PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
N° 7348
Address
LOCATIO OF BUILDING
No. - Street P of Lot —
Lot Block Addition or Sub -Division
–
Corner Lot _ Inside Lot _ __ice__ Setback _ 6" '/r._ Sideyard F�
Sewer Elevation 3 1 Elevation
-tor' or
DESCRIPTION OF BUILDING
T U
Front Depth Height Sq. FtCu. FtX
Front t4O— Depth- Height Sq. Ft Cu. Ft v
Type of coon Est. _ e To be Completed
In consideration of the issuance to me of a permit toc building des ed agree to do
the proposed work in accordance with the description above fo and in co wit provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $, permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the 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. _ 'A --I
NOTICE:
IMS porn& don not emu t6 constwcHon, tnalaflatim for wiring, phmbing, gn how&& sewer or wale. Be era to we
the Building Mqm ter for separate perms for then hoes.
.A
APPLICATION FOR BUILDING PRO=
CITY OF FRIDLEY, XMNESOTA
Mom
Owner's Name Builder GENERLL cnAgj Ag;gRq
701 Columbia Blvd. Na
Address Address Min nnnnNa
OF BUILDING
No..% 3r�S lJ Street Part of Lot
Lot Block Addition or Subdivision 47
Corner Lot Inside Lot Setback
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be
Type of
To be Completed
DESCRIPTION OF BUILDING
Sq. Ft. Cu. Ft.
Front'27z�Depth �r Height �— P
Sq. Ft. Cu. Ft.
timated Cost
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 the facts an`�esentati
stated in this applioa.tion are true and correct. �///�/""
(A Schedule of Fee Costs can be found on the Reverse Side.)
Land Plennin9 075 Roway *C§ A/.E.
Lad S„rvey ny Minraeopo/s 2/,
sols Teslny ENGINEERING, INC.
Crvwl & Mwulpol SUnsef 440"
£�► n9 — En yineerS Sur vectors
cestilicate of surge for - E 4, M DMLOPWM CO.
T
e0o,z No E .-
e 1. ElgwAon• Shown are Pn 0,.b¢d
\ •2. First• F1eor el. 2.9 •Fi: ola�va gr.�d
rte• house cor•n¢ms .
O0 el s• of %ro,:)•+d CZ
lkOu9G
sni s
0 DENOTES IRON — — DENOTES DRAINAGE ' 4 UTILITY EASEMENT
LOT 3 BLOCK z MELODY MANOR' .Z0 .ADDITION
Anoka CouAX – Minn¢oa�w�
l / rby
crvy float Ibis is a Ina and arm/ mprswl@h n o�'a �y a{'* dims J7fde adar dsu:&d land, orad
o�'!h
ImAn qrO er4 -4 , Harem, and a✓! wiAfe avvwhmwh , tfmA . Am or resod /and. As srer mytd dy mr /hs _ Aj
SUBURBAN ENWIVEEQIN6 , INC.
Erwkew5 Fr 5
SCALE V'-30' "
105-C
,3e6 3�,
City of Fridley, Minn. N° 8412
BUILDING PERMIT
Date: AUGUST 27, 1965
Owner: RATCLIFF Builder CLEMRON, INC.
Address Address 791 Columbia Blvd. N. E.
Minneapolis, Minnesota
LOCATION OF BUILDING
No. 7350 Street MEMORY LANE Part of Lot
Lot _ __ 3Block - 2 Addition or Sub -Division . ODY MANOR, 2ND ADDTTTON_ _
Corner Lot _ Inside Lot
Sewer Elevation
To be Used as:
Setback Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Cost $19, 000, 00 To be Completed
REBUILD HOUSE DUE TO STORM DAMAGE
In consideration of the issuance to me of a permit to cons buildiag described e I to do
the proposed work in accordance with the description above forth in comp tit ons of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 10.00 1 permit is hereby granted to CLEMRON, INC.
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
dome in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, B+iinnesota regar�n� location, construction, alteration, maintenaace, repair and moving of buildings
within the city ]incite andth a permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
ALLEN G. MSEN Building Inspector
NOTICE
Thb permit does not corer the conshudion, ladalldion for whbg, phnnbinlb goo boating, awa or wrier. Bo son to as
the Boibling bupeetor for separde permits for thea Ras.
�1 A
ow
AD]
No
Lol
Co:
APPLICATION FOR BUILDING. PEPIMT
CITY OF FRIDLEY,•MINNESOTA
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be us as:
ont as.thHeight
Sq. Ft. la . Cu. Ft.
Front�� ���^ Depth Height
Sq, Ft. Cu. Ft.
Type of Construction Estimated Cost
To be Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and
rulings of the Department of Buildings, and hereby declares that all the facts and
representations stated in this application rue and correct.
d
DATE SIGNATURE
j Schedule of Fee Costs can be found on the Reverse Side).
4 �o
3
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I L RE1 A DAR
r
uckrtu
�t=� e'oarr£Ls —
_
4'6"
' , �•STET'1 PODS--�. �i�.\
16.0"
7'O` CORCRETC�
43 !0 `�" PERM. SAFETY
6 L/Nf she It"lll na smw s':rr
4 Ib
/VIN t 3 0" RR011N0
N71RE PROFILE
e
,_ -�y 6 op- y 24`F/LTER,iLP. r�'t,:P
1—SIgMME� � ,
BD.dA TYPE IL 2=6'+� D16 8t3"—FOXITE COPING ONLY — D16 3=9`—
TYPE Zr
=9`TYPEZr I DECIf LEVEL
r,w
DIG
HO PER - — S%rAu 7W T
V
016
1¢e TAMPED
SAND
3t=D`
'TAMPED
SAND
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. IA i.'i..
' CONCRETE
I%TEEI ROC
_
< PEST CAR
JOHtj A Yi:n\Li
ErJ:.. It
INSTALLATION TO 8E IN ACCORDANCE`
WITH FOX ?,;OL, CORP.
R£C01,f,5tfN0.9TIJ!/S.
1::'1'[O -T., C,:t•JriQY - fI
- ETCC%131 :9[/1TT 41�a L�.::::•.:y ss
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a' �J.`.�1�� `=� �[
u
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•
JOC DW374O?AS &X70
C✓`v riV 6;id: 1.�. 5:..: �_.$
JDIX DV.tCl.'GD;LT A .C'A
Ki"'CV[ NN�4 ANO OR[AR Ml9 CCnuTAI RA+!
'
PhRT ltlrll DRATAkO NU::L1Rm AAT�V.4iII1J><
1632 RECT. TYPE II
m Cw oaT[2.9.73 x. P3ao
L CAU I xt ' .D.
02. 076 " C'
UV. CATIB WAILS
rn:Yl�
�
Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam .....
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule
Dept. of Bldgs. Phone 560-3450
FEW
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.
Owner /_
Kind oi�
Used as
To be co
Estimate
191 1
w. Building Permit No. -�_ Permit No. --j C, ;
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No
am _
GAS BURNER (up to 400,000 BTU) ..... ................. 5.00 $ Trade Ne Size No
Capacity Sq. Ft. E.D.R BTU H.P.
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x $1.50 $ Total Connected Load Kind of Fuel
Additional Fixtures . ............... x .50 $ BURNER —Trade Name Size No
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING Capacity Sq. Ft. E.D.R. BTU H.P.
$�L�_
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FEE aY N - WELTER H EATI N G C ❑ .
4r,,37 L;HIL;Auu AVE.
MIMMs:Aj?n 1j3 7. MINNESOTA
ROUGH
lk-�, 4 z Business Phone No-
FINAL-
(REMARKS—OVER)
o-FINAL(REMARKS—OVER)
City of Fridley
AT TN% TOP Of TN[ THAN[
"-'•^ COMMUNITY pEV[L.O/MENT O1V,
PR*T[CTIVR NMRCTI" K".
--- S CITY "LL FOUCLRY 66411
Job Address
� �2
/ J b v Al /5 Ah , !J V
i1JOJEGT
PLUMBING, PERMIT APPLICATIOd
o-3/
- ----
aaares s
Phone
j F - RAY
73t0 IVI Ir- mUn y GA
Contractor
Address
Phone
noapi' i
i
G /7 75_ S1sz-/3Y
v�eR 8
Rind of Building
Use
Completion Date-
--E-S—timated
Cost
Plumbing Fixture Rates: NO.
RATE+ TOTAL
W
J
W
----I
! Number Fixturesg�
x
$2.00 C9-(90
I'
Future Fixtures x
$1.50
aoNva
eve
New Fixture -Old Open. x
$1.50
I
O
I Catch Basin x
$3.25
Water Heater -99,000 BTU x
$3.00
'78164
I
i
Ground Run Old Bldg. x
$3.25
eaa,
I
,
m
•�nNtval
I
I
�
I I
Elec. Water Heater x
$2.00
—
9NI9Y9I
Gas PittingFees:
V_
�NIYtlO
I
!
I
Oq
3"°°'AI
a
�
1st 3 Fixtures x
$2.00
I�I
I I
—�
iiwd
Additional Fixtures x
$ X75
0p�l8a�Mals
q
1N110!
I
II
,°
MNta°
I
I I
Gas Range -199,000 BTU x
$5.00
!q
NSYNII
I
I I
Repairs & Alterations
See
I
I
I I
Description: Code
IWIN►sl
.NISVO
>
I I
a�
State Surcharge
.50
I TOTAL FEE
$
som
V
I
N1Ya
I I
The undersigned hereby makes application
for a permit
�7VM1'�"I
for the work herein specifiedo agreeing to do all work
�iss0'p
in strict accordance with the City Ordinances and ruling
usuYM
of the Department of Buildings, and hereby declare that
all'the facts and representations stated
in this
•$$
application are true and correct.
'Signature
Date ,
t
City of Fridley
SUBJECT
3AT
Ci
THE TOP OF THE TWINS
PERMIT
BUILDING
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
(�f /
1 CITY HALL FRIDLEY 55432
".!
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
6/18/73
JOB ADDRESS 7350 =Lane N.E.
1 LEGAL
DESCR.
LOT NO.
3
BLOCK
2
TRACT OR ADDITION SEE ATTACHED
Melody Manor 2nd Addition
SHEET
1
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mr Jerry Ratcliff 7350 Melody Lane N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Minnetonka. Pools, 10820 Wayzata Boulevard, Mtka
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
CR NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct 16' x 32' Swimming Pool
9 CHANGE OF USE FROM TO
STIPULATIONS Subject to Health Inspector's comments dated June 16, 1973
REQUIRED � FOR WIRIi�G, .
SrPERA TE PER�r�ITS
PLUMBING AND SIGNS.
PLEATING,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
In -Ground
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
512
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
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
$4,500
2.25
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFOR NSTRUCTION. �
27-00
PLAN CHECK FEE
TOTAL FEE
$29.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
IIDATEDTHIS IS YOUR PERMJT
WHEN PROPERMaAA.2
.
AA1 � � -1('y
BLDG WSP ,DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) - (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : M R . RR,/ 1Z A T Cli FFBUILDER • /M �'U �T� �v >� /� Poo L s
ADDRESS: 7's SO ANE ADDRESS: /oS )--o
ulAy/3 L„►,, NiTKA.
y ,
NO:. STREET:
LOT: --BLOCK: ADDITION•
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: 16`X 3 a-'
\Q NTE Front: Depth: / Height:
ao Square Feet: Cubic Feet:
Front: Depth: 'eight:
Square Feet; Cubic Feet:
Type of Construction: IAJ GR ov,u POOL, po�Estimated Cost:
To Be Completed: S u �/ 1773 ra
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stf ict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: 1 ig 13 SIGNATURE • W
(See Reverse Side For Additional Information.)
U0 .SccJ��"_�/l0--)4
a..as-
I, "Ap
10820 Wayzata Blvd, Minnetonka, Minn. 55343/612.546-3281
GENERAL REMARKS
The following specifications are issued in compliance
with all Fridley health and construction codes
stipulated.
All equipment specified herein is NSF approved.
The proposed private swimming pool is to be constructed
at 7350 Memory Lane, located in the city of Fridley,
Minnesota.
The following specifications include only the installation
of one 16 x 32 rectangular vinyl liner swimming pool,
and shall not be construed to include any additional
structure or shelter hereafter referred to or implied.
Fence requirements are to be done by owner as shown on
the drawing. Any and all changes to theses specifications
must be approved by Minnetonka Pools and the Fridley
department of Public health, prior to construction.
These specifications do not include operational permit
fees or inspection fees.
900010RAOol
DISTRIBUTOR OF FOX POOLS / STRONGEST NAME IN POOLS
RECIPROCAL PLUMBING:
All piping shall be located as to meet state code. The skimmer
and return lines are to be 12" black plastic 80 lb. test pipe.
The main drain is to be 12" 80 lb. test black pipe. All joints
that are buried are to be nylon or FVC double clamped and caulked.
External manifolds of 12" galvanized steel and copper gate valves
shall make the control manifold as shown on print. The pool tank
fittings are to Cycolac. The returns are Cycolac eyeball type
restrictors 1" inside dimension. Four returns are to be placed
to obtain maximum surface circulation. The returns shall be
connected in pairs to the return manifold as shown in print.
The main drain shall be cycolac 7-3/4 inches round, hooked to
a i2" common manifold 'by a 12" line. Piping and drain location
to be laid according to State Code.
Two automatic skimmers NSF approved, shall be located as to
give proper circulation. Skimmers are to be installed as
indicated. Suction lines inside skimmer are to accept vacuum
hose for bottom cleaning.
FILTER AND PUMP:
One pump and filter combination shall be as manufactured by
Swimrite Company. Each tank shall be 24 inches in diameter
and shall have 3.142 sq. ft. of filter media. Each pump motor
is 12 H.P. and capable of 62.84 GPWI which will facilitate
22,600 gallons of treated water each 6 hours.
%NW
DISINFECTANT:
Chlorinator, Erosion.
ADDITIONAL SAFETY EQUIPYaN T:
The pool equipment shall include the following items: One test
kit containing accurate tests for chlorine residual, Ph test,
alkalinity content and acid demand.
The vacuum system shall. consist of ohne vacuum hose, one vacuum
sweep, and one collapsable pole. �'"±� �-ge4-, 'N'
The cleaning equi ment shall be one brush and
r one le
and debris rake. The pool shall be equipped with one - two
tread stainless steel ladder and one 3 tread SS ladder be pl ed
as indicated on location print. The ladders shall be remova le
to facilitate cleaning.
The safety rope shall be placed at the transition point fr
shallow to deep and consist of 1" nylon rope and 5 float
A schematic showing operation, backwash, balance and p ming
shall be posted near filter area. The schematic sh be
labeled as to each gate valve and show sequence f operation
for normal backwash and cleaning use.
.w
L" ATION:
Zhe pool is to be located as shown on detail print. The
filter and heater are to be on the grade of the pool in the
location indicated. The existing building and terrace shall
be the determining source of placing and elevation.
POOI _
The construction of the pool wall is of 14 gauge copper
bearing steel, with 2 oz. of copper bearing galvanized per sq.
ft. as manufactured by FOX Pools with a 21, mason sand bottom.
The steel wall. erection shall be accomplished as directed by
Installation Manual, issued by FOX pools.
The pool design shall follow specifically the configuration as
shown on drawing. Wain drain to be 2" deeper for proper flow
or water while filtering. The transition as shown on plan.
GROUNDING AND HOOK-UP:
The steel panels, the steel concrete reinforcing, the deck
reinforcing, ladders and any other miscellaneous metal fixture
within 10 feet of the pool perimeter will be grounded to conform
with State Electrical Code. See print cross section for con-
nection details.
The filtration pump shall be wired to a minimum of 100 AMP
circuit, 230 volts utilizing a circuit breaker and onepull
switch. All mechanical electric components are to be installed
to Ninnesota State Code. These specifications are not to in-
clude any service to filter area.
_.—
GENERAL INSPECTIOT REMARKS
The completed pool shall be inspected to assure that the
entire filter system is free of leaks, the tank is clean
ve
and disinfected and proper safety precautions are implemented
by the owner. The specifications do not cover decks, however,
supervision to assure proper installation of ladders is
provided.
These specifications omit sanitary sewer, bath and wading
areas. Minnetonka Pools, Inc. shall maintain temporary con-
struction fencing to warn passers-by of the excavation and
equipment. It shall be the owners responsibility to furnish
necessary additional safety equipment. There are not port-
able water sources included in these specifications or in the
pool area.
These specification shall supercede any and all former
specifications published with regard to this pool by this
company.
Minnetonka Pools
MINIMUM STANDARDS
FOR RESIDENTIAL
SWIMMING POOLS
mDmmmvgomKl p9(9B. CSO
10820 Wayzata Blvd„ Minnetonka, Minn. 55343 /612-546-3281
JANUARY '1,1972
NATIONAL SWIMMING POGL INSTITUTE
2000 K STREET, N. W.
WASHINGTON, 0. C. 20006
NATIONAL SWIMMING POOL INSTITUTE
MINIMUM STANDARDS FOR
RESIDENTIAL POOLS
1.1 All pools shall be designed and constructed to withstand all anticipated stresses under
normal use.
1.2 Sand or earth bottoms are not permitted in pool construction unless covered by a durable
waterproof membrane.
1.3 In climates subject to freezing temperatures, the pool shell and appurtenances, piping,
filter system, pump and motor, and other components shall be so designed and constructed
as to be easily winterized or protected from damage from freezing.
1.4 A means of hydrostatic relief shall be provided for pools of rigid construction.
DIMENSIONAL DESIGN
2.1 No limits are specified for shape of swimming pools except that consideration shall be
given to shape from the standpoint of safety and the recirculation of the swimming pool
water. The rest of this section does not apply to constant depth pools with a water depth
not exceeding four feet ( 4' ).
2.2 Walls in the shallow portion of the pool shall be vertical for a minimum of two feet six
inches (2'-6"), from which point a radius cove or vertical section can be used to join the
wall section to the floor. In the swimming area the shallow end wall shall be three feet (3')
minimum and three feet six inches (3'-6" ) maximum, except for special purpose pools.
More shallow depths may be used in the non -swimming areas except that in no case shall
wall slopes exceed eleven degrees (110) from vertical or floor slopes exceed that
provided in 2.3.
2.3 The slope of the bottom in the shallow portion of the pool where the water depth is less than
five feet (5') shall be not more than one foot (1' ) in seven (7'), and said slope shall be
uniform except that the slope may increase to one foot (1' ) in three feet (3' ) at water depth
from three feet (3' ) to five feet (5' ), provided a permanently attached safety I ine supported
by buoys is affixed to the side wal Is at a point at least one foot (1') on the shallow side of
the point of slope change, and further that the point of slope change be located at least six
feet (6' ) from the shallow end wall.
2.4 The slope of the bottom from the point of the shallow end slope change to the deepest
portion of the pool shal I be not more than one foot (1' ) in three feet ( 3' ) and said slope
shall be uniform.
Page 1
2.5 Slope of the bottom in any other portion of the pool shall not exceed one foot (1' ) in
one foot ( 1' ).
2.6 Pools without diving boards shall not be limited in width, length or depth of water except
as provided in 2.2, 2.3, 2.4 and 2.5.
2.7 Pools intended for use with diving equipment shall have the minimum dimensions of width,
length, and water depth according to the following chart.
MINIMUM DIMENSIONS FOR RESIDENTIAL POOLS WITH DIVINu BOARDS
Point A Point B Pc:nt
tVATER LINE
T
3' VIN. 3' N41N. 3' MIN.
3' -6" MAX
5' MIN.
Dt
D` 7 MAX.
SEE 23 ON SLOPE
3
�i-Point of Slope cnange
f
MAX.
Lf f L-�♦ 1-3 �I� H• '..'I N. °' MIN.
L4
POOL*
TYPE
D1
D2
**
L1
L2
L3
L4
MINIMUM WIDTH OF POOL
PT. A
PT. B
PT. C
IL6'-0"
V-6-1
1' -6"
7' -0"
7'-6"
28--0-
12'-0-
15'-0-
12'-0"
6'-10"
W -0"
2' -0"
7' -6"
9' -0"
30'-6-
12'-0-
15'-0"
12' -0-
JZ
V-8--
8' -6"
2' -6"
8' -0"
10' -6"
33' -0"
15' -0"
18' -0"
15' -0"
8' -6"
9' -0"
3' -0"
9' -0"
12' -0"
36' -0"
15' -0+18'
-0"
15' -0"
* See Note 7
* * See drawi ng and Note 3
Page 2
NOTES ( Refer to drawing 2.7)
1. Dimensions of length and depth are taken at the longitudinal cross section of the pool
corresponding with the centerline of the diving board; dimensions of minimum width are
stated to provide one half of this dimension as the minimum clearance from the center-
line of the diving board to each side of the pool.
2. Pool Type I is any residential pool providing less water dimensions than a Type II pool.
The installation of diving equipment in a Type I pool is prohibited.
3. Point A is a base reference point where depth D1 intersects the water surface; and from which
point all other dimensional points may be derived. It is the intention of this Standard to
provide the minimum water envelope specified by these dimensions as related to Point A.
It should be specifically noted that the L, distance from point A to the deep end wall is a
minimum distance. (If L1 is increased the degree of slope below three feet (3') of deep end
wall will decrease accordingly and the diving board overhang must be increased accordingly
to satisfy the water depth requirements at the tip of the diving board (point A)).
4. When diving equipment is installed it shall conform to the specifications set forth in Section
2.11 of this Standard and shall be so located in the diving area of the pool so as to provide
the minimum clearances intended in pool width, depth and length as outlined in Sections
2.7, 2.8, 2.9, 2.10 and 2.11 of these Standards.
5. Diving equipment shall be classified as to Type of pool required for its installation; and
diving equipment of a greater Type, i.e. Type III shall not be installed on a pool of lesser
Type, i.e. Type II.
b. Vertical sections called for in this drawing shall be permitted to slope not greater than
one foot ( 1' ) horizontally for each five feet (5' ) of depth ( eleven degrees [ 11 °] from
vertical ).
7. A radius may be used to join the vertical deep end wall with the pool floor providing this
radius and its point of tangency with the deep end wall are in accordance with the following:
Page 3
MIN. DEPTH AT
MAXIMUM
POINT OF RADIUS
POOL TYPE
RADIUS TO BE
TANGENCY
USED
(MIN. VERTICAL WALL)
II
3'
4'
M
3'
4' - 6"
IQ
3'
5'
Y4'
4' - 6"
Page 3
2.8 Cross sectional dimensions of pools designed for the installation of a diving board shall have
as their minimum dimensions the widths specified at Points A, B, and C outlined in 2.7 and
as located in the plan view below.
PLAN VIEW
( Minimum Water Surface Area of Minimum Diving Water Envelope)
APPLICATION OF –
FREE FORM
PROFILE
DEEP
END
APPLICATION OF MINIMUM RECTANGULAR PROFILE
2.9 The minimum allowable underwater cross section at Point B shall be established as the
minimum profile represented by the superimposure of Case A and Case B as outlined below.
Any other configuration that creates a water envelope in excess of the superimposure of
Case A and Case B shall be permitted.
MINIMUM ALLOWABLE UNDERWATER CROSS SECTION AT POINT B
SUPERIMPOSURE
OF CASE A AND B
Minimum Dimensions to be
in accordance with those
outlined below.
Page 4
I�
7
"IONAL
CASE A
%SE B
00
MINIMUM PROFILE
_
\
I �
_
I
'
H
p
SHALLOW EN
3
PROFILE OP
0
Pant A ❑
Punt 8 ❑
c't C
�3
�! Gti w
nt iJ`I LL
�Pc
iat F' depth)
2 ❑Li
❑
U
U
i
d
—
Z LL
LU
Z
f /
• L t
.(---- L
.0 L 3 -1
6' MIN -- ,
6' MIN --�
2.9 The minimum allowable underwater cross section at Point B shall be established as the
minimum profile represented by the superimposure of Case A and Case B as outlined below.
Any other configuration that creates a water envelope in excess of the superimposure of
Case A and Case B shall be permitted.
MINIMUM ALLOWABLE UNDERWATER CROSS SECTION AT POINT B
SUPERIMPOSURE
OF CASE A AND B
Minimum Dimensions to be
in accordance with those
outlined below.
Page 4
I�
7
"IONAL
CASE A
%SE B
CASE A
Walls shall be vertical --and vertical in Case A
shall be defined as slopes not greater than one
foot horizontally for each five feet of depth of
sidewall ( 110 from vertical) --for a distance of
not less than three feet below the water level
below which the wall shall be curved to the
bottom with a tangent radius not greater than the
difference between the depth and three feet.
CASE B
Walls shall be vertical for a distance of
not less than three feet below the water
level below which the walls shall slope
uniformly to intersect the bottom at a point
conforming to the minimum geometry called
for in table below.
1 .0 MINIMUM SPECIFIED WIDTH IN 2 7 -11111, 1
if DIMENSION "W" ON- I
R=D2-3'
If-- MIN.BOTTOM WIDTH --(•I
�k Use dimension "W" in conjunction with three ( 3' ) foot minimum vertical wall
to establish Case B profile.
2.10 The minimum allowable underwater cross section at Point A shall be a uniform intersection
or blending of the minimum longitudinal section called for in 2.7 and the minimum cross
section called for at Point B.
Page 5
POOL TYPES
7
'L
Minimum depth specified at Point "B''( D2)
( see 2.7)
�, g"
g' 0"
8' F"
9'-0''
Minimum width specified ( see 2.7)
15'
15'
18'
18
Case B minimum width ( dimension "W' *
16'
16'
18'
16'
Minimum bottom width
7'
7'
10'
10'
�k Use dimension "W" in conjunction with three ( 3' ) foot minimum vertical wall
to establish Case B profile.
2.10 The minimum allowable underwater cross section at Point A shall be a uniform intersection
or blending of the minimum longitudinal section called for in 2.7 and the minimum cross
section called for at Point B.
Page 5
2.11 DIVING EQUIPMENT INSTALLATION SPECIFICATIONS
POOL
MAXIMUM
MAXIMUM
TIP OF BOARD
BOARD
BOARD HEIGHT
FROM POINT A
TYPE
LENGTH
OVER WATER
I
NO D I VING
EQUIPMENT PERMITTED
]1
8'
1/2 METER OR 20"
Plus or minus 3"
,$
10'
2/3 METER OR 26"
Plus or minus 3''
IQ
12'
3/4 METER OR 30"
Plus or minus 3"
SL
12'
1 METER OR 40"
Plus or minus 3"
NOTES
1. Unless the diving board manufacturer specifies other minimum dimensions for his particular
equipment, the minimum distances to be used between the center line of the rear hold down
and the front fulcrum in the installation of all fulcrum actuated diving boards shall be not
less than the following;
6' board 30'' ■ 8' board 40'' ■ 10' board 52" ■ 12' board 62"
2. Diving units, such as jump stands consisting of board, stand and diving mechanism as an
integral unit shall be permanently anchored to the deck and shall be installed in accordance
with the above specifications unless the manufacturer recommends otherwise, in which case
he shall specify minimum Pool Type and location of the tip of the board relative to Point A.
3. Equipment suitable for installation on lower Pool Type may be installed on any higher Pool
Type providing no less a water envelope is provided from the tip of the board than called
for in the lower Type. Should diving equipment be installed at any greater heights than
specified for the lower Pool Type, then the board shall be installed so that the location of
the tip of the board falls within the limitations specified for the higher Pool Type.
2.12 At least twelve feet (12' ) of unobstructed head room from top of board shall be provided for
diving in accordance with the diving equipment used
2.13 Off -set ledges, when provided in the deep portion of the pool, shall not be over eight inches
(8" ) wide when measured from a vertical line commencing at the junction of the pool wal I
and the normal water line, and shall be at least three feet ( 3' ) below the water surface.
2.14 There shall be no protrusions, extensions, means of entanglement or other obstructions
which can cause the submerged entrapment of the bather.
Page 6
MATERIALS OF CONSTRUCTION
3.1 Swimming pools and all appurtenances thereto shall be constructed of materials which are non-
toxic to man, impervious and enduring, which can withstand the design stresses, which will
provide a watertight structure with a smooth and easily cleaned surface without cracks or
joints, excluding structural joints, or to which a smooth, easily cleaned surface finish is
applied or attached.
DECK EQUIPMENT ( STEPS, LADDERS, STAIRS, DIVING BOARDS AND PLATFORMS
4.1 Steps or a ladder or other approved means shall be provided at the shallow end of the pool if
the vertical distance from the bottom of the pool to the deck or the top of the wall is over two
feet ( 2'). If a pool is over forty feet ( 40' ) long a second step or ladder or other approved
means shall be provided to serve both ends.
4.2 A ladder or steps or other approved device shall be provided at the deep portion if the depth
of water is over five feet (5' ). If the pool is over thirty feet (30' ) wide, such steps or
ladders shall be installed at each side.
4.3 Steps leading into the pool shall be of a non -slip design, have a minimum tread of twelve
inches (12" ) and maximum rise or height of twelve inches (12" ). Seats may be provided as
a part of the steps, or in an alcove or separate section of the pool.
4.4 Pool ladders shall be corrosion resistant and shall be equipped with non -slip treads. All
ladders shall be so designed as to provide a handhold and shall be securely installed.
There shall be a clearance of not more than six inches (6" ) nor less than three inches (3" )
between any ladder and the pool wall. If steps are inserted in the walls or if stepholes are
provided, they shall be arranged to drain into the pool to prevent the accumulation of dirt
thereon. Stepholes shall have a minimum tread of five inches (5" ) and a minimum width
of twelve inches ( 12" ).
4.5 Where stepholes are provided within the pool, there shall be a grab rail at the top of both
sides thereof.
4.6 Supports, platforms, and steps for diving boards shall be of substantial construction and
of sufficient structural strength to safely carry the maximum anticipated loads. Steps shall
be of corrosion resistant material, easily cleanable, and of non -slip design. All diving
stands of one ( 1 ) meter or higher shall be provided with suitable steps.
Page 7
FENCES, ENCLOSURES AND SAFETY EQUIPMENT
5.1 Outdoor swimming pools shall be protected by a fence, wall, building, enclosure or solid
wall of durable material of which the pool itself may be constructed or any combination
thereof. Artificial barriers shall be constructed so as to afford no external handholds or
footholds, of materials which are impenetrable by toddlers, at least four feet ( 4' ) in height
so that a toddler cannot grasp its top by jumping or reaching, and equipped with a self-
closing and positive self -latching closure mechanism at a height above the reach of
toddlers and provided with hardware for permanent locking.
ELECTRICAL REQUIREMENTS
6.1 All electrical wiring shall conform with Article No. 680 of the National Electrical Code of
the National Fire Protection Association.
WATERSUPPLY
7.1 The water supply Serving the pool shall meet the requirements of the health department for
potable water except that the health officer may approve the use of water from natural sources,
including saline water.
7.2 All portions of the potable water supply system serving the swimming pool and auxiliary
facilities shall be protected against backflow.
7.3 Potable water introduced into the swimming pool, either directly or to the recirculation
system, shall be supplied through an air gap (American Standards Association A40.4-1942)
or other approved means.
INLETS AND OUTLETS
8.1 All pools shall be provided with a means to permit the pool to be completely and easily
emptied. Floor outlets must be covered by a grating which is not readily removable by
bathers. Outlet openings of the grating in the floor of the pool shall be at least four ( 4)
times the area of discharge pipe or provide sufficient area so the maximum velocity of the
Page 8
water passing through the grate will not exceed one and one-half feet ( 1-'/2' ) per second,
or shall be of the anti -vortex type. The maximum width of grate openings shall be one-
half inch (1/2" ). Sidewall outlets shall be designed so as not to create a vortex of
sufficient velocity to be hazardous to bathers.
8.2 All portable pools shall be provided with an outlet means for removing the water either
for filtering or draining. Sidewall outlets shall be designed so as not to create a vortex of
sufficient velocity to be hazardous to bathers. Connection may be through the pool wall
or floor or may be by means of over the wall piping.
8.3 An over the rim fill spout, if used, shall be located under a diving board or otherwise
properly shielded.
8.4 Inlet(s) for circulated water shall be located to produce uniform circulation of water and to
facilitate the maintenance of a uniform disinfectant residual throughout the entire pool.
Where skimmers are used, the inlet(s) shall be located so as to help bring floating particles
within range of the skimmers.
8.5 Inlet(s) from the recirculation system shall be designed so as not to constitute a projecting
surface hazardous to the bather and shal I be submerged at least six inches ( 6" ) below
the minimum operating water level.
8.6 The number of inlet(s) shall be based on either one ( 1 ) inlet per six hundred (600) square
feet of pool area or one ( 1 ) inlet per fifteen thousand ( 15,000) gallons of pool capacity,
whichever is greater.
8.7 Where provided, the vacuum cleaner fitting(s) shall be located in an accessible position(s)
at least six inches ( 6" ) below minimum operating water level or as an integral part of the
skimmer(s).
RECIRCULATION SYSTEM (PIPING., FITTINGS, FILTERS, SKIMMERS)
9.1 A recirculation system consisting of pumps, piping or conduits, overflow gutters or
skimmers, filters and other necessary equipment shall be provided for complete and
continuous circulation of water through all parts of the pool designed to provide a minimum
of two (2) turnovers in twenty-four (24) hours.
9.2 Pool piping shall be sized to permit the rated flows for filtering and cleaning without
exceeding the maximum head at which the pump will provide such flows.
9.2.1 The water velocity in the pool piping shall not exceed ten feet (10' ) a second for
discharge piping, except for copper pipe where thevelocity shall not exceed six
Page 9
feet (6') a second discharge. Suction velocity for piping shall not exceed six feet
( 6') a second for both. Where velocities exceed these rates summary calculations
should be provided to show that rated flows are possible with the pump and piping
provided.
9.2.2 The recirculating piping and fittings shall be of non-toxic material resistant to
corrosion, and able to withstand operating pressures.
SKIMMERS
10.1 Permanently installed skimmers shall comply in all respects with the Joint National
Swimming Pool Institute -National Sanitation Foundation "Standard Relating to Recessed
Automatic Surface Skimmers for Swimming Pools", and shall bear the seal of an approved
testing laboratory.
10.2 When permanent skimmers are installed, at least one ( 1) skimming device shall be provided
for each eight hundred ( 800) square feet of surface area or fraction thereof.
10.3 Skimming devices shall not protrude more than six inches ( 6" ) from the nearest wall.
FILTERS
11.1 All diatomite and sand filters, whether of the vacuum or pressure type, shall comply in all
respects with the appropriate Joint National Swimming Pool Institute -National Sanitation
Foundation Standards covering such filters and shall bear the seal of an approved testing
laboratory.
PUMPS AND STRAINERS
12.1 Pumps of three (3) horsepower and smaller shall comply in all respects with the Joint
National Swimming Pool Institute -National Sanitation Foundation "Standard Relating
to Centrifugal Pumps for Swimming Pools" and shall bear the seal of an approved testing
laboratory.
Page 10
VALVES
13.1 Valves shall be installed on permanently connected suction and discharge lines located
in an accessible place outside the walls of the pool when the pump is below the overflow
rim of the pool.
13.2 All valves shall be located where they will be readily and easily accessible for
maintenance and removal.
13.3 All valves shall be constructed of corrosion resistant material.
CHEMICAL TREATMENT AND DISINFECTION
14.1 A chemical disinfectant shall be employed in the pool water which provides a disinfecting
residual therein. Chlorine or chlorine compounds are most frequently used for this purpose
but other elements in the halogen group, bromine or iodine, shall be acceptable.
14.2 There shall be maintained in the pool at all times the disinfecting residual equivalent to
at least 0.4 ppm of free available chlorine.
CHEMICAL FEEDING EQUIPMENT
15.1 Chemical feeding equipment is not required. However, if used it shall comply with the Joint
National Swimming Pool Institute -National Sanitation Foundation "Standard Relating to
Adjustable Output Rate Chemical Feeding Equipment for Swimming Pools" and shall bear
the seal of an approved testing laboratory.
TESTING EQUIPMENT
16.1 A test kit with appropriate reagents shall be provided for measuring the chlorine residual
and pH of the swimming pool water.
Page 11
WASTE WATER DISPOSAL
17.1 The sewer system or waste water disposal shall be adequate to serve the facility.
17.2 There shall be no direct physical connection between the sewer system and any drain from
the swimming pool or recirculation system. Any pool or gutter drain or overflow from the
recirculation system when discharged to the sewer system shall be connected through a
suitable air gap so as to preclude possibility of backup of sewage into the swimming pool
piping system.
LIFESAVING AND EMERGENCY EQUIPMENT
18.1 Lifesaving equipment shall be provided and shall consist of at least (1) one ( 1 ) life pole
ten feet ( 10') long or ( 2) a Coast Guard approved ring buoy with a minimum outside
diameter of twenty inches ( 20" ) ( U.S. C. G. approval numbers 160.009 or 160.050 ) to which
shat l be attached a three -sixteenths inch ( 3/16") rope of a length at least equal to the
greatest dimension of the swimming pool.
Page 12
CIFY OF FRIDLEY
HEALTH AND SAFETY INSPECTION
BUSINESS NAME: DATE: a" s-7,/- J I .�
OPERATOR: TEL. #
ADDRESS t ,'�.(, �a�.,�, -_ - ..;;� ...- OF BUS.:
On this date, the health authority made an investigation of the subject facility.
The deficiencies noted at this time and the necessary corrective measures are
given below. If you have any questions concerning this matter, please feel free
to call on us at our offices (City Hall, 6431 University Avenue N.E., Fridley)
Telephone No. 560-3450, Ex. 41.
1 F i
Received by; �{.� � '�'"� Health Authority �---,
s
Received by; �{.� � '�'"� Health Authority �---,
i
SUBJECT
City of Fridley
jPERM1T
12252
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
;.
CEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION
r � � SEC.
j
CITY HALL FRIDLEY 55432
IL
L---- '..J
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
812-580-3450
910-F15
7/23/73
JOB ADDRESS 7350 Memory Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Melody Manor 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jerry Ratcliff 7350 Memory Lane N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Sussel Company = 1850 Como Avenue, St. Paul
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING Residential
7 CLASS OF WORK
❑ NEW X ADDITION Z ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK Construct 21.5' x 16' Addition to dwelling and alter inside of dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FQR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Wood Frame
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
R-1
344
4128 Additio
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$7800.00
3.90
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-
$27.82
THE E OF CO TRUCTION.
plk
veSTYPERFOM
PLAN CHECK FEE
TOTALFEE
$31.72
SIGNATUREOF COWRACTVOR AUTHORIZEDAGENT (DATE)
WHEN PROPS - V IDATED-THIS IS YOUR PERMIT!
7<J
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
BLDG INSP DATE
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APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: t/ef-Ay )e,.q t C t, ! )=¢ BUILDER: Z
ADDRESS: /110 M C-rW ®,e Y e-'1iADDRES S : _ f JE?- 5-0
5 r, -PA cfi L-.
NO:. 7 3.5"� S TREET : 9" Vq- �e
LOT: ! BLOCK: <%- ADDITION:XA1r-t-®dye
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As;
/4b iJ1`2-rO'tf Front: c -do �E Depth: lam, O
Height.:
Square Feet:' Cubic Feet:
1 r,' 6 Forst •
Depth: Height : ° 7n�
Square Feet; Cubic Feet:
Type of Construction: _moo Ltr,,e eye Estimated Cost;_$
To Be Completed: tgopys � � � �/ � A � ',1•�
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in st$ict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: _ 7- a 3- 73 SIGNATURE:
r
(See Reverse Side For Additional Information.)
SUBJECT
PERMIT NO.
City of Fridley
22398
THE TOP OF THE TWINS
BUILDING PERMIT
r?AT
i �
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r 1 v PROTECTIVE INSPECTION SEC.
1173
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i
� 1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/4/94
JOB ADDRESS 7350 Melody Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
9
4
SHEET
Melody--Manor
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Kathy Smith 7350 Melody Lane NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
George B Johnson Contr. 5410 Grand Ave N Brooklyn -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑K REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (2nd Layer) 25 Squares
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,500
@
$ 75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
•
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$35.00
Fire SC $1.50
TRU TIO THE PERF RMANCE OF 9ONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$42.25
SIGNATURE OFC NIRA R AUTHORIZED AGENT (DATE)
WHE R PER Y VALIDATED THIS IS YOURPERMIT
BLDG )NSP DATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
NEW [ ]
ADDN [ ]
ALTER [)
Construction Address:
Effective 1/1/94
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 :. =4h 1-73
Building .Permit Application
'_/J
/J5�U / 4y
Legal Description:
Permit Fee
'
Fee Schedule on Reverse Side
Owner Name & Address: htkt
`" 1,04Tel.
#
State Surcharge
$ rS
JA;l
Contractor:
$
-� f l MN LICENSE
#
Address: "l U
C� �
/_,,.
L&V (� ; &n4�,-
Tel. # _ a
Alt. "A" or Alt. "B" Above
Attach to this application, a Certificate of Survey of the
$
$450.00 Conservation Plan Review
lot, with
the proposed construction. drawn on it to scale.
Fee Determined by Engineering
Sewer Main Charge
$
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length
Width Height
Sq. Ft.
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECK AREA:
Length
Width_ Hgt/Ground
Sq. Ft.
OTHER:
�fL`
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: 'sic Lkllue in,-� ted Cost: $ t
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ L
DATE: '1�� APPLICANT: Tel. # 7
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ ; ; �"
.001 of Permit Valuation (1/10th%)
State Surcharge
$ rS
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$ ,� • �� (l
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$ -
STIPULATIONS:
_
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
TOTAL FEE $
MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
BTU HP EDR
HEATING COMP Y AG4,,Fp
Signed By Tel No. ���-ZSR i
Approved By #4 Rough -In Date Final Date
FILL OUT BACK SIDE F R STACK VERIFICATION ON
REPLACEMENT FURNACE
JOB ADDRESS �% 3�C► /? g�� y G 4�e� 9iild-1
RATE SCHEDULE
The undersigned hereby makes application for a permit for the. work herein
Residential
Rate TOTAL
specified agreeing to do all work in. strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00 $
representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
Ze ® 1997
Gas Piping (Needed with new furnace)
$ 10.00 $
OWNER 3 Eft 2Y 2-rcc,iF� 6 - ;L I '-(I.
Gas Range
$ 10.00 $
-7-90 - 16 0 -
BUILDING USED AS Stu 6-_£
Gas Dryer
$ 10.00 $
ESTIMATED COST PERMIT NO.
*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 Water) (Warm Air)
Trade Namej.1r0ry1_4,ae_ - j6v; ao Size No,
Commercial/Industrial
BTU 52�&dzm HP EDR
1.25% of Value of Appliance or Work
$
Fuel A✓,nT 6� :S- Total Connected Load
A/ice A"J sCe-T
State Surcharge $ .50
e Size No.
TOTAL FEE $
MINIMUM FEE FOR ANY HEATING/COOLI�ENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
BTU HP EDR
HEATING COMP Y AG4,,Fp
Signed By Tel No. ���-ZSR i
Approved By #4 Rough -In Date Final Date
FILL OUT BACK SIDE F R STACK VERIFICATION ON
REPLACEMENT FURNACE
CH 4NEY AND STACK VERIFICATION
The undersigned hereby verifies that the -existing chimney
or stack:
1.
Has been carefully examined
Yes
O
No
(
)
2.
Is free from rust or deterioration
Yes ()
No
(
)
3.
Has no foreign objects lodged within
Yes ()
No
(
)
4.
Is securely supported
Yes ()
No
(
)
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No
(
)
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes (
)
No
(
)
8.
Has combustion air been provided for water heater
Yes (
)
No
(
)
Remarks: .
.1,V stiA-L,L- 6�,14e
-t•,J fr�t� z�r nl
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
9/®/2:7
r
SUBJECT
City of Fridley
2 7 5 �9O
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i `
PT
COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
I �
I
NUMBER
REV
GATE
19/4/98
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
JOB ADDRESS 7350 Memory Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
Melody Manor, 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jerry Ratcliff
780-8652
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE
LICENSE NO
Don Schuett Builder 8431 Terrace Rd. M is MN 55432
784-8041
6074
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 jjk REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (33 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
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
282$
$1.42
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.
$74.75
Fire SC
2.83
I,,` r `_}6
l
PLAN CHECK FEE
TOE
��
A AAA'v'N1
L ense
51$.Z.010
SIGNATUREO NTFACTORORAUTHORIZED AGENT IDATEI
N P OPE
BL INSR
I AT IS I$
PERMIT
BATE
S,GNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 r�
BUILDING PERMIT APPLICATION v1b ®�
ConstructionAddress: -735-0 444VEr-
Legal Description:
Owner Name & Address: jeg4 V kar CL Tel. # 794-66-S-2
Contractor: 'R MN LICENSE # b b) y
Address:�� �� \ e cr.�.� Q' -Q' Tel. # J'�_q _g6>411
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF 51PROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Driveway Curb Cut Width Needed:
Estimated Cost: $ (5
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x $
DATE: 2� � APPLICANT: LTel. # -70o-E3& 2_
TOTAL
STIPULATIONS:
$ < i4 , "' '
r 1.
CITY USE ONLY
Permit Fee
/'7—
$ �
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
_
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
$ < i4 , "' '
r 1.
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Effective On January 1, 2000 1
RATE SCHEDULE JOB ADDRESS X13 5 o '114,r4 a g, Lru A) E
OWNER C Li PP
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner - BUILDING USED AS e
Also Replacement Furnace $ 30.00 $ 3o.06
(Side Vent - Fill Out Back) ESTIMATED COST 0 Q oy PERMIT NO.
Gas Piping (Needed with new furnace, $ 10.00 $
Gas Range
but not replacement) $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water)it;�)
Gas Dryer $10.00 $ Trade Name o �,� A D�Size No. X0
*Air ConditioningSizes �4d BTU X60 _ 000 HP EDR
- All Si38T xfl 0 3 $ 25.00 $ s. vo Fuel " CL g- C. 0-_:= Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No.
1% of Value of Appliance or Work $ BTU HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work $ 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 an
t> , State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and
W.J�S le}e representations stated in this application are true and correct.
d TOTAL FEE $ 55. Si0 River City Sheet Metal, Inc.
9928 Bluebird St. N.W. DATE O o o
Coon Rapids, MN 55433
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HF�1F4)190�
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE Signed �T�— TEL #
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date /
written permission from adjoining property owner.
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required.
Yes () No
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination.
Yes () No
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yes () No
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes () No
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications.
Yes () No
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances.
Yes () No
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
Yes( ) No ( ;
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or
Nat
Appliance #2 Type BTU Input Fan Assisted or
Nat
Appliance #3 Type BTU Input Fan Assisted or
Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter
inches
Appliance #1 Vent Connector Height ft Length ft Diameter in
Type
Appliance #2 Vent Connector Height ft Length ft Diameter in
Type
Appliance #3 Vent Connector Height ft Length ft Diameter in
Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date
q3 So m E rnon4 LgAV E IVIE
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is -securely supported and firestopped where required. Yes ? No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
YesNo ( )
The existing combustion air is sized and installed to meet the current codes
JO(
and manufacturer's specifications.
YeI No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications.
Yes No( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances.
Yes No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
YesXNo ( )
Appliance Tvne and Size/Common Vent and Vent Connector Information
Appliance #1 Type //L BTU Input Fan Assisted or Nat
Appliance #2 Type 0 BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height QQ Diameter .15"Ite inches
`� �t a L t1
Appliance #1 Vent Connector Height XL& Length t Diameter in Type
Appliance #2 Vent Connector Height 11 ft Length` Diameter in Type OC"
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
I uD At
River eity Sheet MeW, .
9928 Bluebird St. N.W.
oon Rapids, MN 55433
(612) 754-2199 Fax (612) 754-2908
HEATING CO:
Signed By: Date la — 00
N(ft
ejAOO'—
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287
November 9, 2001
Jerry Ratcliff
7350 Memory Lane
Fridley, MN 55432
Re: Final Inspection at 7350 Memory Lane
Contractor: River City Sheet Metal, Inc.
Dear Mr. Ratcliff:
A mechanical permit was issued on July 12, 2000, to install a furnace and air conditioner at your
address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection
shall be conducted on the mechanical work authorized by this permit. As of this date, no
inspection has been called for.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Mechanical Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To, set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
_.CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE fj
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas'"
Gas Range*`
5
No
Gas Dryer"* _
Back Flow Preventer Required ( )Yes () No
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
TOTAL JOB ADDRESS 3 L -a, 0
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
L/ 20W
,20W
Owner Al6"
Type $15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance Orj
State Surcharge
Building Used As
Estimated Cost ®• PERMIT NO. / L
PLUMBING COMPANY r.��--,
SIGNED BY ro7KTEL N0. ��
Approved By Rough -In Date Final Dat
Ag
TOTAL FEE $'' a PLUS THE $.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes (-4o ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (-�No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes (VY/No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes (,,� No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes (-�No
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes ('�No
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes (LNo ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type FC G q(-) BTU Input 3J, COO Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
UIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
November 9, 2001
Jerry Ratcliff
7350 Memory Lane
Fridley, MN 55432
Re: Final Inspection at 7350 Memory Lane
Contractor: Lee Stull Plumbing
Dear Mr. Ratcliff:
A plumbing permit was issued on July 31, 2000, to install a water heater at your address.
According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted
on the plumbing authorized by this permit. As of this date, no inspection has been called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Plumbing Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To set up the inspection, or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
i
SUBJECT -
E O.
City of Fridley
' 32565
AT THE TOP OF THE TWINS
BUILDING PERMIT(-
r
RECEIPT
_____ COMMUNITY DEVELOPMENT DIV.
V _
PROTECTIVE INSPECTION SEC.
"NO.
� �
p�.
r
I i"'1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
_� ' 612-571-3450
91 415
5/7/02
r
10B ADDRESS 7350 Memory Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Melody Manor 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jerry Ratcliff 7350 Memory Lane NE 763-780-8652
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Renewal By Andersen 1920 Co Rd C W, Roseville, MN 55113 651-264-4777
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
20130983
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE - ❑ REMOVE
8 DESCRIBE WORK
Replace one window within existing opening
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
Permit inspoGtion Cards
Will Be Mailed
To Homeowner To Post
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. `
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$3,822
$1.91
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
License $5.00
$07.98
S-GNATURE OF CON'RACTOR OR AUTHORIZED AGENT iOATEr
EN P OPER LIDATEIS IS YOUR PERMIT
. wd V
S-GNA TUBE OF Ow NER,Ic OWNER BWLOERi IOATr.
9LD NSP - OATE
i
NEW[ ]
ADDN
ALTER
Construction Address:
CITY OF FRIDLEY Effective 5/10/99
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Legal Description:
Owner Name & Address•'
-' �tcv` �.n�rC \:�. Tel.
Contractor:3 MN LICENSE # x01309 B
Address: 19 a� C.O�n�y C fie.+ -v.lk� t�n�1 SS 11� Tel. #I•ale4.4}}�.
Attach. to- this application, iCerfificate of Survey. of -the
lot, with the proposed constrdction drawn. on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:4Z„ r, n
Construction Type:
DES.0 tH=7I dT`OF ROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Estimated Cost:ce $
xaa
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = _ Ft x $_ _ $
DATE: (3 ea APPLICANT:
Q 1p,,�,A, ,r��,r,,r� Tel. # cCja.- —no --�PN+
CITY USE ONLY
Permit Fee
$ C`',. cz)
Fee Schedule on Reverse Side
Fire Surcharge
$ ?>.43Q
.001 of Permit Valuation (1/10th%)
State Surcharge
$ I -on
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
k--5 -0 0
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$ �o"• �$
STIPULATIONS:
D Z
SuBjECT
PERMIT NO.
City of Fridley
33384
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I
1
NUMBER
I1EV
DATE
PAGE OF
APPROVED BY
CITY MALL FRIOLEY 55432
763-571-3450
910-F15
3/21/03
Job ADDRESS 7350 Memory Lane NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
Melody Manor 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jerry Ratcliff 7350 Memory Lane NE
763-780-8652
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Renewal By Andersen 1920 Co Rd C West,
Roseville, MN 55113 651-264-4777
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20130983
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace one french door within existing opening
9 CHANGE OF USE FROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
Permit Inspection Car&
Will Be Mailed
To Homenwner"I"u- Post
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
1 HEREBY 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 COMPLIED
$2,925
$1.46
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-
$83.25
Fire SC $2.93
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
icen SC $5.00
1 $92.64
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi
H N PROPERLY VALIDATED THIS IS ,U PERM T
BLD .NSo +ATE
S.GNA TUBE OF OWNER aF OWNER BUILDER. -,DATE,
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description: J
Owner Name & Address: '(14 I -woLhx� . Tel. # 1103 -11%
Contractor.; �u Ac�aexS�e, MN LICENSE # 0"10130983
Address: 19 a o COwm'?\ao►d Tel. # (x51.2104 • tib ---
Attach to this application, a'Cerdicate of Survey. of -the
lot, with the proposed1constrUction drawn on it to scale.
DES.CF. ON CSF IMPROVENW..NT '
LIVING AREA:
GARAGE AREA:
DECK AREA:
Construction Type:
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
IZ � _ _ ► I _ 1 •oma 1.
Driveway Curb Cut Width Needed:
DATE: 4 •(roo • d J
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Estimated cost: $
Ft. + 6 Ft = Ft x $
APPLICANT: Tel. # 9S a •345 • cnoy-
$ .5.60
Park Fee $
Sewer Main Charge
TOTAL
STIPULATIONS:
$ 7ab4
CITY USE ONLY J
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
Building
MECHANICAL
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By.
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
DATE ��b S YOUR E-MAIL ADDRESS
SITE ADDRESS 2350 111 er. , r j Fr : vA I e' /11 fl
THIS APPLICANT IS: 0 OWNER CONTRACTOR
PROPERTY
NAME: e r' -f j2"�'
'
ADDRESS: ��� D /rizr� �,- 1 L, -r CITY �� : e� l�� STATH .°l ZII'j
OWNER/
TENANT
PHONE: -7& 3 -790 - i/ jyS-;t
CONTRACTOR
COMPANY NAME:
SUBMIT A COPY OF
HMO
CONTACT PERSON
P1 EXP DATE
YOUR STATE
STATE LICENSE #�L�
LICENSE WITH
ADDRESS: NO= CITY STATE ZIP
APPLICATION
PHONE 0d1 FAX
SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
PERK M TYPE
TYPE OF WORK:
P(NEW 0 REPLACEMENT 0 ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK i ted = e - E-, rcO tiace— u2l/
PER MS 1613.665 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, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cast between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) O MODEL: Pw, ®� v` SIZE/BTU 30 °
M -1 �ttiFG:
Equipment Installed SIZEBTU
MFG: MODEL:
MFG:� MODEL: SIZE/BTU
A/C $25.00 � CE (GAS) $15.00 GAS RANGEIOVEN $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 _FURNACE $35.00 GAS UNIT HTR $10.00
POOL HEATER $35.00
_CHIMNEY LINER $10.00 _GAS DRYER $10.00
DUCT WORK $1000 GAS PIPING $11„0 00VENTII,ATOR 5•00
r y
.-_ r ... a..
z 3�. ga 4H e ;, e� IF�Faly+,.....
Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
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 oyallw rkwhic requires review and approval of plans. I_
rr
NAME et),',- J'S 1 DATE J 0
SIGNATURE OF APPLICANT PRINT
t!'yY/""sT`-
City of Fridley pe)
Building Inspections De artment � i1y.`, 1 v
B g p P
6431 University Avenue NE, Fridley, MN 55432
)
763-572-3604 �%� ,� e S i t
FAX: 763-502-49771��,6� Vj" Zu�4
�v��' /nn. s 53v S
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEWIEXISTING HOME Wfal &fftfiv
a # KtW4 vbincq sr,
1. Combustion Air (See note below)f
vA .M ,
a- Oil or solid fue11MC Chapter 7 with m2it' m . ES
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a_ IMC Chapter 5 with MN Amendments
3. Venting
a_ Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a- Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a. RCCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations
Building
BUILDING
Permit No.: -
Inspections
RESIDENTIAL APPLICATION
Received By: AD
763-572-3604
CITY OF FRIDLEY
Date Recd: S '
DATE a!9
C 61P YOUR E-MAIL ADDRESS u:) Cis
e
p^eQ0 l'e oC . Cum
.Z�Q/
SITE ADDRESS
THIS APPLICANT IS:
❑ OWNER &ONTRACTOR
PROPERTY OWNER/
NAME: C 1
TENANT
ADDRESS: CITY
STATE_ZIP
f _ ^
PHONE:
CONTRACTOR
NAME: Renewal By Andersen
SUBMIT A COPY OF
STATE LICENSE 1920 County Rd. "C" West _-._
s ✓ �' �1
YOUR STATE LICENSE
ADDRESS: Roseville, MN 55113 —CITY
STATE ZIP
WITH APPLICATION
PIJONF
FAMII Licence # 20130983
PROPERTY TYPE❑
T1NGLE
WO FAMILY/. 6514464-4777 _�.
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED INDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN
TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR REMODELING
ff❑
DESCRIBE WORK BEING DONE: la cy. to i xx L&KoS a
N
sAi to, jYlCl,!'�
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑DETACHED GARAGE
2.
3.
Proposed floor plan
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 As ❑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 Q
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING4HI L99-7 I �B`C FEE SCHEDULE)
TOTAL JOB VALUATION S , '10 00 OCCUPANCY TYPE
Permit Fee $ E e/ . -WS See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge $ 9 .001 times the total job valuation
Surcharge $ _ .0005 x Permit Valuation Minimum $.50
License Surcharge $ OD $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $21 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due $ 1'a.; Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with 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 applicatio f r a permit q4fork 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 r uires r and approvall of plans. rt
SIGNATURE OF APPLICANT dNT NAME_ ' SOA/DATE 0�1�y
UC610