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PRE 2010 DOCS.6 IkIl City of Fridley SUBJECT P RMI ®1331 ]8 AT THE TOP OF THE TWINS BUILDING PERMIT . REC bPfWa— � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i ��',•� CITY HALL FRIDLEY 55432 NUMBER REV. DAT 175 PAGE OF APPROVED BY ..__ L 812-580-3450 910-F15 JOB ADDRESS 1575 75th Avenue N.E. 1 LEGAL LOT NO. TRACT OR ADDITION SEE ATTACHED DESCR.East 75' othe VLOCK West 24.5' Of Lot 11, Block 2, Spring Lake ParkSHEET 2 PROPERTY OWNER MAIL ADDRESS jawKesidd PHONE T. E.W. Homes, Inc. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. T.E.W. Homes, Inc. 15052 Cocoran Road Osseo Mn 55369 559-5632 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING residential -7-CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK House 24' x 38' with attache 22' x 24' attached garacre 9 CHANGE OF USE FROM TO NO'nFY THE FRIDLEY EN HEMMING CU§13OW" STIPULATIONS REMOVAL. AND REPLACEME Y AT DRIVEJVAY NGS, '7 1. Provide a verified survey Sewer: (Approx. 16 d�� g 2. Provide a hard surface driveway No existing wye 8" sewer main 33' S. of S. property lin Water MUST BE TAPPED 6" CIP Watteermaain23' S. of south pro iiARNIN ,, q�rline Before digging C .Jl local ' utiliti3 SEPERATE PERMITS REQUIRED FOR WIRH , TELEPHONE - EL:CTRIC. GAS Ett HEATING, PLUMBING AND SANS. REQUIRED BY LAVA TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. i rood frame 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 XnXgUX984 24,686 OR WORK IS SUSPENDED OR ABANDONED FOR' A PERIOD OF 120 DAYS AT c 4Q558 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS JEY41143WEET PARKING 1 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 $30,500 15.25 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- 45.67 325.00 STRUCT ON OR THE P RF M9�NCE OF CONSTRUCTION. PAN CHECK FEE TOTAL FEE 385.92 ��` -.y GURE OF CON ACTOR OR AU,,TIMO GENT (DATE) iEN PROPE Y V I TED SIS YOUR PE -MIT / BLDG INSP ATE SIGN TUBE OF O' NER IIF OWNER BUILD 1 IDATEI Brty APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDERL/�/�`� ADDRESS: ADDRES V�� NO • STREET • LOT • f s�BLO ADDITION: ORNER LOT: INSIDE LOT: SETBACK: ��SIDEYARD: A-� Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. s DESCRIPTION OF BUILDING To Be U ed As n � Front: Depth: I Height: 2 Square Feet: Cubic Feet: I q, 19 (10 _ Front: �� Depth: �Height: Square Feet; S -C '4 Cubic Feet: v Type of Construction:G� � '�e�6'%estimated Cost: $ "2 _. To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. DACE: ��S IGNATtJrtE . (See Reverse Side For Additional Information.) R0` VVI I.I rTK i.S. a s� �, vU �, 92 - 45.(r? a SIP s V� 25 -)bib I Q s Z�JO Qb L h� v C -z;t. b yo �S�S s01 J _5"z( x --I iiEkACD 'r.'COYNE RAYMOND a ti PRASC i6 �t ukswICK=,dlivf URVEYS COMPANY a of s ' 6917 IDAHO AVE. H.. a GMDEN,YA ,EY, MINK BROOKLYN PAPK, M!." N. }� ?" MINW. REG,'140. 474E LAND SURVEYORS MINN. REG. NO. 6743 s REGISTERED UNDER LAWS OF STATE OF MINNESOTA a� 'z LICENSED BY ORDINANCEOF CITY OF MINNEAPOLIS iW OICE NO. 5741 W. Broadway 533.4912 F. -L NO. _ #� V" IN'OUSTRIAL JUDICIAL .'b Minneapolis,' Minnesota 55428 SCALE i" a �s q COMMERCIAL TOPOGRAPHICAL' —' t{k` CITY LOTS -r PI.AtFTING ' ` Q [��'� �,Q j�"�� O — DENOTES IRON PAS TAU5TONEN. y Uf > Aft a ` aT` }��q `i �� :�, a J•d� \ �` �.� _ �,_ - �.-+rpt. ` ty G , 5 41 4 4 �d vZ IV. f. y:Cl✓ :�' f 7 0a. 4L /10 C q r,Lpet -Sy�f77�M00 � Or rf w ;ace' 'ark .Lakes lde, `nc,1..s,. on! 40, h rew eerfifY f4 th;$ is a true and corrgct repre•aniatl: n e'.sufvej of fih4',*ndaries of the. above de.cribud land and / a + t,fi¢a fall bwJdinga .aas3 visible uncraacfimen+s, if any, je 7,st Y freln n• an mid Yale Signed f- �' uri�ey�d by Ail -fila � day .1, A' ri I f9__. - � � �-L�A'C' SURVEYS CIOMPANY Pfr: ,, ti exl s r®aC, eA),l 49 ffV 0 23 a3sino3li enol 11�a �tn.�i'► ; r Cid of PPdd1>ry Ajpplic�ian for PiclrribLn-9 ��r C� i 11a ' 1� Pt?i i� Dept. of Bld4a. j�ha oc Sc •3450 DESCRIPTION OF V,'Or, Num!:aar, Kind and Loerf?en of Fixtures w P ta- NO. RATE TOTAL pp g p ,J w � 3 WATFR �+TR. /x $1.50 Bs:r _. New Fixture Old Opening ......•.... x 31.50 Catch Basin .................... x $.3.25 $ �O V �• Water lfeater 'L'p to 99.000 BTU) • . • • ITt x $3.00 $ tiew Ground Run Old Bldg....:.... x 5.3.25 $ Electric {later Haatar.....:........ a $2-00 3 els nTTI.NG FEES: NO. RATE TOTAL 2nd $2.00 8 eZ'O® Ist3Fixtures ......•••.•.•••••• . Additicnal Fixtures ............... x $ .75 3 Gas Range to 199.000 BTU ........... x $5•0 - 3rd • Futu:O CGnnoc:Lcu C- :4miaz * Naei Fir:urv. Old O-isair:gs VO:3i+G1.�i tii 1Ji. Savor Cesspool Cl PARTIAL, RATE SCHEDULE LtNBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x 82.00. 3 Future Fixture Opening ............ /x $1.50 s _. New Fixture Old Opening ......•.... x 31.50 Catch Basin .................... x $.3.25 $ �O V �• Water lfeater 'L'p to 99.000 BTU) • . • • x $3.00 $ tiew Ground Run Old Bldg....:.... x 5.3.25 $ Electric {later Haatar.....:........ a $2-00 3 els nTTI.NG FEES: NO. RATE TOTAL . $2.00 8 eZ'O® Ist3Fixtures ......•••.•.•••••• . Additicnal Fixtures ............... x $ .75 3 Gas Range to 199.000 BTU ........... x $5•0 b lti 3.�f. City of Fridley:. The undersigned hereby makes application for a permit for the work herel specified, agreeing to do all work in strict accordance with the Citi Ordinaret and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct' Fridley, MJ= ; 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old -New. Building Permit No. P.rsait No.�,� Signed Cz By -- Business Phune ROUOFI 71A.I:18 & ALTERATIONS—P.afsr to Coda .50 State StECcharge . M ;criptlon...............:....................... �* TOTAL FEE B^_n1'4 /�� . 5{Z'T f-�^,•..�, C"+ .-^�.�5 �p -.�.3 yg ?a* --"• w.4 pc lstn y bra.-ln } . r.Y�s�q E��y Kr �$e+•t..� ^ye ^,, �o�aDa Y®'7t Lan:=d if �Cn V:v �i er�.6:d �:i:a6-� Li•a.•�e4 ��:rc�9 `�V�i[L'�p �faoGdL lkRa.b li'iW:tb� it�h'rrria6 �u.6 ��6�� Air 't�i•m �[�wi8 ��.�a a'.r��. tri�w i,-mOG ar-,sl ra"o-iccz PARTIAL RATE 5CHT12DUI E GAA VM WARM AM: TOTAL F, nve Shell & LuR Work $10.00 3 - Replacement of Furnace 6.00 $ Pepairs & Alterations- up to 5500.00 600 $ T_ Repairs & Alterations each add. $500.00 3W $ F1:rrace Shell & Duct Wort to I20.000 BTU ..31060 _ /D•00 e=h add. V.0ao BTU 3.W a Replace nmt of Furnace 6.40 S Repairs & Alteratipn--up to $540.00 6.00 $ R.epalrs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTL'M Furnace Shell & Lines --to 4?0 sq. ft FDR Steam V0.00 $ Furnace Shell & Line-te 640 N 1t. EDR Hot Water 1000 S. Each Add 200 sq. fl EDR Steam 3 fn $ Each add. 320 sq. ft EDR Hot Water 3.00 5 OIL BURN -r -F -to 3 gal. per hour 6.00 S. over 3 gal. per hour -See Fee Schedule GAS BURNER (up to Lev9,000 BTM 5.00 5 • o t� over 293.000 BTU Sae Fee Scked to GAZ FITTING FETZ: YIO RATE TOTAL Isi 3 fixtures z** 200 S- .-F-00 Additional Futures _ x .76 Gas Range to 193,OOt1 xS 6.O S AJM C1J.w. MONI3IG= FAN HMATS. G STET -72 TZ361II.a5T23G SYS 4 AL Z-11ATFCCMIS & MEPAIRS ROUGH State Surcharge .54 %o® Feat �c�diala TOTAL rl*pt. of Bl•3ga. Phorse M -3:M Lo�� i s �r �s� R �.• •� E . City of Fridley: The undersigned hereby makes application for a permit for the worst hercir specified agreeing to de all work in strict accordance with the City 0rd1 arce; and riling of the Department pf RmldinZs, and hereby declares that all the festa and repr.sentatiuns stated in this appLeationare ' true and correct. n Fridley. Minn J Aoy��..,, if 2--ir- nwaer 77--0--o 4l• Kind of Building _- T �Ay#" C_ h�O Ova Used as �i .v9 C� �q+.s�r //Eve Leet Tn be completed about Estimated Cast; S �� AkIL Old -New. Building Permit No. _.__ . __ Permit Ko. DZSCRUMOI'f or WO;M HEATING or POWER FLANT-1--Steasis. Pmt Fater. Ea3lvo_ Trade Name 1a+ .7'*,vA04 s-0 C Size Ido -/A -/y* Capacity y tL4dS2 Sq. rL E.D.R BTU HP Total Connected Load /O , 0- 00 Rind of Fuel dox BURPiER - Trade Ni* Size No- -rte. esa a' caracity Sq. P't. ED R 13127 Em (2MAR7t3-0M) SAJ" Pte -c 4 560-3450 C -,y of Yrijley ANOKA COUNTY 6431 UNIVERSITY AVENUE NE March 4, 1976 FRIDLEY, MINNESOTA 55432 51_03F T.E.W. Homes, Inc. 15052 Corcoran Road Osseo, Mn. 55369 Re: Final Inspection at 1575 -75th Avenue N.E. Dear Sirs: A final inspection was made on March 3, 1976 of the above address. The following items were noted and must be completed before the construction can be finaled Out; 1. Complete rough grading and provide sod in the front and side yards by June 15, 1976. 2. Complete the hard surface driveway by June 15, 1976. 3. Complete front steps, garage floor, and back door steps by June 15, 1976. 4. Replace patio unit with a glazed unit that meets the Uniform Building Code Chapter 54, section 5402 and section 5406 which state: Sec. 5402. Each light shall bear the manufacturer's label designating the'type and thickness of glass. Each light with special performance characteristics such as laminated, heat -strengthened, fully tempered, or insulated shall bear the manufacturer's identification showing the special characteristic and thickness by etching or other permanent identification that shall be visible after the glass is glazed. EXCEPTION: When approved by the Building Official labels may be omitted from other than special performance glass provided an affidavit is furnished by the glazing contractor certifying that each light is glazed in accordance with approved plans and specifications. Sec. 5406. Glazing in locations which may be subject to human impact such as frameless glass doors, glass entrance and exit doors, fixed glass panels, sliding glass doors, shower doors, tub enclosures, and storm doors shall meet the requirements set forth in Table No. 54-D .or No. 54-E. EXCEPTIONS: 1. Glass lights located not less than 18 inches above the T.E.W. Homes, Inc. March 4, 1976 Page 2 adjacent finished floor walking surface. 2. Glass lights when the least dimension is no greater than 18 inches. 3. Glass lights when by comparative tests are proven to produce equivalent performance as those set forth in tables No. 54-D and No. 54-E. If certification is going to be submitted it must come from the unit manufacturer'for our approval. This patio unit must be corrected by j April 1, 1976. n� Post address on house when painting is completed. Provide the City with a verifying survey°of this lot by April 1, 1976. 4 � 14 If any problems arise that will prevent you from completing these items by the appointed dates, please contact use Reinspection will be conducted on or about the appointed dates to determine compliance. Sincerely, DARREL G. CLARK Community Development Adm. ✓�`� DGC/mh CCs Mr. & Mrs. Anthony Lymer 1575 - 75th Avenue N.E. MEMO FOR FILE MEMO FROM: Ron Holden, Building Inspection Officer MEMO DATE: April 9, 1976 REGARDING: Reinspection of 1575 -75th Avenue N.E. and Unapproved Patio Glass Unit I called Tom Williams of T.E.W. Homes Incorporated regarding the unapproved patio unit and he referred me to Phil at Scheer Brothers Lumber Company, 339-9633. Phil told me his earlier letter certifying the unit must have been lost in the mail. Phil assured me that he would re -glaze the unit next week and I informed him he had until April 22, 1976 to comply. RON HOLDEN Building Inspection Officer CC: Darrel Clark City of Fridley SUBJECT - ' 15693 AT THE TOP OF THE TWINS BUILDING PERMITJP _ � RECEI ' COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY I.J 612-571-3450 910-F15 IS/1/80 JOB ADDRESS 1575 - 75th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt. 11 2 Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Anthony Lymer 1575 - 75th. Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Aqualand Pool Co. Inc. 3400 Dakota Avenue South 920-8244 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 XQ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install In-ground Pool (1616" x 361611) 9 CHANGEOFUSEFROM TO STIPULATIONS See letter dated April 29, 1980 by Environmental Officer. FOR 1iVIRtNG9 RMrTs REQUIRED EPERATE AND SIGNS' WARMNBefore ATttVG, PLUMBING d Wing CgII local T utilities 'PHONE - ELECTRIC - GAS Etc, REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8,000 $4+00 DOES NOT PRESUME TO GIVE AUTHORITY TO VI L TE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR L CAL A REGULATING CON- STRUCTION ORT E PERFORMA $48.00 PLAN CHECK FEE TOTAL FEE $52.00 7)Un GNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDA I PROPERLY VkLLIIDDAATEID THIS IS YOUR PERMIT gWHEN ( LAC BLDG INSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR PIESIDL14TIAL BUILDING PERMITS , (New, Alterations, Additions*, or Repairs) 0WNER: /y,Lvtne✓ BUILDER: u �00 CO ��C . ADDRESS. iZE'ADDRfS: 0 TEL NO: � � 6 — (� '� (� TEL NO: Construction Location /V STREET NO: STREET: % � -7 `� % �� -� A- � e � . LOT: I (( BLOCK: ADDITION: Corner Lot: Inside Lot: V Setback:y Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. �k)CPoc�_N DESCRIPTION OF CONSTRUCTI0N �Od Front: & Depth: b Square Feet: Cubic Feet: Front: Depth: Square -Feet: Cubic Feet: .tel H eighth `� �&t4/ � Height: Type of Construction: Estimated Cost: $ o, c) 7b Be Cbmpleted: � 6L_ ZIT b . 777 Alt. A Alt. B Proposed, Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Tae 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 representatioT stated in this application are true and: --------- DATE: SIGNATURL: Stipulations: (R. ()o C) April 29, 1980 VW_fh_rWW =.T11 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Aqualand Pool Co., Inc. 3400 Dakota Avenue South St. Louis Park, MN 55416 TELEPHONE ( 612)571.3450 Re: Swimming Pool Construction at 1575 - 75th Avenue N.E. Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, three (3) inlets 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. The diving area will be acceptable provided there is no overhead obstruction. 7. 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. 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. Aqualand Pool Co., Inc. April 29, 1980 Re: 1575 -75th Avenue N.E. Page 2 10. All electrical lines must be greater than 15 feet away from the pool surface. An alternative is to bury said lines. 11. The pool fill spout must be protected by a vacuum breaker or ai.r-gapped. 12. Suitable.sa.fety equipment to include but not limited to a ring buoy and rope that is l'i 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. Sincerely, STEVEN,, . VOLStr' RjS. Environmentalicer S JO/mh CC: Anthony Lymer 1575 - 75th Avenue N.E. 46.49 1 . �.. � ;•fin f � Ll t D� �lIIIIIli� �. 5cr✓�� " 3,y rr a y ilk GERALD C E L0T SURVEYS COMPANY 300 BRUNSWICK AVE. S. GOLDEN VALLEY, MINN. MINN. REG. NO. 4741 LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNI•:AI"OLIS 5747 W. Broadway 533-9922 INDUSTRIAL — JUDICIAL Minneapolis. Minnesota 55428 COMMERCIAL — TOPOGRAPHICAL CITY LOTS — PLATTING llt�t�pl�uis 1ptilFi� PlIg3 , Mie 3TON EN Hon, es RAYMOND A. PRASCH 6917 IDAHO AvE. rl. BROOKLYN PARK, MINN. MINN. RES. f40. 67+3 INVOICE NO. — F. B. NO. SCALE I" O — DENOTES IRON i The est 75.0O f?e1; QL t� E' E:a 4. _ t' `,C:V ! _ r 2— s ,pr-ing Late Park iakes>_ ia, nor. a Gaunt ot :. FC'. t i. ..i E:i t,, •i c>;i:J ".•. ,;: li .., :._L, .1. :�:: '?i., ,. i 1' - ,) r We hereby certify that this is a true and co,.ect repr%entat-on % of a survey of the boundaries of tha above described lard and the location of all buildings and visible encroachments, if any. from o• on said land.sismed r' Jfrj_ ,e .tt�- r' .. _•�-r Surveyed by us this ?`� day of. :tirJi =� 19 75 L(iT SU�:VEYS CO 'Y J�► �Mr� - 0 Shari Poem: Tale. -920-8244 DAKOTA AT VEST LAME STHET e = --^ —,--I r = Since 1961 Custom Addres City Phone Submit EQUIPMENT SPECIFICATIONS DATE POOL DATAe i Pool Size & Shape ✓c°n°<=? x.. ,,L,`� C/',c'e.Ael Turnover Rate d � Hours Surface Area ; ' Sq. Ft. Rate of Flow;L12 GPM Capacity Gals. Perimeter 9j, .2 LIN FT PIPING DATAt . SUCTION RnMS MANIFOLD LINER STYLE COPING STYLE BOTTOM MATERIAL FILTER PUMP & MOTOR SKIMMERS DIR. FLOW INLETS CHLORINATOR MANIFOLD POOL HEATER POOL STEPS LADDERS ANCHOR CUPS DIVING BOARD SLIDE POOL LIGHTS MAINTENANCE KIT VACUUM KIT AUTO POOL CLEANER POOL COVER INFLATEABLE DOME FOOT, CHOINA14;' D11,:K WORK FENCING WORK ELECTRICAL OTHERS knowamasro aas - 32� 6tt oars sav eauttwrta>ti -+sraavaot `�- Fy 40 IB 2VWORK AREA i .d U14DERWATER— .�._�' t n AROUND POOL LIGHT �'--Bt-Ott B-Ott B'_Ott 4_3 (OPTIONAL) { PANEL—PANEL_—PANEL i 4-0 jt 1 d _. 4� 3° z \ I - 12" 4t-On : 6-0t �+ PAN L 4 t 8-O u 29t-2 a p\ i - - _ �i _ d - P NEL 6-O 8-6tt Ifi 6n j:; j-8� t SAFETY 8t-08- i 30-1011FLOAT t LINE; w.' 4 28.7u Ftp 4-0 SEE CORtr'kR DETAIL STEP (OPTIONAL) r: 3 T t 12 a �. rl-_';+'EP`t LEDGE ; ,Y ds. 'A' FRAME ASSEMBLY h SE C TI 0 N ®-113- IB SEE DETAIL WALL PANEL CORNER ANGLE . STAKE _ �� ANGLE CLIP - Bt-0°gOARL ` e— 14p 3t a° WALL PANEL (2) 5/8 NUTS _ FINISHED DEPTH CORNER DETAIL HORIZONTAL BRACE I DIAGONAL 0 PANEL a BRACE Bt- H E to FINISHED DEPTH—2"SAN0 OR 3-61t £' VERNICULiTE . , , '. �CEUENY 20 GA. VINYL 8t fiu W dLL ae , ..:' f Y: l CONCRETE 123Y LINER: ---- - ° STAKING PLATE 14t-Ott STAKE EXCAVATION' SECTION /A-� s e 7 a s -FRAME ASSY DETAlL— PC.�.. SPECiFICATI 0NS 7' 71 SPARTAN POOLS CORP WATER CAPACITY title STEP 17,404 U.S.GAL, eaacp ttreaeOM WATER CAPACt Y-71TH STEP 17,6000S.GAL. % ssswtso ��1 4'I °�°�0`t¢pP° =-R r � n: FEB- -76 RECOE7INENDED a'i.�a: 20' DIA. ��' } WITH STEP •'6�°'° - nru RECOMMENDED :P . 8 MOTOR Ile Hp 8' 7' 6 °`A9H0 = GRECIAN POOL 16t TYPECOPING LAYOUT "T82RN OVER `R,1L-t 6.7 Hi25, tesr��:" aa� i, 01 SUBJECT PER City of Fridley21518 AT THE TOP OF THE TWINS BUILDING PERMIT(Z�' i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � �� lq t NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/27/92 JOB ADDRESS 1575 75th Ave NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt. 11 2 Spring Lake Park Lakeside SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jan Vogt 1575 75th. Ave NE 784-1956 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Layland Construction Co. 8086 Hornell Ave S Cottage Grove MN 55016 458-3291 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 3236 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW QA ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 101 x 121 and a 15k x 161 Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. w� R�1 G Before digging Call for all utility locations REQUlR,D 0z Sly LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 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 I 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 $2 $1.34 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ►688 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- Fire SC $2.69 STRUCTION OR THE (VC F CONSTRUCTION. $54.00 PLAN CHECK FEE TOTALFEE License SC $5.00 $63.03 SIGNAT RE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HERO LY VA I ATfD THIS IS YOUR PERMIT d 8-2'7-92— LDG INSP BATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI 01 NEW [ ) ADDN [ ] ALTER [ ] Construction Address: CITY OF PRIDLEY SINGLE FAMILY AND DUPLEXES R -I AND R-2 Building Permit Application ,9 Effective 3/1/92 Legal Description: Owner Name & Address: ��61 1 a /x'75 75✓� �� Tel. # Zg&- � Contractor: Address: MN LICENSE #�Iwle 0��3✓�� el. Attach to this application, a Certificate of Survey of the ' iJ J'7 lot, with 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 �r Width "&' 108. Hgt/Ground 6 Sq. Ft. OTHER: 11 Corner Lot [ ] Inside Lot [� F- Yd Setback O Side Yard Setbacks /off Type of Construction: (I -p clAl fell Estimated Cost: $ Approx. Completion Date: C�ezk-�= Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ (Cost on Back) = $ DATE: APPLICANT:-�yY�/(��1�' Tel. CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 2,69 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ � ' tO�'s STIPULATIONS: �00%Rusw�v�, s+OT�SlR GOLDEN VALLEY'' M1NN. MlNN: REG: 'NO, 47x1 LANii SURVEYORS �1 `M N"RE �gxlf Ay REGISTERED UNDER LAWS OF STATE OF MINNESOTA s. LICENSED BY ORDINANCE OF CITY OF"MINNEAPOLIS INVOICE NO. 5747 W. Broadway 533-922: F. 8. NO. �' �4 INDUSTRIAL =` JUDICIAL Minneapolis ,;Minnesota 55428 . COMMERCIAL TOPOGRAPHICAL SCALE !' CITY LOTS �PLATfING1tUPi�x �#iu��P ; Yzt QOM" r ,3 DENOTES _'4 {��' � F j `��•x - - -� s lts ,a.dt ty�Sy. ; S .� .�sf .f d ry-`_a S' � a'S.�, n '� '�"i.sE,.,`"r3 c,`3'"i''3S � _. � "� i i= 'i +r � `rf, 1 -•it� '. A.s�Fr+ ..� r•' -h" i '*h.� r.. t-�G�'"� 7 9r 'r3- �' ,�9< � �uu,,'�� '� r { - +ir y�.:5�.'e•• :, i �� . 1.3ry :�s;°�„c,@;ia a�`k.� a` S '"moi � ,�t`C '��.ry 7�a {; %, ,.'`.�` q...�,'^fe �?q�� - ' t��1 ; µ-,�Clt v. ' ♦ P�y`k� `?y.j j �,` 4 a.L't$�X�'a:i '�' kS4 0 � L.� v�4�4�� - F.'iA Yi. �' T =h•'� � 'M y°�"�,y6 eC� 7/,IJV 41V1 y � i j 1, f t `Phe cast 75.00 feet of the i est :4. 5,a feet of Lot ; 1 , DIoe.k ?, Spring Lake Park :,akeside, Anoka County, Minnesota. F'evisc !:U :.iho'rJ , iol : Df'c "tC`E 2 we hereby certify that this is a true and cornet representation f } of a survey of the boundaries of the above described land" and the location of all buildings and visible encroachments, if any. from o• on said land.Signed L a Surveyed by us this day of :,Ui 19 t 1JlJ l' SVR V E'YS COMPANY 'r 7/,IJV 41V1 y � i j 1, f t `Phe cast 75.00 feet of the i est :4. 5,a feet of Lot ; 1 , DIoe.k ?, Spring Lake Park :,akeside, Anoka County, Minnesota. F'evisc !:U :.iho'rJ , iol : Df'c "tC`E 2 we hereby certify that this is a true and cornet representation f } of a survey of the boundaries of the above described land" and the location of all buildings and visible encroachments, if any. from o• on said land.Signed L a Surveyed by us this day of :,Ui 19 t 1JlJ l' SVR V E'YS COMPANY R�d�us ealpLd l�eeKii.q � V �. 2 un,14. 161 e'ter t r au.61e a? X • This Plan Must •�.�.. --.�+, Be iVtaLitained And Accessible On The Construction Site �`�' tq�•��t 'r X ti Taro."r l i Safi UP Fr -e -e. _5*a,A.^5 6 u) P. ,(6 x� /7" a ,I le /esf" jCV Fua � It) CITY OF FRIDLEY INSPECTION DIV, 8431 University Ave NE Fridley, MN 55432 572-3604 stories Basement Floor I Floor? Floor 3 Floor 4 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO IE Watet . galits: Wash DriF' Giosetlumal Tv ` Shower Sink.; T14V F®ut PLUMBINGFIXTURE RATES: NO, RATE TOTAL New Fixtures _ $ 7,00 Old 4Dpening. New Fixtute � $ 4.00 goer Dispenser $ $•00 Blow OH Basin $ 7,00 Catch Basin $ 7,00 Rain Wates Leader $ 7.00 SumpfRecelving Tank $ 7.00 Wateir Treating Appliance $10,00 Water Realer —Electric $ 7.00 $10.00 Water Healef — Gas" �/ Gas Range" 1110.04 Gas pryer" $10.00 Back Flow PreaerAw Required (Ns ( No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS ANUIOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appiiance State Surcharge .50 TOTAL FEE ALLEDON EACH FLOOR Floor JC*h!]AUto- ofain 9asd"itt ` 1Wa*er " Effectil" On January 1. 1998 GasMlsc, walm Heater Range [Gas isc JOB ADDRESS �fi -75 1-1v6 �rE The undersigned hereby makes appiicslion for a pwmk for the work herein specified agreeing to do all work in stria accordance with the city codes and tugs o1 the Building Ohrision, and hereby declares that a!! the facts and represertattens stated in this apptleation-are true and correct. O' r 199 Owner �%,4 aJ V6 6 i Building Used As 40 c Estimated Cost 1b 6. ° PEAMIT NO./c2523 PLUMBING COMPANY SIGNED 8Y TEL No, Approved 9y Rough—in Date_ Final (Date MINIMUM FEE FO_R ANY PLUMBINQLGAS PER MT IS $20,00 PLUS THE $,50 STATg SURCHARGE ° cOMBUSMON AIR $HALL BE PROVIDED PER UMC SECTION SO4(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 : 1575 75 AVE NE : 123024110062 UNAVAILABLE LOT BLOCK HEATING RESIDENTIAL : ADDITION/ALTERATION PERM1 NO.: 2004-01174 DATE ISSUED: 07/23/2004 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, LENNOX, 70,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 1 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 0 APPLICANT DAVES APPLIANCE HEATING & AIR INC 160137 AVE NE COLUMBIA HEIGHTS, MN 55421 (763)781-6901 OWNER VOGT JANICE M 1575 75TH 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 Pres a to give authority to violate or cancel the pr visions any other state or local law regulating construc ' n r thep o ce of construction. Applicant27 Date f �f Bldg 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 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 PAID WITH CHECK # 34861 ARATE PERN1M REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763;572-3604 FAX 763-5711287 Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Rrep(ace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes All 0ther Repairs or Alterations (List on Baric) 1% of Value of Appliance or Mork Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater qEI%CtIve 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 75 Fee Total Owner�� t- $35.00 $10.00 $ $10.00 $ $25.00 $_ $ Comme da LIndusIA-AI/InsftAonat L25% of Val of Appliance or Work (Fist on Back) $ Minimum Fee $35.00 for O mmercial/Indusiiial/Institudonal State Surcharge $ _ ) TOTAL FEE REINSPECTION FEE $50.00/1-IOUR • �� *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 Building Used As ESTIMATED COST PERMIT IVO # of Heating Units_ Circle One (Steam) (Hot Water `arm pir) Trade Name - Size Pio. BTU ~) i La t 1,; HP-- EDR Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Divislon, and hereby declares that all the facts and representations stated In this application are true and correct Tel # -7 thsq Approved by Roughdn 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, Yes (� No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes (ll No( ) specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current odes and manufacturers specifications. This does include AGA GAMA Category I Central Furnace Venting Tables for fan Yes (� No ( ) assisted and natural draft appliances. The existing combustion air is sized and installed to meet the current codes No ( ) and manufacturers specifications. Yes () When required to Install a new combustion air, it will be sized and installed Yes ( No ( } to meet the current codes and manufacturer's specifications. When Installing a new venting system, 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 Yes (� No( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes No ( ) separately as per current codes. (� Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type ( BTU Input Fan Assisted or Nat Appliance #2 Typ BTU Inp, V Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Typeffi__ Vent Height Diameter_ inches Appliance #1 Vent Connector Height 'Zoft Length ft Diameter _in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ` �ft Diameter1in Type p� 1 Ai =mATInkm— !neat-ohni HEATING CO: Signed By: Date PLUMBING RESIDENTIAL APPLICATION City of Fridley AM; • Oc >P Permit Number Received By Date Received NOTE: IF PROPERTY IS NOT OWNERIOCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. DATE - - b YOUR E-MAIL ADDRESS G SITE ADDRESS .J THE APPLICANT IS: (CIRCLE ONE) OWNER CONT CTO NAME PROPERTY OWNERI ADDRESS TENANT - CITY _ - ftiakea4 STATE AAA ZIP 5 SAF PHONE# 'TP�)- Sq- q5(,, NAME- a W IJP ILS LICENSE # 5529" AA - ADDRESS W1 ]ndid M CONTRACTOR CITY STATE A4JL�1j ZIP ,J Q-3 PHONE #051- 3 V5- 12>L40 FAX# PERMIT TYPE SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK' J J�10 U— (.i) 4(9fTit hfC( k FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ MINIMUM: $15:00 or 5% of cost of the improvement -whichever is Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ 9,C3,0 Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and odes 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 plains NAME OF APPLICANT IS l eI"l DATE / �v Please typ�eporopdnt U LQ SIGNATURE OF APPLICANT ilt ��.. � 1 l S A 5 �{Si 6AJ f��'3 PLEASir NOTE SEpdi(ATE (' I1�tSf R]]E 1u1j f� y �'t x1111? Ki 4 i Y ,t � n e 4 'f-. ,,,4 6 `t i 1 di.< ,.6Sn Y'✓w1 ..a+_t. V / 1 4 J d $$ P t 4 PI b 1 i L [.�l :�i4�, CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT 6431 UNIVESITY.AVENUE NE, FRIDLEY, MN 55432 V g 5 ®� (763) 572-3604 I ' Building $ BUILDING See Back Page for Fee Schedule Permit Ivo -5_ $ IS/4 , ,a 1 ,. Fire Surcharge $ Inspections 1 times the total job valuation RESIDENTIAL APPLICATION $ Received By: 763-572-3604 License Surcharge $ S ,. $5.00 (State Licensed Residential Contractors) SAC Charge $ CITY OF FR.IDLEY $2000 per SAC Unit (Plans to MWCC for determination) Date Rec'd: t14( 763-502-4977 FAX ft + 6 ft = ft x $21 =$ Erosion Control $ EFFECTIVE 1-1-09 Park Fee $ C7 Fee Determined by Engineering DATE — d • 0 YOUR E-MAIL ADDRESS Agreement necessary ( ) Non Necessary ( ) SIADDRESS JS r7 5 1) 5 1-14 4V e� 1\1 G TE $ THIS APPLICANT IS: ❑ OWNER VONTRACTOR PROPERTY OWNER/ NAME: Ar,3 \/04, TENANT ^ �^ ADDRESS: 1 59 S � /'5 "4 A v E CITY_ _ f —7VZ 1 `l> t. l/ STATE ZIP PHONE: r7 (0 3 if - 19 5 CONTRACTOR NAME: C— 15 r-- /J SUBMIT A COPY OF YOUR STATE LICENSE ,} STATE LICENSE # ZO 1 C17 c3 4IZ EXP DATE 2-3)-n!5 AND CERTIFICATE OF ADDRESS: 14 S tP-re'_ v C -a CITY s -rA (_ STATEN �1P S �?_ INSURANCE PHONE b Z FAX PROPERTY TYPE ❑ SINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE::ITe'PtF_'r'J EMD4;=1� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY 13 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $_ _Z'Q ' �' '`d L� I S_ j OCCUPANCY TYPE Vim. V Jif Permit Fee $ X3 , 'at S See Back Page for Fee Schedule Plan Review $ IS/4 , ,a 1 65% of Building Permit Fee Fire Surcharge $ 13'.5-0 —.00 1 times the total job valuation Surcharge $ , Z S .0005 x Permit Valuation Minimum $.50 License Surcharge $ S ,. $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ p 4 ` 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 in conformance with thetorce codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an apor a rk is not to start without a permit on site; that the work will be in accordance with the approved plan in the c rk is re iresreview and approval of Tans. qSIGNATURE OF APPLICPRINT NAME AV 1 I $4,iDATE I _ I ul O O 9'-4 yr r -c r -r I s' -s• i RANGE ! MW OVER � yo • A Eo 12" �1nNTRY ":I DW Z r -o- 2'-0■ 1 3'-1 1/2' L 4'-3' 9'-4 1/2" r -s• r -r RANGE MW OVER o W \ z I� 4'-10 1/2' N a LO SIX N c� �z �ID r O O r D rI 9'-4 1/2" PER REFRIG b` �l DEPTH T r- Ja �a D -I - 9'-4 1/2" 9'-4 1/2" r -s• r -r RANGE MW OVER o W \ z I� 4'-10 1/2' N a LO SIX N c� �z �ID r O O r D rI 9'-4 1/2" N a N V NJ v m °° JAN VOGT FEYEREISEN CONSTRUCTION o 1515 -15TH AVE NE 3451 YATES AVENUE NORTH IN 0 FRIDLEY. MN 55432 CRYSTAL. MN 55422 . . I b` �l A oil 9'-4 1/2" p WNi Js r-� yr r r -o• .� ~• -s• r -c -9 PNTR RANGE • I w MW OVER o O O o -4 \ On ° N NX ow ° z r -o- ta N � � Ii Z d t m 2'-0' 3'-1 I/2' 4'-3' N a N V NJ v m °° JAN VOGT FEYEREISEN CONSTRUCTION o 1515 -15TH AVE NE 3451 YATES AVENUE NORTH IN 0 FRIDLEY. MN 55432 CRYSTAL. MN 55422 . . I