulings of the Depar�ment of Buildin�s, and hereby declares that al1 the facts aaad repreaentations stated in this applicatior� are true and correcte • DATE L � / � � � � SiGN$TURE . ., (Schedule of Fee Costs can be fourid on the Rever�e Side,) � 1.0� _, qT , � • , r� BtTILDING PEftMIT � FEE SCH�DIII,E SECTION�Z. The Inepector of Buildings shall, before issuixig permits for the erectio�. of any building or s�ructure, or for any additi,o� to any �xistin� structure or building, or.for any alteration or repaaxs to any existing building or atructure, upon application therefore, requixe the payment by the applicant fox such perm.it of fees to the amoun�t here�n. below set forth and in the manner herein p�ovided to-wit: IIniform Build;�+.g Code: Type 1, 2, & 4-�1075 for each one thou�sand cubic feet, or fxaction thereof, in such cubical c.antents. Type 3& 5� $1.50 for each one thousand cubic feeto For the puxpoae of computi.ng feea for building permits, the cubiCal coxitente of any =building� �� addition to a uniform height• throughout hy multa.plying the �round area covered from a point six (6) inchee below the floor line of the basement or the cellax to the avexa,�e hei�ht o� the upper surface or to the avera.ge height of the roof sur�aoe of tlae ma,in gable of a pitched roo�. For repair� or altexations to an existing structure, the fee ehall be at the rate of $3.00 per each five hundred dollars ($500.00� or fraction the`reof in the cost o� all proposed work. In no case aha11 the fee chaxged for a:ny permit as set forth in Section 2 be less than $5.00. NSSSA Connection Char�es baaed on location - Area 1 or 2. r"'1 '�' � � � T l"1 INWfTR1AL /UfINLBa em wn TO►OORAPHIC MAPPiN6 N. ScAI.E 1` =40` • � �IOCK 1� f�5'TPv1AU�S �HIRC� AbUtT1�N � 70 7 v`- �-f1 GIC c�fZ� �k'. C. E. COULTER ""'�'"° . IARM BURVEr6 LAND SURVEYOR uKeewoae • ' . . REOISTERED VNDER l.AWS OF STATE OF MINN6SOTA � JYDiC1AL LIClNSED OY ORDINANC6 OF CITY OF MINNEArOL18 � 3300 LYNDALE AVE. 50. MINNEAPOLIS B. MINN. � TAYLOR 4-0970 • tRaW -� �itrurgnr'� �'ieriifu�tF � ,00 � �Utility FaSa.Y+na.nt 0 ),,�"�°'''� ��'� M, _- G°� � � � r� �C� � , ,�, �:�.� .- b, ; •; P � 0 -- L O T _ _ �4- -- -_ � N ,, �-° . . � e r�a�5� . � t � _ /, : • -- ►RoN rr � � Y r � �� �.��' �� , .� �' .��, � � � � �� � ���-� �� � ��� � . � , � `� • .� - � �RoN��''��°S•I- b1.83 - I- - •1r�RoN � ', �R=2a9.43�"`�ttcN — — — � e��a��� . ' ,,��4e�„e�� �. � ;� HICKORY DRI�/!� � �; Q,�JLFY+..� ' t,c,� o� /a ► g (o � � ���'u�...�. �t�.,Q/i.�l Clll.�u� Q��'�-�.-"=�� c�� / (I i I hereby certify that the above is a true a�4d correct plat of a survey of: � Lot Four (4}, Block One (1), OSTMAN'S THIRD ADDITION, Anoka County, Minnesota. I As�-surveyed by me this 19th day of January 1957_A. D. . . ���� • ���,-.. . Sigr�e d � . �, •. ��� �" ,..� d�. Minnesota Registration No. 2584 �� . ��, � �� , � �- �14.1 - OT't0 os�rn�N �, � � �� � _ �� _ _ sue�ecr PERMI City of Fridley 12750 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � � � RECEIPT NO. � `y _.___ COMMUNITY DEVELOPMENT DIV. r i � PROTECTIVE INSPECTION SEC. � ' i ' , /�"1 � CITY HALL FRIDLEY � 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'�"� ♦ ,�� 612-560-3450 910-F15 10/9/74 � � JOB ADDRESS 7075 Hickor Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Ostman' s 3rd Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE T. Mi.ckle 7075 Hicko Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. o Driv N E. 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILkDDRESS 21P PHONE LICENSENO. 8 USE OF BUILDING residential 7 CLASS OF WORK . ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE S DESCRIBE WORK Changing the roof 9 CHAN(iE QF USE FROM TO STIPULATIONS g�p�FtATE PERMITS REQ��i�E.t� F�� '����+���� r, H EATING, PL�1M�li�(� A�1'� ����1�°, SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, NPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIOIVING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS 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 1 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 GOVEF;NING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .�SOO. OO . SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH@ pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STF�iU TI N OR THE PERFORMANCE OF CONSTRUCTION. � S. O O � PLAN CHECK FEE TOTAL FEE v--� --�� s . 5 0 GNATUREOFCONTRA ORORAUTHORIZEDAGENT IDATE) EN PROPERLY VALI AT�E,Dp T�HIS IS YOUR PERMIT T - _� ��'��Qj C'�ri��"i�� f� — � - SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BLDG INSP �pTE ' S(a/-� S 5��1 B i° �-s,yv�__a .�!JS'-�r.�.-.'__ -�.�.,.. 0 s ." e ! AP.PLICATION FOR RESIDENTIAL, ALTERATION, OR AllDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � Y ���7 � � � /� '' � ' � � �� : � �� .��� ..,< .�` , _ �_ � ' " �' �--- — � , / ,� ' � � ' � � ' _ .c_ �� � =.1 _ � /_ NO : . %� `%S� S TREET • U LOT • BLOCK : ��9iV : �• CORIVE� LOT: INSTDE LOT: � SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. 1 '�: To Be Used As: 9 + - �� F� �ES�CRIPTION OF BUILDING .� 6 � : � �� , � ���,c��.e_o-,•�J Front : Depth : Height : Square Feet: Cubic Feet: Front: Depths Height: Square Feet; Cubic Feet: Type of Construction: �,�.� ��. Estimated Cost: $.�',��_�Q To Be Completed: The undersigned hereby makes applicatinn for a permit for the work herein speciiied, agreeing to do all work in stzict accordance wifih the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that a,ll the facts and representations stated i.n this application are true a.nd correct. G DATE: �,Z� � SIGNA7.'UItE (See Reverse Side For Additional Informa.tion.) ` � C � �l � �� �� r4 � r BUILDING PERMIT FEE SCHEDULE � S�CTION 2, The Inspector of Buildings sha11, 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 repairs to any existing building or structure, upon application therefore, requixe 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: UI�IIFORM BUILDING CODE: Type 1, 2& 4-$2.15 fox each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for each one thousand cubic feet. ' � ADDITIONAL INFORMATION . For the purpose df computing fees for building permits, the cubical conten�s of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement ox the cellax to the avexage heights of the uppex surface or �o the average.�• •height of the roof surface of the main gable of a pitched roof. For repaixs or alterations to an existing structuxe, the fee shal'1 be at the rate of $3.00 per each five hundred dollar� ($500.00) or fraction thereof in the cost of all propos�d woxk. In no case sha11 the fee charged for any permit as set forth in Section 2 be less tha� $5.00. VERIFICATION OF FOUNDATION NOTE: Pexmits for construction will be issued a mini.mum of 24 hours from the time of application, to allow.for proper review of ihe proposed structure axad of the constxuction site. A Certi�ied Survey oi' the lot, showing the location of �he foundation, once it has been constru.cted, will be required before proceeding with the fxaming. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be ma.de ten (10) days prior to the use or occupancy of any structure for which a building percnit has been issued; and said structure shall no� be used or occup3ed until a Cextificate of�Occupancy has been issued. , �- .� SU BJ ECT ��M � City of Fridley 13423 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' i � � � � • COMMUNITY DEVELOPMENT DIV. � � r � L � PROTECTIVE INSPECTION SEC. �� � � , � _ � �� �""1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE Of APPROVED BY •'�•� � �•� 812-580-3450 910-F15 3/30/76 � � JOB ADDRESS 7075 Hickory Drive N.F:. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 ]_ �S'�dI1 � S 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terrance H. Mickle 7075 Hicko Drive 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDRESS 21P PHONE LICENSENO. 6 USE OF BUILDING resident' 1 7 CLASS OF WORK 0 NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add dining room & kitchen upper level, mud raom & workshop lower leve 9 CHANGE OF USE FROM TO STIPULATIONS 1. Insulate rim joist 2, Provide truss design S�P.ERATE PERMITS REQUtRED FOf� WFRlNG; - H�ATING, PLUMB(NG AND SiQOI� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. ppd fr3IDg 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 2��. Z� 541 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 OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �`Lj�L,�OO.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �X Z.ZO 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- $1L,}. $L� STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � PLAN CHECKFEE TOTALFEE 17.04 SIGNATUREOFCONTRACTOR� U ORIZEDAGEN7 �DATEI EN PROPERLY V LID ED THIS IS YOUR PERMI J$ C • • .� 3 � � �� � zF SIGNATUREOFO ERIIFOWNERBUILDERI IDA 1 BLDG IN P p E ' � � ' °e • •A�PLICATION rOR RLSI�DL'�TIA�, ALTL'R�TION, �� . � � ' . - OR AllllITIO�'V. BUILDI\'G T'�I2I+fIT � . . . . . • .- . . . . I • °. CITY OF FRIDLiY, 1�1INNESOTA � �. . . . �� �t��y A�� k � _ _ � �C.J � , � T°� �� � �_r � �l �r,�tl. � r� � � � ' " F .• .� : �S � � ! � ��. F�i4�tl�ll� � OL�jNL'�t� S 1VAl�t� : � � A-� n�� �" � .��� � �, � �� � BUILD�R: . l°�i �L� �. /�1��10�/. v •�/ °�qo/ �,' ADDRESS: ���.� - �, ����•f1� �r�a��> ��w ADDRESS: �o,al��r�',�°- '�,���/i� ����� ��'��t�xr�?��`�a. � ��..�.� � ���a d4 �ea�,��' ,,,��= N-r�%, � • . �a��J f��?i�o� ��' , % 9?->��6°Fs . No: . �o i� �s�T o �c�rCo� Y ,��r v,� . . � . T.4T': � � � Bi�CK: � / . . ADDiTIOA :���� t � r_� _� � � � • . . . - �� � _- „_, . � .. COIiNER LOT: INSIDE LOT e,� SETBACI� o SIDL'YAItD:�� � App2ican� �t�ac�. �a fihis for� Tt10 Certifi:cates. ,f Su_ rvey.of�Lvt an3.�xoposed . bui:ldireg, �.ocation dx:swn �on these �e�rtificates. � . . _ „ ° • BESCRIPTION� OF BUILDIVG � � � � • . . a . . • � , To Be IIsed As : . � � _ . _ �. ' : ,.��, �sd`d�e��3� ���/1 d- . . ° . . .: . . .. ��ol ._ t�. �-1=���� Front:�_�/ ' Depth: � /1 � Height: � f � . - - . . . $quaice Feet: � �,/ ' Cubic. �eet; � � S �/ ' . a . • • • ...� �..., D���'`� S.:�e.��;���.eFroat:- � r.2_� __— Dept�i: // � . . Height:_ ���" � ._!'cu��� 4ulov�l� ��n� �, e . ' �_�;__ • . �� � ' � ,. . . . . Square Eeet;�� Cubi,c Feet: ,� °� �/ � • . • . . ...._.._.__ � 3j►pe oi�Constructian: � ' Estimated Cost:_$ �_���e . � � . . � i-�-�--., To• Be Crnupleted: _ �!1 e�� � � . / � ��_; . . . • . • ., • . ��� o . � . a . e . ' • . . ,. � The undersigned hereby makes applicativn• for a pernnit for the'work herein � spccifiec�, agrceing to do aZl worlc in st=ict accordance with the City of Fxidley Urdinances �nd rulings oi the Department of Buildin�s, and lier�by � � declar�s �that alI tiie facts and representations stated in tliis appiication are true and correct. ' • • . , .. � • DATE: � �� � � ' / S � � SIGN�TURE • - . � <� � ' • . ------ �' � F �-�-�- �_- . . �S�e I�evers� Side For Additional Information.)' � • ' �' • � - . .S/�P�e f�J7'o�t� � • , � . . �i S� ,1'6 = �? F. sl � � . ' � �� � r.� su �,q-� . . 2r.h :�� sr- , - /, g� � � � � • • 3, -z 8' • . � � � p,P� d� �� �eu. ss a�s� G ..,1 - • ' .� . � y . � � �� � - � 5�. 8 y !��-c - • � • . . . o � .��i�.a�c�� .. - sa � X y yo � � ,y , • , • � • ' - . .. . ���. B • , . • _ � • • . .�, � � � • BU1Lll1Nl; 1�.L•lt�ill i�L•L �i+f1L'LULG -� , • . �. � ' � � •� I , , , . . . . � � S�CTIOt+] 2. Tlic Inspector oi Buildinss shall, beiore issuing permits for �he i excceion .af any building or structurc, ox fox any lddition to any existing . ; bvildin� or stxuctuxe, or for any alteration.or repairs to any cxisting ; building or strucCure, upon app�ication therciore, requirc the payment by the ; applicant ioic such pennit of fees to the a�rount herein below set forth and in � . the mannen c�rein provided to-wit: � . . , . � � � . � � . UNIrO1ZM RUILDII�G COD�: �.`ype 1, 2& 4-$2.15 fox each one thousand cubic �' . ieet, ar iraction thereof, in such cubical �ontents. 1 j►pe 3& 5-$1.85 fo� •' • � i each�one thousand cubic feet. � - •• ' ! � . • . . . • • � • . ; i • . ' . ADDITIONAL INFORI�fATION •� f , � . - . , � . ' � • � • ! � .For fhe purpose �f-::omputing fees for building permits, the cubical contents '• -' of any building or addition, is detexmined by multiplying•the ground area ,; . covexed from a point si.�t (6) inches below the flo�r line of the basement • E .� ox the cel7.ar ta the average heights of.the upper surface ar to the average � ;� height of the•roof surface of the main gable of a pitched roof. � ' E • s • ' � . . j • t Fox repairs.or alterations to�an existing structure, the fee shall be at tlie .; • rare of $3.00 per each five hundred�dollaxs ($500.00) or fraction thereof ia . � � �. the cost of al�. p�:oposed work. ° . _ • ; . k , - . . . , ��� 7si no case shall the fee charged for any permit as set forth i.n Section 2 be • .; ' less than $5.00. . •_ � � , " . .. ' � .. , , > . . , , - ' . . .. . i . , . , . . . . , ; � � VERIFICATION OF'FOUNDATION � � � ; . . . . .`. � . .� � hOT$: Permits fox construction wa.11 be issued.a minim�m of 24 hours €rom the ;� tisne of application, to allo�a for proper reviet� of the proposed strucfure and, � _ • of the construction site. . • � .. . A Certified Survep �f�the lot, showing the location of the faundation, once it � has been constructed, will be required before pxoceedin� caith the framirig. � . � . � . . CERTIrICATE OF�OCCUPANCY ' . ,� Applieation for a Certiiicate of Occupancy shall be made ten (10) days pxior : to tlie use ox occupancy of any stxucture for which a building germit has beea . � issued; and said structure shall not be used or occupied until a Certifa.cate ' • • mf Occu�sancy has vecn issucd. . . . . ' ' ' "• � �. � ' � � . � • • • ' _ . 's • ; . • . ; z. . - , � • • . . . � . , . . . ' • . , . - �. • . • � r� � `� . a 7 '� N O U � v ti � c a .. �o ;n _ a ? � U � O J C O 0 J . 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M-`� � �I l �°_��c.s`�-v� � �`�► � � �+ ��Ge� ��� 5'�-�0 S /�' oc� �u.—�-� � _ f�iJJiD� �A�a,e � FpR p�; � �NSPECTIONS. ��� ��Sp�tions o� alt trades �quired pr�or to occupancY � Builditn¢. iHIS PLAN MUST �BE MAINTAINED AND ACCESSIBLE ON THE CONSTRUCTlON SITE. �. v��� _ 02 r�(�. /. OS •3� 11. o0 ____--- - i��� r, :��� . .. � �, ,� 3 : • � 7 � I� , � �S^ �-� Sk��-�r 1� i6 fG/d L r�"--. . 5� �s- � �a�� ����. ��`r f I �oo�;�' n � '1 I t c:ALL FOR ALL < �rvaNk.0 ► IuiVa. Flt�al inspections af all trades required prior to oc�up�nc� ot Buiidiing. / . i _ �,� F� 7�U.55�S - .+r . �� , _ � /� � 5�.�.�f- !20 « � ��� � ��� --r'�S�C�----��o� - � THIS Pt-AN MUST j BE CESSIBLE ON TH AC CpNSTRUCTION SITE. ______�---- , ��� ��'��-� w ` �g � Ti �: , EXT$RIpR ENVELOPE AVERAGE "U" COMPUTATION t �' , ,/ � � !6 �Wi�TER: : , � � ., �_ F� si 1,�� �` • .��a � � . �/ � a�,� _� SITE ADDRESS : �� �� ��f P ��' ��y� �Pi• " � �j�. r . � CONTRACTOR: Yage 1 oz 4 DATE ��� � r. •" � �'��. �. PHONE : _ .�,�I ,� �' � 1�L._. .... �tesati.ne worki.ng square faotage of each � _� l.. Total exposed wall area e e. e e o �' ,� � sq. ft e x .17 ��,,�',.-., � 2. Toal rcaf/ceiling area o 0 0. o._ .� �'- � scg o�t e x � 05 = /� Tbtal exposed wa],1 area above £].00r = ���; _. a. Tatal �a31 window area...oeoe000,oaOe.a..00eOOeO..o.... • b. Total.daor:a�ea ...e......eo..oe°oee..°eo....e.00...o.e c. Tota7. sl3ding glass door axea ..eoeooeoe.00Oe...�.�ep.e C�.. .�'t��a � 17 • y+ �ca�.+.�cr.�--i.Ca eoo.o.seooeaae.e.eae000.•.�•.,m e. To�a]..wall framing area (average 10�.)e..�...,..ee.o�... f. Total rim joist area o.oee°e.eeo..eOOe....o..m.so.�...e � g- r.�s t wa3,l area above f loor . o o e e o a.. e e e a e.... o.. � h. �d— wa7.l area above floor.eee.veee°a..Oe<oe.o.00... i• /,� wal]. area above flooremo°e.ee.°opo.oBOeOCp;.,.. • j. �� wa7,l area ahove fl�roovooe°o.om.oOeeep.00OeO.e � �. . �� /�!r/� f?f i�. _ -- �Ei°s/��+A � . �� � ���. - - �� � - _�� � �����F� Tota]. exposed foundation area = �� � k. Total founclation windoc� area. o o e o � . e . a . . . . e , e . e e . . . . . . . , �y ���� l. Total net foundation area above grade Doeeesome..,...: ��__ • r � � � Determine "U" valu� of each wall segmen� (e.g. window, door, each sepaxate �aa�I� section) `� . 8. �� $ °un •1�� = , �n�P � �1. �j � a n _„ �a . �� x . � %� ����� C. ,���ea`�6?� � X °iT° = . CI. F�� � en.� f'� i( °tJ° s e. _ ��- �° X����� � G� � � . f . ,�� !� r� � � _ X "U" � . � . ` q, � � x ��II�� e �a_�.� _ � � h. l� �� X nUn r�s� \ � 1. `=� � � iC nUn � �i �i �'� — j . ��� �� �" � � g ��U�� _ k., � P 6, o'�%,� g o(J�� - - `�,�;. ' r% a � �,/ �, �?' �_'� � � `� = � -r � 3 4 If item �3 is the �ame as, or less than item �I, you �have met the i.ntent of � SBC 6006 (c) 2. 1. � - g ���., ,� � _ . �� l R A 3. ...•...••.•......•........... Total _� _ .. �',f.�o� e ncterior Envelope Average "U" Compu�ation s 1 ' . e" � Page 2 of 4 ;� . Total exposed roof/ceiling area = � � �, m. Total skylight area ...... . ................... /I,ac� `m . n. Total roof/ceiling framing•area (average 10�)... ,�r� o. Total net insulated roof/ceiling area........... ��'� Determine "U" value for each roof/ceiling s.egment �- /�r,�G�.n F- �C nUn _ �,��e .. - n-� �fi g uU�� er�� ° �r � - �� • - o. � � � g njj�� �f' �' �� • " o l? i ��- • � /P ('' � E 4........e.e..o..o..e....... Total = �'A� � � If total of #4 is the same as, or less than #2, you have met the intent of - SBC 6006 :(c) 1 e Altexnate Building Envelope Design � � To utilize the total envelope system method, the values established�by the sum of items #3 and #4 sha.11 not be greater than the siun of iteaus �l and #2. �. ].o /2 S + 2p r� s ( '� �% - a. 1 r� + 4e �Y = / 3� .. . n CJ � � . .. . - , � • WALL._SECTIONS ' NOT�: Use 10� of opaque wall area for : : � frame construction� ' FIG. �l � � ,' -� c� . y �', �i1 • � '. .FSG. �3 F,RAt7E i�AT•T• y«',` R .� � � e � � ` +�. ,-�o _ s. � . . . � �• . � r` � = • -! - • � t; ' � •e < Page 3 of 4 Construction . R-Value le Interior air film � 0.68 2. G,�� �� �-�x e �na d �� � 3 " —,� � � r •�`f-k� � • � �, �.� , o i� 4 . ��: � � �, � � .� � ������`�, , �,-,�, � �D . 5, d�,�� y�,�q „ �1-=�r±)�-,� ��e�� �� /r��� i� , 6. Exter3�rr ais. film 0.17 , �' Total ,� � � �, � c� � % = ./� . � le interior air film ' � E 0.68 �o � ^° ��� ! � , �. �� � �, p ,, ��� � �� i ' � � � r q� ,A,/ �° °�`- �, � � '� 3• .w�r) �ti1��L�_ I I�>'-G��.''��d�b1nr�r����9V� ��fA� i�o �°'d�� � �CJ�,.��� ���� ' � . ��., � Se l�,� �� �� �" ���`�� "s,� ` _i i �. ,1 v � � � 6e Exterior aix fi,lm . ` A.17 � Total C = /5.�� J � . ; �-= y,� - . �� ��� . J .o .� . ' � . �� :.; le Interior air film a.68 �� � 2 e '� � i 3 ° . �. � r 4 e ' °� • • . 5 e - �, ., ! 6e Exterior air film 0.17 ' � Total -t7 .. ; . �-1��_ ._ . � •� . , �� c-� ��� r� "�7 o r� c.�.> �9�� �-_ u' ! 1 o Interior air film � - 0. � � '� � 2e �S`° �a�r�t�f°�� � (�� �� �P � .. . -. . ; � I � 3e �e a 5. � , � 6. Exterior air film 0.17 � _ �C% _ •�a�� . _ Totab � ���1'� � � . ' � ° .'r . 6 . . r • � 4 : L ' --�1�.��� k ' � ' � ' ' .• a � � , -� -- ,�/."�' • ~ , e � � . ♦ ' � �� • /�' r . , � � �� � � • • j,' � t f • �� � l�i • .� , icl : ' . ' ' • / ..... � � 1 � ` ' •' i� i FI6. #�4 ""' ' • ' - � � �(( � t� -. p .� ��� • ' , . . � — . . �`i�r ..._- � . � . ' �Cf // ( � 1 f � � __ -= . i�� � . % � � . NOZ"r'.: Indicate tyoe. "�" 'value, depth and t�lacer:ie„t .,f ;.,�..,....� _-- � :t d - -� . :� + ROOF/CEILIN6 ' tr r f y ,..� . . _ �/G� , . • ��'^;."a' �� (—i � 1 �: � Page 4 of 4 . . Canstruction R-Value l. Interior air film . 0.61 2. ��s' `� �� -�,, �����y�d ��:>d>���� R ��� � .? � �. � ` • • � � � ��4� . --- .;�° i , Z . . 2 . - • � . . � . ... :.. . . Ver►ted �Ieat f low 1�,, � � . �l . � ' . . up � � �o��� � � • �. � . . �°� , . • _ . � �� r �°iY����, Q��1 - . � • ' � • � ' . . d�R� FIG. �5 � � �°� . _ . . �-"� ��, , ' ' �. . `. a e .. � i e ��� � . . . � � . '. � ; � � . . . x. Interior air film ' 0.61 o.�a.el:'.�%/_' �,"1D�=''•1 �'�?�L1�J•Py.nf.`.'.�sJ:4�.,ttiAfat .. 2. � - _. ..�.��=r.. _ ' �. � 3 . . . , � �e Exterior air film (still) 0.61 � � • �'� . TQtal ? a� � . ,_ l : � � _ I �f I - . � : �._.... . . � - - . . . r- :: � . . - , .. .1 2 . 3 . 4- .� - .� � . .� � . . H�az floc� vp • � e,�, ;-vented I • � � . • -r . . . . � M . .. _ FIr. .�5.�.. '. . . �. ' . ' . - � . _ • . �-•� :. � • l. Inside air film 0.61 - • . . _— -- --- • ------- ------_-= - 3 . � �� ;� � 5 . �; � 3 . .�� � _ . .. ' � �-et.°���s.� ;'�"_:� � I , 4 . � .��4tLR?--°�=r� ., .. . , � . � ��- �.�, „nsc�3.�;•�'s`�"• '�.•� 5. Outside air film 0.17 � .,, � � q • •�:?: —�, ;—� ; ;�; . . • • • . . , �-�;s%:'- • Z'. �; i� - '�i�/" / . ' � - TOtal ' :.--.�/- ��� . �.� � �` • � .� � Note: Use additional sheets if more space is �:�� - needed for details and calculations � � 1 � . _� � . . �,� • . T . T_ • _ : j . � : ' , . . _ 2�0:. VI'.2�'.T�'...D� . . . , � . • . .. , o - � . . ' � Hea� - �• � � • ,.. . ; • • ' flow u� - „ - • ' ' , ; � . . . . • _.; • • ,. . . _ . F'.T.G. t�7 ' • • ' • • " . . �,� r ..rp -t �n�� ..��'�.{.�` �'e .� - r ra_7i �;'.._ ., � 4 f `C � �� o � � r. �� ,. . . � � � < �,� _.�., , � . - �KOnanir�.�...�- '� ,� r -- "'`'� i�fi . �.�? �.:.�t/�IM:iL a - : n � ,,,s C6TY LOTe -�' � 70!'Q01111r/11{.' IiU1}M/Ilf� - ". � i ,�£�?� k'�„.�i .`��� � ', - y �: � _. . . .. c �.�„�l'.:��. PA:4: � �� ,�� ? ";::� <e� a-> : � �P y� � t, _ ��' � ���� ._..� t,:.3�„i.l�-. `I��.,C,�x ��4+Bht�`i_ � 8 �T � � +`��� C.-_ E �. .GC'1 U LT E R ,� '� ��� ��� .� �� g �� G4 ' -� a+d",s�e _. . t �., y1 4 �.� .� � F �� , � *, � LAM� SURVEYOR' ` , '� r,. , � , � , ^�. • - .. r�u•: •-: 5 �-.� ,' RtQli�eilBa UNDER LIIWS;OR 6TATE�OP MINNRaOTA �`' �ir �:,;,, � r�,'�;+�,.L[CiNf6D �,CHlOtNA[iCt �¢�° CRT OF MNfMfAlOLli . � , . � . ��_.-' �`F 8300 LYNDALE AV�" SOF�.i: �: MINNEAPOLIS 8. MINAt.�`y ` S '� .a�. �'i� 1' � , i'��f�OFi �v3�� ,� ' �+ ; }"-Y` Sw- �.; ,,,� . . 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Z•a .25 ffif "��"•+� �,.: 0 � � y. s �- �{ � As., surve��er� �b��m+�` fi�is 4I9t1� day of Jan�uary 1.957 R��_D � :;� ����-�� �Fk i_ i.E�� .��-" �. a ' ¢! qt ' .'¢� �� �..�..s'y' 1g�-� as' 1. j� � 'h � � .b � $w :dG '�1 . "�, �Y "���yi:� �'��} t jd ' S i .� �ar�i �°�� � `i�'��� � P L 1 � � �^��" . t ` � . � g �"!�'{ 5.- � Fj" �1 `d`�, � , F .`?°; . 4��` ^ . `L �•� Yk L •kuf'r� �a°_ � � :� I ; �; .+� . '� . A 6� ' . .y�4 .f. �Y3i �, A e ��" :. '� ' � '� �. .F * , .� �,"'�r-��4y � S` / �`�' %� �;� r:�� v� c� i ►I �' � � �`� " _ �. , ':� � ,. � ;. sig�e a s. , .x � • a ��� �� �,�;:�7 �;< t � , " � �b ;:�;Mianeso°ka Ragi,stra�ion Nc,� .?,� �i ; � : �}S'`3[ .5... �^ S . .' Jt . . . 4 � . - �` d�� �Y° , j": y � )� .� }l'. • �.�,� -n+. _ . � � _yy� 8a � �_ P�„ �• . , -1 . ' . 1 � y�. � _" � . . e' "� . 7 e .., yy 8. . � '' � �~ . �. r ,c. . _ .0 ��` t «� `a � k � 7� � . �� � . .G� ` .1 � —d �'� • . � i I j � ��. • A �i Y� ,q' i'. %r. .a '; �Y f� � : � 1 p ' � . � � �. . � , �. �.z'"` . 1} - - . , a . ��-S� i. .. Y - , F i �*l n �"�4 �3� �Q'�� -�;4 �3_� :y q,;,.�0�1 ' R '- .I �Y 1 - . . . , . .. . � \�� t � l `E` .. Y': ' ,- '. 4 J f., ��.� � �� � �� x�� ��1 .' - r..� . � 5 . „� . � c$ &' �, . �-e�. y . � . ' ,:._ �� I ejv. .J �.1 y ,... 'R �i . .�'. - jj ,s ; S .� }� � +�'�'�!crN� i �r� ��' g� { L j, ! � y� N C_ 4 , ;%': _ ,.. . �-.`" y ., .�_� - „ ��'.-c. 9 � ,�w r � k .t�'� 4 - �,.,y � s» � .ts� - ,- A� . �..-+ 1 ; ^ �2, . ^ : ,. �� �.i a� � s � _� ��ft �Y �, � � y `�;y� _ .' �- . �•��' �.. .. . . - � . ' �a.. ,� � �D 1 `� p ai! '�. . � �.-v ..i .. � .. '� -, .-�nt�n:i "— c�YT�I.... os`c'�viA%t> �: - ' _ a�� 3 :.-��P �'. � ..�. ; , � � � �-��"`�,�'�^ ` ' � ; �� ,�� �_-. .'1 i �1 sue�ecr PERMIT City of Fridley 355 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • � � � R CEIPT NO � ; y __�� COMMUNITY DEVELOPMENT DIV. r � � � PFiOTECTIVE INSPECTION SEC. � � 1 � � � �'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'�"� ♦ ,�� 812-580-3450 910-F15 5/28/76 � � JOB ADDRESS 7075 FIickory Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4, 1 Ostmans Third Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terrance H. Mickle 7075 Hi.cko `' e 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. er Ci 4 ARC TECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUIIDING 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Construct 16' x 32' ool. 8 CHANGE OF USE FROM TO STIPULATIONS Pool - Pool lmust comply with the City and Sta.te Code. SEPARATE PERMITS ARE REOUIRED 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 S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEHIOD 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ��..00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAqGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONST CTION. ].Z.00 _, /„/�,.. r PLAN CHECK FEE TOTAL FEE �/ %// // � � v a ds �,cg �l 5 �% z SIGNATUHEOFCONTRACTORORAUTNORIZEDAGENT �DATE WHEN PROPERLY VALIDATED TH S IS YOUR PERM T �J� O�e..� .,� Z � SIGNATUREOFOWNER(IFOWNERBUILDERI IDATEI BLDG iNSP D 7E � . API'LIC/1TION I�OR RLSTI)L'NTIAL, Al.'T1iItATION, OR /il)1)ITION 13UILllING I'LRAZIT • CITY OF. FRIUI.�Y, MINNLSOTA O� . . 2.r,..�� � .� OWNER'S NAME: �� c BUILD�It; . Anniu:ss : 7� 7S � c � r ADDRESS : S��- a 9a / . P N�:. �� i � r , � s�rx��T•_ � �� �,� � �, � a � � o�-� _ r A — LOT : BLOCK : % � ADDiT20N :-=�f� � � � f G2_. ,�_� COP.N�R LOT : INS IDF LOT : � SETEACK : SID�Y,E1r.D : Appli.cant attach to this form �ao Certificatcs of SurveY of Lo� and proposed building locati.on dra�an on these Certi�icai:es. . DESCRIPTION Or BUILDING To Be Used As: � o e� � Fxont : !� Depth a v-� vZ / Hei.ght : � � Square I'eet: Cubic �eet: Fxont: Deptht � Height: Square Fee�; Cubic reet: Type of Construction: EstimaL-ed Cast:_ $�O���O� To Be Completed: ���� /.S'� The undersigned �hexeby malces applicatinn for a pe�nit fox the work hexein �' specified, agreeing to do all woxk a.i� st'ri.ct accordance �aith the City of. Fri.dley Ordinauces and rulings of the Department o� Buildings, and hereby declares that all the fac�s and repxesentations stated in rhis appli.cation are txue and corxect. � . t , � DIATE : ..� f SIGNATUR� • � (See Reverse Side For Addi.tional Infarmationo) ��•d� x Z� = ��.dv �"��''t`T SD¢�dov ti. /. Q C1 SaQ 4s�'E �` . _ � /,3 . O 8 �'p T�4 C� 0 . � . � • . ,` . , . . .. . . . . �'�► , �BUILDING PERI+ZIT I��� SC11L'llULL SECTION 2. The Inspcctor of Luildings shall, before issuing permits for the erec�ion of any btiildin� or structure, or for an}► addition to any exisL•in� building or structure, or for any alteration or repairs Co any e�:isting buildin� or strucLure, upon application lhercfore, require tlie payment by tlie applicant for such pennit of i'ces to the amount herein bel�ow set iorth and in the manner herein provided to-wit: UNIFOI'.M EUILDING COD�: Z�pe 1, 2& 4-$2.15 fox each one thousand cubic ieet, �ox £raction L•l�ereof, in such cubical contents. �pe 3& 5-$1.85 for each one thousand cubic feet. ' � ADIIITIONAL INFORA�IATION Fox the puxpose of computing fees fox building permits, the cubical conte..�s of any building or addition, is determined by multiplying the gxound area covexed fxom a point •siY (6) inclies belo�a the floor line of the basement ox the cellar to the average heights of the upper suriace or to the average. �heighL of the rooi surface of the main gable of a pitched xoof. ; � For repairs ox alterations to an existing stxucture, the fee shall be at the rate o� $3.00 per each five hundred dollars�„($500.Q0) or fxaction thereof ir�;;� . the cost of all pxoposed woxk. _ . ` "�. �n no case sh311 the fee charged fox any permit as se� foxth in Section 2 be less than $5.00. VERI�ICATION OF FOUNDATION N07.'E: Pexmits for construction �ai1Z be issued a minimum of 24 hours fxom the ti.m.e oi application, to allo�a for proper review of the pxoposed stxucture and �f the constzuction site. , � � A Cextiiied Survey of the lot, showing the location ot the foundation, once it .has been constxucted, will be required before proceeding t•rith the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use ox occupancy of any structure for which a building pexinit has been . issu�a; and said structure shall not be used or occupi.ed until a Certificate of Occupancy has becn issued. � z - '. � � � -� e. P ' � �` �; �� � F��V l��r :, �.'� r � �s _ T � r �_. , ._... �/� �. _ `_��� �.' ��; % �' � �, � �' �;� `�4�',��C�i ��'* ���,; �;' �,,�, ,� ,• > . _. ,� y. . �,��'' June 1, 1976 � ,� ;f� .y"�� s' ,�� �'! r � � .y C = �ka; ::. �R}p �. �� � ' . C .,,.,�,, �� _ 6431 UPdI1/ERSITY AVEPIUE PJ.E., FRIDLEY, PJIINRO�SOTA 5543a TELEPMOfVE ( 612)571-3450 Mr. Terrance H. Mickley 7075 Hickory Drive N.E. Fridley, Mn. 55432 Re: Swimming Pool at 7075 Hickory Drive N.E. Dear Mr. Mickley: This letter is to reiterate our conversation of June l, 1976 and to make clear this departments requis�ements for the swimming pool cons.truction at the above address. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Q��o�uripN � r � z i� -� m 3 �� �� � ` ,�b ^dc - + I>>s_���G. As discussed, one (.l) skimmer approved by the National Sanitation Foundation will be provided. , As discussed, two (2) inlets of approved design for fresh and/or repurified wafcer will b� provided. The filter and pump shall be approved by the N.S.F, and be of sufficient capacity to provide a minimum turnover of at least two (2) ti.mes in 24 hours. This department recommends a turnover rate of 6-8 hours. A deck of at least 3 feet wide, measured from the pool water's edge shall be provided which extends completely around all private residentia� pools; provided that above ground private residential paols may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the Health Authority. A°fence or other suitable barrier, a minimum of six (6) feet high, that affords no external hand or foot holds and which is impenetrable by todd].ers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and self-latching devices which are capable.of being locked. An automatic chlorinator should be provided with a suitable test kit. All electrical and plumbing installations shall be inspected°and approved by the City Inspection Department. Al1 electrical lines must be 10-20 feet or more away from the pool surface. The pool fill s ut must be air gapped or protected hy a vacumn breaker. Suitable safety�equipment to include but not limited to a ring buoy and rope that is 1� times the pool�diameter, and shepards crook pole must be provided and maintained with the pool at all times. m � � � t � . y . . � Mr. Terrance H. Mickley June 1, 1976 Page 2 Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, � `�a�-_ , STE�iEN J . LSO Environmen Officer SJO/mh �. . \a � `1 � � 0 � o � � a � e� EILQf� A�PAR�A FOR MER9 37 S. SIXTH ST. • MINNEAPOLIS, MINNESOTA 55402 • TELEPHONE 333-1431 August 13, 1976 7075 Hickory Drive Fridley, Mn. 55432 Mr. Steven J. Olson City of Fridley 6431 University Av. NE. Fridlep, Mn. 55432 Dear Mr. Olson; As per your request, this letter �es—�—s faction with the operation o �-r-ation spstem in the pool i e -�075 Hickory Drive. Even with t�e unusually hot weather �.e�� eX perienced we have een abTe to keep the water clear of excessive bacterial growth. Sincerely, T. H. Mickley TFiM : b am % S O 6d T H D A L E ... 9 2 7- 8 7 8 1 � B R 00IC 9 A 6 E ... S 6 1 - 4 8 0 0 `...f s: .��. ! �" � �.!�� f `r ,� ` � � E�ZM i�. _. _ ._.._��F yr� !n�r� _ '�� '.' � i 1 � :r !� ',�_— "."__. Vr ' _� , �; r- �f e;� t � � �'�.���'� � ' �`��' � ''�: �3� ,`�',' �� ,.`j� f F� � � - r; , ,+1y�` _. � r�,`�f June 1, 1976 ,.� �� ���: �' ;' �' r' �� , .�,, � ' � r' ,;' j. d 8431 U�11l1.�F4S11fY MY. Teirance H. idickley 7075 Hickory Drive N.E. Fridley, Mne 55432 AV�FIU%� � �.x�' � � (R � �.. �8..�� �i�' ` Re: Swimrning Pool at 7075 Hickory Dr.ive I�°E. Dear Mr. Mickley: f�.E., FRIDLEY, P�INt�ESOTJ4 55432 TELEPWONE ( 612j571-3450 This letter is to reiterate our con�re�sa-tion of June 1, 1976 and to make clear this d.e,par�ments req�aixentents ior the swiimning po�l canstruction ��t �the above addr�ss. 1. 2. 3. 4. �. 6. ?. 8. 9. ''- 10. As discusse3, one (.1) skimmer approved. by the Nationa]. Sanitation. Foun3ation will be provided. A� discussecl, two (2} inlets af approved design for f�esh and/or repurified water wiJ_1 be provided� The filter and puzrip shall be approv�d by the N.S.F. and be of sufficient capacitg to provide a minimum turnover of at least two (2) time� in 24 hours. This department recommenc�s a turnover rate of 6-8 hours. A deck of at Ieast 3 feet wide, measured from the pool water's eclge sha11 be pravided c�phieh e.�:tends complet.Ely arounc3 all private residentiaZ pools; provideci that above g�round private resident�al pools may be provided c�ai'ch d.ecking af a minimum size af 4 feet by 4 feet at pool entry poini:s and pr�vided that such decking has the approval a� the Health Authority. P. fence or ottier suitable Y�arrier, a minimum of six (6) feet high, that af£ords no �:ternal hanci �r foat holds and which is impenetrable by toddlex�s, must be provic�ed around the entire perimeter of ihe �ool. All gates and other accesses sha1Z be equipped wi�h self-closing azzd seTf-latching levices wliicks are cap�ble o� being 'loc?ced. An automatic chlorzna�i.or should be prc��i3e�i wi�h � suitable test kit. All electrical and plumbing inst�.11ations s,ha11 be inspected and apprc�ved by the City Inspection Department. All electr.ical lines must b� 10-20 feet or m�re away from the pool surface. The pocl filt spout must be air gapped or protected by a vacumn breaker. Suitabl.e safety equipme;�� to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepards crook pole must be provided and maintained with the pool at all times. i yo4ul�qv `, ' - . ''j] �� p,� ' `•A . .. . . . �1 .5 m ; . Y :� a + y�� � ^a<` _ - �. �j1�:19�b , ... � .,�i �i „r� Mr. Terrance H. Mickley �� June 1., 1976 Page 2 Furthermore, these anci any other requirements must meet the provisions of the Fridley City Code, 5ection 11.5, Swimming Pools. The building permit is ap�roved contingent on final inspections and approval by the City. If any questions or probZems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, � / �`-�.�__ � S'I'E EN J. LSO Environmen Officer - SJO/mh 0 0 �.� : ". - ,'���,-:..�-.-:w�,..:�i��ai�::ii.i,.wu-•.:...._.�,�_ -.._.� .... 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XX Q � .o � 'a Ni� 06 � � N V N y' ' y" ca ���� �nno ,,, m X v� �O '.'� i� v m y m � � � A � O v m r f/� < D �� W r m S m o- H n�i n' n � � � • Q � O� n � c � c.d°-'° �;•� a. .+ a ��-°'•a d � � � d M � X 7 < @ a' C d C n � �. � � y � .� � a — '` m �-yr � �`° � rt N.a�f d C � Q S " d G.m � Q � � N � a' � C � � � fD � � °• 3- � „ o • �' � � .,� v ,� �od D7 � 3 .�� � � o� � Q N (p Q eo � � � m G� N '�' �*' � -i ;c �- m d � a � � � 7° m � � 3 N w o r. � S m d� �� � o � � � d 7� }�n o d �. a � H g �°a fD � �� � j a � � ri . y 61 N �' Q. m � 0 _ 0 � � � m � � �� � cc 3� � —h y �?°'�a� O �' � �.'�. � 3.� � � � � � � � ,y.f cn' 1 O �` 3�° °: � ° y � �• y. � O y' 3�a�. �D c� � n� � � 3` y � I � O I� �' O � � O � 0.�� �. a^��s �033"''a. � � O � ��n�,`c � O k• �. �'�i�3o �, y 1 � L? � �' � y h � �,�`o y�•� �.,,3�30 ���.��� �o � o � ` � N � fD 3 0 � � -. fD y � �� i y N � y � fD d ;'.�i� O' � y . � m w S � = w.; � �4, � � n y � � '+ � C � � H � � � a(p�c � fi! Q. .:h 7. � C �- C. o p g <• � f°i ' � o � �� � rt ., c �, �� �� Q1 � � � 0 � m � z :� � -� " �� � � � `' :� . 3: � '��; �� : :'y, . � � 4�� �:z; yA � �,�, �� ,� � � � O � � . � � � � � a � w � • a� � � � � � � � m m O �� o �� m m $ v � o ' trt � b � � � � � � � SUBJECT � P , c�ty of Fridley �� 19 2 6 3 r AT THE TOP OF THE TWINS g U I L D I N G P E R M I T� COMMUNITY DEVELOPMENT DIV. � RECEIPT-BIA: " � � i � � • ' � ti.------ r � � PROTECTIVE INSPECTION SEC. � f � i = � IQ `-_-_� ����,-� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY i 612-571-3450 910-F15 11/2/87 � � JOB ADDRESS 7075 Hi,ckory Drive N. E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 4 1 Ostman` s 3xd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Peterson 7075 �Iickory Drive N,E. 571-3795 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEEFi MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING • sidential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwellin 26 5 uares� 9 CHANGE OP USE FROM TO STIPULATIONS s Roofing can be th.e 2nd layer but not the 3rd. Insta.11 ridged galvanized valleys. SEPARATE PERMITS ARE REQUIqED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTIL.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOfiK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOO OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. • NO. DWLG. UNITS OFFSTREET PARKING 1 HEFEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION �' STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAlUAT10N SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $]. �300 S. 65 WITH WHETHER SPECIFIED HEREIN OF; 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 LOCAL LAW REGULATING CON- $22, OO STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. AN CHECK FEE TOTAL FEE $22 . 65 SIGNATUHEOFCONTP OA RAUTNORIZEDAGENT IDATEI WHEN PROPERLY VA ATED THIS IS YOUR PERMIT dF �� � / � � ° ' o � SiGNATUFE OF OV NER IIF OWNER BUILDERI IDATEI B DG �NSP pT NEW [ ] ADDN. [ ] AI,TER. [ ] Construction Address: Legal Deseription: Owner Name & Address City of Fridley R-1 AND R-2 Building Permit Application � � � ��2���.� S�� � Effective u/1/86 Tel . � �'7/-3795 Contraetor: � Tel. � Address• LIVING AREA: GARAGE AREA: DECB AREA: OTHER: Corner Lot [ ] Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to seale. DESCRIPTION OF IMPROQEMENT Length Width Height Length Width Height Length Width Hgt/Ground Inside Lot �'] Ft. Yd. Setback Type of Construction: Approx. Completion Date: Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbaek Estimated Cost: $ ��UU Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Baek Page for Explanation DATE: ( - " � Permit Fee Plan Check State Surchar�e SAC Charge Park Fee Sewer Main Charge TOTAI. STIPULATIONS: �% ' APPLICANT• Tel. � CITY IISE ONLY $ �a-dG Fee Sehedule on Reverse Side $ 25� of Building Permit Fee $ � � $.50/$1,000 Yaluation $ � 525 per SAC Unit $ Fee Determined by Engineering � Agreement Necessary [ ] Not Neeessary [ ] � � � � �^ ���Q �_t� BUII.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 strueture, 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 $1.00 to $500.00 $501.00 to $2,000.00 Fees $10.00 (M3nimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for eaeh additional $100 or fraction thereof, to and ineluding $2,000. $2,001.00 to $25�000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up $170.50 for the first additional $1,000 or ineludin� $50,000. $283.00 for the first additional $1,000 or including $100,000. $25,000 plus $4.50 for each fraction thereof, to and $50,000 plus $3.00 for each fraetion thereof, to and $433.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraetion thereof. DRIVEWAY 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 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 minimum of 2u hours from the time of application to allow for proper review of the proposed strueture and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation onee it has been eonstructed will be required before proceeding with the framing. .� ,.. _ sue�ecr MIT NO. City of Fridley 2 0 3 3� AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � • � • COMMUNITY DEVELOPMENT DIV. ' j V �"�•'� r � � PROTECTIVE INSPECTION SEC. ��, �� y 1 . , � � � �"�'\ � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OP APPROVED 8V �""� � �'' 612-571-3450 910-F15 5/7/90 / / J08 AODRESS 7075 I3ickory Driqe N.E, t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. � 1 Ostman rs 3rd Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Robert Petexson 7Q75 Hickory Drive N,E, 571--3795 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Sam.e 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Res_idential 7 CLASS OF WORK ❑ fVEW �7 ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE 8 DESCRIBE WORK Constxuct an 11� x 12� Deck 9 CHAN�E QF USE FROM TO STIPULATIONS See notat7.ons on pla,n, VVA����G Before tligging call for SE�,p��-�E PERiVtET� REQt1IRED FOR a!I utility locations 454-0002 1�������, �CE�TE[��t PLE14�tBE�IG AND SIGNS. REQUIRED �Y LAW TYPEOFCONST. OCCUPANCYGROUP OCCUPANCY�OAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAVS 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 SUfiTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1��2 WITH WHETHER SPECIPIED HEFiEIN OR NOT. THE GRANTING OF A PERMIT S�-oQO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $45. Q� PLAN CHECK FEE TOTAL FEE $46,00 SIGNATUREOFC THACTOROPAUTHORIZEDAGENT tDnTEi WHEN PROPERLY Y ATED THI IS YOUR PERMIT �/�°/ v ��� � - � iGNATUREOFOWNER� NERBUILDERI IDATEI BLDG INSP 6T � [] A� [ ] AL'1'ER � � Constructi.on l�ddress: Lagal Description: Effective 1/1/90 R-1 AND R-2 Building P�ermit Application � 7 �^ i"1/ �� r��, �'`� Ownex Name & Address :�� ��i-������-L Te1. #,�J� � 7� S— Contractor: _ �/�� Te�.. # �: Attach to this application, a Certificate of Survey of the lot, with the praposed construction drawn on it to scale. ��_ �i: ��{j •1� • ��17:•�1V:1f�17i�i LIVII�G ARE�,: Lerigth Width Height Sq. Ft. GAR�,GE AREAs Iength width Height Sq. Ft. DECR AR�i: IPngth � Width �,�� Hgt/Ground .� �` Sq. Ft. � �: Corner' L�t [] Inside Iot [] Ft. Yd Setback Side Yand Setbacks Type of Construction: ��fQ Est�mated Cost: $%�'/ %�� � Approx. Campletion Date: Proposed Driveway Width If New Openirig Is Desired: Ft. $ $ /��-�- � Width + 6' See Back paqe nATE: `/ '' '� � � %pAPPLSCANT: _ ��r�i'7/ C�G'/ '.���� Te1� # ,�'�/>� %y'1— Permit Fee $ �-/�. CC� state surcharge $ /. d0 SAC Charge $ Driveway �scrvw $ Park Fee $ Se�aer Main Ci�arge $ . �•_ sri�r�,TTONS: S z'/l� � 0� CITY U3E @II,Y Fee Schedul.e on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by EngineeriricJ Agreement N�ssary [ ] Nat Neoessa.ry [ ] :���� � �,. *�+;�Y�w �+�- :•«:ia+�_I� s Zhe Chief Building Official shall, before ���►» *� permits for the erection of ariy �,; � dirig or structure, or for ar�y addition to ar�y existing building or structur+e, or for any alteration or repair to any existing building or structure, upon ap�lication therefore, require the payment by the applicant for such permit of fee.s to the amount herein below set forkh and in the manner herein provided to-wit: 'I�0►rAT� VAI.IJE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 ��a��: $15 (Mininnm► Fee is $15 plus surrharge) $15 for fisst $500 plus $2 for each ac�itional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and includ�ng $25,000 $252 for fixst $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and includ�rig $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to arid including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to arid including $500,000 $500,001 to $1,000,000 $2039:50 for the fi.rst $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction theteof DRIVE'�iY DEPRESSIQN ESC[�W (Concrete C'uri� Streets On1Y) Alternate "A": Remaval and replacement of curb arid gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Re�moval arid replac�nent of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. � �• ■ v• • • • �i n • •l P�ermits for oonstruction will be issued a min.umnn of 24 hours frmn the time of application t.fl allc�w for proper review of the proposed stnicture and of the con��tYUCtion site. A Certificate of Survey of the lot, shawing the location of the foundation or�ce it has it has been con.strueted will be required before proceeding with the framing. ,��� avo�c�� � City of Fridley AT THE TOP OF THE TWINS � � I L D I N G P E R M I T ;, � � � ; V __��� COMMUNITY DEVEIOPMENT DIY. ���o��O� r � � PROTECTIVE INSPECTION SEC. i--__�; �"' �'� CITY HALL FfiIOLE� SS��2 NUM9ER REV DATE � 612-571-3450 910-F15 8/31/O1 �oe nooaess 7075 Hickory Drive t LEGAI �OT N0. BLOCK TRACT OR AODITION oescR. 4 1 Ostman's 3rd Addition 2 PROPERTY OWNER MAIL ADDRES$ Rick Onsgard, 7075 Hickory Drive, Fridley, MN 55432 J CONTRACTOR MAIL ADORESS Banner Roofing, 2305 Snelling Ave, Mpls, MN 55404 d AHCHITECT OR DESIGNER MAIL AOORESS 5 ENGINEER MAIL / / 32122 ECE� �a �? vnOVEO Br SEE ATTACMED SNEET P PMONE 763-571-6973 P PHONE LICENSE NO �%X612-721-2000 20169 P PMONE IICENSE NO. ZIF PNONE LICENSE NO e USE OF BUILDING I�IX Residential 7 CIASS OF WOpK ❑ NEW O ADDITION O ALTERATION O�C REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof (tear-off) H& G- 24 sq. 9 CHANGE OF USE FROM STIPULATIONS TO Underlayment must meet State Building Code. SEPARATE PERMITS ARE iiEOUIRED FOR EIECTRICAL. PIUMBING, HEATIN(3, "rc vr �,aina�. VENTI�ATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULI AND VOIO IF WORK OR CpNSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED V�IITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED fOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WOqK IS COMMENCED. NO DWLG. UNITS I HEiiEBV CERTIFV TMAT I HAVE READ ANO EXAMINED TMIS APP�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AW$ yp�UATION AND ORDINANCES GOVEqNING THIS TYPE OF WORK WILL BE COMP4�E0 WITH WMETHER SPECIFIED MEREIN OR NOT. THE GRANTING Of A PERMIT �2,573.00 OOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOIATE OR CANCEL TH� pEqMIT FEE PFiOVIS10NS OF ANY OTHER STATE OFi LOCAL LAW REOULATING CON- STRUCTION OF TME PERFOfiMANCE OF CONSTfiUCTION �H:3 . ZS S�GNnTUAE OF CONSasCTOp ON 1UTHOA4E0 AGENi IDATE� �O�iF� UGGU�'ANG� GROUP OCCUPANCY LOAD SO. FT CU FT OFFSTREET PARKING S7ALLS IGARAGES � _ �� r .i� 1.29 1C CMARGE i0 .SC. $2.5� )TAL FEE 92.11 5 OUR PERMIT � ��, ri�rt N� I l Effective 1/1/2000 ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 • L�� �-� BUILDING PERMIT APPUCATION "C)� � 1 C.��� �b 13G, vtv Construction Address: �C,�7 5� i(;�..C)n; �a'r U'� Legal Description: Owner Name & Address: � i C,� C' i�ac�� �c',� �_ � Tel. #�76�—F�� I-G� 7� Contractor: MN LICENSE # i�C - � �y l (�;L2rh Address:� �� �-a�� 1� � ,��n ���. `� '(Yl,n 1�, f�l1U ��u 4 Tel. # C� I � - �7� � °s�(�� `' ���- LMNG AREA: GARAGE AREA DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed constnaction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. F� OTHER: ���-� 3 , �--v Construction Type: �1-C-C � ��� � � Estimated Cost: S � � hUV'�e. c�nc� ��,,rete�2 � Driveway Curb Cut Width Needed: Ft. + Ft = Ft x =$ �����,� DATE: � APPUCANT: Tel.#C,�/,�- 7�I -,�r��� CITY USE ONLY - Permit Fee Call (763) 572-3604 for Permit Fees if mailing in application $_�� a� Fee Schedule on Reverse Side Fire Surcharge $_ `�e �°% .001 of Permit Valuation (1/10th%) State Surcharge $ 1� o� � $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge Driveway_Escrow Erosion Control • Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �i � (Sl7 $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 [ ] � ��o � ���IJ`�(� �l� � �'��� a � BUII..DING PEItMIT 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 $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $SOO,QOl to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $1Q0 or fraction therPof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,0� or fraction thereof, to and including $25,000 $391.25 for first $25,OQ0 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $1�,000 $993.75 for first $100,000 plus $5.60 for each additional - $i,f�0 or fraction �iiereof, to and including $SOO,�U - $3,233.75 for the first $500,000 plus $4.75 for each additional $1,0(}0 or fraction thereof, to and including $1,000,0� $5,608.75 for the first $1,(�0,000 plus $3.15 for each additional $1,000 or fra.ction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�ub Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Altemate "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 $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Suryey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � Nikolaus and Tasha Browne 7075 Hickory Dr N E Fridley, MN 55432 (612) 309-2618 Water Garden/Pond Plan 10' from property line approx. 26' from back of house length =171/2' width = 8 ` at �n►idest point waterfal) 1 foot deep shetf 17.5 feet long � about 14g deep 1 2 fee�t deep � 8 f�t rvide the 2.5 f�ot area is needed so �e fish do not fre�e over tivint�r the bog v�71 be filled in with plants and pea rock (this will act as a biological filter)