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City of Fridley, inn N° 8 3� 2
BUILDING PERMIT
Date: - AUGtTST 18, 1965
Owaer: g�d� HOMEDALE BUILDERS
Ad�re� A� 3017 LYNDALE AVENUE SOUTH
M:CNNEAPOLTS, MIlVNESOTA
LOCATION OF BUILDING
No, 7510 S�t JACKSON' ST_RFRT N_,� Part of Lot
Lot -�� B1�k - � Addition or Sub-Divisian —'�'-'�'-n��'�� en,�rm�
Coraer Lot —�_ In�tde Lot Setback .�S Sideyard —_-� 0� an� 1 Q
SeWer �evatia�► Foundat3on IIeval3on
DESCRIPTION OF BUILDING
To be Used as:
DWf�LING �t 40 De� 30 g��t 20 Sq. Ft - 1, 200 �, � 2 OQ
Frant Deptt► I�eight Sq. Ft Cu. Ft
Zj►pe of Construc�tion � F�, �_, �16 , 000 __ To be Completed
In consideration oP the iesuanc+e to me of a permit to conatruct the buildiug desc�ibed above I agree to do
ths proposed work in accordance with the d�script3on above and ia liance wlth a�l pmvIsiona of
ordinancea of the dty of Ftidley.
Ia ca�n�derafita� of fhe paymeat of a fee of S 21. 00 , permit fs hereby graated to HOMEnAT.F
BIIILDERS to construct the builaing or addition as d�acribed abave. This permit is granted upon
the espress conditiam that the per�on to whom it fs graated and hfs agenta, employees anc� worlmien, in ali work
�� ��e�nd upon eaid buildiug, or anypar� thereof, shall conform in a11 reapecta to the ordinanc� oR
within the d]imita�ttiis p�ermi�t'� be revoked�at�e,q�y ��� �� ��°O�� of buildin�s
ordlnancxs.
tY time upon violation of aay oP the P�visions oP ea�d
ALLEN G. JENSEI9' g�� �
� NOflCEa
'I� p�+mi1 doa not emr�r ths eoeileueHoe, Ie�aWtion /er Wrtne, P�+�B. 6� b�8. +ara� or rrtlsr Bs sun to sss
��me �a� tm aP�►tl� � Po� f6a� hana.
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APP'L�CATIOft FOR $ZTILDING PERM[T
CITY � FRIDLEY, M'II�iNESOTA
ZOCATI�N
=��,__ ��/ � Street �part of Lot��y
. ..L� � �K ADDI OR SUBDIVISION7�/�'�,������,��,d�
Corner Lot _/� tnsid� _LOT ' Setbaclt � Sid�-+Yard .� �
_,_�_.� _�,.
JSEWER �LEVATI�N = FOUNDATIO�Q �Y.EVaTI011���� ,�i
Applicant attach to this form Two Certificates of Survey c�f Lot �nd proposed
bu3.lding location drawn on these Cereifieates.
DESCRTPTTON 0�' BIIILDING
To be used as:
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Froat �
� D�Pt � � SeighE ��
. � �o � / � a d
, Sq. Ft , � Cu. Ft. � � - -' ' -. �,�_
�°ttt D�Pt ,��_Height
. ��
� Sq. Ft. . Cu. Ft.
�ype of Coastruction � � �
���'!'���--- Estimated CosC �� -�
To be completed��^�-/°
�he �mdersigaed hereby makes ap�lication for a peruiit for�the work herein specified,
agreeiag to do all work in etrict accordance with the City of Fridley Ord�nances
and �rul3ngs ot the Department of Buildings, and hereby declares that a11 the facts
and repres�ntations stated ia Chis app].ication are true and correct. -
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(8thedule of Fee Costs can be found on the Reverse Cir1p _ ��_��
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HDTi,�7.�IG PEIi�T _ F_F,�.. SCHEDSLE
S�CTION 2. The Inspector of Buildings ehal.l. before issuiag any germit for the
erection of any building or structure, or f.or any addition to $ny esiating build-
ing or structura, or for any alterations or repaira to anq exietin,g buiiding or
structure, upon application therefore, require the payment bq the applicant for
aucb per�it of fees to tbe amount herein below set fcrth and in the.maaaer hereia..
provided to-wit; �
2.1. For any such pe�mit fo� the erection of any fire-proof buildin�,
other than a garage, warehouse, factory or grain elevator, or for the erection
of any fire-proof addition, for eimilar occupancy, to any existing building,
ehall be aC the rate of $1.40 for each one thousaad cubic feet, or fract3on
thereof, in such cubical contenCs.
2.2. For aay such permit for the erection of any €ire-proof gasage,
.- �tarehause, factory or grain elevator, or�for�the erecticn of aay'fire-proof
addition, for s�imilar occupancy, to any exist3ag building sh811 be aC ttse rate
of $1.25 for ea.ch one -thoueand; crubic feet� classified as "fireproof" by
Sect3an 502 of the Minneapcl3s Building Code.
SOUSES . _ _ . .
2.3. For aay such permit for the erection of any non-fireprcof buildin�,
other than a garage, warehouae, factory or.grain elevator, or any non-fireproof
addition, for similar occupancq, eo any existing building - permit $1.00 for each
one thousaad cubic feet.
GARAGES
2 4_ For�any 8uch permit for the erection of any non-fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non-fireproof
addition, for s�i..milar occupancy, to any existing buiidiug or for each such
buildin� ar addiCioa - ninety cente ($0.90) for each one thoueand cubic f�et
or fraction thereof, in the cubical contents there.of with the minimum of $4.00.
For the purpose oE camputing fees for 6uildiag permits, the cubical conCente
of anq buiiding or additian to a un3form bei�ht throughaut by multiplying the
ground area covered from a po3nt siac (6) inches below the floor line of the
basemeat or cellar to the average height•of the upp�r surface or to the avera�e
heigbt of the roof su,rfaee of the maia gable of a pitched roof.
2.5. For regairs or alCerat3ons to aa exi�tin� structure, the fee shall
be at the rate of $3.00 per.each Five Hundred Dollars ($500.00) or fraction ,
thereof in the c@st of a11 proposed work. ,
2 6_ In no case ehall the fee char�ed ior anq permit as set forth in
Section 2 be less than $4.Q0. •�
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L,.OT 3�'_. BLQCK �..; .M�1.40Y I�IA,NOR A�H /�QOt T10lrt
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l buray ce�f,�'y �Iwf� 1�i�s rs o s3�ue arr! c�vrn�f np�u�a�'ia� o�'a s�s'�y �l'1�.* b�v�rdar� �"N� �a� d�rr:d�d l�n4, �rad
q��lYt /awf�n g�"olJ E�td�� , f�nn , a�ad'd! ri,rG�ti �rrrrarr�fs .��'a�y: �ietn ar ��id lend. As surne�d' � n� 1h� - d�
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Date:
Owaer:
Adaress
Ci.ty of Fridley, Minn.
BUILDING PERIVIIT
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Address �
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N° 8901
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LOCATI N OP_ BU�NG '"
No. ,�� � St�+eet ,�_� o oE Lot -
Iat ���.� 81 Adriftion or Sub-Divlaion .� ��--�°� ��`�
—'?
Ccrner Lot Inaide Lbt � Setback ideyard
Sewer IIeval3on — Foimdatioa IIevation
DESCRIPTION OF BUILDING
T��> b,� U as: �
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—_.. Front �� Depth °�` � Height � Sq. FL���. Ft ��—'�
D�epth I�eight Sq. Ft Cu. F't
Type of Conatruction ��"�E"`� F�t, Cost �� � To be Compieted
In consideratlon oP the 9ssuaace to me of a permit to� conatruct the building described above, I agree to do
th� proposed work ffi accordance with the deacription above set Po and ffi compliance wlth all provisfons oP
ordinances oE the dty of Frialley. �-`� ��/% �
In - deration oP the payment of a fee oP $�< ���, �t is hereby granted to �
�-�' � to conatruct the buflding or addition as described above. Thiap�rm� t fs granted upon
the express conditfon that the peraon to whom it fs graatsd aad h4s agenta employees anc� worl�nen, ffi ali work
done in, around ead upon eatd building, or an,q� thereoP� shall conform in all respects to the ordinancee of
Fridley, Minnesoffi ar�in� locatlon, conatcu on, alteratton, maint�nsace, repafr aad movin� of bufldings
wi�� dty ]9mits��and th�s permft may be ravo�ed at any tirne upon violation of any oP the P�vislona oP ea4d
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NOflC�
11d� pumb doa �1 eorer Ha coa�eueHoe, �on �or wWnA, P��+ma op b�9, aw�r o� wa�er. B� sun ro a�
Na Boqdtee le�efor te� apuaf� p�emib for fMa k�t.
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IPPLICATION F� BUILDING PE�MIT
CITY OF FR1DLEy, N�OTA
pym�.rg �� Herbert V�right g�,d� I��atern Construction Company
�+ddress 7510 Jackaon St. N.E. ��e8s 3017 Lyndale �venue South
LOCATIQN OF BIIILDTNG
No. 7510 g}�.�t Jackson St. N.E. Part oF Lot
Lot Block Addition or Su�division
Cornar I�t _,,= side Lot 3etback Side-Yard
S�n1ER ELEV�TION FOUNDATION ELEV1TInN
�pplicant atta,ch to thi� fotm Certi�icete of Survey of Lot and proposed building
location.
DESCRIPTION OF BIIILDIlJG
To be u� se� as s
�arage � Froat= epth 26 Heigiit �
Sq. Ft. 572 Cu. Ft. 5720
Front_,_ Depth Aeight
Sq. Ft, Cu. Ft.
Type of Gonstruct3on F�m� Estimated eas`t �1, 500.00 -
To be Completed .. ��g�-st 1, 1966
The undersi�ned hereby mekes application for a permit for the work herein spec3fisd,
agree3ng to do all work in strict accordance with the C3t�r Orrlinances and ruling oP
the Department of Bu3ldinge, and hereby declares that all the facts and representationa
stat�ed in thia applicatio� are true and correct.
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(� Schedu].e oF Fee Costa can be found on the Reve6rse Side.)
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HUII,�TNG PERMIT FEE SCHEDIILE
Section 2. The Inspect,or of B�.iildin�s shall, before issuing any permit for the
erection of.�ny.building or stsucture, or for any addition to ar�y existing bu31d-
3ng or structvre, or for anar alterations or reg�airs to any existing building or
structure, upon app�ication therefor, require the�payment by the applicant for
such permit of feea to the amount herein below aet forth and in the msnner herein
provided ta-wit:
2.1. For an� auch permit for the erection of ang fire-proof building� other than
a garage, warehouse, factory or�gra3.n°elevator, or for the erection of any fire-
--- ai mi l�r nrtny,�gp„�� _ e r� n e�'� s•i na h±�� n�_ gk� l� l�'-°__Bt 'f.}18-- -- ---
rate �f �1.1,A for each o�e thousand cubic feet, or fraction thereof, in such
cubical contents.
2.2. For any such permi.t for the erection of any fireproof garage, warehouse,
factory or grain.elevator, or-for the erection of any firegrooF addition,�for
aimilar occupancy, to any existing building shall be at the rate of �7..25 for
each one thousand cubic feet, classified as ��fireproof" by Section 502 of the
Mi.nneapolis Building Code.
HOUSES
2.3. For any such permit for the
than a �arage, warehouae, factory
addit3on, for similar occupancy,
each one thou�a.nd cubic feet.
GARAGES
erection of any non-fireproof build3ng other
or gra3n elevator, or any non-fireproof.
to any exiating building. Permit $l..QO for
2.4. For any such permi.t for the erection o£ any nor�firepraof garage, warehouse,
factory or grain elevator, or for the erection of any non-fireproof add3t3on, for
similar occupanc�, to any existing building or for each such building or add3tion.
N3nety Cents for each one thousand cubic ieet or f°ract3on thereof, in the cubical
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c�en�s�i�ereca�`wi�h a�im n�mum�"o�f,��I�.�tT:_ __- �
For the purpose of computing feea for building permit�s the cubical contents of eny
building or add3tion to a uniform height throughout by multiplying the ground area
covered from a point s3x (6) inches below the floor line of the b�.sement.or cellar
to the average height of the upper surface or to the average height of the xoof
surface of the main gable of a p3tched roof.
2.5. For repairs or alterationa to an existing structure, the fee ahall be at the
rate of �3.00 for each Five I�undred Dollars ($500.00), or f�action thereof in the
cost of all proposed work.
2.6. In no cass shall the fee charged for any permit as set forth in Section 2 be
lesa than $1�.00.
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3017 LYNDALE AVENUE SOUTH � MINNEAPOLIS, MINN. 55408
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MODELS: KE 3-8371
OFFICE: TA 5-2828
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sus�ecT PERMI ' N
City of Fridley o- 7 010
AT THE TOP OP THE TWINS g U I L D I N G P E R M I T
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� � R EIPT NO
� ; L ______ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. ���j a
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� � /�'�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OP APPROVED BV
!'""'�� � ,�� 612-571-3450 910-F15
6/17/83 � /
JOB ADDRESS 7510 �'ack�on Street NeEm
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3% 4 Melody Manor 4th Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Don Ley 7510 aackson 5treet N.E. 786-8629
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
CustaQn Pools 601 East Excelsior 933-2255
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE �ICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
B USE OF BUILDING
Residenti,al
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
%
8 DESCRIBE WORK
Cflnstruct a 16' x 32'. Su�+n++�+� n Pool {In round)
9 CHANGE OF USE FROM TO
STIPULATIONS
See stipulations on letter dated June 13, 1983 by Environ�ntal Officer
I�IA��p�G ,
�eFore digg+�� caii locaJ utiliti�s
tElEPN9NE - ELECTRlC - GAS �tEa
�EPER�AiE PERMITS RE UIRED F��7 ;; ,- -, ; ;? . �QUIRED 8Y Lq�
NEATIiVG. Pl.UMB�NG A p � � � , r . � �
SiG�d5
SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
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 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 S9�OOO y�4. SQ
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-
STRUCTION OR THE PERFORMgA�CE O�RUCTION. yi`%4. SO
1� PLAN CHECK FEE TOTAL FEE
�,_.
- . I` � $ 79. 00
ua o T A R �DATEI �y�IHEf�PROPEFiLY DATED TH S IS YOUR PERMIT
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SIGNATURE OF OWNER iIF OWNER BUILDERI IDATEI BLDG INSP - ATE
CITY OF F(tIDLCY
APPLICIITIO'1 FOft RCSIDLi�TI11L I3U1LAIi�G PERi�iITS
(Ne►�, A1ter•iLians, Additions, or Re�airs)
OISHER: � tn L-� �
flDJRESS: 7 5�� ��-1 C K S c7 � S�- .
TEL n0: F) � 8�� -� t� 3- i
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Effective Aug. 1, 1981
.
l3UILDER: � � ; �' �"' °`� /S
IIDDRESS: � � � � � �'�' ��S / o�
TEL f10:
C�"� " � �5 S 5f`,3�.�
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Construction Location
STI21�T NO :� S��-� STItEF.T: �t� C I� S��� �`� S�I� �-�'
L07': � � BLOQC: 7 ADAITION: /'/! �� ������ ( � /"l�`'� •
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Corner Lot: � Insicie Lot: � Setback: Sideyards:
Ap�licant attach to tliis form two Certificates of S�rvey of lot and
proposed building location dra�an on certificates to scdle.
DESCRIPTIO�� OF COi•JSTRUCTIOW
,� x� vZ Front: Depth: Height:
Squarc Feet: (�bic Fcet:
Front : Depth : Heiglit:
Squar.e Fe�t: C1�bic I'eet: _
Type of Con ,truction : �i� � � C� u r1 6� �,v,`� �C� � Estimated Cost: $ � , �-1 �' �
. �-
Rb Be Cbr.�pleted: �O I 3C� /�S �
, Alt. A Alt. B
Propos�:d Drive«ay S4idth If New Opening Is Desised: $ $
S�� F.c.VF:R�E SIDE OF SFIEET
ZSie undessioned hereb�► ma);e� applicttion for a permit fcr the �:ork herein specified,
agreein3 to do .all work it� strict accordance r�ith the City of I'ridley Ordir�ances and
rulin�s of tlle Departmeiit. of Dui2c3i.ngs, and hereby declares that all tl�e facts and
repres� tatiens stated in this applica��ipn are true and correct.
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D.iT�: 7 SIGNATUItG : � � � �.����/ L���"�
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Stij�ulations : ;'' . � � /`�
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The ChieP Building Official shall, bePore issuing permits Por the erection
oP any building or strueture, or for any addition to any esisting building
or structure or for any alteration or repairs to any existing building or
atructure, upon application therefore, require the paymerit by the
applicant Por sueh permit of fees to the amount herein below set Porth and
in the manner herein provided to-vit:
- - - •,
�1.00 to $500.00
Fees
�10.00 (Minimum $15.00)
�501 to $2,000.00 �10.00 for the first $500 plus $1.50
for each additional $100 or fraction
thereoP, to and ineluding $2,000
�2,001 to �25,000 $32•50 for the first $2,000 plus �6.00
for each add�tional $1,000 or Praction
thereof, to and ineluding $25,000
�25,001 to �50,000 �170.50 for the first �25, 000 plus
�4.50 for each additional $1,000 or
fraction thereof, to and including
$50,000
�50,001 to �100,000 �283.00 Por the first $50, 000 plus
�3.00 Por each additional $1,000 or
fraction thereof, to and including
a100�000
�100�001 and up
$4�►3.00 for the first $100,000 plus
$2.50 for each additional $1,000 or
fraetion thereof
Plan Check: 25 percent of buildiag permit Pee.
Driveway Depression Esarov: Concrete eurb streets onlq.
Alternate "A": Removal and replacement of curb and gutter only -
Driveway width plus 6 Peet times �13.50
Alternate "B": Removal and replacemeat of curb and gutter and
install a 3 Poot wide approaeh with 6 ineh depth - DriveWay width
plus 6 feet times $15.75
- - . , ����lt'F'�TFi • �
Permits Por eonstruetion Will be issued a minimum of 24 hours from the
time of applieation to alloW for proper review oP the proposed structure
and of the eonstruetion site.
A CertiPicate of Survey of the lot, shoWing the loeation of the Poundation
onae it has been constructed Will be required �efore oroeeedina with the
framing.
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Cod.e Enforcement Departanent
City of Fridley
6431 University Avenue N.E.
Fridley, MN 55432
AGREEMENT
I, , owner of the property
located at � � � , have no objection to
4 - ��
-- -the Ci.ty a1loGZing the construction of a `
to be located at � without the
required Certificate of urvey that the City ordinarily requires for all
new construction. I rea.lize that the required deck around the pool
wi11 be only one (1) foot off the lot line.
Wi tnes s
Signat
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Address
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< <�-: = June 13 �
�-n�-.:::�,�;,
1983
CITY OF FRIDLEY
8431 UNIVERSITY AVENUE N.E., FRIDLEY� MINNESOTA 66432
Custom Poola
601 East bccelsior
Minneapolis� ?�T 553�3
TELEPMONE ( 812)571-3450
Re: S�ri�ing Pool Construction at 7510 Jacksoa Street N.E.
Dear Sirs:
This letter ia to make clear this department's requirements for the
aximming pool construction at the above address.
1. As indicated, oae (1) skimmer approved by the National Sanitation
Foundation Will be provided.
2., As indicated, three (3) inleta oP approved design Por fresh and/or
repurified Water will be provided.
3. As iadicated, a main drain of approved eonstruction Will be
provided.
�1. 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 txo (2)
times in 24 hours. Tbis department recommends a turnover rate of 6- 8
hours.
5. A deck of at least three (3) feet xide� measured from the pool
t+aters edge, shall be provided which e=tends completely around all
private resi�ential pools. Above ground private residential pools may
be provided xith decking of a minimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval oP the
City.
6. The diving area xill be acceptable provided there is no overhead
obstruction.
7. Feneing or other efPective means including but not limited to walls
or buil.dings� aceeptable to the City, shall be provided to positively
eontrol all acceas to public and private residential sximming pools.
Fencing shall meet the folloxing eriteria:
(a) The Pencing shall prevent the eatranee of obildre a and be
Without hand or foot holda that Would enable a person to elimb over
it.
(b) The Peneing shall be at least 6 Peet high and entranees ahall
be equipped witb self-closiag and self-latching gates capable of
being looked.
(c) Self-closing and selP-latching deviees ahall be placed at the
top of the gate or otherurise inaccessible to amall ehildren.
(d) The opening betWeen the bottom oP the fence and the ground or
other surface shall be not moa�e than four inches.
d
�
Custom Pools
June 13� 1983
Re: 7510 Jaekson Street N.B.
8. An automatia ehlorinator ahould be provided with a suitable test kit.
9. All electrical aad plumbiag installations shall be inapected and
approved by the City Inspectioa Department.
10. All overhead electrical lines must be a miaimum of 10 feet
horizontallq trom the pool surface, and 18 feet straight line distance
lram the waters edge. Iln alternative is to bury said lines.
11. The pool fill apout must be protected by a vaeuum breaker or
air-gapped.
12. Suitable saPety equipment to include but aot limited to a ring buoy
and rope that is 1-1/2 times the pool diameter and ahepherds crook pole
must be provided and maintained With the pool at all times.
Furthermore, these and any other requiremeats must meet tbe provisions of
the Fridley City Code, Section 115, SWimming Pools. Tbe building permit
is approved contingent on Pinal inspections and approval of the City.
If any questions or problems arise from this letter, please feel Pree to
contact me at 571-3�50.
Sincerely,
STEVEN J. OI.SON, R.S.
Environmental OPfieer
SJO/mh
CC: lsr. Don Ley
Page 2
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I 27 e�ta
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H I-RATE SAN D FI LTERS
PF SERIES WITH MULTIPORT VALVE
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIM. GDIM.
PF-35 331/2„ 16�� 18�� 251�2�� 2�1�Z,� 9•� 2�"
PF-50 331/2�� 16„ Z2,� 291�2" 311�2,• 9" 2���
PF-100 373/4�� 22" 3�" 38��8„ 41��$„ 133�8,� Z4��8��
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIM. GDIM.
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PF-35 851mm 406mm 457mm 648mm 699mm 229mm 508mm
PF-50 851mm 406mm 559mm 749mm 800mm 229mm 508mm
PF-100 959mm 559mm 762mm 987mm 1064mm 340mm 632mm
PF SERIES WITH PVC BACKWASH VALVE
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIAA.
PF-35 331/2" 16" 18" 251/2" 31/a" 11"
PF-50 331/z" 16" 22" 291/2„ 3�/a•, 11"
PF-100 373/a" 22" 30'• 371/a•• 75/a•, 153/a„
MODEL ADIM. BDIM. CDIM. DDIM. EDIM. FDIM.
PF-35 851 mm 406mm 457mm 648mm 83mm 279mm
PF-50 851 mm 406mm 559mm 749mm 83mm 279mm
PF-100 959mm 559mm 762mm 953mm 194mm 391mm
B
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5 CLEAR i0 REMOVE COVER
127MN
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PF SERIES SKID MOWNTED WITH
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MODEL A DIA. BDIM.
INCHES METRIC INCHES METRIC
PF-35 w/1/x H.P. RPZ-590 18" 457mm 28" 711mm
PF-35 w/lh H.P. RPI-591 18" 457mm 28" 711mm
PF-35w/3/aH.P. RPZ-590 18" 457mm 28" 711mm
PF-50 w/3/a H.P. RPZ-590 22" 559mm 32" 813mm
PF-50 w/3/a H.P. RPI-591 22" 559mm 32" 813mm
PF-50 w/ 1 H.P. RPZ-590 22" 559mm 32" 813mm
FILTER DATA
TURNOVER IN (HOURS) FILTER MEDIA
FILTER FLOW PEA GRAVE� WITH SAND
MODEL AREA RATE g 8 10 12 PEAGRAVEL* SAND**
Sq.Ft. M2 GPM Liters Gallons Liters Gallons Liters Gallons Liters C3allons Liters Pounds Kgms Pounds Kgms
60 . Z�•ZZ
PF-35 1.8 .167 35 132 12,660 47,918 16,800 71,158 21,000 79,485 25,320 95,836 40 18.14 � p9.48
PF-50 2.6 .242 52 197 18,720 70,855 24,960 94,474 31,200 118,092 37,440 141,710 80 36.28 120 54.44
� 58.96
PF-100 4.9 .417 100 379 36,000 136,260 48,000 181,600 60,000 227,100 72,000 272,540 120 54.43 280 127.01
OU 136.08
-rea uravei size %8 i0 /4 aia. 3:i imm to e.�5mm
**Sand size .018 to .022 particle size .45mm to .55mm particle size 2/22/�s
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OVALS (All SIZ@S )
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SIZE E F G H J N
16 x 28 � 10 6 4 8 4
16 x 32 " 13' 6" 6 4 8 4
' 6" 13' 6" 6 4 10 5
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8'6" 13'6" 6 4
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SuBJECT ,
City oi Fridley ? � �, � 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� `y_�_�___ COMMUNITY DEVELOPMENT DIV. ��� �
f � � PROTECTIVE INSPECTION SEC.
� �
' � ����i � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF qPPROVEO BV
�.---�•� ,'J 612-571-3450 910-F15
10/26/94 � /
JOB ADDRESS �510 Jackson Street NE
1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED
DESCR. 3] 4 Melod Manor 4 Addition SHEET
2 PROPEHTY OWNER MAIL ADDRESS ZIP PHONE
Donald Ley 7510 Jackson Street NE 786-8629
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST. OCCUPANCY GHOUP OCCUPANCY �OAD
SEPARATE PERM�TS ARE FEOUIFiED FOR ELECTRICAL, PLUMBING, HEATING,
VENTIIATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OFi IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 1 375 .69
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 33.00 Fire SC . S
PLAN CHECKFEE T07AlFEE
SiG,e Tu E OF CON'RAC O ORAUTHORIZED Ervt iDnrE� WHEN PqOPERLY ALIDATED THIS IS VOUR PERMIT
.,
�� /'� � ' f�-�c��
S�GNATURE OF OWNEA UF OWNER BU4DE i iDATEi a OG S� pti7E
r�w
ADDN
ALTER
��
[l
�J
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Applicarion
S/� � �SO � S� � �i �'
� �
Legal De.scription: �'` O �L 5
Owner Name & Address: � D�t a`� �'�i %S� D��� 5��� Tel. �
Conh'actor: �� MN LICENSE #
Addr�,s:_�5 �� �% Z� �`- SG�( Tel. # .
Attach to this applicatian, a Certificate of Swvey of t6e
1ot, with the proposed com�uction drawn on it to scale.
LIVIATG AREA:
GARAGE AREA•
DECK AREA:
OTHER:
0
DESCRIPTiON OF IlVIPROVEMENT
Length
Length
� 1Co v
Effective 1/i/94
Width Height Sq. F�
Width Height Sq. Ft�
�idtn xgtlGround sq. Ft
'�o � S�� � ��� a,� � ����o� ��
-- - 7, ,
Corner Lot � Ynside Lc�t [] Ft. Yd S�tback Sid� Yazd Setbacks
T� Of COIiS�'[71ChOII: ESh1I�� �:OS'�: $ � / � �/ ��s �
Approx. Complerion Date: �p U� �� ^
(Cost on Back j - ��'�- `` � �
Drivewa Curb Cnt Width Needed: Ft + 6 Ft = Ft x$ =$
DATS�% � � APPLICANT: r Tel. # �� ° �6� _
�
Permit Fee
Fire Surchaige
State Sen�charge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion (:ontrot
Park Fee
Se�►er Main Charge
TOTAL
STIPULATIONS:
�.�M. `�_ _ � !_ _
$ .� Fee Schedule on Rev�se Side
$ % - � �� ..001 of Permit Valuation (11101�%)
$ � � $.SO/$1,000 Valuation
$ $800 per SAC Umt '
$ $5.00 {State Licensed R�identiai Contractors)
$ Alt. "Aa or Aik "B" Above
� $450.OQ Conservation Plan Review
$ Fee Determined by Engin�ring
$ Agreemem N�ry [ ] Not Nec�sary [ ]
$ � �
,
I3U[LD[NG PERMIT FEE SCHEDULE
`Che Chicf [3uilding Ofticial shall, t�efore issuing permits for the erection of any building or sbructure,
c�r for any addition to any cxisting bui[ding or structure, or for any alteration or repair to any existing
l�uiiding or structure, upon apptication therefore, require the payment by the applicant for such permit
of fc� to the amount hercin below sct fc�rth and ia the manner herei� providc:d to-wit:
TOTAL VALUE
$1 to $S00
$501 to $2,000
$Z,001 to $25,0(?0
$2.5;001 to $50,000
$50,(?Ol to $IOO,OQO
�
$100,001 to $500,000 . .
FCES
$IS (Minimum Fee is $15 pius surcharge)
� 15 for fizst $SQO plus $2 for each additionai $100 or
fracdion thereof, to and iacluding $2,000 �
$45 for first $2,OQ0 plas $9 for each additioaal $1;000 �
or fraction d►ereof, to and iucluding $25,000 ' -
.$252 for first $25,Q00 plus $6.50 for e�ach additional $1;000
or fracbion tfi�reof, io. and including $50,000 _-
$41450 for fir� $SO,OOU plus $4.50 for each add.itivnal
$1,000 or fracbion thaeof, to .and including $100,000
-$63950 for 5�st -$100,000 pius �$3_SO for each additional �
$1,0�0 or fradion therea� to and including $SOO,U00
�,, ,, $500,001 �a ..$1,0OO,OQO ,�;:. �. ,.;..$2Q39S0.,..for the fust $SOO,OQO pios $3 for each : additional
$1,000 or frac6ioa the�eof, to and includiag $I,OOO,ODD
$1,OOQ,OOi and up . _. _._ :_ _. $353950 for ifie first $I,OD0,000 plus $2 for each additionai
$i3OU0 or fradiou t�ereof •
,
DRIVEWAY DEPRESSION ESCR0IK �
� . {Concrete Ct�rb Streets Only) -.
Alteinate "A" : Removal aad replacement � of. curb and gutter only - Driveway width plus b feet times
- $I3_SO_
Alternate "B": Removal and� replacement of curb and gutta and install a 3 foot wide.
approar,h witfi 6 inch depth - Driveway width plus 6 feet times $15_75_
VERIF[CATION OF FOUNDATION
Permits for construction wil! be issued a minicnum of 24 hours from the time of application to allow
for proper rcview of the proposod str�udure acid of the construction site_
A Certificate of Sucvey of the lot, showing the location of the founciation once it hac it has been
constructoci will be reyuireci before procceding with the Craming_
_ ��
-� - _ �__�
SUBJECT P
City of Fridley 2 7 2 �.�
AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T
r
� � RECEIPT NO.
' � ti: ----- �
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �� / �
1 . � (
� _ �"'1 � CITY HALL FRIDLE� 95432 NuMBER REV OnTE aAGE OF qvaqOVED er
�'""'� � ,�� 612-571-3450 910-F15 8/17/98 / /
JOB ADDRESS
7510 Jackson Street NE
t LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3� 4 Melod Ma.nor 4th Addition SHEET
2 PROPERTY OWNER MAII ADDRESS 21P PHONE
Don Le 786-8629
3 CONTRACTOF MAIL ADDRESS 21P PMONE LICENSE NO.
Ea leview Construction Inc 2937 174th Ln NW Andover MN 4 7 2 6
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE LICENSE NO.
5 ENGINEER MAIL A�DRESS ZIP PNONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE � REMOVE
8 DESCRIBE WOFK
Reroof house and ara e 26 S Tear-off
9 CHANOE pF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, FIEATIN(3, TMPE OF CONST. OCCUPANCY OROUP OCCUPANCV LOAD
VENTILATING Op AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING S�. FT CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED Ofi ABANDONED FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WOIiK IS COMMENCED. NO. DWLG. UNITS OFFSTHEET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINE� THIS APPLICATION STA�LS GAiiAGES
AND KNOW THE SAME TO BE TFUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT LL()$ �],.O$
DOES NOT PRESUME TO GIVE AUTMOFiITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERfORMANCE OF CONSTRUCTION. ]L�.. ]S Fire SC �L. IC
PLAN CHECK FEE TOTAL F E
� '��_ � �7 � License �. 00 82.
GNATU OF CON'FACTOR OP AUTNORIZEO AGENT 1 ATEi PR ERL V IDATE T I�UR PERM:T
�
SiGNATURE OF pWNERpF OWNER BUILDEfii IDATEi Bl S� ��pTE
�w' �'' I ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ��
BUILDING PERMIT APPLICATION n� / \1
�� �
ConstructionAddress: `�.�/� �j��� �.
Legal Description:
Owner Name & Address: �� � Tel. # � �� ° ���
Contractor: ��� c�,�'�. MN LICENSE # �D �IPO �f�
Address: � � i J `��{ � �.4� Tel. # %S"� ° S���i
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:
Construction Type:
DESCRIP'rION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
��� � d7 `�1� .� ��K�
Estimated Cost: $ � 1��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � / � � APPLICANT: Tel. # Z��/ ��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ y �—
$ �. / �
$ /. Ov
$
� � d�
$
$
$
$
$ ��.
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$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 [ ]
s ; . ..
BUII..DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$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 fust $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY 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 $15.75. �
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
SuB�ECT
c;ty of Fridley 2 8 991
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i `
COMMUNITY DEVELOPMENT DIV. ��
r � y � PiiOTECTIVE INSPECTION SEC. /���
� �
1 . ,
' � �"'1 � CITY MALL FRIDLE� SS�3Z NUMBEp pEV OATE PAGE OF APPROVED BY
�'""'�� �'' 612-571-3450 910-F15 3/8/99 / /
JOB ADDRESS �510 Jackson Street NE
t LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 37 4 Melod Manor 4th Addition SNEET
2 PROPERTV OWNEA MAIL AODRES$ ZIP PMONE
Don Ley 7510 Jackson Street NE
3 CONTRACTOR MAII ADDRESS 21P PMONE LICENSE NO
Norlin Exteriors Inc 341 79 Wa NE Fridle MN 55432 784-8936
1 ARCHITECT 01i DESIGNER MAIL ADORESS 21P PMONE LICENSE NO.
20058700
S ENGINEER MAIL ADDRESS ZIP PNONE LICENSE NO
8 USE OF BUILOING
Residential
7 CLASS OF WORK
O NEW O ADOITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Soffit & Fascia
9 CHANOE OP USE FROM TO
STIPULATIONS
We recommend bringing the soffit ventilation up to Code.
SEPARATE PERMITS AqE HEOUIREO FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY LOAD
VENTII.ATING OR AIR CONOITIONING
TMIS PERMIT BECOMES NUIL ANO VOIO If WORK OR CONSTRUCTION ZONING SO. FT CU FT
AUTHOR12EO IS NOT COMMENCEO WITHIN 80 OAYS, OR If CONSTqUCTION
OF WORK IS SUSPENDED Oq ABANDONED fOFi A PER100 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I NAVE FiEAD ANO EXAMINEO TNIS APPLICA710N 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PpOVISIONS Of �AW$ yALUATION SUR7AX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED
WITM WHE7HE1i SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT �1� I.00 �.55
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMAR E
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON-
STRUCTION OR TME PERFORMANCE O NSTRUCTION .,rjO Fire C 1. IO
PLAN CNECK fEE TOTA E
—$'� License $5.00 4.15
S�GNATUpE O� CONCQACIOAOA UTM0�7� AGENT IOAfEi P QP q UDAT IS IS YOUR PERM17
,� o
- � +
$�GNATUAEO�OWNEAi��OWNEABUqOERi iDATEi Bl0 S� ��tt
�W � � Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
pI,� [] . SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,
, BUII,DING PERMIT APPLICATION 0�� �
2-� b�
constructionAddress: ��� 6 � i4c �s o � � I . �ll � \
Legal Description:
Owner Name & Address: �oh � � Sar� Tel. #� ��L - �� �'
Contractor: Nor� � n �� �"� MN LICENSE # a oo �`87 �
Address:
LIVING AREA:
GARAGE �AREA:
DECK AREA:
OTI�R:
�1
2 Tel. � ' � Y 8�l� �
Attach to ttus application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF INIPROVEMENT
�ng� Width Height Sq� Ft.
Length Width Height Sq. Ft.
�ng� Width HgdGround Sq. Ft.
.
"�a ��-r- � � i e�, �
Construction Type: Estimated Cost: $ 1��(�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 3� �� APPLICANT: Tel. � % �y �I ��
Permit Fee
Fire Surcharge
State Surcharge
. SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
4
$�%�o
$ /, 1 �
$ ���
$
$ � ��
$
$
$
$
$ • �S�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residendal Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
_,� y
., ,
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit� �
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,�1 to $500,000
$500,001 to $1,000,000
$1,�0,001 and up .
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide �
approach with 6 inch depth - Driveway width plus 6 feet times $15.75. �
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the f�aming.
sue�etr pE
City of Fridley 2 9 417
AT THE TOP OF TME TWINS g U I L D i N G P E R M I T
i�
� � .
� ; v � COMMUNITY DEVEIOPMENT DIV. �� �/
f � � PROTECTIVE INSPECTION SEC.
1 i ,
l_-_. A �����,.� CITY HALL FRIDLEY SSI3Z NUMBEF pEV DATE PAGE Oi APPNOVED 8Y
� �� 612-571-3460 910-F15 5/7/99 / /
JOB ADDRESS 7510 Jackson Street NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDiTION SEE ATTACNED
DESCR. 3� 4 Melod Manor 4th Addition SNEET
2 PFOPERTY OWNER MAIL ADDRES$ ZIP PHONE
Maryann Ley 7510 Jackson Street NE 786-8629
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO
Same
4 ARCNITECT OR OESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO.
S ENGiNEER MAII AODRESS ZIP PFIONE IICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WOfiK
O NEW O ADOITION � ALTEFIATION � REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Construct a 22' x 10' Deck
9 CHAN(3E OF USE f ROM TO
STIPULATIONS
See notations on plan.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday. -
1N�RNtNG �
��fore digging pti for
aii utility Ixatiorts
454-Q002
R�QUIR = � �if �4wV
SEPARATE PERMI7S ARE REOUIREO FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST, OCCUPANCY GROUP OCCUPANCV �OAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WORK Op CONSTRUCTION ZONING SO. FT CU fT.
AUTHOR12E0 IS NOT COMMENCED WITMIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAVS AT
ANY TIME AFTER WORK IS COMMENCED NO, DWLG. UNITS OFFSTREET PARKING
I HEFiEBY CERTIFV 7MAT I MAVE READ AND EXAMINEO THIS APPLICA710N 1 S7Al,LS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS yALUATION SUIiTAX
AND ORDINANCES GOVERNING TNIS TVPE OF WORK WILL BE COMPLIED @ @
WITH WHETHER SPECIFIED MEREIN OR NOT. TME GRANTING OF A PERMIT W2a�28 �p1.OI.
OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pEqMIT fEE SAC CHARGE
PROVISIONS Of ANY OTHER STATE OR LOCAI LAW REGUTATING CON-
STRUCTION OR 7ME PERFORMANCE OF CONSTRUCTION �74.]S Fir SC �Z.OZ
PLAN CMECK FEE TOTA� EE
�7%.78
S�GN4TU�7E OF CON'NACTOp Op 4UTMOp�ZED OGENT iO�rEi MEN PR VA�IOAT S IS YOUR PER I
S � � ����
$�i�i 4 OW q��i 1 RI DAffl QL �hSD f�GfE
NEW � �
ADDN
ALTER
�l
Ll
Const�uction Address:
Legal Description: �D�:
CITY OF FRIDLEY Effective 5/10/99 ��
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 /� U" �
BUII.,DING PERMIT APPLICATION \ �
�� ,�\
�� J�cksoti � , /1/, �'. �` �
IVlel od� lV�gh or y r°�
� dd i � �oh
Owner Name & Address: �cZ r �� h � �•'�. �� Tel. # �o fo� ° � �6 "8� v� 9
�—.
Contractor: �'lu h E' �' MN LICENSE #
Address:
��ek
�—�� �FA:
GARAGE AREA:
DECK AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPRO��MENT
Length � ! Width `D � Height
Length Width � Height
Length Width Hgt/Ground
Tel. #
Sq. Ft. �!�
Sq. Ft.
Sq. Ft.
OTHER: ,
Construction Type: � f��� ��� Estimated Cost: $�o� 000� � d�a U
Driveway C�rb Cut Width Needed: Ft. + 6 Ft = Ft x$
—$
DATE: � � �! APPLICANT: _ � o �a 1 d _le � Tel. # �� — � ���
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ��! f�
$ �?D�
$ /, U /
$
$
$
$
$
$
$ ��,.��
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$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 [ ]
a
v.
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,�1 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
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 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 $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,(m0,000 plus $3.15 for each additional
$1,(�0 or fracrion thereof -
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
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 $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 siructure 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.
.
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