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PRE 2010 DOCSCity of Fridley SUBJECT PER ®14345 AT THE TOP OF THE TWINS g U I L D l N G PERM IT r RECEIPT NO • COMMUNITY DEVELOPMENT DIV. ...------. r � PROTECTIVE INSPECTION SEC. � 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 812-580-3450 910-F15 9/7/77 JOB ADDRESS 1415 - 75th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Don's 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hankins & Kirton Builders 7020 153rd Avenue N.W. 427-1524 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR. DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK OOH NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE Hilialff- 8 DESCRIBE WORK Construct a 44' x 4618" Dwelling and a 201811 x 2114" Garage Gfte MUM t2ll local Utll siEPERALE PERMITS REQUIRED FOR � WIRING. ?ELEPNQ ,ELECTRIC - GAS 9 CHANGE OF USE FROM HEATIMG, PiLunim Awa .7043. STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. r -- SEWER LOCATION: (Approx. 15' Deep In Street) 175' of Manhole -WYE ONLY (Manhole E. Inv. 884.57) WYE ELEV: 885.27 TOP OF FOOTING: 888.77 Minimum WATER LOCATION: 6" CIP Watermain 23' South of South line of Lot - MUST BE TAPPED DRIVEWAY DEPRESSION COST: (Optional) Alt. "A"- 16' + 6' x $11.75= $258.50 Recommended but not paid for. TH! C" of 1r DW Not OVARANM THE ACCURACY QP Lft" WAMNS AND ELEVATIONS. THIS DATA 'IS FOR WOR jArOM POVOW 004Y AND PERSONS V R01VMTtpN ON THE SITE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood FRaine 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 R-1 988 + 440 24,784 Tota ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. U $16.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $32,400 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- $99.14 $375.00 STRUCTION OR THE PERFORM NCE F CONSTRUCTION. - PLAN CHECK FEE TOTALFEE $24.78 $515.12 '1)1ATUhKOF CON TRACTOR OR AUTHORIZED AGENT ID EI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT g -L eAA) 9-9-9 BLD ' IN SP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DAT EIY CIOs Etc. W OWNER: Address: CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) �'7 BUILDER: Y)1i / y) 5 � AJ j'.1b )2 Ge 1 Qc /2� Address: '26 Q Q /J 3,-d/lam�C� Tel. No. Z-/,-? 7-A5 C21 No.: Street: LOT: 7 BLOCK:_ ADDITION: CORNER 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 Be Used As: u , Front: % Depth: Height: G Square Feet: Cubic Feet: Q ra 0 r Front: c � Depth: � � � � � Height: Square Feet: Cubic Feet: Type of Construction: WrA -fPn 7Y1 E- Estimated Cost: $ To Be Completed: J).t P— . /f % --7 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired_ $ \ $ (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 trueandcorrect. See reverse side for additional •nfo ation. DATE: S ' 2% SIGNATURE: Stipulations: 'J4 pcqA;T Z�,h8 P4 -*AJ cr. 3 �S.Od AC, Se. Lor 4, 191-OCK A, Oolve S 601 400i r)OM W r 44 )t I% It SL8 C 2 L 49 y 4% '� �. o = 3 Isla 60 yq K 2.40 Z.S �•� o 19 ZO yno -9g. 14 pmom i 20609 Pta,., .20 TQC / ---, )- - %- J, at�j� [1 UBURBAN v �• %, % 6 i yip ry 61,1l E E NoiNEERING 55432 ^0 �' y � „ v tl F.,,.a„.. •,F � ..,::' 1. .rv.0 � 1...:: � , .....• � i ,:.r4 /'..,., •u •.q �� ti ... ,,.� i, n � .� � �. •, n., �; 5331 �da Certificate of Survey for NAI10A S E I�IRTIIU B1JI1DE12.5 l N 30 DAY HOT10E TO CITY ENG. DIV. REQUIRED FOR CURB RtMOVAL AND REPLACEMENT OPENINGS. � tog ed low utilities �N��1RIC.G3 EtG Cyclone 00Ce DrOli70 Pf' Ufilifc tclsem¢n f —81.50- 75' 1.50 75 Ty AVIVUF Al F, LOT 4 , 9LOCk 2 DON'S 5Ty ADDITION AN01<4 COONrr 0 +Dp Dt NOt �y 51 HL Of MAY f`ou►' orax 'aw Is MR if01'+ US d- /f2 STORY I"7' FRAMEEtiBQICII cT 1443 i Scale: fLn-ch-30fW o Denofer iron monumenf A0009TI 1977 l p I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of II buildin s, thereon, and all visible encroachments, if any, from or on sold land. As surveyed by me this�l day of A. D. 19Z./'1-370UBURBAN ENGINEERING, INC. 90 Engi new 9 r Surveyors by Not Published: All Rights Reserved 0 0 O . 4w 4p � ein 0 CV a .r l N 30 DAY HOT10E TO CITY ENG. DIV. REQUIRED FOR CURB RtMOVAL AND REPLACEMENT OPENINGS. � tog ed low utilities �N��1RIC.G3 EtG Cyclone 00Ce DrOli70 Pf' Ufilifc tclsem¢n f —81.50- 75' 1.50 75 Ty AVIVUF Al F, LOT 4 , 9LOCk 2 DON'S 5Ty ADDITION AN01<4 COONrr 0 +Dp Dt NOt �y 51 HL Of MAY f`ou►' orax 'aw Is MR if01'+ US d- /f2 STORY I"7' FRAMEEtiBQICII cT 1443 i Scale: fLn-ch-30fW o Denofer iron monumenf A0009TI 1977 l p I hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land, and of the location of II buildin s, thereon, and all visible encroachments, if any, from or on sold land. As surveyed by me this�l day of A. D. 19Z./'1-370UBURBAN ENGINEERING, INC. 90 Engi new 9 r Surveyors by Not Published: All Rights Reserved e -Oe 7 � � 5 ' � . � � /tel'. �l wVe OWL Y Crn.,wE�,�� s� �jy � 5e- s v, M5. � 7 All -231 zo- 7- Va:S 7- SID reo:-rslv,ov C.'Osr a CITY OF FRIDLEY r` APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE ro a v x $3.00 $ cp.— 1 Future Fixture Opening x .ki tP New Fixture, Old Opening Water 0 � � f1 � $5.00 $ Eu+ � m m � m 0 w ri W w Water Softener x Heater s�i m m m $5.00 $ ww x tic c °� W"4 C a o J / x m $ Additional Fixtures 'lac $1.00 $ Gas Range to 199,000 BTU x $10.00 $ g A 9 9 o u a ca M s Q wo 8 as 1st 2nd 3rd 4th (P.) = Future Connection Opening Connected with Sewer R� (') = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ cp.— 1 Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 40 100,000 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: 1st 3 fixtures J / x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) $5.00 $ $2.00 $ $ .50 — .;- 'E! ob Address1��--� / L Department of Buildings City of Fridley Tel. #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 , Mn. , 19 Lft RIND OF BUILDING,/��«e Or USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed Tel. ROUGH INSP. Date FINAL INSP. / Z ' 2- — '?7 Date APPROVAL FOR PERMIT/ A�4 MINIMUM FEE FOR ANY PLUMBING PERiKIT IS $7.50 PLUS $.5o STATE SURMGE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Ripon Campany Plumbing & Heating Route 2, Boss 77 Elk River, 144 55330 Dear Sir: November 9, 1977 SUBJBCT: PER UT FEE FOR 1415 - 75TH AVENUE NE On your permit application for the above referenced address, you were $5 short for a hot water heater that was not listed on the application. As soon as this balance is received, we will process your pen nit. r Sincerely, CITY OF FRIDLEY Bill Sandin. \,;Plumbirxj Tn.� r BS/grs r Enclosure •Fite No. 63-Tgo? Exhibit A - C2 ,t . 1.` /1 A 0 "We hereby certify that we have made an inspection of the property herein described, and that this plat shows the location of the improvements thereon, and that there are no encroachments unless indicated thereon. This plat and certificate are for mortgage purposes only." CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address 141,E -24— /Saa'F4n'- Furnace Shell & Duct Work $12.00 7.00 $ $ Replacement of Furnace 7.00 $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $ /Q,0 each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEk%1 OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ 10.0C)® (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Joo 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 $ o% 5. SZ ROUGH IMP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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, Minn. A/tfa OWNER /i✓ 6 ! �� ` fB << T 26'r' ler KIND OF BUILDING _ JAZ • 7 USED AS a 7 0. TO BE COMPLETED ABOUTO /L/GA., �e1 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name -Fly.* 0J vie ck_ Size No. of-/ 0 O: Capacity OS. d c! w Sq. Ft. EDR BTU /� HP Total Connected Load § 'Q a�l�6i Kind of Fuel a-411 , BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company X1041 ^A... 1 -lar -4.-M Signed By Tel. '�� —0 rid' 3 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE I' GRAVITY WARM AIR: RATE TOTAL Job Address J 5// -5- %5-111, %��✓-�'. Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 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 $ 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 $ �%1•� � 19 �7 Repairs & Alterations each add. $500.00 4.00 $ C� . Fridley, Minn.r'� a, �r'n-� %F moi-✓ � � 06 .'rf"" STEMf OR HOT WATER SYSTEM : OWNER -e'_' �z� a � Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.00 $ /• Boiler only up to 100,000 BTU 7.00 $ USED AS c�•s� each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT Z ® �y OIL BURNER- to 3 gal. per hour $10.00 $ d �, each add. 3 gal. per hour 10.00 $ ESTIMATED COST (® - GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ n OLD - NEW BUILDING PERMIT NO. PERMIT NO. /Q0 (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: let 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. AIR CONDITIONING $ /0.00�eA Trade Name 2 tiCd oA, tL. Size No. O AV CAFr FAN HEATING SYSTEMS See Fee schedule $ VENTILATING SYSTEMS S $ Capacity 42- Sq. Ft. EDR BTU HP ALTERATIONS $ REPAIRS State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE S lO. BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) Company jeI,rfr�Ci rn" INSP. Date Signed By APPROVAL FOR PERMIT t Tel. MINIMUM FEE FOR ANY BEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE SUBJECT PERS City of Fridley 19128 AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. INSPECTION r � � PROTECTIVE SEC.059 68 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 8/21/87 JOB ADDRESS 1415 - 75th Avenue N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 4 2 Don's 5th Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Al Pekacek same 786-0439 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pacific Pool and Patio 6922 - 55th Street N Ozkdale 770-1313 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING —Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK 16' x3' ingrQmd odnming Wg1 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $10,000.00 $5.00 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- $80.50 STRUC ORT ERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $85.50 SIGNATURE OF CONT RACTORO THORIZED AGENT IDATEI v WHEN PROP 4-4 LDG INSP LY AT D THI S YOUR ERMt nAT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: Legal Description: Owner Name & City of Fridley Effective 4/1/86 �R-1 AND R-2 Building Permit Application 9� Contractor: /%J %�/G 2 ,, / Tel. # /_ / -f Address: b -Z— �-� .3% 't'8 LIVING 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 Length Width Height Width Hgt/Ground Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot Ft. Yd. Setback Side Yard Setback Type of Construction:; Ctl� 21:/ t: �i Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation r DATE: — J—( APPLICANT: ( Tel. # CITY USE ONLY ST Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge FtO 0 0 ►v Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 15,060 f � �'ZU ®®& TV I Copy. Office 2,Copy. Crew Phial 3 Copy. Municipality Pacific- Pool & Patio 4 Copy. Customer A Minnesota Package Products Company Brooklyn Center store No. St Paul Store Burnsville Store 4321 - 68th Ave. No. 6922 - 55th St No. 1276 W. Co. Rd. 42 Brooklyn Center, Mn. 55429 No.. St Paul, Mn. 55109 Burnsville, Mn. 55337 (660-6442) (435-3500) - CREW CHIEF Equipment Keeded C/back hoe 1:1,41ob Cat. 13)Cat 11 Truck Eir snow Fence 13 Uni-Loader Inspections Contract 0 Walls 0 Plumbing • Footing • Before Backfill 175 Heator Ridgedale Store 12500 Wayzata Blvd. Minnetonka, Mn. 55343 (541-9180) �* '-'7 16x35 Grecian ,S/6 C ACCOUNT C ACCOUNT NUMBER Num POOL "SIZE DATE A p I I Pekarok 786-6439 NAME FCITY HOME PHONE -1,415 75th, Ave. M.E. STREET WORK PHONE CITY STATE zip CODE DIRECTIONS J c Pacific Pool & Patio will make application for and pick-up your swimming pool building permit. (Electrical, gas, fence or other permits are the ,responsibility of the contractor doing the Work). The actual cost of thepqn!tis the responsibility of the homeowner and Pacific Pool & Patio will expect to be reimbursed for this'permit cost within 30 days of obtaining the permit for you. Signed Date E�Vark location of filter and/or heater by (#2). ri I O-Wflon for disposal of dirt b Vindicate deep end by (X). oes Customer wish to retain any or all dirt from pool dPacific Pool & Patio recommends that customer Install 4xcavation: (As soon as possible following pool construction); Will any obstructions be encountered — such ao-Irees, 1. Rain gutters adjacent to pool clothes poles or power/phone lines etc.'. 2. Retaining wall where diagramed 3.'Run off control or drainfield -7, 4. Permanent or temporary fence Ef Elevation from location marked "A" In diagram: El Show type and location of slide If applicable:, CUSTOMER ALSO UNDERSTANDS & ACKNOWLEDGES THE FOLLOWING Normal Excavation time using a back hoe and dump truck Is less than one day. X If Limestone, Sandstone, Shale or any unusual substance, like construction debris or backfill material that Is, unuseable in the construction of this pool, the customer Is responsible for the cost of removal and replacement of suitable materials. X If removal of dirt requires cat or uni-loader or any special equipment customer will be charged by the hourforthe extra time and equipment used. X Trees and or tree stumps are the responsibility of the customer and must be removed before construction begins. X Some damage may be done to the yard and/or driveway entering and leaving the yard during construction: Initial 'Customer assumes responsibility for electrical wiring and grounding of the pool (Including permit It required): Initial Customer assumes responsibility for the gas Installation of heater It applicable (including permit If required). Initial lf.debrls, structures, or substance foreign to normal soil should be encountered while excavating which requires abnormal handling and/or disposing— Customer shall assume responsibility if any extra costs are Incurred. Initial If you wish to change: filter position, slope of land, or anything else stated In this outline, please call our office — 770-1313. Crew chiefs are not authorized to change anything on the jab ormake any promises forworkto be done bythem. Any changes that are not authorized by the office will be charged ata standdr4 rate — no exception& Pacific Representative SignetUre Customer Signature, -a CITYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 13, 1988 Mr. Al Pekaoek 1415 - 75th Avenue N. L Fridley, MSV 55432 Re: Construction of Fence Around Swimming Pool Dear Mr. Pekaoek: Please recall the visit we had the latter part of December, 1987, about the Code requirement for a 6 foot security fence around your pool area. I happened to be in your neighborhood today and stopped by to see your progress on the fence; as you know it still has not been installed. This is just a reminder about the requirement for the fence. Would you please try to have it installed by May 2, 1988 or certainly before the pool is put back in use. Please call me at 571-3450 when completed so that we may verify and close the file on this matter. Your cooperation will be appreciated. Sincerely, QJ DARRFL G. CLARK Chief Building Official DCC/mh ti 01 SUBJECT P City of Fridley 22771 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 tI 8/3/94 JOB ADDRESS 1415 75 Avenue NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Dons 5 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alan Pakarek 1415 75 Avenue NE 786-6439 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside and soffits 9 CHANGE OF USE FROM TO STIPULATIONS Ventilation to comply with State Building Code. Provide smoke detectors adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $45000 $2.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $69.00 SIGNATURE OF CONTRACTOR OR AUT RIZ AGENT (DATE) WHFN P VALIDATED THIS IS YOUR PERMIT 'Y BLDG )NSP nATE SIGNATURE OF OW NER IIF OWNER BUILDER) (DATE) ti 01 NEW j ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: �� S Legal Description: f. Effective 111 /94 Owner Name & Address: efIYIS 11Z Tel. # ;Al Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: i Estimated Cost: $ d v Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ = $ DATE: - } - 9 APPLICANT:Tel. # CITY US ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ y 6? .001 of Permit Valuation (1110th%) State Surcharge $ 7-00 $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ V STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. Effective On January 1. 1997 6431 University.AveNE Fridley, MN 5532 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572_3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS &�i k) 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) / �9 Gas Piping (Needed with new furnace) $10.00 $ otNNER a �_ Gas Range $10.00 $ BUILDING USED;,�,il�o�Ti�'/ Gas Dryer $10.00 $ ESTIMATED COST C�b PERMIT NO. "Aar Conditioning - All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 196 of Value of Appliance or Wont 00 No. of Heating Units Circle One (Steam) (Hot Water) (Warm Airy Trade NameSize No. Cornmercialllndustrial BTU Zo,cco HP EDR 1.25% of Value of Appliance or Work $ Fuel_ �Ja4 . Total Connected Load State Surcharge $ 5Q Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ -- Allied fireside dba Fireside Comer License #20090911 HEATING COMPANY 2700 N. Fairview Ave. MINIMUM FEE FOR ANY HEATINGECOOUNGNENTILATION HoSeV1116, MN 00113 651�63e2N56o. REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By, PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.001Hr Approved ByRough-In Date Final Date��''�/� "Air Conditioners can not be placed in a side yard without FILL OUT BACK SI4FSTACK VERIFICATION ON . written permission from adjoining property owner. REPLACEMENT FURNACE