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PRE 2010 DOCSvillage of Fridley, Minn. BUILDING PERMW 740 Office of INSPECTOR, OF BU"MOS Fridley, Minn,, _'19— LOCATION OF BUILDING No.treat- Va4l�'J art of Lot 1_7 7P Lot Block— Addition or Sub -Division DESCRIPTION OF BUILDING Front Depth, Height��Stories Msqmer�of Constructi0in— To be used a-4 i Estimated To be completed, ad Cost/�.� Permit is hereby ganted to j the building - described in the above statement. This permit is granted upon the express ed I hdition that the person to whom It is granted, and his agents, employees and workmen, In all the work done in, round and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, Mnn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limns,, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consldertyon of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forthd according to the provisions of the ordinances of Fridley, and, being first duly st sworn, I hereby ate and say that the facts stated by me and contained in the above permit are true as therein stated - ")r7 L Subscribed an� sworn to before me at Fridley, Minnesota, day of A.D. s ,,A 4 , owner of the property located at have no objection to the City allowing the construction of a ��2� rT/ m� to be located at W Aj S(wr eN &L without the required certificate of survey that the City ordinarily requires for all new construction. Signed JS 7c) U AJ Address G Witness Z ate a City of Fridley, Minna 116.85 6431 Univ�ers'ityy Ave. N. E., Minneapolis, Minn.MG 55432 T _ Date: .S_eptwber 26, 1912 Owner: _Harold Na.lc o lm Builder Same Address -7.55.6.—Van—Sure= Street N E. Address. ._SamP • �' -60 Kelm No. __7..56.___. Street Van Buren Street N.E. part of Lot Lot ___1 __ Block 2 ------ Addition Addition or Sub-Davision Shaffer's Sub. #1 Corner Lot Inside Lot Setback Sideyard Sewer Elevation _ __ _ _.. _ __ _ _ Foundation Elevation To be Used as: Addition to Garages __ Front 12' Depth 22' Height 10'_ Sq, Ft 264' Cu, p, 2640 Front ._ Depth Height Sq. Ft. Ca. Ft Type of Construction Wood Frame Est cost ._$500. 00 To be Completed 1 year In consideration of the issuance to me of a permit to construct the building described above, Y agree to do the proposed work in accordance with the description above set forth and mi com lienee with all provisions of Ordinances of the city of Fridley. �?d. .50 St to Surcharge In consideration of the payment of a fee of $_.5.00 , permit is hereby granted to Harold Malcolm to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmett, ixt. all Work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordin�nees Of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of b pgithin the city limits and ibis permit may be revoked at any time upon violatiott of any of the provisions of d ordinances. s Inspector CZMCE BELISLE NOTICE: This permit does not cover the construction, Installation for whing, plumbing, gas heating, sower or water. Be sum to Me the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATIONS OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME: &a:dLD ,$LCeIM BITILDER: ? ADDRESS: Z_S� 6�L gy �G1 M� d%ADDRESS : L t llllii✓ NO:. / STREET: 1�i& /c5 ilAQZ�FAI LOT;— BLOCK: i ADDITION: S Af-� "ids' ww e.,e e•e�sQ CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:� ,applicant attach to this form Two Certificates of Su_ reey of Lot and proposed building location drawn on these Certificates. To Be Used As: ��rl��.�✓ DESCRIPTION OF BUILDING Front: Depth: Height: ° u+ Square Feet: Cubic Feet: Front: —Depth: Height: Square Feet; Cubic Feet: Type of Construction: �8�� Estimated Cost:�"— To Be Completed: The undersigned hereby makes application for a permit for the.wgrk herein specified, agreeing to do all work in sttict accordance with the City Sof 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. I (See Reverse Side For Additional Information.) IJ_ r, • r $UILDING 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 -gait: UNIF'ORN BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - X1.85 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 minimaum of 24 hours from the ti=e 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 foundattgn, once it has been constructed, will be required before proceeding with the framinge 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. r -" File No. / o S" d o 4- f Exhibit A /9-3-7v/ I "The lat above s�iown indicates correctly he size and location of t p the b;«ldings on premises herein insured; also the improvements now 1:cated on premises in question are entirely within the lot lines, j and the 4.mprovements on. adjoining premises do not encroach on the premises herein insured." e F -I I_ File Na. Exhibit A W �s "The plat above shown indidates correctly the size and location of the buildings on premises herein insured; also the improvements now I -,,,cated on premises in question are entirely within the lot lines, and the improvements on adjoining premises do not encroach on the premises herein insured." 714777- top 77P CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Ft:^ace Shell & Duct Work '?eplace.-ent of Furnace repairs & Alterations-qp to $5Q0.00 Pspairs & Alterations each add. $500;00 I �[ECHANICAL WARM AIR: RATR TOTAL $12,00 7,00 each add-. 50,000 BTU 7.00 $ 4.00 Boiler only up to 100,000 BTU Furnace Shell & Duct Fork to 100,000 BTU $12.00 each add. 50,000 BTU 4.00 *?_place=_nt of Furnace 7.00 Repairs & Alterations -up to $500.00 7,00 P,e?air; & Alterations each add. $500,00 440 STEX-1 OR HOT K :ITER SYSTEM: MUCH INSP. Date FINAL IBIS?. � Z' Date APPROv aL FOR PER.`:IT REINSPECTION FEE ($10.00} Ir;Z'!Lw: c_E FOR ANY =TING PERMIT IS $7. SO PLUS $,50 STATE SURCI P= *:.+ttache3 stack verification fora .lob Address Department of Bi4t1 Ings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for tl:e wr< hercL, t specified agreeing to do all work in strict accordance with the Cit! Ccdes - and rulings of the Department of Buildings, and 'hereby declares that all t:e facts anti representations stated in this application are true and correct. . Fridleyr Minn. lo -2o , 19E0 PND OF BUILDING A TA BP PoMg?F-T R '•oN-.-.�� l �� \ NT�'U, IG NQ. PFzTT N0. -poo,� QFSQRT?TTON PF FUR',ACE/BURNER WaM Aid- Xo. Trade Naze Size No. �' 6 c -/60 Capacity Sq. Ft. BAR Bri fro Total Connected Load Kind of Fuel BURNER - Trade Name Size No. /ef'�f, o Capacity Sq. Ft. EDR BTU EP Company Signed By v . s� G -1� •� G Tel. No. Bailer & Lines• up to 100,000 BCU $12.00 each add-. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.OQ $ each addn. 50,000 BTU 9.OQ OIL BURNER- to 3 gal. per hour $1Q.gA $ each add. 3 gal. per hour GAS JTIR\ER- from 100,000 BTU to 1�9,q;q ATTTI $}Q:AA Cover 199,999 BTU see Fee Sche4!4}e; 5 GAS FITTING FEES: 1st 3 Fixtures x A»itional :ixtUreS x S }:Qq Gas Fange to 199,QQQ BTU x S�A:Qq S AIR CONDITIONING � a.\ HEATI`:G SYSTEMS $ See Fee Schedule VENTILATING SYSTEMS � ALTER.A%TIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE MUCH INSP. Date FINAL IBIS?. � Z' Date APPROv aL FOR PER.`:IT REINSPECTION FEE ($10.00} Ir;Z'!Lw: c_E FOR ANY =TING PERMIT IS $7. SO PLUS $,50 STATE SURCI P= *:.+ttache3 stack verification fora .lob Address Department of Bi4t1 Ings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for tl:e wr< hercL, t specified agreeing to do all work in strict accordance with the Cit! Ccdes - and rulings of the Department of Buildings, and 'hereby declares that all t:e facts anti representations stated in this application are true and correct. . Fridleyr Minn. lo -2o , 19E0 PND OF BUILDING A TA BP PoMg?F-T R '•oN-.-.�� l �� \ NT�'U, IG NQ. PFzTT N0. -poo,� QFSQRT?TTON PF FUR',ACE/BURNER WaM Aid- Xo. Trade Naze Size No. �' 6 c -/60 Capacity Sq. Ft. BAR Bri fro Total Connected Load Kind of Fuel BURNER - Trade Name Size No. /ef'�f, o Capacity Sq. Ft. EDR BTU EP Company Signed By v . s� G -1� •� G Tel. No. PROJECT' REPORTED TO �E�'t twin city testing an0 engwmennq laboratory, Inc. 662 CROMWELL AVENUt T" ST. PAUL, MN SSI 14 PHONE: 612/645-3601 REPORT OF: CHEMICAL EXAMINATION DATE: April 20, 1983 Excelsior Heater Supply FURNISHED BY: Attn: Steve Reed 738 Vandalia COPIES TO: St Paul, MN 55114 N LABORATORY No. 2-8749 SAMPLE IDENTIFICATION: Scale deposit from natural gas forced air furnace. /,SSS 1%9x, TEST AND RESULTS: The scale was extracted with deionized water and the extract chemically examined. Below are the results: pH 4.6 Chlorides Sulfates Large amounts present None present a The above analysis shows that chlorides are the active corrodents causing the severe cor- rosion of the combustion chamber. Chlorides arise from the burning of chlorine containing compounds in furnace. They would enter with the combustion air. Chlorine containing compounds are found in air conditioning systems, aerosol propellents, paints, dry cleaning fluids etc. The residence should be inspected to determine the source of the chlorine containing com- pounds. REMARKS: Scale sample was received for analysis on April 19, 1983. mV AS A MUTUAL PROTECTION TO CLIENTS. THE PUBLIC AND OURSELVES. ALL REPORTS ARE SUBMITTED AS THE CONFIDENTIAL PROPERTY OF CLIENTS. AND AUTHOR• 12ATION FOR PUBLICATION OF STATEMENTS. CONCLUSIONS OR EXTRACTS FROM OR REGARDING OUR REPORTS IS RESERVED PENDING OUR WRITTEN APPROVAL Twin City T mg and Engi rin Laboratory, Inc. By City of Fridley SUBJECT PER IT 0 17629 AT THE TOP OF THE TWINS BUILDING PERMIT r • _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 j 612-571-3450 RECEI /-IA NUMBER 910-F15 REV. DATE 7/24/84 PAGE OF APPROVED BY JOB ADDRESS 7556 Van Buren St. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 1 Shaffer's Sub. #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harold R. Malcolm 7556 Van Buren St. N.E. Fridley 55432 784-9247 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. 6 USE OF BUILDING 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' X 20' storage shed. 9 CHANGE OF USE FROM TO STIPULATIONS Shed must be located at least 3' off the property line and not on any easement. Shed must be securely attached to the ground. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. TYPE OF CONST. Wood Frame OCCUPANCY GROUP OCCUPANCY LOAD THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ZONING R-1 SO. FT. CU. FT. ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000.00 $.50 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. $17.50 PLAN CHECK FEE TOTAL FEE $18.00 SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT (DATE) - '�I/V�HEN �PRROP�/F�/2LY L ATED THIS IS YOUR PERMIT BLDG )NSP DATE SIGNATU EOF OWNERIIF OWNER BUILDER) IDATEI NEW [ ] ADDN. I ] ALTER. I ] Construction Addr Legal Description City of Fridley Effective 4/1/84 �R-1 AND R-2 Building Permit Application Owner Name & Address: Contractor Address: 6dl _, Tel. # 7&z/ -7 �c'l 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 • S` e I& A G` L "r'zz �� 1 2 -0 - Corner -0J Corner Lot [ ] Inside Lot �[ ] Ft. Yd. Setback Side Yard Setback Type of Construction: ��_. Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: ,7' g::Y:: — fy APPLICANT. Tel. CITY USE ONLY Permit Fee $ �.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 $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 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 Fees ' $1.00 to $500.00 $10.00 (Minimum Fee is $15.00) ! $501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000. $2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000. $25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $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. SUBJECT PER City of Fridley 19603 AT THE TOP OF THE TWINS BUILDING PERMIT _ r CEIPT NO. � COMMUNITY DEVELOPMENT DIV. r _ PROTECTIVE INSPECTION SEC. ( ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/21/88 % JOB ADDRESS 7556 Van Buren Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Shafferts Sub. #1 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Harold ,Malcolm 7556 Van Buren Street N.E. 784-9247 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 CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $1,200 $.60 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- $29.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $29.60 E OF NTR TORO`/AUTrrHO IZEDAGENT (DATE) PROPERLY VAL ATED THIS IS YOUR PERMIT Ad / i �gi,.NATU;�E'UFJ )WHEN OWNER O N UILDERi (DATE) BLDG )NSP ATE NEW I ] ADDN [ ] AL7ER ODnstruction Address Legal Description Owner Name & Address City of Fridley R-1 AMID R-2 Building Permit Application Effective 5/1/88 7 ODntr actor : !A. M P— Tel. # Address: S Al - Attach to this application, a Certif irate of Survey of the lot, with the proposced construction: drawn on it to scale. D&SCRIPPION OF I itOVF lJP LMNG AREAL: Length Width Height Std. Ft. CURAGE AREA • Length.,..' ''Z Widt:: Zxo--LHeichii 33. Ft. DFICIt AREA: Lenges. Width Hgt/Ground Ft. turner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Voo, L- Estimated Cost: 8 /,2C0 — Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: I $ $ Width + 61. See Back Page DATE: S� APPLICANT. Tel. -T CITY USE OP LY PeE it Flee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer !lain Charge -r 1:5 4� Free Schedule on Reverse Side 8.50/$1,000 Valuation 8550 per SAC Unit Alt. "A" or Alt. "B" Above Flee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 7he 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 $1 to $500 $15 (Minimum Free 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 $25s,000 $45 for first $2j,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $4.14.50 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 4:4;3,001 to $1,0001000 $2039.50 for the first $500,000 plus $3 for each additional $1000 or fraction thereof, to and including $1,000,000 $11,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1000 or fraction thereof (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. 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. SUBJECT P.E.AMiT-NO. City of Fridley " 2 � 4 7 3 AT THE TOP OF THE TWINS BUILDING PERMIT �_.-..` ` RECEIPT NO. _ ____ COMMUNITY DEVELOPMENT DIV. r - PROTECTIVE INSPECTION SEC.�� 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 717198 JOB ADDRESS 7556 Van Buren Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 1 Shaffer's Subdivision #1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Earl Reed 7556 Van Buren Street NE 784-9247 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Heiderscheid Bros Construction 716 198 Ave NE East Bethel MN 55011 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 434-4578 20060354 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK El NEW� NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (16 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE 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 $1, 334 $.67 WITH WHETHER SPECIFIED HEREIN OR NOT. THE G NTI G OF A PERMIT DOES NOT/PRESME TO VE AUTHORITY TO VIO T O CANCELTHE PERMIT FEE SAC CHARGE PROVISIONNY H Sj TE LOCAL L REG LATING N- $45.75 Fire SC $1.33 UCTIO E F Cc CONSTRU T N. A PLAN CHECK FEETOTA EE I I - 6 License $5. 2.75 flif SIGNATURE OFC R THORIZEDA ENT -IOAT I yy P OP OUR PERMITS NSP m 4ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor:PsiALrk'c* Address:. 7 i % f q is LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/98 C� MN LICENSE# Tel.#— S;V)11 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: /06 _ Estimated Cost: $ (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ a DATE: 7/7 APPLICANT: STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 1,33 .001 of Permit Valuation (1/10th%) State Surcharge $ o $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ - 6 $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: 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 $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. CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR FLOWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATI~ SCHEDULE Residential-- - Furnace Shell and Duct Work, Burner Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, -but not replacement) Gas Range Gas Dryer *Air Conditioning • All Sizes All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work commercial/Industrial 1.25, of Value of Appliance or Work Effective On January 1, 2002 State Surcharge TOTAL FEE N"RITFITIM 14RTJTFi - - 0NSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without fritten permission from adjoining property owner. 61,117�� w4a �4� �p4 _t'� d".1- 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 an 50 rulings of the Building Division, and hereby declares that all the facts and $ 36.5-® representations staters in this application are true and correct. DATE HEATING CORiver eity Sheet Metal, 11 IL;' ' 9928 Blueb Signed �1. N.W. W169 FAX # Coon RaTids, MN 55433 v cm -2199 Approved By Rough -in Date" Final Date 4l JOB ADDRESS if U72.y S$ ll e OWNER Rate. TOTAL BUILDING USED AS $ 30.00 $ •DD ESTIMATED COST PERMIT NO. 3 o $ 10,00: $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating 991ts —1i Circle One (Stearn) (Hot Water ( arm Ai $ 10.00 $ Trade Name Site No. �-PV-o BTU�; 0 tTr%i HP EDR $ 25.00 $ Fuels— Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE N"RITFITIM 14RTJTFi - - 0NSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without fritten permission from adjoining property owner. 61,117�� w4a �4� �p4 _t'� d".1- 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 an 50 rulings of the Building Division, and hereby declares that all the facts and $ 36.5-® representations staters in this application are true and correct. DATE HEATING CORiver eity Sheet Metal, 11 IL;' ' 9928 Blueb Signed �1. N.W. W169 FAX # Coon RaTids, MN 55433 v cm -2199 Approved By Rough -in Date" Final Date 4l CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range 4cC 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 $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard .without written permission from adjoining property owner. Effective January 1, 2663 JOB ADDRESS ��"� eL, v4 . OWNER Ah bn Z">��- TOTAL BUILDINGUSEDAS_ .e $ ESTIMATED COST / PERMIT NO. d DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load Burner Trade Name Size No._ $ BTU HP ED $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO Signed .9 a TEL # FAX # Approved By��A_ Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED S`CjMMON VFNT VFNT CQNNFCTQR AND CQMRtIRT1ON AIR VERIFICATION When reply ing an axonfing fi trance, 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 avietinn cnmhuetinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No ( ) When required to inctaii a now cnmhuctinn airy it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When iosltallinn new varntingiyc em, the undersigned hereby verifies that it is'a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA 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 #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 w HEATING CO: Signed By: Date , 3,JI qEW [ J CITY OF FRIDLEY kDDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp kLTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: /�1\A LL `?M t/A2U is Tel #. � P 7 �-0 5� Contractor:MN LICENSE # Address: Tel. # Attach to this application, q 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: $ /01000 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x DATE: -7- -;((-OAPPLICANT: Tel. # 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 Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $_L&- C�� Fee Schedule on Reverse Side $ / 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1450 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 [ ] $ Ro 2S 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 FEES $1 to $500 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 �l $21 001 to $25,000 / $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $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 DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00. 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 existing foundation will be required before proceeding with the framing. New Houses Only "The p"Lat above shown indicates correctly the size and location of the b-161dings on premises herein insured; also the improvements nv-w 1 rated on premises in question are entirely within the lot lines, and the improvements on adjoining premises do not encroach on the premises herein insured." Jyl-27 05 04:34p VALLEY ANDOVER Easy -maintenance sand filter system with the rugged, large Capacity)" Series pump or the newone-piece integral traWvalute ABG series pump, Blow -molded 'I Polyethylene Filter tanks are weather resistant, Designed . for outdoor aboveground pool applications ranging from 6,00010 2A000 gallon capacity. Low maintenance and simple installation make this system the choice for many applications. ■ Typical lnsiallstien — Above- ground pools to 24coo gallons ■ l0 -year Tiank Warranty — 0i'Mian-resistant, one-piece polyethylene tank ensures ion, servke life 7635760789 MINN . Repan Mhowshowo *pAJWPPump) ■ L"s ""ritertOM — Enjoy greater time between cleanings. The tank's sophisticated design distributes water evenly to maxim)2e efficiency throughout flitratlon media. ■ No Moss, No Fuss - The filter tank requires minimum maintenance. A simple turn of the multi-porl p.2 P" — see page 205 Q1 valve loveraccomplishes rou backwashing. • Fist, Early tiel•up — The complete system Includes a one-piece sand filter and a performance -matched P ump that's ready for assembty on a campacl, heavy-duty platform Humber Are Pump Pump System APMe�blp )SAuac.sn MedN MP '- _ -• - wQ1 I i; J5AL15E-03 1.26-- we JWP 3,6 5'1 1 JSALISE-58 126 2.6.7 65 15AL180D•03ASG 1 3 6 ' 1SAt 180D 68 3/y 07 2 5.7 67 ABC JSALISCE-03 137 3/4 3.6 63 JWP ISALISOL 041.51 )WP 1 JSA1180E 58 " 1,51 2.7 67 A8G JSAL2100-041 218 3 S 64 )S ALME-03 2.18 )WP 3/4 2, 7 71 JSAL2109.04 218 ) WP 1 2, s, 7 73 1SAL210E-58 aaa )WP 1 AEG 2.7 72 1 JSAL210F.03 2.18 3,5 b9 ' )SAL21CF-58 2.18 DG 3, 5, 7 72 MOT111 oparsOns Limits - dglrr�ed for maximum 1112 oDnllnlfi) workU►l prasm" 040 PSL Wear temperature 3.6 70 Fat sand requlremanls, spa PMOL Qe ar,d 60 under Crlstal•Flo filters. maxrmym 96'r (3010. For other sypors model n(jmbers, eemKilt fadpry lit i•80p�ge.0103. L T Twig lath Card IU Ll 4.211' Standard Plug cod; cWCOMAOtlENTS KB11 2, 3' Standard Plug ford IUL) a. Hole KN (2) t -1/2"x 6, ip! tlsmps, (_) eMWora, S. e' Sitmdard PluaeW e' NOLs (2)1.1/'rz8, (4) clamps, 121 adapters, talion tape teflon taps - 1, Valve Unw Kit i Jul 27 05 04:34p VALLEY ANDOVER 7635760789 WATERFORD rA SAND SYSTEMS Easy Reading Top -mounted pressure gouge Is conveniently position*d Wr easy viewing, Ten -Year Limited Tank Warranty One-piece tank is constructed of rugged polyethylene - a high-density thermo- plastic material chat resists corrosion and weathers the elements. Great Performance ^" and Efficiency Internal hub assembly and latero!s are designed to enhance water filtration and the cleaning process. P.3 So Easy to Clean Ont± gwcic rw•tl pi tfIe lnrlt;. purl v�rive s6eclur puts ;I? tilter in nrickwtr;tl lipelid oel. Saves Money Thri ,and tOl(ats'o+t riledia Is rjErrrla- nent •• no need u; (&place carmcge. style elenienl,. Power Options .wo pumps avoilaule - 1/2 to t--A/x HK Ask your deuter which oott I5 right fru( yuu. u Plunprl r titters ■ syslums ■ treateraloorttrols ■ aWomatic pool cleaner( ■ tlpUls ■ aaessarlgs ■ genulntt reptacemettt putts to maimea3nce mquinmetit Stu-KHX PUQYSpa Group • L9il N'riglit 5l. • Daley m. WT 86111E •.•,+^.'l�.tsii:'?(Ss..�..?,r:i,1 • �iK:'lf�.?,IG'i1a? !r -.r::,,. �'.� • Uuiuu Th' • Delsw ri, Wl • Nli,;nles,�u6n, Unt. :w{ Sria-Biro. WORd tauWraters tat tho aO wdSl•InafAlbntlnae, Aipnvat.rHietaney proavose. arinoo i9�W. Sd13110SON) Wh1wrrurd" 5jiA 9yetunt is a u•mtmruuk uf5tudt!tu Irulustl'i+a, Lt.. Shct�lly slawte-l'. el.".0l, Stu.ltitu Itnluariw, lire. System Performance For Pools Up To (Gal.%' Fitter Area Pump> Sand Required'' Model' 8 Hr. Turnover (Sq. FQ (He) 15ALi50 1014,000 1.2 A , ISALtSE To 15,000 1.2 1 wt: �l FSAUSoD TO 18,000 1.8 3✓N _ 150 ISAL18oE To 20,000 1.8' .. _ ..... ISAL2uwG To 13,000 2.2 µ� ' zoo 15AL21OF To 26,000 _ _F 15ystem coropunents utry from model to model. Consul your dealer tot the iys&orn that tKst Wrc you. Or, colttar,I Sta.Rlle For modal availability at 1-Boo-7S2'0id3- 2 filters witlt lager areas extend time betwecit cleanings, 3 Two punto mullets avaltat te, consult your deole(. 'hist only aro while auwu silica sand, size range •40,•s5n'tr. u-.'5 ' sand bed t7eoth teeutred, operating Llmhs- Inaximur11 curiliqual operating pressure or 4c PSI. Poe1/Spa 021111etl uppDc3OI6 ,, n.iucintuttt operating wat&r trrnperature lintwiml Filter) 951F (3s°C). DO NOT USE FOR SPA APPLICATIONS! u Plunprl r titters ■ syslums ■ treateraloorttrols ■ aWomatic pool cleaner( ■ tlpUls ■ aaessarlgs ■ genulntt reptacemettt putts to maimea3nce mquinmetit Stu-KHX PUQYSpa Group • L9il N'riglit 5l. • Daley m. WT 86111E •.•,+^.'l�.tsii:'?(Ss..�..?,r:i,1 • �iK:'lf�.?,IG'i1a? !r -.r::,,. �'.� • Uuiuu Th' • Delsw ri, Wl • Nli,;nles,�u6n, Unt. :w{ Sria-Biro. WORd tauWraters tat tho aO wdSl•InafAlbntlnae, Aipnvat.rHietaney proavose. arinoo i9�W. Sd13110SON) Wh1wrrurd" 5jiA 9yetunt is a u•mtmruuk uf5tudt!tu Irulustl'i+a, Lt.. Shct�lly slawte-l'. el.".0l, Stu.ltitu Itnluariw, lire. P 7556 Van Buren St. NE i�Fri ey, .55 2 Aug. 19, 2005 Dear Mr. Jensen, I have previously submitted information for a building permit to construct an above ground pool at my address. As many projects go, my plans have changed. Therefore I am submitting a revised drawing. It turned out that the 30 foot by 15 foot diameter did not include footing that go out an additional 2 feet each direction. Therefore, I would have had to lose 2 black walnut trees with the original location. I do not want to lose any trees, so we decided to place the pool toward the back right corner of the lot. I had my fire pit moved more to center and a bird house relocated... but no trees will be lost. When I realized the pool will be so far from the house, I would not be able to see into it from my existing deck. Therefore, I want to have a modular deck installed to increase the visibility of the pool and also to increase the enjoyable use of the pool. It will be adjoined to the pool. Since it is constructed of aluminum, modular, and above ground, I hope it is included in the existing permit. It will be over 3 feet away from neighbor's fence. Please call if you have any questions. r File No. / d S d o 1 0 ., Exhibit A "The p" at above shown indurates correctly the size and location of the buildings on premises herein insured; also the improvements now s.•:gated on premises in question are entirely within the lot lines, { and the 4-mprovements on adjoining premises do not encroach on the premises herein insured." ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: BUILDING Permit No.:Building -(j (� Inspections TOTALJOBVALUATi RESIDENTIAL APPLICATION Received- By: ^ _ 763-572-3604 CITY OF FRIDLEY Plan Review $ 65% of Building Permit Fee Fire Surcharge DATE ' Z.7 YOUR E-MAIL ADDRESS AMer i +c.�'c gahoO.conn SITE ADDRESS -76'1p Von Bureh S+ %L E . License Surcharge THIS APPLICANT IS: ❑ OWNER CONTRACTOR SAC Charge PROPERTY OWNER/ NAMEAnn M i IIeX'- ids em Curb Cut Escrow TENANT 1 ADDRESS: 166:& van lacmey% S+ Ac- CITY � b543a �,ri d1eJ MIS. STATEIP $ PHONE:- &3—OtI ��— Park Fee CONTRACTOR NAmEAMerkan LTD SUBMIT A COPY OF STATE LICENSE # &--AOM 13 S2 EXP DATE 3 �% g YOUR STATE LICENSE ADDRESS:13S5*sC;#",a5i. 6+cA4o0 CIT1*5(dkMAoi&m sTA'Ia;�ZIP.TOZW WITH APPLICATION "*-IO (-- Sty& FAX SI - ZZ 6- S PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE 1 `❑ TWOFAMILY/NEW CONSTRUCTION STORIES i� 1 n{J� 1 PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING L❑ DESCRIBE WORK BEING DONE YlS-+41I '7 -CKPJe-0ahC re 1n nae j 64in(oig—!Sidw-5izz SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ATTACHED GARAGE 1. ExistinFloorPlan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGSes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS- ESCRIBE SIZE OF OPENING CHANGES &Lvt'64tj TYPE OF WINDOW TO BE INSTALLED 5Ce W f- NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: G 19 7FEE SCHEDULE) TOTALJOBVALUATi �" 0'�UBOCCUPANCY TYPE 06 Permit Fee See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 4i; '70 .0005 x Permit Valuation Minimum $.50 License Surcharge $ ; 5tT $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge Total Due Agreement necessary ( ) Non Necessary ( ) Make checks pavable to: Citv of Fridlev Attach 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 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. jj 8 SIGNATURE OF APPLICANT ,CLi (�G• "'�(�E(�/Ca•. PRINT NAME��4LIl�Qdtn DATE_W"110 1J ;3 ° 3& Engineering WATER AND SEWER Permit No.: j ,, t(,5 763-572-3552 PERMIT APPLICATION Received By: kR0 763-571-1287 fax CITY OF FR/2010 Dat 1: Q EFFECTIVE 1/1/2010 APPLICATION DATE: S "7- — l o YOUR E-MAIL/FAX: _ THIS APPLICANT IS: ❑ OWNER *CONTRACTOR _ JOB ADDRESS: n-T9VAYJd j3ur---, �� e NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME:_ A r j AA tic) 7- te a. OWNER/ TENANT ADDRESS:_ `?ST6 L/A ate B 4,IM S -r, ", O . CITY STATEMI ZIP PHONE: 1,7103=��C'S•'«» CONTRACTOR NAME: .Sogi /5 SjFtj SUBMIT A COPY OF YOUR STATE ADDRESS: � � ; el � '-� CITY " STATE ZIP 5 1 LICENSE WITH PHONE CELL PHONE: l a, [83SJ Galt. A APPLICATION STATE LIC # STATE BOND: EXP DATE: 1. Narrative/written description: - n 44r, 2. Please attach sketch showing curb line, utility line, building, etc. with distances on back page. 3. Stipulations: PERMIT TYPE ❑. SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERMIT $50 ❑ WATER LINE REPAIR $40 AY EWER LINE REPAIR $40 ❑ ADD STATE SURCHARGE $.50 ❑ SAC CHARGE @ $2100 = Lj TOTAL $ OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) 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. I understand this is not a permit but only an application for a permit and work is not to start without a permit. SIGNATURE OF APPLICANT PRINT NAME: ----Q4 t,J ,NJ4/ DATE: APPROVED BY: DATE: ?✓ '-Z COPY GIVEN TO: UTILITY BILL4G my if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3552 FAX: 763-571-1287