PRE 2010 DOCSVillage of Fridley, Mi. a" ' �' �' `' `'
nn
�o. p
Date I �. .... ...,•..: ...j,�., ....... .
Owner .. t�R;es Builder ................... .......................
Address ............... ............. Address .........
LOCATION OF BUILDING
NO...... S ��... Street . . ! ". "'iM" .. ! .......... Part of I.ot .. .............. .
Lot .. Bloch ...... Addition or Sub-Divisionf !,
Corner Lot .......1.... Inside Lot ............ Setback Sideyard... ..............
I�
In consider S
the proposed work
ordinances of the i
the express conditic
done in, around ane
Fridley, Minnesota
In the village limits
ordinances.
1
(if the issuance to me of a permit to construct the building describied above, I agree to do
.-accordance with the description above set forth and in compliance with all provisions of
age of ,Fridley.
. ....... . .....
)f the payment of a fee of $.. , permit is hereby " granted to �:? ...... ...... .
1K. to construct the building or ad dition as described above. This permit iaAgraff Upon
that the person to whom it Is granted and his agents, employees and workmen, in all work
1pon said building, or any part thereof, shall conform in all respects to the ordinances of
-garding location, construction, alteration, "maintenance, repair :nd< moving of.'buildings with-
nd this permit maybe revoked at any,," pon violati of any of the provisions .of said
Building 'Inspector
NOTICE:
This permit Des not Dover the construction, Installation or alteration for wiring, plumbing, gas heating'
sewer or water. a sure to see the Building Inspector for separate permits for these items.
;DESCRIPTION OF BUILDING
To be Used
A� . i .
Front
� ... Depth . :Height fes: t .... Sq. Ft... ; ...... Cu. Ft... .. .
............ ..
4 •
�'►
Front
........ Depth :... . height .. ...... Sq.. Ft.. .... Cu. Ft .
�•.....
Type of Constructs
•' . '�'!!i...
Est. Cost :d. �. To be Completed
let
.a,... . ..
In consider S
the proposed work
ordinances of the i
the express conditic
done in, around ane
Fridley, Minnesota
In the village limits
ordinances.
1
(if the issuance to me of a permit to construct the building describied above, I agree to do
.-accordance with the description above set forth and in compliance with all provisions of
age of ,Fridley.
. ....... . .....
)f the payment of a fee of $.. , permit is hereby " granted to �:? ...... ...... .
1K. to construct the building or ad dition as described above. This permit iaAgraff Upon
that the person to whom it Is granted and his agents, employees and workmen, in all work
1pon said building, or any part thereof, shall conform in all respects to the ordinances of
-garding location, construction, alteration, "maintenance, repair :nd< moving of.'buildings with-
nd this permit maybe revoked at any,," pon violati of any of the provisions .of said
Building 'Inspector
NOTICE:
This permit Des not Dover the construction, Installation or alteration for wiring, plumbing, gas heating'
sewer or water. a sure to see the Building Inspector for separate permits for these items.
• 0
City of Fridley, Minn..
BUILDING PERMIT N? 3118
�f �-/ ®�
Date: .../ ..... ..... ............
Owner / ...... Builder ... .
dzl
Address ... rcl.. �%�Q .. 7 .. �--
���..... ..... Address .... ®� .,.. .......... . e
LOCATION OF BUILDING
No. .. �. Street .457.1K. .Part of Lot ...... .. .
/. 0
Lot ....% ... Block ...... ....... Addition or Sub -Division ....... . ...• .. ..... .
✓ Df ' if
Corner Lot ............ Inside Lot ............ Setback �... Sideyard ...1$ .....................
To be Used as:
...
Type of Construction .
DE:sCRIPTION OF BUILDING
/ p �
Front .� Depth4"`... Heigh Sq. Ft. oZ o Cu. F't. ........
........ Depth... pHei ht_...... Sq. Ft. ........ Cu. Ft. ........
Est. Cost .. R • • l To be Completed ... 3___'.* .... `
In consideration of the issuance to me of a permit to ct the building desribed above, I agree to do
the proposed work in accordance with the des cr n above set orth and ' compliance with all provisions of
ordinances of the city of Fridley.
\ In consideration of the payment of a fee of $. .,IT A� ., permit is hereby granted to A#,. '
......................... 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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
0woVI -Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
City of Fridley, Minae
BUILDING PERMIT
Date:— z�
Owner: Builder —
Address _ -z ' ���i Address --
,,, _ ,/ �L CPAON OF BUILDING
No. Street a, -y"=' fF� Part Lot -1001,
r01
Lot _ _ .__ Block - _T Addition or SUNDI
Corner Lot — Inside Lot 40tback'` '•*' ideyard—
Sewer Elevation ____ _ _ _ _ F dation Elevation —
DESCRIPTION OF BUILDING
o b9ZZP4A&nt
Depth Height Sq. Ft. Cu. Ft O&W
Front Depth eight Sq. Ft Cu. Ft
67
Type of Constructionart +,_ Est To be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
W=
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 $AOf Jf�—' , 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
ordinances. _— ,*.& '—' "
Building Inspector
NOTICE:
This permit does not cover the construction, ,installation for wiring; plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these hens.
APPLICATION FOR. BUILDING PRRMiT
CITY OF FRIDIEY, MINNESOTA
Owner's Name ��. �,�41 0. •�.� X .L P- Builder
Address S7 �'yy.� • �y,,� . Address
LOCATION OF BUILDING
No.,. Street s Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside LotZw- s'cl.� -�tback1=g& ide-Yard ,
SEWER ELEVATI
ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:f
PAT e��
DESCRIPTION OF BUILDING
Sq. Ft. / /, t--? Cu. Ft. Zj� 920
Front Depth Height
Sq. Ft. Cu. Ft.
Type -, � Estimated Cost �, a �-
of Construction �e � a� ,�,_
To be Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DAM 'i r�- %' — 6 / SIGNATURE [� ✓ � , C��-" �z-
(A Schedule of Fee Costs can be found on the Reverse Side.)
City of Fridley, Minn. N° 10 310
BUILDING PERMIT
•
Date: - July i, 1962
owner. David Shook Builder Western Construct -ion
Address 540 -57th Avenue N.E. Address
LOCATION OF BUILDING
No. 540 Street 57th Avenue N.E. --- part of Lot
Lot _ 17Block 1_ Addition or Sub.Division .._._.._ nay G Lakeyiex Manor.
Corner Lot — Inside Lot X Setback Sideyard — 3
Sewer Elevation — _ _ _ ._._ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front _ _101_ Depth 22' Height Rk _ Z O 'sq. Ft. �2 21L_ Cu. Ft 2200
Front Depth Height Sq. Ft. Cu. Ft
Type of Construction Frame Est Cost $ 2., QQQ_ To be Completed Aug„G ] , 1.969
•
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 in comp wi ail provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 8.00 ., permit is hereby granted to David Shen_
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building
Hank Muhich-Building Official
NOTICE:
This peneit does not cover the construction, hmmWon for wig, piing, gas heating, wwet or water. Be sure to Tse
the Building inspector for separate permhs for these honm
c
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER 'S
NAME /?
v / %
S
d ��.(
BUILDER ly es -t ogly de aP rr .
ADDRESS
#yG
4-, �;
ADDRESS
LOCATION OF BUILDING
NO. sTREEI'
LOT BLOCK /0 ADDITION OR SUBDIVISION ®e /vim. y s Aeon=
CORNER LOT INSIDE<LOT__X_SETBACK SIDEYARD 3-'
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front /0 Depth 0 a Height /6
Square feet 0,00 Cubic Feet 9.9
Front Depth Height
Square feet Cubic Feet
Type of Construction Estimated Cost �2 , 06'0
To Be Completed
The undersigned hereby makes application for a permit for the work
herein specified, agreeing to do all work in strict accordance with the
City of Fridley Ordinances and rulings of the Department of Buildings,
and hereby declares that all the facts and representations stated in
this application are true and correct.
DATE b - 3 a SIGNATURE
-T
(Schedule of Fee Costs can be found on the Reverse Side.)
3 �' q
e
1~
.'
�9. 75 75 75 75 75 75 75 75 6a �« ilN. ti o 60
63.82 T.7 `r. 20
7' -=o
0
57 vENu
78
75
7S
75
7!��
1
l
: X% . roar. -W
75
75
75
75
75
3e
.;
•� .
I a:
ter,-
��
Sc�•��
I"- too,
--o
^'6.82----75--
-
--75---
- --TS---
1 1
- --75 --
---75- --
INA
2
0.
-- - �5---
-- 75
--?5-
I
1
1
I
1
I
1
N 89453'E.
o00
---L-/35-
30
—BS-�---
---75---
---75--
5
---75-----
C/N/it�/ 9A
--75---
IJiain lE
---�5----
Easomnl-
--7$-�---
--- -75---
-
-%§_ -
--Bo-I---
---------
b
26 M
25 �
24 M
2
20
M
1~
.'
�9. 75 75 75 75 75 75 75 75 6a �« ilN. ti o 60
63.82 T.7 `r. 20
7' -=o
0
57 vENu
78
75
7S
75
7!��
r5
75
7g
75
75
75
75
75
3e
m
^'6.82----75--
-
--75---
- --TS---
- --75
- --75 --
---75- --
-- 75---
---75--
---75---
-- - �5---
-- 75
--?5-
��
/ Soufh /,;,e o` Lof 2, AudiforJ Subdivision N' /55
d
1"
City of Fridley, Minn. N° 10 3 35
•
BUILDING PERMIT
Date: July 14, 1969
Owner: Merle Conners Builder Dale Movers
Address 540 57th Ave. N. E. Address 7 816 Central Ave. N. E.
LOCATION OF BUILDING
No. 540 _ Street 57th Ave. N. E. — Part of Lot
Lot —__ Block Addition or Sub -Division
Corner Lot _ _ —.____ Inside Lot -- Setback -- Sideyard
Sewer Elevation ____ _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Move Garage Front _ _ Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est Cost 200 00 To be Completed
• Move garage 57th to 7th St. to Miss. to Central- north out of the City.
•
In consideration of the issuance to me of a permit
the proposed work in accordance with the description a
ordinances of the city of Fridley.
In consideration of the payment of a fee of $---J .00 , permit is hereby granted to Dale Movers
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
dace in, around and upon said building, or any part thereof, shall conform is all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buildings
within the dty linnits and this permit may be revoked at any time upon violation of nay of the provisions of said
ordinance=s.
. -,4; � ! Building Inspector
NOTICE:
This permit does not cover the construction, histdiation for whine, phunbine, on heating, sewer or water. Be sore to am
the Building Inspector for separate permits for these items.
Inspector of Buildings,
6431 Univ. Ave. N.E.
APPLICATION FOR MOVING PERMIT
Fridley,
The undersigned hereby makes application for permit to move building as herein specified, agreeing to do all
work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby de-
clares that all the facts and representations stated in this application are true and correct.
Lot Block Addition
Present Location:
&� ��� � ex,c
To be moved to:
r�
Routing: —24_% ,
Distance moved *.To be completed
Taxes paid? Estimated cost $ Foundation and altera�on permit number
Certification as to cost:
I hereby certify that the above designated building is worth at least sixty (60) per cent of the cost of a simi-
lar new building.
Signe
Owner or Agent
Approved by:
Utilities N
(Title)
Water & Sewer Department
City Engineer
Gas Co. (date)
States Power Co. (date
orthwestern Bell Telephone Co. (date)
twee reverse siae for insxruarons)
In the event that the moving permit is to be applied for by the owner or by any other person than the licensed
Mover, the following letter must be completed and signed by said mover:
Inspector of Buildings,
6431 University Ave. N.E..
Fridley, Minnesota
Please issue the bearer of this application, Mr.
a permit to move building from
to:
Date , 19—
which I hereby authorize him to sign my name.
Signed
Licensed Mover
GENERAL INSTRUCTIONS
The following must be secured before moving permit will be issued:
1. A building permit for new location of building to be moved. To obtain this building permit, the following is
required:
(a) The building to be moved must be inspected for structural soundness by the building inspector. Phone this
office for inspection. SUnset 4-7470.
(b) A survey of lot to which building is to be moved. This survey must be made by a licensed. surveyor.
(c) The building and moving permit must be obtained at the same time.
2. Tax receipt showing that all real estate taxes due have been paid. Duplicate receipts may be obtained at Anoka
County Auditor.
3. Approval from the Fridley Water and Sewer Department showing that bills chargeable against the property to
be moved have been paid and water connections have been discontinued at the curb line or at the main. (See
reverse side of form.)
4. Approval from Fridley Director of Public Works office approving routing.
5. Notification to, and signature of utility companies. (See reverse side of form.)
(a) Minneapolis Gas Co., 739 Marquette Ave., Engineering Department, Fourth Floor.
(b) Northern States Power Co., 15 South 5th Street, Application and Extension Department.
(c) Northwestern Bell Telephone Co., 224 South 5th Street, Business Office, First Floor.
li 250-8-58 - -
City of Fridley, Minn. 11376
6431 University Ave. N. -E., Minneapolis, Minn. 55432
BUILDING PERMIT
Mate: _ April 19} 1()79
owner: David Shook Builder Aqualand Pool Company
Address 540 - 57th kyenue N -E. Address 3400 Dakota Avenue South
LOCATION OF BUILDING
No 540 Street 57th Avenue N.E. part of Lot
Lot 17 Block - 1.0-- Addition or Sub -Division nnnnayI S_ s _T.akevi ew Manor
Corner Lot Inside Lot X Setback
Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Sw i=i lg Pool Front Depth Height Sq. Ft. _ Cu. Ft.
Front Depth Height — Sq. Ft. _.. _ _ Cu. Ft.
Type of Construction Est. Cost —$-1. 00To be Completed _._.30 days
Stipulations: See signed letter dated 4/12/72 stating property owner will put in
fence and deck.
In consideration of the issuance to me of a permit to construct gthe building described above, I agree to do
'the proposed work in accordance with the description above forth and in I n' fiance with all provisions of
ordinances of the city of Fridley. A .
1.90 State
In consideration of the payment of a fee of _ 91L-0.5)_, permit is hereby granted to Aqualand Pool Co.
to construct the building or addition as described above. This permit is granted
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
thinthecity limits and this permit may be revoked at any time upon violation of any of the provisions of said
Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sura to see
the Building inspector for separate permits for these items.
4.11
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
P
OWNER'S NAME : l� eoDC� BUILDER: �1 Ov CQ�O
ADDRESS: S �O S` 4 Ct.W .41(- ADDRESS : 3 ` 0C)
NO • . ��t0 STREET •71�- 1/
77
LOT: 01 BLOCK: 03 ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
a
Type of Construction: e Estimated Cost: $
A T
To Be Completed: Wz® 1,
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stfict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE
<Z::�"
SIGNATURE.•
(See Reverse Side For Additional Information.)
AQUALAND
Show Room: Tole. 920-8244
DAKOTA AT WEST LAKE STREET
MINNEAPOLIS, MINNESOTA 55416
EMBER
Oq
NATIONAL
MIlmom POOL
INSTITUTE Date �• fQL.
EQUIPMENT SPECIFICATIONS
k)(
0
by $1,bAtmewiffla
Cus tomer
agw_
submitted
Address ITOO
I W. MALJV-
AV&
City
Job Name—
,POOL DATAs
pool Size 16
9.3tv
Hours Turnover Rate
Surface Area A 02,
- (
__ Sq. Ft.
Filter Rate GPM/Sq. Ft.
GPM
Capacity 1% 062
Gallons
Rate of Flow
Perimiter
Lineal Ft.
PIPING DATA:
Suction
lReturn
A %cew 0'm S^
FILTER
PUMP & MOTOR
IAL d-7, SE -1300
FLOW METER
CHLORINATOR
INLETS,
SKIMMER
UL jqAq1UA1Lb
V;b-jdj8jE
VACUUM FITTING
MAIN DRAIN
RELIEF VALVE
FILL SPOUT
LADDERS
Z Abbah-t
DIVING BOARD
LIGHTS
VACUUM KIT
SAFETY LINE
N!"an ff1-0AW-
%U lobar -
TEST KIT
HEATER
Air
r AACO *TU%jW
CVj%'Z
SAFETY KIT
-MAINTENANCE KIT
96Ar#A/MAAA
is
I op I I m I
39-0" iNs�ce
� 4-s smwm�
NOR POOL EQUIPMENT CORP.
-S/,� . =-,PA
T
m =--
a
16'xWSPMffMPOOL 7'6"DEPTH
EXTENDED HOPPER. IU-3BO
u
waun
tam
1p
TYFAQ&,&-, W Cww, is
MJIPL
OR MOPp6R
is
I op I I m I
39-0" iNs�ce
� 4-s smwm�
NOR POOL EQUIPMENT CORP.
-S/,� . =-,PA
T
m =--
a
16'xWSPMffMPOOL 7'6"DEPTH
EXTENDED HOPPER. IU-3BO
u
SUBJECT
PE
City of Fridley2472
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
NO.
�
• COMMUNITY DEVELOPMENT DIV.
V------,
r � PROTECTIVE INSPECTION SEC.
S�
1 i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED B`/
�.j 612-571-3450
910-F15
10/28/9
JOB ADDRESS 540 57 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
17
10
1 Donnay's Lakeview Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Donald Sytsma 540 57 Avenue NE
572-9371
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
a 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 qX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
�
8 DESCRIBE WORK
Construct a 27' x 6'6" Garage Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,106
$1.05
DOES NOT PRESUME TO GIVE AUTHORITY T VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVJJ. NS DF ANY OTHER AT OR LID AL LAW REGULATING CON-
STRUCTt NOR THE P RFO N OFC STRUCTION.
$74.75
/t
Fire SC $2.11
PLAN CHECK FEE
TOTAL FEE
$77.91
S NATURE OF CoeNTRACTOR AUTH RIZEDAGENT (DATEi
WHEN PROPER ALIDATED THIS IS YOUR PERMIT
//�
SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEIiNSP
BLO
DATE DATE
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: yD 7 �J
Legal Description:
Owner Name &Address:. S5/d —s ] !� j.�,, �v� �,p el. # ,S` 7 2 — y 3 7
Contractor: /,0
15 GjZ MN LI NSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF E%WROVEMENT
LIVING AREA: ei
GARAGE AREA: Length o2 Width ,� , Height Sq. Ft. -fk/2
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: o
®f77 � Estimated Cost: $ �, �!1
Approx. Completion Date: —�
Driveway Curb Cut Width Needed:
DATE: APPLICANT:
(Cost on Back)
Ft. + 6 Ft = Ft x $ _ $
Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$�, 7
Fee Schedule on Reverse Side
Fire Surcharge
$ 9; /
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 4
$.50/$1,000 Valuation
SAC Charge
$
$900 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
$ 7
STIPULATIONS:
D b
7rV-
AL.
�CAL
K
ON r,
Al
C�A
Building
BUILDING
Pennit No. 6JQ 15 OU
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Da 'SG D 19 2008
763-502-4977 FAX
"�T
EFFECTIVE 1-1-08
DATE 9// q- 0 9 YOUR E-MAIL ADDRESS D✓Iv d! (d
SITE ADDRESS �yO— NC- Ci2/DC MiJ
,
THIS APPLICANT IS:
PCOWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: o'y S"5r-IA
TENANT
ADDRESS:_f%D — -5 771 Ayfs AW- CITY IbG
STATE WIJZIP
PHONE: ;%3 �7Z %✓s 7�
NAME:
ADDRESS: CITY
STATE ZIP
CONTRACTOR
SUBMIT A COPY OF
PHONE FAX
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
PROPERTY TYPE
❑ SINGLE FAMILYINEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK SIDING ❑ OTHER
El SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: /•esT a ^ Q sem
SIZE OF IMPROVEMENT J LENGTH % WIDTH Z8" HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES ❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE
3. List
of structural members to be used.
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
fVeADyloffit
DITIONS. & PORCHES SUBMIT:
I. Site
Plan/Survey showing the existing structures
❑ Aluminum Trim
and proposed project.
❑Other Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS�Wm []No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 UBC FEE SCHEDULE)
AL JOB VALUATION $_ 00;6 0 OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
911�51111)
$
31qo
$
19E�
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21 =$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks savable to: City of Fridley 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 on site; that the work will be in accord with the ppr ed/an in a case of all work which requires review and approval of plans.
SIGNATURE APP CANT I✓' PRINT NAME; 2&Ac a7 ` S �s, •-� a DATE 9 9 od
APPROVED BY I M�-� DATE
Building
BUILDING
Permit No..
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Datew%: MArY2 0
763-502r-4977 FAX
EFFECTIVE 1-1-09
DATE S- Z Z— O
9 YOUR E-MAIL ADDRESS
SITE ADDRESS r� O — 57 _ 4/E NE
THIS APPLICANT IS:'>10WNER
❑CONTRACTOR
PROPERTY OWNER/
NAME:
TENANT
ADDRESS: SYO- S7 Az/Gr NC CITY
STATE✓ ZIP /3L
PHONE:-76;--5'-7—?-9.3-7(
CONTRACTOR
NAME: ^4 Z s el
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS: CITY
STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
PLSINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK I&SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ;:REMODELING
DESCRIBE WORK BEING DONE: �7� 1.y ?D _g o rh l? Z t,`de f t je, epet is 9P
SIZE OF IMPROVEMENT
J LENGTH L WIDTH HEIGHT iS SQ FT
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
PLDETACHED GARAGE
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.
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes 0qo LOCATION OF WINDOWS
OR FOR NEW OPENINGS-DESC IBE SIZE OF 01%.e e—
OPENING CHANGES &
TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALUATION $ � j O SING THE 1997 U.B.0 FEE SCHEDULE)OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$22=$
$450 Conservation Plan Review
Fee Determined by Engineering
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 on site; that the work will be in accordance with the
approved plan in the case of all c which requires r iew and approval of plans. c—
SIGNATURE OF APPLICAN PRINT NAME _%Va,-^U J yT5,&-1sf DATE 7 Z Z — 01`
e
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 30.00 $
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace, $ 10.00 $
but not replacement)
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $
*Air Conditioning - All Sizes $ 25.00 $ ��
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $
Commercial/Industrial
1.25% of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE $5 _5D
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 On January 1, 2000
JOB ADDRESS 5LIO TH ,� VEV &tC: IV,2& I f / EA51
OWNER 7OPiPLD i GILEEN 6Y--r5KA
BUILDING USED AS F,SIDE4LK
A
ESTIMATED COST � J�J • PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) arm
Trade Name JAN L Size No/`
BTU '70,000 HP EDR
Fuel OI U kA L GAS Total Connected Load ___9_-e�3
Burner Trade Name Size No.
BTU HP EDR
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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
POW ENERGY CENTER
'M2" AVE N. #128
PLYMOUTH. MN 55447
HEATING CO
Signed
Approved B Rough -In Date
DATE 3,2_0 'CMZ
TEL 0_!!3�q��t940
Final Date ®v
40
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, 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 manufacturers specifications. This does
include AGA -LAMA 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 manufacturers specifications. Yes( ) No( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturers 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
Common Vent Type Vent Height
Fan A sited or Nat
Fan A & or Nat
Fan As'ed or Nat
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)
HOME DWI M CENTER
15200 25TH AVE N. #125
PLYMOUTH, MN 55447
HEATING CO:
Signed By: Date
O"
RIGHT-J LOAD AND EQUIPMENT SUMMARY
Entire House
�.,; ` Home Energy Center
15200 25th Avenue North, Plymouth, MN 55447 Phone: 763.476.1990 Fax: 763.476.1143
w..
Project Information W k�
For: Sytsma
540 57th Ave NE, Fridley, MN
Notes:
,.Desi n Info
r•mation�
Weather: Minneapolis -St. Paul, MN, US
Winter Design Conditions
Summer Design Conditions
Outside db -22 OF
Inside db 70 OF
Outside db 91 OF
Inside db 75 OF
Design TD 92 OF
Design TD 16 OF
cfm
Daily range M
0
Relative humidity 50 %
Ventilation air loss 0
Moisture difference 29 gr/Ib
Heating Summary Sensible Cooling Equipment Load Sizing
Buildingg heat loss 34673
Btuh
Structure
15867
Btuh
Ventilafion air 0
cfm
Ventilation
0
Btuh
Ventilation air loss 0
Stuh
Design temperature swing
3.0
OF
Design heat load 34673
Btuh
Use mfg. data
n
0
OF
Total cooling
Rate/swing multiplier
0.96
Actual heating fan
Infiltration
cfm
Total sens. equip. load
15232
Btuh
Method Simplified
Construction quality Average
Fireplaces 0
Latent Cooling Equipment Load Sizing
Internal gains
Heating Cooling
Area (f:2)
960 960
Volume (ft)
7680 7680
Air changes/hour
1.0 0.5
Equiv. AVF (cfm)
128 64
Heating Equipment
Summary
Make
0
Trade
Latent cooling
Latent Cooling Equipment Load Sizing
Internal gains
1380
Btuh
Ventilation
0
Btuh
Infiltration
1251
Btuh
Total latent equip. load
2631
Btuh
Total equipment load 17863 Btuh
Make
Trade
Cooling Equipment Summary
Efficiency
80.0 AFUE
Efficiency
0.0 EER
Heating input
0
Btuh
Sensible cooling
0
Btuh
Heating output
0
Btuh
Latent cooling
0
Btuh
Heating temp rise
0
OF
Total cooling
0
Btuh
Actual heating fan
849
cfm
Actual cooling fan
849
cfm
Heating air flow factor
0.024
cfm/Btuh
Cooling air flow factor
0.053
cfm/Btuh
Space thermostat
Load sensible heat ratio
86
%
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
�+=c, vviriQ '7t50'FC Right-Sufte Residential*" 5.0.28 RSR20001 2002 -Mar -20 15:32:19
�,t,P� CAWrlghtsoft WAM20021A USICLoad.rsr Page 1
13
RIGHT -J WORKSHEET
Entire House
Home Energy Center
15200 25th Avenue North, Plymouth, MN 55447 Phone: 763.476.1990 Fax: 763.476.1143
-MANUAL
J: 7th Ed.
T Name of room
Entire House
Sytsma
21
Length of exposed wall
1 128.0 ft I
128.0 ft
3
Room dimensions
40.0 x 24.0 ft
4
Ceiings Condit. Option
8.0 ftl heaticool d
8.0 ft heaUcool
TYPE OF
CST
HTM
Area
Load (Btuh)
Area
Load (Btuh)
Area
Area
EXPOSURE
NO.
Htg I Clg
(ft.)
Htg I Clg
(ftj
Htg Clg
Htg Clg
Htg Clg
5
Gross
a 12C
8.3
1.8
1024
""
I -
1024
`*'•
""
"••'
•"`
""
'�'
Exposed
b
0.0
0.0
0
`•"
I
-
I
0
`•" i
"*
I
I
`�` I
I
�'•`
walls and
c I
0.01
0.01
0
i
-
-
01
1
'• '
• " `
'•"
,...
I
I partitions
d l
0.0
0.01
o
""
- I
01
"~ I
"* " I
I
"•' I
•"'
""'
"•
I
6
Windows and
a 2A
43.7
•
156
6817
""
156
6817
`•"
"`•
`"•`
glass doors
b
0.0
"
0
0
•"'
0
0
""'
"`•
"'
I Heating
c 1
II 0.01
'•
1 01
01
•`•` 101
01
`•" I
I I
"'•
I I
I
"" I
I
I d l
I 0.01
1 01
01
,.:. 1
01
01
.,..
If
0.0
'•
0
0
""
0
0
""
"•`
`�
7
Windows and
North
27.8
70
-
1946
70
••••1946
glass doors
NE/NW
0.0
0
••'•
0
0
-
0
•'"'
"'"
Cooling
144
1
241
l
1
i
i
.:.:
South
81
621
27781
62
2077801
Horz
0.0
0
0
8
Other doors10F
29.4
6.3
42
1236
263
42
1236
263
a
0.0
0.0
0
0
0
0
0
0
c
0.0
0.0
01
0
0
0
0
01
1
9
Net
a 12C
8.3
1.8
8261
6839
1457
826
6839
1457
1
1
1
1 exposed
b I
1 0.01
0.01
01
01
01
01
01
01
1
1
I
I I
andartitions
i c
0.01
0.01
01
01
01
01
O
I O
pwalls
d I
I 0.0
0.0
0
0
0
0
0
0
I
el
1 0.01
001
01
01
01
01
01
01
1f
k10
0.0
0.0
0
0
0
0
0
0
Ceilings
a 16D
4.9
1 2.11
9604681
2035
960
4681
2035
1
1 b
0.01
0.01
0
0
01
01
01
01
1
l
i 0.0I
0.01
0
oI
OI
oI
0
01
I
d
I°I
0.0
0.0
0
0
0
0
0
0
I
lei
0.01
0.01
0
0
01
01
0
01
I
I
IfI
0.01
0.01
0
0
0
01
0
01
1
11
Floors
1121AI
2.2
0.0
9601
2120
0
960
2120
0
I
I (Note: room
bl
1 0.00.01
01
01
01
01
01
01
1
1
I
I
,a' titer
I cl
10.0i
0.01
of
0
oI
oI
oI
OI
I
I
0.0
0.0
0
0
0
0
0
0
1
1 for slab
el
1 0.01
0.01
01
01
01
01
01
01
1
I
I
I
I I
floors)
f
1 0.01
0.01
01
01
01
0
01
01
1
12
Infiltration a
65.8
5.7
198
12980
1129
198
12980
1129
13
Subtotal loss=6+8..+11+12
•"'
34673
•""'
-
34673
`•"
"*"'
`•"
•'
"�'�
1
Less external heating
I "•'
01
•'•"
`•'•
I 0
"'•'
I ""
I
I ""
I "`"
"•`
1
1 Less transfer
I "•`
I 01
"•`
•'••
1 01
""
I ""
I
I ""
"'•
"" 1
14
Duct loss0°/
0
""
0°/
0
-
°/
15
Total foss = 13+14
""
34673
`•"
•`*
34673
""
""
"•`
'"'"
�""
16
Int. gains: People 9 300
6
""'
1800
8
`•"
1800
•"'
•"
Appi. @ 1200
2
"•'
2400
2
"`•
2400
•"`*
1171
Subtot RSH gain=7+8..+12+18
1 '•'•
1 "•'•
1 158671
""'
I •"`
1 158671
'•"
I ""�
l
.,..
I
Less external coolingI
OI
I 01
'•'•
I ""
I
••••
Less transfer
TM
"'*
0
.:..
...,
0
`*"
'"•*
••••
118
Duct gain
I 0°/d
••`•1
0
0014
`•"
I 01
°/d
'•"
I
I °/
""
I I
1191
Total RSH gain=(17+18)`PLF
I 1.00
I •`•
1 15867
1.00
1-
1 158671
1
120
I Air required (cfm)
I -
1 8491
849
-
1 8491
8491
•'•"
I
1
1 "'
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
wr'ghtsoft Right -Suite ResidentialTM 5.0.28 RSR20001 2002 -Mar -20 15:32:19
C:\Wdghtsoft HVAC\2002WABasicLoad.rsr Page 1
HOUSE HEATING TEST RECORD
/ 5p .3v
ADDRESS 5yo °57–N APT. FLOG JCITY fK i QLFY
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY HOME ENERGY CENTER INSTALLED BY HOME ENERGY CENTER
Electrical Work By HARRISON ELECTRIC Gas Line By
TYPE OF HEAT GA FA X HW STEAM SPACE HTR. UNIT HTR. OTHER
MAKE
Model
Serial
INPUT
THERMOSTAT
Valve
Limit —�
Limit Setting _
Fan Setting _
Pilot Type
Pilot Make _
Pilot Model _
Pilot Timing _
L.W. Cut Off _
Pressure _
Input CFH _
Stack Temp._
Form 235
O
a J�
coNTRoLs
Heat Plug
SVr alp
—'7
Percent CO2
Percent 02_
Percent CO.
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Model -
Vent Size
KIND OF LINE _ — SIZE NONE
Draft Hood Regulator
Filters SIze2-c0<15& S' Number
Chimney Location Inside Outside
Chimney Construction
Smo
Draft
Door
Date
Comr
Name
ke Bomb Wiring
^ Test Tag
Pressure Lighting Inst. f
Ik
V) 4t,00 oau)M b pdi�i� lDIZalg&r
CITY OF FRIDLEY p
6431 UNIVERSITY AVENUE N.E.
FRIDLEY, MN 55432
(612) 571-3450 COMMUNITY DEVELOPMENT DEPARTMENT
VACATION APPLICATION FORM
PROPERTY INFORMATION - site plan required for submittal; see attached
Address: _ T Y® -- 7 Z:/-' 4 V, At, C. /D L 0-V �;-s 3 Z
Property Identification Number (PIN)
Legal description:
Lot 11 Block I D Tract/Addition LbmgjL W
Legal description of easement to be vacated:
Current zoning: _ Q -( Square footage/acreage
Reason for vacation:-PRiZi0AI 9viL7- 0,-,/ 9,4ce or- 6Ae4da ,araysA./G
Have you operated a business in a city which required a businef �icens1/04 CA r/ o.•a ®r x,43
Yes No If yes, which city?
If yes, what type of business?
Was that license ever denied or revoked? Yes No
FEE OWNER INFORMATION, (as it appears on the property title)
(Contract Purchasers: Fee Owners must sin this form prior to processing)
ADDRESS 5 -VO- S' 7 TM Avco % /, c---,
/ LE & SS 3 Z DAYTIME PHONE .5'7Z --!9r-37/
SIGNA DATE %d - 3- 96
PETITIONER INFORMATION
NAME
ADDRES _/®-
Z-
SIGNAT
Fee: $250.00
Permit SAV # Receipt #
Application received by:
Scheduled Planning Commission date:
Scheduled City Council date:
YTIME PHONE SS7 Z- 9 3 71
DATE /6 - 3 -!?4
.-Nf
CITY OF FRIDLEY PLAN REVIEW CHECKLIST
Applicants for vacations must submit the legal description of the
parcel (easement, street, etc.) to be vacated.
Complete site plans, signed by a registered architect, civil
engineer, landscape architect, or other design professional, to
include the following:
A. General:
1.
Name and address of project
2.
Legal description (certificate of
survey may be required)
3.
Name, address, and telephone
number of applicant,
engineer, and owner of record
4.
Date proposed, north arrow, scale,
number of sheets, name
of drawer
S.
Description of intended use of
site, buildings, and
structures including type of occupancy and estimated
occupancy load
6.
Existing zoning and land use
7.
Tabulation box indicating:
(i) Size of parcel in sq. ft.
(ii) Gross floor area of buildings
(iii) Percent of site covered by building
(iv) Percent of site covered by impervious surface
(v) Percent of site covered by green area
(vi) Projected number of employees
(vii) Number of seats if intended use is a restaurant or
place of assembly
(viii) Number of parking spaces required
(ix) Number of parking spaces provided including
handicapped
(x) Height of all buildings and structures and number of
stories
B. Site Plan:
1. Property line dimensions, location of all existing and
proposed structures with distance from boundaries,
distance between structures, building dimensions and
floor elevations
2. Grading and drainage plan showing existing natural
features (topography, wetlands, vegetation, etc.) as well
as proposed grade elevations and sedimentation and storm
water retention ponds. Calculations for storm water
detention/retention areas.
3. All existing and proposed points of egress/ingress
showing widths of property lines, turning radii abutting
rights-of-way with indicated center line, paving width,
existing and proposed median cuts, and intersections of
streets and driveways
4. Vehicular circulation system showing location and
dimensions for all driveways, parking spaces, parking lot
aisles, service roads, loading* areas, fire lanes,
emergency access (if necessary), public and private
streets, alleys, sidewalks, bike paths, direction of
traffic flow, and traffic -control devices
S. Landscaping Plan
6. Location, access, and screening detail of trash
enclosures
7. Location and screening detail of rooftop equipment
8. Building elevations from all directions
9. Utility plan identifying size and direction of existing
water and sewer lines, fire hydrants, distance of
hydrant to proposed building
M