AF - 47445�
�
�
City of Fridley, Minn.
BUILDING PERMIT
��: ___. Tz, l tr � 1 Q�Q �
• � - 1� s A� � • ■ - IIIII � � � � - �' .7,•1-1T-_l�.i... 1!. �
s! ��� ` _____ ' � � t>;.c .�. � • � —. • — 1
N° 10318
� �y��7
LOCATION OF BUILDING
Na '��.'�� St�eet .Ta . Q`on �'C,pet N,F. ._._�—..._.._ Part of Lot
Lat ._._...L__._.__ Block _..�...� _.___._._._._......_. Additian or Sub-Diviaion ._Melody �nor �rd 9ddition
Corner Lot � _ Inside Lot �.—.._..r..._� Setback ---_ Sideyard
9�er IIevatiasi L�80. ;�1 _.._._.__ x.�$;3_.�1._rA�]�'"ox
Wye Top of Footi.ng
DESCRIPTION OF BUILDING
To be Used as:
..I�c.e1.1;,�.:____ F`roe�t _..q.,R.......� nepth _._zq_.__ xeight ..2L�.._.__ sq. Ft. cw. b-t ...._
C�a.rag.�. Fro�t ?5�...._ Deptt, ? � xeigt,t � 0 Sq. Ft. _� c�. Ft. 4200
Type of Caa�stnictio� _..._.._.�._ FBt Cost ...�2�.,.f1IIQ..�.Q___.._ To be Canpleted _..Qc.�..._.1.�.�..--
SEWER LO�.ATION: 57' N. of Manhole WATER LOCATION: 67' N. of Ma.nhole
In c�sideration o! the issuanoe to me of a permit to construct
the pmpored work in accordance with the descrlption above set !or
cmlinanc�es of the city oi FridleY• /
Co.nn`�c ion
buildin8 deecribed abawe I agrce to do
� cwnpliance � a�l prnvisiona o�
In c�oodderation o! the payment of a fee of �����., permit ia hereby graated t� Dalber,g Builders
to �oostruct the building or addition as described above. Thisp��m�it is g�ranted upo�
the exprees oonditi� that the oos to whom it is granted and his agents, �P�Y� and w�rlrme�, in all work
daste in, around and upon said build3ng, or anypart thereof, shall oonform in all respects bo the ordinaaces o!
FridleY� Minnesota reS lacatio�, constructfon, alterati�, maiutenance, repair and maving o! builclings
wi� dty ]imits and�th s peTmit may be revaiced at aqy time upon violatioa of any a[ the p�^ovidaos at said
�� rn`��`!' Q Huildin8 �Pe�
HANK MUHICH-Building Official
NOTIC�
i6k p�nrtt dew �ef aewr fiN w�pryelk�, t�6Mies hr widy. P�w w��. Nw�e er vr�hr. M pn fo a�
fw MdWi�Y I��eNr fer �raN P�h for f6w NMa
i
.;,� , �a
V
APPLICATION FOR BIIILDING PE�iMIT , � �
CITY OF FRIDLE7, MINNESOTA . .
OWN�'t'S NAME BIIILDgt G2�'G��� �
�, 9DDxESS AD�xESS ���'^�4.�� �v' , _
�'_
LOCATION OF B[TILDING
NO . STREET �
• LOT $LOCK 9DDITION OR SIIBDIVISION �yctZ��cq�Q�
-`T ,�
CORNER LOT � INSIDE LOT SETBACK 3,S- SIDE'YARD�Z.� �
SE4JER ELEVATION TOP OF FOOTING
Applicant attach to thia form Two Certificates of Survey of Lot and
propos�d t�uilding location drawn on these Certificatea.
DESCRIPTION OF BTJILDING
To Be IIeed As: .. - �
Front Depth � Heigh
9�0 �,�,�,.,w'- � � G�,�
Squaxe feet�Z ��'�"�u�ic Feet
Front � p Depth � Heigh� .�- � �j
...-.-�_
Squaxe feet �� Cubic Feet
� �
Type of Construction Estimated Cos� ���a �
To Be Completed d���`�/�� � 9'
��
The underaigned hereby ma.kes application for a pertnit for the work
herein specified, agreeing to do all work in strict accordance with the
City of Fridley Ordinances and rulings of the Department of Buildi.x�gs,
and hereby decla,res that all the facts and repreaentations stated in
thia application are true a:nd correct.
..
DATE '' � SiGNATIIRE G��_ "J
(Schedule of Fee Coats can be fourid on the Reverse Side.) �� Z���
� � / 9 �.`
_�� � � �� ,'� �
; �� -�r 1 �-% ���
j � J r . .__._..,...,�..,�...,......_.:._ ...�°
�+�,, i
. : '�, S!� ,,�.�'�-�:..
.p % %
�.�"" � � (r (/J � / l � l,r'' �• `
/ �- � ��" ` ,-..`'
� �/ � �I��'
: � ��..... 5, �' �
�. y,� �- � �� - ��� � :.� � y �
���� _ �°r�
, -
� �,..--.�.-�--� � � j �
�.° �- ?� v � , f � ,� �=,��•r'''�,�y7� ' ��� - •
, .
_ �
, /, i/. �'� � ( .
BIIILDING �F�IIT FEE SC�DIILE
SECTION�2. The Inspector of Buildinga ahall, before isauing perm�te
for the erection of any buildixig or atructure, or for any addit�.on to +�.ny
existing atructvre or building, or.for any alteration or repair� to any
existing building or atructure, upon application therefore, require the
payment by the applicant for such permit of fees to the amount herein
below aet forth and i.n the manner herein provided to-wit:
IIniform Builda.ng Code: Type 1, 2, & 4-�1.75 for eaah onQ tk�ou$and
cubic feet, or fraction thereof, in such cubical c.aritent$. T� 3& 5-
�1.50 for each one thoueand cubic feet.
For the purpoae of computi.ng feee for building permits, the cubical
- coritenta of any°building�vr�addition to a uniform height throughout`by
multiplying the ground axea covered from a point aix (6) inches below
the floor line of the basement or the cellar to the ave�age h�ight qf
the upper surface or to the average height of the roof sur�ace of the
main gable of a pitched roof.
For repaire or alterations to an existing atructure, the fee ehall be
at the rate of �3.00 per each five hundred dollaxs (�500.00) or
fraction thereof in the cost of all proposed work.
In no case shall the fee chaxged for any permit ae set forth in Secti,on
2 be lees than =5.00.
NSSSD Corinection Chaxges baeed on location - Area 1 or 2.
-�- • .. ., /�
� ` '
, .�.
'x -.��-;�� . - �.r+. � ' � � `�,� r � ��.'"� % r~ �€ ' �
�;.r . .: � . .. � ,y�� f �.;'A � .
. � . . . . . . . . . - . . . � . .. . . . _ ..,,
- . � . . . . _ . �. - � - � � � ..� * ;�
� _ ' , _ _ . _ . . _ . _ . , . � #3.�
•
� '. . . ' . ' . '��.
- _.
tandAb.�icg � _ � . • � ;, . �-l�Y�w� � ��. t �
� , �
. _ ..
, . � , u � , ,�
!'pndSu�+"� - . . ,
� ; M��t. . ,.
�� � ��''�k����������►, ���. �� �
. ��� � . ��� �
; . , _ -:
9 -. �,�►,� , �.... �'t��t ►tr�rs � .���er�v►r� ---- _ : �
�::
� ��
�� _ �! i� �� �+s�� �����.�', ? � �+ ��,�"�� �"'�M :�
. . � - . . _. �
� �irN�"t�! ,:;
. ,�
. :��
. �:t
_ '7 .S' � -
�
. , - 92 -
- . ,�, ':
[� �
`� ' . '. . � � ... �� . .��� . �. � � - . . Y�r
, � ' - .� . � . . . � � . �. ' . . '1
.
� ' l�+► . . . . . . °.
, . , . . . - �. � � . . . - � . � . . �
� � . . � . . �� . . � � �,Q � I .
Z r . 1� � I � x,:
- � � � � 0\ I t �
. X r � �
,. 4 " t .��:
� . . � �. .. � � � � . � . . . a.M,:.
1
. . � . . . `� � . f . . ,�
O
Y � � t - ►tZ ' , ��
�
' � 1�. ,:�
� �;
_ �:��
. ' � . . � . � . . . � . . . . .. , a:4'
.. . � ' . . , . . . . , . . ^ �
� � .. � ' . . . .. . . . . . . . . < '�
, .... `.. . . . . . . . � . � . �".�4
. . . . ' � . . . . . - . . . ..T
',- ,� 4'. t7�ii43'Et t�OM#"'�: .:�,."���5 t?RA�t�..� UtN.1TY F.A'�Eh�1�1�' � '
. €
::
. , �.t??,.,.,�,,,._..�.00K.,,.�...�..��.R�i�l ��►1�t ��'? �4�Z' IaN < _ � x
. -�,
� �t�,r c�f;�i�ili�a n ar�i►.�'� r+�ur��ah�rv�f'r,.,�r.wiry �"+� Jw..�+�a ��r.��wr �i�w+�d �i,� . s �::
�� ���
+�?iN�r,ir+r���''�' �rMr'�,�I�rrs,ur. wfa�/�r ��,�f'.y. �ir� «r ��widiad. ap sor'�+d dy,w�r �er� rM�► , �
� dr���_ _ ,,,.�� ��
E�Ifb►ilYEE�?4�VQ, 1NC. _ ��
` N � : . ��
Scc��#s�:t� .�.�.,. `.,.�;.= �- .r� �..�... . .L
_ �.
' • � � ., � . .. � . � � i � �r�
F _ . . �. " -�' : .. � aC '�r
. . . . S� . . _ Y .. . � .. ���.Y . 'k , vi4�� . . a _.. .-+. �. .. . . .. .9 � �:n�,i�
S � �v�' � °��-t�-�%
� � �
� 7 � %�i � C� � ���lt�a�
(.�'� E �,C � tl, � �cS�d . ..5� /
o G�' �afi��� � ���.�"l
�
�'��R ����7iorv
�
C� � � �/. D� ��,��,�Q�,�
t � �f � � '
� ` J '
��� ��o ��
� .:__.-= 3s--
/ � `� �°��'
� ,f/ Z
�3��A.- .
/� �'ax.
��
� 4 �
h.
,� ,"r' ' �
CO+�l�ld�� � i� ����ll� (r�ByS �j �S A!f.
tar�d Su�x�r, � M�nr�po/rs l2,
.�'s ks'� EN G I NEER1 NG, t N C. -�K�f�
Cf�►r 6 M�r�Po� � s�rx� 4 �t�i
������ ---- En yinec� �5 � Sur ve�C/o�s ---
c�s*���c�tfe o� �u�r`re �o � - _ . . : _,
T
'��
\�
�
W
W
Ca!
r-
.� �
z '
o �
J) N
�C
U
Q
�
�
�
�
.
� �
_.__� � L- . ---------f-�
� ` �
K '
� � ��T �
� �
�
� I `�
�. � °;'
� I
,'---- =-i�
6�
----- �°--��
I — Vi2 -
��
�
.
�.�s��, �-;�-
Mbfi'�'N
� a DENCTES tR01�t"---OEt�107ES DQA�NAGE I►ND UTIL.ITY EAS�MENT
_ LOT.,�,�_BLOCK ►�....__MELODY MANOR 3RD Aoo�TioN �
AWOKA C TY
lJirrrby urirj'y iliot �s rs o�ar a�d mrr�ct �e�o.sse�fof+'r» �'o sunicy �'Ilft dw�n�drr+its ��,r d�ri+��d /w�or,«�d
e`1�it kr�►�i+�n �o� denAdr�s ,lbrirar . oa�4✓� r,S�ddc aau»v�lrnarfJ , r!'er�y, �r�r,i ar nsi+d �ir►d. As wr►eye+d 1� mt f1� �.. ai�
�(' :.i..''�_-? �_._.� A. D /�-.D �
, S1J8UR8AN fNG1�1lEERING , INC.
� ir sr;�� e,,�or,
,. . E' . • sw _ �.._ . L['5....�.ie'�..r��A:;1CL�'"_,_,"�'„_,. '
�, _ .
sCCi�.,'•. �^o �.. ,,., ^ .. �� .�.. �
�►�c _
. l� �c:��
�
;
�
�
<
�
�
�
1
�
1
O
�
a
x
t�' te �' �
M N x �
y t" �j O
►� � � �
x � x �
w � 4� o
� �
rA '� �'
M � � 'n
M � �
�
--•,--
a
i
�
_ __ —y —�.
� �`
�
�
N
00
5'
�
w
'd
0
�
�
,
c
� �
� N
� b°
N a � w �
��'. `� � o �
p F�`. ^�l.eDi C
.• tl b
o heJ � t�MA c� o
�..� k �' f+
� � •��Q
$ y � j G
�.;
� �Hy
. A v
. : _ ,� .
: : : N:
. �.
: ;:
: : � :
m :
O
t'
li7
C
�
�
� �
� I
w
� "
w. oa
�
�
ti '�
�
CT y
� �
V� .,
�
�:
�
�:
x
�
�
� � � O :
$ ,�, $ � 8 $
�� � � �
0
e�
Cr
� �
w �
a��►
�
H
a
cD
x
__ �
�
eF
t�
�
��
�
��
� � N
y m
a G o
�
:
i
�
O � � �
� �
..
ro a
o � � �
� �
a �
� �
�
�
�
� �
� �
0
�
�
ti'
� � �
M W � �
� � o �
z
0
� \
�
ro
av g
H A
h9 h9 � � � "�d '��p x
o n �i 'd 'p '� �
x �' m m � � � w �
a a�� � R° R° �� u,�, �
No�� y ���'�'�
e� R° R° � ;; �` A, R° �
y-H'. ;� � p � O o � a�
� �d � � � o �
� �
� � o � o`�i� � � '° o �
x �,�y � �,�
� A o o� � b� : p
m � � ? a o : � 8
o � .. � ° ' :
": t�`� $$: : $
d� o: � : �y
: x � : : : : G
. . o � . . . : .
. . � . . . .
: � � � : : : : :�.
. -y -�---- ,-�----�,. . :
. � . in
r r-� �'
8 O O O O O S O O
��.�� ��«��
O
0
�
�°
�
�
�
O
�
�
0 y
� �
�
� a
� �
� �
on
�
� �
O
O
db
O
x
0
�
��
o�
0
�
O
ro
c°
�
g
a. Q. �
.,
N F�1�
bd
�
�
R.
�
m
Y
n
�
pd 'd 9d � S
b b `�s�° y
��. m � ��
y � fD
R� R° ; v� y
� Y � � �
� ; o ~
� w '" R° y
� � � d �
� � �
w
� c � �
�' � y
a ° � �
� � .
� . .
� ° : :
,°o $ : :
S : : :
. . �, �
w a� rn o
o888.e�
�.
0
�
a.a� �
n
���� M.
� � �� W
p,°.�w� � �
� �
o��� C
�d ,
ww�Cr �
�.. ,, a
��o� v
.�p m.0 N
p� ••`� �
�My� 1')
ir
d to � .
b���w
� � �b
�v�i j'n
o- .�m
Np
�ao�
�' �, o
e+ �„�
�� ��
fD
�m��
�jyf�pM
�� �
�
�� �
m
~�M
���
fD .�
� �� �
At
� � �
� i�
D
-��i
i
D
�
m
N
_
m
c
T
�
t�w
�
�
�
�
�
�
••
�
0
�
�
0
�
� �
o�
o. °
��
�_
� �
N
��
3 � �
� �
d �
A e
�� �
�
�
�
�
�
�
�
�
d
�
A
N
�
<
'�
�
�
-°,,
�
�
�
�
�
c0 A"
� � f`�0 C
o°���ro
'`S' O A' � y
�O � � �
����.
�.���s.
�.0 ���a�.
�� ���.
�� � �' �.
�
�' � � � �,
�, �„ � �
��,��•�
�
� a�.� �
�o
yo�a,o
� �
bd � a �
�.��.�
���
�.��.
�o�'�
0
R��
� �
�� � o
0
�, o �:
���
�o � �'
��
o� �• �. `
� � �
� ��
� �• o
J ���
� o .
a b � �
,•`�o o '
� ���
aa�;
. o �„ �.
���s
������
�
`�! `i:�
\��R�'
p. �� �
°����
ti �
y A I
�� � �
� � � �' co
� o �, � r.
� � � �'
'�'�s�
� y � y
a�y:A�
���,�
��
a.o��c
����.
���a
��n�'�
o���.
�-°,,��o
-�, a
M a: � �
� � �
�•� ar �''
�
�
0
�
�
�
�.
� �
�
�
0
O
� b �
`r O �
� � �
A.
O�
� �
�'
a
�
�
.�_.
�
I
� y
O
R a
f0
� o
� b
� �'
�
�
�
�
I
�
�
0
�
to
0
�
a.
�
I�
�
0
0
0.
A
�
�
�
�
x
�
a
�.
�
�'
�'
p o
o� e
�
�
�. s
�
� �
�
�
. �:
� � o
� �
�, s• ,
�
�
�
�
�
�
�
�
O
Z
$
O
�
i�.
�
c> > -v
3 � �
•
�A �
�
3 �: �h
3 Q O
�
� O �
H 3 O
.
� 7v �
3 A �
y � Q
� � f
� � N
� 3 �
�
A � _
y � f
3
�'i
�
�
O
-n
� � �
� � er
�
A � �
� ;
�. �
� A
0. .� `�-�
.�, �o
� �+
W � � �
C � o�
� � W
O. �
� CJi�
� � �
N
�
a
�.
<
�
C�
O
nnn����
� I
�
ti�
�
�
�
�
�
t0
o'
�
0
.
x
0
va
�
�
'�
n
�
�
������� ,� f0 �
'� � ���
� � �
��o ���
r. �"�',, � �
� � � �• �
q O `�'
`z �' aa'� �' �
�����
C O� a��' � �
�" `.' �• Oq a^J
A�� c�R
(� Cq N: ti
�• O�
�, � f0
rl. �' a4 A.
�• r O � � �
� � �f.
b y � �
O � R tn
e� �
eY. �• �
� �
C ti � �
�' � � �.
� � � � s
a�•i � � ~
�' � M
�� R p � �,
O�o�.�
� ����4
O � �
r., f0 � Q
y b y �' �
� �• �, O a+ �
� s.��.,� o
n c�n k o
, n � `�'''� � '� "►
y `l5' O �' y c�o
O���ob
o �j °�"��
� f�. A� b r"'i.' O.
��� � � s• ��
� ���
�� � � �• � Q
t�n :� iy CC tti. iy
0
�
c�
�
�
�
�
�
�
K
�
�
4
�
�
�
�
�
M
�
�
�
�
�
M
�
�
��
�
� w � �
� "a. R, * �'
�
�
�
��
_ WATER
CLOSETS
IURINALS
BATH �
! TUBS �
` � �
'7+. I BASINS
� � c"o � n°
� co �' � �.
co p � ° �.
R^ b � �
`� r.
h �
� � � `
I� � � i
/ ` �
�
• �
H
�V `
V 1
0
�
SINKS tl �P� � �
Cr' �
� WASH K C �� � �
(TRAYS � (/} r� � �
n ¢�
DRINK Q � [T i
y 'T
FOUNT. a �i � M
�
�' x �° � O
� SHOWERS �= O
�, � � � �
IPLOOR � � p �
DRAINS � � � � �
CATCH �• � � C .
BASINS m ;
W �
RAINW. � �f.D�I _
I.DRS. � p �
� �
MISC. � �+� �
FIX. �� r
IGAS F�I Sa �
APPL. � � Z
GAS � �' o
RANGE :y ro �
�C a
-�� � ��
m W ppq• �
� �
2 �
n � �. O
' �� �
p � �
o � ,� Z
� � �
y � y �.
J M
Q' � �
� � �
��
M
� � �
� � •�
� �
� �
I
� � ���\
Q �/ �
� �
IW
�
a
� R
ti r
o "'�
p �
: �
�
�°
. ~
. �
� �
. � :
� .
�
4
� �
� �
� x �
c� � z � A � �
� w�c 8 m � E C �
� � n " � � � � �
� � w
o .°°�. � °' ; 5 A � � N
N � O � � �
F, M
� C1 R7 a 0 �' i
'�"+ � � o '� � H
� � � � � �
. . . OQ v . � . .
' : tti
: � �
i I
o I `�t o
1< il N M k �! i! iC k k
�i 'J" �p � Np .�u ,�pa �i :" � Np SD
8 Q1 O �„1 O� O � � � p „�,�
'� � N fA M t�► M M �
J� � � � � Q
O� �� I 4 I,°'�
� o
C' �
�
1
V
D
�
�
�
�
m
�^
l /
m
C
r
m
I �
z �
� a
a y
."3 �
an
� �
� C
� x p
�
� � ,
� � a I ,E
�
� O
C � w
z � I,l I oe
f
)
i
0
�
0
b
�°
a
w
�
�
�. . �+ w , N .. �
� ,q � I °' a � � Storles
s �� \ � hVATER
� , woscrs
� g ; �a�►�
� ' � � nss
� � a�SiNf
tl ; �, SINKS
•
� ' wASM
' I i
� I � 7RAY5
�� �
8�
�❑
� 5
a o.
� M�y
W
a
w
�
�
i
I j
�
�
�'t
�
�
�
�o�
DRINK.
FOUNT.
s►+wes.
FLOOR
DRAINS
U7Cti
�ASINS
AUTO
W�
��
�.�.
��
RANGE
GAS
OPENtNGS
� •
2 •
N j
A
^ I�
��� �
aa� �
,d�� o
,�� "
� p a �
y � m �
�,o, a �
c�5�� a
H � � �
b �
`�'�m�o
�
��G�
��o �
w��x
w ,�
� �p,d
C��
'��"' • :� m
°i �' o
� G. n �
O M
?
�� � �
� �
K7
a���
���''
O M�p
�f� 4 A ti
i� `� e�
.�i � A
�
w
�Oo
�avr
���
_ � ...
G
� �
��
� �
� H
a0
�x
� �l
ti �
M �
�� s
� �o
M �
�
�
�,
� �
�a
� �
� �
M
�`C � ,
\ �
�
� �
� �
�i
,
SUBJEC7 P ,
c�ty of Fridley �- 15 2 8 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I� f �
r
� �
� �
COMMUNITY DEVEIOPMENT DIV.
f � � ' � PROTECTIVE INSPECTION SEC. 9� ����
i ,
i
l_--- � �����;'� CITV HALL FRIDIEY 55432 NUMBER REV. DATE PAGE OF APPHOVED BY
s� �� 612-571-3450 910-F15 6/25/79 � �
JOB ADDRESS �471 Jackson S�S�2't N. E.
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 1 Melody Manor 3rd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wes Hoski.ns 7471 Jackson Street N.E. 784-6062
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Custom Pools 701 E. Excelsior Avenue
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO.
6 USE OF BUILDING
R,eSl.C�P.I1 t].d�.
7 CLASS OF WORK
X NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑ MOVE � REMOVE
8 DESCRIBE WORK
Construct a 17'x 35' In- xound ool 2
9 CHANGEQFUSEFROM TO
STIPULATIONS
Stipulata.ons as. per letter fro�m F�vironmental Officer.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPAfiATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT.
AUTHOFiIZED 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 I HAVE READ AND EXAMINED THIS APPLICATION ], STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VA�UATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIF�ED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,500 �S`3.2rj
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF AN OTHER STATE OR LOCAL LAW REGUTATING CON-
ST TION OR ERF MANCE OF CONSTRUCTION. �`39.00
PLAN CHECK FEE TOTAL FEE
$42.25
Si Nnr aE CO RACTORORAUTHOAIZE nGENr iDnrE� WHEN PROPERLY LIDATED THIS IS Y�R PEf±MIT
SiGNATUREOFOWNER11fOWNERBUILDERI IDATEI BLDG iNSP �aT
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDIPJG PERMITS
(New, Alterations, Additions, or Repairs)
� / .
OWNER: �r�(��5�liv c
ADDRESS : ��%f %l�� �/ ��1,-so�
TEL �VO: �v y- p� �
BUI LDER : �S �� �°' -'
ADDRESS: ���G `���'��i�.� i�,..�
TEL N0: ��� r ��-S �
Construction Location
STFtFsET N0: �� STREET: �G��O�/
LOT: / BLOCK: �_ ADDITION: O% �}�(fD�„ ��(%
Corner Lot: Inside Lotc Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
. � \
DESCRIPTIOt� OF CONSTRUCTION � q
� � , o��� �� C�X��
� � Front: � . V
� .f'��.� Depth: #�ight.
�� Squ�ne Feet� Ctxbic Feet:
Front: Depth: Height:
Sguare Feet: Cubic Feet:
Type of Construction: �����1/fia�`J'I /�i O�d . Estimated Cost: $� ���
� �
7.b Be Oompleted: ���Q �/
Alt. A Alt. B
Proposed Driveway Width If Ne�a Opening Is Desi.red: $ $
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the wnrk herein specified,
agreeinq to da all-work in strict accordance with the City of Fridley Ordinances and
rulings of the DepartmerYt of Buildings, and hereby declares that all the facts and
representatio s stated in this application are true and correct.
Q ���
DATE: � � � SIGNATUF� : f ���� ��',� � �.� ,�� � � �
;
Stipulations :
��TI �.•+ OI� � �' Cw IcC
/- ��.r.,.� .
�� � ���
,` �,,
S�P�ra�d;,r , 1 s
��.c��
�. a�s
_ � Lia � s.�
`n � �� �
K 1 �, . .
BUILDI(JG PER��IIT FEt SCHEDULE
5�CTION 2. The Inspector of }�uildinqs shall, before issuing pennii:s for the erection
of any building or si.ructure, or for any addition.to any existing buildii;g 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-wiL-:
N�W CONSTRUCTZON: Single Family Homes and Garages: $4.00/1,000 cubic £eet.
PLAN CHECK: 25 percent af building permit fee. ,
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
• Alternate A: Removal and replacement of concrete curb and
, gutter only; Driveway width plus 6 feet x�15.75
Alternate B: Removal. and replacement of concrete curb and
. gutter and install a 3 foot wide approach with
� 6 inch depth; Driveway width plus 6 feet x$17.85
: 1 1 --� ► : ► � ' : � l�
For the purpose of computing fees for building permits, the cubical contents 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 or th� cellar to the
average heights of the upper surf ace or to the average height of the roof surf:ace
of the �ain 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 five hundred dollars-($500.00) or fraction thereof in the cost
of all proposed work.
In�no case shall the fee charged for any pern►it as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
- � � � � 1�: �l
NOTE: Permits �or construction will be issued a minimiun of 24 hours from the time
of application to allow for proper review of the proposed s�ructure and of the
construction site.
A Certificate of Suxvey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
� . CERTIFICATE OF OCCUPANCI�
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a buildi.ng permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued. �
�
,
i � $ �
.. . � F i y!� $$��
�:.. �, � �,. ' �r� L � � � Ni ' �� 'iF'
� ?y � tl..� ��'�' �
• * 11�'A�� r
( b�"�� �„� <.. i s
- ;�. ��bs �,#!',, y,� � , ... .� . r. . �� dr ,:.q y1�, � �. ` -�r� ��^'� � �, � ..T z ` w� �� d �+..',.�..
� W3, r. � u'• s�; , k`;� , a � carypt ti � �r
. `� . s
a - � 4 , } z ' ' � }�. � . -
� x ,. ' c 1 �:�'� .. � � $ p ,�, � - � , ti �`z.ei F�fi �� �l � i �.
' � +�' a �. '. r. 10 � � .z..�.: .'� %`�.t ..p t � .]��� `� :
; �t +_�::�- c„ �� i .y �s-�x�{��j� U?Mt ���#s+r+� �
� �y . .,: �� , .�, � . � g rt 4
� . . . : � � . � . �: i . �re �� ` . � r ° s '�" ,�
y � -.� . , . ..R .7. . ., �: r r � � .�..s L ' �► 3 °;L c � �� t � � ��" „ t t" - �
F � ��; . . .� d+ � � �5 '���h ^��� � c:. ��" �� s',� ar,,'�,� � q�
w � . d ^ .. _ m . . _ . , _ .� . „� � � w � . . . �>fi .t�'� .r .��: '. �s-5, 7'". ��.r.
. , r
. � _
y,
. . , . ... . ... . . .
• ,
. . . � � � ='`.: i, .. .'. ,�. . . � , '�•,� „� �; . �;. 3 • �.' .,,. � ��. tr {�� �4'�� .,x �J�.�`�#+ *S<� � �t'�ss � * ���
. �s� v . �w , � +,� ? �" � 4 vi. f� t�x.t:tSc ;.��..' �'Nr '�m�j� �` ,' �
ss . _ ,
. �
, � �. . , t � � �� �� '� t u���'
r . ., . ..,. 5 , �+,.: ,�, . y -+:t ,r • �r.� � � lf:� _: � �' f : a� s2 . .�' s, �'� . `��'` 3�._� 3C��;
.�; �y, w�, � .��, ��t4�:� � ��., tis��
��y : � ` � s .� aw� �t . '.a �,' 2 s,!:-� �. M �,. �.�'" � ��, �, y,
, _ �� 5 � " � � �'� � � . k + � C�
� ' . � ,.. .. ,....- , .
� ..: a ... ... ...,,. � . . , ..,,.'1` . , .. .� f � �, a � � ,� � x�� � a � �
-+K .X . . ...� � 3iG` . .. 'M 'i1 4_ b .,M*�� v�n ��.:
� �� �� � � 7. r t � c ' ��,j,. 7rk�� � �#� S
:. ., 9. 1 : .'b" ^ ��-�.+� � .. . „�' ;;,, '�' .� �, �,
, t�`�
`! w � � � � � � ��
,
� � '_ , ; . �
__
t
-
.:��� .�.,. � . � . � � � ..: .. _ w. . � . ,� . .: , , . � ' � � = �r „"��,�''ry��
. , .: ..
, .
t,.
�.
�
- _ . �
^ ��`�
.
�:3 ° ` � �
� � �,
.
h i . � . . l . ,t '�"1� � _ � �
. � � tt�
.. .. ... �.�., , , ... ._. �. .,... �,
�
?, . �"` , ..; . .. : ... . ..,::, .... .;_ .'` . . .. . .,-k�- :�ar�,� � �,f_�.
.. . , � . . 5. � s �� ,� � �p ;�.
'� °K; �
" � t , . �. .S� �i � �C��;,. �'#��� � 6; �M ,��
dM', i '- , +-,�. -,> ti, , � zt °5' � �'..
� � i :-. ..e . e+ Y^"�d 'i t�r" 4°R1�a ' � �' �
�, 1 S �..i . �p � h �'+�' ti,t � �
� ��rl . +� . ��: �, ;�r � � �p l�{S�'g x;, # ,� t . � �� .
i� .. y .�.�, . - . � xS ��_ ��' �s � Q �� # �t?�r � �.
�aV'�,�rl � '.]�, .. F � q„� �" �'
¢�; � �'" -1 . y�. d .1 �si�.,�� a` � �'t}y %� ,
�t�� � t � !M 'e' � ; � ' �+7� �we � . -+ � + �;�j ��.. �t£ < f,�te( *�a" fy� r•
~��� �'F� �, `^ � �•'� " � t'$�i .i . . �� � . Y 3. t, �, � r"� � k� '1 �� �� t -
� ti �
, - .. �. �.. ..
.,
�i �,- .� � „ � �i :� 'i' � �.�` � . p � � - ���� '� . '� �f A.
+� , � "' y, ; � t^wt r � �'� ,�� ,�,µ � .s
~� a • `� � ,� ;$ sx � ' �� �3�; : +'
I '
, � � : � i ,c ' � �' � �,�- �:
..� � �.�, �,, a w '�,n.c���-�r�"�`
�,,./r . .w.. . ,� y �� y, �ui .':a, ... ...,H; ",� ,. r�.. ..- �► '�'.., a. y�e , . . ,. .. � a.. - . �„i, � �� �y�i+
� � � �:
_ � � � _ � � ��� _� � k � d�� �� �
`` ` � \ \ �� , � ' �";;°q �:` x :�
.,n°^' . ' ."a„ f, *j�"' �w.....s . � . . �, , « ,+,., :"S .�Y.,, t e d e 4} .� . i. �, 1,, w.* i
' � . , _ � r �tiyi'8s r 6
�. ,. y - ,. r�. f . ...... . . . ... ' �. t zx . tt�.�
er � . ..y. .. ,.. .,, ..,..
,
�:
..
. � � �,�
. ,
. x {.��. .�.-� .a.�� .. ..... _. t < .. r�r� s ., , x .�.,` ` f� {� �� ^,T
.. � _ ., . . � .° ' �..�. . . « ..� ' .�'
�r � �
�. 4 . , � • . . � „ `�„'� t; � r.�t+'c�t �fe4i�+�'
�. . �... , -::.:....f. .,� x��...''W .. � . � L«'.e..��. .. � f: ;. . _ , 4 r`CfM;`
� � � k�r �#�x,��
e - - � M1 . . s �. , � .�.ra �.�,'�y \ �„� j� � ��Y � �b�
� � � , � ..�, , • f � ' �� ��' �`' ;, " r .e ' .�, ? .��
� . . ., _. . . . . ... . �� y . .� � i 9 µ � � � r
. . . a� r ���, "�#��''}c �,��:. `�.�.,�= �,.
y,• _ •.a , _ . � . . , � _. L°v��+�-� � � i6„�i � tl"'� �',
, �.
j� � t� .� �
!, ^2 f if' "%y�'�- �. ::I
� � � ;yy� _ .. � , s�� � � � � � � » � � �. <,� � a,4 ;� ��r ti �t `
�.n �e
_ . h'�� r � r
�. . : • � �'. , � k'�" �c�H., � � ��'
+ � ' �
��: � p� � ,.,��,
4 . . � �" rg� -�� �'�jf�� '
�. . .. ' . . . . . � ' .. . � .. . ^�:• �,� 4 �� � � t�
:. ' /{�'�` . �`, . . , , ' ' ^� p.. ]Q �'o-� � y�
. . ,. r .. .'� . . . a`-. `I p .. . K f f .�c.� 4C .y �1C'i�_
. ; « . i.. �..� �.. .. ♦ �:. ��... . ....� �;
;. �• . H� ' � . 1 �� � � � k
yA, ,
�. . . � .:. ' .. . . � . . � 5�.. � _r `�;�, x .:
.> , � �
• �y� � J �u'n �"�'? �,�,�,, �
... _ `s . a � � � � : v' .
- • , t a F,y��. ��c��� � �
.. ,. _ , • � - �3. ������:° � 3 � � ��: ����,
•
.. ;; „ � .- t' - ',�+ � : ht
� .:.: <�
� ,.
�
. £ `x ' ... . �'f tit� 4 1�� •��
. � . . .
.. �� I ' '• � �� ` ' �� ��
,. , � ��
„e J. ' R ., , . . i
r�
, , . � ;
} �. � �
.. , , . ' - .a3` . . 4'# "'�.lPYe � .. F+ ; ^� ."
. . , � , a y{ t� .` x Y4 � �� R ..
.. . , .. . .. , f � . � dY .i ��. �r ��� � v �x�� qk K � �3�
. I � r����5 .' �s� iy �
, . . � � j. . , k ., "� ;"d� �'T . �i � i(..-'�
. I i• K� � „iy , >'
1 a `a ir S �'R � � �
�/`�` . . . . . . - ,. �
8 . . � . � � �� .( .�P J �
�� 7 y L 1 �.
\ \ � � . . . . ' ��r `:�-v , 3 �:.
� '\. . . . � � . . , . �� �A i "a .�� ` , ��,
. . � . . . . : � . � t �. �' b .
,. � �.. � .. y - �� r� . . -
�' � t � �,�A;� � � .0 iJ' �:
,� � � � � ��� �� �w��� tsar �'« ��
� �. � ""
�� � a �+,
� ��� ^�
' O\' '�, r aw.�°�?"'t``�'� � 9 �' f'"�
(� *�, tf� � i�'��y��;� �d'�
`I �! k� :, z
, ' � ,� s �p � �
. � � � ' �" ��� � �4t,k� x��
�,.
' . � �� �/j%� �,�'� �,�,�/` � � !
, , z; ` ��-i�� G'C/ � �I��� G.� , � � �tS� ��
/� � �.:� ' '
. , t
} ��q�,,�
' " . a . .. .. . � �. ,` .�. ... . . �,�, .. �-..�s'� �C.�:'�-. � . ., , . .. . . . . )p t _7,�' . ^*_. ��dXi ±A6s'v`.��t `�,. d�. . 1 . , _ .
;• ' �:
��
+� __..,.� _ _ _ �
�
��w � ����
t
����: f,�.*� .
��
s;
June 20, 1979
�,:.;.
' 1�
: �f;
�,
CITY C�� IF�IDLEY
8431 UNIVERSIiY AVENUE N.E., FRIDLEY, MINNESOTA 55432
` �`' Custom Pools
' �^, 701 East Excelsior Avenue
Hopkins, Nad 55343
,�
TELEPHONE ( 812)571-3450
Re: Swimming Pool Construction at 7471 Jackson Street N.E.
Dear Sirs:
This letter is to make clear this departments requirements for the swimming
pool construction at the above address.
1.
2.
3.
4.
5.
6.
7.
8.
9.
As indicated, one (1) skimmer approved by the National 3anitation
Foundation will be provided.
As indicated, three (3) inlets of approved design for fresh and/or
repurified water will be provided.
As indicated, a main drain of approved construction will be provided.
The f ilter and pump shall be approved by the N.S.F. and be of
sufficient capacity to provide a minir.►iun turnover of at least two (2)
times in 24 hours. This department rec�ttmends a turnover rate of
6-8 hours.
A deck of at least three (3) f eet wide, measured from the pool waters
edge, shall be provided which �tends completely around all private
residential pools. Above ground private residential ,pools may be
provided with decking of a minimiun size of 4 feet by 4 feet at pool
entry points and provided tha.t such decking has the approval of the
City.
The diving area will be acceptable provided there is no overhead
obstruction.
Fencing or other effective means including but not limited to walls
or buildings, acceptable to the City, shall be provided to positively
control all acqess to public and private residential swimming pools.
Fencing shall meet the following criteria:
(a) The fencing shall prevent the entrance of children and be without
hand or foot holds that would enable a person to cl�mb over it.
(b) 7.'he fencing shall be at least 6 feet high and entrances shall be
equipped with self-closing and self-latching gates capable of
being locked.
(c) Self-closing and self-latching devices shall be placed at the top.
of the gate or otherwise inaccessible to small children.
(d) The opening between the bottam of the fence and the ground or
other surface shall be not more than f�r inches.
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.
L • - �
Custom Pools
Juna 20, 1979
Re: 7471 Jackson Street N.E.
Page 2
10. All electrical lines must be greater than 15 feet away from the pooi
surface. An alterriative is to bury said lines.
11. The pool fill spout must be protected by a vacuum breaker or air gapped.
12. Suitable safety equipment to include but not limited to a ring buoy
and rope that is 1� t5mes the pool diameter, and shepherds crook pole
must be provided and maintained with the nool at all times.
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
oontact me at 571-3450.
Sincerely,
ST J. OL
Environmental Officer
SJO/mh
CC: Mr. Wes Hoskins
� � . .
0
� � M . , .. .... .
�, ctf .. . . , .
�° �
�� . + 'i
, �� � k ' . . .. . .
��_ :ae '� .- -
N �.
r f A
D
�y � ��F' - ��w �� � �
fi�:� . N;; o � �
�
!� �4 �
����� . �� � s. ..
, ��. �
z ��
ti,�y' C; ,'
�': `
�.� - �QP
� . � o� ' �
k. . ��tc r
�t"'� � �`�iC 3 S�a
��'`�� , �;: � m �
\ Z � > ` i "
�� Z ~ (,� .. . � $ �
� .., �y�.. $_.�
r.. �A`�, i�
� +? .:��ti � a S
'-. �
y� m�p C
� t ' � ���- ,Q � 6 �
�, . ' ^� � §
.� =
f� � � . �.x <. � ,, - � � �
i� r ��1s ..• � � �
T L "i,
.��:. r (�
. �,., . "1. � ...0 . ., � O � 1�0
� 'j� E � G 2 . O
�:'� � f. *� �a � » �.
�-p r. , _ . � r , . �p
�� ;.. � g .:ti..ii. ,o � . a
! �� � .-' ��. . ' c
y � �
�'� � " u � $
t�.���.�.�° � . �� . � � 3
�r
'�� �� � � �
; �"' �. d�
; ` N ..
� N�
.�$ � � �
� . ;� y � , �
F' . �
y�, . M
R � ' �
. � '� ~
� � �
� �
,: � � �
a
�.
a:
f � , ~ �
, Z Z
�, .� ° �
0
. , l � �• . . - . �
. NNC �
` �� ��� �
� � �� � .`
� �e �, ��
� � ��
s. � �
1 � �� y�
6 r; :k '}
� ��1� Y',
$ �� t .' �;. �, �. �.
r� '�!v�
T M' � f��l�
� a; �,
' l� n
r ��
O � �
e � ' O, � �
� ��
, Hi Q� ♦
� � w
�7 �` w
1� � �° 1
'� �
' � ��'r
. .�� �`
w �,� r �
, �.
,k, ` �,,otl• sy�
�: ����A��
;i1 t� �d
NFfR ��
!
`-i � 3 �'
�
: � ; � �
1 � � A �,
1 '
, a
H � ,.
i O 0 N
� O p v
0 �
r �
� �'� � c.
� w .
t „ � ' � ;;
W
Wa �
W.—
�Iw
W ,
�•—
�� w
nF
�olw '
J ' '�
2.
n
�
_ . �
�r---�
� ti� ,
, � ^ .
'� 2
Z A
OO
A
^ �
�
�-
a
N y�
N
ON
?
.:' w,
o w
ow� {.. w �
i N I�
w` ' � /
ta I
a - 'p
�, � td �
�y \ i
N1- / `�1 _
ti � il �
� ��
w � �I
"' � I
NI-
� - - �` ��
—o _ � � _'�
m` �i
��.p � r � II � b f
� a
I I 2 r..
2 A
�� i =
� I� ' �T
� I�
N yll---
� i, �
�, � � t�
�
o � I -`�+ °
t � II p m
I 2
G
b � i � r,
� �i . �
��
��
��
��
� _
�, H
� �dd �,Uy l'9i�, i
n� M�� d � f�, a O
� ��'�� _� a
PfAf I K''O�F r
�ititu {� ���+
a
� -.
:
_
�+
o�
�
�� �`
. I
.wo C A �
8 �g�
� ��� a� ��
��� a���: �y�
"�� N�� � N�
�('�o�� �
C. B ? � $ Q
Y
� W N � Y
m� ti, _, '^
a�s��.
��>>o
���nw
rn�?.A�
�
��n�g�
>>�,�a
a8�s3f.
F �g�s
��mm�
7 � �
��• No
7 a N V
�x��
� ����
Q� m
< � �'� �
M � < No
� w 7 p,
N�y
O � a �
$��s.
-�
V r (/�
h _..�
A�,�^�aa _ . �_ ° . ,'�r' �
���� � � : =�,; x:
��abN ; 2 �,�;,i_.\ ,' '' ' w
�Of�O# -.l � \ - N O
O'��p� = Y� �'� \���� - , H C
Z~�b� :_-�/�( A, � � �. _ c -i
,� 3a . , _� , � �\ / �'i� '
��o^�o ` � i � � � �S:
�o�?�_, �;� i � � :
I
o��g�;;;, ,, , � ; -
� �/ / /
y��� ;=� 1/ /�^ � � ���
,
b�� �/ / \� ... i �' - A
� �.: ;
�ti��l � \ / � �/�/= ' ��
b��� i i �:. C^�
�,�� i ,_ ,
e � ii ��
� �',�* : I �� �ta i / ti O
�• �,� , � � ' a�
-� ,( �,_ �, �
. - : jG�`.`_�_,,�� "'�
i �
, � � ��
. � � -,� '. ' . `�
�
� O
�a
y J
W ^�
�_� P�
�• ��
I ^
� a �
� Z .
'� _ -
� �
�\
\ -�
w e�
W� W
NI- N�-
� �:- —
\
�
_ a,
v
�
--1
O
\r' d
� (��,�J� ,. �
��
_ i.
m
V
�
�.
.i
!�' n,
.'�
r,'
r.
a
O
.
24" CLEARANCE
ABOYE .FILTER
'A' FILTER �
DIAMETER �
27" MAX. WIDTH
U��ITROL YALVE�
� 1�,1/2" POOL RETURN•
18••
.B
�_
� `\\�
TO WASTE
PUh� SUCTION
SELECTION CHART
D
AIR REIIEF i
PRESSURE 6MJ6E
—'C' - }00� BAGS
OF No 20
SILICA SAND
��
o ��� DRAI N
��
�STRUCTURAL
FOAM PEDESTAL
«.,�.�.� �
�
�
�..�....
�,
....,.�,�
CATALOG MODEL FILTER AREA RUMP RATE/5Q. FT. TURNOVER CAPACITIES
NUMBER NUMBER (SQ. FT.) H.P. A B C
21 1260 7,560 10,080 12,600
24736-116 HR5-16 1.4 1/2 16" 33" 1 1/4
28 1680 10,080 13,440 16,800
� 33 1980 11,8� 19,800
2473 21 HRS-20 2.2 3/4 20" 37" 2
44 2640 15, 21,120 6,400
1 47 2820 16,920 22,560 28,200
24731-124 HRS-24 3.1 24" 41" 2 1/2
1 1/2 62 3720 22,320 29,760 37,200
CENERAI NOTES:
i. Flaw rates sham are pased on 15 and 20 6.P.M. per sq. ft.
of ftlter area. Nawwr. rates �ry vary from 10 to 20 G.P.M.
p�r sq. ft. as desired.
�C 2. Pu�q and pu�p connecior �ust Oe purchas�d spa�ably.
w� r..�.�ww .. rw�r ..w�.. .
�ur� w M r w� � w�w�r�
r��. w�� �r w�w w� w
w� � w�w� w� rwr�
��� � u�w�n rw �w ra
• • '�' ""�
3. The filter tanks and piwp and u�itrol valve an
approwd by the Natlon�l�S�M tatton Found�tion.
�. These filten �re wvsred by the follaving pateets:
Australta Pat.'NO. 275.346; Canad� P�t. No. 722,018;
Groat 8ritain V�t. No. 93�,997; Mextco P�t. No.
79.797; South Atrtu Vat. fio. 1100/65.
� ���p VERTICAL HI-RATE (FILTER)
�.,.....�.,.a,,,.,,.�.,..„,� H RS SE R I ES W/U N ITROL VALVE
ne wM Mr. M.w. Mw., w�. sw
rr www �w �+... wr �r. o.rr r.... nw
• eerrrwr +w�. wraMr. av�or w wiw+rur eorwn. we. � JUNE 1�73 ""'� %— SO �
...
sue�ecr PE .
City of Fridley o 18 4 3
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
�
� •
, � R O.
� `� � COMMUNITY DEVEIOPMENT DIV.
r � � � PROTECTIVE INSPECTION SEC. �(� 7�J�
1 . ,
� � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'""� � ,'' 612-571-3450 9t0-F15 5/21/86 / /
JOB AODRESS 7471 Jackson Street N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 1 Melody Manor 3rd Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Wes I%skins 7471 Jackson Street N.E. 784-6062
3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO.
D& D Home Improvement Inc. 7401 Central Avenue N.E. 784-7543
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAlLAODRESS ZIP PHONE LICENSENO.
8 USE OF BUIIDING
Residential
7 CLASS OF WORK
❑ NEW � ADDITION C� ALTERATION ❑ REPAIR p MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS gpof can be the 2nd layer but not the 3rd. Install ridged galvanized
valleys.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINCa, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
VENTILATING OR AIH CONDITIONING.
THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WOFiK IS SUSPENDED OH ABANDONED FOF A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS OF IAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPUED
WITH WHETHER SPECIFIEO MEREIN OR NOT. THE GRANTING OF A PERMIT $1,386 $•69
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTI N OR THE PERFORMANCE OF CONSTRUCTION. $23. SO
d PLAN CHECK FEE TOTAL FEE
� L1 D�p $24.19
. SIGNATUREOFCONiRACTORORAUTHORIZEDA NT IDATEI WHEN PROPERLY ALIOATED THIS IS VOUR PERMIT
...i
� ��
SiGNATU OF OWNERIIF OWNER BUILDERI IDATEI BLOG WSP D9 E
N�► [ ]
a�rr;. [ l
ALTER. [ j
CiLy of Fridley
L R-1 AIfD R-2 j
Buildir�g Permit Application
Effective 4f1/8�1
Construction Addres�:_ � / � �.11�'I�a� ��/- /llG.
. �
Legal Description:
Owner Name � Address :.. �`es 170SI1 /,{%S Tel .� 28� Od�
Contractor: ��� ��,� �r _..�r� �i�� _�7"-� 1�1. . i .-��/ 7-SS!�
Address : �`t �� C��� �!2' . �P%E�
AttaCh to this appliestion� a Certificate of Survey of Lhe
lot, xith the proposed construction draxn on it to acale.
LiVING AREA:
, CARACE AREA:
DECIC AREA :
OTHER:
� DLSCRIPTION OF IHPROYE!lENT
Length Width Height
Length . _ __ Width � Height
Length Width Hgt/Grouad
Sq. Ft.
Sq. �t.
Sq. Ft. ,
Corner Lat ( J Inaide Lot [ j Ft. Yd. Setback Side Yard Setback
Type of Construction: ��'-� D✓El� � L+4y� /L Eatimated Cost: ��3g�G-Q�
Approx. Completion Date: � � �� �
" Alt. A Alt B
Propoaed Driveway Width If New Opening Is Desired: a a
,, See Back Page for Explanation
_ �
DATE: Z1 J� APPLICAh'T: Tel. ;_�` 7��.
� CITY OSE ONLY
Permit Fee � � 3. s� Fee Schedulc on Reverae Side
Plan Gheek � ' 25f of Building Permit Fe•
State Surcharge = �G 9 =.50/=1�000 Valuation
SAC Charge � =425 per SAC U nit
Park Fee < a. _ __ - Fee Determined bq Enginepring
Sewer Main Charge E _
�� � �� 9 Agreement Necessary [] Not Necessary [ J
STIPULATIONS:
,� � „ s
�
'v
�
a
�
0
�
�
�
0
d
�
;r
a
pl
�
3 �
fl/ �
O;
o a
7 �
3 �
� �
ON
� �
� �
���
� O
o �
� °:
O 3
A �
� �
m
a
O
C
�.
_�
�
�
m
a
�
�
rn
�
'Q
m
n
�
O
Z
T
H1
m
�
�
0
0
\
S
0
�
�
�
�
�
�
��
� �
_�
� O
� �
� �
U1 �o�
o' m
o �
� �
m �
O � Q N
r � � �
N
I'mr! A � �
N 3 �
� �
7
____ -m -
� � � D
� p� O
� 3 n �
� � c�o m
�"' W O �
� �•y► � y
� U� �p O
� � a
� O c�p �
���oa
N7
N p, O �
m � � �
�.. �
7 � O
� 3
� � A
� � �
� o
��
7 p
� i
O
0
a-- --
�
�
�
0
3
�
�
N
�
N
D
m
�
�
�
^
� �
---� _ o
O O
� � � � �► �
�
� `
O
� �
yR �
_ � !
y a. �
� � i
g `
��
m
�
a�
� C�' '
� ��
ZZ�
cJt m �
���
�D �
tW0 � n
'a
O
a
�
�
.� �
� � a
G m
�
�
�
m
A
s
�
�
m �0
� �
c G° 1 a
� � � o
�x
Z �
� m
��
c
�
�
c�
�
o m
�= o
o � �
m
� �
�� �
m
� �
a 3
0
m �
a a
rn �
� �
� � �
0 v
�
d
3
D
�
� �
N �N
� �'
7
� o�a
2
g
T
C
�
`� 3 �+
y �
ly
� �
L .�
� �
O �
T�
`
� c
� �
'� A
� �
(A
� �
5
� �
�
m �'
��
� o
�
m
�
�
� � �
0 0 �
O , O O
« � H
0
c
o�
�
D
v
0
�
�
0
�
m
�
-� 0
O
m
c
O;
�
c
a
.
�
�
o �
� O
3 �
W �
1"
�
�
�� A �
w���
� � � O
� � � �
N < �
�
�
rZr1 �
�
� �
v C
1-� r
� �
N Z
00 �
v Z
�
'O
m
�
6
�o a
� �°
�
� A
rn �
�z
Z O
��
2 •O
v o
a—' m
� �
t') �
v z
��
O y,
� Z
Z �
L7 =
N �
m z
�
� n
Z O
v �-
�
m �
m rn
V� ?
� C
� <
A
� �
N
O
C
A
�
V "
�
t�
�
04/02/2Q04 FRI 13:21 FA%
NEV�► II
ADDN [j
ALTER [ ]
Construction Address: �'
Legaf Description_
��-� ELDER JO1�iES I�1001/001
. .. . • • ' 'i�:�,�"'' '. .. . .....
��
CITY OF FRIDLEY Effective 4/1/2004
� �fi431 University Ave NE, Fridley, MN 55432 (7�3} 572�604 Bldg Insp
SING4.E FAMILY AND DUPLEXES R-'( AND R 2 (763) 571-1287 Fax
BUiLDING PERMITAPPLICATION
Owner Name & Address�'.���[' � ( S•�p��
Contractar_ _, �MA HOME SERVICES, INC.
Addr�ss: Home Deopt Installed Sales
3200 Cobb Galleria Pkwy.Ste. #200
Atlanta,, GA 30339
763-542-8826 BC-20268257
LMNG AREA:
GARAGE AREA:
DECK AREA:
o�rtieR:
�.. •
Tel. # 'f(d'S •
MN LlCENSE #
Tel. #
� Certificate of Survey of the
truction drawn on it to scate.
DESCRIPTION OF IMPROVEMEN7
Length �� Width �____ Height � Sq. Ft.
Lengif� _,__ �d� __ Height _ Sq. Fi
�
�'g� �d� .� Hgt/Ground Sq. Ft
Ci t 0 �
_ 1_ c � ��' [ Pc��h csrtn�, ; r�.Q�� S�in
Construction Type: —`"�� • V
Estimated Cos� $ 1 a ��� — �
Driveway Curb Cut Width Ngeded: Ft, + 6 Ft = Ft x$ _$
DATE- V� APpLICANT- Tel. #�LSo( � 4��1�–l�
Call (763) 572-36Q4 for Permit Fees if mailing in application. Fax to 763-577•1287 if using credi! card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
Staie Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY-
� • a...
,� Fee Schedu(e on Reverse Side
� 65% of Permit Fee
$ . 6 .001 of Pennit Valuation (1/10th%)
$_ •�d $.50/$1,000 Valuation �
$ $1350 per SAC Unit
$__ � •� O $5.00 (Staie licensed Residential Contractors)
$ Ali. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
� Agreement Necessary [ j Not Necessary []
$ a� � .
STIPULATIpN :