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PRE 2010 DOCSCity of Fridley, BUILDING PERMIT Date: June 9, 1969 Owner: Bill Shaba Bider Clemron, Inc. Address Address 4411 Central Ave. N. E. LOCATION OF BUILDING S— N9 10272 No. 5285 Street Taylor St. N. E. ____ pmt of Lot Lot 12 _ Block 1 Addition or Sub -Division _ Marion Hills 2nd Addn. Corner Lot , Inside Lot — x Setback 35 Sideyard 20' Sewer Elevation 972.50 o75.5 0 Ann----- lop pnroxTop of Footing To be Used as: Dxft11—ng Front_ _�' Depth 25 Height Z0' Sq. Ft, 1150 Cu. Garage 000 Garage (luck Undnt Depth Leight Sq. Ft. Cu. Ft. Type of Construction _ ___Frg= Est. Cost _ 28 000.00 _ To be Completed SEWER LOCATION 25' South of Manhole WATER LOCATION 64.5' East of Manhole 10' North of Sewer In the proposed consideration accordance witissuance h the descripme of a tion permitto and in ca ordinances of the city of Fridley. „ '1/ : agree to do provisions of In consideration of the payment of a fee of $___15 .00 , permit is hereby granted to Clemron, Inc. to construct the building or addition as described above. This pern-At 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 andmoving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, installation for whine, phnnhing, gas heating, sower or water. Be aura to see the Building Inspector for separate permits for these hems. City of Fridley, Minn. BUILDING PERMIT Date: June 9, 1969 Owner: Lill Slice Builder Clewron, lac. Address Address 4411 Central Ave. N. E. LOCATION OF BUILDING 102 No. 5255 Street Taylor- '2. N. Fart of .Lot t 1 Marion Hills 2nd taddn. Lot ...�__ Block Addition or Sub -Division .—_ Corner Lot . _ Inside Lot _ _ Setback 35' Side -yard 20, Sewer Elevation 972.50 _ 975.50 Ap}Lrox . Too of Footing To be Used as: '' X 11 Front 461 Depth 25 ° Height 20' Sq. Ft. 1150 Cu. Ft. 23, 0 0 GaraZe _. Tm–gk Vnd nt Depth _ Height Sq. Ft. — Cu. Ft. Type of Construction EXAM* Est. Cost �� a ®0 •0�� _ To be Completed SEWER LOUTION 25' South of Manhole 1ATER LGC-ATION 64.5' East of Manhole 101 Norah of Seger 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 a'll provisions of ordinances of the city of Fridley. hI (in snTgrax- In consideration of the payment of a fee of $ 35 ° 00 , permit is hereby granted to Clentron, Inc 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 the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: M pennh don not cover the construction, installation for whing, pWmbing, gn hoettng, nwer or water. Be sore to see the Building ingmdor for separate pormits for these toms. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA 0Wm'S NAME BUILD &W _ C� ADDRESS ADDRESS LOCATION OF BUILDING N0.f-D,�STREETr LOT ,/Oy BLOCK ADDITION OR SUBDIVISIONv9 COMM LOT INSIDE LOT SETBACK SIDEYARD,_2 SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING T e Used AS, FrontDepthHeight Square feet Cubic Feet t � =Height , .. Square feet=,-- � Cubic Feet l Type of Construction��� Estimated Cos �.� 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 zti::;jresentations stated in this application are true and correct. -' DATE SIGNATUR (Schedule of Fee Costs can be found on the Reverse Side.) A SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for gny addition to any existing structure or building, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Uniform Building Code: Type 1, 29 & 4 - $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical cantents. Type 3 & 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location - Area 1 or 2. FI � 4 wl k:, N oe N ENGINEERING, INC. �r�y„1c. c: r 5 Lc Sur veyars snxave)r fox, -C;z— I a"Ad &I saldlood As surveyed bq me 14v5-- SU13UP6AA,,' ONO. INC. ;4• DESCRIPTION Number, Kind and Li Base i M�,w : Mmm ■lm! AMMMJ • k Ciiy of Fridley ®n fcw Plumbing and Gcm �-tting Permit Dept. of BIdgs. Phone 560-3450 _ n A Sewer 1 PARTIAL RATE' I�EDIJLE PLUMBING FIX—IME RADS: ND. RATE TOTAL 1\ um�- Fixtures .. ...... x $2.00 $ I(� Future Fixture Oper_ing ......:....' x $1.50 $ New Fixture OId C -,-ening ....:........ —x $1.60 $ " Catch Eazsin ... .................... x $3.25 $ Wate- Heater (Up --� 99,000 BTU) ...... x $3.00 $ New G:-oand Run CA Bldg. ........... x $3.25 $ Eisct-:: hater Heate- x $2.00 $ GAS FITTING: FEES: NO. RATE TOTAL Ist 3 F xt;:res .. ................ x $2.00 Addl:icr:al Fixtures ........... ,.....:. x $ .75 . $ Gas Range to 199.11) BTU .............. x $5.00 $ 4EFAIRS & ALTERATIONS—Refer to Code Description .... ............. ...............$ TOTAL FEE If'Y-�.��.'y'i1 City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 application are true and correct - Frieu— N(inn 0. a 19L - Owner Kind of Building - A eniy ,e..i Used as �j p To be completed about O / Estimated Cost, $ . a Old New Building Permit No �,; 7 Permit No. %%� Signe By a ,, D i• Business Phone No. P 315 — 0/3 ROUC3i1 , T .D N? 49'75 Original q?l 0 �- N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee $� DESCRIPTION OF WORK II Number, Bind and Location of Fixtures Stories y 4 Z a S N Z X x q C Y X F Z pj 3 W z 0 T z U Z U U J W 0 WATER HTR. 6A8 ELEC. �W. O Q J �Y U ] N m Q] QI F m Q QI Z tp ¢ Qay F E O ❑ LL O S (� 0¢ J C LL❑ t- m Q Q U m E ¢❑ K J m K E W < n. 4 4 U Q m Z Q Q b K Basement / 1st ® _� 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building descry ed in the statement hereto at d, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. Roughing in Inspection By Order Of The Inspector Of Buildings Inspector. Final Inspection Date Inspector. -08�0-P 1 M -6-65-N City of Fridley 7-'- V ,19-&.,7 Owner Location Kind of Building Used as— To s To be Completed .Estimated Cost $ 1A " a 0--d Old -New. Building Permit No. Z®, -F 7 A Date Inspector of Buildings. G19AVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .....:....................$10.00 $ Replacement of Furnace ...........'.................. 6.00 $ Repairs & Alterations—up to $500.00 .............. .. 6.00 $ Repairs & Alterations each add. $500.00 ........... ... 3.00 $ �:. Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ �� each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 Ak Repairs & Alterations—up to $500.00 ........... .... 6.00 $ Repairs & Alterations each add. $500.00 .............. 9.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines -to 400 sq. ft. E'IDR Steam .. .$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam .... .......... :...... 3.00 $ Each add. 320 sq. ft. EDB. Hot Water . ... ............ 3.00 $ OIL BURNER—to 3 gal. per hour ......` ..... .... ..... 6.00 $ over 3 gal. per hour --See Fee Schedule _ GAS BURNER (up to 199,000 BTU) ....... ...... ......... 8.00 $ over 189,000 BTU See. Fee Schedule GAS FITTING FEES: NO RATE ,TOTAL 1st 3 Fixtures ..... ................ x$ 2.00 $ A -- Additional Fixtures ................. x .78 $ Gas Range to 199,000 AIR - JAL IONIIifi FAN BEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS .......... x$ B 00 $ $ See Fee Schedule TOTAL Fid 1 Dept. of Bldgs. Phone City of Fridley: The undersigned hereby makes application for a permit for the work hereit specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Fridley .ems i f• s Kind of Building ;'l z Used as To be completed about Estimated Cost, $ s— Ol Building Permit No. ®f a `7' Permit No._ DESCRIPTION OF WORN HEATING orP0WEA PLANTS—,Steam, Hot Water, Warm Air No Trade Name- Size No Capacity Sq. Fk E.D.R .� 3% B p Total Connected Loa! Rind of Fue '- BURNER — Trade Name' � ; � � Size No- -7' o Capacity Sq. Ft. E.D.R- BTU Hill'. (RMARKSJS-G�a' N. WELTER HEATING CO. 4637 CHICAGO AVE. B` • ��Business Phone Nn- No. of Make �&fia 0 PERMIT for Power tants and Heating. Cool= ing. ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK b installs tered—repaired Oil fired ; Coal fired—,- Gas fired_; Gas Authorization No. Remarks &� Approved Final Inspection Date , 19_ Inspector Permit N® ---4544 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. 22t� 19 Owner T ° Location Kind of Building --C�-&-O-�' How Occupied Work to be Commenced,19-6-1 To be Completed S ,19(-q Estimated Cost, $ 1/ 0 ° #-- Old-New, Building Permit No./0., 7.� Permission is hereby grantedto '�' '--0to install—erect—use the material and devices described in the above statement. This permit is granted upon the press condition that the person t hom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein namgd,o the specifica ' set forth. in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings 42 2M 11-67 v HOUSE HEATING TEST RECORD ADDRESS S APT. FLOOR CITY SUBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS CO. METER BADGE SOLD BY INSTALLED BY Electrical Work By Gas Line By. TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER g Of GAS DESIGN CONVERSION MAKE MAKE OF BURNER Model' �' K Model Serial -7!2:y;?-Max. BTU Rating INPUT '000, MAKE OF FURNACE Model °CONTROLS �} f/ THERMOS AT Heat Plug Vent Size VaIV. KIND OF LINER SIZE NONE Limit t4 Met Draft Hood Regulator Limit Setting Filters Size �Number Fan Setting / ® Chimney LocationI sf Outside Pilot Type Chimney Construction Pilot Make Pilot Model _ Smoke Bomb Wiring Pilot Timing Draft Test Tag L.W. Cut Off _. ti Door Pressure— Lighting Inst. �' -7 - Pressure PercentCO2 Date Tested CFPercent Oa `' Company Testing Stack Temp." ® Percent CO ® Name of Tester Form 235 City of Fridley r AT THR TOP. OF THE TWINS tw ------ GOMNVNITY DEV901OWNT *IV, PA079CTIVI 09ftCTI" 4W. CM HALL FPADLgV $002 Job Address PLUMBING PERMIT APPLICATION Adaress Phone "A' Tj Contractord Address Phone Kind of Building Use Completion Date Estimated Cost Fixture Rates: No. RATE TOTAL cc- W+ � � ! iPlumbins Number Fixtures x $2.00 3 °' �i I Future Fixtures x $1.50 ac Gal Sv K6 New Fixture -old Open. x $1.50 Catch Bastn x $3.25 Water Heater -99,000 BTU x $3.00 *BIN Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 a. =ice Gas Fitting Fees: vNivac Z 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 %Lmnca VNING Gas Range -199,000 BTU x $5.00 BAYiill �A � er Repairs & Alterations See Description: Code 17, UC) State Surcharge .50 TOTAL FEE 17,5 The undersigned hereby makes application for a permit Soar the work herein specifiedo agreeing to do all work in strict accordance with the City Ordinances and rulin )f the Department of Buildings, and hereby declare that vl-l'the facts and representations stated in this Ipplication ar�,,true and correct. 4 'Signature Date 01 SUBJECT PE City of Fridley 1224 AT THE TOP OF THE TWINS BUILDING PERMIT R EIPT NO • __ ___ COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. 1 . : CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7/20/73 JOB ADDRESS 5285 Taylor Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Marion Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale Hadrath 5285 Taylor Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Custom Pools 701 East Excelsior Hopkins, Minnesota 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 EX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct 18' x 36' Swiming Pool 9 CHANGE OF USE FROM TO STIPULATIONS See Attached Memo from Heatth Inspector TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATINrx OR AIR CONDITIONING. Alum/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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $fir 60000 3.OD WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 7 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- STRUCTION HE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $39.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)WHEN PROPERLY TED THIS IS YOUR PERMIT .BLDG INSP O T SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S.�:i I' BUILDER:—&15/0M DDADDRESS:-70/ NO:. STREET: LOT: BLOCK: ADDITION: 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: -56vINAIA l f P® / Front: %0 ® Depth: 34 i Height Square Feet: 4 r Cubic Feet Front: Depth- ^'eight: Square Feet, � Cubic Feet: Type of Construction:IdP�ClYL Estimated Cost: To 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, DATE: , �:,.� S IGNATURE (See Reverse Side For Additional Information.) C/.' BUILDING PERMIT t EE SCHEDULE ft SECTION 2. The Inspector of Buildings 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 repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the ;manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 m $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.55 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of an7 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 the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE., Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction. site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing.. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 4, )Nl'l J.A./,11 N) lyvg 2';tn vn-s' -111'k,1491 A ' 7"- —V 'VPi?V I5AJOD"NAI; !o , IVP?yd E /j -t o -I 'ON1 69NR-3']2N I E)"N'] { Custom Pools 701 EAST EXCELSIOR AVENUE HOPK-INS, MINNESOTA a 55343 r 833-225.5 r VT't, f; a t F'L'T-,iAP V!7 U, U. Thp followinu specifica}icns are issued In compliance with A11 Fridley health and construct ion. codes stinulnted. All egiainment specifier) herein Is .NC" approved. The proposed private swimming, pool is to be cnns+'ructPd rt- located in Fridley;, Minnesota The following specifications include only the installaticn of 3� one 18 X Vinyl Liner pool, and shall not be construpri to include any additional stru,-"cure or shelter herpnfter rPfprrQr to ar implied. Fence reauirempnts Pre to be done by owrer Ps shown on drawir.R. Any anrl all chancps to these srPri�'irfl+;cos must be approved by Custen ?Fools, Inc. and 'Fridley r�pnartmP^t n'P Public stealth, rri.or to construction. These spFciricA' ions sic not include oceratioral permit f?Fs or Ir.snection Location: The pool is to be located as shown on detail print. The filti?r and heater are to be on the grade of the*pool in the location Indicated. The existin building and terrace, shall be the determining source of.placing; and elevation. Pool: j The construction of the, pool w$ll is of 8-t=ee-1- , •� v).d1*/•`l 'en, fae tre- -- yh I 2tt Maar a., a Wv �� wall erection shall be accomplished as directed by Installation . Manual, issued by Pools. The pool design shall follow -specifically the configuration as shown on drawing. Main drain to be 2" deeper for proper flow of water while filterinc•. The transition as shown on plan. Grounding and Hook-Up: The _ panels, the steel concrete reinforcing, the deck reinforcing, ladders and any other miscellaneous metal fixture within 10 feet of the pool perimeter will be Prounded to conform with "tate Flectrical Code. See print cross section for connection details. The filtration pump shall be wired toa minimum of 100 ANAP • circuit. 230 volts utilizing a circuit breaker and one pull switch. All mechanical electric components are to be installer? to Minnesota.State Code. These specifications are not to Include any service to filter area. f -r t ) rr� Ci Reciprocal Plumbing: All piping shall be locate' as to meet state code. The skimmer and return lines are to be 11" blapk plastic SO lb. test pipe. The main drain is to be ,11" RO lb. test black ripe. All ioints that are buried are to be nylon or FVC' double damned send caulked. Fxternal marigolds of 111 r?.slvanI7.ed steel and copper rate val.vPs shall make the control mAnIfold As shown or. print. The pool tnn.k fittings are to be Cycolac. -The returns Are rycolas eyebal1 t:vpe restri.ctors 1" inside dimension. The returns shall be connPr!ted In pairs to the return manifold as shown in print. The mein drain shall be Cycolac 7-3/1c inches round, booked to a 11" common manifold by a 11" linea Piping and drain location to be laid c - according to State Code. Automatic skimmers NFP apnroved, with equalizer lines shall be located as to give proper circulation. !"kimmers are to t- instplIed as indicated, Suction Lines inside skimmer are to accept vacuum hose for bottom cleaning. Filter and Pump: One pump and filter combination shall be as manufactured by Swimrite Co., Fach tank shall be ?1!" in diameter. an-? shall have 3.1h2 sq. ft. of filter media. FR( -h pump motor is 11 trP Are - capable of 62.811 GPM which will facilitate 22,600 gallors or treated weter each 6 hours. 18 X 311 pool contains approximately 22,000 gallons of treater w9fPr. and will be turned over At least every 6 hours. Complete dp-ailS nr pump motor, filter valves send details are included in bbochures. 4 � N • M Disinfectant: Chlorinator, Frosion Additional Safety Equipment: The pool equipment ShRII include the following items: One test k1t containing accurate tests for chlorine, residual, PF test, alkalinity content end acid demand. The vacuum system shall consist'of one vacuum hose, one vacuum sweep, and one collapsable pole. The cleaning equipment shall be one wall brush and one leaf and debri rake. The pool shall be equipped with one, two tread stainless steel ladder and shall be. placed as inr?icated on location print. The ladders shall be removable to facilitate cleaning. The safety rope shall be placed at the transition point from shallow.to deep and consist of 1/2" nylon rope And 1, floats. A schematic showing operation, backwash, hRlance and priminu shall be posted near filter area. The schematic shall be labeled as to each gate valve and show sequence of operst!on for normal backwash and cleanins use. P. { re conollet;ed enol shill. .e tr.specte(! to aysii-e thpt. +•he entire filter sj►s*Am.. Free of leaks, tank is c7fRn and disinfected and proper sRfp':-r precautions ane implemented .by the inner. These specifications do rot cover c?ecks, however, supervision to assilre proper installation nr ]alders is provided. These specifications omit sanitar-T sewer, bath Rn,? wsndin, areas. It shall be the owners responsibilit- to furrI0 necessary safety equipment. There are not pc-tR!-..le wager sources included In these srecificatlons or In the pool arep. These specificat-iom.s shall supPrcede anv -gird ell roarer specifications published with re,*ard to this pool bar this c ompe ny . CUSTOM POOLS, JAI(;. f z SUBJECT PERM City of Fridley 12264 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t � NUMBER' REV. DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-560-3450 910,-F15 8�2�73 JOB ADDRESS 5285 Taylor Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 1 Marion Hills 2nd Addi cion SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale Hadtrath IMM 5285 Taylor Street N.E. 3 CONTRACTOR MAIL ADDPESS ZIP PHONE LICENSE NO. Brunn Construction 509 - 4th Avenue N.W. 633-5458 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 EX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct 34' x 10' Addition to back of dwelling 9 CHANGE OF USE FROM TO STIPULATIONS FOR �i91R1�G, PERMITS REQUIRED SEPERATE AND SIGNS:. HEA 1NG, PLUMBING TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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. $10,000 5.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. $35.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE . '� P'.' � �� 40.00 _-SI NA.TUREOFCONTRACTORORAUTHORIZEDAGENT (DATE) - ID D TAS Is PROPERLY VAL SIS YOUR PERRAIT ��yyWHEN d7 �1 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG. )NSPDATE APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:,UJ-, Q`%1QOla tl BUILDER:2/k(1ez) ©-7L) r),yS 7' CORNER LOT: ADDRESS : -- /O Ly IZ Sj" J0, ADDRESS:_ 5-0? &iU. NO • . 81S__ STREET: LOT: BLOCK:- O ADDITION: A' 0_✓b ©-7L) 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. Ate' DESCRIPTION OF BUILDING To Be Used As: „Q %Ods✓ Front:--- 1���Depth: Height: Square Feet: Cubic Feet: 1 _re ) d rit A Front: Depth: "eight: Square Feet; Cubic Feet: Type of Construction: %�,�iUf, Estimated Cost: $ 242�1 To Be Completed: o jJ,c�� �"� S a C) C obclv4 d The undersigned hereby makes application for a permit for they work �erein' C 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. DATE: 2 '7 SIGNATURE: (See Reverse Side For Additional Information.) ° ! " t I k ' °' S�� � 0 S�� � BUILDING PERMIT FEE SCHEDULE ft SECTION 2. The Inspector of Buildings 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 repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose 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 the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE; 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. for the exclusive use of Porth Star Abstract & Title Guaranty, Inc. .ROY J. HANSEN Land Survayor13907 Siring Lake Road AND AT 0"F7 ?V9E' Hopkins, Minn. 55343 Civil Engineer Telephone 938.5678 OF PROPERTY OF D31e V. HnCitrat't LOCATlort_32``•5 :av or Street ''o,�tt)e�st, ri,a}-ev, `Hnm�;ota DESCRIBED AS FOLLOY:S T,,0t 1.2. Rock 1 "1,3rirxn Tills s 2n'A Addition, Fridley. Minnesota Scale:--- __ .-__iL__ineh _ ��_ _ 1;0 feet CERTIFICATE OF I.00ATIOg Ol: -BUILDING CERTIFICATE OF SURVEY I hcreb certify that on qot!eti-_._Ig.6r_._. 1 herebycertifythat )it I made a surrey of the location of they I uihiingti) on the above I surveycthe prperty described abovc and that the above plat described property and that the l(xation of said baildingrA) is is a correct represcntation of said survey, correctly shown on the abo%c plat, 0 lj g r� 3356 VOY J. HAUSEAl, REGISTERED SURVEYOR NO. 6274 \ • / G N 1 `3Y 41 e •d:. N ►• rr l.%• � ' pT'v Bulgy ��� I 3 v l W Scale:--- __ .-__iL__ineh _ ��_ _ 1;0 feet CERTIFICATE OF I.00ATIOg Ol: -BUILDING CERTIFICATE OF SURVEY I hcreb certify that on qot!eti-_._Ig.6r_._. 1 herebycertifythat )it I made a surrey of the location of they I uihiingti) on the above I surveycthe prperty described abovc and that the above plat described property and that the l(xation of said baildingrA) is is a correct represcntation of said survey, correctly shown on the abo%c plat, 0 lj g r� 3356 VOY J. HAUSEAl, REGISTERED SURVEYOR NO. 6274 GMAWff WARK AM MATIC TOTAL Duet W ... ... .. $IOA4 Replacement of Furnace 6.00 Repairs & Alterations --up to $W.00 6.00 5---- -- — Repairs & Alterations each add. SM.W 300 Furnaces Shed & Duct Work to 120,000 BTU ..$10.00 $ _ efth add. 60,000 BTU . 3.W i Replacement of Furnace 6..00_ Repairs & Alterations --up to $M.00 6.00 $L 00 Repairs & Alterations each add. $500.00 3.00 a �. 0 F i rnace Sheli & bines—to 400 sq. ft. FMR Steam $10.00 Furnace Shell & Eine—to 640 sq. 1t. EDR Hot Water I0.00 Each add. 200 sq. ft. EDR Steam 2.00. -- Each add. 320 sq. ft. EDR Hot Water 3.00 OIL BURNER—to 3 gaL per hour 6.04 over 3 gal. per hour—See Fee Schedule CAB B (up to 199,Ml BTU) 604 $ wee 199,0012 FM Sev Foo Schedule GAS FITTING NO RATE TOTAL Ist 3 Fixtures x$ Z00 -- Additional Fixtures x .76 S Gas Range to MAD sl$ 504 $ rMM n Fee adhadub AL t�Tg �.i0' rM4e '10 Ale- /0r 7 t 1 Dept. of Won. Phone 9W_MM City of Fridley: The undersigned hereby makes application for a permit for the work specified, agreeing to do all work in strict accordance with the City Ordbumew and ruling of the Department of Buildings, and hereby declares that all the fadsc and representations stated in this application are true and Fridley. Minn � —_—� I*Z3 Owner -- -- Kind of Building Used as C To be completed about ----.----.----_/ 3 C, Estimated Coot, $ Old—New. Building Permit No.AJo.— i'1'r H rig •,' �..:;'; HEATING or Hot Water, Warm Ar—No Trade Name size No— Capacity------ o-Capacity---- — Sq. Ft. E.D.R BTU— Total Connected of 1 BU — Tmde Name size Na- Capacity Sq. ]R V D BTU 1 53-84-s-915.51 PARTIAL Ar , - co nXTUM RATIM: mck. alATZ ” IN ................ an a- ...®...... f.a &—. N" vbd�oe ON opmft ......... a ..... • ....... w ... ®.. �. New r ........ • Er s . ............. �q bg 3 ................ P pw �YS�®� . fid ............... 6 di an Rmw om W ............ z 91P so state Su .50 Install Gas Grill........ 5.00 ...................,.......... 1�OInLma S 50 -- oa 7,770 ...., ; Vii. r , r•.�,.. � ::: ,.. ..> 1.. r -*a tt. sr„"� �..: , est e. �, ,. :. ., Ffmky. mum owow Dale Hadtrath Frame Res. 1lPsr�l _ r SUBJECTPER MIT NT14 City of Fridley ® 18 AT THE TOP OF THE TWINS BUILDING PERMIT r R CEIPT NO • __ __ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r i PROTECTIVE /y CITY HALL FRIDLEY 55432 NUMBER� REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/5/85 JOB ADDRESS 5285 Taylor Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 2 Marion Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim. Rosemeyer 5285 Taylor Street N.E. 571-7622 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Chris's Construction 240 Longfellow Street N.E., Fridley 784-7142 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 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE of USE FROM TO STIPULATIONS Roo£ can be 2nd layer but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP - OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Fiberglass VENTILATING 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, 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 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 $.72 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,450 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- $25.00 STRUCTION R THE PERFORM CE OF CONSTRUCTION. Q, PLAN CHECK FEE TOTAL FEE �� ,� $25.72 IGNATURE OF CONTRArOROR AUTHORIZED AGENT (DATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT r BLDG INSP DA E SIGNATURE OF OWNER IIF OWNER BUILDERI IOATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. I R-1 AND R-2 I ALTER. [ ] Building Permit Application Construction Address: Legal Description:G -�`6 Owner Name & Address/: �'T 2 M Tel. # 76 �2 Contractor:Ni r "r)I() % /1�, f l�%� Tel. # '7�i'y — 7l Address: �� SCJ ��=1=-�LC1�-t� 'g • 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: OP t` 4\`fi�8 (moi) Estimated Cost: $ Approx. Completion Date:i� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: S APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 125--00 Fee Schedule on Reverse Side Plan Check $ 25$ of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL Agreement Necessary [ ] Not Necessary [ ] $ �� . %2 STIPULATIONS: BUILDING 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 Valuation $1.00 to $500.00 $501.00 to $2,000.00 $2,001.00 to $25,000.00 $25,001.00 to $50,000.00 $50,001.00 to $100,000.00 $100,001.00 and up Fees $10.00 (Minimum Fee is $15.00) $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $170.50 for the first additional $1,000 or including $50,000. $283.00 for the first additional $1,000 or including $100,000. $25,000 plus $4.50 for,each fraction thereof, to and $50,000 plus $3.00 for each fraction thereof, to and $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing. A legal Description: Owner Name &Address: Effective 1,/1/91 l-1 AND i-2 Building Permit Application z Dile o-,� -F-f Al� i" a s.. VnG AMM: Length AREA: Length 102 AREA: Ilenlgth _ �! OTHM• Onmer Lot [ ] Inside Lot [ Type of Construction: 3 A 0 Appr=. Completion Date: .1" 4— ( 12.10 ) 0 z Ft.,Yd Yd Setback Proposed Driveway Width If New OpeniM DATE: k 1J ? APPIZCANr: .Permit Fee Fire Surcharge $ �` State Surcharge SAC age $ Driveway Escrow $ Park Fee $ Sewer Main Maarge $ 70MRL $ 116, 10 Ciss-e— e4j k,jV Imo_ f Sq. Ft. Lgh Sq. Ft. t/ Sq. Ft. 3 S pew Side Yard Setbacks wted Cost: $ ?40d Ft. $ $. + 6' See Back Page 71e1. # --64>� Fee Schedule on reverse Side .001 x Permit Valuation (1/10th $} $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by MVinem M N [ ] Not Necessary [ ] Y0G �0C, The Chief Building Official shall, before issuing permits for the erection of any building or structure, or far any addition to any existing building or structure, or for any alteration or repair to any wasting building ar 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 nwrer herein provided to -wit: $1 to $500 $15 (Minivaan Fee is $15 plus surdharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2, 000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to arra including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1, 000, 001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof EPZVENM TEPR MIM BaCIM (Omcrete Qn:b Streets Only) Alternate *A": Removal and of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Amoval and replao®eiht of curb and gutter and install a 3 foot wide approach with 6 inch depth - Drivamy width plus 6 feet times $15.75. Permits for oohs xuction will be issued application to allow for proper review motion site. a minivann of 24 hours frrm the time of of the proposed structure and of the A Oerlificate of Survey of the lot, showing the location of the foundation once it has it has been omis xucted will be required before proceeding with the framing. %I 1,V% L L. V 1 \I l'\ i L V 1- V V %,V, 11 V—• Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. re .. .nv.J. — -acyl ;+ue ,1"-�.{¢ `ayi�isa� SIJa+n JJ ayl p�a.iaq t anol 6v yTMu n u;�� � rut Iolliam �'yj call - -6I -- -- - ...:n IPyI .i rla� .S ,la & ple uto ICyI .SJihaa :gaiay 1 L3AII:lS IU 3.Ltl.11JI.L:I3J :Jti:ICIILIU. do \UI! VJ(YI 30 3-LvjvII.LH33 - - gaut---� _.--- .ales 1 UJ iio M � !'-� `•fit :. ,tee •: 0, H�o::•uut�'{ eaj�'o-•I� �.c�.�Zz.. � ua :• s 1 r iI fIi �Y.:.z lir Z hoo id 'c', L tc1 9 -'AOI -10.4 SV o31JIbI7S3o •, e'qc:auc:;t; satl :ax �we.: Nolir3oi I'll'•' PTUH. 'A aZUQ 30 -k.LU3,JOMcJ do MS•886 4u'Iyd8lal .,p laoulSu £:£SS •ulu fy 'su!>idoH � �,����(� i 8 � 3 !In! CNY Peot2 a>,e1 SuudS tom '�� ���� JoAeAjnS pug, N3SAJVi-f *r Ao2j• 1 •�u� Q{nelrnc, o�{Il ': {�e,;:qY �vJc y{lop,� W osn aysn��za ay{ ao� CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE: APPLICATION FOR POWER PLANTS, AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner -- Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work ;ommercial/industrial 1,25% of Value of Appliance or Work Effective On March 1, 1996 JOB ADDRESS $5 �Icy sir 5'7/- % t Z Z. State Surcharge s ,50 TOTAL FEE��.� MINIMUM F9E FOR ANY WEl�TING[CnC}LI@VGL1/ENl'II,ATiUN REFRIGERATION/AIR CONDITIONIIVG PERMIT IS $25.00 PLUS THE $,50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, Burner Trade Name BTU HP Size No. EDR' , HEATING COMPANY^SI-V�l��c�tl�C' q�AeAW IIYL ,C• Signed Tel No. g Approved ByRough-In Date Final Date FILL OUT FLACK SIDE R STACK VERIFICATION ON REPLACEMENT FURNACE The undersigned hereby makes application for a permit for the work herein Rate TOTAL 'specified agreeing to do all work In strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and $ 30,00 $ representations stated in this application are true and correct, g $ 10,00 $ 1996 OWNER $ 10.00 $ c� )V-kV—q( BUILDING USED AS $ 10,00 $� $25, 00 $_ COST 30 D 'o PERMIT NO, `T,� -,a r•(�1L I h��--� I)ITSCRIPTION OF FURNACE AND OR BURNER $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU_ HP ERR $ Fuel Total Connected Load State Surcharge s ,50 TOTAL FEE��.� MINIMUM F9E FOR ANY WEl�TING[CnC}LI@VGL1/ENl'II,ATiUN REFRIGERATION/AIR CONDITIONIIVG PERMIT IS $25.00 PLUS THE $,50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, Burner Trade Name BTU HP Size No. EDR' , HEATING COMPANY^SI-V�l��c�tl�C' q�AeAW IIYL ,C• Signed Tel No. g Approved ByRough-In Date Final Date FILL OUT FLACK SIDE R STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CH MMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes {) No { ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes( No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner - Also Re2lacement Fuur=e (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ $10.00 $ $10.00 $ $10.00 $ $ 25.00 $ Effective On January 1, 1997 JOB ADDRESS 5�Ir �I�pte JT JVD The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are Irue and correct. /7 1997 <-J/hl BUILDING USED AS /'-/ cf„V � ESTIMATED COST d?/ 410 7 7/-74 ZZ PERMIT NO. / , �; 2- DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) arm Air) Trade Name �imjvox Size No. G�-3 BTU j ! HP v EDR / $ Fuel Nabi"ey%s Total Connected Load State Surcharge $ .50 Burner Trade Name TOTALFEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. BTU Size No. HP EDR HEATING COMPANY Signed By Tel No.�'�D Approved By Rough -In Date Final Date FILL OUT BACK SIDE F STACK VERIFICATION ON REPLACEMENT FURNACE CHE%MY AND STACK VERIFICATION The undersigned hereby verifies that do existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes O No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected b Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Yes ()No() Yes ()No() Yes No Yes () No ( ) l 01 SUBJECT City of Fridley / 3 0 2 7 6 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 16COMMUNITY DEVELOPMENT DIV. .:------`- INSPECTION SEC. q61 r 1 � PROTECTIVE 01 NUMBED REV DATE PAGE OF APPROVED BY ` ---;', CITY HALL FRIDLEY 55432 ---- L 612-571-3450 910411 9/23/99 JOB ADDRESS 5285 Taylor Street NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DescR. 12 1 I Marion Hills 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James $ Gerri Rosemeyer 571-7622 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Panelcraft of MN 3118 Snelling Ave S Npls M 55406 721-6628 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ' ❑ NEW O ADDITION ❑ ALTERATION X29 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage(22 Sq) Team -off; Reside house and aarage 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. SEPARATE PERMITS ARE REQUIRED 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 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 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 WQRK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $11,345 $5.67 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- Fire SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $209.25 $11.34 PLAN CHECK FEE L FEE -AGENT Licens 5 17231.26 SIGNATURE OF CONTRACTOR OR AUTHORIZED IDATEI HE P Y VA ED THIS I$ R ER I SIGNATURE OFOW NERort OWNER BUILDERIDATEI BU6G INSP r)ATE l 01 ML 1V ADDIS Au r1alt II �I II ISIlvctionAddress: LIICCLIVe 1/If94 CITY OF FRIDLEY SINGLI- FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application # ,� To B # 5�xs- 3eO< a X Legal Description:— ,�� � s S� 8'.5' •T�y /oma si- ,rim" Owner Name & Address: !t G_err i �OS��'' r �,�,�/� 5.2- 1 Tel. /I _7 d - -7 C- /79 - Conti*, MN �� •'��_ MN LICENSE lI` j! 9— -, Address: 3/11f Tel. # 7� LIVING ARCA: GARAGE ARCA: DECK ARRA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to Scale. DESCRIPTION OF IMPROVEMENT Length Width height Length Width Height Length Width Hgt/Ground Corner Lot [ I Inside Lot f 1 Ft. Yd Setback 'rune of Construction: Si ell, 0/_. A2 �. AM Completion Date: — Side Yard Setbacks Sq. Ft. Sq. Ft.- Sq. t.Sq. Ft. Estimated Cost: $ /-/S. o `> (Cost on Back) Driveway Curb Cut Width Needed: Ft. + G Int = Ft x DATE: q'-13_! � _ APPLICANT: � Tel. 11 7,�/ - Permit Fee Hire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CI'T'Y USE ONLY ,70 $�,5 Fee Schedule on Reverse Side $,1l .001. of Permit Valuation (1/10th!) $ $.50/$1,000 Valuation $ $800 per SAC Unit $ _ S 40 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $4.50.00 Conservation Plan Review $ _ Fee Determined by Engineering $ Agreement Necessary I I Not Necessary I I TOTAL STIPULATIONS: