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PRE 2010 DOCSDate: o.: owner: '� Builder i f. Address 4, Address LO TI N, UILDING No. Street ( s� art of Lot Lot _. _ _ _ Block Addition or Sub - Corner Lot Inside Lot _'"abackd _,.. deyaT Sewer Elevation ____ ___._ ro on Elevation DESCRIPTION OF BUILDING Front Depth � Height Sq. F`t. �. Ft "k t i� 'ren Depth FTef9bt - - !. Ft. _ _ Cu. Ft. Tynpe of Costruction " k Est.. +w ' "To 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 ordinances of the city of Fridley. In consideration of the payment of a fee of $_ c4L / Z-01 permit' is hereby granted to the rem to construct the W114W114or addition as described above. This permit is granted upon expcondition that the person to whom it is granted and his agents, employees and workmen, in ail work done in, around and upon said building, or any Bart Thereof, shall conform in all respects to the ordinances of Fridley, Minnesota reg gg location, construction, alteration maintenance, repair and moving of buildings within the dty ]units and�thia permit may be revoked at any tune upon.vio , of any of the provisions of said ordinances. . , :, Building Inspector NOTICE: 7hhz permit doss not cover the construction, las4allation for v►hlno, phnabin& on heathn, sewer or water. Be are to as the BulMine Inspector for soperate permits for than boom SUBJECT ERM ITO-----a-` City of Fridley 16 9 7 9 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECE 1 6. _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV. DATE OF APPROVED BY 612-571-3450 910-F15 4/15/83 F77 JOB ADDRESS 7396 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 55 Shaffer's Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dean OMara 7396 Van Buren Street N.E. 784-7477 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Olympic Pools (Not Licensed in Fridley) 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 0 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install a 16' x 3211,Swimming Pool and a 4' x 32' Deck 9 CHANGE QF USE FROM TO $TIPULATIONS See stipulations on letter dated April 11, 1983. RF �A �, ► ;�'m. SEPERATE PERMITS gc�� St"'�` r<�EATING, PLUMRING AND TING, .� �� gelD W,_FGk\3 TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 WORK WILL BE COMPLIED $3,400 $1.70 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- 50 $44. 50 .4TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE '! $46.20 �/ SI 7UREOFCONTRACTOR ORAUTHORIZED AGENT (DATEI WHEN PROPERLY LI DATED THIS IS YOUR PERMIT l� a BLDG INSP DAT SIGNATURE OF OWNE 0 OW ER BUIL ERI (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FD14 RESIDENTIAL BUILDING PEFU4ITS (New. Alterations. Additions. or Repairs) OWNER: .- OA A&) C� ! ADDRESS: , 7e? � 4 BUILDER: ADDRESS: TEL M0:'q ®7q7 7 TEL N0: Construction Location • STRMT NO: Z d I l STREET: Q 13 � LOT: BLOCK: ADDITION: Corner Lot: Insiae Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CONSTRUCTION Front: ) 6 Depth: ® Height: �rr-�� Square Feet: Cubic Feet: Q -r-C_Front: d/ Depth: h Height: Square Feet: Cubic Feet: Zype of . Construction:r-T2l 0- V Estimated Costs IS / Zb Be Clompleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ ' $ SEE MVERSE SIDE OF SHEET Zile undersigned hereby makes application for a permit for the work herein specified, agreeing to do ,all work ir, strict accordance with the City of Fridley Ordinances and rulings of the Delxirtment of Buildings, and hereby declares that all the facts and representations stated in this applicati are true and correct. DME: 2 SIGNATUTE. � ? j A Stipulations: • cJ i,� , , / _ ( '✓\ G BUILDING PERMIT FEE SCHEDULE 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: TIMAL VALUATION FEES $1.00 to $500.00 $10.00 Minimum Fee $1S.00 plus surcharge $501 to $2,000 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional 51,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $263.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building permit fee DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only Alternate "A": Removial and replacement of curb and gutter only Driveway width plus 6 feet x $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 x $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. _ I a r+ra �if I t I I I -_ I I : -1`--�.-�_ -•` tom__.. -.-. �. ._ L _ _.� _ ._ - _ --..-..- _ _ I j�- 1 � I I I I I ' I '1 V t � I i I I i I f , r C� T I i I , i I AT e9 t � I I 4 spa ' I� I , • : j • I a .�kti ,. April 11, Mr. Dean 7396 Van Fridley, CITY OF FIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 1983 Omara Buren Street N.E. MN 55432 TELEPHONE ( 812)571-3450 Re: Swimming Pool Construction at 7396 Van Buren Street N.E. Dear Mr. Omara: This letter is to make clear this department's 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. 2. As indicated, one (1) inlet of approved design for fresh and/or repurified water will be provided. 3. 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. 4. 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. 5. 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. Mr. Dean Omara April 11, 1983 Re: 7396 Van Buren Street N.E. Page 2 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface, and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-1/2 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 of the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, '401 STEVEN J. OLSON, R.S. Environmental Officer SJO/mh � 4 �J ^e1r j••yy��55' - - cS£`'? %k u ROUND MODEL - AREA (SQ.L Ra -GAL - CAP. GAL. a. CJ1P. r,-SHP. - :d' WW. 16'x 48" 4616-92 209 5,600 6,030 ' : SBO bs. 18' x 48" 4648-92 248 7,100 8,640 430 lbs. 24'x 48" 4621-92 340 9,600 r 42A00 ' 610 {bs. 24'x 48" 4624-92 448 12,550 16200 585 jibs. 28' x 48" 4628-92 609 17,100 22,850 780 bs. APPROX. SIZE SURFACE APPROX. W. ' APPROX. OVAL MODEL AM GAL dAL hF' , SIR'. (S6 R.) CAP. CTAP. wilt. 24' x 16 x 48" 4646-92 325 91150 40,230 ; " 625 lbs. /y3�.x.'ac48" 40' x 16 x 48" 4626-92 4606-92 45U 574 12,700 16,240 15,060 19,870 875 bs. bs. 1,400 bs. 41'x 21'x 48" 4611-92 756 21,270 26,270 1,150 bs. L COMPONENTS 115 Limited Wammfy on all Steel Components 6" flared top seat • 6" stylized vertical support • RAy suppWN vertical leg eliminates top seat king - All heavy gauge steel interlocking frame and wall system • Rust protected with Zinc pad 90001' Wall extra -protected with epoxy coating • Pre -punched skimmer and eyeball return openings for installation ease and liner protection - Carru-ribbed wall for flexbt6y and strength - Easily assembled skle joint wail + connector • Reversible pattern or white wall LINER W _.., 95 Year Limited WcnuwW on 20 Mil Ei4wrxiable Uner �� 100% improvement In tear resistance - 10`X, greater tensile strength • New embossing for surface consistency and skid resistance - Additional chemical and ultra -violet resistance - 20 N6i egxrdable liner for optional deep swimrrdng areaWI DI - Galvanized DaughbW wamlochm mswas ft OuM to wv" chaVe a ffoffly =ukoctm d DmqtbWs ftr&v pmdrii aavpW >hered,�4,aW +o as b make � a,Q� an p prerbusly ma�.mcsrea na,�eror Rban>asar+al. k�c., arsr "tO1E= r„ 109FAJer wBK,Q.Q ownwp4CA9179D s '1 Skimmers 'W i�bo oV Doughboy "thru-the- wall" Skimmers are large, durable, well designed, automatic surface skimmers, which use the same hinged weirprinciple found in most in -ground pools. The components are molded from corrosion resistant hi -impact material, with stainless steel hardware, for long lasting performance and ease of maintenance. An important feature, not available with most brands of skimmers, is the convenience of plugging the vacuum hose directly into the skimmer faceplate. This eliminates bringing the hose through the weir and removing the leaf basket each time you wish to vacuum your pool. The vacuum attachment can be used with either 1Y4 " or 1y2 " vacuum hose. To protect the pump unit from fouling caused by debris when skimming or vacuuming, there is a large, easily removed leaf basket. The "thru-the- wall" Skimmer comes with an adjustable "eyeball" return fitting and all the necessary hardware for "hook-up" to the pool. Deluxe Mode/ 2095-04 Clear Ild for checking large leaf basket Improved Stylized two color body Improved Heavy wall construction Automatic throttle control ndard e/ 2090-M r 4 2 3 9 11 10 - POter Position : o Pool Filtering mash y' Backwashing Vacuum ToFrom Waste Position ,r Waste waste Vacuum To Waste 1. Spin Handle Used to redistribute D/E to extend time between cleaning & to agitate dirt from grids for the ultimate in cleaning your filter. 2 Stainless Steel Tank For many years of trouble free service. 3. tilt dng Elements Balanced flow patterns collect suspended dirt particles evenly to add a lustrous sparkle to your pool. 4. Patented "Post -Lock" Grid Manifold Retains grids firmly in position. 5. Patented SelfCleaningAutomaNc Air Relief System Automatically removes any airthat may enter filter and is self cleaning. 6. 3 Position Valve Filtering, backwashing & vacuuming to waste positions. Locks In all positions. Z Pressure Gauge Lets you know when to clean filter. & see-mru Lexan'g Lid Lets you know when to clean strainer. 9 Filler Base Heavy duty molded base for years of corrosion free service. 10. Hair & Lint Trop Collects leaves, bugs, debris to protect pump. Longer filtering cycles between cleaning. 11. Stainless Steel Pump Seal For tough service — will not corrode. 12. Pool Power -Palo' Provides high jet action circulation in your pool for thorough cleaning. Motor is protected from sun and cooled by a cross ventilation system. Convenient on/off switch on all models. I� Model Numbee. 1403-78 1424-77 1445-77 Norapower 1/3 H.P. y2 H.P. % H.P. FMW Anm 9% Sq. Ft. 13' Sq. Ft. 20% Sq. Ft. Pu Row Rah 1680 G.P.H. 1980 G.P.H. 2820 G.P.H. p to and YKsludna 18'x 48" 24' x 48" 24,000 gadbns Your dealer It DOUGHBOY RECREATIONAL, INC. • 10959 Jemey Blvd. • Rancho Cucamonga, CA 91730 SUBJECT P - City of Fridley AT THE TOP OF THE TWINS BUILDING P E R M I T Ir I RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC �� r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 9/13/94 JOB ADDRESS 7396 Van Buren Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. g 5 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dean O'Mara 7396 Van Buren Street NE 784-7477 3 CONTRACTOR MAIL ADDRESS 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 ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 6J' Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call fat ga utility locaiiona 4'54.0002 REQUIRED DY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 .53 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,059 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 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $28.59 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPER54 VALIDATED THIS IS YOUR PERMIT INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEIBL NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER { ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/1/94 ConstructionAddress: 23 9w' V c? K ,3Lt, r ia S Legal Description: Owner Name & Address: Tel. # 7S-`/-- 7G/ 7 7 Contractor: Q Ly V\. e, y- MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length a ®' Width �g r Hgt/Ground V " Sq. Ft. J OTHER: Corner Lot [ ] Inside Lot { ] Ft. Yd Setback Side Yard Setbacks Type of Construction: W o e) ?'r e ��-� r,Q Estimated Cost: $ 0t Approx. Completion Date: (Cost on Back) Driveway Curb , Cut Width Needed: F + 5. Ft Ft x $ = $ DATE: /3 ` 9 APPLICANT: Q Tel. # % 0-'/- 2q 7 CITY USE ONLY Permit Fee $ C22, 00 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential .Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Pian Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: n� lU:- 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 fords and in the manner herein provided to -wit: "TOTAL VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $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 $23-000 plus $9 for each additional $L000 or fraction thereof, to and 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 $63950 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 fust $1,000,000 plus $2 for each additional $1,600 or fraction thereof - DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site_ A Certificate of- Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing- JAN_ R -o P LP -4 • -q -POSTS Z. k Cn C.KI f-1CD 013 a` 10 HDA. cr FLOOR OOR -PLA Q SC -ALF -:'1-4"- [*-(:S* IP-' FRot i FT C. -S. CITY OF FRIDLEY INSPECTION DIV. , -, ` no Effective On January 1, 1997 6431 University Ave NE � r l v Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITI 1NG PERMIT 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR tsaxn Wash Urinal TUb . Shower .S!ink..; Trav NO. RATE TOTAL Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type Floor Gatch Auto Gad Gas Water Heater Drain 11�1wh Washer Appl Range�.Fbd.lMias Elec JOB ADDRESS �� Ct,u Iy-e, $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 $ 7.00 cc�� I C� - E — �� 199A $ 7.00 $10.00 I Owner e�a- vL $ 7.00 $10.00 Building Used As `�,�`� e e S C C --C— $10.00 $10.00 Estimated Cost � PERMIT NO. $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 PLUMBINGCOMPANY 9 SIGNED BY TEL N0. -j_ Approved By Rough -In Date Final Date MINIMUM FEE'FOR ANY PLUMBING GAS PERMIT $�®_ �� PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. suejEct PERMIT City of Fridley 8637 AT THE TOP OF THE TWINS BUILDING PERillIT 1-� 72- R DIV. i rr _____ M HIVE DEVELOPMENINSPECTION INSPECTION SEC. 7�� r B � PROTECTIVE B ; NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/24/98 JOB ADDRESS 7396 van Buren Street I LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 h t Subdivision No- 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dean O'Mara7R4-7477 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 O NEW O ADDITION 0 ALTERATION REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage 24 S Tear -of 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 REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2056 $1.03 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 OR THE PERFORMANCE OF CONSTRUCTION $74.75 f Fi.r C $2.06 PLAN CHECK FEE TOTA F E 7 .84 S N TORE OF CON 'RACTOR OR AUTHORIZED AGENT iDATE, pp�ALIDATZbJrHIS IS aPT .G NATURE OF Q EA..c OWNER BUILDER. iDATE. 9l 50 qA E NEW- .[ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 1 / 4 Cd �p ai /6 c -L r -e— V,% - Legal Legal Description: Owner Name & Address:, ® 1`7 2 a 73 5� 6 0 2 Tel. # 7T' -A/- i q 7 ? Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Tel. # 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 Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �� oo 1�®u� ��-zee ��/ SIC Estimated Cost: $�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ M1 DATE: //` ;2, q— q r APPLICANT: Tel. # 7PAI ?,,/ 77 TOTAL STIPULATIONS: $2 q, 5q fK CITY USE ONLY Permit Fee $ '%S Fee Schedule on Reverse Side Fire Surcharge $ �. 6 6 .001 of Permit Valuation (1/10th%) State Surcharge $ 4,63 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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: $2 q, 5q fK 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 FEES r $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Da d•� 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE (1/1 n / QYOUR E-MAILA�D,�DRESS � L � � �i A4 w SITE ADDRESS / 2)q &.n � / V E THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: TY STA TENANT PHONE: CONTRACTOR COMPANY NAME: o SUBMIT A COPY OF CONTACT PERSON: STATE LICENSE # '-- � EXP DATE -7 YOUR STATE LICENSE WITH ADDRESS: CITY TATINNA4 Llt APPLICATION PHONE qU%�_ FAX PERMIT TYPE GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 11NEW 9PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORKS FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALCIS PER MANUAL J 2006 ASHRAE HANDBOOK Equipment Installed MFG: MODEL: SIZEIBTU MFG: MODEL: SIZEIBTU MFG: MODEL: SIZE/BTU % A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 WURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number off) ur X, $t :Oo � r r i -. �—» 11, Number t tut � 5'0 N i "� �'' n art`= `i- �; li '� il�,Y; r `a h',h i tt��i� i•7 i i �i��i I��I I� �i il�,'.., III alf lli a i ,y.i (�l�t �� I n _ v � i S .,. ,� �tii;FlFi��iaFNiilli�'h : :Wa" @lI� +'.ir Stave+ ;,� y �r I, J 1.21:1 ,., r!�s ;:�� j r �In ..d Ili 1 :i THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes gf the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for e i ork is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work is and a royal of plans. SIGNATURE OF APPLICANT NAM_ -a ATE 0 APPROVAL INSPECTORS SIGNA K�lDATE PLEA' N4 M= i ROOMED l �lZ I3UIt:DINCi, EIfE i�C FA - City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, N4N 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.1 L Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY$ ave 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE (- Z ( YOUR E-MAIL ADDRESS - - - 7 SITE ADDRESS ! U i; '1/ THIS APPLICANT IS: 1KOWNER ❑CONTRACTOR PROPERTY NAME: I% l K le (! �11 la 1 C E- ADDRESS: 73 A, AJ t3 � J CITY 9 � I � L �� STATE WAbvP S5 Y3,z OWNTENANT PHONE -.263. -7 3 zz Z'5 _1 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE OINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW 2EPLACEMENT DETAILED DESCRIPTION OF WORK /LIC- c z} TO 6 ,cJ t pC-fie Lt,_CS FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINKILAV DRAINS OWER WATER PIPING _FLOOR _ :YBATHTUB _ GAS PIPING (NEED CITY LIC) _SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _ _ DISHWASHER LAUNDRY TRAY HEATER ($35) FOR IRRIGATION _ _ _WATER WATER METER] OTHER!" I K � � � -0 fig! S 1 _y � . �': � 4 3 5 E"✓� ci- 3 -:� �'ffi � y 2a .2_ rai 9l»� ty� >"F4$suB t3' � b �'i^ a" MA THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the ]case of all work which requires review and approval of plans. �� SIGNATURE OF APPLICANT //til �JLJ./� PRINT NAME DATE u City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977