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City of Fridley, Minn.. BUILDING PERMIT Date: — Owner: _ –,f 'I ®' s X Builder Address "'"' Address 1V �, r � w�►vsysq vdr ��rts.vuw No. Street — Part of t _� Lot Block - Addition or Sub- visio Corner Lot Inside Lot. "'"� Setback ideyard __ '•` Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Tor Used � Front Depth Height _ Sq. Ft. Cu. Ft. ' IO �i FrontDepth u. Height _ �,�, Sq. Ft. CFRt. Type of Construction '' * ' Est.. Co.+►e To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinanoEa of the city of Fridley. In consideration of the payment of a fee of -It , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon e express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, insta&tlon for wkb& plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Menu. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIZY, MINNESOTA Owner's Name Builder Address ---Address d . ' 12® No. Lo Co LOCATION OF BUILDING r ` Street Part of Lot A-* Lot /it- Block !9.w -Addition or Subdivision ner Lot Inside Lot Setback Side -Yard P..fl I SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: Type of To be Completed DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Cost � , The undersigned hereby makes a&ica.tion for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of A. Department of Buildings, and hereby declares that all the facts and representations stated in this anulication are true and correct. (A Schedule of Fee Costs can be found on the Reverse Side.) Application for Power Plants and. Heating. Cooling. Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII. 4-7470 7 GRAVITY WARM AIR: RATE TOTAL * ....e.:^.. Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 ............... 8.00 $ 5.00 $ 5.00 $ 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ yeach add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 ......... I .... STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam...... . Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq, ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. r OIL BURNER—to 3 gal. per hour ..... ................. . over 3 gal. per hour—See Fee Schedule 8.00 $--A',0 o 2.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ 5.00 $ GAS BURNER (up to 400,000 BTT) ....................... 5.00 $�_ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL - City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn_ 19 mz Owner - Kind of Buildings Used as To be completed about /j _ y - Estimated` Cost, $ 3 b� Old—fNevy. Building Permit No. Permit No. L/ DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water arm Air' No Trade Name Size No Capacity " Sq. F1 . E.D.R BTU H.P. Total Connected Load X12 7� Rind of FuelAr.!, BURNER — Trade Name Size No Capacity. (REMARKS -OVER) Sq. Ft. E.D.R BTU H.P. Signe c `6 By . 4 z 2M 7_59 in �ess Phone No,.Iyg HEAT LOSS LCULA S CA Weatherstrips A. S. H. V. E. Construction No. �/ Gui Windows I Doors Referednece. Out. Wall jInt. Wall I Ceiling_j Roof I Floor Yes—No Yes—No 19— Insulation Kind How Applied F1.179'.�4-p- Room I Lencsth i f7 Width l ZZ-Heieht 42 II 1 Fl.I V ` Room I Lensth IS ,+Width l 1., Heiaht I 71 Windows and Doors—Crackage and Area Windows a Doors—Crackage and Area • NOi Width of pane Height of pane No. of Iights Lineal ft. of crack Area sq. ft. No• Width pane of� Height of pane No. of lights Lineal ft. of crack Area sq. ft. � j —Zr �l _y/� I Jr0 J/ 21 d 7 '7 1 y /i 3-,0 0 _10 Coef Btu Coef Btu Infiltration y 4 3 3'B Infiltrations Glass 5-0 Glass�� yy Exp. wall `3 Exp. wall % 3 3 )- Net, exp. wall �1/ Jd 2:7./ 0 Net exp. wall 1j. /0 2(¢ 10 Int. wall Int. wall Ceiling ,1 xF 5 -Zjv -? 1 6y q !/ Ceiling B 1 ° • Floor P y ill Floor . , S �-_y Total Btu. Btu. 7sq- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area -PrTotal Required sq. ft E.D.R. or sq. ins. W.A. Leader area FI.JCAte, Room I Length Widt Height ig I Fl. oom I Length jbkWidthj Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 9 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. rr ' J , � Coef Btu Coef Btu Infiltration _ Infiltration 3 4k _ go (v Glass /3 s -D S-0 Glass /9 _ so 2 YO Exp., wall 13 X 9 JA -b -f- Exp. wall ` �� Net exp. wall 910 Net exp. wall 141 ! o 100 Int. wall Int. wall Ceiling 2-9t PD PD LJ- /0 140 FI00!A ► ' /7"0 S 00 Total Btu.— _ Ceiling i3�., ,)(J ZD -LO F100I a e 'tel % Total Btu. .5 Required aq. ft E.D.I.or aq. ins. W.A. Leader area Required sq. ft E.RR r s . •ns. W.A. Leader area Fl. oc& I Length -I r> Width / Height M. I -j3,&,ZATorbm'-TEength a Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width No. of pane Height of pane No. of lights Lineal ft. of crack Area sq. & No. Width H eight of pane ofpanee No. of lights Lineal ft. of crack Area sq. ft. Infiltration 3 1 ) cJAt Coef Btu JW Infiltration Coef �g Btu Glass /17 S-0 5'0 Glass �p O O Exp. wall 2 V-- Net exp, wall Int. wall P76 / �p _ P 0 Exp. wall Net exp. wall Int. wall lo p Ceiling b ` Floor .. 1�p ��p /p y X1 0 (RO 0 Ceiling Floor . , s B O Total Btu. (� Total Btu. Required sq. ft E.D.R. or sq. ins. W.A. Leader area Required sq. ft E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and bas Fkting Permit Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK . C/ l — aii/ Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ a2 D New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... --�— ................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description.................$ _ ............................... TOTAL FEE . S Ll- � C City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true /and correct. y, Minn Owner Kind of Building Used as To be completed about Estimated Cost, $ Old ew. uilding Permit No �' !� �,� Permit No. Signe Bye Business Phone No ROUGH J/ - 3 - �Z FINAL .QW.42 2M 7-59 80 �n 5 �G dew Z • F • N WATER HTR. GAS ELEG n oS 5 < nd �d �O Base 1 1st 1 2nd 3rd 4-L_ 4th • Future Connection Openings I Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ a2 D New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ....... --�— ................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description.................$ _ ............................... TOTAL FEE . S Ll- � C City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true /and correct. y, Minn Owner Kind of Building Used as To be completed about Estimated Cost, $ Old ew. uilding Permit No �' !� �,� Permit No. Signe Bye Business Phone No ROUGH J/ - 3 - �Z FINAL .QW.42 2M 7-59 City of Fridley Application for Pring and Gat R"bq hndt Dept. of Bldgs. Phone 9®0-3450 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water heater .............. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures 2 x $2.00 $-2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU.. . x $5.00 $ install (1) gas grill & (1) lite 6.00 REPAIRS S ALTERATIONS—Refer to Code 53-84-S915.51 Location 3111 NE. 79 Way City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the ClUr Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, mien June 1, . 1972 19._.. Owner gaMliasl Realy Kind of Building frame Used as resi donee To be completed about June K, 1972 Estimated Cost, $ O1dMNew. Building Permit No. Permit No. S Signed By MINNEGASCO Business Phone No ROUGH FINAL 06- Description ...............................................$ TOTAL FEE 8 8 00 Cta55 izA,r, .Surcharge .501 ` Qg 3�7 Y jtftf��j 8� _ i. < ,7`�� O yS� ,g1 `y Z • • WATER NTR. EIEC. Base 1st 2nd 3rd 4th • Futuro Connection Openings i New Fixture, ON Openings conneeled with Sewer ❑ cesspow PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water heater .............. : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures 2 x $2.00 $-2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU.. . x $5.00 $ install (1) gas grill & (1) lite 6.00 REPAIRS S ALTERATIONS—Refer to Code 53-84-S915.51 Location 3111 NE. 79 Way City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the ClUr Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, mien June 1, . 1972 19._.. Owner gaMliasl Realy Kind of Building frame Used as resi donee To be completed about June K, 1972 Estimated Cost, $ O1dMNew. Building Permit No. Permit No. S Signed By MINNEGASCO Business Phone No ROUGH FINAL 06- Description ...............................................$ TOTAL FEE 8 8 00 Cta55 izA,r, .Surcharge .501 SUBJECT PER City of Fridley WRECKING PERMIT 4 17 5 8 9 AT THE TOP OF THE TWINS g X0405 PERMIT - R r COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE NUMBER REV DAT/reLn/pp 99 O`F PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 341 79th Way N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14, 15 2 SpringBrook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE H. Peter Larson 341 79th Way 780-1489 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW �9 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE Cj( REMOVE 8 DESCRIBE WORK tear down a detached garage 14' x 20' 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 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- 15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 15.00 SIGNA RE OF OR AUTHORIZED AGENT (DATE) PROPERLY A )D�AT�EJJD�HIS IS YOU PERMIT / fSG*NATUO ��%S BLDG INSP F5ATE OWNERUF OWNER BUILDER) IDATEI Effective Aug. 1, 1981 City of Fridley anuaT Permit No. AT THE TOP 01 TNM TMRH4 L, WRECKING PERMIT APPLICATION Receipt No. ------ COMAWNITY OEVE{.ORMEMT OW, r �!! rROTMCTra NVECTIOq OMPT, 1 �...` am "ALL /RIOLMY /9M OR -800-34" HW897! V. DATE PAGE OR APPROVED eY Job Address 3L1l 79L'f aj4V AUG' Fp-Fp-y Legal Lot No. BlockNo. Tract or Addition Desc. , �s 5PRIN R�Y Property Owner L� , E TC K LAR f� Address .7q w -A -i � ?00on� 1 Contractor M` Address Phone Description Front Depth Height Sq. Ft. Cu. Ft. of Bldg. !y I 20 19 ZOO S1NGlr No. of Dwelling Units Taxes Paid Tax Receipt No. ArgccHe� N %►9 Estimated Cost of Wrecking0 0 e To Be Completed® t Utilities to be Notified and date Services Disconnected Mpls. Gas OD. N.S.P. Northwestern Bell Tel. Co. Engr. Dept. Cust. Bus. Ofc. Bus. Ofc. 372-4850 330-5540 332-4112 Date Date Date Wrecking Fees: $1.25 for each 1000 cubic feet or fraction For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking such structure at the rate of $6.00 for each $500.00 or fraction. MINIMR4 FEE: $15.00 No State surcharge on Wrecking Permits. Approved By Water & Sewer Department: All Billsa Paid Services Are Disconnected /v The undersigned hereby makes application for a permit to wreck the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Department of Buildings, and hereby declares that all facts and representations stated in this application are true and correct. %s Contractor-0uuN4F2 Ise Date w 7 SUBJECT PER City of Fridley o -17 6 2 7 AT THE TOP OF THE TWINS BUILDING PERMIT 1 >V ____ COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. �� r 1 � 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 7/23/84 JOB ADDRESS 341 - 79th Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14,1 2 Spring Brook Park Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE H. Peter Larsen 341 - 79th Way N.E. Fridley 55432 780-1489 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 8 DESCRIBE WORK Construct a 26' X 22' garage. 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hardsurface driveway. )wS:t 1d g� DEQ c� b,-�sC i•�6CE�,�pE I R" ;A0 AI. ND R l N7 SEPERATE PERMITS REQUIRED FOR - 1IRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000.00 $1.60 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. $38.50 PLAN CHECK FEE TOTAL FEE gIROFYCON-T,CTOR OR AUTHORIZED AGENT (DATE) -23 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE OWNER SIGNATURE OF O NER IIF OWNER BUILDER) IDA TEI 7 NEW [✓1 City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 3kl �9 CO- U Ay 'vE r'p.z Le j Legal Description: 4or Iy, /S &4V,-9 2-*i/ydn Amcosc Nee. Ar)nanou � R fl�SEN 341 w N� Owner Name & Address: ., N �Tel. #750 -1469 r Contractor: O wMSI Tel. # Address: 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 Length =.6 Width 2-2- Height S Length Width Hgt/Ground Sq. Ft. Sq. Ft. 57A Sq. Ft. Corner Lot [ ] Inside Lot [✓] Ft. Yd. Setback Side Yard Setback Type of Construction: Fla Estimated Cost: D Approx. Completion Date: oT 2D ©6,C O CA_o.ai 6L, �p`-t I2.I--- - G Alt. A Alt B Proposed Driveway Width If New Opening Is Desired:44 $ $ See Back Page for Explanation DATE: 'I17 -318y APPLICANT: Tel. # 7-90"189 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: C,,ITY USE ONLY $ ,5v Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ 0 $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ 7 0 AN Md' Office 571 6066 AM UBURBAN 6875 Hghway No 65 WE (aNQINHHRINB Minneapolis, Minnesota 55432 " South Office 8906510 t'n d & Afunvrpa! Engtneenng • Fad Testing • Land Se • Land Pbnn+ng 1101 Cliff Hood Burnsvdle, Minnesota 55337 10-1, - Mortgage Loan Survey for A Peter Larsen 'FvzmPosen VO•QO GAizAG19 30.0 30.0 1 I � 2Z.o VY ? _ C t•tr .i 2EET 110t ��RET V g t ll ^II v\ I ``V O, Hca 9a` OO 0 � STUC 041. ti %16.9 `O / •20.4 9.1± _� . A th i 20' ROAD EASEme-RI 30.0 - - 30.0 - -6000 SCQle: Vr-h. Meet 79 fh Avenue N E Lots 14 115? Block Z.,Sp*n"n BrA Pork Anoka County Minnesota 5u6, ject to easemen)', if crv7py. 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 encloachments, if an from or on said land. This survey is made only in connection with a mortgage loan now being placed on the pr erty and no liability is assumed except to the holder of such mortgage or any other interest acquired by t reason of s. mortgage. It is understood and agreed no monuments have been placed for the purpose o est lishing'' I lines or boundary corners. Dated this 10 day of XWLY A. D. 19,x. SUBURB N WE•ONW INC. �QV. 7/1i �$¢ Engine s twYveyors N 84271 b Not Published: All Rights Reserved 913 SUBJECT City of Fridley I '? rr 1 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI • _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC q4-/3ti. CITY HALL FRIOLEY 55432 NUMBER REV DATE 6/24/97 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 341 - 79th Way 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14, 15 2 I Spring Brook Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Norling, 341 - 79th Way, Fridley, MN 55432 784-8936 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Jim Norling 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 El NEW ❑ ADDITION ❑ ALTERATION L REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK 2 egress windows, finish bedroom in basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 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 I 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 $1,000.00 $ . 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $34.75 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $36.25 GNATURE OF CONTRA TOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL ALI DATED THIS IS YOUR PERMIT gAD INSP nATE IGNATURE OF OWN OF OWNER BU DERI IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: r /„% /f �,edl -ee Legal Description: Owner Name & Address: r /in Tel. # Contractor: S e MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. E1, close" 5 e d`ara' Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Fu o' *i a c a ®v vn Estimated Cost: $ O 0 (Fee Schedule on Back) _Ft x $ = $ DATE: c ? APPLICANT: Tel. # -7Y- 49 .3 iC DESCRIPTION OF IMPROVEMENT S% �Icr LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: $ , . $.50/$1,000 Valuation E1, close" 5 e d`ara' Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Fu o' *i a c a ®v vn Estimated Cost: $ O 0 (Fee Schedule on Back) _Ft x $ = $ DATE: c ? APPLICANT: Tel. # -7Y- 49 .3 iC S% �Icr CITY USE ONLY Permit Fee $ - Fee Schedule on Reverse Side Fire Surcharge $ j , .001 of Permit Valuation (1/10th%) State .Surcharge $ , . $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ .$4-50.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: ,�W, h4 v am J15b ' SUBJECT .. I City of Fridley rf) 284 AT THE TOP OF THE TWINS BUILDING PERMIT DEVELOPMENT DIV. v -------COMMUNITY r � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED Br CITY HALL FRIDLEY 55432 612-571-3450 910415 10/16/98 !OB ADDRESS 341 79th Wav NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 114,15 2 SRring Brook SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Norlin7R4-9936 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 O NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Replace soffit fascia and window trim 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventillation to meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT 1500 $.75 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 $48.50 Fire SC $1.50 PLAN CHECK FEE TOTAL FEE 50.75 SIGNATURE OF N'RAC,; ROR AUTHORIZED AGENT [DATE. WHEN PROPERLY LIDATED THIS IS YOUR PERMIT �G�-T4� B TV! r !— A _ff OW NEA IIF ER BUILOE RI IDATEI BL IN$P f1Ait FJ NEW [ ] ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 3 / l 7 4 fA Legal Description: r Effective 1/1/98 Owner Name &Address: ') ,'m Norl") s �.�, s �ov Tel. # 7rYY% f5;1-? Contractor: QWA e / MN LICENSE # Address: 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 Length Width Height Length Width Hgt/Ground Construction Type: S9f-��-1"yc'� 44,0 1, Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Tel. # Sq. Ft. Sq. Ft. Sq. Ft. /Soo . © v (Fee Schedule on Back) Ft x $ = $ DATE: APPLICANT: Tel. # Permit Fee $ 44 Fire Surcharge $ 4 fV State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 5-4 7S . STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1999 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 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 $ �Q� representations stated in this application are true and correct. / olq f (Side Vent -Fill Out Back) -#w Gas Piping (Needed with new furnace, $10.00 $ �_ I but not replacement) OWNER�� Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ 0-0 ESTIMATED COST (©& PERMIT NO. A) (d / *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 W ter) rrn ;� Trade Name 1- Q_ (Lr Size No. tt&(/Y1 D -76- Commercial/Industrial BTU &7 40WHP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Bumer Trade Name Size No. BTU HP EDR TOTAL FEE $ BLAINE HTG. A,C ELECT., IPjr 13562 CENTRAL AVE. P:! HEATIN MP ANOKA, MN Wfl MINIMUM FEE FOR ANx HEATING/COOLINGMENTILATION • REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed _ Tel No. Z PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42:00/Hr Approved By Rough -In Date Final Date 4 q *Air Conditioners can not be placed in a side yard without FILL OUT BACKSIDE FOR STA VERIFICATION ON REPLACEMENT FURNACE written permission from adjoining property owner. CBIM NEY -AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: L Has been carefully examined.. Yes ) No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within _ Yes (' No ( ) 4. Is securely supported Yes (A�_ No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes V1)— No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 1 Q U 7. Has a liner been provided for water heater Yes �) No ( ) 8. Has combustion air been provided for water heater Yes (( No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAINE HTG. A,C ELECT., {,�,r, 1`4AAO r'CKIT®AI Alf- ni — -4! o /,-1 Building ' $1 L�� BUILDING Plan Review Permit No.: Inspections Surcharge RESIDENTIAL APPLICATION (.0005) times the total job valuation — Minimum $.50 Received By: 763-572-3604 .001 x Permit Valuation (1/10%) CITY OF FRIDLEY $ Date Rec'd: DATEAm u`A _ '?D4Ds� YOUR E-MAIL ADDRESS $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ SITE ADDRESS $450 Conservation Plan Review THIS APPLICANT IS: OWNER ❑CONTRACTOR Fee Determined by Engineering PROPERTY OWNER/ NAME: r/ •. Agreement necessary ( ) Non Necessary ( ) TENANTADDRESS: ,,.� 3 y� 7� CITY iii 'o� STATE Make checks payable to: City of Fridley Attach Stipulations PHONE:--7&'3 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PH FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DEC ❑ SI G ❑ OTHER WM'IING POOL TYPE OF WORK: VNEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Z SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2• Existing Floor Plan 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. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes [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: (USING TUE 997 U.B.CJEE SCHEDULE) TOTAL JOB VALUATION $ Q © • 0 OCCUPANCY TYPE Permit Fee $1 L�� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ —c3�. OILO (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ b .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ I Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR AdPERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w h requires review and approval of plans. �J / _ SIGNATURE OF APPLICANT Yh� ��PRINT NAME r fh PJ / �" O'' /a ✓r � DATE ce—d! ® S J �_ .�h6o< e� 0 Aht IL YFjNL V- 40 �' —a7 '-> ,-gousC / i/ o/ 7��' N r #'d r r� I/ 1 /fit —5—S Guract�- I 1? Excavating the site up to 8" out -of -level Additional excavation costs $15;00 per inch up' to 24" out -of -level. This is payable to the excavator at c6mple on of excavation. Over 24" out -of -level is by bid only (see Section 6; Extras, opposite). 2. PWiding.patio blocks and erecting.the pool per manufacturer's specifications to within 1" of level. 3.. s, ;t'aclinigipatking the sand bottom and cove as a firm liner cushion (see Section 4, Customer Responsibilites, below). 4. Seating the liner and'mounting the skimmer and return Jet. PN ,, Ins ;111n cnq pump} n;�duter + em, lTnw#T eiec� !;# nook -up tsee �eaign % c�w�mersnespnf1$ia1itrte� peiow �: kssdmblur�g�fi(edeck(aififert�r<safi�tj+ldtld�rr _ 7. Watson's is not responsible for water replacement for any reason. Most counties and cities require a building permit foran above -ground pool. It is the Customer's responsibility to obtain this permit prior to installation. The permit holder isir;,esponsible for comp'lua,nce with ail]. zoning, fen ingi;and,;eleetrical requirements,::including final, inspections, The Customer is;aicttng as contractor. Watson s is the pool subcontrac- tor, and Watson's must install the pool exactly where it is located on the Permit Plot Plan. w{'at The Customer must provide a 20 Amp 110v power source for the filter that is protected by a Ground Fault Circuit Interrupter (GFCI). This ser- vice`should be provided by a qualifiedelectrician in accordance with state and local codes after the pool'has been installed. An extension cord does not meet electrical codes and will void the Manufacturer's Warranty. 1 Locate and flag power,, ephone, cable lines, septic tanks, or field lines where applicable prior to excavation. Damage to unmarked utilities is Soley the Customer' 2. Mark the pool site and"filter location°prior to excavation in compliance with all zoning requirements. NOTE Watson's strongly recommends installing the filter system on the low side of'the pool. 3. Provide an 8' access path where trucks and excavation equipment are needed, Watson's cannot be responsible for repair of damage to yards, ors'rdriveways, dewalks Wthin thatatcess path orarotind the pool site. �., ...,. _ u. _. 4. Order and pay for fine mason sand, delivered to pool site but not in the pool location. --------- - 15' ...... .................................... 3 Tons Fine Mason Sand 21' . . .............................. ..... 5 Tons Fine Mason Sand 21' . . ...... ....... 0 ......... 8 Tons Fine Mason Sand 30' . . .......................................10 Tons Fine Mason Sand 21'x 41' ....................................14 Tons Fine Mason Sand 5 Furnish water and fill pool to proper level (approximately 1" from the top o 18' ..........................................4 Tons Fine Mason Sand 24' ..........................................6 Tons Fine Mason Sand 18'x 33' .......... . .......................... 9 Tons Fine Mason Sand 33' .......... . ................. . ............13 Tons Fine Mason Sand f the skimmer) before starting the filter. 6. Prn- 4 adequate electric supply after pool installation, according to state codes (see Section 3, Electrical Requirements, above). 7. Tl 'ndlor sand after excavation. It is the Customer's responsibility to backfill, spread, and remove excess dirt or sand after the pool i, -:+„ � 8. 'Mr. _ --,,ant sand washout. Excavation over 10" requires a positive drain system using "weep" Alit ��4TIIyG ADDRESS A ®E�ED�oMING OC -HEA Ir CUPA11yp- LOSS SOLD ey Electrical work By DATE HT(;, IN TYPE OF HEAT OA ST. FAQ HW MAKE � STE ode! ftr GAS DE3tQW SPACE Sada L i INPUT hackfilling, spreading, or moving of excess "OUS E FI E4711VG TEST REC, APr. ORD t'41 OW)VE- FLOOR �� `/�' Crry GNes 7AI.LED By SUERS Line By UNITHTR. OTHER Vent Size, Z" CoNveRSION V KIND OF LtIvER p Hood , Chimney L SizeIf IZE 2v f Regul_ N CNE_ Chimney Co . Inside Numberr _ D� a Amb Outside Doer Pressure Daft 21, wring 'tJ Test Tag COMP: 9 V Y Testing�c, me °/ Tester lighting Inst InPutCFH Stack Temp. PerQenr Percent) Percent C 1. Approximately,, how far out; of -level is the p441, siU? ................... .... .... ......... .... — )Yes ...... . W No 2. Are there overheact.power Ilnes:by pool site? .............. ......... ..... ................................................................................ No. 3. Are utilities underground? ......... ., ................................OYes 4' Arethere any1treas,d'r'tree stumps within 10'.of pool site? ................. .... • ........ ....... ......... ........................'OYes No 5. If you have a septic system, will it.be within 10' of pool site? ............................::.... OYes ( No ........................................ 30 Feet Miles 6. Approximately how far is the installation from Watson's? ) Yes No 7. Have you ever encountered rock on excavation before?..............................................................................................................( 8. Are you putting the pool within 2' of anexistin deck. ................................... ......................( ) Yes o 1. Installation beyond 40 miles is $2.00 per mile; one way from Watson's payable to the excavator after excavation. 2. In the event,that the site is out -of -level- by more than 300, a retaining wall or additional site preparation such as gravel build-up will be required. available: Retaining walls h Watson's. are n through 3. Leveling overr8l, is $45,00- perinch, Additional excavation beyond what is required movailable at $30.00 per' nch. 4. In the case where excavation has been started and an obstruction is encountered which renders the site unsuitable, the following options may be suggested: A. The charge to move the excavation site is $100.00. There is no additional charge for rough grading back the initial site. B. A process known as gravel build-up may be recommended. It is the Customer's responsibility to order and pay for gravel. There is a $5.00 per ton charge rto locate and level the gravel, payable to the excavator. Watson's will provide polyethylene barrier for placement between the sand and gravel. C. In the event that the pool site is determined unsuitable, the installer will fill and rough grade the site back to the approximate original contour. There is a $100.00 show -up charge payable to the excavator for his machine time. Drrt;roVl �s not avalilable through' Watson's and shall not be Watson's responsibility: "l . 'Tree removal is nit available through Watson's add shall not be Watson's responsibility. 7. Damage to pool bottom or liner due to roots or nutgrass is not covered under warranty. Ask your salesperson for options. S. ;Sand -bottom washout due ,to improper backfilling or failure to install a positive drain system is not covered under warranty. 9. Proper winter maintenance and pool upkeep is important to the longevity of your pool. Watson's will not be liable for winter freeze damage and/ or ground settling resulting from ground freeze. Al e,Z7 y '! 4_ a ---------- ---------w ------------------- ------------------------------------------ 1 have read this Installation Agreement and fully understand it and agree to its terms and conditions. Cusplmer signature `� e lame (for Reco Date Invoice Building BUILDING Permit No.: 00S Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE YOUR E-MAIL/ADDRESS SITE ADDRESS 3 1/I 7f THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: cT rn e S M, ADDRESS: f 4 oteQ CITY STATE—ZIP TENANT PHONE: iia -�i�-�39-7 CONTRACTOR NAME: a 42 STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH VROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: e L .� 4 ¢� o p10 or /0o® 1,54 C `C 9eropf SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING NUMBER OF SQUARES 1(e 19HOUSEONLY - ❑ HOUSE & GARAGE on? BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan 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. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑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: (USINqZHE TOTAL JOB VALUATION ®� U�$� FEE OCCUPANCY TYPE Permit Fee $ — See Back Page for Fee Schedule Plan Review $ /?, (� pl 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ 17. l .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks vavable to: Citv of Fridlev 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 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 w h requires review d app val of plans. [y SIGNATURE OF APPLICANT ' G '~L PRINT NAME CI a✓!+ if %%%. /(O®j� ,- cvDATE % .�� TJ ©Sr / -Y C� r j; !i 14 - t ;i d rhe HBrne Depot # 2802 5650 MAIN ST, NE, FRIDLEY 763)571-9600 fhu Sep 08 07:12.03 2005 rhis Project cannot be priced See Store Associate for prices XTERIORS, INC. NORLING 12 X 20 DECK & STEPS 166156 deck Layout MN 55432 because not all materials are carried in stock. on non -stock items shown in Bill -of -Materials. AIf '100� OP Ot V_A The Hdrne Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Thu Sep 08 07'.12:03 2005 This Project cannot be priced because not all materials are carried in stock. See Store Associate for prices on non -stock items shown in Bill -of -Materials. EXTERIORS, INC. NORLING 12 X 20 DECK & STEPS 166156 Post Layout for Deck 1 1' 11 3' 2"13' 4" 2' 1"� — - 1 I BasePoint o �*-----__-----------_-- --- -------- - - - -- - - -- -- - - -- -.- . —i ao ' 3" The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Thu Sep 08 07:12:03 2005 This Project cannot be priced because not all materials are carried in stock. See Store Associate for prices on non -stock items shown in Bill -of -Materials. EXTERIORS, INC. NORLING 12 X 20 DECK & STEPS 166156 Deck Dimensions for Deck 1 Joist Spacing = 16 in. o.c. Baluster Spacing = 3 3/4" Toe Spacing = 3 3/4" Railing Height = 36" The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Thu Sep 08 07:51:48 2005 The materials for this project will cost $1501.94 EXTERIORS, INC. NORLING POOLDECK 166157 Post Layout for Deck 1 Q0 M ,-I N 26' 9"� I 16' 3 14 12' 10 -- -- BaseP 571 9" ' 3" The Hpme Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Thu Sep 08 07:51:48 2005 The materials for this project will cost $1501.94 EXTERIORS, INC. NORLING_ POOLDECK 166157 Deck Layout