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PRE 2010 DOCSCity of Fridley, Alinn. BUILDING PERMIT N° 5908 Date: ,r Owner:— Builder Address Address WCATION �F, U WINGNo. Street_ Parktf Lot Lot _i -j— Block Addition or Sub -Di n -� ' Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING TUsed • �" f Front Depth , Height e" Sq. Ft. fail Cu. FIW&�W FroA Depth 4& Height Sq. Ft. Cu. Ft Type of Construction �_I Est CTo be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinano� of the city of Fridley. 0 In consideration of the payment of a fee of $ , permit is hereby granted to.— to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof,. shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within thhee city limits and this permit may be revoked at any time upon viola#q of any of the provisions of said ordinan aZ14-1 Building Inspector d NOTICE: This permit does not cover the construction, W t &don for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Nam Builder AddressZe t, ,�4 Address LOCATION OF BUILDING No. .`J O Street Part of Lot Lot Z2 Block r -V Addition or Subdivision Corner Lot Inside Lot__>L'_Setback �� r Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq. Ft. Cu. Ft. r : z P� Front Depth -:;Z e, _Height �/C'' • Sq. Ft. Cu. Ft. Type of Construction �, .,�� Estimated Cost c� To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE lv SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4.7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Location 0 g TOTAL Number Fixtures ...................... J - x $1.50 $ 52 CF C) Future Fixture Opening ................ z $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 0 z 3� F N WATER HTR. GAS ELEC. $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................�L x $1.50 $�-5 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ p m Base 1st 2nd 3rd 4th Fntnre COnaection Openings Connected With I Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... J - x $1.50 $ 52 CF C) Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................�L x $1.50 $�-5 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .... ........ .................................$ . TOTAL FEE $� City of Fridley: P The undersigned hereby .makes application for a permit for the work here]; specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicatign are true and correct. Owner l -e e 0�: - Kind of Building Used as To be completed about 9 Estimated Cost, $ Old New uilding Permit No.�" ffA ROUGH 6-/3^(OL- FINAL Z—FM. By--� Business Phone V. a 19 -AL Application for Power Plants and Healing. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. 4' OI,L BURNER—to 3 gal. per hour ................. ...... over 3 gal. per hour—See Fee Schedule Dept. of Bldgs. Phone SU 4-7470 RATE TOTAL Location- 8.00 ocatio 8.00 $ 5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herein 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 8.00 $ 'a'o 2.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ 5.00 $ GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 10 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .....� x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Owner _ Kind of Used as To be cc Fridley, ie� Estimated Cost, $ Old—d.qeBuilding Permit No. , d Permit No. G DESCRIPTION OF WORK BEATING or POWER PLANTS—Steam, Hot Water, j No.�_ Trade Name— ( Size No, o Capacity Sq. Ft. E.D.R-049�BTU H.P. Total Connected Loa1i Z Kind of Fuel 04ar BURNER — Trade .Nam Size No- - Capacity Sq. Ft. E.D.R- .,&" BTU H.P. (REMARKS -OVER) SUBURBAN I1iATI1JG & SHEET M_TAL 8419 CEN -1 ER DRIVE N. �. Signet, MINNEAPDLI 91, MINN By P <z 2M Business Phone No- � � -`��®c7 D SS 42 r HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide WindowsDoors Reference Out. Wall Int. Wall Ceiling Roof Floor —No No 1 q..� ja Fl.l /AOA Roo;;l Lenath Width Height II / F1_I�1 endows 41W Doors—Crackage and Area fd (/ �1 Width Height No. of Lineal tt. Area No. of pane of pane lights of crack sq. ft. y Alf 10, k1f 10,7 AK -0 Coef. Btu Infiltration Coef. Btu 20f Glass iO Net exp. wall Exp. wall Net exp. wall Ceiling pd Int. wall Int. wall Ceiling 7—(1>42 Floor O �� 1 otal Btu. J' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 3 % FI ,1 Room ( Length 2&i Width /9 , Height R1 Windows and Doors—Crackage and Area ZD / ' Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. y 3, Alf 10, k1f 10,7 AK -0 Coef. Btu Infiltration �� Coef. Btu Infiltration Glass Exp. wall p Net exp. wall Glass Exp. wall Net exp. wall Int. wall Ceiling 02-1 Floor Int. wall Ceiling Ceiling Floor O �� Floor 1 otal Btu. 3 Required sq. ft. E.D.R. or sq. ins. WA. Leader area / Fl. oom I Lenath 13 / Width 7/ I/ Heiaht a-1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Y � Coef. Btu Infiltration �� Ap- Glass Exp. wall Glass Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Floor VAP Tbtal Btu. ft. E.D.R. or sq. ins. WA. Leader area .331 Zz1, FRIDLEY, MINN. Insulation Room Windows and Doors—Crackage and Area Width Height No. o! Lineal ft I No. of pane of nano lights of crack I m d Height,?/ i Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling le 17 4/v Floor Total Btu. p� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 7.0 t in 1 D___ 11 -•L J" 1/ R/: -!.L i" Lr_: -L. CWr Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Y � Coef. Btu Infiltration Glass Exp. wall Glass Net exp. wall Int. wall Ceiling Floor VAP Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I ; W / L9 1 / D___ I t ---.L /s i Wl:-I.L AW -61/ u_: -L. Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling O Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I G, City of Fridley SUBJECT , ®12123 AT THE TOP OF THE TWINS BUILDING PER IT t � RE COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. Q Zoo (l2 J/ CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'--•� � ,'J 812-560-3450 910-F15 5/10/73 JOB ADDRESS 6581 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1. 2 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert W. Shackle 6581 Lucia Lane N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK LX NEW E:k ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct Garage Addition 14' x 26' to Dwelling 8 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Firewall at house must meet Code No windows or glass in doors permitted. r PERMITS REQUIRED FOR WIRING, SEPERATE HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. wood Frame 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 R-1 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 $1,648.00 .82 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. •00 PLAN CHECK FEE TOTALFEE ;--$7.82 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) PROPERLY VALI. TED T IS YOUR PERMIT BLDG. INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S ADDRESS: NO :. �, - ty / STREET: LOT: / 3 BLOCK: 1_ . ADDITION : 0'� CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As; Front•_ Depth: .2,�6 Height: Square Feet: Cubic Feet —Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction::/ Estimated Cost; _$ f6��'— ZTo Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. s DATE :��.,. �a SIGNATURE (See Reverse Side For Additional Informati n.) y -- (� i5, l� L J 'F LondPtanningU ! CB7S-/li9hnay Ladsc/rveyii7� Minne<ofv.4s 2/, U. Soils Testing F. N G I N E 1 Nq I [C. /Lfi wsofa Civil b Municipal �' Sl!/sef 4-6066 & iaeerin ..� s g E17 Ineers Surveyors --- ,d Or D. >%"'' forG. L. A.PJCcP.S�t� F'� 1,t_�•c - IJ f_tJ i✓ r—� Lf J M�_ _. 122 Tris is o lSrz and tcfirecf' repre4:nfr, fipr/ pi'a S,Irr�y af'rlhe G�undariFs � l °� hedonf,gi fk /,n.aTJCY7 c� el! •�/v,•�S. I ay.11erz 7,MidC1?Viii✓le CIfLi�iGiT"n�S,Can � f1le,17 F en _VA? �,'31f•"Me" /S?IGc� C7� [�l L(k?!Jf'Lll:d, IY/f' �/A,� �t. y J a n,ar/ 7` /d:Pr:AAS fi:.;�� p�Ud Me �ral�rrfi arrrl no li�S ?ii!rssrnnrd BxCe f frlef,r?,air o/'sutli r, 1 l J ;7 ; 1 , , ? t r*ege er ca 0 ,, ter irfcr, SUL/T rnr'rlp r.. //8' em's -3/7V mar � / /' / I �7 !Iff cp�7riYllrl7� A/� :;`S Q!-L'oL:'JG�, .Y L Cj`LLl s. piled /hfs ��' rn �'it:1 AP15��. 5UBUti3AN EtJG,'tlff. 'ItJG, IfdG. �• / r�yvrs -ter -J Tris is o lSrz and tcfirecf' repre4:nfr, fipr/ pi'a S,Irr�y af'rlhe G�undariFs � l °� hedonf,gi fk /,n.aTJCY7 c� el! •�/v,•�S. I ay.11erz 7,MidC1?Viii✓le CIfLi�iGiT"n�S,Can � f1le,17 F en _VA? �,'31f•"Me" /S?IGc� C7� [�l L(k?!Jf'Lll:d, IY/f' �/A,� �t. y J a n,ar/ 7` /d:Pr:AAS fi:.;�� p�Ud Me �ral�rrfi arrrl no li�S ?ii!rssrnnrd BxCe f frlef,r?,air o/'sutli r, 1 l J ;7 ; 1 , , ? t r*ege er ca 0 ,, ter irfcr, SUL/T rnr'rlp r.. //8' em's -3/7V mar � / /' / I �7 !Iff cp�7riYllrl7� A/� :;`S Q!-L'oL:'JG�, .Y L Cj`LLl s. piled /hfs ��' rn �'it:1 AP15��. 5UBUti3AN EtJG,'tlff. 'ItJG, IfdG. �• / r�yvrs April 21, 1976 s 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Gene J. Hickok Pacific Palm Pools by Minnesota Package Products, Inc. 6922 - 55th Avenue North Dr. No. St. Paul, Mn. 55109 Re: Swimming Pool at 6581 Lucia Lane N.E. Dear Mr. Hickok: TELEPHONE ( 612)571-3450 This letter is to reiterate our conversation of April 21, 1976 and to make clear this departments requirements for the swimming pool construction at the above address. 1. As discussed, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As discussed, two C2) inlets of approved design for fresh and/or repurified water will be provided. 3. As discussed, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. 5. A deck, a minimum of 3 feet wide and sloped away from the pool, must be provided around the entire perimeter of the pool. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. A fence or other suitable barrier, a minimum of four (4) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and self -latching devices which are capable of being locked. B. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All electrical lines must be 10-20 feet or more away from the pool surface. 11. -The pool fill spout must be air gapped or protected by a vacumn breaker. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepards crook pole must be provided and maintained with the pool at all times. ,e t j Mr. Gene Hickok April 21, 1976 Page 2 Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, STEVEN J. OLSON Environmental officer SJO/mh CC: Mr. Robert Shackle 6581 Lucia Lane N.E. APPLICATION FOR RESIDENTIAL, ALTERATION, ORADDITION BUILDING PERMIT CITY OF FRIDLEY, Mi1NNESOTA OWNER'S NAME: EO L'E' `t BUILDER : y� � i ✓wuye��n_ �ar_�v �;'� �f aA itir4s ADDRESS: 6 -Ll ADDRESS : 6 7a-1 S sZ: /"l • d% 5t. t�� ln�V1 NO:. 05-81 STREET : •? LOT: 13 BLOCK: ADDITION:.�`- CORNER LOT: INSIDE LOT: SETBACK'. SIDEYARD: Applicant attach to this fcrm Two Certificates. of Ss—rv2y of Lot and proposed building location drawn on these Cea:tificates. r DESCRIPTION OF BUILDING To Be Used As: 1% c, ro v-4NIQ ` / Scyim.J�; Front: /� Depen- 3� Height.: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet:_ Type. of Construction: Sfeel ��_vj� l tib_ nuc Esti-.?ated Cost: Taoc� t! To Be Completed: c_ The undersigned hereby makes appli.catirM sor a permit for the work herein specified, agreeing to do ali. v,,-, k i.n ::::xict accordance with the. City of Fridley Ordillanzes and ruii:::;5 of the Departine nt UZE Buildings, anti ieseby declares that all the facts Ind a:et resentati.ons stated in this application are true and correct. DATE (See Reverse Side For Additiox:al Infox-oration. ) ` PACIFIC PALM POOLS MINNESOTA PACKAGE PROD. 6922 55th Avenue North (Highway 36 & 694) No. St. Paul, Mn. 55109 fS ce- el i t:X Model E p. Model SP 140OX N.S.F. Model SP 1407-1 N.S.F. Model 160-85 N.S.F. Model SP 1048AV 3 step Model HJ -6 Model _j2&- Pool Size Gallons % Fi 1 ter 4k+�-/7SO1k Pump Motor Hayward Aladin j Inlets / /Hayward I �1 Skimmers /,2 Hayward w>`� 1 Hayward Vacuum Fillings Furnished Ladder 1 Hayward Diving Board 6' Bull Frog" .Vacuum Kit Yes Test Kit Yes Safety Rope Yes Heater ..y /1�l%�/ Maintenance Yes StepS7 - 3 yes Yes 6 Hr. rate turn over Walls 14 ga. Steel Liner 20 Mill Vinyl Depth 3' to 8' fS ce- el i t:X Model E p. Model SP 140OX N.S.F. Model SP 1407-1 N.S.F. Model 160-85 N.S.F. Model SP 1048AV 3 step Model HJ -6 Model _j2&- 01 SUBJECT RMIT NO. City of Fridley ®13490' AT THE TOP OF THE TWINS D[RVIT BUILDING r 16 vILDING EIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r � � SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/3/76 JOB ADDRESS 6581 Lucia Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Don's Second Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Shackle 6581 Lucia Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Package Products 6922 - 55th Street North, N. St. Paul, Mn. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 16' x 32' In Ground Swimming Pool 9 CHANGE OF USE FROM TO STIPULATIONS Stipulations as per Environmentalist's letter dated April 21, 1976 SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Steel/Vinyl THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 R-1 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $`5000 $2.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $30.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE E .3 /9716 $32.50 SIGNATURE OF CONT OR OR AUTHORIZED AGENT ATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 'SIGNATURE BLDG INSP DATE OF OWNER IIF OWNER BUILDER) (DATE) 01 COPY A -OFFICE COPYC-INSTALLATION CREW COPY C -CUSTOMER PACIFIC PALM POOLS BY COPY D -EXCAVATOR MINNESOTA PACKAGE PRODUCTS, INC. 6922 55th Ave. No. Dr. No. St. Paul, Minn. 55109 770-1313 GENERAL INSTALLATION INSTRUCTIONS PACIFIC PALM POOLS CUSTOMER NAME j n �; _ �- , DATE � ADDRESS r PHONE {' POOL SIZE L L- TYPE DATE SOLD Diagram pool site in relation to house, garage, driveway, etc. (Allow 3 -inch variance) e+ a 1. Indicate deep end by (X). 2.�Vark location of filter and/or heater by X. 3. Indicate approximate elevation of pool in relation to permanent fixture on property. A. Elevation 4. Will trees, clothes poles, power lines or any other obstruction be encountered during installation? Yes No If yes, explain: - 5. Does customer wish to retain any or all of dirt from pool excavation? Yes No , If yes, explain: 6. Indicate andexplain any special instructions not covered above. (Example: Placement of backfill for walls, patios and fill dirt, etc. Customer agrees to added charge if dirt is handled more than once.) 7. Pacific Palm Pools recommend that the customer construct a retaining wall as soon as possible after pool is completed. Yes No If yes, explain: Customer agrees and understands that any changes or additions in the above outlined installation which occurs after excavation has begun may require an added charge. This charge shall be computed on a cost plus 30% basis. Seller Signature `� ` ' - Customer Signature CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Gene J. Hickok Pacific Palm Pools by N Minnesota Package Products, Inc. 6922 - 55th Avenue North Dr. No. St. Paul, Mn. 55109 Re: Swimming Pool at 6581 Lucia Lane N.E. Dear Mr. Hickok: TELEPHONE ( 612)571-3450 This letter is to reiterate our conversation of April 21, 1976 and to make clear this departments requirements for the swimming pool construction at the above address. 1. 2. 3. 4. 5. 6. 8. 9. 10. 11. 12. As discussed, one (1) skimmer approved by the National Sanitation Foundation will be provided. As discussed, two C2) inlets of approved design for fresh and/or repurified water will be provided. As discussed, a main drain of approved construction will be provided. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. A deck, a minimum of 3 feet wide and sloped away from the pool, must be provided around the entire perimeter of the pool. The diving area will be acceptable provided there is no overhead obstruction. A fence or other suitable barrier, a minimum of four (4) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and self -latching devices which are capable of being locked. An automatic chlorinator should be provided with a suitable test kit. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. All electrical lines must be 10-20 feet or more away from the pool surface. The pool fill spout must be air gapped or protected by a vacumn breaker. Suitable safety equipment to include but not limited to a ring buoy and rope that is A times the pool diameter, and shepards crook pole must be provided and maintained with the pool at all times. Mr. Gene Hickok April 21, 1976 Page 2 Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450, ext. 170. Sincerely, STEVE J. OLSPcer Environmental SJO/mh CC: Mr. Robert Shackle 6581 Lucia Lane N.E. APPLICATION FOR RES]ADENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : �� BUILDER: ADDRESS • ADDRESS: 6'7-2-X sS- NO:. �S"� I STREET :_2�1e + c,�n LOT: /3 BLOCK: ADDITION: L)Qcl CORNER LOT: INSIDE LOT :__.,X _SETBACK: SIDEYARD : Applicant attach to this form Two, Certificates of Survey of Lot and proposed. building location drawn on these Ce�:tificates. t DESCRIPTION OF BUILDING To Be Used As: r � ftont •- /� Dept"n • -�� Height: Square Feet: .. Cubic Feet: Front: ?depth: Height: Square Feet;____,_ Cubic Feet: Type of Construction: sieel U- lvlv%uj ViRer Estinated Cost: t1 To Be Completed.: o 32_--_ _ The undersigned hereby makes app'.a.ca:.Lo.« . for a permit for the work herein specified,. agreeing to do al vor k ixi s i::f i ct accordance with the City of Fridley Ordinances and ruiL_. a oi' Lcie )epartmant of Buildings, ac,d hereby declares that all the facts and rcpreseiztati.ons stated in this application are true and. cor:t:cct. DATE: 13 1'k7�— (See Retrersg Side For m Additional I.nfo-raation. ) • • 53-3b-879007. cit., of r7idiay A. plicc-:ian for Plus.Ig Grid Gas virn�;�Iz� •• • � ....,....., • Dopa. of Bids. Phone 51. -34W DESCAIPTIO11 O: 41011r. 6581 Lu'* LOCA Humber. Ki&d and Lar:10a of Fixtares City of Fridley. : °�7= -ill r.�s 7jrtt, The undersigned hereby rn3kes app'Scation for a permit for the -work he CiCt Q�:r� 0 1< a S M s• • a. o�v 3 t u 2 u ju $ specified a� Being to do all ��ork is strict acco.da.^.ce with the L3e 1 �n is` ' de leo:reL"tat s:I and ruling of the DeParti-e^t of Full �cZz,�nare rebyrue Es:r 1 • , and representations stated in his app 6-11-76 39 ' o Fridley. Maa Bob Sfh ck].o Owner • Kind of Building �.� Cca:.cs::d • FL`.::s Ce•..szc:..:a Cr�:•a!r. wits sev" (] Used as ros. t Now Fls:turo. Old Grsaings Cca•.pool ❑ 6 18-76 To be completed about Estimated COSI: $ PARTIAL RATE SCHEDULE n Old—New. Building Permit Na. P LUM- Bina nXTU?z RATES: N0. RATE TOTAL Si Number Fixtures ................ �--- x S`' 00 $ ..•-- 0 , Future Fixture Opening . • • • • • • • • • • ---- x S1.FA S _.-- Businums Ph -j MI!� %ew Fixture Old Opening • ••• • • • • • • • -- x $1.50 $---:-- • Catch Basin ......... x $3.25 $ - •• Water Heater 'up to 99.000 BTU) • • • • ----- x $a 00 S , ROUGH • tiev Ground Run Old Bldg....:.... —.---- x :3.25 $.----- . . // -? ? El.ctr+.c Year H.atar.....:........ �.._..__ s S3.G0 S FINAL :E . i XS FITTING FEES: K0. RnTti:. TOTAL . . 1st3Fixtures ••••••••••••••••'• .—•••--.—x52.CA S - Addluenal Fixtures ..:............-...... X C:.s R --ze to 159.= STV ............—�----- x S5•CO 6..-.---- •50 State Surcharge AL:ERATIONS--P.&fer fo Coda • .TSeseription ............... i ....................... • TOTAL FTs S 01 SUBJECT IT NO. City of Fridley 21623' AT THE TOP OF THE TWINS BUILDING PERMIT4(' Ir? _ COMMUNITY DEVELOPMENT DIV. rr PROTECTIVE INSPECTION SEC./ -REC&PXWO`__ Qf 9 r / CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/27/92 JOB AbDRESS 6581 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 1 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jakie Erickson 6581 Lucia Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Storm Sash Co Inc. 10823 Greenbrier Rd Mtka 55305 546-8160 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [2 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace Sash & Trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6998 $3.50 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $90.00 Fire SC PLAN CHECK FEE TOTAL FEE Lic se SC 5.00 $105.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY V L DATED THIS IS YOUR PERMIT BLb4 INSP 2 Iv �a7�g2 GATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 01 NEW [ ] " 5� Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 6 t5-1 I Z= LA )vc>, .v, Description: j C 6 "er Name & Address: TA k -L E r i ,-k Tel. # t ontractor: MN LICENSE # Co 4( Di &- ddress: MBNNET®NKY, MINNESOTA Wa*, j S -3 Tel. # ® Attach to this application, a Certificate of Survey of the W z lot, with the proposed construction drawn on it to scale. tf)� e� - v 00 Z DESCRIPTION OF R"ROVIEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length DECK AREA: Length OTHER: K g -,?k( -i Corner Lot [ ] Inside Lot [ ) Type of Construction: Approx. Completion Date: Width Width Height Hgt/Ground Sq. Ft. Sq. Ft. Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ Driveway. Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge (Cost on Back) = $ APPLICANT: - - -- - - - Tel. # Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00. (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PERMIT NO. City of Fridley6 0 6 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. C)a® CCC77�� NUMBER REV, DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �----�'� ' 612-571-3450 910-F15 6/13/94 JOB ADDRESS 6581 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jackie Erickson 6581 Lucia Lane NE 574-0445 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Quality Contracting 11600 Louisiana Ave N Cham lin MN 55316 427-7733 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (26 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 600 $1.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION THE P ANCE O CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $63.10 SIGNATURE OF CONTRAC RORAUTHORIZE ENT (DAT I WHEN PROPER Y VALIDATED THIS IS YOUR PERMIT _BLQ6 INSP MATE SIGNATURE OF OWNER) IF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/94 ADDN . ` [ ] CITY OF FRIDLEY ALAR [ ] . SINGLE FAMILY AND'DUPLEXES R-1 AND R-2 7 Building Permit Application Construction Address: �— Legal Description: Owner Name & Address: \70kc e Fy'i- / e . k S ®� Tel. # 5_ 7 V -G e/'� S'-' Contractor. a,_� e �.'/ c o ."� V ie "h "^ e MN LICENSE # 763 S`— Address:� oc) /1® c2 tlg r c` Tel. # Lla7-- 77 33 Attach to this application, * a Certificate of Survey of the lot, with the .proposed construction drawn -on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 9C S -r c. ra-.—«e? . Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: (o L2 a (9 c( (Costo acky Driveway Curb Cut Width Needed: Ft. + 6, t = t x $ _ $ DATE:APPLICANT: % Tel. # !PZ 7 — 77 � 5 CITY USE ONLY Permit Fee $ a Co Fee Schedule on Reverse Side Fire Surcharge $ Lv .001 of Permit Valuation (1/10th%) State Surcharg °,t d f 06- 1,5p $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ q0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: w JC' C I " ! C'� i, �� / 1=0�-) Building BUILDING Permit No.:,2667-00 Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 1-1-09 DATE `I"' ' �� YOUR E-MAIL ADDRESS - evi- �/� LLx"', Sr! E ADDRESS_-own,THIS APPLICANT IS: O OWNER MCONTRACTOR PROPERTY OWNER/ NAME: J&6 v-,,,+ TENANT ADDRESS: ly, & r L .. V, c2 4"— CITY STATE AJVAC12tP 5'r -t Z - PHONE: 76.3—,1'2;t —,2(4 9!4 CONTRACTOR NAME - AV /= / viL. SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ��,,,� ADDRESS:3 5�r,, � z4hy j. /z�r, s CrIYF:Ls f (3e,G1 y"LSTATE� L INSURANCE PHONE r FAX ?6 S ^. — .2 PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION S12E O TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION 0 GARAGF✓SHED O WINDOWS O BASEMENT FINISH O ROOF O DRAIN TILE 0 DECK 0 SIDING RbTHER O SWIMMING POOL TYPE OF WORK: O NEW HOME CONSTRUCTION O ADDITION O MARfMANCE/REPAIR 0 REMODELING DESCRIBE WORK BEING DONE: It�,e i y �z ss SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT JEEXf-,&=pSQ FT ROOFING O HOUSE ONLY NUMBER OF SQUARES O HOUSE & GARAGE BAMENTREMODELING REM SUBMIT I Existing Floor Plan GARAGES O ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O Amyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: O Aluminum O trim 1. Site Plan/Survey showing the existing structures O Other O Fascia and proposed project. 2. Two sets of construction plans _ 3. Energy Calculations IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 4IW,C)u See Back Page for Fee Schedule $ 65% of Building Permit Fee $ .001 times the total job valuation $ 0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) H THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED Attach I hereby apply for a building perp i I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinanc d cod af-ttre,)City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appli fora work is not to start without a permit on site; that the work will be in accordance with the approved plan in the f all w requires review and approval of plans. SIGNATURE OF APPLIC PRINT NAMEo� ��r+ t DATE TE PERMITS ARE N