AF - 47621N° 1039
� �
Village of Fridley, Minn.
BUILDING PERMIT
Office of INSP�CTOR OF BUII.DINGS
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- Architect Fridley,
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LOCATION OF BUILDING
Na� �,- 'j � !- � � Street -' '���' ` � � -- x ,j Part af
Lot Block Addition or SubDivision
DESCRIPTION OF BUILDING
Front�_ Depth Height Stodes_ 14anner of ConstrucUOn �
- > ,. ,�,.,;<.a._ r .
To te used as To be completed �' -�- � ' Estlmated Cost
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Permit is hereby granted to �' '
• . �, .
the building - - described ia the above statement. This permit ia granted
upon the express condition that the person to whom it is granted, and hia agents, employees and workmen, in all
the work done in, around and upon said building, or any part thereof, ehall conform in all respects to the ordi-
nances oP Fridley, Minn., regaxding the constructlon, alteration, maintenance, repair and moving of buildings
within the city limlts, and thie permit may be revoked at any time upon vio]ation of any of the provisions of said
ordlnancee.
i
� -'���� � � dnspector of Buildings.
AGREE'.1�IENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inepector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in aecordance with the description
above set forth and according to the provisions of the ordinnnces of Fridle,y, and, being first dul,y
sworn, I hereby state and say that the facts stated hy me and contained in the above permit are
true as therein stated.
,
Subscribed and sworn to before me at Fridley, Minneeota, this `7��� /
. _ � � I � I.� -C„_r'�--.-e �
day of '. n. ' A.D. 19—. —�^
�
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SUBJECT
City of Fridley
ATTHETOPOFTHETWINS gUILDING PERM{T
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� • COMMUNITY DEVELOPMENT DIV.
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r � � PROTECTIVE INSPECTION SEC.
1 . �
i.-_-� ��"' �'� CITY HALL FRIDLE� 55432 NUMBER REV. DATE
Z 612-560-3450
910-F15 10
108 ADDRESS 5704 Jefferson Street N.E.
1 LEGAI LOT NO. BLOCK TRACT OR ADDITION
oescR. 6, 7 4 Adams Street Addition
2 PROPERTYOWNER MAILADDRESS
Larr Betterman
3 CONTRACTOFi MAIL AODRESS
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER
6 USE OF BUILDING
MAIL ADDRESS
Residential
ZIP
ZIP
�,
PER D._._..
. 12353 '
RECEIPT N0.
� �/
OF APPROVED BY
/
SEE ATTACHED
SHEET
PHONE
PHONE UCENSE NO.
LICENSE NO.
PHONE LICENSE NO.
7 CLASS OF WORK
C� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK Construct a 36' x 26' Dwelling and a 22' x 22' Garage
9 CHANGE QF USE FROM
TO
STIPULATIONS provide a hard surface driveway. Provide a verifying survey before
capping. All lumber to meet Codes.
SEWER LOCATION: 40' North of Manhole (Inv. 866.88)
Wye Elevation: 866.72
Top of Footing: 869.72 Minimugi
WATER LOCATION: 6" CIP Watermain 20' East of East property line.
MUST BE TAPPED
SEPERATE PEI�MitS REQUIRED FOR WiRING
H�pT�aG, PLUMBING AND SIGNS.
TYPE OF CONST.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCl FrB.IIIe
THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT R-1
ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS APPLICATION �-
AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS Of IAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �ZO, 056
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $(�,$.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
IDATEI WH
t0���- ��
IDATEI BLD
OCCUPANCY GROUP �OCCUPANCYLOAD
SQ.FT. CU.FT.
936+988+542+6 25,574
OFFSTREET PARKING
STALLS GARAGES
SURTAX
10.03
SAC CHARGE
$275.00
TOTALFEE
$333.03
RLY ALIDATED THIS IS YOUR PERMIT `
, �C �c_.( t�o � n , /O ^ /07 - 23
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City of Fridley
� AT TlIE TOr OF TME TWINC
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r �a; —•----� COMMUNITY DEVELOPNENT 01V.
1 i YROTECTIVE M/iPECTION OE►T.
1 � �
� i �'�-� � CITY MALL FRIOL[Y �6452
�����,� �,� �12�860-3460
Job Address: _,
S ') o
Legal Lot No. Blo
Descr. ip•�—''i
Property Owner
ontractor
rc itect or Desig er
i
ngineer �
Use of Building ,
Class o
New
scr
dJECT
BUILDING PERMIT APPLICATI01�
910-
.�_ ° -f �
Tra t or Addi 'c
-
Address
Address
Address
Ad re�
ss
❑ Ad+dition
; � ��
► p�
Zip �
Zip Phone
Zip Phone
�I•�:
Zip Phone
Alteration �„� Repair
l�'"
. _._ �
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Penuit No.
Receipt No.
See Attached
Sheet
Phone
License No.
J License No.
�s
Licens�e No .
'Remove
Move
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_. � ;�:� � �:�.:.�
Change of Use �-�' ;
From To
SPECLAL ASSESSMENTS : • •
If lateral assessments have not been placed on this property, an agreement must be
signed, agreeing to assume such late�al assessments before a permit will be issued
AgreemenC Necessary: �
Agreement Unnecessary• Finance Director
� 'OUTSIDE UTILITIES : __ .
Z Sewer Elevation: Water Elevation:
O .
Stub Location: Stub Location:
w
�
� BUILDING INSPECTION - • �
}
F— Plumbing H.V.A.C. Electrical Fire Insp.
V Signature & - --- --
Date Approved
Or •
Registered Engn. Stamp. Legal Description Check
Exterior Devel. Check Perfonnance Bond Check
Easernents, R/W, Special. Agreements
Final Approval Date
Certificate o£ Occupancy
.r .
Date
. , � �
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r�E a . � ���.. �' r �" .r � � � ff � ��- ...a � ! i r � � .i^ t �` ^�`'�,j �j r ,_�— ' � r' �.,i �„ �.
, ,l ;.. � d � i � l , � 1 i ,,�, m �
FOR CITY USE ONLY
DIMENS IONS :
Length:_ � � � � Height: .� Cu. Ft.
:�
Width: � Sq. Ft. ,' r�
Accessory Buildings:.
Length: ' ;� ,�-- Height: / � ' �Cu. Ft. � �
� Width: - •�.�--. Sq. Ft. ,��.w �"� e.�- �� �► 2�. � '�"I�
� � ���.�
VALUATION : � � r.`�' .� ! t �-. ](" 't°� � ,,;� �%^ i � . ��
- ti, . � .
Sq. Ft. X Cost = Valuation )
lo�/
Basement X
�- S
PERMIT FEE: Residential
Total Valuatian
l � .�-�'
Cost =
IT""'� >
)
Valuation )
2 � 9 2.� 2>
To��i
Valuation
_ � a .c� s'�.zG .
Fee a
$i.00 to $500.00 $5.00 •
$501.00 to $2,000.00 $5.00 for the first $500.00 plus $1.00 for
each additional $100.00 or fraction thereaf,
to and including $2,000.00.
$2,001.00 to $25,000.00 $20.00 for the first $2,000.00 plus $3.00
for each additional thousand or fr.action
thereof, to and including $25,000.00.
$25,001.00 to $50,000.00 $89.00 for the•first $25,000.00 plus $2.50
for each additional thousand or. fraction
rthereof, to and including $50,000.00.
$50,001.00 to $100,000.00 $151.50 for the first $50,000.00 plus $L.50
for each additional thousand or fraction
��- thereof, to and including $100,000.00.
PERMIT FEE: Commercial and Industrial �� ,O`�
Total Cu. Ft. X��1,000 sq. ft.
� Permit Fee
� !7 X �� �� � _ `7 , 4`�
PLAN CHECK:
Take one half of permit fee = � �. Q��
STATE SURCHARGE•
Valuati n X $.50/$1,000.00 =
� �,�� ,� �o X $.50/$1,000.0�
�
PERF�R'�ANCE BOND VALi�ATiQN
8lacktop
Curbing
Sod
' Fencing
Bushes and Trees
1.50� vd.
2.00 lin. ft.
0.4U sq, yd.
2.00 lin, ft.
S.00 - JO.00
� TOTAL FEE T 3��. d,.�
M_
� �
TOTAL BOND GALUE »
. //— /3 -- �
(�'Y OF FRIDLEY � `�4 3'7
Application for Installation of Water and Sewer Service
This form to be completed before a tap is made to any existing water
or sewer line. r�,
Lot ..�..�`..%__.... Block -.--.---7-------------- Addition �._,,�_..���:��z�?:!-� ���
Address
Owner
Plumber--- -�-------�---------- --- -�..._�_..s_.------5,,,,.r . . .... .- -- --- - - -
(this po ' of foxm to be comp by person requesting tap)
CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE
ASSESSMENT HAS NOT BEEN LEVIID AGAINST PROPERTY
Sewer Connection fee
'Street patch .....
Water Connection fee
Meter deposit
Materials used
"Street patch ......
� `�T
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Ca ,f�
* Where appIicable � \ �� , � D
The above applies for all regular residential size services
IF LATERAL ASSESSMENTS HAVE BEEN LEVIED AGAINST
THE PROPERTY, THERE WILL BE NO CHAR.GES OTHER. THAN
CONNECTION PERMITS AND METER DEPOSIT
The City will furnish materials for water service and the plumber
will bill the City for sewer, not to exceed $3.00 a faot or a maximum
of $60.00.
TO BE LEVIED
Clerk's signature .........................................
I hereby authorize the above tap
lst copy—Public Works
Water Lateral $...Z�s�--�........--.
Credit for material --.----------------------------------......
Total assessment $-.--...-.------.---------------.......
Sewer Lateral $-...--� • .........................._........
Credit for material 60.00
Total assessment $--..._....-•-•---.._...........__....._.
..............•--�---�--�-------��------....._.:.....-----...
._.......-�---�-� ................... ��-----------� --�-----...............-�-�-- --....._.....--�----�-------....
Director of Public Wo�rks
-
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�p� � a¢a� i�� ���, 1��1�a, It� e a�aei J
. ��� ��:�%�� ��0� � D�v€� .
PARTi�lL R�TE SC#i�Dl��� �t. � a�a�. �,. �o-�ssa
) �
GR!!Yi?Y WAAl+t AfA: lUS78 TO?AI.. ' Loc� ,
oc
�lanace 5het1 d� DuM Work . i10.00 �
Rrplacemrnt of lhirnace 6.00 � City ot i?idley:
' Repairc !� Altcrations--up to =500.00 6� � 'I'he undersigned hex�eby makes application for a permit for the work h�re�
specuied, agrceing to do all work in strict accordnnce with the City Ord}t3ancz
Regaiss & AlteraUons each add. S50d.00 . 3 W ; and ruling of the Departm�ni of F3uildings, ai�d hereby declarea that sIl the fa+c9
and representatiuns states� in this application are e and correct.
ltZCiL WARit AIR Fl�idleY. nn ` _„1�,�,
l�rnace SheIl & Duct Work to 1�0,000 BTU ..510.00 ;
esch add. 60,000 BTV , . . . . : . . . 3.W ' i C)wner •
ReDLcecneat of Flirnace . 6.00 � Kind �f Huilding
. Repain ac Alterations--vp to t5d0.00 8.00 ;
(lse� a�
Repairs & Aherations each add. fb00.00 3.00 s
To be completed about,
3TEAb[ oz HQT WATEA SYSTEM . D 6
F�rr.r►cr Shell 3c Lines—co 400 sq. ft. F.DR Steem �lO.�JO S • Estimated Cos� S
F�rnace Shell de Line--to 640 sq. 1t. EDR Fiot Water I4.00 5. id New. Building Permit No: ___ p�:mit No. [�__5� Q�j
Each add 200 sC• tt. EDR Steam �.Ofl �
Each add. 320 sq. ft. EDR Hot Water 3.Ob E -
, � OW OF WOltS
OIL SIIRrtER—w 3 gaL per hour 6.00 S..__.^ ��NG or FO PL.AN'I'3--Stcam. Aot Water. Warm Air—No�,
over 3 gal. per hour--See Fee SchMule ,—� �-
Trade Narriez, C S1zt No c
GAS atTRI�ER (up to 19�,000 BTLn • 6.00 j
avar 199.000 BT[1 S�e F« sch�duls CapacitY� — Sq. !'t E.D.R BTU $
GAS FITTIliG FEEB: 110 Rl►TE TOTAL
- 1st 3 F�xtures xf Z00 S - Total Connected Load lsind oi FUe l
Additionat Flxtures x .7b i_._ - BURNEA -�'ade Na**� 5!u No
Gas Range to 199.000 si 6.Od = �
�rit Co]RDrnolttlto State Surcharge .-�i� S11L Cspadty sc1. l�t. �.D R BTt1 �7
n s..u.Ls
r� x�.� snt�x s« F.. s�.�. -
��r►rnrc atst�c
ni.rz�urro�s t n�u�s To ri►z. rs� ��
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CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION. REFRIGERATION AND
.AIR CONDITIONING $YSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work
Replacement of FY�rnace
Repairs & Alterations-up to $500.00
Repairs & Alterations each add. $500.00
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
Replacement of Furnace
Repairs & Alterations-up to $500.00
Repairs & Alterations each add. $500.00
STEANt OR HOT WATER SYSTEM:
Boiler & 13nes up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 BTU
OIL B URNER- to 3 gal. per hour
each add. 3 gal. per houx
GAS BURNER- f.mm 100,000 BTU to 199,999 BTU
(over 199,999 BTU see Fee Schedule)
GAS FITTING FEES:
lst 3 Fixtures
Additional Fixtures
Gas Range to 199,000 BTU
AIR CONDITIONING
FAN HEATING SYSTEMS See Fee Schedule
VENTILATING SYSTEMS
ALTERATIONS $ REPAIRS
liAUGH ZNSP.
Date
FINAL INSP.
Date
APPRO{ip�l, E'pR PERMIT ��/�ea�-
RATE
$12.00
7.00
7.00
4. 00
$12.00
4.00
7.00
7.00
4.00
$12.00
4.00
7.00
6.00
S10.00
10.00
$1�.00
x $ 3.00
x $ 1.00
x $10. 00 •
State Surcharge
TOTAL FEE
TOTAL
S
$
$ , b [r
$
S
$
$
$
$
S
$
$
$
S
$
$
S 1-�.u-4/ i
$
$
$
S
S
S
$ .50
S�
ItEINSPEGTION FEE /
($10.00) �
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Job Address � � � (� L/ `�Q _ �� _y1__t�l�l Y�i_.�'-- � - �! � C_ .
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes �.
and rulings of the Departsnent of Suildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
/�% �:. �;
��' � Fridley, Minn. L� '( Cl . 19�
OWNER
KIND OF BUILDING ��i 1� Q�
USED AS
TO BE COMPLETED ABOUT �' 1 � �l
j c�c,
ESTIMATED COST L( )
OLD - NEW BUILDING PERMIT NO. PERMST NO..
�
�t-
;;,.;';� 1
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name Size No.
CdpaCity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BU121JER - Trade Name � Size No. �
Capacity Sq. Ft. EDFt BTU HP -
_ � /
;� /
COID Sll A � - /°. ��,f�•
P Y �. ��
� <
Signed By �i� �'�
Tel. No. � 2� � c�� U L�
1
• MINIMUM FEE FOR ANY HEATING FE1tMIT IS $7.50 pLUS $.50 STATE SUR(xiARGE
� .
1:Y
SUBJECT RM14596
City of Fridley
, ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T , • EIPT NO.
�
� ; y _����_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �D?�3
1 ,
,` � /"�'1 � CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROVE� BY
"""� � ,�� 612-5603450 / /
910-F15 3/20/78
JOB ADDRESS 5704 Jefferson Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 6� % t� AC�dIQ�S Street Adclition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
L. T. Anderson 5704 Jefferson Street N.E. 574-1080
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OFi DESiGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
6 USE OF BUI�DING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Finish off basement
9 CHANGEOFUSEFROM TO
STIPULATIONS
Cover all styrofoam insulation with �" gypsum board(Sheetrock).
SEAER�ITE PERMlTS REQUiRED FOR WlRIMG, ?`
HEA7ING, PLt1MBING qND SfGNS.
,
7YPE 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. OWLG. UNITS OFFS7REET PARKItJG
I HEFiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 COMP�IED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $%OO y�. SO
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 R TH P RMANC OF CONSTRUCTION. �`%. SO
PLAN CHECKFEE TOTA�FEE
�It "�� �S`8.0�
SIGNATUREOFCO iRACTOROHAUTHOFIZEDAGENT IDATEI HEN PROPE Y VALIDATED THIS IS YOUR PERMIT �
� /�C..e� o
SiGNATURE OF OWNERIIF OWNER BUILDEfiI IDATEI y BLDG. �NSP �� ATE�
-
• � CITY 01= f=fZIl)LCY
0
' APf'LIC�'fIOld ("Ott lZLSJllf=t�lTI/1L I3llILDING PF(Z1�1ITS ,
' (��L:W, �LTLRl1TIU(dS, %�I)UIT10fJS, O(Z RCPAIIZS)
,
ow►��cR: L, %, �-'/�T.�=.g5'o�t ( �uxLU�c�z: __`������ ,.
..-
r�aax�s�:,� �D�—j: r/�/-��"PSo�Y/(��naar��s: �/�%��/�.� i�l%�A�;�
. Tel. No. bJ � � /0 G� •
�Tio. _������
LOT : G[ OL' /
5treet:
}3LOCY.:
COl2NL•'R LOT: I2JSID� LOT: SLTB7ICY.: STD�YARDS:
Applicarti: attach �ta this tonn �10o Certificates of Survey of Lot and propased
bu�lding locatian drawn on these Certificates. . '
D�SCRI PTI O(d OF BUI LDI {�G
To I3e Used As: �
�,r/�f/�% 4« ��''��'t�T" • . � .
Front: Depth: ' Heic�ht:
Square Feet: Cubic Feet:
I7ont: � Depth: � Height:
� Square I'eet: Cubic Feet: '
Type of Construction: . EstimaL-ed Cost: $ ��.�
Zb Be Completed:
Proposed Driveway Iti'idth If 2�ew Openinq Is Desired
Alt. A Alt. B
$ $ .
(S�� 12�VERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work lierein
specified, ag�'eeing to do all cvork in strict accordance with the City of
I'x'idlcy Or.dinances and rulings of the Det�artment oi Buildings, and hereby
declares that all tlie facts ai�d representations stated i�i t}iis applicaL•ion
are Lrue and correct. 5ee reverse side for cld' ' on i�itonn -ion.
DAT�c �° �f�"' r�SIGNATUP.F:
Sta.pul�tions : , � ,
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/ �yy�. � J�j�jQi�"" " c�. �i
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sua�ECr P T N O.
City of Fridley _ 15 813
AT THE TOP OF THE 7WINS g U I L D I N G P E R M i T
�
; � RECEIPT NO.
� • COMMUNITY DEVEIOPMENT DIV.
� �V ������,
r � PROTECTIVE INSPECTION SEC.
� ;
� �
� � /"'1 � CITY HALL FRIOIEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
��-��� � ��J 612-571-3450 910-F15
7/7/8Q / /
�oB AooRess ' 5704 Jefferson Street N. E.
1 LEGAL LOTNO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. (� 7 4 Adazns S'tY@@'t AC�C;].'t7.011 SHEET
2 PROPERTY OWMER MAIL ADDRESS ZIP PHONE
L. T. Anderson 5704 Jeffexson Street N.E. 574-1080
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE UCENSENO.
5 ENGINEER MAILADDRESS ZIP PNONE LICENSEN0.
6 USE OF BUILDING
Residenti.al
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRBE WORK
Install masa fixe lace
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUtRED F��. ���
MEATING� Pk.UM81NG ANQ �IC��,g,
wa��r�-
�E ncu� `� �t Y�
�EC�r�.,� �t�
REQt�l�t�fl �Y �►►V�
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIFiED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. Ma n
THIS PERMIT BECOMES NULL ANO 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 FOfi A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SUR7AX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �`l�HOO y�`.9O
WITH WHETNER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $12.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
- $12.90
SiG 7u OFCONi 6RORAUTH IZEDAGENT IDATEI WHEN PROPERLY V IDATED THIS IS YOUR PERMIT
�'.— z=�'C� �r� 7 -�1-SC�
SiGNATURE OP O EFl 11 O NER BUIL FlI IDATEI BLDG INSP DATE
Ob1idE(t:
ADDRES`
T�L N0;
CITY OF FRIDLCY � �
Af'PLTCIl7"1Oi� FOR RESIDGPdTII`,!_ �UILDIP�r PCRMITS
(��ew, Alter��tilUf1S, Aclditions, or Repairs)
[3UI LDER : - ' �
l�DDRCSS:
TEL (�10: � '
Construction Location ,
. STRi�:�' NO: ST12�ET:
LOT: 0� l BLOQ:: � ADDITIOt1: -� ��%� -- - �� '
�
Corner Lot: ��j� Inside.Lot: v Setback: Sidey�rds: ,
Ap�licant attach to this form two Certificates of Survey of lot and ' �
praposed building location dracan on certificates to scale. -
� DESCR�PTIOId OF CONSTRUCTION � �
,� �i�i��:� � .
�p� ; Height:
� Squa�e. Feet: ' C�.ibic Feet: �
I?rnr. �; Depth : H eiqht:
. ' ;
Square• Feet: C11bic Feet: :
' � i
, _ Ud 'sc�
Type of Construction: • �stimated Cost: $ /0
7b Be Oam�leted: �C� . �'/ �� . '
• Alt. A Alt. B
. _ . . ;
Proposed Driveway Width Tf New Opening Is.Desired: _ $� $ ;
,
. . . SEE REVERSE SIDE OF SHEET�
� • ' ' � �
• • ' !
�.�ie undersigned hereby makes application for a permit i'or the work herein specified,
agreeinq to c10 all work in strict accc�rdance with the City of �'ridley Ordinances and
ruli�igs ot tlie Departinent of Buildings, and hereby declares ihat all the facts and '
representations stated 3n this application ar e cor �ct. ;
t
/� • i
DI�TE: �� � �v SIGNATUF� : • �
. �
Sti�ulations: . . � . ,
. . �
�-�b .
__ �' � ,C��
� �� �� .
. .
i
,
� �
• ,
. . . . . . . ..rw�/'+P
SUBJECT PERMIT NO.
City of Fridley �/j o 18058
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
, � R EIPT NO.
• COMMUNITY DEVELOPMENT DIV. a�
y PROTECTIVE INSPECTION SEC. ,� v
� i ____-�
r , ;
� ,
� � /"'1 � CITY HALL fRIDIEv 55432 NUMBER iiEV. DATE PAGE Of APPROVED BV
�"'"'� � ,'' 612-571-3450 910-F15
6/11/85 � �
J08 ADORESS 5704 Jefferson Street N.E.
t IEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNEO
DESCR. ( �% 4 �dII15 Street Addition 3HEET
2 PROPERTY OWNEF MAIL ADDRESS 21P PNONE
L. T. Andexson 5704 Je£ferson Street N.E. 574-1080
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO.
Same
4 AFCHITECT OR DESIGNER MAIL ADDRESS ZIP PNONE UCENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WOF;K
�C7 NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ fiEMOVE
8 DESCRBE WOHK
Constx'uct an 18' x 12' Shed
9 CHANGE OF USE FROM TO
STIPULATIONS
Shed must be a mini.mum o� 3�eet �£�'om ths s.ide QX b.ack. lot line ox
the width of any easement. Shed must be. on a perma,nent �oundation or tied
down permanently wi th ties ,
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
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 �F 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OFDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMP�IED
WITH WNETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $800 $• SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OFi CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FiEGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�.S.OA
PLAN CHECK FEE TOTAL FE
$�5.50
sic ru oF c N% ACTO R AUTHORIZED AGENT IDATEi WHEN PFiOPERLY V IDATED 7HIS IS YOUR PERM17
/ /� � 8 _
S�iG TUR �I W EF7 BU�LDERI IDATEI BLDG WSP DAT
N�r [ J
ADDN. [ ]
AI,TER. [ �
Construction Address:
Legal Description:�
Owner Name & Address:
Contractor:
Address:�� �
�
.
City of Fridley
� R-1 AI�TD R-2
Building Permit Application
�
� �,
�,,
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to seale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER: ��,'�
DESCRIPTION OF IMPROVEMENT
Effective 4/1/84
Tel . ���1 ���
Tel. # (�
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width HgtlGround Sq. Ft. / ,��,
/� � / �- ` � r - -1�
Corner Lot [] Inside Lot j� Ft. Yd. Setback Side Yard Setback
�j� d
Type of Construction: Estimated Cost: $ v�
---�
._---
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
�ATE: APPLICANT: Tel. �� �a��
m
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ '� S�� V Fee Schedule on Reverse Side
$ 25`� of Building Permit Fee
� N� $.50/$1,000 Valuation
$ $425 per SAC Unit
$ Fee Determined by Engineering
�
/ ��� Agreement Necessary [ ] Not Neeessary [ ]
� f
'
sue�ecr ERMIT NO.
City of Fridley 27 4 6 a
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
f
1 1
� �` COMMUNITV DEVELOPMENT DIV.
r � ~ � PROTECTIVE INSPECTION SEC. � �O
� ' �J
� . �
� � /�"L � CITY HALL FRIDLEV SSO.�Z NUMBER pEV OATE PAGE OF AGPROVED BY
�""'�' ,'' 612-571-3450 9t0-Fi5 � �
8 31 98
JOB AODRESS
5704 Jefferson Street NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 6 7 4 Adams Street Addition SHEET
2 PfiOPERTY OWNER MAIL ADORESS ZIP PHONE
Michael & Sharon Heintz 574-1554
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Owner
4 ARCHITECT OR DESIGNER MAIL A�OpESS ZIP PHONE UCENSE NO.
5 ENGINEER MAILADDRESS ZIP PMONE IICENSENO.
6 USE OF BUILDING
Residential
7 CIASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and ara e 26 S Te r- ff
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD
SEPAFiATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB�NG, HEATING,
VENTILATING OR AIFi CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK Oii CONSTRUCTION ZONING SQ. FT. CU. fT.
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION
OR WORK iS SUSPENDED OR ABANOONEO FOR A PERt00 OF 120 OAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIE�
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2].6H.�FO L.OH
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCMARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL �AW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. %�F.75 Fire SC Z.I.%
PLAN CNECK FEE TOT FEE
.��
QFCO �AACTOAO NO EDAGENT AT EN ROP VALIOAT THIS IS YOUR PE, M
iGN FE OWNEA��FO � � I ATE� Bl �NS� - f�pTE
� w
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION ��0�
�- ��
ConstructionAddress: S �� �{ -� �,�-�-�jLf� �, 5�--
Legal Description:
Owner Name & Address: i�� �tA-� <<r- r y���.�. %�e� �. � Z Tel. # f l y� � S'sy
Contractor: MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft. _
Length Width Height Sq. Ft. _
Len Width Hgt/Ground Sq. Ft. _
� o ^ T{.�2 0� d Q-e 1.g-� � �
�
Construction Type: Estimated Cost: $ Z S—(� C7
- (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$
�
DATE: � 3 / �'!k APPLICANT: , -�'c,�B�� �-�� � 'L Tel. � ,�7 `f�/S��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$�y 70 Fee Schedule on Reverse Side
$ � .001 of Permit Valuation (1/ lOth%)
$ / d $.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 [ ]
�
$ `
SUB�ECT
c;ty of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
f
i �
� �
COMMUNITV OEVELOPMENT DIV.
� ; V �'��� ,
f � �� PROTEC7IVE INSPECTION SEC.
i . ,
i.__•� ��"' �,� CITV MALL FRIDIE� SS�32 NUMBEN pEv
t 612-571-3a50 s�aF�s
JOB ADDRESS 5704 Jefferson Street NE
t LEGAL �OT NO. BLOCK TRACT Oii AODITION
oescR. 6,7,8 4 Adams Street Addition
2 PROPERTY OWNEp MAIL AODfiESS
Michael/Sharon Heintz 5704 Jefferson Street NE
3 CONTRACTOR MAIL ADORESS
Same
1 ARCHITECT OR OESIGNER MAI� AOORESS
5 ENGINEER MAII ADORESS
6 USE OF BUIIDING
Residential
7 CLASS OF WORK
O�TE
5/26/00
IIP
ZIP
vAGE Oi
/ /
RECEIPT NO.
3�� 9
APVitOVEO 8r
SEE ATTACMEO
SFIEET
PMONE
763-574-1554
PMONE LICENSE NO
PMONE LICENSE NO.
PHONE IICENSE NO
�] NEW O ADDITION O ALTERATION O REPAIR O MOVE O REMOVE
8 �ESCRIBE WORK
Construct a 24' Diameter Above-ground Pool; a 24' x 12' & 14' x 6' Deck
9 CHANGE OF USE FROM
TO
STIPUTATIONS
See notations on plan. See Chapter 115, Fridley City Code, for requirements.
SEPARATE PERMlTS
REQUIRED FOR:
PLUMBING� AND SNG�IS
See PO F66928 for $55.26 Refund from overpayment.
TYPE OF CONST.
SEPARA7E PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, MEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NUII AND VOID If WOfiK OR CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS. OR li CONS7qUCTION
OR WORK IS SUSPENOED OR ABANOONED fOii A PERIOD Of 120 DAYS AT
ANV TIME AFTER WOFK IS COMMENCED. NO. DWLG. UNITS
1 MEREBY CERTIFV 7HA7 I MAVE iiEAO ANO EXAMINEO TNIS APPLICATION 1
AND KNOW TME SAME TO BE TRUE AND COAREC?. ALL PqOVIS10NS OF (,AWS VALUATION
ANO OROINANCES GOVERNING TNIS TVPE OF WORK WILI BE COMPLIED
WITH WMETMER SPECIFIED HEREIN OF NOT. TME GRANTING OF A PERMIT �5,945
DOES NOT PfiESUME TO GIVE AUTMOfiITY TO VIOIATE OR CANCEL 7HE pEpMl7 FEE
PROVISIONS OF ANY OTHER STATE OR LOCA� LAW REGUTATING coN- �125.Z.S
STRUCTION OF TME PERFOf;MANCE OF CONSTRUCTtON
CONrA�CTOA Op �U
D aGENr �O�iE�
p���OWNEAB OEAi �OAiE�
WARNING
Before digging call for
all utility locations
454-0Q02
REQUIRED BY LAW
SG
NCY GROUP OCCUPANCYlOAO
CU f T.
STALLS �GARAGES
SUR7Ax
$2.97
0
Fire SC $5.94
n� FEE
134.16
HIS IS V U= P MIT _y
/fi`J"�
�//�J
C/.'�
NEW [ ] Effective 1/1/2000
ADDN [] CITY OF FRIDLEY (763) 572-3604 Bldg nsp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �
BUILDING PERMIT APPUCATION C;t� 1�
�b ��
Construction Address _�%O�f S,fz�t"�Z/Lton. S�� iV_ �,
Legal Description: �Qr-s L� 7 a X ..�LocK !� �-p� rn s s r2 �cr �o �+� r� vr—
Owner Name & Address: d ��� H T Z Tel. #�7�1 I.S�S�
Contractor: MN LICENSE #
Address: Tel. #
��or� �
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the w"�' `� J G1G�
lot, with the proposed construction drawn on it to scale. �g ��� //
�
, D CRIPTION O IMPRO MENT
��y �,� �oc - R �v�� ��� �� /.--_ �
Length Width Height Sq. Ft. lJ�C���.
Length Width Height Sq. Ft. � �
Length '� �� �rWidth `�� Hgt/Ground 7 / �
��� l�/,�� � $ .2�9G, &b , `�?, a ,� .�p�� . �
r /' o�y`c�
Construction Type: � C(� Estl
' � ��s
� �� ���as. �rn
Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = x$ _$
DATE: � a� � APPLICAN . � � Tel. # �� yr��s�
.t �
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $,�c�s.�c�� Fee Schedule on Reverse Side
Fire Surcharge $ .S, �� :001 of Permit Valuation (1/10th%)
State Surcharge $ v� � ,'�' $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engine�r'_n�--.,�
Sewer Main Charge $ Agreement
TOTAL
STIPULATIONS:
$ ���� �
/� gq ��
' 13�• �� �
����
�
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MMER E A SMART AND TASTEFUL POOL THAT WILL �
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ENHANCE THE BEAUTY OF YOUR BACI�YARD
. , LI ITED : `_
TOPCONNECTORS
FEATURE CONCEALED
FAS?ENEAS %
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FADING, OR CRACKINCi
GALVANIZED STEE� TOP
CHANNELSECURESIJNERAND
LINER RETAIMNCi COPING
� VIPIYLCOPINGFIOLDS
LIWER SECURELY
DURABLEINNER AND OUTER
WALL JOINT CONNECTOR
PEBBLE PRINT
ON FLOOR
(52' DEPTH ONLI�
,ov�w
LMAffED WARRIWTY
w�,
`�nrrt�a'z�°
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THE PRO KOTE STORY
"Protecting Your Investment for Many Enjoyable
Years With Beauty & Durability Built In"
• SUPERIOR IN DURABILITY
• STRONG RESISTANCE TO CHEMICALS
• DIFFICULT TO STAtN AND SOIL
• BEAUTIFUL COLORS AND TEXTURE
� WALL FRAME
COPPER BEARIN
STEEL
GALVANIZED CO/
PRIMER COAT
EPDXY
ADFiESIVE
DESICaNER
PATTERN CAAT
CLEAR PRO KOT
FlNISH
STANDARD ON SUM
SIZE' `' `' � DEPTH
24' x 15' S2"
30' x 15' S2"
33' x 18' I 52"
�PPER BEARING
STEEL
GALVANIZED COAT
PRIMER CAAT
EPDXY
ADHESIVE
BAKED ENAMEL
COLOR CAAT
CLEAR PRO KOTE
FINISH
DUNES
OVAL
SURFACE " '
AREA GALLON
312 10,112
402 13,029
519 16,866
SHIPPING
WT.
5111bs. �
617 � °' �
692 �',:- � � .
s¢..;,�., 4;<: ALL OVAL SHAPED POOLS ARE BUII.,T W1TH AN E;XTREMELY STRONG
" EXTRUDID ALUMIIVUM SIDE FRAME STRUCTURE TO MAINTAIN
' 3�=���+9 x` STRAIGHT AND TRL1E SIDES FOR Tf� LIFE OF THE POOL.
rx '�`'�j.r ' R �,�,-+�? �+. � �;. - � � . . �. .. . - _ ... +w' .
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� INSTALLING YOUR NEW �PC
.� �_ � � _ , -
k�� A FEW HOURS SPENT PREPARING THE SITE��`
`yvf , .. . . . . . .
BE FUN AND SIMPLE =�-
� _ � ' � �� �
�:�:
. . . . . . .? � . - . . • .. . � . . f .
� LONG WAY IN MAKING THE INSTALLATION+�GO� SMOOTHLY� �::`
AND HAVE YOUR POOL LAST FOR MANY YEARS. �� _
Important! Misuse of your pool may result in crippling injury and/or other dangers
to life and health. Do not Dive or Jump! Do not use slides, diving boards, or any
other platform or object which can be used for improper pool entry. Use only an
above-ground swimming pool ladder to enter or exit your pool. It is your
responsibility to secure your pool against unauthorized, unsupervised or
unintentional entry. Always obey all safety rules. Remember, pool safety is
everybody's responsibility.
Tidewater is in no way aff'iliated with any professional pool installer. Therefore,
Tidewater assumes no responsibility for errors in installation by the homeowner or
said professional pool installer. If you have the�pool installed by others, please
supervise to be sure they comply with proper installation techniques as shown. �
AUTHORIZED DEALER
� w . �c� �,H-���n �Q-v � F , �d ^'►
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) s7 ycQ
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. �
ProPure Automatic
Cleaner
�
Passage Step
Safety Fence & Deck
TT nFWA TER
POOLS OF DISTINCTION
Trans form your backyard into the great escape.
� ONE-PIECE MODULE
Mahes seruice a snap.
One-piece filter module simply drops into
your easy-open tank. When seasonal
cleaning is necessary, you simply rinse the
module. No need to replace it or backwash
it, which wastes chemically treated,
heated water.
What more could you want?
• 10-year tank warranty. Thermoplastic
tank withstands W rays, heat and cold.
Entire filter is corrosion resistant.
• Easy to install or replace media. Simply
unscrew the tank's Posi-Lok ring closure for
fast, easy access to the filter media.
• Filter is assured of a long life. Balanced
flow design utilizes the entire module area
without jamming the media with debris.
• Ideal for today's plumbing systems.
2" threaded ports work well with hydraulic
systems. 2" x 1-1/2" reducer bushings are
also included.
�1VIODUI.AR. MEDIA
The muscle in maintenance.
The Modular Media filter handles dirt
loads 10 to 15 times greater than sand
filters of equal size. Working with the
tank's balanced-flow design, it collects dirt
evenly, using the entire surface for dirt
collection. This prolongs the time between
cleanings, giving you totally care-free
operation for up to an entire season.
ORDERING INFORMATION
� POSI-LOK'"
RING CLOSURE
A new twist to tank convenience.
New Posi-Lok'" ring closure is safe and
easy to use. To access the tank for
seasonal maintenance, simply unscrew the
ring and lift it over the tank top. Posi-Lok
safety latch makes sure the ring is
properly installed and prevents little
hands from gaining access.
Ma�cimum Filter Ma�cimum Tank Approx.
Model Number Flow (GPM)• Area (sq. ft.) Pressure (PSI) Port Size Ship. Wt (lbe.)
PLM100 10� 100 50 2" 39
PLM150 150 150 50 2" 41
"Recommended ilow rate of 50 GPM. Higher flow rates may reduce the length of time required between cteanings.
ACCESSORY ORDERING INFORMATION
Approa.
Madel Number Description Ship. Wk Qba)
27002-01005 100 Sq. Ft. Replacement Module for PLM100 9
27002-01505 150 Sq. Ft. Replacement Module for PLM 150 11
U78-820P 2" x 1-ll2" Pipe Reducer Bushing 1
27001-01305 Spring Check Valve 1
Sta-Rite PooU$pa Group
293 Wright Sk • Delavan, WI 53116
l�orth America: 800-752-0183 • Fa;: 800-582-2217
International: 414728-5551 • Fax: 414-728-76b0 • Telex: ITT 4970245
�'i-11'1811: 8tAF100�� 8t8T1tk.00�1
Murrieta, CA • Union City,1N • Delavan, WI • Mississauga, Ont.
34899-PS (Rev. &99) Poai•Lok"' ie a trademark of 3ta-Rite Induetriee, Inc.
m1999 Sta-Rite Iaduataies, Inc. • STA•It1TEla WICOR company . .
Simply S�:
I
SP-1Q90
;"AUTOMATIC SKIMMER
DIMENSIONS
,; ,
71'!" � I
. . , .,. � �]IP Vf-
ro.. ' — -
� _ 66T'
r �+�'•
t� . � I
i —
(10) HOLES
7-1i2" —
U 5'�.
� v�r O O
� 5-%/8"
sin- �
�.v�e-I O O � O
�— s�n —�
' CYCOLACFACEPLATE
� MODEL SP-1091-ES, includes:
t — SP•1090 Skimmer
� 1 — SP-1023`'Fitting with locknut
1 — SP-1419-D Hydrostream Fitting
2— 1%:" r 11a" Hose Adapter
1 — Roll Pipe Tape
(2) GASKETS REQ'D
O 7-1/8"
— 9-3/6d"
COVER —
�
• '
• . • u
. • � J' /'� ` �
I � �i
� % . . . ,
% :'
MWNTIN(i �
FIANGE
THROTTLE PLATE" J�
1-112' STRAKiHT PIPE THREAD
•Alr Relief Hde (Do Not Blxk)
METAL WALL PANEL INSTALLATION INSTRUCTIONS
' CUT-OUT.FOR SKIMMER MODEL SP-1090 SERIES I�±poo�wauisnot tactorypre-cut)
, ;...
1. Locate,skimmer face plate against metal wall at desired position. (Average water level should be approximately
at the mid point of the face plate). Make sure that the face plate and the skimmer will not interfere with top
coping or lip border of the pool structure.
2. Drill or punch twelve'/." holes per spacing details of SP-1090 drawing.
3,._ Make rectangular cut-out per SP-1090 inside face dimensions.
- CUT-OU► T FOR F ITTI NG MODE L SP-1023 (lf pool wall is not factory pre-cutl
j Cut 2-7/16" circle at desired location. Cut-out should be approximately 8" below desired water levet.
� �— INSTALL LINER AND FILL POOL TO APPROX. 2" BELOW LOWEST WALL OPENING —
SKIMMER INSTALLATION
� 1. Screw one hose adapter (witl� pipe tape) into skimmer outlet.
� 2. Place one gasket on skimmer face, making sure holes in gasket align with holes in skimmer face. (A very light
application of adhesive cement will �ssist in holding gasket in place).
� 3. Align skimmer face and gasket with drilled panel holes and fasten to wall panel at center of each side with the
� two (2) panhead secur.ing screws.
; 4.r Install:Vinyl:liner.
� 5. Align second gasket and face plate and fasten tightly tb skimmer face with ten (10? 12-24 x 1" screws (pierce
} ' liner through face plate holes one at a time prior to inserting each screw). Screws secure through: 1. Face plate;
2. gasket; 3. vinyl liner, 4. wall panel; 5. gasket; 6. into skimmer face.
6. Connect filter suction hose to skimmer hose adapter and secure with clamp.
7. Cut out vinyl liner along inside edges of face plate with razor blade or sharp knife.
� FITTING INSTALLATION ` r - •
' 1. Gently press vinyl liner at circular wall fitting opening to locate exact opening. Make a circular cut-out in
; the vinyl liner approx.'I<" smaller than the circular opening in the wall.'
2. Screw�one hose adapter (with pipe tape) into small end of wall fitting.
3. Place�:one gasket on the fitting and insert through the vinyl liner and wall panel. Place other gasket over
fitting hub and screw locknut, with washer, up tightly.
4. Screw adjustable directional ball fitting into face of wall fitting. Opening should face away from wall skimmer
opening.
; 5. Connect filter return hose to fitting hose adapter and secure with clamp.
HAYWARD POOL PRODUCTS, INC.
900 FAIRMOUNT AVENUE, ELIZABETH, NEW JERSEY 07207 / Phone: (908) 351-5400
� � O 1992 Hayward Pri�ted In USA.
A
;
�
':IS-1091-ES-92
SP-1091-ES THRU-WALL FULLY AUTOMATIC SKIMMER
� AND HYDROSTREAM RECIRCULATION SYSTEM
Combo Front / Top Access
Automatie`Suilace Skimmer
HAYWARD, THE INDUSTRY LEADER
IN OUALITY IN-GROUND POOL
SKIMMING AND RECIRCULATION
PRODUCTS, NOW OFFERS THIS
PROVEN,DEPENDABLE SYSTEM
FOR ABOVE GRO�lND POOLS
N�'
Hydrostream
Return fitting
THE`'SP-1091-ES FEATURES: * Vacuuming connection inside skimmer for 1'/s" or 1'/�"
* Rugged, tamperproof, full sized built-m automatic hose sizes.
skimmer for removing leaves and surface debris — complete * Thru-the-wall locknut fitting with adjustable
with patented wei� which adjusts automatically to a 4" Hydrostream directional inlet fitting ... Flow d�rection
variation in water level. can be easily set for proper, efficient circulation pattern.
* Completely eliminates cumbersome, unattractive "hangover"
�* Large capacity skimmer basket prevents leaves and other hoses, and loss of pump prime caused by the irregular
debris from clogging hose lines and loading up filter — sucking action of float-type atiachment skimmers.
gives longer filter cycle! * All parts completely corrosion•free. Quality built to give
years of dependable service.
_ _ _ —_- _.________-----_ __ _ OPERATING INS2RUCTIONS_ __.____ ---�_-- ------ -_ ___..� .__.__.
1. To adjust Inlet flow direction — Loosen knurled outer ring of "eyeball" fitting, move ball to desired position
and tighten knurled ring hand tight.
2. To clean`skimmer basket — Remove top cover; or fold weir forward and squeeze pins toward center to remove.
Remoye basket.
3. To attach vacuum cleaner hose — Remove top cover; or fold weir forward and squeeze pins toward center to
remove. Remove basket. Fill hose with water and insert vacuum hose cuff into skimmer outlet. Some vacuum
hoses may require use of a separate hose adapter which your dealer can provide.
, ,�. ,,;,;, ; RECOMMENDED WINTERIZING PROCEDURE
Drain pool leve! approximately 2" below skimmer opening. Remove Hydrostream fitting and securely plug wall
fitting (1'/z" threaded plugs are available from your dealer).Disconnect filter hoses from skimmer and wall fitting.
Be sure:that skimmer is kept free from water accumulation.Warranty does not include damage caused by
formation of ice in skimmer.
,�
OPTIONAL ACCESSORIES TO ADD MORE PLEASURE TO YOUR POOL
� TM
� V V
HYDROTHERAPY FITTING
For an extra measure of that tingling, feel-good-all-over
feellny. Jet-Alr actlon Injects air into return water, creating
a hlph velocity stream of atimulating, oxygen•enriched water.
Invigorating, yet relaxing!
Jet-AIr Fitting Installs easily. Just screw Into front of wall
fltting. �
s��.- �� TM �
VACUUM HOSE TO �
SKIMMER ATTACHMENT �►�"�
��
�
Fu�n�shed vwth l Y." X I X"
11ose E�bow. For uu on
Sk�mmer Model SV•1090, 1092.
� TO PUMV 6 fl�TEN
SKIM-VAC attaches to vac hose and is inserted in skimmer over
the basket, atl.owing you to conveniently vacuum through the
skimmer basket. SKIM-VAC revolutionizes pool vacuuming by
eliminating the need for pump shutdown for cleaning pump
strainer basket.
�
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MAY 22 2006 12�i6 FR STA-RITE PDOL.'SPA CS 800 582 2217 TO �1612?89,�665 P.01/01.
, . . . . �.
' •�� '� � � �y �•1xis� kr • � !^ I �.4� w fi:F ' � �ii a �iw
� i�l�: .� ',?'$11tY"tl'�! ��,: � ����. ,:?,.� - —
�
MEDIA PLM SERIii� sta�Rtte's moaular m�et'�e t�ttrat�an �s
now AvaiWsls tn a flttar matd�d for tho �ma11 irrgrout�
and abova�rou^d p� merkata. Advances in medta
technology and balsnood flow de�lqn provide diR-laeding
p�pqbilitN�C up tD 15 tlmes 9reetK 4F1fn sarld fllbare ot �
vqulvatarst stzo. Virtush► malntar�nov-trs� aPeratl°a ro� .,�
today's pool owrnrnr.
I; , 1� ZO �0 9Q �YO 100 1�0 1�0 7Qb
w.pW {N.GALIONS P�R I�NUT�
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OUTLINE DIM�NSIONS
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