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PRE 2010 DOCSCity of Fridley, Mim. BUILDING PERMIT N?5L106) Date: Owner: Builder — Address Address — 9 CA 10 OF&,LDING No. .� — Street ,..� �� Part of Lot ��______ Block Addition or Sub-Divisio Corner Lot -- Inside Lot Setback -5 _ _— Si eyard Sewer Elevation _»___ — Foundation Elevation. DESCRIPTION OF BUILDING To U 'I Ij/ Front Depth Height ._ Sq. Ft. Cu. ,Fro t Depth Sq. F`t. Cu. Ft. Of nstructlon F�t.� � H2O ' To be Completed Type !4 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 ardinanoes of the city of Fridley. In consideration of the payment of a fee of $-2- 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 violationany of the provisions of said ordinances. .,..o 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 Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name (�/ ��a-�--� Builder C Address /do o�.-e., ,C� 1?� % Aldress LOCATION OF BUILDING No. 7 9, Street u` Part of Lot Lot fZ Block Addition or Subdivisio o _ --. Iq 9 q„ Corner Lot Inside Lot _ Setback, .5 Side-Yard_��, SEWER. ELEVATION FOUNDATION ELEVATION. Applicant attach to this form Certificate of Survey of Lot and proposed building location. To� used as: r DESCRIPTION OF BUILDING Dentb 6"/fo ea Sq. Ft. A0 1� --T- Cu. Ft. Sq. Ft. Cu. FtOle d Type of Construction Estimated Cc t Ik -//I D 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 tha7all a facts and representations stated in this application are true and correct. DATE /r �� (i / SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) Fftk�- EXHIBIT "A" y/ � DECLARATION OF COVENANTS AND RESTRICTIONS AND NOTICE OF SPECIAL ASSESSMENTS & SHIRLEY M. QISAN We, the Undersigned, CUSTU L. GLIM f hereby declare and give notice that we are the owners of the following descri land, to -wit: Lot 79 Block S, idPmtet GWdeae � l- (64 + 66th Way &R.) Further, we declare and give notice as follows: 1. That the City of Fridley has effected or has caused to be effected certain local,improvements relative to such lands under Minnesota Statutes Chapter 429, and the City Charter, for the benefits of which said lands are subject and liable to special assessments, and for the payment of which the City of Fridley has a lien until the same are fully paid with payment to be in one full and complete installment thereof (unless otherwise hereafter provided by the City of Fridley). That the improvements effected or caused to be effected and of concern herein are: Special Assessments to be paid to the Citb of Fridley $627.47 2. That pursuant to the ordinances of the City of Fridley the sale and transfer of record of any of said lands by the owners herein without first making payment of said special assessments is unlawful; and the said sale acid transfer of record is prohibited undei the terms of said ordinances and any building permits granted thereunder, until the said special assessments are fully paid (or payments otherwise, excused or waived). 3. That pursuant to the provisions of said ordinances, the terms of the building permits granted thereunder, and the representations and agreements made relative thereto by the owners, the Owners and each of them represent and covenant for themselves, their heirs and assigns that no sale or transfer of said premises or any of them shall be made or attempted of record except and unless said.. special assessments are fully paid, (excused or waived) and the lien of the City of Fridley therefor satisfied; and that any sale or transfer attempted in violation thereof without the knowledge and consent of the City of Fridley is and shall be void. That upon receipt of said payments, the lien of the City of Fridley shall be satisfied and the City may and shall execute and file notice there of record. 4. That this instrument and the notice of receipt of payment or excuse or waiver, executed by the City of Fridley may be filed of record among the land records of the County of Anoka, and State of Minnesota. IN WITNESS WHEREOF the undersigned have set their hands this 26th day of &Wst S. 19 62 *"W, - NO • '�� . `�� 1 — ACKNOWLEDGMENT: STATE OF MINNESOTA ) ss. COUNTY OW ) CITY CLERK On this ^ day of 19' before mem a Notary Public within and for said County, personally appeared H to me known to be the person described in, and who executed the foregoing instrument, and acknowledged that he executed the same as free act and deed • Notary Public jAAgMN Q BRUNSELL County, Minn. Notary Public, Anoka County, Kinn, My Commission$�A1o� $api:ee Dec. 26, 1964 19 ,r F SUPPLEI4ENTARY AGREEMENT THIS AGREEMENT supplements and shall be construed as an addendum to the foregoing agreement. WHEREAS, it is understood and agreed that: Chester G11eea 1. Subsequent to the execution of the prior agreement, Alan 3p has acquired iights and interests in further and addi- tional lots and parcels of land for which he requests a building permit. 2. That the sales of the dwellings on other lots for which permits have already been granted are not yet consummated, and the dwellings constructed thereon are in varying stages of completion or awaiting sale or approval for mortgage loan purposes. 3. That should the City of Fridley grant any permit for a dwelling to be constructed by the said ® on any last or parcel ofAand, whether the same be already noted within the terms of agreement or not, that then the pro- visions of said agreement relative to escrow payments shall apply. 4. That to insure to the City the payment of such moneys (assessments for improvements) the said IM and the owner of the lot or parcel involved shall execute a notice in favor of the City of•Fridley, which may and shall be filed among the title records of the County, such notice shall be in substance like that attached hereto as Exhibit "9A". Chester G119M Chester 611saa IN WITNESS WHEREOF the parties hereto have set their hands this 28th day of I August , 19= UN 14"MA , 1", CITY OF FRIMEY )MORANDUMa Supplementary Agreement Applies to the following additional lots, Lot Description Date Permit Issued Permit Received by Whom (Initials" Lot 70 BLML I fiJ281§2 Bdgevate r Gardens City of Fridley, Minn. BUILDING PERMIT NA 610 9 Date: Owner: –- Address Address TION 0 !fV WING No. Street ` " 'Part o Lot _ Block ddition or Sub-Diviglon Corner Lot _ Inside Lot —F Setback _ _ _ SideKd Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft.' Front Depth Height Sq. Ft. ` Cu. Ft. Type of Construction � 4 Est. Co A' �'::_ o be Completed AW 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 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 worlunen, in all work done in, around and upon said building, or any paw thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteral3on, maintenance, and moving of buildings within the dty limits and this permit may be revoked at any time upon vi on f ani► of the provisions of said Building Inspector NOTICE: This pennh does not cover the construction, hutalloden for wkhqb phmbtno, ea hoding, sewer or water. Be sun to see the Boiidb* hupeetor for separate pwndit for thea items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's -Name " g Builder Address Address «7� LOCATION OF BUILDING No. Street Lot Block_�J_Addition or Subdivisiof of Lot Corner Lot Inside Lot-7k—Setback 14/ Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front DepthZHeight Type of Construction To be Completed Sq. Ft. Cu. Ft. 'Front Depth Height Sq. Ft. Cu. Ft. Estimated Cost 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 ated in this application are true and correct. le? om (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Heating, Coding, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .... ............. . Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. MR Steam ...... Furnace Shell & Line—to 640 sq. ft. MR Hot Water ... Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. MR Hot Water .................. 8.00 $ 2.00 $ _ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ........ . .............. 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH I FINAL Dept. of Bldgs. Phone SII 4-7470 Location City of Fridley: 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. Fridley, Minn_ 19 _ Owner PC Kind of Building Used as To be completed about /0 �'� 6 2_ Estimated Cost, $ Old New. uilding Permit No. ®d Permit No. Q DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Wa , Warm Air No Trade Name �� `�Size No Capacity Sq. Ft. E.D.R_ //2- Al BTU H.P. Total Connected Load -� S�r 42 - Rind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) SignpA By ..I�FEE0 0 42 2M 7.59 Business Phone No ' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ` 6� CITY o Weatherstrips A.S.H.V. . Guide Reference 19— Construction No. Insulation Windows -Doors I Y o Out. Wall Int. Wall Ceiling Roof Floor Kind How Appli Y�No �- ®CYO Fl.1 Room Length Width Height 17I.1 Room I Length / Width Height P Windows and Doors—Crackage and Area Ceiling Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. / .izz 3"4� / Exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1. Room I Length p Width / Height Windows and Doors—Crackage and Area Coef. Btu Width No. of pane Coef. Btu Infiltration YIP Infiltration t3 (, Y6 Glass ' 9 Z7, j% Glass Ceiling _ Exp. wall e 0 Exp. wall 'sw o ot y 0 Net exp. wall /+v P oz ® O Net exp. wall 10 Int. wall Int, wall Ceiling ' Floor / O Ceiling/ L O Floor %) Total Btu. Required sq. A. E.D.R. or sq. ins. W.A. Leader area ✓ Total Btu. �l Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.1 Room I Length,/A Width AD Height gV F1,1 Room I Length Width 0 Height Windows and Doors—Crackage.-aanit-Area Wldth Height No. of Llneal ft. Area No. of vane of pane llghte of crack imi ft. Btu Infiltration $' AID A . 3 Glass b 30 6 19. ao j> Exp. wall Net exp. wall �- ®CYO Int. wall Ja, L oZ Ceiling -2 Floor l a '7 c )( — G d Total Btu. Exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1. Room I Length p Width / Height Windows and Doors—Crackage and Area Net exp. wall Width No. of pane Height No. of of pane llghte Lineal tt. Area of crack eq. ft. 1 R,s; / L 2 /e. Z e d.L Coef.1 Btu Infiltration J (.3 v -a I , & J—.;. Glass Exp. wall I U _-- oc o Net exp. wall /D (0 -1 Int. wall i Ceiling /3 u Floor Total Btu. Required dq. ft. E.D.R. or sq. ins. W.A. Leader area B.D. 218 Windows and Doors---Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights- of crack sq. ft. b 30 6 19. Coef. Coef. Btu Infiltration Ja, L oZ #0, -2 Glass 3 l a '7 c )( — G d y Exp. wall ;1&)tdr i o� t Net exp. wall /J /k Zd Int. wall Floor Ceiling ot y 0 Floor Total Btu. 6O Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 FLI A -.ad- Rnnm I Lenath Width 9' Heitfht Windows and Doors—Crackage and Area ht o. f Lineal ft. Aea No. of pane of pidth ine lights of c a k ae ft. ma 1,3., Coef. Btu Infiltration /33 v oZ Glass 3 Exp. wall-'— '7 c )( — G d Net exp. wall t Int. wall ® Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area —T�L City of Fridley Application for PlImbing and Gens Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................A x $1.50 $—/—" Future Fixture Opening ................of x 1.20 $ 69 �® New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 000 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL /�� 1st 3 Fixtures .......................... x $1.50 $—� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE Dept. of Bldgs. Phone SII 4-7 - __-�-- 1—,600—, ..!% O / 47 ate, City of Fridley: /.0�» off a&JQ The undersigned hereby makes application for a permit for the work herei specified, agreeing to do al1 work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Owner Kind of Building Used as To be completed about Estimated Cost, $ .10�C Old New Building Permit No c Permit No. d2_- `� Signe 4 B j '%dr� 7 - Business Phone No ROUGH FINAL 42 2M V � T� i�ai p Z �Z O7u�t J wU' J � F WATER HTR. • N GAS ELEG 9 3 Base 1st 2nd 3rd 4th • Future Connection Openings Connected with e New Fixture, Old Openings I Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................A x $1.50 $—/—" Future Fixture Opening ................of x 1.20 $ 69 �® New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 000 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL /�� 1st 3 Fixtures .......................... x $1.50 $—� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE Dept. of Bldgs. Phone SII 4-7 - __-�-- 1—,600—, ..!% O / 47 ate, City of Fridley: /.0�» off a&JQ The undersigned hereby makes application for a permit for the work herei specified, agreeing to do al1 work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Owner Kind of Building Used as To be completed about Estimated Cost, $ .10�C Old New Building Permit No c Permit No. d2_- `� Signe 4 B j '%dr� 7 - Business Phone No ROUGH FINAL 42 2M Original• • E MIT for Powerlants and H at P ung v R e . Cool- ing. ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make Oil fired ; Coal fire//dj%' _� , Gas fired /; Gas Authorization 1 Remarks &.TA :e b (I .lid Approved Final Inspection 19_ Inspector Permit N° 4695 Fee $ Office of the Inspector of Buildings. City of Fridley City of Fridley, Minn. , 1926 -- Owner d Location Kind of Building s - , How Occupied Work to be Commenced --S, 19 To be Completed l ® ,19U- Estimated Cost, $ 660. cl Old New, Building Permit Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted upon t express condition that the person to 6hom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set orth in the approved application for this permit on file in the office of the Inspector of Buildings. - - W Inspector of Buildings 4z 2M 11.67 V City of Widley YZ Appricaien for PMnbkg cmd 6n R"kq Penn Dept. of B11Qe. Phone 360-3430 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Loan // • 5E''"�L� �Z eW aK $ X $1.50 lap x $1.50 $ x $3.25 K x $3.00 $� x $8.25 $ ` W °' e e M WATER HTR. GAS ELEC. Bass 1st -- — 2nd 3rd 4th _ -- Future Connection Openings + New Fixture, Old Openings City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct - Owner Kind of $ewer [] Used as Cesspool j"1 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture Old Opening Catch Basin Water Heater (Up to 99,000 BTU) New Ground Run Old Bldg. Electric Water Beater GAS FITTING FEES: x $2.00 $ X $1.50 $—.— x $1.50 $ x $3.25 $ x $3.00 $� x $8.25 $ _ $2.00 $ NO. RATE TOTAL To be c Estimated Cost, $ Old—New. Building Permit No.—Permit No. _ _ Signed By - Business Phone No ROUGHi �' q.� , FINAL 6 `� 1st 3 Fixtures ..... .... ..... x $2.00 $ Additional Fixtures .... .—x$.75 $ (has Range to 199.000 BTU .............. x$5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................. ...........: TOTAL FEE $ ^� City of Fridley SUBJECT PE 18038 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 91n, 6p NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/5/85 JOB ADDRESS 62 = 66th Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patricia G. O'Brien 62 - 66th Way N.E. 574-1875 3 CONTRACJ MAIL ADDRESS ZIP PHONE LICENSE NO. 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 f� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an above-ground pool 9 CHANGE OF USE FROM TO STIPULATIONS See letter dated 6/5/85 with stipulations., SEPARATE PERMITS REQUIRED FOR Before digging Call logia! TELEPHONE WIRING, HE,AT1IVG, PLUMBING AND SIGNS. .tE�C4_� REQjjiRE0 Sy LAS 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 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 $900.00 $.50 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- $16.00 STRUCTION OR TH PERFOR ANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $16.50 SIGNATURE OF ONTRAQROR AUTH ORIZED AGEN A ATE) WHEN PROPERLY VALIDATED THIS IS�PERMIT to /f g, BLDG I qA E SiGNATURE OF OWN RIIF OWNER BUILDERI IDAATEEI NEW [ ] ADDN. [ul� ALTER. [ ] Construction Address Legal Description Owner Nairne a Address: City of Fridley �R-1 AND R-2 Building Permit Application Effective 4/1/84 Tel. # Contractor: Tel. # Address: AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. i 4 g4 Corner Lot [ ] nsid -� Lot Type of Construction: Approx. Completion Date: Ft. Yd. Setback Side Yard Setback --d— Estimated Cost: $ L�&v ° , Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation • 0 DATE: 6 S AP PLICANT'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• r� CIIYOF FRIDLEY CIVIC CENTER • 6.131 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3150 June 5, 1985 Ms. Patricia O'Brien 62 - 66th Way N.E. Fridley, MN 55432 Be: Swimming Pool Construction at 62 - 66th Way N.E. Dear Ms. O'Brien: 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. As indicated, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 5. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 6. 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. June 5, 1985 Ms. Patricia O'Brien Re: 62 - 66th Way N.E. 7. An automatic chlorinator should be provided with a suitable test kit. Page 2 8. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 9. 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. 10. The pool fill spout must be protected by a vacuum breaker or air -gapped. 11. 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, DARREL G. CLAOA RK Chief Building Official DGC/mh CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDEKTIAL RATE TOTAL , Q _ Job Address 6a Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $®C7 Building Inspection Div. 6431 University Ave NE Fridley MN 55432 Tel. No.'572-3604 Gas Piping $ 10.00 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the. Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Conditioning (all sizes) $ 10.00 $ G',C 61 j 3 19 4/ All Others/Repairs and Alterations OWNER 7 A ^ A 11 of Value of Appliance or Work $ KIND OF BUILDING COMMERCIAL/INDUSTRIAL USED AS 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT y -ZZ- / ESTIMATED COST 2 V/' C State Surcharge S .50 I� /7 NEW BUILDING PERMIT NO. PERMIT NO. / TOTAL FEE OLD - REINSPECTION FEE $30.00. S DESCRIPTION OF FURNACE/BURNER Rough Insp. (fDate Final Insp. l0 Date Approval for Permit - MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name �iLrR Size No. Capacity Sq. Ft. EDR BTU 80, p DO HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Standard Heating & A/C Signed By ��- Tel. No. 824-2656 Fill out back side for stack verification on replacement furnaces STANDARD HEATING & AIR CONDITIONING CO. SERVING THE TWIN CITIES SINCE 19M, HEAT LOSS CALCULATION FOR OBKlEN-62-66TH WAY 41791 LL RM A LENGTH 19 WIDTH 27 HEIGHT 8 W[NDDWS & DOORS - CRACKAGE AND AREA WIDTH HEIGHT NO. LIN FT AREA NO. PANE PANE LIGHTS CRACK SQ FT 3 19 60 1 44 31.1 6 14 3O 2 93 49.5 COEFF BTU R.FT lNF[LTHAT[8N ................. 137 2O 2740 GLASS ..........'..........'........ om'a on 4*30 EF WALL ,.^...^.^^.^.^^.^^.^^.^.^^. �5 NET EXP WALL ..................... 439.4 13 571r:,.--? BELOW GRADE ..... 0 "...,......... 0 5 0 CEILING....................,...... 1088 15 16,740 FLOOR ............................. O 0 A VENTlLATION...... 0 ............... O O O TOTAL BTU.....................................,....,.... 28B02,2 RM B LENGTH 25 N3DTH 23 HEIGHT 8 ---------------------------------------------------------------------- WINDDWS & DQDRS - CRACKAGE AND AREA WIDTH HEIGHT NO. LIN FT AREA NO. PANE PANE LIGHTS CRACK SQ FT 4 M 54 \ b,","7 02"4 1 72 60 DD 44 80 1 32 EN D 18.7 17.8 1 36 80 D 19.3 20 CDEFF BTU 71 R.FT "f-ruQ ..........,.................. /'v.L a" 0opl— E2P WALL .......................... 71 V O NET EXP NALL.....~.~............. 397.8 13 5171.4 BELOW GRADE ..... 0 ................ U 5 O CEILDNG.~.,...........,........... O 0 0 FLOOR..............,.............. 0 O V VENTILATION ...... 0 .............., 0 h A TOTALBTO................................................ 10883 165:35.4 ---------------------------- BASEMENT LENGTH 27 Wl0B 42 HEIGHT 8 O WINDOWS & DOORS - CRACKAGE AND AREA WIDTH HEIGHT NO. LIN R AREA NO. PANE PANE LIGHTS CRACK 69 FTl COEFF BTU V R, FT INFILTRATION .............,... O V O CLASS .......................,.... 0 O 0 EXP WALL ........................... 0 NET EXP WALL...................... O 13 O BELOW GRADE ..... 8 ...........~... 0 5 O CEILING .................. ........... 0 O O FLUOR............................... 10883 3264 VENTILATION ..... O ................ O O O TOTALBTU.... ............................................. 3264 SUBJECT PE NO. City of Fridley $171 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. ______ f , 1 PROTECTIVE INSPECTION SEC. s� o I V172 6Q#d HALL FRIDLEY 55432 1 NUMBER- REV DATE PAGE OF APPROVED By 612-571-3450 910-Fl5 10/9/98 10B ADDRESS 62 66th Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 5 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brent St. Marie 507-0037 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Const. 4208 83 a N Bklyn Pk MN 55443 566-522520077950 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cix REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 24 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 2056 $1.03 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHE TATE OR LOCAL LAW REGULATING CON- STRU(3TION OR THE PERF RM NCE OF CO TRUCTION $74,45 Fire q,4 $2.06 Pjo9N CHECK FEE TOTAL F "ttGNA L cen C 5.0 84 TORE OF 'RACTOR OR AUTNORiZED AGENT IDATEi PR PE I I IS YOUR PER 7Tqr r S-GNATURE OF OWNER,-$ OWNER BUILDERi BLOC -ASP gAtE NEV; [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �1 a Constr uctionAddress: Legal Description Owner Name & Address: Tel. # 2 o e-, `7 9� Contractor: 'Ave MN LICENSE T -�5-o - A:1,3 7 Address: Attach tAis application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # �(o (, - s-2--2-3-- LIVING 22 LIVING AREA: Length Width Height _ Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: -�-v-a Construction Type: �� Fstiaated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ ��7r-APPLICANT: P Z,, �j Tel. # DATE: �' AP PLICANT: STIPULATIONS: .S� 6 SZ Z.�i— CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ c.)- U .001 of Permit Valuation (1/10th%) State Surcharge $ /. y 3 $.501$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S o 0 $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 [ 1 Not Necessary [ ] TOTAL $ STIPULATIONS: .S� 6 SZ Z.�i— BuildingMECHANICALPermit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF F LEY 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE �- 02 /- f b YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME. 13�— ,h (- St. 1.4 o -a -i 0 OWNER/ ADDRESS: 1-J 4 !• `' &J A 'I; CITY r4l KI STATEm N ZIP S S"VA AL TENANT PHONE: 7 6 5 64 4 6 3 -7 CONTRACTOR COMPANY NAME: if Q L 1111�11 ... SUBMIT A COPY OF CONTACT PERSON: C k s- ,; �,n ,n YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: TATE *'-.ZIP �`i�3 )L APPLICATION PHONE -7 6 -7,1'4 o? (°� FAX PER TYPE � ,,C 1� SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW 01kEPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK�- FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT W IERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE BEAT LOSS CALCIS PER MANUALI 2006 ASHRAE HANDBOOK Equipment Installed MFG: t.Qv MODEL: () 0 kJ - 07 SIZEBTU 0 0 btj MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 mak' BOILER $35.00 FURNACE $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 VENTII,ATOR $15.00 4 1S ?S,'�M„ t. �i. �'.C,.� $ °sS."ki!' }�, wrFv�., h 'yd*h.; 4(z� *�'i)ti N'yxd .: .�rw � ��... .yyfir-� ��.•.. � i.� Y .A+.:. �C, .�@M,<' ,[.:Te �,.: � , 4;rv.J,/'�v^ 2 1P {tk.: • t'a� '^:�T' t uM,lrZ �. .. 1� i S3 r� !. ��!' p. �� ;v_A' 1 £u ._ �.C�i � `'� {{. �,j'.. +�' tt S��"i` hr'::ey ax5tt3�:: "'�� if � � 4i��.., Yrc�, �: Y`s, �'tt�.1 4� 1 � >: -. , u�.r�„, ... tY,` 1 •i! i 3"'" ,�'_.. wt j � �L J b+i'�. I 3':3 d w `Y � � 2 ,m 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. SIGNATURE OF APPLICANT C LVt, A PRINT NAME CW-,Ati DATE DATE APPRO�V��A?.L� SIGNATURryE{� �INSPECTORS p 7?/��} }�� .P�l. R19,,1=1 1M. V City of Fridley Building Inspections Department 6431 University Avenue NEE, Fridley, A/1N 5543 2 763-572-3604 FAX: 763-502-4977