AF - 45073�.
�
•
City of Fridley, Minn.
BUILDING PERMIT
Date: _.._.. Feb � 13 , 1969
N° 10U98
Owner: _Clarence. Holtze_�___..._..__.� Builder Rodney Billman __�nc,...�....__.._.,._......____.
Address ....._.._..�..--.-.--.__._...____._._.......__.__._..._._._.--.------_..._._._ Address 151 Silyer_Lalr.e._ _Road_......_._ �_._._
New Brighton, Minnesota
LOCATION OF BUILDING
No. .._.76_80_._.._.._. Street _._.._�.lden... WaX--.._._._.__...___.�__....._...----.---.---....._._. Part of Lot _.._.__..____.__
Lot _..._..15..__....._. _ ..._5......_..._ .............. Addition or Sub-Division ....._.Peareon's _Craigw__ax._Estates 2nd Addn.
.. Block _.._.__..._.._.
Corner Lot ...--••--•-•-•-•--........ Inside Lot -------.---•---X••---•-----•---... Setback .._._...._35_�---._........... Sideyard _...._._.._.____ _.�_._...
835 .52
Sewer Elevation ..:.._...._._.__..._.._----_..__------•--...._.__....---...._------_.._ �6�icl��Ei0�4x...._...._._$i8.,52..�..___.�_._...._..
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
___....._Dwelling_....__ Front 54_�..._..._. Depth ._37 �.,��� �Height -•---��.�_._. Sq. FL 1793 �, �, 35_,,�.,860
._..� Gara.ge...___.._._ Front .24 �...._..__ Depth ...30 �._...__ Height •_10�•-•---_ Sq. F't. _. 720.__ Cu. FL _�
Type of Construction ....._.Frame_...__._._..._..----- Est. Cost ._......�...�_�t..0."P�C1 ...-•--- To be Completed _..._._..._._�
SEWER LOCATION -"Y" 13� south of manhole
WATER LOCATION - stop box 26' South of Ma.nhole
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
th� proposed work in accordance with the description above set rth and in compliance with all pravisions of
ordinances of the dty of Fridley. _.�L�����..1_...L� �
100.00 Sewer onnection ChaY
0
In co�sideration of the payment of a fee of �._. k��.._.__.._.., permit is hereby granied to—._._�II�y�.7.l..lman , Inc .
._.__,........___._._�...__.:.._...........___.. to construct the building or addition as described above. This permit is granted up�
the express condition that the person to whom it is granted and his agents, employees and workmen, in all wark
dane in, around and upon said building, or any part thereof, shall conform in all respects to the ordinance� o�
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufldings
within the city limits and this permit may be revoked at any time upon violation of an,y of the provisioa�s of sa�d
ordinances.
F.
Official
• NOTICE:
This p�emit doa not eowr fh� eonslrueNoe, instailalloa fo� wir��, plumbing, �as h�aHno, awK or waMr. M wn to sN
fh� BuiWiag In�p�efor fe� »pawh p�rmits for Nna ibms.
' ' - .. •, , . ,.
AP.P�I�ATTG� TOR. BUIL,�IN� PERMIT
L ITY 0.� FRIDLEY, MI?4NESOTA
G�WN'EFs "S NAl��l/i/�.�7.�c-c"������a:_� FiULI;:�JER ��-c,�-�-�, �1-t-��-�-`-O�"�
, � �
��R��s ��,�R��� , �, ,����� ���--�
':Y�.�r�-- �c�..� ---n� , � �
�C';A'I' �OI�T 0� B°JII.,DI1�T�: � J , � �-
P1�� o /n�o SO S'�RE�'
� �-��
LO�� /.�'� RLOCk �'��A�DITIG� OR S�T��IVia:IQ�i Ye 2-��(j�� '
_ `�'� � �---_-�' ���
�,(;R.�':�F't. L�T I��I�� L�0'� v� SE'�'BP��;�'. ��� S��ErYA.IiT
S�N'� �+'L�'�.i'l�.�a'
'I'�� (�,�� ;,0;_:�T�ITT��
A.p�=�c��,�t �.'� ;ac�h to this 7.o��r. 'I'��;c �'^� Wi.fi�a���^ c� Su.�;rey of' Iaoi anu
pZ'U�70�iF`C,�. �'i2i1! �i'-�' �.OG'�.t.:�U:i.`r CiC'a,T,y:1 O�t 1��6'S': '�.'�s, �'i.1�1.t.�,+e�r �
_F��� s�(.T�i_I_O1�T Ca� B�,TT���t.
`io T�� �Jsr^�. A�: ��ti2,�..�-�-� �.�� �°`�.
%j
���;Z'� ���G��� �':rc,�?t.. !' � �)��th � / �-��� Hea.gr.t �:�:�
� �quare �°e�t�--,�--����ubz� Fert � ' ' � ' �
'""r` -:.� �" a � ,"�. _ r' �'
. _ �,W� ' �
�� � - -��aFr°ont.�.._. __ E`��. .,_..._.._��-1e�th �F� ,,.,�� Hei.ght ~�
' r �
�qu��e �'F�e±�� � � ���ubic Fe�fm� �'
T,ype oi �onst�uction �= �il�� z��- E�tzmate�. �os �
To Be �ompleted
The unde�sigr�.e3 1�ierEb,y mak�� application fo� a pex°mit iox^ the ��ork
he���ix� speciii��.9 ag°�e�i.�.g to �.o all work in strict ac�ord�nce �ith th�
:it,y of Fr�d�ey Ordir?araevs �,nd rulings of" thc Drupar�tnet�t o" B:z�Z�ing�,
anc� he��by �_eclar�s that aIT the :��cts and �°�pre�e.r�tatio., stated in c}-
�his ap�? icatio..r� a,�e true aMd coA:�ect o � �����--� �--„�-- �` _�,
�` ��'� t-- F � l '
DATE ��' � // / /t � g a�T�?�TAT�E e� ' • �'
(��h��u3.e o�° F'e� Cost� ca� be iou:id on the R�verse �icle�>
� � � � ��
----2 � �'---°'
�� v
�./ �/ e, 4
r� �
�.�.ti �-�— �-_.
i �S_
�
��� ?�� i'1`? � � /
,�
' � ���
��� ��
S� �; � ,� C�'�.
. •
_ � C �' c.�-
-------______- :
-�-��-- �
/
�. -
,�r
.
, City of Fridtey �
ApPlication �or Plun�ing w�d Csas RM�g P'�nrrit
Dept. of Bldqs, Phone 5�0-3950
DESCHIPTION OF WORR �/ �� � /
Nnmb�r. Kiad md Locatioa of Fixtures Lonlim- !9 C.XJ`
�
�
y 3 � � � � � � � o � �
Base � � � �
ist �-- � � `
2nd / �
3rd _
4th _ L-- -
' Futu:� Cona�clioa Op�ning�s
'� Naw Fixturo, Old Oy�niags
i
;� �3 �3 ��
�
� f � S� I� N l c srea r•rEC.
PARTIAL RATE SCHEDULE
Ssw�r ❑
Cesspool j�
PLIIMBING FZXTURE RATE3: NO. RATE TOTAL
Number Fixtures �� � x $2.00 $�_�L�o
Future F�xture Opening _ x $1.50 $ _.
New Fixture Old Opening x$1.50 �
Catch Basin x $3.25 $
Water iieater (Up ta 99,000 BTiT) ! x$g.pp $�D v
�.
New Ground ftun Old Bldg. _ x$3.25 $
IIectric Watsr ii�ater z 52.00 t
GAS FITTING FEEB: NO. RATE TOTAL
ist 3 Fixtures % x R2.00 � 2. U C1
Additional Fi�ctures . . . . . . . . . . . . . . x � .75 �
Gaa Range to 199,000 BTIT . . . . . . . . . . . . . x �5.00 �
REPAIRS R ALTERATIONS—R�i�s !o Cod�
Description .... ................... ......... s
TO'TAI. FEE ; �� . v U
�
City of Pl�idley:
�� `
�
/,
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordarue with th� City Ordinance
and niling oi the Department oi Buildings, and hereby declares that all the fact
and representations stated ia this applieation are true and correct.
Frid1eY� Minn- - � "^ % l9 C�
Owner 1L?�J��� �-��i^
Kind of Building �
J 1 /
Used as
To be completed about �� V _' �� _ I
Estimated Cost, � _
� .
Old ATe . Building Permit No._ .�� � n. �1_� _Permit No. l� 4-
Signed __ �'
By_ __��
--��
Business Phune No $ � �
ROUdH
FINAL �' "' � - %�
N° 4868
o�� Permit for P 4lM�ING AND GAS FI ING ���'�3sy
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit �,/
inspection shall be phoned in to the plumbing Ine ector, 560-3450 � Fee $ "73. �
p giving number of this permit.,
DESCRIPTION OF WORB II
Numbes, Bind and Location of Fixtures
.�tOT1QS
Basement
1�t
2nd
3rd
4th
� W J '_..:,_ N
y� N Z
�,,, 2 2 N
a
3 u � m � m
� !
�S / :t
_ } Y Z
Y N Q Z 7
m 3 � o °
Connected with Sewer-Cesspool
N
w � �
0 ?
_ O Q
N
I 3
N I� J�� LL��¢ I� Z I WATE i HTR.
Q Q O < 0. '� Q GAS ELEC.
Gas Piping for � Openings
Permission is hereby granted �� '�- � � to do the plumbing and
gas fitting in the building described in the state nt hereto a ached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in th.e plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
7nspector.
Finallnspection Date
inspector.
�"`��-"ti � z 1 M-6-65-V �
�
City of Fridley �-!�'� -�/� �'� ,19��
Owner �-�-�-F�-yz� J ��C�-r�-tJ
Location / � �� � ��,
Kind o f Building � —
Used as
i
To be Completed � , 19�
Estimated Cost
Old-New. Building Permit No. ��. �`��
Inspector of Buildings.
SUBJECT P O.
City of Fridley ° 15151
AT THE TOP OF THE TWINS g U I L D l N G P E R M I
r
; � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV. � / �
� � �: ------�
r � � PROTECTIVE INSPECTION SEC.
1 . �
� � /'�'�1 � CITY HAL� FRIDLE� 55432 NUMBER- REV. DATE PAGE OF APPROVED BY
�""�"� ,�� 612-560-3450
910-F15 4/30/79 � /
JOB ADDRESS 7680 A�.CZP•Il Wdy N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDVTION SEE ATTACHED
DESCR. ]„5 5 Pearson's Craigway Estates iT1C� SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Joe Lapinski 7680 Alden Way N.E.
3 CONTRACTOR MAIL ADDNESS Z�P PHONE LICENSE NO.
Minn. Packa e Products 6922 - 55th Street No. North St. Paul NIDi 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 O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
� .
9 CHANGE OF USE FROM TO
STIPULATIONS
See stipulations in letter dated April 26, 1979 from Envirorunental
Of ficer.
����
SEPERATE p�RM�rs Before digging cali iocai utitities
FtEai'I RE�t11REp F TELEPHON� - EtEC�F�tiC - GAS Etc.
�'� P�V�B��G AND Q� W1Rt� . R�t�l�iR�D BY LAW
StGtyS,
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
YENTILATING OR AIR CONDITtOP11NG.
THIS PERMIT BECOMES NUIL 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
AND KNOW 7HE SAME TO BE TRUE AND CORRECT. A�� PROVISIONS OF IAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $']� rjOO $3.75
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- $45.00
STRUCTION OR THE PERFORMANCE Of CONSTRUCTION.
` - � �� ��� PLANCHECKFEE T$48.75
.� ��,._ �,� r��,�.�--�
SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT tDArE� � WHEN PROPERLY VAUDATED THIS IS YOUR PERMIT �
�1C�1UL.� � l Q �L1; +�1� � �.C� `
SIGNATUAEOFOWNERUFOWNERBUILDERI IDATEI � BIDG.INSP DATE
0
0
�
CITY or- FftIll�cY .
APPL.IC/1TIOP� F0�2 RESIll�NTI/1L BUII_DING PERf�1ITS
���CIJ, �iL7ER11TI0NS, �DDITIOtJS,' OR �EPAII�S)
0
_,
�,
� ,. �
.� t � i
owi��r�: .,�� c � � � �1�F� ,c , avzLnLR: ��� ��L`',_�_ -�2 .U. f
Address: �% , �'l, L Address: (���-,�`�" ,� SS-y�G �- `,h�--� .S � • �
4 7� �
Tel. Ivo. '� 7C) -!,�/ •
No.: / Cc���� Street: QU�E.' � S
LOT: �� BIACY.: � ADDITION: �� � �� (�x�L�;�p�
COW�tER LOT: INSID� IAT: S; TBACY.: SIDEYARri5: a� �"
Applicar,t attach to this foxm �tuo Certiiicates of Survey of Lot and proposed
building location drawn on these Certificates. .
DESCRI PTIOPJ OF BUI LDI NG
To Be Used As : �� �� j� C�.Ct�--�-C.i�'l� �
� � Q�O-�-L. PC.SC��-� �� �.lr-� f
�C�C�X-� Front: �� bepth: / Height:
Square Feet: Cubic Feet:
Front: � Depth: � Height:
� Square Feet: GUbic Feet;
Type of Construction: i Estimated Cost: $`% ��!�"
To I3e Completed:
Alt. A Alt. B
P�oposed Driveway Width If New Opening Ts Desired $ $
(SE� REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit far the work lierein
specified, agreeing to do all work in strict accordaizce with tlie City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares i:hat.all thc facts and representations stated in this application
are true �.nd correct. See reverse side ior additional information.
DATE: SIGNATURE: ` Il%�(/I�. ..� _�r��.
Stipulations: c� I'�vG���J .
i-f�-�-. � f -1 � � ��
-�_ �./�J � �'���_
� - ��-k. Re���s
� �� «''
a tr � � '' . � ,
a
t
. {
�
. ;
i
!
3j; � . .... . „ �
�' �:,
,� _._ __ _� ._....r�.F,..��,�
� � ��� �����
� r' � ��:_._ ..,
�� �,.� �, <. : �' �
� � �; �
�� ,
;�/,' �:
:: � - '�; -'_!:
� 6431 UNiVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
," April 26, 1979
�,
_ '�
,, ,
`, .-':,
Minnesota Package Products
6922 - 55th Street North
No. St. Paul, MN 55109
TELEPHONE ( 612)5T1-3450
Re: Swimminq Pool Construction at 7680 Alden Way N.E.
Dear Sirs:
This letter wi11 make clear this departments requirements for the swimming
pool construction at the above address.
l.
2.
3.
4.
5.
�
7.
8.
9.
As indicated, one (1) ski�ner approved by the National Sanitation
Foundation will be provided.
As indicated, two (2) inlets of approved design for fresh. and/or
repurified water will be provided.
As indicated, a main drain of approved construction will be provided.
The filter and pump shall be approved by the N.S.F. and be of
sufficient capacity to provide a minimtua turnover of at least two (2?
times in 24 hours. This department recommends a turnover rate of
6-8 hours.
A deck of at least three (3) feet wide, measured from th� pool waters.
edge shall be provided which. extends completely around all private
residential pools. Above ground pri:vate residential pools may be
provided with decking of a mi:nimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the
City.
The diving area will be acceptab le provided there is no overhead
obs txuction.
Fencing or other effective means including but not limited to walls
or bui].dings, acceptable to th e 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
beinq locked. � .
(c) Self-closing and self-latchinq 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.
An automatic chlarinator should be provided with a suitable test kit.
All electrical and plumbing installations shall be inspected and
appraved by the City:Inspection Department.
� ti
4 '
�
Minnesota Package Products
April 26, 1979
Re: 7680 Aldera Way N.E.
Page 2
10. All electrical lines must be greater than 15 feet away frcen the pool
surface. An alternative is to bury said lines.
11. 'I`he pool �ill spout must be air gapped ur protected by a vacuum breaker.
12. Suitable saf ety equipment to�include but not limited to a ring buoy
and rope that is 1� times the pool diameter, and shepherds crook pole
must be provided and main tained with the pool at all tunes,
Furthermore, these and any other requirements must meet the provisions of
the Fridley City Code, Section 115, Swimming Pools. The building peYmit
is approved contingent on final inspections and approval by the City.
It any questions or problems arise from this letter, please f eel free to
contact me at 571-3450.
Sincerely,
'�
5T EN J. O N
Environmental Officer
SJO/mh
- CC: Mr. 3oe Lapinski
7680 Alden Way N.E.
m
�
.
.
a
E�; F��;
� .
�'� . �, . - •
�
� .���.�
CIiY Ca� �RIDLEY
8431 UNIVEASITY AVENUE N.E., FRIDIEY� MINNESOTA 55432
TELEPHONE ( 612)5T1-3450
Mr. Joe Lapinski
7680 Alden Way I1.E.
Fridley, M2J 55432
Re: Final Inspection - Swimmirig Pool Construction at 7680 Alden Way N.E.
Dear Mr, Lapinski:
As of my last inspection on October 12, 1979, it was determined that
the following construction item must be completed priar to the final
inspection and approval for the swi.mming pool installed at the above
address.
The fencing or other effective means including but not limited
to walls or buildings, acceptable to the City, shall be provided
tr� 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 wnuld enable a perso n 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 bei ng locked. '
(c) Self-closing and salf-latching devices shall be placed at the
top of the gate or othenaise inaccessible to small children.
(d) The openinq between the bottan of the fence and the ground or
other surface shall be not more than four inches.
Once thi.s item has been completed, please contact this department.at
571-3450, extension 164, so that the final inspection can be made and
the papenaork filed. Your prompt attention and coogerati.on on this is
appreciated.
Sincerely,
STEVEI J. OLSON, R.S.
�hvi�onmental Of f icer
SJO/mh
l � � °� ��
E
�� ����1
��;��
,,.. _ ,.:� •. �'. �
���� �: , ,
�;�...:�.�.��:.A:. �,�. �
; � � �,.,, � $ ; , .
�. �: � �
� 6431 UNIVERSITY AVEtdUE N.E., FRIDC�Y, MINNESOTA 55432
.�" April 26, 1979
� � ��
V*�,��
Minnesota Package Pioducts
6922 - 55th Street North
No. St. Pau1, MN 55109
TELEPHONE ( 612)571-3A50
Re: Swimming Pool Construction at 7680 Alden Way N.E.
Dear Sirs:
This letter will make clear this departments requitements for the swimming
pool construction at the above address.
1.
2.
3.
4.
5.
6.
�7.
8.
9.
As indicated, one (1) skiimner approvecl by the National Sanitation
Foundation will be provided.
As indica�ed, ttiao (2) inlets of approved design for fresh. and/or
repurified water will be provided.
As indica�ed, a main drain of approved construction will be provided,
The filter and pump sha11 be approved bX the N.S.F: and he of
sufficiEnt capacity to provide a minimtur► turnover of at least t���o (2}
times in 24 hours. This department recormnends a turno�er rate of
6- 8 ho ur s.
A deck of at.least three (;3) feet wide, measured from the.pool waters.
edge shall be provided which. �tends completely around all private.
residential pools. Above ground private residential pools may be
pr_ovided with decking of a minimiun size of 4 feet b'y 4 feet at poo:l
entry points and provided that such decking has the approval of the
City.
The diving area will be acceptab le provided there is no.overhead
obs truction.
Fe,n cing or other effective means in.ciuding but not limited to walls
or buildings, acceptaY�le to the City, shall be provided to posit�vely
control all access to public and private residential swimming pools.
Fencing shall meet tlie �ol].owing criterza:
(a) The �encing sliall prevent the entrance of children and be without
hand or foot holds that would enable a person to clirnb 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
beinq 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
ather surface shall be not more than four inches.
An automatic clzlorinator should be provided with a suitable test kit.
A11 electric�l and plumbing installations shall be inspected and
approved by the City:Inspectian Department.
�
�p-�z-, �
Minnesota Packa9e Products
, �., .- � April 26, 1979
� Re: 76�0 A].den Way N. E.
Page 2
l0o All electrical lines must be greater than 15 f eet away iran the pool '
surface. An alternative is to bury said lines.
�11.. The pool fill spout must be air gapped or protected by a vacuum breaker.
��12. SuitabZe safety equipm�nt to�include but not limited to a ring buoy
and rope that is 1� times the pool diameter, and shepherds crook pole
must be provided and maintained with �he 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 571-345Q.
Sincerely,
S�'EV J. OISON
Environmen t� 1 Of f icer
SJO/mh
CC: Mr. Joe Lapinski
7680 Alden Way N.Eo
USE /-6- � a
r. ¢Lp.. �4 .
PANE L EAC
iJND /¢ CU1G V
AigNEG S - TD7/lL
WAGL yER/METER
I �
I
i
�
I
� /7•
1
I
�
�`
USE d.9cK �AACE.s7�
P/INEC ,70/NTS /1ND
AT CE.vTE�P OF
6 � O �� !4. S7AAi4�V7
PANEL 5 (MAR.�'ED: �
TOT/! L 2� a�P
ia ew s�cP �
/1/OTE :
USE aF Drv�.v.t,
EOU/yMENT ON
T�/.s Pooc is
PRO.S�/8/TED.
USE 6-6�O�GG.
$T7IA/!j MT P/INCL S
( 3 Pc� 3io c) A.vy
/t CU�TVED yANEGS
TOTAL 10oL {YALG
PEA/MiTf.Y a B9�-S'
/ / � •
17 x 27 OVAL POOL '
_ .
—�.I j� �! �O ��M/N.
(�YPi��J
� poo� ,sorra++ c.�rv aE
D/S//ED Liv7 AS JyOWN
To MAXi�M DEP7�Y
OF S'O�.
17 x 35� OVAL POOL �
B'6� /Q=O�
(�rricwy C. - c.
i�o� 6'0, 6'0�
\/_', 3_0..
. � x � ,. /
4,'` -- Ix
� x
/7=0.
B� o�
� x
T
/�o� '�ii7Y
4.�6„ . x L,f=p'
1►OOL
AAD/u5
�x x x x x x
USE 3AC.�' d�v�tCE �T J
PANEG JOiNTS
AND AT GENTE.� OF
6 �O��LIa. STXA�6NT
�ANEG s �MAA.�ED "x °�
TOTAL 26 d,VACES�
,'�¢ ON 57EP P��G.
3't_ �
_ 6=6
6�L0
1 � _
35 -o -�
23 - G —�F
=a+�f7 f�+}�6�0+-
:`n
7
VED
��41
[ END.
livD3 /i�woC.
\ STEP U�viT
ON THE STEI PmoC
usE 4 .ST�NDi1XD
Cv.r✓Ea �i✓ECS
�a '-9� '�o�•yJ .r.�a
2 CuR✓ED 51ACEA
PANEYS (ie'/e"Lav4j
/1S SNeWN. �
�OO.G AAE/1 = 397 SQ,�T,
Poo� c.yr.sc�rY :
B 900 ef.�ILLONS �j�LNT�
//� LOO 4%lLGO�/J �DiJNED�
8=s`RAyvvS - �/JE 7
S7iM'�AAD C�/�YED
7/1NlGS �3 � 9,� �LONy�
7b fOAM 0✓ifG END .
FYP/CA[ aOTN ENDS
OF Povt,
3so =—�y 3'B i�-
SPACEIP {39NEL
3'-6" �
� S=6"
�
a=oa
�
� f/dfA6l.�l.sS
,$TEP ll�v/T
LiV TNC 3TFP 10OG
uti f STAND.sAe
C�/JNEp 1NNF�S
�3 � 9� �LONa�, F
2 CuRVEa S.°A�EA
Yi9NEG.S (/G�/a�Le�✓;J
AS SA'DyvN.
Pooc AAEA : 533 sq.,�T
paac C�rPi�GiTY :
ia,aoo y.9tte.vs
�
�
Ny�ON 80� y�fNO N+/T �iYRd /ILG MAf/i✓!� 80GT i✓QC65.
INALG PA.vE[ (7yv�CAC�
0
�
- 2 Y/ECE GoyjNf� �,Y6CT9N�UGi/.P POOGS
ONLyJ �1TJ�f>4y TO PANEG TBP h'/TN
NYLON 30GT5 ANDNVT3 ITYYiCiIcJ
��
Cow/GRE7L AECE1'Ta1P -
ATri�CN Tt7 �A�EC Tb7
w.TN SE[F TifPP�i✓y
SC17fi'V3 �TYI/CAL�
\ � � /=0�x/�o�p.VEfOAMED
\ \ � CORNEA �TY91CAG f''O.p
/��1� �l\ i AGC PoocS EXLEP7 BvqL�
.�l f\I \ �
`
�� �
�
A��
�; „� .,
� �
fDAMULA K
BiVC,a' BAACE-
.S6F �i'+x�G Dws,
fOJr Q!/Aw/T/ �'Y
f LO CAT/ON
�
�
B•�O •
3 �-Q �x B =0'"
Fi8E.v4c.oss
S7EP UNiY
� / sEr TNE NE/�iN�
/ oF nre srcPS �o
M.I7CN JPCCFyTOA
- TO� �9N� T�✓B�/�
US/Nri wN[[ pANFL -
AS TEMPI.fTE�
� DJP/LC L'� ' �tiV.
HOtEJ /N FAC�R/
_ srcP siaE f«s�'.
�OtT 37E� Ta
�NALt !✓ALL yANELS,
7�i1NEG Do ivs7 O✓E�Yi4�'TQN .
�
WA[L PANEL A SSE/i'1BL Y�ETi9/� S
�i!/.v/w!r/M S[01E OFr ��EA A�ms AN�i�Y f�7wo
�OGi EDl�F 'fO,Y A M/N/MtlN qf /O �
3LO�E M(!Y aE � " �EA�m1 /�
CO+�/ClESE DEG,�' /S /N3�i'1LliD��
p.a/NCN �*+^ �
CmNCAESi
TN� E/ItN
�AL.r 13AACQ —
/? � TN/CX
G'O.VCAFTf
dOND pE/iW/
U.vD/37bRSED
ErfJPTN —
� U,SE
UyOE�P
L�w�x
ExrAU.sic.v
YRAtX O�(
COwCAIETE
X�EIY �
78T i00�.
3 =4 "'
- JAN/D -
/ ` M/N/M�/M
�TAMp �
TAp�✓EtJ
TYP/CAL SECT�ON Ti�/R�1 POOL �'YALG
so cs�EJ► ii- s ze- ExG.�v✓AT/dV NcTE3 :
' 7ba1c S TN/S �wK. //�/7�7
1� W�t3 /s'r s*'
Ay� ��„� y��,�k /. SO/L TO NAYE M/N/Mf/M EfAA/�v! GILO�IC/7Y O/ zO00R.�F.
yee� a s.r..va�
�, x i�f���� � Z. LOCA7E TOP OF R�o[ AT LE�ST i ABmvE
i aw �i�✓fI 3vARouNaiN4 [A.vD LLGV�IT/oN.
3. E�c.rv.vfioiv .SyAL[ At 2�UA4�A TM�N PeeL AL[ �IAdY.wD
F/GG VOiD,s d.vDEA DIlJ6 OF PiINFLi t TJR�/P IYELG. �
4. diYCA iiCL .SVOI/lD .YeT �A'G6E0 �✓.�7EA NE/6H7 ,aY MI.►E TA'AN .
/2 � wAf�1P fE✓EG 3MOVitD A'Of EXtEED NE/4N7 OF �
TAMPED dACKF/L[ .aY MORE TNAN /2�:
Q.ENEA.rI NoTEt :
/. /➢LL YEAT/L�I,L y/ME�✓J/LL✓S iJiPC F,#'OM UPPEA
L/NE•P EXTiR/J/ON TAt�1C.c ON AL[ ioaC 5.
2, UNGE35 OTNFAW/SF N07E0 AGC �Oat S.A�E
N.J. � S. TY1i �' i/ND TYPE %r A'✓��G
EOV/PMl.vT /S T� 7E !/SE7J.
-TYPE � DiV/.vy FQViPMBNT TO 3E
A/O�INYtD, NO �y/�jNlR' T•M!N ZO'�fDOYE
Wi/TI�P f T�P OF dOApD .?.VALL ,�E
3�:3'r iROM DEi7o ENO W/0«. �
=STRUCTURAL FOAM POOLS �
FLAT TOP PANELS
PACI FIC INDUSTRIES
787 WATERVLIET SNAKER R0.
LATMAM . N.Y.
CALE : IR� I�p 2003 ! %os2
NO.vs
PAC/f/C P00[ G PATIO
MINNESOTA PACKAGE PRODUCTS, INC.
6922 55th Avenue North North St. Paui, Minn. 55109
Phone 7747313
CUSTOMER NAME �/ �� �° /�J"/��//'�'�/ ��� CG�i✓IS.K / DATE -��- �
ADDRESS � � �O /7�L�P�/'I �ll�� r'� r1 �� PHONE
Ill/J
Diagram pool site in relation to house, garage, property line, and wires. (Allow 3" variance) _� �
I - ___J ._.__� �___.
� �i
_._",- --� �` �- - � -��- �....�.��.- �
_. �` . ,- _. v/� , � � ; ,.,_�
� �
_ _ .__ .�, ,
�
_ _-------__., � ci o,� :i� :�/T�--� � � ,� ' --�_
,--__�--
-�___ __-� � � �,;r - _
�� -- - �
� �': �� � � i ��
� 11 �-- � i
1 ` ; �! /.�%;� / �^I �
�i- � ��"�+ � !. ��.. �i:-nlYO � )/� ?�'�
,�.r. ,� ,�
� ��� A /✓I ��—'TYGoT /v,',�
I i' III. 1 �/ l'-�^ r� �n �,1>,J �. ,
� �I �� � , . _� �, ,� �u�ot^°Y
!I .. �.. � �!,� �,
v �„1 � �
� r--- --. _ .— �-- --- - � � o � r
� �; !� ' . , _
. �� ; �
' ( i ,� , -- ; i , --
� � ;; �� � � � � � i
�rt �,;
,.i ,� �i` _,. _�� ,1 _
, i' �-� ,��
\ � j� '��� �rr� _
L-. � -� ' * �' -- �__ -� -�-
� � � �i�`��
i _ \ �
- � �"`: i /t � �j
� � � , �% ., �
, � � �,;�, �
� , �
1. Indicate deep end by (X).
2. Mark location of filter and/or heater by (#2).
3. Indicate approx. elevotion of pool in relation to a permanent fixture on the properfy. If ihere is no permanent fixture, mark
the diagram with the symbol (A) at grade point. 3�I �� r� f�6� �/e �'(IC(`f �Q� � j�/ /�
� C� /P�
4. Will irees, clothes po s, poLwer tines or any other obsiructio� be��e/n/countered? Yes ❑ N10 '/
If yes, explain �/L�S7OYriR/� [.�J �� �ICi(lQ IA%t.X-C �/�Orl� W- �/I� -�iI1/Lc�,��� L✓I �i
5. Does customer wish to retain any or %�I�I diAj rom pool xcava�fi n? �es /� , No � /-.
If yes, explain /7��(S'� /wc%-/ %JLt� /') "�(�/�- /n ST/eP�
6. Indicate and exylQin any special instructions not covered above.
7. Pocific ools recommends ihat the cusiomer construct a retaining wall as won as poJssible a�fte/rI/Jihe pooT is completed.
Yes � No ❑ Show in diagram. � re�la�� re{'Y1C�iEC1 �1%l,�-lJr-
8. Custamer understands that some da ge may be done to the yard and/or driveway while entering and leaving the yard during
consir�ction. Initial here �a
9. Gustomer acknowledges receipt f grounding insfrudion sheet, and is responsible for groundiag and electrical wiring of
the pool. Initial here �o
10. Customer acknowledges ihe fact that he is responsible for the gas installation for heater if applicabie. Initial here .
Crew Chief Use Only
Inspe<tion Required SPECIAL NOiE 70 iHE CUSiOMER;
1. Wails ❑
2. Plumbing []
3. Footing ❑
4. Electrical ❑
5. Other []
Coll Mr.
at
Phone No.
If you wish to chan9e: fiher position, slope of land, extra concrete, or anything
else stated in thi: outline, please call your wlesman at the office - 770•7313. Crew
chiefs are not authorized to change anything on ihe job or make any p�omises for
work to be done by them. Any chonges fhat are not authorized by ihe office will be
tharged at a standard rate - no exceptions.
Seller Signature Customer Signature
�
�
•
�;
;:' ;r
� ,a
� '_ -
�, . _ ..
•,s�
- ,a:_��;._ ��r'..
��
w��sxu
�::��� � -�.i
: �,
�•
��
��� � Y ��
_5 .
; -� ��4'�� :c.
�rry�pST%
� � � \ � , .
� ' `,
�
\ � �,
��
� �
R � .�
.
.��>
e�� -- � , �.,,.t
— — � '��
S-200 Series ,„
d
' . � ��� � � �\``
,
�.� �
. �i �
� _' \.
ti \
�
�\ � 1i �
�� � � � -. _ ..
A high performance totally
corrosion-proof filter series that
combine superior filtration and�i
features with ease of operation.
Designed with the pool owner
in mind, the S-200 and S-240
filters produce clear, sparkling
water with only the very least
attention and care. From "see-
thru" dome and maintenance�
free construction to convenient,
easy-to-use control valve, the
S-200 Filter Series is the ulti-
mate in high rate sand filtration.
. .,.
.b•�.. }�y.
i
�
\
SPECIFICATIONS — 5-200 and 5-240 Basfc Fllter Units
FILTERTYPE: HighRateSand—NO.'hsilicasand�.45mm-.55mm)
FILTER TANK: Injection molded Cycolac
UNDEfiDRAIN: Piecisionslottedleterals
CONTROL VALVE: 6-POSition Vari-Flo—lever action handle
SUPPORTBASE: Injection molded Cycolac
PUMPHANGE: '/.to2HP(30-BOGPM)
DIMENSIONS S-200: 23b4" widex 36" high (597x 914mm)
5-240: 27" wide x 42" high (686 x 1067mm )
SPECIFICATIONS — 5-200 System tl and 5-200 SyNem II
PUMPandMO70R: HaywardSuperPump—ULapproved�Vzto2HP)
FILTER/PUMPBASE: Deluxeplatformbase
PUMP-VALVECONNECTION: QuickconnectLexanunion
PER FORMANC E RANGE: 3D-60 GPM
DIMENSIONSS-200: 31"wide x 33" deep x37" high (787 x 838x94Dmm)
5-240: 31" wide x 33" deep x 43" high p87 x B38 x 1092mm)
PERFORMANCE DATA
FILTER AREA FIOW RATES TURN OVER
(gallons)
@�5 90m @� 9Pm @25 9Pm
per sq, fl. per sq. fl. per sQ. tt. 8 Hrs. 10 Hrs.
33 gpm — —
Flllar
No. S-Y00 22 sQ. N. — 49 gPm —
— — SSgDm
a7 gpm — —
Fllla�
No. S-YIO 3.14 sq. }t. — 63 gpm —
— — �e 9Pm
15.840 19.BOD
21,120 26,400
26.400 33,000
22,560 28.200
30.240 37.800
37,440 46,800
for easy, safe manual re-
lease of air from system. �
Clear 6° threaded
inspection dome lets you see operation of filter
and provides convenient access to top of filter. •
Assures even distribution of water
over the top of the sand media bed. All internal pip-
ing is 2" to give smooth, free-flowing performance.
Automatically purges
filter of any entrapped air during operation of the
filter system.
Injection molded of tough, durable CycolacTM
for dependable all-weather performance with only
minimum care.
Provides extra
strength and securely and safely fastens tank top
and bottom together. Allows for future service ac-
cess to all filter components without disturbing
piping and connections.
with easy-to-use lever action handle to let
you "dial" any of the 6 valve/tilter Tunctions. FIL-
TER, WASTE, BACKWASH, RINSE, CLOSED or
RECIRCULATE.
make assembly or disassem-
bly of the control valve easy.
These precision engineered, corrosion-
free, self-cleaning laterals give totally balanced •
flow, even when backwashing. Laterals individu-
ally thread into center collector hub to assure
positive sealing, and allow for fast, easy servicing.
Rugged and attractively styled
to provide strong, stable support for the filter as-
sembly. Totally corrosion-proof, too.
allows tor total draining
of tilter for winter or service. 3/a" garden hose con-
nection thread for easy hose attachment. Drain
assembly is replaceable from outside of filter.
� are serviceable using
only a screwdriver and wrench.
The 5-200 and S-240 High Rate Sand
Filters are available with two base options:
1. Standard pump mounting base.
2. Deluxe pump/filter platform base.
The System I I Series is furnished complete with
Hayward UL Super Pump and dear Lezan union.
All components factory assem6led on deluxe
platform base.
System II Series available with'6,'/<, 1, 1'/, and
2 HP pumps. Your dealer wili recommend the
model with the pump horsepower that will
provide op!imum performance, at the lowest
operating cost.
900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEY 07207 I Phone: (201) 351-5400
Hayward and 5-200 are irademarks of HaYward Manufacturing Co., Inc. Printed in U.S.A.
C �
i
�
� '�
�� '
,�
�:!
i
C
�� � i
�,
� �.;
� ;
} �
I �
�
�
�� �
- -�-�-�-+-�-•,-r. _ �_�„s �
,.
_ _ ---. ,� ' * ; t
_. �
.. . . . . j,: ..
_ y,
� � � M:�Y. 1.
i //j/ j , � �
, ! .i , �� Y�
' ' ��
f�
+ � � ���`
�\ ,_-
. 4 ---r�?d�i+o
��.
� ..y..
�,
The Spa/Marks: Convenience, safety �
and traditional Teledyne Laars quality...
plus more of what you want in
spa heating — speed!
When you're in the mood for fun in your
spa or hot tub, why wait? When you need
to relax and jet away the tensions of the
dat �chti- delay? When your friends or
�, family are all set for a
-� `""�- free-andeasy splash
�� .° R`""" party, why stall around?
W ith a SpalMark spa
��, � heater you can be in the
water in just minutes...
��hile ��uu're sti11 in the mood ... and
with a temperature that's exactly what
you want.
Teledyne Laars makes SpalMark spa
heaters in two efficient sizes. The 175,000
BTU SpalMark will heat up an average
�00-gallon spa from 70 to 100 degrees in
just less than an hour. The 125,000 BTU
SpalMark will do it in about an hour and
10 minutes. Both are speedier, more effec-
tive and less costly than using electric or
undersized ordinary spa heaters. For
faster heating of larger spas,
rely on the big heat- _.
ing capacity of ;- '�=
Teledyne Laars pool F��;�`y���
heaters in 250,000, S � w_
325,000 and 400,000 �
BTL' sizes.
And a SpalMark gives you more than
speed in spa heating. Besides being super
fast in bringing your water up to tem-
perature, a SpalMark incorporates all the
convenience and safety features that
make your spa a real pleasure to own.
That's because every�thing's a�.tomatic.
For example, once you determine the
water temperature you most enjoy, just
set the exclusive Teledyne Laars Safe-T-Lok
feature ... and you've locked in the
right temperature for
every time you use _. __ . }
your spa—automatic- ' �
ally. But vou're not �� °� -�
"married" to this set- ��� �' ���
ting. You can change it any time you
want. And a simple OnlOff switch lets you
shut the SpalMark down so just the
pilot is on.
One of the best things about the
Spa/Mark is the way it's built. Not just to
be stingy with fuel, but to maintain its
efficiency over the years—to perform with
minimum maintenance and upkeep.
Exactly what you'd expect from Teledyne
Laars, the world's largest-selling pool
heater manufacturer. And backed by a
written warranty of one year on controls,
copper tubes and firebox and five years
on all other components—with outstand-
ing service after installation. This means
competent service technicians and genu-
ine factory parts—if you ever need them.
Both SpalMark heaters include all of
the quality features detailed on the
following page—and both are available
in lo« profile and stacktop ��
versions for outdoor �
or indoor installation. �
For the fast, practic�ll � � . �,
solution to spa , `
heating, choose �i ""`�`� ;;
SpalMark . . . it ;� ���'
a sensation! �
`:�
,
_
�
✓
�
J � .
1 r,; %�l
: : C,
A�
t f,�l��
L .. -��/ I �a
�
�/ /�
�
�
e
'�,^ �
.. .. .. . .. __��
� ` ��:
�
How to select your Spa/Mark
The only significant difference between the two
SpalMark models is their size-125,000 BTUIhr.
input and 175,000 BTUIt�r. input.
The ]ar�er the size, the faster you can heat your
spa to the temperature you want, of course. But,
dependin� on the speed with which you want your
spa heated, you ma}� not require the larger size.
The choice is up to y-ou, and to help cou make the
right decision, check the Sizing Guide below. Based
on the Kallonage of vour spd, it tells you how man,y
minutes will be required for each 10-degree tempera-
ture rise you want for your spa. That rise will be
the difference between the initia] watei� temperature
and the desired spa temperature.
Indoor or Outdoor Spa/Mark?
With a Spa(Mai-k in either size you have the options
of ordering an outdoor model in a low profile
version or with a vent cap stack, or an indoor model
with a draft hood that vents gases to the outside.
SPA/MARK SIZING GUIDE Based on the size of your spa in gallons, you can tell trom the tigures below how many
minutes will be required for each 10-degree temperaWre rise in your spa.
Model• 250 300 350
125 13 16 79
175 10 11 13
250 7 8 9
325 5 6 7
400 4 5 6
'See Specifications for BTU/HR. input
Time in Minutes to Raise Spa Temperature 10 Degrees
SPA SIZE IN GALLONS
400 450 500 550 600 650
21 24 27 29 32 35
t5 17 19 21 23 25
11 12 13 15 16 17
8 9 10 17 12 13
7 8 8 9 10 11
SPAIMARK SPECIFICATIONS
Indoor Outdoor
Draft Vent Cap
Model BTUIHR. Width Vent Hood Stack Shipping
No. Input (W) (V) (S) (S) Weight �
125 125,000 15 5 2D 17%a 195
175 175.000 18 6 203h 18 212
J9Y
250 250,000 22'/z 7 28'/2 23 245 I
325 325.000 26'A 8 29'/z 23Vz 272
400 400.000 31 °/. 9 30'h 26 Y. 303 1
/
��I�C����]C� �'� �'�G��
700
37
27
�9
14
12
750
40
29
20
15
13
:�1
�
�
�
�
�
850
45
32
23
i7
14
� I
�
�
� s � � s
�W—.._6-.,, �26�:x I �26!a I '
l 1
__ �- _—
za�-.�!— I zwJ .�- !
� �aM—� I 3ai. ia»—� � I
28L.
�
. GRONi — PiGHT RIGHT I
' sioE �� sioe sioE �
OUTDOpR INDOONSTACKTOP OUTDOOR STqCKtOP
lOW GqOF1LE WITH DRAR MOOD WITM VENT CAPSTACK
i��OI'%}l HO�IJ�ooCj, Call%T'nt8 91Fi(1J irtHOirvusn s��ere*eeovHeunAS sroaw
�
,�::
` CI1Y OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTIlATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with t�ev�c-�ur-�aee)
�,,LIE'� � (� C�'
Gas Range �} � �^ � C� �
�l
Gas Dryer
*AirConditioning - AII:Sizes
Rate TOTAL
$ 30.00 $
$ 10.00 $��,
� l�
$ 10.00 $ .
$ , o.00 $
$ 25.00 $
S .." w.
All Others/Repairs & A�erations (LIST ON BACI�
��) 1% of Value of Appfiance or Work .- �
� '7L�-�v c��i�ZS�C�_� ti'1,'�-�'\,,�
- � Commercial/Industrial
1.25°/a of Value of A�ipliance or Work
State Surcharge
TOTAL FEE
Effective On January 1, 1997
�° � � i
JOB ADDRESS � ; , ! .� } � �;
�
The undersigned hereby makes application for a permit forthe work herein
specified agreeing to do all work in. strict accordance with the Ciry Codes and
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
� — � � �9 � ,1997
r; i
OWNER� `�..J �--�. � � �'�C��v�� S 7/ - I �l 5�2
BUILDINGUSEDAS �'L�.:J � ��_t�.��,�i
e�
ESTIMATED COST PERMIT N0. I�Cr-��c'
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Alr)
Trade Name Size No.
-BTU HP EDR
$ Fuel Total Connected Load
.50 Bumer Trade Name Size No.
;- ��_ �t; BTU HR EDR .
( �:�,
\ Diamond Power Mech., Inc.
,� _�� ' ,�
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGEAATION/AIR CONDITIONING PERMIT IS $25.00
PLIJS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Cond�ioners can not be placed in a side yard without
written permission from adjoining property owner.
� �i � %f
..
:.:.:,: - „z.�,..�.�_�;
Signed By
TeINa`1��{- y�},�f
T
Approved By Rough-In Date
FILL OUT BACK SIDE F R STACK VERIFICATION ON
REPLACEMENT FURN CE �x ' `� ' I�
QQi�M� �T ---� �V
Final Date
����
CHIlVINEY AND STACK VERIFICATION �
,
The undersigned hereby verifies that the existing chimney or stacic: :
1. Has been carefiilly examined � Xes (�) No O �
� I
2. Is free from rust or deterioration Yes O No O i
3. Has no foreign objects lodged wittrin Yes () No ()
4. Is securely supported Yes () No ()
i
i
5. Meets all current Code requirements for size �'
and total BTU's connecteci Yes O No O �
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes O No O
8. Has combustion air been provided for water heater Yes () No ()
Remarks- � - ,/ / / _/ /' �n �J
�.�-.5�1-r. /��/ /��C �S !�'O l'� d' . G�L // !/L L� C �(/� c� T- V-C[ S 1 / K.jl /Y /G �-tid'
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Dicrmond Power Mech., In�
8375 Sunset R�d
6
Building
Inspections
763-�72-3604
D.aTE I nt' �ln `
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY
�W1�TER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YUUR STaTE
LICENSE �ti'ITH
:4PPLICATION
PERMIT TYPE
TYPE OF WORK:
� PLUMBING
RESIDENTIAL APPLICATION
CITY OF FR�DLEY
YOUR E-MAIL ADDRESS
• • i
❑ OWNER -�CONTRACTOR
PHONE: /1��, `".Z� ►T
N
STATE LICENSE # �
AD��7O T�
PHO��
C�INGLE FAMILY
❑ NEW
DETAILED DESCRIPTION OF WORK
CITY
Permit No.:
Received By:
Date Rec'd: ` � � �" �.�
ATELU CIZIP��3
�EXP DATE I d"�U L
� CITY STATE ZIP,
C�-'Z— r,.�c l�j (-'.� �5 -.� 3�F 0
❑ TWO FAMILY ❑ TOWNHOUSE
rQ REPLACEMENT
PER MS 1 bB.66� the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, instaliation or replacement of a residential fixture, excluding the fixiures. (This should reflect only the cost of labor )
Labor cost under �300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS V�'HERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BEL04�
B�TH SINI;ILAV FLOOR DRAINS _ SHOWER _ WATER PIPING
BATHTL'B GAS PIPING pv� ctrrzrc�ssj SWIMMING POOL _ WATER SOFTNER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET _BACKFLOW PREV. ($15)
DISI-IWASHER LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION
— — WATER METER _ OTHER
Permit Fee
TOTAL DUE
$ �7 _.
.50
$
Number of fixtures @ $10.00 x $10.00 = $
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @$35.00 � x$35.00 =$ 3 S• �U
State Surcharge = $ .50
Tota1= $ 3S Su
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 applic tion for it and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case d a w which r uires review and approval of pl . � ,
SiGNATURE OF APPLICANT PRINT NAME DATE �
0
City �f F�-itlley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
/I
Building PLUMBING PermitNo.:aC�b%' C�
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date � 07
DATE r� '�� YOUR E-MAIL ADI�RFSS
SITE ADDRESS ��� �- � �m `� I �
��
THIS APPL[CANT IS: ❑ OWNER �ONTRAI. iv
PROPERTY NAME; "
OWNER/ ADDRESS: O �Ic.vvv� ��� � � e STATE P Z,
TENANT , _.
PHONE:
CONTRACTOR NAME: @- �\ L�— L1�� < �
SUBMIT A COPY OF STATE LICENSE # ' X DA
YOUR STATE ADDRESS� �-% O � � _(? J'`: 'C�-sl.� `-f ��Y � �STATE IP � Z
LICENSE WITH PHONE —���Z �' Z AX �
APPLICATION
PERMIT TYPE tNGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: � NEW ❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK C�` O`. V�—
PER MS 16B.665 the permit fee is a minimum f$15.00 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residentia fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: ([NDICATE TOTAL
NUMBER OF EACH BELOW)
BATH SINK/LAV FLOOR DRAfNS SHOWER WATER PIPMG
BATHTUB GAS PIPING rti�ruair�n�i.iri;NS�r) SWIMMING POOL WATER SOFTNER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15)
DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
�� .. .
, ,;,�'� '� �,� � �� . �d: ;., w�r ��... uf "` r �, �,s�a�b �
.,
�z
�
z
Permit Fee $ Number of fixtures @$10.00 x$10.00 =$
Surchar e .50 Number of fixtures @$15.00 � x$ I5.00 =$ I.`i � f i0
TOTAL DUE $ Number of fixtures @$35.00 x$35.00 =$
State Surcharge = $ .50
Total = $ " � 5
THIS IS AN APPLICATION fOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans. �
SIGNATURE OF APPUCANT �_� �_PRINT NAME C�� t�� �� DATE '—�
�� ��' . � ..- � �, .. .: � .:` _�'�_P�'s�V1I`�'� .AR�• i� �'���3� �, . , :
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE ` O ``I '
SITE ADDRESS I
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
FFFFCTiVF 1_t_O!t
YOUR E-MAIL ADDRESS
❑ OWNER �CONTRA
NAME: DS D
ADDRESS:_5.��
PHONE: � � —'
NAME: ,
i ►'1 Sl� t
Permit N � �
Received By:��
D�i�'dQC_T 2 7
�crpo �nr . �nm
CITY STATE ZIP
HLLICr,JJ: 1 l JL 1 I�' �,yl�' � L�r 1.11Y�
PHONE � U! � " � 3� � �5� FAX � �D3 ` �
STATE LICENSE #__r���� � EXP DATE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
� TWO FAMILY/NEW CONSTRUCTION STORIES
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
O BASEMENT FINISH �ROOF ❑ DRAIN TILE
� DECK 0 SIDING ❑ OTHER
❑ SWIMMING POOL
❑ NEW HOME CONSTRUCTION O ADDITION
�MAINTENANCE/REPAIR O REMODELING
DESCRIBE WORK BEING DONE:��,l� l� �' � . I�"
SIZE OF IMPROVEMENT
ROOFING �%�
NUMBER OF SQUARES LJ
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
O Aluminum
O Other
WINDOWS
IN EXISTING OPENINGS ❑Yes ❑No
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
HOUSE ONLY
�;HOUSE & GARAGE
D ATTACHED GARAGE
O DETACHED GARAGE
:�.:i�►si�i
. r �l
FT
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
OSo�t ADDITIONS. & PORCHES SUBMIT:
❑ Trim 1. Site Plan/Survey showing ihe existing swctures
� Fascia and proposed project.
2. Two sets of construction plans
3. Energy Calculations
LOCATION OF WINDOWS
NUMBER
ALL FEES ARE BASED ON VALUATION INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALUATION
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
,
SI THE 997 BC FEE SCHEDULE)
OCCUPANCY TYPE
$ Z See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ �� .001 times the total job valuation
$ .0005 x Permit Valuation Minimum $.50
$ ,�Z ti� $5.00 (State Licensed Residential Contractors)
$ $1825 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$21=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ !� Make checks pavable to: City of Fridley Attac
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 Constnrction Codes; that I understand this is not a permit but only an application for a pertnit and work is not to start without a
permit on site; that the work will be in accor nce with U e approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICAN �P� T��L�1(}. �Q.Q.Yh� DATE ��'aLi'OB
APPROVED BY DATE