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AF - 45954n �. City of Fridley, Minn. BUILDING PERMIT .: � - %- � � � ' - �, 1 � .. � -: � �. � � t' � �- �i.�� _ � s - �z,�.�.� - �, : _ , . N° 6810 . . �� s--o � ,� � CATIO O B�NG No. st�et _� Part of t Lot����__ Block �ddition or 3ub- vision .._._ ._ � � L� � ,_,�,• ' Corner I.flt _ Inside Lot Setback ��—_ Sideyard Sewer IIevation �� � • � � _ a on � C�, � r dr�P �a� F����n�� DESCRIPTION OP BUILDING To Use . ,� �ont � Depth ��5� Height �� Sq. Ft Cu. Ft���� F`ront .� Depth eight � Sq. Fk � Cu. F't. ��.1—L� �� Type oE natruct[on F�t. '�'To be Completed __�� In conaideration oP the issuance to me of a permit to const ` the proposed work in accarrlance with the descrlption above set � orrlinances oP the dty of Fridley. Ia consYderation of the payment oP a fee oP l above, I agree to do with all provisiona of permit fs hereby granted to to conatruct the buflding or additfon as descrYbed above. Thispe rmit is granted upon fihe express condition that thepe�o n to whom it ia granted aad his agente, employees and worlmnen, in all work done fn, around and upoa said building, or anypar� thereof, shall conform in all respecte to the ordtnanc� of wlthin the��liami �and location� construction, alteration, maintenance, repair� �� P�vYsions of�seid o��� this permit may be r+evoked at tim �/u�pon viol9�ton of � 1 �� � NOTIC� Tlds peemh does �rof eewe t6s eoesMteHoe, i�a�m �or �rlrt�, plum6teg, ea 6uttep, awru� er wdsr. 8� sms te sss t6o Buildio8 le�tae for aparaf� p�rmifs hr thw h�ms. f/�°t 7 �G �3 �,: APPLICATION ''r'�Jzt BtI�'!:?�TNC PERMtT C yTY OF lt:'.iDI��Y, 2•�tIldL.SOTA� 4d�i`s�s.' S TTAME � AI3�t.�5S > Loca�ort oF s*�,n�:vc � , �o. � S� �(�� Street �'' ,a� ParC of Lot � Lot�'�p B1ock�_ AddiCion or Subdivisioa �� Coa�er Lot Inside Lot� SeCback � SJ Side-Yard 6- -/�� SEWER ELEVATION F�1'Jl.9DATION BLEVATION Applicant attach to thig form Two Certificatea of Survey �f. �ot aad proposed build- ing location drawa on these Certificates. To be used s�s : DESCRIPTION OF BUILDING Front Depth Seight Sq..Ft. . Cu. Ft. 'FronC Depth AeighC Sq. Ft. Cu. Ft. �ype o€ Con�truct�on Eatimmted CosC To be Complated The undexsigned hereby makes application for a permit for the work herein epecified, agree3ng to do a11 work in atrict aceordance with ehe City of Friclley Ordinances and rulinga of Che Depaxtment of F�uildiqgs, and hereby dec�aree that all the facte and repreeentations stFted in this application are Crue and co�crect. DATE SIGIVATLIR� (Schedule of Fee Coata can be found on the Reverse Side). �� - . n � � _ e � � ^ _ � 1`'' 3y ♦ � ` • C BUII.DZNG PEItMLT �'� SG`HE�ULE Seation 2. The SnspecCor of Building� sh�.�l, before isstaing, aay per�it fnr �he erect�on of aay buildiag or structure, or for any addition to any euist- iag bu�.lding or structure, or for ar►y alterations or repaira to any exia�ing buibding or s�ructure, upon application therefor, require the payrment by the applicant for auch permit of fees tv the amouat heraia below set forth and in the manner herein provided to-wit: Z.1. For any such germit for ehe erection of atay fire-proof building, other than a garage+ warehouse, factory or grais elevator, or for the erection of any fire-proof addition, for aimilar occupancy, to eny existing building ehall be at the rate of $i.40 for each one thousend cubic feet, or fraction thereof, in such cubical contents. 2.2. For anq such permit for the ereetion of anq fire-proof garage, warehouse, faetory or grain elevator, or for the erection of any fire-proof additioa, for similar occupancy, to aay existing building ahall be at the rate o� $1.25 for each one ehousand cubic feet, cla�aified as °1f3reproof" by SecCion 502 of the Minrieapolie Building Code. I30USES 2.3. For any such permit for the erection of any noa-fireproof buiidiug other than a garage, warehouse, factory or grain elevator, or any non-fireproof addition, for aimilar occupancy, to any exieting building - permit $1.00 foac each one thouaand cubic feet. GARAGES 2.4. For anq such permit for the erection of anq aon-firepraaf garaffie, warehouae, factory or grain elevator, or for the erection of any aon-fia�e.proaf add3t�.on, €or similar occupancq, Co any existing building or for each such �j-id3ng or addition - aiaety centa ($0.90)�for each one thousand cubic feet or fraction thereof, in Che cubicai contents thereof w3th a minimnm of $4.00. For the purpose of compue�l..ag fees for building permite, the c�abical coutents of any buildiag or addition to a uniform height throughout by �Lt9.plying the ground area covared fram a poine sis (6) inches below the flaor line af the basement or cellar to the averaga height of the upper surface or to the average height of the roof surface of the maia gable of a p9Ltched roof. 2.5. For repairs or alterat3ons to an existing structure, the fee shall be at the rate of $3.00 per each Bive Hundred Dollara ($500.00) or fractioa Chereof ia the coat of all propoaed work. 2.6. In. no case shell the fep, charg�d fnr anp p�rueit es set forth 3n Sectiaa 2 be less than $4_O0. �. ^ � . _ �. -°.� . _ � � � - _ � �'�' `•�e� ,..� � . ,� •.e....--�-�-_.-_�.-•�,• _ --� � _,�_ �, :� � ; __- --_ -�-'- ---"_� Lond P/onnin9 c�su,���y;ny Soils Testin9 Crvil fr A4unicipal En�irteerin9 __ -- " _ = � "•� � _ - - , - _ - �- -.� . _ - � � , -_ - _ _� _ -- < - - °-__-��� �-v.- --»� - - ;�_ � 6ers-H�h„� ;cs NE.-` , Minn�a�olis 31, ENGINEERING, INC. Minnesofa SUnset4-6066 — En�ineers � SurvecJo�s -- cests��cate o� sszsve �•: T � % ,. . � � ��� I ..�'�Q ( � � . . :. .�, . � � �� � ��` , � ., - /` y^ �. , G � d �`�a ` .a �� .. � 9 � �� �y . `,'1 JY' _ i '�. � .��` _ ' �_r � � �`� a ' y� � , ��'� , � � ��� �� � � o� �� � �.� �. � e � �.�i'�i��z� �. t7���;�;;>`f� $ -J- � .�- \ibn ? . � � > , �' � ;r �'� � �� s � �y :� �� b � � ,i� .� �.� : .`�-. � f... � � \ � ` \ °� tr' � ..��� _ •'�-� -.� . , ,, � l��ti `�, fa � g ! oT5 5 ���. ����°� � ��� . �= �� �� � ��`" �'��R!� v Note: As the ori�inal plat of Fridley Park has so many missing dimen- sions, we used iron monuments found on the ground, lines of occupation and the platting of Edgew.ater Gardens to establish the corners of this property. We recommend that the corners of this property be judicially determi.ned. l/rrreby cerfi�y �lwi lhis is a�nie o.�d m�c� represeniofivn o�'o surretf �'�Iiae bovndor'res �i'!� obe►v �/�d lon4, or�d o�'!l� locvfinn o�'o// buildin9s ,lhueon , ond d/ ris'ible aw»v�fimarfs ,��'a�y. �n a►` an savd /m�/. As surreyed by n�e 1Ms - doy • o�—� �• A•� �• SUBURBAN ENG/NE�RlNG , INC. Fr►9ineers Fr Sta'reyors / �/� `" � � �- :"Q�K�,�.,_��, ( ,��Q , r > �. ��``I 1 �`�� °a� '� _ rr,•,? ,�_ ... e :,���. -� ,� 4� _ i -� C ' � �- �� � �.._. ,_.�. ;/ t . , LWnI ��� � . ' :' . . : _ . . .� � _ .p [���yy��•/��� � 4 :� ;it/'�� / � � [.(tAf� � �� � �. � .�;rskst� � EN_�1����� �'�° �: . �Cmf b A�i,riiriPvl � _.- , `:.-�.�6 - �,,, E - ����� , _ , — ,En i�Qers � Surr�e�� �-�-- �� - . . - . . .� . _ ��s����te �►� �L� f �►s C�iQr��S E. ����� v- . ��% . �- _ 5 � "1 ` �� , �� P � i ` lZL. L-r -J� � �� < ��'�. � � Z� • � f i- �.. , i I �� �' `°t .�� �� . ``� � -� ° .� s � �� � �j 9 .�� � �.. � `�t vX � 'T . ; . '�� oo SF ` ��� y , �� �, � . .�� c�'� ' � �� °� � � � , -�.�. � .� , 3�_ ��,� � �\ ' 4 . �'l . � � � �T� �j �'�'�O, �t..d�.�. �i, �- �� �� � Y �'����, � � � � ' ` 4 �� . .. . � . . � . , . � �.r.. - . � . . �h Note: As the original plat of Frid�ey Park h'as}so,many missing dimen- ��;-�; sions, we used iron tna�uments found on the ground, lines of ocCUpation and h.�..z � the platting of £dgeaater Gardens to establish the corners of this property. F He recommend that the corners of this property be judicially defiermi.ned. l l�d�sby csrii�'y �vl� 11das is o� and m�r�cf �sentofiian �('a s�rrry �'1I�c irw�dn+�s �'�Mr :+r�6wr /ipu+lyd lend,w�ri o�'1Yx kco�iiw� ql'al/ bnr�d�s, fArre�n , and sr/ rrgi�rfr a�w+r/x�mfs ,��'ay, � a- nsMid kr�d. /s ,�rir�ed �i �e �...._- t� . �(' � � ' A.Q /x63. ,' - h SiJ't3�f��Al�1 E�6l���1l3, '/il�tC. . �: �' � � � 7� . �j _� _ � � �� � �� � ...� _'! ; Q � = a!i! � _��"t,_.�.��3���.�., 3 �� . _ _ —� . _ � �. � _ .��x . � M r b � � � 'tl � � r o M p � : N : °x : � . m . � • M ; O : a . m 0 ' � . � • N � �• y �n � w � � O � �j � �0 o � m � N � . o • o � °o � : o . . � : : � . . 0 �a x aa N ►�+ � O O O � H y � � � � � fZD � W � � z 7i � M � g � -�r� 4] � � � � � � � � � � � � � � � � O � � ,�y a' p � � � p � � • M ¢ N : �- � : en A bd o � E- � : Q4 � . � . . � . . . . . � � • • � �o � � � � � � CA N W f+ t+ � � C�1� p C�1� O O O � {A {A U9 4R Efl � O , �. y � � � � O a x � � i � �"' m � n _ m v � m ,x, . �a. w � .. p0 hR � p. p, � � m � � � � � � , �, O 0~r p � � � I � �� � � �+ M � ❑ � � � � � a� a o. � � � o � � � o � 8 a � m 0 f~D G�C. C3. � R� 0'p9 p�y. � a' m � I � I � .-. _ ,� � i \ �\ ��. ,�`�, ��'\ ` 1�� ' � I� 4 � �, �` \ � c � P �� �� � � � �� i �� �\; �`� �� �\ �� , ,�, \ � . WATER rios�rs URINALS �� � e/5�1� SINKS wnst+ rw�n DRINK. FOUNT. StIWRS. FLOOR DRAINS G7CH B/�SINS �uro w�sr�a GAS MPL GAS RANGE �� OPENINGS � • 2 • � � � F m � m n a�� A � �� b � ��'� � y � � p�q�a � � co � p �04•p � ��a�� o � �' �° � �a � �roy �, m� b � �' � � � o��m c 'p�mo � � p ], O i„4 O � y � y � � � � � a� �� � a��� ���K A� . � � � m ` �O y \ � fD ]. ro � 3� � G � � � A � a ~ R� � M p � �� �, va � � � � � 0• � � C) � � -i' � '� 0. � m �� � � � � S� � O. �- , ����� � � City of Fridley, Mirm.. BUILDING PERMIT D$�: June 18 , 1968 �o Ovvner: .Mr.� Donald Johnson g�d� Custom Pools, Inc. pd� 6600 Hickory St . N. E. Ad� 909 Excelsior �'lvd . Hopkins, Minaesota LOCATION OF BUILDING No. ._._ 6600 S�t � Hickory St . N. E.� �_ p� of Lot �� 5& 6__ gl� 6 Addition or Sub-Division ____. Fridley Park Addn, Coraer Lot — Inside Lot Setback � Sideyard Sewer IIevatian .T— ._ Foundation IIevation DESCRIPTION OF BUILDING To be Used sa: Poo1 �t 34'x41 �p� 8' Hei�ht Sq. F't Cu. Ft Front Depth ITeight Sq. Ft Cu. Ft Type of Construction Steel , Vinyl Li� �� $4, 000'� _ To be Completed ��� �� 9'799 Subject to all requirements outlined in submitted specs. Also submit to the fact that the City of Fridley is not held liable for anything what so ever. Ea coneideration of the issuance to me of a germit to constivct the uilding des ve I agree to do the proposed work fn acc�rdaace with the description abov o in co th a'11 provl�ions ordinances of the dty of Fridley. G � In consideratfon of the payment oP a fee of $ 24.00 ��t fs hereby graated to Custom Pools , Inc . to construct the buflding or addition as described above. TYiispe rmit ia granted upon the expresa condition that the person to whom it is graated and hia agents, employees and worl�nen, in all work dane in, around and upoa said building, or any part thereof, shall conform 3n all reapects to the ordinancee of FridleY, M3nnesota regarding locatlon, construction, alteration, maintenance, repair and moving of buil�ings within the dty limita and this permit may be revoked at any t4me upon violation of any of the Provisiona of ea�d ordinanc�e. � Official F-:,r;ir.tr,r,��, ; ;s;<<�y � NOTICE: Thb psrmb does rtot eorer the coas�roeHoe, fe�hQ�tien tee �rMne, plumble8, eu hsNtne, sawe� or walsr. B� san 10 as t6e Buildiee Iesp�e�e� [or pparaM panehs fe� f6as h�ms. .� APFLIGA�3t)DT FOA, BUi�DI1QG.,�'ERM�T' . . .,. . GITY OF FRIllLEY, MIIiI�SOTI� r� ., . ^ � ���• . � l o . • , 6W1�R:B':S NAME•:.�' � ° �I--sr �UILI�E1�' _ ��:� � , AbDRESS. ' � ��" .`. � . • . �� � � ' � :� . ��_ �_.�1DDRESS.�.��''�" � . . , > ' : � �-. ,. — . . . . . � : - � � � - � �1od� � ot� � �n'tt'bira0 � � � r. � �� s��r � No. . � - - - �.-:.� �,. � � : � � �_. � � • � � `_. � . . LOT_ �� .��, '____�' �' BLQCR _ � '� s �' " � ADDITIO�T QR SpBD�VIS TON : � , � � CORTIER � SIDE LOT_, SETBACR SIDEHARD _,___�_� SEWER ELEVATION TaP OF FOOT�� �� • • ;,tLi . . . • . ,�re•• � • ; : ' F�, ., ., • :. . Appiicant atta�h ::ta �th�s �foru� Two C�ttir�i,cates o� Snrveq of LoC' and propoaed . bui.lding l;ocatiaa drawn on 'these Ceictifi�atea .. . . - . . . .. � - j . .. • . � ;;r±. . � �DESCRIPTION OF S�IILDiNG • . � � To Be Used Ass . . ' . , , Fronr� r � •�D@,pt�,i Height Square feet �ubic Feet � • � � / �`I • :.Y� � _,,,/ �' Front' '' �� � Depth � Height i r , c•� ' Squa� eet ' ' � Cubic Feet � q . ,-o Type of Construct3on °�� ��stimated Cost--�L��� ` --s� , To Be CampleCed The undersigned hereby makee appiication for a permi.t for the work herein specified, agreeiag to do all work in strict accordaace with the City of Fridley Ordinances aad rulinga of the Depastment of Buildings. and herebq declares that all the facts and representatioas atated in Chia applicatiotn are t e and correct. � �. DATE _ _ ;�j����SIGNATURE _ A e �(Schedule of Fee Costs �aa be fouad oa the Beverse Side). ,_ , .� �, . 9� — �` . � � ,� ;� ��' ' ° � � - �� ' - � �� " -� a ��1�1� 6' �'S� .i Fe. T i � % #$ . ��i�i °''�4 i —. ���v " � � , >�, �r� F'�i � �.�.`f L� �/���� �./��L� �'02 Awq�y��u� e�:��►; s�g�; . �' . - • 1` .. . � �Y A ' T. �: � . , a. .. . . . . . . . . .� i .'t ` BUILDING PERMIT�=��E ��CHEDULE:' . . SECTION 2. The Inspc��.�i =b�f Suildings.,shal]., _,_b�fare i�s�i:��ig. perimits � fo�� . --------,.... �the erection of �ny building or �titwctuxa, or fid�c �lay �ddition to any existing structure or ,�atii'lding, or. fur, any altera�ion._or, rep.airs to any�'' � existi.ng buildiag or structure, upoa application therefore, require the the paymenC by the applicant for sue��peirmiC=�f fees to the amount herein below set iorth and in the manner heria provided to-�rit: � ."� :� . . Uniform IIuildin� :Ccriie:' •-: � � Type 1, �2', �6 4• . $1.75� for eac�i .ane "thousand cub�c feet, or fractioa thereof, in such cubical cantents. Type 3� 5- $1.50,for each one theueau.d: ��bic feet . � � a::.:..+ - ;.: `: .5,. ,. . �•• _ . ' ' .. . .�'�r �the Puzpose: e£� ct�tput3ng fees fos bail�diag permits;�the �cubical��`� -�� contenta of any buil�ing or addition, �t� '� u�i#dr�� heig�t =thraug�h'oui�` liy •' multipiying the ground area covered fr�m a point ei.x (6) iaches below the floo: line •f tl�e base�ent or t&e • c�ll�r te the' �ave�isge� height of the up�er surface or t� tbe avera�e height of the roof surface of the main gable of a pitched roof . . . . _ .. : F�r re�air.a- Qr� alterations to�an enisting. structusa,__�I�e.fee..shall. be aC the 'rate of $3.09 per each five hundred dollare ($500.00) or fractiou Chereof in the coet •f a11_pr.o�osed work. ,. Zn no case-:�hali Che fee charged for anq, pernnit a���-��t._�Qrth. in Section 2�be � less than $S.AD. . � , ��. . NSSSU C�nriection Charges�based on locatien- Area 1 or 2. . .e.. . .. • . ... .__. __ �.- � r.___ .".t . .. .. . . . . .'•: .. . _. ��!.l' .. ' . _ .. . F , .. . '- � ' � ., ' ' . . l� , it .. . . 'f . '.. .. . ... • 1' ..'t_; . . . . . � .. . . . � . .; ' .. .°tit , . , r __r,. .' . .'i ,i�_. .. .:ti: ..,� . . '� :r. ' . ., l , �. . ... . . ? . ... . . . ' ' ..- '7' � .. ' � . .. � ' � , ' . . L. ....3.. . . •• � �.. . � S . . . 1... 1 ` 4 ' � ^ � 1 � � . a I' ..�1? : �• a.. .'•�', � t • , • . i �,� � � � ' �_/ V�,/ V +►. o.' 6 V oi v � --� �(JIh�SUiVt!/!!�y . • �ds�f�t,,,y � � - . • ���0�����t��4 i��s. � Gvir .r Slurr�r.tv! � � � �Ef�y���f«.����yT EnSrin�ers � Sur vec�ors l�iln/k'JfV %S 3 �. .��,,,�K�f� su,,,�� � cnc» . ,� ' - � + �'9` /f� ,.� ; � � r.,, � � t. `� � G • d' --� r�.` �i 1��? `L t"! ; � �; . � . l. �1: � ' :l . 4 4 �s t y�.'�`� � °•'•t" � , -� .+� °�.-�',`,�`s v� � �`� .�, � C�'.'y;�:.S� ���� � Si Q-i+ 1� . , : �,;. �ny k:� r..�. - a �� �r� -'� C� : =.I r . � � � . . •�.� . .�, � �. '. -� . ' i .> '� � , ` ' , . �� � . _ L. �� � 'e'. . /`. . • � .\ ��% 'f ��1 +� `�'� , � • � .�� 'J , :� /� ^ � \` . ' � ' �. r) . ` ��.�1� , j� �i ,�l �` `� �\ • ' ' � ♦,`�r�� � � "S% 1 \1 ' . . � /.- �' r\ '1' �,` �,,� . • . : i s � ', '♦ � '' ' ��R�` � . / . !% ` , . . _/ � .�� � '� ' •� 1 . - � � • � ,�' ,/ . �� � `�1 _i1 J%. ' -- . ; � . .L- '. ry .= y � — . ��l _ i �t� i_ :�• ' ;�� - � `�/� �7 / �y�' ' .•• ' .?. � . � r � i Z� , ,1 ./. ' . 1,I ;;•� �� `�i. � ' � , � 1 l � /- �+ '..c �r �J. . � � l �, �Q .v� � ' ' ` r i �r /.:.• .�1�t I . . \ \� ��.� - ``1 . . !i _ � � . S ' '/� A..` , , � �I� ^'• " /�� � r` / _- 1 _ �,, N . :� . _- :�, . � 1 �_.^ jJ : .� . ' /'. . . . . . ` �� � . • - . . s� ;`��� � . , � . . . " . .� . .� r' f'� . . ,.1 - - . � . , � � , _ . —� -- - ^ • - •, • � +�+� . r.� ^'. . . . •'� -' i� - ' _ _ �- ' , .'ti \..� . , . . � - . . . ' . . . �" ' i. . � � fdote: rs t�e ori£ inal plat oL �ridlE•y ?-�rk ��ic so ma;�•: �,:.iss�.^.c. :ii^e::= sior:s, ��e �sed iror. m�c,nu�ents found on ttiP �roun::, �i�es of occun�*:�;� anc �� the pl��ttin� e` Ec:i.exater Gar�Jen� tc establi�h t:�e corners or *_�:is ��ro;�e-ty. . We recomr•end th�3; the corners o� tnis property i�e ;u�iciallv dete:�miri�•c. /hereby :erfr�i� f,`rof,'i�rs is o h-ue oird correcf �eP�esenfofinn o�'a sLrvey �'flie�l�,�dor�es ,�'�'e o5ar� c4�criltrd 'n.n4,ar,� �'f�� lccvfr.n o�'vlr hu.�/din�f , f.5ere�n , onc,o/l risrb/e �;u-ooc.�imcafs ,!r�ry, f�n or arrsoid /or,d. As surveyed brf. me ,ffri5 - do5f a� � _ �i. . A.� �9_`' . SUBU(�B�kN ENGlNEE21NG ; INC. En9mcerS E Surreyors .ti�' _. _ ; ?_ ` -�1�� . �. �,j,j_'� f �"1 � '�r . . . ; `ry. � _ J::� � _ - r � .,__ I. . � � * � n � � �� � �. o � 3 � �� o � 3 � a �' `o � �� � A � Q � � � � �� �� � � �' a � ? O .C+ �� � O �� mn �� C � �v Z � D � n0 m� � D � � � n O z Z �o m z � � n -� O Z � m � � D "a 'Q < � a � � ) � � � _ � � v � � � v � � , � � "W � cn a N � � z � � � zI0 '�n0 � �V � � � � � b � Q 0 3 °. � . m � � � �• � � C '� .��r � �' 0 � O � O � -i �-► � � N c � � rmn �- m � m �► � �Q �. � < c � � � �. m .p � � f� � � � 0 0 � � tA O� � � --I Z W n •• 3 � � � � I`� � � W � � � � � Q m Z � m _ � � m z O rn v � . c Q o -- � � `� D �� � _ -� � y� � � �o O � m � � � �a. � � 3 n' � a = 0 �� �� �.�i � m � �D � � � � � � � � � 1 � � m w � v m � � m � � � cfl � a � a � � � L�'t� 7 A � ��� o � � � � � � N r: � � � � � .. cs c � m � `� � x W C 7 fD 1 � � t� � tfl J ..l �.► J N O O O O p � O O O O O � � i-A EA f� b9 ffl � � o � I� m oa � C � a �z � v c n � o rn v �� m � � Ol � � � � � -� � m � � � O � � J�� � Z m � � � � � � tD tQ n' _ m N � � � o � m 3���. N � � (� y �. � Li s Q- � �'. �� o � 3 � O �C 3v��,'�' 3� � o � ,� su � o m �m�� ��Q�-� w���� 0 � � �... ���� ;�o�' a � � � m � � � � a ,., m o � � � s -* �pt .,,�, o � � � � � � � `� O � ��� � � ���� � � .r.^a Q. � � � � � v v � m � � � � �� � 0 °� \ B� 9 • CHIMNBY AND STACR VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (�f No {) 2. Is free from rust or deterioration � Yes �j No () 3. Has no foreign objects lodged within Yes (� No () 4. Is securely supported Yes � No () 5. Meets all current Code reguirements for size and total BTU's connected � Yes (� No () 6. Has total heating BTU's of �� � _ All other BTiJ' s � � /�� � � TOTAL BTU's ��� J� Remarks List Alterations BeinQ Done: HEATING COMPANY ���� S igned By - ,���� Date / � � ��� � � sue�ecr � P IT NO. City of Fridley 2 8 210 , , �72�����F T�E �'"S gU ILDING PERMIT ,� . � `v _���� COMMUNITY OEVELOPM�NT DIV. 9 ��� r � � PAOTECTIVE INSPECTION SEC. �i 1 = , � �"'1 � CITY HALI FRIDLE� SS�,i NUMBER REV DAT@ PAGE Oi APPHOVED BY �""�� ��' ' 612-571-3450 9�aFi5 10/13/98 � � �oe AooRess t LEGAL �OT NO. BLOCK TRACT OF ADDITION SEE ATTACHED oescR. 5, 6 6 FRidle Park SNEET 2 PROPERTY OWNER MAIL AODR�,S$ ZIP PMONE Johnson 574-7559 J CONTRACTOR MAIL ADDRESS ZIP PMONE IICENSE NO John Hale 4�'1 Roofer 3150 Lakes o a ARCHITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ApDRE$S ZIP PFIONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR ❑ MOVE • O REMOVE 8 DESCRIBE WORK Reroof house and ara e 35 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS � Underlayment must comply with the State Building Code. SEPARA7E PEIiMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. pCCUPANCV GROUP OCCUPANCV LOAO VENTILATING OR AIq CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WQRK OR CONSTRUCTION ZONING SQ. FT CU FT AUTHORIZED IS NOT COMMENCED V'IITHIN 80 OAYS. Op IF CONSTqUCTION OR WORK IS SUSPENDEO OR ABANQONE� FOFi A PERIO� OF 120 DAYS A7 ANY 71ME Af7ER WORK IS COMMENCEO. ' NO DWLG. UNITS OFFSTqEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA710N STALLS GARAGES AND KNOW TME SAME TO BE T E ANO CORRECT. ALL PROVISIONS OF LAW$ yqLUATION SURTAX AND OROINANCES GOVERNI TMIS T Of WORK WILL �E COMPLIEO WITH WHET ER S IED EREIN O NO . TNE GRANTING OF A PERMIT 29 L. SO DOES NOT R ME O VE AU OFiIT TO VIOIATE O:i CAMCEL TME pEi�MIT FEE SAC CMARGE PROVISIONS F ANY OTM R ST E O IOCAL LAW REGUTATING CON- TRUCTION 7HE ERF R A CE O CONSTRUCTION �]/{. ],rj Fire .SC. �3. �� PLAN CMECK FEE TOTAL FEE ���� � License SC 5.00 $84.25 5 u E OF CON��7ACTO RAUTM NT �D�TE� WHEN PqOPERIV IOAT D THIS IS VOUR PERMIT S�GNAfUAEO�OWNEp��FpyVNEABU40EA� �DAIE� Bl G�NSp �' ' � p`}E NEW [ ] EwDN L l �.�R [ l CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERNIIT APPLICATION ConstructionAddress: �IO � � [�l l C Legal Description: Effective 1/1/98 1b �� �� � �s Owner Name & Address: ���,�%j�l Tel. # �%� �2�J Contractor: �� �T�7(�% � —' MN LICENSE #�d ���c�c� Address: � �S� � K� �i � �L( ) D C�t� y Zdfi�'p �.�3 Z / Tel. # _ �D�/�% �,( Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ' LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length Length DESCRIPTION OF IlVIPROVEMENT Width Width Width - ��°'�.9 . � Height Height Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. . � v �, Construction Type: ���}f�D�� � � Fstimated Cost: $ � ���j4 � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + t= F $ _$ � DATE: �� �a� APPLICANT: Tel. # � CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Chazge TOTAL STIPULATIONS: � $ ,%s Fee Schedule on Reverse Side $ , U O .001 of Permit Valuation (1/lOth%) $ �, S. � $.50/$1,000 Valuation $ $1000 per SAC Unit $ �. D d$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?�' BUII.DING PERMIT FEE SCHEDULE The Cluef Building O�cial 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 $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,Q00 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 DEPRESSION ESCROW (Concrete Curb Streets Only) Altemate "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 minirnum 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. J u�.--r�., cr.,r�ti ir.r • reo r R.uri � � t t ur r t[ t uLC t � � o � � � 1 �s � � Q g A �, �: C"7 :� cu � � Ul a A � � � O o � � � m � �� n o � � � fT� � N A � � � A d_ � - Q -- � � � � m � � 3 C�? a m a 3„ o rn � � � � , � � � -- � 0 Q � V � � � � � � � � � d �� � � z � m � � � � 0 O � 0 � --- � � � 0 � � \ � � I d "' A � r � C � s � � 1-' �' y 3 ae c� � m w °� $ �° s o ai a o R � o rn � �� a � a -+ m � C� N � � � c � m � � � � n z.Q � �'3d`� � � � � ~ � � �. ���� c�� � ~ g�� � � a ,T � � � fD l�t' � p � � �.�°�, su n o ���'c 9 � g �C p � � � � d �p � CN p - y A 0 m � � � � g � IU � N � H �o � � � � a � � C � � � � o� +� � E � � � � � � � n�p+ �9 � �4�.Slld1 t'. b�/105 � G � � a A � � C6 d � � .-- a �� � c � " R�9 m � � � � � � tro � s� � � � ,tNi1 O O G C7 It� � � g3 6 0 � � � � � � � � � �� s � � �� � !`�D � �� \ ' \ � � � � � � � ��� n � � �. �3 � � n y N � �. �. � � a m �. : � � p � � i � � 0 _ Q �p N . � � 1 �' � _�� T � �' � � T F � p �. p1 3 � l Q � Cj � � � � N Q � . � �+ � fD @ €, =l N 3 S°' � � � �� � � N �N A � fn N �-� � � � � Z � � V U3 n: W � ¢ _���� � �� z � m � t9 Ota ��. �a A � � � v=� O 1 v � 7 f=D C!1 � � � r � � a o � N � �A � o "' � ffi � 9 �:. � � n v � 0 � -i � 1�C C � � � O J � ti W � �.- � a � � � � s �? in � ti � � c ^a z ?. O < A � y � ��� � � � � � � � � iri 4 m � � � v � � �Fi � � v � � � � � m � � � �7 p � � � � �� �� �� �� �- � � � � � � 0 v � � � O � � �� Z � 6 � � ✓ � � � m ��{ � � �✓ � � � � Q � � -�- � � > � � � _ � � � ��� � � � � � A f�D \ � O � � d � � � � S� �� � V' � ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 iJNIVERSITY AVENUE NE FRIDLEY, NIN 55432 572-36U4 l� AX: : 6600 HICKORY ST NE : 153024130031 : UNAVAII,ABLE : LOT BLOCK : HEATING : RESIDENTIAL : ADDITION/ALT'ERATION 571-1287 �.� r;_� PERMIT N .: 2004-01233 � �� DATE ISSUED: 08/02/2004 VALUATION : $ 2,417.00 NOTE: AIlZ CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AN AIR CONDITIONER. # A/C LJNITS 1 # FURNACES 0 # GAS DRYERS APPLICANT FLARE HEATING & AIR CONDITIOI�TING 9303 PLYMOUTH AVE N GOLDEN VALLEY, MN 55427- (763) 542-1166 OWNER JOHNSON DONALD E & SHIlZLEY 6600 HICKORY ST NE FRIDLEY, MN 55432 0 # GAS RANGES FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONII�TG FEE STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 45328 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or conslruction authorized is not commenced witin 60 days or if construction or work is suspended or aba.ndoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating constructi�n or the performance of construction. a Bldg Insp_ _� SEPARATE PERNIITS RE�UIRED FOR WORK O'TI�R THAN DESCRIBED ABOVE. 0 0.00 0.00 0.00 25.00 0.50 25.50 BiU1lCllrig �C�C�, Permit No.:� Inspections RESIDENTIAL APPLICATION Received By: °`2 763-572-3604 CITY OF FRIDIaE� Daie Rec'd: ?o D DATE -' � E" Q YOUR E MAII. ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ O �CONTRACTOA PROPERTY NpME: ' J � , EN�AN,T� ADDRESS: �C / S. � CITY STATE�ZIP PHONE• 7� 3— s ' 7� , CONTRACTOR CoMpANY N,a.1v�: � � SUBMIT A COPY OF CONTACT PERSON: Jm I C YOUR STATE STATE LICENSE # SS` I� I % EXP DATE �� �� ��� LICENSE W1TH pDD�g; �T � CITy ' STATE ZIP APPLICATION pHONE - FAX PERNIIT TYPE �SINGLE FAIVIILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � �' ����E�T � �TIOwREtv�oDEL DETAILED DESCRIPTION OF WORK � � � PER MS 16B.665 the permit fee is a minimnm of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS Wf1ERE LABOR EXCEEDS $500, ARE BASED ON $10.00 PER FD�7'URE, EXCEPT Wi�RE NOTED. FlXTURES: (II�IDICATE TOTAL NUMBER OF EACH BELOV� �pn EquipmentInstalled . MFG: ��� MODEL: VU'f�ITp7 ���� SIZE/BTLJ 7� MFG: MODEL: SIZFJBTU MFG: MODII,: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGFJOVEN $10.00 AIR TO AIIt EXCHANGEER $15 FIREPLACE (W�D) $35.00 NEW (3AS GRII.L $10.00 BOILER $35.00 �FURNACE $35.00 GAS UNIT HTR $10.00 CEiIIvWEY LWER $10.00 _GAS DRYER $10.00 P�L HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTII.ATOR $15.00 _ � y. � x f.. ..�' . a q.� a,��.�:r�+-�.� '$�, tH����k t' ��� I�ir'kr :�r" '#.3���,`,�;� rM^``� �;� t � q ,s9, �:r�i,ici_. .'.l. v�, 'i'... Permit Fee $ � Number of fixtures @ 520.00� x$10.00�= $ Surcharge $ .50 Number of fixhues @ $15.00 x $15.00 = $ TOTAL DLTE $ Number of fixtures @$25.00 x$25.00 =$ � Number of fixtures @ $35.OU ,� x $35.00 = $� Sta.te Surcharge = $ .50 � Tota1= $ 3�5. 3 � Tf�IIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I aclaiowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota •Construction Codes; that 3 understand this is not a pemait but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case o work w re ' es revie d approval of p .� . ` ��'► � D. ��in�seA/ nA� l - • Q SIGNATURE OF APPLICANT PRINT NANIE ai �` - g ; t " i �� ' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572 3604 FAX: 763-502-4977 REQUIRED 1NFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT �4PPLICATION HVAC ❑ NEW HOMESIADDI�IONS EXISTlAIG HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) . a. Oil or soTid fuel IMC Chapter 7 with MN Amendments• b. Nafi�ral. �as or.P�opane/]FGC Chapter 3 with NIld Amendments 2. Make-up Air (See note below) . a. IMC Chapter 5 with MN Amendments 3. Ventin.g a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 witli MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Requir�d on new constru.ction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D N01'E: Centerpoivat Energy Mechanical Code Guidelines software may be used for combusiion and make up air calcul.ations 0 From: 952 854 4909 Page: 2/5 Date: 3/24/201012:05:02 PM rrom:tLUtFi JUNtS 1NL; Jb� ii�b4 4tI1Jii U:i/��/�UIU IJti:lif �roa r.UU�iULA Building r � BIJILDING �e�i� No.:���o °� Irisp�tions �+ ��EN��AL APP�ICATIO�T Iteceive�. �y: � 763-�72�3604 (�,-+Y'� (�F �i ��,�t Y' Date Rec'd � C� � 1� 763-502-4977 FAX �r.rtv6 i-i-2oro DATE 3r I 2� �} O YOUR E-MA1L ADDRBSS j'+j �!'W S �_ 2�'i r mY1�.S. CbVY1 SITE aDriRESS THLS APPLICANT 19: O R iCONTRACTaR ' PROPERTY OWNERI Np�: ���x ADDR$SS: GiTY '�i1d�81 STATE,b�ZIY �.�,3Z Pk�ONE: CONTRACTOR �1�� �t- ome Services, Inc. 3UBMIT A COPY dF NA ZGHO C11�����d �'k'Wj�� S�P ��4 YOUR STATE LICENSE 5Te �berlanc� Clffice Park ��'9'� AND CERTIFIGATE OF .°►� A��� ��, 30339-3913 C� STATB ZIP INSURANCE FqX . ]�]►��►]�EItTY TYPE a s�� 20268257 Ph. 763/542-88xb S�e � TMcrrs�unn.:�lV6W (,'UIVS'FR'(JCfION STORI65 P�g� '�(p� . � ADPI970N � GARACpJSHED ❑ wIIVDOVI'S , O BASBMFNP FINiSH ❑ ROOF ❑ DRAriV TII.E 0 DECCC I� SII3ING ■ pTHER � SWIMMI1�Ta L TYPE OF WORK: 0 NE'QV HOME CONSTF[UCTION � ADDITIdN � MA3NTENANCPJREPAIIt � FIEMODE.LING DSSCRISE WORK BHWG DONE: Sd �r��- l'�.� �'� S]'!.E OF DvlPROVEMET�'I' LENOTH WIDTH HEIQHT 5 FT O HOUS6 ONL'!'' �tA,ggMENT g,gMODELIIVG SVSMIT: T1U� pF SQUARS5 tl IiDUSE & QARACiB 3. Exis�� Floor Plen � sR„��� O ATTACHSD �ARAQE 2. Piopose9 fl00r p1�n PROP6SEA S[ZE: O DETACFA:D GARAGE 3. I.+st of e�uat�uel m�6ere to be uaed PROPOSED HEIGHT: �� • FOR NEW CONSTRUC770N iNCL[lDING DEGKS, O Vitryl *gp�pt AQDIT[ONS. & POitCI�S_Sj,JBM1T: � Al�imaa• 0'IYim 1. 5ite P1au/Slavry ShowiC,g d� exist�n8 s�wrna 0 o�e� o xeso�� �a �asea �roj�t 2. Two eeta of�ronei�uadon pl�s W[NDOW6 3. Energy Caladatioas INEXI5TYNQOPENIl�Tt3S OYes 17No LOCATTONOF'WINDUWS � FOR'WDdDOWS-PR�VIDEU-VALUEAND OR FOR N6W OPENIl�TGS-DESCRIHB SIZG OF MANUFACTURE STlCKfiR QN W i1VDOW. . OPPJ�IIVG CHANCE6 & TYP� OF WriVDOW TO HB INSTALLED NUMBBR OF WINAOWS Ai,r, �,�,9 ARE $ASED ON VALUATTON, INCLUAX�dG T�, COST OF LABOR AND MA�RIAI•S: I!_�C�l� �►:`� 1�+ 7I Plaa �t.eview Fire Surcharge Surch�rge Liccnsc Surcharge SAC C6argc 41trb Cut �scrow Erosion �ontrol Park Fce Sewer Main Ch�rge Toffi1 Y3ue 1997 U.S.0 FEE SCHEDtJL�j $ � I d 7� Scc Bavk Pege for Fea 3ch�edule $�� 65% of Building Pennit Pee $ � �° . .OQI �imes the total job valusdrni � ,�, A�i � .0005 x �'e�rnnit Valualion Mmimurrr $.50 $ �l� i� $SAO {State Licez►sed Re.sideatial Contraotors) $ � $210Q per SAC Unit (�at�s tp MWCC for deEorminat3on) $ � tt+6ft= ftx$24�$ $ $4$0 Consesvation Plsn Rtview $ Fee Determined by Engin�ring S Agreement nece.ssary () Non Ncccssary () $ �- _ s Make checks �a'va6�e to: City of Frldlev Attas THIS xS AN APPI:ICATION FOR A PERMTT•NOT VALID UNTII. PRdCE'SSED I hereby apply for a buildiag pernlit and I aclrnowlcdge that tEie infrnmation above is completc and aeew�ate; that the wo�k will be in eonfOrnlst�oe with the ordinanccs and codcs of tho City of F�ri,dley and with tho Minncsots ConstruCtion CodeS; that I understand this is not � ge�mit but only an applicstion for a permit and work is not to stact without a perniit on site; that the work will be in aeeordamee with the approvcd p[an in the ease v�k whic revicw and approval of plans. 5[GNATURE O�' APPLICANT �' PRINT NAME 7ivvt �'�.rl� DATE ��'�'�'1 �b ���s�;,r:v..7�►i�xr a�.7�:�_r:aaeo��a:a� �a��.�ra�:�:�:�a�uu7a6�3�1@I1J M�u.�:��o�cax�awtr,uaa_�w_�oE���� ��e�:r�v�`uer���r�����c�r�� From: 952 854 4909 Page: 3/5 Date: 3l24/201012:05:03 PM trom:tLUtFi JUNtS 1N1; �� ii54 4�LI�J U�Ii�41�U1U Uii:lii • i:1,i/ 1`_IJ'LI71 b '14: 4t( f b:.i� 41t1'l'L r NLIMt J1tJ'U I 03/19JPaiQ I3:4R 76364282a7 HOp9E DEPD�' ' P�[� �1�96 �i�8 � �C �t�sB�,C7C • � � , �. 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