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PRE 2010 DOCSCity of Fridley, Minn. BIUILDING PERMIT N° ��81 Date: . """._..,"".....:..,_... _ .. . _ _.._...._....._...._.. Owner: ..... ....."y .. r .... f.._..0 �t���r��" Budder ................... .:.�°______......................... _..................... __....... Address ....._.......... .. _ _....`...._...... Address _ � �_ � . �� �_.................... ............. _........ k LOCATIOPI, OF BUILDING No. _ _. .. .... Street _. t - .?'...:.............._.............. Par.i� �of Lot ..f-------- _..._...._ .........._.... Lot ............. ......_........ Block... +�.................................. Addition or . ......... ....._ ?:: Corner Lot .......................... _.... .... Inside Lot ...---- -- -_. ._... Setback ................... Sideyard._.._...,.tI.:..:::............ _........ ................. ........... SewerElevation ..... ........... ..._......----:.._.....-----.._..............---..........._....------............. Foundation Elevation .................... ................ ............ ...................... .................... ... DESCRIPTION OF BUILDING To be Used as �1'0 FrontDepth .„�.-...__.. Height . . ......... Sq..Ft. ...1... Cu. F�`�;el ►' _:. Front .:, "Depth -.._ Height ../4 ........ Sq. Ft. ''. Cu. F't..:,i!'/......+ Type of Construction. 9 . ..�^,.w.� �--�9t � Est. Costl'.. �,. ,,,,� ..�._�._�... To be Completed .....----------------..... ....................... CAUTION THIS PERMIT DOES NOT AUTHORIZE VIOLAT- ION OF ANY PRIVATE LAND COVENANTS ANIS BUILDING RESTRICTIONS. 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 ordinances of the city of Fridley. In consideration of the payment of a fee of $..r ..................., 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 the city limits and this permit may be revoked at any time upon violation of any of the provisions of said l :rP, ordinances. ze' . Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 SUBJECT IT NO City of Fridley 1363'7 AT THE TOP OF THE TWINS P R M I T� ` r SXECEIPT BUILDING E NO. COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY `•""�'� ,�� 812-580-3450 910-F15 7/9/76 JOB ADDRESS 5825 Tennison Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Parkview Heights Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Carl Metoxen 5825 Tennison Drive N.E. 3 CONTRACTOR MAIL ADDRESS Same ZIP PHONE LICENSE NO. 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 CA ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 16' Deck 9 CHANGE OF USE FROM TO STIPULATIONS Provide frost footings under deck posts. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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. $300 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .5O DOES NOT PRESUME.TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITFEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRA TOR OR AUTHORIZEOA NT (DATE) WHEN PR PER,LaY WD THIS IS .YOUR®PERMIT/ tJ(/ 1H BLDG. INSP pVALIDATE ( DATE SIGNATURE OF OWNER(IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAME : /1 �� / // L�G> ��, BUILDER:— J� -e ADDRESS: -3 S /4gt— �i _ADDRESS: NO:. STREET: %/-C /2 ,eq LOT: BLOCK: ADDITION : CORNER LOT: INSIDE LOT: SETBACK: I'll/ 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: 14� /6 /=%height: 2 —17— Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: %��c� �vr� Estimated Cost: $ 3�o 4— �To Be Completed: 14e 9�f, �i k s 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: SIGNATURE: (See Reverse Side For Additional Information.) 77,1044 A 10 ® � f i °gyp" BUILDING PERMIT FEE SCHEDULE 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: 14EW CONSTRUCTION: Single Family Homes and Garages: $4.00/1000 cubic feet PLAN CHECK: 25 percent of building permit fee. 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 averagee •height-Qf the roof surface of the main gable of a pitched roof. For,•r-,pairs 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 $7.50. 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. t 1 March 21, , 1979 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Custom Pools 701 East Excelsior Avenue Hopkins, MN 55343 Re: Swimming Pool Construction at 5825 Tennison Drive N.E. Dear Sirs: This letter is to make clear this departments requirements for the swimming pool construction at the above address. 1. As .indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. Z 2. As indicated, two (2). inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, 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 of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with.decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: (a) The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. (b) The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. (c) Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. (d) The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. 8. 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. • ,�' - Custom Pools March 21, 1979 Re: 5825 Tennison Drive N.E. Page 2 '10. All electrical lines must be greater than 15 feet away from the pool surface. An alternative is to bury said lines. 11. The pool fill spout must be air -gapped or protected by a vacuum breaker. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepherds crook pole, must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please -feel free to contact me at 571-3450. Sincerely, r 6 STEVEN `J. OISON Environmental Officer SJO/mh CC: Mr. Carl Metoxen 5825 Tennison Drive N.E. -6 24" CLEARANCE _-- AROVE .FILTER 'A' FILTER DIAMETER 27" MAX. WIDTH UNITROL VALVE®„ 1,1/2" POOL RETURN PUMP SUCTION SELECTION CHART AIR RELIEF i PRESSURE GAUGE —'C' - 100# BAGS OF No 20 SILICA SAND '—"°--DRAI N ®STRUCTURAL FOAM PEDESTAL eawrt m ON" sr+wwn r.01 Addmbhl CATALOG NUMBER MODEL NUMBER FILTER AREA (SQ. FT.) PUMP H.P. RATE/SQ. FT. TURNOVER CAPACITIES A B C g m g m HOUR 6 HRS. 8 H 24736-116 HRS -16 1.4 1/2 21 1260 7,560 10,080 12,600 16" 33" 1 1/4 28 1680 10,080 13,440 16,800 24730-121 HRS -20 2.2 3/4 33 1980 11,880 15,840 19,800 20" 37" 2 44 2640 15,840 21,120 26,400 Li�t24J�H24� "�---- .1 1 47 2820 16,920 22,560 28,200 24" 41" 21/2 1 1/2 62 3720 22, 3�,737,200 GENERAL NOTES: 1. Flow rates shown are based on 15 and 20 G.P.M. per sq. ft. of filter area. However, rates may very from 10 to 20 G.P.M. per sq. ft. as desired. 2. Pump and pump connector must be purchased separately. as aw 1110111111111,111 sr umm mewaa Awsr�• w N 0 IM s w®mnaa a+Nrxw no sow ,asanL A/,NIIIIII W UmIl r I= M Hf. e • wiar sow 3. The filter tanks and pump and unitrol valve are approved by the National -Sanitation Foundation. 4. These filters are covered by the following patents: Australia Pat.'No. 275,346; Canada Pat. No. 722,018; Great Britain Pat. No. 934,997; Mexico Pat. No. 79,797; South Africa Pat. No. 1100/65. swimQuip VERTICAL H1 -RATE (FILTER) no,emA.na.w.atNow.ca�m.m„a: HRS SERIES W/U ITROL VALVE „H Nd ROW. W.W. Aaate. awopa MW sm ww.” Nal urw, tuft in aoemae. Twa mm peow,aoaf M ewwou,r,COMMON a.wanae"INCOM►ANT.,Na asa JUNE 1973 = in u•a SUBJECT PERMIT City of Fridley15096 AT THE TOP OF THE TWINS PERM I T�j BUILDING RECEIPT N . COMMUNITY DEVELOPMENT DIV. INSPECTION O t✓ PROTECTIVE SEC. 1 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 x.3/28/79 JOB ADDRESS 5825 Tennison Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 2 Parkview Eieights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carl Metoxen 5825 Tennison Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Custom Pools 701 E. Excelsior Avenue 933-2255 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 Construct a swimming pool C18' x 36' x 8' deep) 9 CHANGE OF USE FROM TO STIPULATIONS As per letter dated 3/21/79 from Environmental Officer. WARNING SEPERATE PERMITS REQUIRED FOR ��Ore digging call 10c, utilities TELEPHONE-ELECTRIC-GAS WtRtl+�Ga Etc, HEATING, PLUMBING AND SIGNS. REQUIRED �y L4 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 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 $7,500 $.3.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRISI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT O OR THE PERFORM E OF CONSTRUCTION. $45.00 PLAN CHECK FEE TOTAL FEE /�, ,�1 $48.75 1 SIGNA, RE OF CONTRACTOR OR UTHORIZEDAGEN (DATE) VALIDDATE,DTHIS.IS YOUR PERMIT �WH:ENPROPERLY 7 iSIGNA G )NSP DAT! URE OF OWNER(IF OWNER BUILDER) (DATE) e CITY of FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: C,4 6 ` e X e BUILDER: �uSl cry\ ° Address: y� a S I �Yl n 1 So n Df- Address : `7©� X. �-' E' �S 10 p Tel. No. No.Street: �/ P— LOT: LOT: BLOCY.: ADDITION: - Ale cilEcj V)L-16/--0S 4,D) AJ, CORNER LOT: INSIDE LOT: J SETBACK: SIDEYARDS: 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: 1 Sw i YYX Vyk �o o Front: � _ Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: PC>(n>j Cubic Feet: Type of Construction: w' "°�', in , Estimated Cost: $©Q To Be Completed:/jam ��9 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional inf rmation. DATE: /a��%� SIGNATURE Stipulations: b 00 10T V 3. t BUILDING PERMIT FEE SCHEDULE 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x US, 75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 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 $7.50 plus $.50 state surcharge. RL • • • 1�` •1 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 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. FU _i ` • • ':\ 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. e suBjECT MIT NO. City of Fridley 33527BUILDING AT THE TOP OF THE TWINS P, PERMIT RECEIPT NO. r • COMMUNITY DEVELOPMENT DIV.®0 ____ r PROTECTIVE INSPECTION SEC. NUMBER REv DATE PAGE OF APPROVED By `---.� ��'--;•� CITY HALL FRIDLEY 55432 L 763-571-3450 910-F 15 5/19/03 JOB ADDRESS 5825 Tennison Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 1 Parkview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron/Debra Noren 5825 Tennison Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Douglas Watson Construction 3649 Oliver Ave N M ls. MN 55412 612-819-0603 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20004113 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE 8 DESCRIBE WORK Remove existing 16' x 16' Deck; Construct a 12' x 12' Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 1800r� digging call f®� all utility lo.to0ns SEPARATE PERMITS �0002 REQUIRED FOR: BY kAW VARING HEATING PLUMRINd AND SIGG SEPARATE PERMITS ARE REOUIREO 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 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 $2.06 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,121 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 $4.12 STR CT OR THE PERFORM NCE OF CONSTRUCTION $111.25 PLANECKFEE TOTALFEE is se SC $5.00 $122.43 ATUA OFCON•RAGTOQ OR AUTHORIZED AGENT 40ATE) R PE MILT HEN PROPERLY VALIDATED THIS ISQtq S�GNA TUF✓E OF OW NEQ iiF OWNER BU4 DE Ri sDATE, DG �� P D NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: S__ T ti IS 0-'L. Legal Description: Effective 1/1/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax L'- � �� �. P, q L Owner Name & Address: Xo u v- Ai& - Tel. # Contractor. D&y6-,c.*, GJ4-ts,- 2 -5r MN LICENSE # d000 V/13 Address: ✓tz �,4P45 .1 A f! "_ Tel. # G rp - 8f? -oc ® :? 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 DECK AREA: Length -2, Width l �' Hgt/Ground OTHER: ®iii Sq. Ft. Sq. Ft. 5' Construction Type: Qoo Estimated Cost: $ X00 1 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 01-13- ® 3 APPLICANT:. Tel. # 6€rip-e6® 3 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side /gj .001 of Permit Valuation (1/10th%) $ . & $.50/$1,000 Valuation $ $1275 per SAC Unit $ s 00 $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 [ ] BUILDING PERNUT 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 ' 11 11 � ' 111 111 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 $19000 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 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00. 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only BLOCK 2, PARKVIEW HEIG INDUSTRIAL s11vslRw C. E. COULTER Or" Lam LAND SURVEYOR TOPOGRAPHIC MAPPING REGISTERED UNDER LAWS OF STATE OF MINNESOTA NbDITIOW PLATTING FARM GURVEYS LAKESHORE JUDICIAL LICENSED YY ORDINANCE OF CITY OF MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS 8, MINN. TAYLOR 40370 SURVEY �0'r Avit) 'E. CARLSow SowI INC. �ururgnt's �lrrfifir�r N • ISyAL,E I" =30' I IRoK ►{zpN � o d_ VSG- 17 .r 2(0 > z cc VN VN N a '9r o N N V Z a24 I LU F- ! 3 Coro &a O IRON f I � I hereby certify that the above is a true and correct plat of a survey of: Lot Four (4),.Block Two (2), PARKVIEW HEIGHTS ADDITION, Anoka County, Minnesota. .As surveyed.by me this 4th day of May 1960 A. D. Signed__ n cc cG� Minnesota Registration No. 2584 1 gild T@y .T I Z" I ! J A)AJ 6 F is i )t w - ■ IMM 1 9J+ 70 BZ as l CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 r63) 572-3604 FAX: (763) 571-1287 ADDRESS : 5825 TENNISON DR NE PIN : 243024240035 LEGAL DESC : PARKVIEW HGHTS ADD : LOT 4 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ROOFING PERMIT 0.: 2004-00578 DATE ISSUED: 04/23/2004 VALUATION : $ 2,315.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE & GARAGE (20 SQ) TEAR -OFF STATE LICENSED CONTRACTOR 1 APPLICANT HELMSTETTER ROOFING CO 3225 33 AVE S MINNEAPOLIS, MN 55406 - OWNER NOREN RONALD & SCHNEIDER D R 5825 TENNISON DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of y other state or local law regulating constructio r the pe orm a of constructio 7 - Bldg Date Bldg BUILDING PERMIT FEE 83.25 FIRE SURCHARGE 2.32 STATE SURCHARGE, VALUE 1.16 LICENSE SURCHARGE 5.00 TOTAL 91.73 ABATE PERMIT"E00RED FOR WORK OTHER THAN DESCRIBED ABOVE. cC�, , 75 - NEW [ J CITY OF FRIDLEY Effective 4/1/2004 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION C 00'- 00S-178 Construction Address: u- P-2 <5- %'� n� _S a 0 /?, Legal Description: Owner Name & Address: e, d-,rA 1' U%. Tel. # ?G.� - ,3�- >2 -.2l S�� Contractor: A &e� e-,-, MN LICENSE # Address: -� 2 -Z S- 13 Ya 26�z�' Tel. # (a12) ;�g 2 -� 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: Construction Type: Estimated Cost: $ M = Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: APPLICANT:4�Tel. # CZ 7 z 1 -.z Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ Rla.ievi- $ Fire Surcharge $ �- State Surcharge $ e""./6 SAC Charge $ -- e!�2— License Surcharge $ SZ: r2 Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 7- ; Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] 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 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 12:3:1 $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 $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate 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. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 H'AX: (763)571-1287 PERM 0.:2004-00872 DATE ISSUED: 06/10/2004 ADDRESS : 5825 TENNISON DR NE PIN : 243024240035 LEGAL DESC : PARKVIEW HGHTS ADD : LOT 4 BLOCK 2 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 800.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL GAS PIPING FOR SWIMMING POOL. STATE SURCHARGE, PLBG FLAT # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT GAVIC & SONS PLUMBING 12725 NIGHTINGALE ST COON RAPIDS, MN 55448- (763) 755-6468 OWNER NOREN RONALD & SCHNEIDER D R 5825 TENNISON DR NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 0 0 # GAS RANGES 0 0 # WATER TRMT APPLIANCES 0 PLBG PERMIT MINIMUM FEE 15.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 15.50 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regula ' ons ction or the performance of construction. ADDI cant . 7 Date 0 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR ft,,30 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS S e2— �o r a til i S z> r_3 New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 Rain Water Leader $10.00 DATE:—(.0-9 , 20 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 OWNER 1 y �`Z �► Water Heater -Electric $35.00 Water Heater - Gas** $35.00 BUILDING USED AS Gas Range** $10.00 Gas Dryer** $10.00 ESTIMATED COST PERMIT NO.� Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY�" USG Nv &L. s L, i Ne. +o e7q S 4 ", � L H moo. Reinspection Fee $50.00/Hr SIGNED BY TEL N0. (1 Z oz6b 'z ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance � Approved By / Rough -In Date Final Date State Surcharge MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $ OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE l FILL IN COMPLETELY FOR REPLACEMENT FUEL BUI$NING APPLIANCE PERMITS COMMON VENT,= VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing Wrnace, the undersigned hereby verifies; that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type Appliance #2 Type Appliance #3 Type Total Appliances _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 YAX: (763) 571-1287 ADDRESS : 5825 TENNISON DR NE PIN : 243024240035 LEGAL DESC : PARKVIEW HGHTS ADD : LOT 4 BLOCK 2 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT N.: 2004-00955 DATE ISSUED: 06/21/2004 VALUATION : $ 699.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL A GAS WATER HEATER # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT GAVIC & SONS PLUMBING 12725 NIGHTINGALE ST COON RAPIDS, MN 55448- (763) 755-6468 OWNER NOREN RONALD & SCHNEIDER D R 5825 TENNISON DR NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 1 0 # GAS RANGES 0 0 # WATER TRMT APPLIANCES 0 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ADDlicant"-, n Date P 1 PLBG PERMIT MINIMUM FEE 0.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 35.50 PAID WITH CHECK # 10683 JL'r tlr�tll ri r1UX%.1V JL J rVll W Vl\11 V I. 1rit11V LP.�JIil\lDL'L L'11JV Y li. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, iMN 55432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT ;> I MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range" Gas Dryer"" Back Flow Preventer Required ( )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance .W State Surcharge $ •SO TOTAL FEE $ 3S S JOB ADDRESS SE25 rehhtsan bn idl,�w 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 true and correct. DATE: qj 7 , 20 C OWNER R6'n NOrc n BUILDING USED AS Ye5ke.nc.e✓ ESTIMATED COST '�01�9. PERMIT NO. PLUMBING COMPANY 0'"Q -WG. &Ad �i 1-0 SIGNED BY / TEL N0. 763- Approved By ough-In Date Final Date i l -4MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "*PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (} No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes (} No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :