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PRE 2010 DOCSCity of Fridley SUBJECT PERMI 5041 AT THE TOP OF THE TWINS BUILDING PERMIT ` REC PT NO. Ck ►y ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. O v �` /'•'1 CITY HALL FRIDLEY 55432 ,'J NUMBER REV. DATE PAGE OF APPROVED BY "'•' 612-560-3450 910-F15 12/6/78 JOB ADDRESS 1611 - 7312 Avenue N. E. 1 LEGALLOT NO. BI- K TRACT OR ADDITION SEE ATTACHED SHEET DESCR. Pt. of I�Aljilyl Aud. Sub. #108 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Steve Nielson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Cook Bros., Construction 1129 Line Avenue, Elk River, MN 441-4729 -7-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 El NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % B DESCRIBE WORK Construct a 40' x 24' Dwelling LNO GARAGE) SEPERATE PERMITS REWIRED" FOR WIRING, 9 CHANGEOFUSEFROM HEATING, PLUMBING AND SIGNS. STIPULATIONS provide sod in the front and side yards.. Provide a hard surface driveway. Provide a verifying survey before capping. The garage, when built, will have to be detached and in the rear yard. SEWER LOCATION: (Approx. 8' Deep) 135' E. of Manhole (Inv. 890.74) WYE ELEV: 891.28 TOP OF FOOTING: 894.28 Minimum WATER LOCATION: 76' NW of Manhole, 70' WSW of Hydrant rHE CITY OF FRtDLEY «;�V 005S. -NOT GUARANTEZ ACCURACY TM''LPCATIONS AND ELEVAITIO1`4 Before digging 1�111oCai utiliti© THIS DATA P6ttSONS USING SI FOR INFORMATION PURPOSES OI+lL`( ANf� Ta.EPHOiIIE - ELECTRIC - GAS Ete Q SNOUID Vim/ THE INFGRMAAQN ON THE SIS REQUlREI? 8Y LA SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 960 7690 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 $14.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 29,400 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- $400.00 STRUCTI THE PERFORMANCE OF CONSTRUCTION. $76.80 PLAN CHECK FEE TOTAL FEE $19.20 $510.70 GA OR OR AUT RIZEDAGENT IDATEI NtATURE WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG. INSP'r)ATLY SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) f IN EXTERIOR EI4'L°ELOFE AVERAGE I.U11 GO:P'�i`!'A'tIGN C�5 4_. L.-.)/ w Vy— OWNER SITE ADDRESS/ CONTRACTOR PHONE DATE Determine working square footage of each 1. Total exposed wall area sq. ft. x -A �-Cb 2. Total roof/ceiling area:::%6,& sq. ft. x _ Total exposed wall area above floor L,.® a. Total wall window area.*** ............................:".� Q� 7 b. Total door area ... ................................. ..e. c. Total sliding glass door area ......... 0 ................ de Tolial fireplace wall area ................e....•........ 11 e. Total wall framing°,area (average 10!) f. Total net wall area above floor ....... 1 tf—, So Total rim joist area=..e..............................., 1. Total exposed foundation area = 911.7 16 h. Total foundation window area ................... 0....... i. Total net foundation area above grade �. Determine "U" value of each wall segment. a. 4 4M. 6 / XVIU11 b.� X11TT11 � A4 =+ PZ C. X11U11 _ d. V X11*T11 h XIVU11" i. ru" X11 •- f.A. 3 . ..........................................s ......Total.= j2A 2 .-�' If item #3 is the same as, or less than item#l, you have met the intent of SBC 6006 (c) 2. Total exposed roof/ceiling area = `i M Total gross roof/ceiling area = J. Total skylight area .. .......................... ...... .o k. Total roof/ceiling framing area ............. .......... ►� 1. Total net insulated roof/ceiling area .... so........... �, G Determine "UB1 value for each roof/ceiling segment. j XVIU11 = k. XIIU11 __ 1 e X11TT11 _ -A . 4. •...............�. ....e.....e..............Total = !a &I If total of #4 is the same as, or less than #2, you met the intent of SBC 6006 (c) 1. To utilized the total envelopesystem method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. IN®B.E4o +2. to C • - Ll 1 Y UI- I-K11JLL' T ` APPLICATION FOR RE§ I DENT IAL BUILDING PEM I TS (NEW, ALTERATIONS,. ADDITIONS, OR REPAIRS) �r OWtt>;Rs%r'P�S a2 h_.�t�zBUILDER:S , c Address: Address: %��. C;,��(/� ���i�.e�• Tel. No.: �/Y/� Gi��Go �/g -( a.•o`�• l�G�d No.: / coeo"`( Street: LOT: BLOCiL: ADDITION: COP34ER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed • building location drawn on these Certificates. - DESCRIPTION OF BUILDING To Re Used As: ` 17PSig�_� Front: �!Q Depth: o?�/ Height: c�j� Square Feet: 0� Cubic Feet: �m c zo Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: &"!g. Estimated Cost: $ To Be Completed: 1 - ) Alt. A Alt. B Pr6posed Driveway Width If New Opening Is Desired -,/.9_ $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: &-.7- •J SIGNATUM o Stipulations: o' L � Porn. 76.S a Z-) P•e IC1. .10 ' o * i �10 • wwtu Q' � IOW � _ � ' � �� , �' � a�1 ��40��Vd,M-ti • 1 i off. -01.5 •oc -- -- VAd 08'9G = x oZ'hi - - oZ� bY��•- "U•9 JA.'b - 0QVI61 - f1 nb r e) n > North line lt�`S,4euth 2/ ��' Lei 4 4 MON h r- + 41 r- C fi — 6 o,141 =� ti a (D j"t. cc Q 41goN o a 1 t _ - - - 96.00 -- - - 1 - - 6C. 15 ---- _' IRON ; - - - - - 103. Gs - 73 Y2 'A �/ /`� �.� 1 s E,- _ 6ouih lime or &rir %7 of Lot 4 � call local Iiie Befote digg►�ELECIRIC' GAS Et . TELEPBC�E - ?"y uOR + • 1,,-;411 h`itt�,i//�''9 Rdp�rr A"1e ��yLy✓'�.i, ;�Y101:7-AT l"w7 F K . • `14 DATA IS FOR INFO',PAATION PUS PCtMV5 ON 1W <JE I (C6UNTY� STA)Tc AID HIGHWAY k0, 6) I 73 RD A VE /V iE N, ,E` i � "re- 'T / / 3 5 6, or �'/h! C-�iri v. 99a. 7 y tai, a f —400��� 7l%W'.S,W. of /35 I-- 4 I SURVEY FOR: Bar - Ett Investment Company Scale: 1" = 30' n DESCRIPTION: That part of the South 213 of Lot 4, Auditor's Subdivision No. 108 Anoka County, Minnesota, which lies North of the South line of -the North Half of said -Lot 4, except the West 96 feet thereof. Subject to road easement for 73 112 Avenue Northeast. We hereby certify that this is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. Dated this 14th day of October, 1977. EGAN, FIELD & NOWAK, INC. Surveyors by e nnesota • Registration No. 9053 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL N 0-�— 1 06 n' , x $3.00 o Future Fixture Opening Water 01 Cl $ CO (A .� x m $ H H r.H C - fi .a ro N Id M N +.+ ro H W W W tP x Heater N k G $7.00 a qe x 1 J 3 14 9 G 0 x a GAS FITTING FEES: N lst 3 fixtures x $3.00 uei Additional Fixtures x $1.00 $ .G x $10.00 S t4 '4 First $100.00 m U � M as W 3 a W Uri $ .5o U PO a 3 .U{41 £ r� C9 O as lec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 0-�— 06 Number Fixtures , x $3.00 $ /s, Future Fixture Opening 'J.— x $2.00 $ CO New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU _� x $5.00 $ s 0G 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: lst 3 fixtures x $3.00 $ �� Do Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS 4 ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surchnrge $ .5o TOTAL FEE $ ' . S 0 11rTNR1,14(^I'TnN P9;1r, ($1U.UU) i Job Address 1611— Department 6 Department of Buildings City of Fridley Tal. x;571-3450 The undersigned hereby makes application for a permit for the work. herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 1� r KIND OF USED AS 19 TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. _ _ PERMIT NO. Signed By( Tel. No. ROUGH INSP. Date FINAL INSP. -',30 - i 9 Date APPROVAL FOR PERMIT IW. MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7,50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ 3.00 Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $215'_ 15'_�y ROUGH INSP. iJGLe FINAL INSP. ^ Date APPROVAL FOR PERMIT e REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form 0. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name to rt c 4- Size No. V c1 Capacity �Oa�(1J G Sq. Ft. EDR BTU P HP Total Connected Load to D %-3 Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company IA 4 L.war'j Signed By evd� Tel. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL / / o Job Address Furnace Shell & Duct Work $12.00 $ * Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work -to 100,000 BTU $12.00 $ % m2. m o specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the *Replacement of Furnace 7.00 $ facts and representations stated in this application`are true and correct. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. , 192? STEAM OR HOT WATER SYSTEM: OWNER /We, vd Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 $�, 9 Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ � p. S 2 TO BE COMPLETED ABOUT 0` ,2P 9 OIL BURNER- to 3 gal. per hour $10.00 $ v V each add. 3 gal. per hour 10.00 $ ESTIMATED COST 9's-0 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ /0-00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ 3.00 Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $215'_ 15'_�y ROUGH INSP. iJGLe FINAL INSP. ^ Date APPROVAL FOR PERMIT e REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form 0. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name to rt c 4- Size No. V c1 Capacity �Oa�(1J G Sq. Ft. EDR BTU P HP Total Connected Load to D %-3 Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company IA 4 L.war'j Signed By evd� Tel. l St Flo o•f Pel+ t LO'T r --� f,12 7 / 7 3 f pre,.► v4- d4 a.+•/ L j rr --� 1 b' 9 0 �vff. —�� �/ (p� Q .3 HEAT LOSS CALCULATKNq DUARMENT OF BUILDINGS 5/ X t✓0 Wealhtrstrlps �' Gnstrtsctien No. Insulation Guide Windows_ DoorsRefemace Out. Vail lot. WaN Celiuug Roof Floor Kind How Ap; Yei—�Ve—yet_ Fl. Room I Length 13' Width -Oyt Height Fl.I Roost Length J !' width 1Y' Windows and Door*—Craick.we and Area U a I n NoISM e. of seal .t. Atha Nn N east of taws I.4M� sf eneh fl Glass _ d .20 Exp. wall -f- rA y y� Net sip. wall S'(aLAC 1110 a- dl ValooL ttao 4 ; s,w 10 o e n 6 _rMOW O 0 -TvIlAtif s S i o al O'k(&97 Total Btu. (M Required sq. ft. E.D.R. or sq. ins. W.A. Leader area a FLI 1 W. �-- loom I Length I / ' Width „2 0' Heiaht P, Windows and Draors—Zilackage and Area . Width Nrlahl No. of LAnsal fl. Arae Nn. r.f paws of Daws Ughis of track q. ft. M IdIh ,1Ngat No of Lises ft. Arca Ns. of pans of vaso lights. or track eq rt. A 1 O .2 o yf2 i+ORf. Btu Infiluatiaru Coef. Btu Infiltration 1371-237 Exp. wall qP _Glass Int. wall 3 to CX Exp. wall ai+ / 1 Net exp. wall CIA q oat.t'-. !%r�a.Jr oa. t� d 00 0 Ceiling 0 2 ao 88 O Raft • 2 9 J-2 IF Total Btu. Iy 0 Required sq. sq. f I. E.D.R. or sq. ins. W.A. Leader area / 171.1 '1 *1 Rooms I Lenath ) 1 r Vieth (a' Height P ' Windows and Doan--Crackaae and A . Width Nrlahl No. of LAnsal fl. Arae Nn. r.f paws of Daws Ughis of track q. ft. Width Might Mo of MN ft. Atha ton nt hope or POP* lights of trach ta� to J 11./ f� i+ORf. Btu Infiluatiaru rnrf. Y23 Glaze Glias Exp. wall qP Net tap. wall Exp. wall Int. wall 3 to Getting �/ Net exp. wall Floor -OL r. W-*tldows and Doors--Crackage and Area . Wlatll ,Right Na. of Wheal ft. Ne. orpsso of pas's lights of trach Width Might Mo of MN ft. Atha ton nt hope or POP* lights of trach ta� to J 11./ f� Infiltration MINIONS =07 rnrf. Y23 fikus ti Glias qP Infiltration Exp. wall / / `f- 0 S/ >G zoo, 3 to Glaze Net exp. wall / 1 Int. wall CIA Net exp. wail Ceiling / )< i Int. wall Floor 4 0 Ceiling Total Btu. Required w. It. ED R. or so. ins. WA. Leader area I 1.1_I . A Room I l.envth I 1 ' Width 13' Height P Windows and Doors. -trackage and Area . Wlatll ,Right Na. of Wheal ft. Ne. orpsso of pas's lights of trach Arse M rt .2 V Pei � ' 0 f� Coef. Buts Infiltration ty Cati. Btu Infiltration ..�� 3 to Glaze Exp. wall t' 0 Exp. wall / / t / 3 ,t Net exp. wa1L `; ,I a 'rt e 6Xg IP!, wall CIA Net exp. wail ,I 1 i.f rElrHt�[�' Y ti ',dl i? ?•h x i Int. wall Floor t/ X YOt 4 0 Ceiling Floor Total Btu. 0 Required sq. ft. ED.R. or sq. ins. W.A. leader area AZV_l t_ 11. L RA.Ak..I L:anth _n 4J1 Width 4VvHeight 19' Windows and Doors--Crackatae and Area Idlh Height 146. 61 Une►i tt Ana No* of ttano at pass lights of crack q f1 C d-2. /^0 J Coef. Buts Infiltration ty •�/i �� Glass ti 20 Exp. wall t' 0 Net exp. wa1L `; ,I a 'rt e 6Xg IP!, wall ,I 1 i.f rElrHt�[�' Y ti ',dl i? ?•h x r �yyQ Floor t/ X YOt 4 0 8 Total Btu. I .5 7 (o U Total Btu. 11 9' �. _� n___.*__2 __ 4 C Art __ _._ _-_ tmis • t ... .- Hj J•V ?y7 March 30, 1979 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571.3450 Mr. Phillip A. Cook Cook Bros. Construction 1129 Line Avenue Elk River, MN 55330 Re: Final Inspection at 1611 - 73� Avenue N.E. Dear Mr. Cook: A final inspection was made on March 29, 1979 of the above address and th.e following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by June 15, 1979. 2. Provide a hard surface driveway by June 15, 1979. 3. Post house numbers on structure by April 15, 1979. 4. Complete front landing and steps by April 30, 1979. S. Provide City with copy of verifying survey by April 30, 1979. We will expect the above items to be completed by the scheduled dates when reinspection will be made to determine compliance. If you have any question on these items, please feel free to contact me at 571-3450. Sincerely, 1G.C Chief Building Official DGC/mh CC: Mr. Steve Nielson 1611 - 73� Avenue N.E. 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 , 1979 .lip A. Cook is. Construction 1129 Line Avenue Elk River, MN 55330 Re: Final Inspection at 1611 - 73!- Avenue N.E. (SECOND NOTICE) Dear Mr. Cook: A reinspection was made on April 16, 1979 to determine compliance with our letter of March 30,'1979. It was noted that the house numbers had been posted on the house as per our letter. A second reinspection will be made on May 1, 1979 to determine compliance with the other items listed on the March 30, 1979 letter. If you have any questions on these items, please oontact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh ENC: Copy of March 30, 1979 letter May 7, 1979 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432 TELEPHONE ( 812)671.3450 Mr. Phillip A. Cook Cook Bros. Construction 1129 Line Avenue Elk River, MN 55330 Re: Final Inspection at 1611 - 7311 Avenue N.E. (THIRD NOTICE) Dear Mr. Cook: A second reinspection was made on May 3, 1979 to determine compliance with our letters to you dated March.30', 1979 and April 17, 1979. It was noted that the. -following items still continue to be uncompleted; 1. Provide a hard surface driveway. 2. Complete the front landing and steps. 3. Provide City with copy of verifying survey. 4. Provide sod in the front and side yards. Per telephone call from the property owner, they expect to seed before June 15, 1979. We will expect the above items to be completed no later than—June 15, 1979. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. Steve Nielson 1611 - 7A Avenue N.E. 01 SUBJECT P IT City of Fridley 18937 AT THE TOP OF THE TWINS BUILDING PERMIT � ECEIPT COMMUNITY DEVELOPMENT DIV. INSPECTION PROTECTIVE SEC. 60r 1 S � CITY HALL FRIDLEY 55432 1.1 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/11/87 10B ADDRESS 1611 - 73� Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 4 Aud. Sub. #108 SHEET 27 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Neisen 1611 - 73� Avenue N.E. 780--3330 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Corporation 1920 Como Avenue, St. Paul, NN 6450331 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 Ek NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 201 Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. � SEPARATE PERMITS REQUIRED FOR ' � ► �t�\rt1�� WIRING, HEATING, PLUMBING AND SIGNS. jv 11;4oN�r'' 11 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 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 $6,892.80 $3.45 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 PROVISIONSOF ANY OTHER STATE OR LOCAL LAW CON- $62.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ONEGULATING PLAN CHECK FEE TOTALFEE -01 n 11n A$65.95 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) EN PR E V LI A D THIS IS XOUR PERMIT DG INSP �aTE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI 01 NEW ADDN. [ [ ] City of Fridley ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: /6? 11 q_�'/� AVS -AEC rrak Effective 4/1/86 Legal Description: Owner Name & Address: CJ"fiP-ai � °r -%'e. t S�� - - Tel. # �i0 ^ 3 C7 j 33 j Contractor: .�S S� co Go � `p Tel. # Address: O 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. . . SqFt�(2 GARAGE AREA: Length R Width 2� Height _ - DECK AREA: Length Width Hgt/Ground Sq. Ft. �— OTHER: Corner Lot [ ) Inside Lot � Ft. Yd. Setback Side Yard Setback - Type of Construction: Estimated Cost: $ 4C!0� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: - $ - $ See Back Page for Explanation DATE:_5__L.`L �� APPLICANT: Tel. Tr Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL CITY USE ONLY ii)�-� $ Fee Schedule on Reverse Side $ - 25% of Building Permit Fee $ �� N J $.50/$1,000 Valuation $ - $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS• p Y V GERALD T. COYNE LOT SURVEYS COMPANY x6911 / IDAHO AVEN. ',pp PRL^;SWIG! AVE S BROOKLYN PARK, MINN. GOLDEN VAD F;Y, MINN LAND SURVEYORS REGISTERED VNDER LAWS OF STATE OF MINNESOTA L1 ENSED HY ORDINANCE Or CITY OF MINNEAPOLIS 7603 73rd Ave. N.E. 560-3093 INCUSTR'AI - JUDICIA: ,u:u nnrapoliti, �tinnerlu 5;1428 INVOICE NO 8221 L„`.11.'�ERCIAL TOPOGRAPHICAL burbepar� @Certif icate1 1:J —-'1 ` FIELD BOOK CITY' LOT-. - P! ATTING ') t SCALE. I” .00K. 3RuTHuR3 �'.I,�STHi!v'Tb�r� 1 y (9G 6005 1,1Ur. �-t �' 7� �O.,T►; i � r L� i 4 <111.;. U b.Iv.! ,.,.. . A - ?OQt i;,.4 "i k4 7�j _.: r 1• DESCPIP'"I..JN : That part of the Jout,n 2,/3 of Lo: Jubda-vi siota Number 108, Anoka CQuajty, MiDr,eS eta, Which L.es North of arise ;;ouch .p , tie of the Nr)rth Hall' of said Lot. �,, except .11e YMe."..'t... 96 feet. therelnf. . JLc:-)Jonct. Lo r(,"i!7 easemr:I.-, 'or 73 1/2 Avenue We hereby certify that this is a true and correct representation `of a survey of the boundaries of the above described property, and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being plea on he property and no liability is, s- sumed except to the holder of such mortgage or any other interest acquired y reason of such mortgage. It is er. stood and agreed no monuments have been placed for the purpose of estab i ng lot lines or bo ary rs: A,0 �. 11 p r i 1. 1979 Signed Surveyed by us this day of —. AT SURVEYS COMPANY rr r � . s , 1 I- _ r' • 'F�' � 1 Vii) - 1 � 'J '1 til A - ?OQt i;,.4 "i k4 7�j _.: r 1• DESCPIP'"I..JN : That part of the Jout,n 2,/3 of Lo: Jubda-vi siota Number 108, Anoka CQuajty, MiDr,eS eta, Which L.es North of arise ;;ouch .p , tie of the Nr)rth Hall' of said Lot. �,, except .11e YMe."..'t... 96 feet. therelnf. . JLc:-)Jonct. Lo r(,"i!7 easemr:I.-, 'or 73 1/2 Avenue We hereby certify that this is a true and correct representation `of a survey of the boundaries of the above described property, and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being plea on he property and no liability is, s- sumed except to the holder of such mortgage or any other interest acquired y reason of such mortgage. It is er. stood and agreed no monuments have been placed for the purpose of estab i ng lot lines or bo ary rs: A,0 �. 11 p r i 1. 1979 Signed Surveyed by us this day of —. AT SURVEYS COMPANY rr BC(D+L)= 10.0 PSF OWG 00. R79-4010-TD'1F- bG4 TL(D+L)= 5U.0 PSF SKI N0. 6 DATE 1/ 4/79 STRESS INC O 1.15 2 1 Maximum Chord Spans (RAm) LUMBER GRADE TOP CHORD BOTTOM CHORD ■DOUGLAS FIRM 2X4 2X6 2X4 2X6 NO 2 24-10 28- 0 22- 0 28- 0 NO 2 DENSE 27- 3 2d- 0 24- 1 2e- 0 NO 1 28- 0. 28- 0 .24-11 28- 0 h0 1 DENSE 28- 0 28- 0 •26- 9 28. 0 SEL STRU 2Y- 0 '24- 0 25- 5 28- 0 DEN SEL STRU ' 2d- 0 28- 0 26- 9 28- 0 MHL'N FIRM NO 2 21-,9 '28- 0 19. 1 25-10 N4 1 24-10 28•' 0 21 5 47- 5 SEL STRU 27'- 7 26- 0 21- 5 27- 5 ;REQUIRES 2X6 BEARING •REQUIRES 2X8 BEARING 3 1 Web Regt*eme'nts Mt;* rUM.LD W in •-29.3L W 28 31.910 REACTM •-50.010 fpt•- L) LUAU, 16.OL 20.OL 18.2L 10.11, UNBRACLO DESIGNED IN bRACLD 2X4 WEBS W1 W2 W1 W2 STD -OF 28- 0 28- 0 28- 0 28- 0 con -OF 28-• 0 28- 0 28- 0 2d -,O STD -HF 28- 0 28- 0 28- 0 28- 0 coN-HF 28- o 28-.0 28- 0 2u- 0 2X6 WEBS 20- 0 29- 0 Not -DF 28-.0 28- 0 NO2-HF 28. 0 ! 28- 0 4 Force Information L=Span (FL) ® CRURD rUai LS C 1M -107.74 C 2a -79.06 C 6M 102.24 Mt;* rUM.LD W in •-29.3L W 28 31.910 REACTM •-50.010 JLIANT J in J 2a J 3a J 6a LUAU, 16.OL 20.OL 18.2L 10.11, --X•� --Y DESIGNED IN ACCORDANCE WITH TPI -78 AND 003-77 NOT= 1. Crag an Menem" to AMt . X or plat" lo "aft we weedie0• 3. TM ww" kbncatw is m60oneibte tO prw.0e 0tstmp. for handling as reauk" See Urge Gude. �j a. #SeeqQ Tablen & vn.s tat.ru oRdnp Ir.awnnena. r ERM nm__w I 2x4 KARIt4 sun KIM Is U"7 Pint== -S 12 SLOP E%' HYDRO -NAIL LOCATION(Ii) HF { PLATE SIZE --X•� --Y FJT,AAX-SPANS(rT-Im) 1�- 0, 2 1/4 X 4!D 19-• 6 3 !1/8 X, 4 0 22- 7 2 1/4 X 6 D 20- 0 29- 0 3 1/6 X 6'D ; J 2 28- 0 '24. 7 1 '4 D 20-. 0 2B• 0 � 2 1/4 X . '4�1D l� Si 2 26- 0i 2p- 0 !l 11/8 � 6 0 6' 1 J 3 28- 0 181 0 3 1/8. X, 4, D, ' 3 1/8 2 1/2 J 6 28- 0' 2,Y 0 I 3 11/8 X 6` D i• «,11 SJ 6 28- 0 28- 0 is 1/8 X 0 1 7 J, xbj CHORD SPLIClr_OPT1 NS C 2 28wi� 0 iv - ;Q 3 1/8 X 14 D :I ; • C 6 24- 2 20- 7 3 1/8 iX 4 D i r 28- 0 28- 3 1/to X 6 D 0�OUIKE • ARKtDj PLATES M + R 2X61CHORDS NET PLATE RATING031) FOR Da239(DF),'204(HF) NCT PLATE ,RATISGCPSI) rON' H0160101 )♦ 161!(HF) r i a { j k r 1 c8' �.8 PB�+� SPAN. L_ p�p :kNe.a,q 1M aee .te Iymo.A. mrractaa. tBb tnlaa b eea+P+ae as an ardarbua snroro eorrroonem. III i ko W aloo ca ad a4- a l,uBeaq aagn u 9k aaedcatiea d cb ftlow of p10 bAm0. R-rq ia�EiheA b as mem m=M Of 1dM" auw aameen ft AdRWA trseaq Of IN swrau arn,MM sal a Fa aeeent oaaanee see enerr aww 1n mw•. ra Waft am bra "raourano-gS.saaaa tiMNa10 tasa)rs. fer ra0rI00110a fepudrq aUaRalcn, OWlhl COtWd• 7iPeQe. eehra► ReLZrOn u•• raaaap 01 M". to" tM %my emm Mawr we IN IUeMoaneae I,'4ea d $aa4M Praatba• •AAAA hsh %" Pae" 1atk" 1411 Alm %M. NMisvft Marrm 20187. It It= IS STPMRICAL 11 AIW4 XI I � Y p H TYPE 6 r r ITPI CODE 2,'� 0" O:C�. #/12 SLOPE D PLATES DOUG FIR i HEN FIR 'I 1 6NlilN616R1NGi�IWC. tont/0/10= SO YSF, p 1.fsl BOX 7269. V. LOUIS. M& 631n ®••�••� �� ,T �'7 i+ i is k ° ONirOrWU/E?�g1iIN� 6 1 SUSSELGARAGES 1920 Como Ave., St. Paul, Minn. Permit by XY✓�/�� Legal Description— Lot Blk Ad Vale •0 Type Const. SLAB: )&Oy SUSSEL ❑ By Owner Approx. ❑ In 2-STARTIN4 POINTS ONLY S.P.L. i(1 S.S.P.L. R.P.L. Alley House F. Street Other Square With aS 13 Sod Rem. - By ❑ A.B.U. 00 Grade,Point U Blocks: LJBy Owner By Sussel ❑ Wtr.proof: OBy 0 n. []By Sus. ❑Backfill: ❑By 0 n. OBy Sussel 11 Maintain 8' tal Wall Height Includin ocks OR ❑ Main 'n B' Wall Height on T of Blocks Blo k Size (Top course) Wall Height other tha 8' O Frame with full wal eight sold OR O Cut studs as required for OHD clearance O O.H. Dr Offset ❑ S.D. Location ❑ Windows ❑ Att Gar Roof Tie-in Drawn on attached pictures 'Existing garage: No [_J Detached ❑ Attached Yes Size of existing: x Existing garage will be: ❑ Left as is O Converted to L.S. - By owner ❑ Removed By: Owner ❑ Sussel ❑ Junk Must Be Removed By Owner ❑ Specify removals by Sussel or Owner - trees, bushes, etc. ❑ Show approx. dist. garage to house and all pro lines Stakes visible - Byes ❑ No Survey available - 14 Yes ❑ No ❑ Special instructions from owner: Slab ABU Sod Removal Sand Fill `ACCESS ood E] Fair ❑ Poor WORK ORDER ? U 333 �'P ffHOME PHONE: NAME,A Al S 40" BUS. PHONEAC/ , U s-6 V JOB ADDRESS 1611 —23 A BLDG CODE ARE '72 r CO SALESMAN '�� CONTRA `T DAT��� SIZE 2 FOR OFFICE USE ONLY Blocks D.W. Blks. Delivery S.W. Waterproof Ftg. Back Fill Re -bar Other TOTAL .Sr C C 6L( i Q 4-o "/14 PJ - `' W W' 1 ;5 /7e 01 1Ol�Ll Acco•c IAlIT1AI C. i DIRECTION -4 ROOF: GABLE REVERSE GABLE HIP EAVE OVERHANG: RAKE OVERHANG: SEAL DOWN SHINGLES WITH PLYWOOD OR WAFERBOARD ROOF SHEATHING AND 15 LB. FELT Roof Sheathing Manufactured Trusses —/ 2" x 4" Double Top Plate Seal Down Shingles NOTE: 1) Roof approved by Minn. State Building Dept. as meeting Minn. State Code Requirements of 30# snow load. 2) Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C., 2" x 8" hip rafters and no plywood gussets are used. RAFTERS:Trusses ® 24" O.C. STUDS: 2" x 4" 16" O.C. 24" O.C. WALL SHEATHING: Z'" CJI(Z6W t -j _ >� SIDING: - I7-, OVERHEAD DOOR HEADER: Double 2" x 12" or Gluelam beam_ x r?y Slab on grade construction approved per Minnesota State Code. Refer to State Building Code Letter Number 11. SLAB: 4" WITH MESH 6" x 6" #10 Gauge 45' J 4" Trim 1"x4" Sub Fascia Fascia �— Soffit - 3/4" Cove 2" x 4" Studs Siding - 1 /2" x 7" Anchor Bolt 2" x 4" Treated Bottom Plate 'v Grade 00 0 0 sue�ECT PE NO. City of Fridley AT THE TOP OF THE TWINS BUILDING �98 PERMIT r RECEIPT NO. rry ______ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � / eip 1 CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/6/89 JOB ADDRESS 1611 - 7311 Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. part of Aud. Sub. #108 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve/Suzanne Neisen 1611 - 7A Avenue N.E. 780-3330 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. ?lie Pool Store 10100 Highway #65, Blaine, MN 55434 786-9563 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 Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 32' x 16' Pool - (12,250 gallons) Above Ground 9 CHANGE OF USE FROM TO STIPULATIONS Submit plan for pool deck. See letter dated April 4, 1989 for stipulations. Permit taken out by Homeowner. WARN N j PERMITS REQUIRED FOR Before digging call local u0itieS SEPARATE PLUMBING AND SIGNS. TELEPHONE -ELECTRIC - GAS�E tei WIRING, HEATING, REC�UtRED BY l 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 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,464 $1.88 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $64.88 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) N PRO )NSP E L V LI TED THIS IS YOUR PERMIT DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 0 0 NEW [ ] `'ADDNa [ ] ALTER [ ] Construction Address: Legal Description: R-1 AND R-2 Building Permit Application Effective 5/1/88 Owner Name & Address: Sv,7-4-E: W C . # -7ZU Contractor:YnA e_ Tel # I Address: ( b D 5 �5��q"A Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. . *' .i e) jP 1, 1••..�n��, LIVIM AREA: Iength Width Height Sq. Ft. GAP -VM AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Roo\ -Ft Its. ✓ • Aarf r( tMdt ar to ry k y Corner Int [ ] Inside Lot [,V Ft. Yd Setback? Side Yard Setbacks Type of Construction: _ - ' r imated Cost: $ A q I qsd Approx. CompletionDate: � TT l 3 40•od 1-a, #or "- 3 vm-d Proposed Driveway idth If New Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLICANTTel. # 790-3,-5'-30 CITY USE ONLY Permit Fee $ - Fee Schedule on Reverse Side State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $575 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: sten ;� ��� �►� � Q�� /(o l I - '45D V41E . GERALD T vo�COYNE LOT SURVEYS COMPANY 6YI/IDAHO AVEN LAND !i[.'HYt'.YORS 14ROOKLYN PARK. MINN REGISTERED UNDER LAWS OF STATE OF MINNESOTA T,T�ENSED BY ORDINANCE OF CITY OF MINNEAPOLIS '';01 73rd Ave. N. i„ 560-3093 runtivapuli., Minne-ola 55428 Cln; INvoia No F:API, cnl &urbepors; QeM Nate FIELD (ipflK ± h- L T ti ATTING 1� I(� , � r b,', I SCALE. W 121 I � �� ,� ?F:�,iFi�:3;. �'.��� �"rFttr•,rp, �4 � S 1 � .t�•.a<1,�.:�:. �u�. Ivy I : �S I i -. ` •� � i � I , , � . It t i •`: � t[ 14u. �Y1 /b 0� �J.._fir:' \1 6J� ` 1 ;,v 73 That Fart of t, '10 3011th '�/I of Lot 4' Auditor.'s :;undivi siota um Z) 108, A:-,,)ka Cowit.y, Ffiirarassotn, ah.icfl ta(• : North of t, 9 .3o 1 uth� ° ;.t.e of the N,-)rth Half of said Lot. exc:t'F�t, i.theS E:., 6 ew. ti} p!'f?cli . Jtii.)ject t.o road eas Y?Rvi t l'or %,Z � �`l Avf:1i:10 Nf?rt,f.es:A::fl. d; a. We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described u�;perty, and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. Th.% survey is made only in connection with a mortgage loan now being plat on the property and no liability is ' s• sumed except to the holder of such mortgage or any other interest ecqui►ed y reason of such mortgage. It is er- stood and agreed no monuments have been placed for the purpose of estab #`g lot lines or bowallary AoFIVIers. 1, A :• t 1 1979Sl Surveyed by us th,s day of ----- -._— _ gned _— i THE FOOL STORE, INC. Yah-oebr7 10100 Hwy. 65 NE BLAINE, MINNESOTA 55434 (612) 786-9563 NAME �;.. STREET 6 NO. CITY STATE ZIP 1990 Christensen Ave. WEST ST. PAUL, MINNESOTA 55118 (612) 451.7778 SWIMMING POOLS 0 Home Phone Work Phone Terms Salesman Date .. POOL ❑ FILTER ❑ PUMP' ❑ " SKIMMER ❑ 2091 02094 LADDER I] Deck ❑Safety ❑Other - M. KIT ❑ Test Kit Leaf Skimmer Vac Kit C. KIT ❑ PH + PH- STAB -Chlor -Shock -DE SOLAR ❑ COVE El Pieces W. COVER ❑ Standard ❑ Deluxe HEATER ❑ Size ❑ Nat ❑ Prop. ❑ Pipes FILTER BASE '❑ RECEPTACLE 'K1 BM HOSE '. OTHER ❑ I the buyer have received: ❑ Safety Poster and No Jumping & Diving Signs and above Poo[ Package RETAIL SALES 5 J DATE BUYERS SIGNATURE TAX, TOTAL SALE Any warranties on the products sold hereby are those of the manufacturer. As between this retail setter and buyer, the product is to be sold "AS IS" and the entire risk as to the quality and perfon k : _� DOWN PAYMENT mance of the products is with the buyer. The seller expressly disclaims all warranties either express- 1 ed or implied including and Implied warranty of merchantability or fitness for a particular purpose and the seller neither assumes nor authorizes any other person to assume for It any liability In con- BALANCE DUE nection with the sale of said products. This disclaimer by this seller in no way affects the terms of Ll '- the manufacturer's warranty. The buyer acknowledges being so Informed prior to the sale. _ %`f- THE POOL STORE, INC. DATE BUYERS SIGNATURE ''�_. CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450 April 4, 1989 Mr. Steve Neisen 1611 - 73 1/2 Avenue N.E. Fridley, MN 55432 Re: Swimming Pool Construction at 1611 - 73 1/2 Avenue N.E. Dear Mr. Neisen: 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. April 4, 1989 Mr. Steve Neisen Re: Pool at 1611 - 73 1/2 Avenue N.E. Page 2 7. An automatic chlorinator should be provided with a suitable test kit. 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 by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Y), DARREZ G. CLARK Chief Building Official DGC/mh . . 0 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT m 49 to H r U D e to M m y H 3 b `; o w° m 0 vii a 8 w m `� �4 u m 3 , w b� c`� O Water Heater s lec PL— FutureFixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 1 Catch Basin 1st 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic'Valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ Water Treating Appliance $ 7.00 2nd Hot Water Heater_ $ 5.00 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 3rd •$ 4th (R) - Futuie Connection Opening (*) a New Fixture, Old Opening Connected with Sewer Water RATE SCHEDULE PLUMBINGfFIXTURE RATES: NO. RATE TOTAL New Fi tures $ 5.00 $ FutureFixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic'Valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater_ $ 5.00 Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 •$ ALL OTHI:!?S AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $� Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEES $ Job Address Department of Buildir City of Fridley Tel. #571-3450 Effective Date May 1, 1988 �,. 5!,-:54-3,2' The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and-rulings,of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn.� C �� , 19 OWNER p]r/ U ic KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST '/ '�D'(�O. £-1�1,i- / OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company AVEkiOt Signed 7y► iVB6� �o � �,-'.. yi�d�o 6 �.� Tel. No. �Sa3 e311 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 1(0/1 73 12 RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ that all the facts and representations stated in this application are 012, . (5) -5itpp1I e S (3) 9,tkLr�n- 6as evnevj - true and correct. Gas Piping (Needed with new furnace) $10.00 $ OWNER 15 i-cy E E. I�C1L Gas Range $10.00 $ BUILDING USED AS e -k LO e- I I Cyk!� Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO. "Air Conditioning - All Sizes $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50_ Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ 2.L • 'SO ��2 CEnc NTRAL ELECT. INC. HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION N 55304 REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By / C Tel No. % PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Approved By GR'� Rough -in Date Final Date 24 'Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS J /%� 1 . /� PyP' �Jc RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 $ �, OWNER Z4 Gas Range $ 10.00 $ %%j ' BUILDING USED AS 1 Gas Dryer $1040 $ ���(�� ESTIMATED COST /l0� / PERMIT NO. *Air Conditioning —All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel ' Total Connected Load State Surcharge .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE O HEATING COMPANY P !� AJ tCo/iSL� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION // / REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. %3 , ���' (oo?w PLUS THE $.50 STATE SURCHARGE Z�� Hr App'toved By Rough—In Date Final Date :?REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE HIMNEY AND STACK VERIFICATI The,undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes O No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes (} No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) V AM -M -c. List ALTERATIeing Done HEATING CO: Signed By: Date: .'r,. 1 s.. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2003 t$n�c_ PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE COMBUSTION AIR SHALL BE PROVIDED PER UMC The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Building Used As Estimated Cost PERMIT NO.<�-4 � PLUMBING COMPANY t LIA u SIGNED BY � TEL N0. Approved By A j , Rough -In Date Final Date 6�I mmimum iCC IQVR AIN IF 1'LIJIYIa11Y\7!\7N�7 rCR1Y111 10 PLUS THE $.50 STATE SURCHARGE AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When raplacinn 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-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( ) No ( ) Th@ttinnrnmb ista n air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a now comb"ctinn air. it will be sized and installed to meet the current codes and manufacturers specifications. Yes ( ) No ( ) When mnrdaIlinp a new ventingqyestem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 #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 HEATING CO: Signed By: Date: CITY OF FRIDLEY PERMIT N .: 2004-01949/ 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISS 0/22/2004 572-36U4 FAX: (763) 571-1287 ADDRESS : 161173 1/2 AVE NE PIN : 123024140005 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A FURNACE (WARM AIR, RUUD 60,000 BTUS). # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 2500 APPLICANT SUPERIOR CONTRACTORS INC 612142 AVE N CRYSTAL, MN 55422 OWNER NEISEN SUZANNE M 161173 1/2 AVE NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Bldg Insh I �%/(4l &1-1� Dat 4 HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 35.50 PAID WITH CHECK # 16898 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater R5011 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ 3 $10.00 $ JOB ADDRESS JW 73 '/Z- fVe �� Owner 50,5- -VC /SAWS Building Used As R& --i. 'A'f ESTIMATED COST. PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) Warm Trade Name 9-vD Size No. J�-R,4 c 6 $25.00 $ BTU 604 o oP HP EDR Fuel 4AA-t' • Total Connected Load Commercial/Industrial/institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR Burner Trade Name BTU 11 Size No. 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ .570 HEATING CO 5-2g--21�/U� Cv—) $ -W-5-6 Signed / Tel # 763 *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE FAX # X63- So -E— 0-S--1 -% Date 10 -aa` 0 Approved by 44 SUPERIOR CONTRACTORS INC 6121 a2ND AVENUE NO. ,-DVQTae MN tough -in Date Final Date 'ITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 3431 University Ave NE -rid►ey, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION i63-572-3504 FAX 763-571-1287 REFRIGERATION AND.AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS A// RATE SCHEDULE Fee Total Residential Owner fwje- Furnace Shell and Duct Work, Burner & also Replacement Furnace $35.00 $ Building Used AsT o® Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST Z PERMIT NO t Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) C Trade Name Size No. *Air Conditioning - AllSizes $25.00 $�BTU HP EDR Fuel Total Connected Load All Other Repairs or Alterations (Liston Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater. on work less than $500.00 The undersigned hereby makes application for a permit for the work herein Commercial/industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $ .50 HEATING COC TOTAL FEE $;?57 50 Signe C� - Tel #7Ef REINSPECTION FEE $50.00/HOUR - FAX # 7tlO s 21 Y- 2� f 9 Date -7f Pow *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING Signed By: Date ::?0-70 Building BUILDING Permit No. _ 1 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: 1� DATE YOUR E-MAIL ADDRESS .001 times the total job valuation SrrE ADDRESS f / / 3 416 x _ A4 -r-- Aae!!�C .0005 x Permit Valuation Minimum $SO THIS APPLICANT IS: ❑ OWNER ONTRACTOR $5.00 (State Licensed Residential Contractors) PROPERTY OWNER/ $ $1550 per SAC Unit (Plans to MWCC for determination) TENANT ADDRESS: / gg STATIf. Erosion Control PHONE a�-7 $450 Conservation Plan Review CONTRACTOR NAME: XA 4-44 Fee Determined by Engineering SUBMIT A COPY OF STATE LICENSE # el!n J EXP DATE -D% YOUR STATE LICENSE ADDRESS: V WITH APPLICATION PHONE ZiLLFAX d; PROPERTY TYPE LEMINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH❑ OOF [3 DRAW TILE 1:1 DEM SIDING ❑ OTHER ❑ SWDMhIING POOL TYPE OF WORK: ❑ NEV ❑ ADDITION ❑ MAD ENANCE4 EPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: V - —,N G✓� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proper floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDIlVG FOR NEW CONSTRUCTION INCLUDING DECKS, myl Won ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing strncdues ❑ Other {Fascia and proper project. WIl�iDOWS 2. Two sets of construction plans IN EXISTING OPENINGS *es ❑No LOCATION OF WINDOWS 3. Energy Calculations 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: 1 L4' FEE SC CDPD ANCY TYPE (USINGTTOTAL JOB VALUATION 1Z9 Permit Fee $ ICL3 a E See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ , .0005 x Permit Valuation Minimum $SO License Surcharge $ , 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = R x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ a , 1("j Make checks payable to: City of Fridley Attach Stipulations 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 m 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 PRINT NAME ,0" h2J�`� DATE. �O Ci ALT