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PRE 2010 DOCS• Village of Fridley, Minn. BUILDING PERMIT Date: .................................... Owner.... Builder Address. /. /.. ® ... <............... ..... Address -0 TION OF BUILDING No. 7 . . /®.. Street ... ................. Part of Lot ......... .(.. .. ... .. .......... ..... l Lot (...... Block �:"�.... .... Addition or Sub -Division Corner Lot ........... Inside Lot ........... Setback �/.... Sideyard 57 '7 DESCRIPTION OF BUILDING To be Used a Front Depth Heigh 6 ........... ...... ...Aont 4p11... Depth A;2... Height ........ �®�Type of Construction e� .... Est. Cost ............... Sq. Ft. . C u. Ft. ........ Sq. Ft. °........ Cu. Ft. ....... . To be Completed ..C'a ............. . In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. R lze® - In consideration of the payment of a fee of $.1.,7 ..... permit is hereby granted to ..... . ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and, moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, pi sewer or water. Be sure to see the Building Inspector for separate permits for these ii L" CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572-3604 = f� q Effective On January 1, 1998 _$Z®,-5 5 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES Tn RF INSTai I Fn MI ;=er-u Gi nno PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 JOB ADDRESS 95-10 ytht) The undersigned hereby makes application for a parmit 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. 1998 Owner %10,1 -er Building Used As 2 ,,:A -S Estimated Cost ?JCS• CO PERMIT NO. PLUMBING COMPANY MC_ SIGNED TEL N0. -11jl— Approved By Rough—In Date _ Final Date MINIMUM FEE FOR ANY PLUMBING/GAS P $ ' � PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. SUBJECT PERMIT City of Fridley 27384 AT THE TOP OF THE TWINS BUILDING PERMIT i? COMMUNITY DEVELOPMENT DIV. _ L PROTECTIVE INSPECTION SEC. r I , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 1 18125198 JOB ADDRESS 7510 h Street NF 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Thiele - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 3} REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (21 S 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 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1751 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL Si TUBE OF CO ACTO OR AUTHORIZED AGENT IDATEI N OPE LIDAT T IS V jEj B G IN SP �GNATURE OF OWI ER tIF OWNER BUILDER1 IDATEj NEV- W [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: /75—/ D `5/ / l/ iF 4 -e Legal Description: Owner Narr Contractor: Address: Effective 1/1/98 w Tel. # PJB MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction. drawn on it to scale. Tel. # DESCRIPTION OF BUROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. +OTHER: Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 00/-��APPLICANT: C— / Tel. #��� �D/1 . STIPULATIONS: CITY USE ONLY Permit Fee $ S �- %S Fee Schedule on Reverse Side Fire Surcharge $ `%j .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: susiki 4SAIVIT NO. City of Fridley 30702 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. oy 1 � � CITY HALL FRIDLEY 56432 NUMBER REV DATE PAGE OF Adv ROVED By 612-571-3450 910415 3/3/00 JOB ADDRESS 7510 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DIE 19 2 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kemal Kadir 7510 4 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO 55421 Lloyd's Home Improvement 1012 42 1/2 Ave NE, Col Heights, MN 788-5602 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 1798 S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION ! ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Finish exterior basement walls; install basement interior walls for bathroom and bedroom 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. CALL FOR FINAL INSPICT10it SEPARATE PE IN'TN'� UV �C ��OF WORK REQUIRE® OBITS COMPLETION PLU "?"VG• HEATING AND T® H®NEOWNER SIGHS 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 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 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 $ 14,000 $7.00 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 $,237.25 Fire SC $14.00 THE PE""'ffORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE SC $5.00 $263.25 SIGNATURE OF CONTRACTOR OR AUTt10 EO AGENT rDATEr =%WVEO RLY VAL�AT,'ED IS IS YOUR PERMIT �3 0 BI OG rNSo narE SIGNATURE OF OWNERIIF OWNER SUILDERr IDATEI NEW I ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 p BUILDING PERMIT APPLICATION Construction Address: J `C� �t�l a 'x/1 Z�� r \G Legal Description: Owner Name & Address: Contractor: Tel. # MN LICENSE # f 1 9 r Address:% f q z Xs , Tel. # LIVING AREA: GARAGE AREA: 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 DECK AREA: Length / Width Hgt/Ground Sq. Ft OTHER: AA Construction Type: A OC' 64 � � � Estimated Cost: $ ` o 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ od DATE;O)V 0 APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ a37, a5 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ `Zi 80 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control g 015'6 o -;;, $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Park Fee $ Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $�26 3 - C� STIPULATIONS: A' IAV AS Pvombwt 1 Jam•-- , r d PSIon Eac� I ® N\--tm I IfN�,Oc- E.l 5rFz -N�w1 ao Uoyd G. Graezyk 101242 WAve. NE Cokrmble MelgNs. MN 58421.3158 .78'S3'Y 0 i. 1�4 bu��o(n vi n�.acln�cn tc,a l yea v� an waew\l 14 TZ ate 3 , 0 I Uja(l - P(bcAF Sn2oke e Pl , (n i Q e.vt�¢c�eQy eite �• 3 � 0 A bu��o(n vi n�.acln�cn tc,a l yea v� an waew\l 14 TZ ate 3 , 0 I Uja(l - P(bcAF Sn2oke e Pl , (n i Q e.vt�¢c�eQy eite �• 3 � 0 A CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE 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** NO. RATE TOTAL Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes OTNo Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 0" State Surcharge $ .50 TOTAL FEE $ d /' Sb JOB ADDRESS 7S7r 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. e . 2oce Owner - k1 -e. Ala I ( �< at P �r_ Building Used As �i tof Estimated Cost ( PERMIT NO. PLUMBING COMPANY �-� SIGNED BY Z TEL N0. 651— Approved By Rough -In Date Final Date 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 () 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. 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 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( )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: CITY OF FRIDLEY INSPECTION DIViSION,(�'' Effective On January 1, 2000 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 5 d��' S % JOB ADDRESS RATE SCHEDULE OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner - ��77 � BUILDING USED AS 12- S Also Replacement Furnace $ 30.00 (Side Vent - Fill Out Back) $ ESTIMATED COST G� PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BA ) ; Burner Trade Name Size No. 1% of GGValue of Appliance or Work �5�� $ BTU HP EDR lii C19 r k" ep l Xt _ 1-'D&- -'D&-Commercial/Industrial 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and �0 representations stated in this application are true and correct. TOTAL FEE $ "?f DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION ��� HEATING CO AJ4 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed �``/ _ TEL # !(- -0a 764 2 7 5 REINSPECTION FEE $47.00/Hr e CL) � *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date ±� 131yo written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina 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. 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 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( )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 : From: City of Fridley To: 651-776-0456 Page: 4/5 Date: 8/29/20068:55:02AM Building AND MATERIALS: BUILDING Permit No.: 900 i -D Inspections VALUATION S 1 S 7 4 U ® OCCUPANCY TYPE RESIDENTIAL APPLICATION Received By. '��? 763-572-3604 Plan Review CITY OF FRIDLEY Date FW9 M AY 11-2( DATE S— 9:7f — 0 -7 YOUR E-MAIL. ADDRESS $ SITE ADDRESS 7,S— I U q ° N Z $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: x W.Ao, /NO/ L $ ADDRESS: 'i S l O 471* S Ti N L? CITY _ 1' YZ i D L 1 Y STATBMMIP '55 -L)32 - TENANT ft + 6 E = ft x $21 = $ PHONE: 7 e. 347 S— g G 6 6 $ CONTRACTOR NAME: s r2. X r ZA o u tv-V STATE LICENSE # 2 032 ,1 S' V7 EXP DATE :3 f 3 I Z O SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: Z C4 0,T C G 0,V T ft Y 01Z CITY L, rn-V, CAsVAW+ STATRW" 56-1 1 -7 WITH APPLICATION PHONE 6) 7 7 t. — ?3 Cc G FAX 6 5/ Z S — L 1 3 I PROPERTY TYPE 16 SINGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WDMWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING 0 OTHER lC ❑ SWHvnAIING POOL P.4 T I M C ®r/ it TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEfREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: A( tL w f -?A i 1 D Gy v tL X SIZE OF IMPROVEMENT LENGTH S WIDTH /7' HEIGHT 9 Ft. 02 ROOFIN ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE&. GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Erdsting Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl O.Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures E3 Other ❑ Fascia and proposed project 2. Two sets of conA action plans WINDOWS IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS 107 ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S 1 S 7 4 U ® OCCUPANCY TYPE Permit Fee $ 1 R$ See Back Page for Fee Schedule Plan Review $ 7 . W 65% of Building Permit Fee Fire Surcharge $ C1. lq .001 times the total job valuation Surcharge $ '1.2 .0005 x Permit Valuation Minimum $.50 License Surcharge $ S $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 E = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ -i , ' Make checks oavable 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wh' requires re&w and approval of plans. DATE SIGNATURE OF APPLICANT i�L PRINT NAME °� ��h — LO -LO -9 ° 311ra N lovas LO-¢z-ir , atva ON►mtraa >! 11008 /lod3a 3WOH d3S ST" 0191 ° 3NOHal IT --v CIM ° 9NOHd >MM 909b-98L-C9L ° 3NOHd �eM CELL: MCHd 340H ZOIA NW '.131a1aW : aZ / a1d18 / X I:3 SNIS till? @RBL ° SSaaaae' 01(3" vem t IVW3N aWVN ObS41ow ae1 = 213a^ eor IOlplt osl 17 fV�) N +7IC9pj� inn. N�`7d lO�d AB -.99 s®'� hm-d4 N m cs up=+Y�001 Cd00HO01d , (P mom -� OLLQDCe7 � T7Ni I I w mI I m I I L - - - -� 1—+ %N;zvw Qb r' �-u - p'OlIOQ,I C1� 1MONS3� S9)oS •r►•f'w �43W �M-1 damw wmwjww aw m � II r m III m -+ -III I1-1II-1I1=1I 1-I I 1=1 -III I I -I _ i -I 11-I I I-1 I I -I GCGC v -� 1II1=1I1-1II rr► i t-1 11=1 'i:III� 11=1 I� III 42° MM 0 a A jt� A N ^Z^ O r- O rn F f it • v 0 o d, ® O M � n r rn 57 y� nmo , -p- .740v2 -a/as-a Building $ S— BUILDING Plan Review Permit No.: Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ v5': 0e.0 Date Rec'd: DATE �^ -- YOUR E-MAIL ADDRESS $1550 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS % "1 jam _ ft + b 0 = ft x $21 =S THIS APPLICANT IS: ❑ OWNER 10ONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: Wk % It Fee Determined by Engineering TENANT ADDRESS: CITY —STATE—ZIP Total Due PHONE: Make checks navable to: City of Fridlev Attach Stipulations CONTRACTOR NAME: ll' n 'VJD11'' SUBMIT A COPY OF STATE LICENSE #(�� ` _ EXP DATE ___ _ _ YOUR STATE LICENSE ADDRESS: �7C7 Va 4A --D- CITY _STA WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILYINEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH JAROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING _ DESCRIBE WORK BEING DONE- Z — Y'l--��— SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING NUMBER OF SQUARES O�H OUSE ONLY db�HOUSE & GARAGE !BASEMENT REMODELING S_IBMIT: GARAGES R(ATTACHED GARAGE I. Existing Floor Plan PROPOSED SIZE; ❑ DETACHED GARAGE 2. 3. Proposed floor plan List of strwtaral members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ vinyl ❑SofRt ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of corrstnrction plans -WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 2 9 (USINGPE 1997 U. FEE SCHEDULE) -TOTAL JOB VALUATIONS -) OCCUPANCY TYPE Permit Fee $ S— See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 4 .0005 x Permit Valuation Minimum $.50 License Surcharge $ v5': 0e.0 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + b 0 = ft x $21 =S Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ o O c0 Make checks navable to: City of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a buildipg--pelmit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the or inances-and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appli n for a permit ancfiw kis not to start without a permit; that the wC will be in accordance with the approved plan in the case of all wo which requi es revi �/d apfpr^ova of plans. / SIGNATURE OF APPL[C 2 i ' ,(i PRINT NAME `�7 : ' DATEj� NEW a [ ] = CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax BUILDING PERMIT APPLICATION % S 1 U e-1 ' �+ S i Al IF- Legal � Construction Address: , 9 Legal Description: Owner Name & Address: 1,< (2-^- R L k A - D I L ?Sfi o q ' `r 57 W 17, Tel. # -7 G 7/? S.S yG o G I rya -A I OJ L IL 4, Contractor: 74 ,S u wi K v� v—& s S IZ Xe i r. A r v rt a MN LICENSE # 2 0 3 2 1% 9`7 Address: 24®S Cocom,-, r RY 129, CiTTLIZ, CA,04^ 7,-+ AA 5-5111 Tel.# 6 5'1 /776 -Z3G G Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length L7 Width f S Height Sq. Ft. Z GARAGE AREA: Length Width. Height Sq. Ft. DECK AREA:en h th Hgt/Groun /Sq. Ft. OTHER: V Construction Type: S a' a C, v Estimated ost: $ .S CD o 'd✓%a uE 1 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ �'4� DATE: 6-1-7-09 APPLICANT: 70" " B A Iz �v-fz Tel. # 6 17 76 - ?3G'K Call (763) 572-3604 for Permit Fees.if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ .2)1(Qe CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1AOth%) $.50/$1,000 Valuation $1275 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 [ ] Aq� PLANS REVIEWED AND APPROVED AS MARKED to T DATE= PROJECT MANAGER OU,lER SIGNATURE— OUNER SIGNATIM: CUSTOM ROOM SPECS FOOM COLOR SANISTOre WALL STYM TBD SOFFIT COLOR OWNS FASCIA COLOR MOTM CELNG FNUiFh WA G0P710N WALL. FINN" TW — diorr- &x.k ( .s I I Z W mom F I I N �-- O Talo euaaaarn aw oc I � I unmcxun nr° ,m PROPOSED av"10-ormew TEMO ROOM TEMO rAX "l- � ' 1/�G ♦IIIMOCe Yell VV 1\MI IVI..1\ IVV CUSTOMERS NAME: KEMAL a AJSA KADIC ADDRESS : 1510 4TH ST NE CITY / STATE / ZIP: FRIDLEY, MN 55432 PLOT PLAN HOME PHONE : T5D SCALE. I° - 30'-0° WORK PHONE: 163-1854606 WORK PHONE : T5D CELL PHONE : T5D SALES REP : HOME DEPOT/ EINAR C-AMER50N DRAWING DATE: 05-21-08 REVISION DATE: 06-11-08 YARD SIGN OK REDESIGN DATE : 06-19-08 FA i T3 m ti ----------------- M- F 0 0) Ul EXISTNG DECK M. FRAMM TO REMAN T 'p RMI -R Ir MIN Jill all u0 -d ° uA/I ' 3w1 g NOUVATla Nbrg! 3snor �rutsix n0-.1 ' u8/l ' 3w:)s NOIIVAT1�1 1HSIN n0 -d = a8/1 = 3w:15 NOI IVAEI-13 1NON=i uO-.1 ° ueA ' 3-Pd�s NOIIbAa-la 1=G-1 a owal roaw WORM aw %voms 01-M ravw� aai-eu-�av 0 RDD qua .XVW 9NOI1VA913 W002d TYR1N U lW NOUVIN393JW3S -JVMIA JOA 43aNMM MVV rffVSQ SV SWIVn313 TEMo WALL TEMO WALL TO BE INSTALLED ON TOP OF NEW FOUNDATION EARTH S° GONG. SLK 5C WhElim FEILD VERIFY THIS FRAMNG 2° INSULATION BOARD AS NEGUUIRED 16 W" CONT. CONC. FTG BLOCK FOUNDATION DETAIL NOT TO SCALE NO FOUNDATION BOLTS IN BLOCK -TEMO WALL CHANNEL 15 FASTENED FROM CHANNEL TO FOUNDATION (SEE ENGINEERING FOR SPECS) o M M say �e+oansa TEMO soo-sye•mn ansa vaw sst-n�eres a • ama • oo�oroaeefm+0`+®�mmur9 • m�mmram� • mercmeWWW • mu��rm N ®au -W • nmammr�amm • R=mwmm =vm • nmwmaarrnwr�e i t• ;; • RMVNMKM mraummmu mom"r 0 mmmmoRmm A m emmm mvwam �U=? C a, Nor-all s _ ll ME ® vigil, SPECIFICATIONS FOR SUNROOMS AND PATIO COVERS WITH all 3.625 INCH WALL MULLIONS Will J PAGE NUMBER COVER SHEET INDEX OF SHEETS 1 FLOOR PLANS, ELEVATIONS and ROOF PLANS 0 2 3.625" SUNROOM SYSTEM ROOF DETAILS and NOTES 3 3.625" SUNROOM SYSTEM WALL DETAILS 1 4 3.625" SUNROOM SYSTEM CROSS SECTION and ATTACHMENT DETAILS (� 5 3.625" SUNROOM SYSTEM WIND LOAD CALCULATIONS I HEREBY CERTIFY THAT THIS ENGINEERING DOCUMENT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY LICENSED PROFESSIONAL ENGINEER UNDER THE LAWS OF THE STATE OF MINNESOTA 0 if SPAWN NOT M Evmm 8 FEET PATIO COVER END WALL ELEVATION 18' wx if SPA= NOT TO OM 8 FEET PATIO COVER END WALL ELEVATION PM81 SPAOAO NOT TO E7LCEFD 8 FEET PATIO COVER FRONT WALL ELEVATION PANEL 6 SPAO S NOT TO E1(fEID 8 FET PATIO COVER FRONT WALL ELEVATION is TYPICAL STUDIO ROOF PATIO COVER PLAN TYPICAL GABLE ROOF PATIO COVER PLAN 1m ALL SEl W & DEMS REFERENCED NERE ARE SHOM ON SHEETS 48 M M03 AND 470M I MW UNDO 1H TUM DMEMN DOMIMOff SUPEWAM 1 AAS ARO10.� LMM PRWEMGM 4MOO M LMM W LAW OF DM BTAMt W MOM= I I R I HEREBY CERI Y THAT TILLS ENGDOMM DOCUMENT WAS PREPARED BY ME DR UNDER MY DIRECT SUPERMON AND THAT I AN A DULY LICENSED PRDFES90NAI. ENGINEER UNDER THE LAWS OF THE STATE OF MW4ESOTA 3.625' SUNR0011 ®e irRmwzm ®Ao ffRm I►A w�a SYSTEM WALL emc) irac— ®� cm. me DETAILS Roan Nai Ran • MMM m� • m� ®m = Ama T�� mr s® ®-2 -M t-=-�IMm® FAR am-zm-m 11 mem VW F 9MVTW AM 2,-a tylGR WAi GiH'%EStA tiY qq ��urtd,.t mY di+aE' a n ^AT ,I7Y) REQ.N0.45958 L u 91.1 15 H 4t 4t1;_ '511 1 2*4 11 g e 01 H o il 0 Ig 9P4a mg; 110 �4 �y oil €� � it'll 3.825' SUNROOY meim�mmgwms m Amo wlw� CROSS SECC�ION AND Tema tnG >gD nD IVA1 e® CUM � I�a�S�6� mases ID rao F sm��n � ATfACHYENf DETAILS somoxiai.mm . o'wwom r +eme IMAM=. m�m�a�omra=mv ��iM ��0 y-mo-aw-®e FAX WB -aa VW ®e m® on. =3 r t¢poR acA primed By m0 +<';'.sob Phai 1 ALU! AL1 &032' R LWANUN ROOF TO OVERHANG REINFORCING AND ATTACHMENT DETAIL . rm RBL CARR= MY UL AffWM FXUM 0=[ CEILING FAN MOUNTING DETAIL RDOF Pum. sPL� [Oi GENERAL NOTES & SPECIMMINS a LlBAAaiB®IewBtIBW®BmlmsmPABL�� BRraBuaFA&mmaamAam�wBw®Pom !CS DESIGN ���a LOAD I Nagam�i.®mio�rog�rwiau�®r�eu�ulomaooc 5 q} a ►L� B NU BI M® AW WAL Z Dilor RBB. maw U aiEp YA�11�. $ _ U ♦ YI.. aBOBO!? m! BIBOa 6ffi� pa��{{BID SARDI�71F9 IYA37 g � 6C'R'. d e Ppp��ABl BBYH B#aENLPBwD Ot6� AD ABt 1 BNW � � OmD � ;c r 6 BRM PABi BIBIN[BBFRW C OW KMM®INU � FIBI� BBLL BI NLP aARII $ 12'-3" 14'-7" $® ■a�� '.� U BAMMANWYt = 11, t4Qa mimmaf 11, L IAB mPAAB"mpA LL1Dm =L08 ,.. Q 0 ATGOICR QV6 R]Z RW S/DmYCIvBPJ®N R711i pppyp �I 11'-6" BMANe BPWBL aAiPRPBi. 16'-2" 90 MPH WIND . mSBBRBiABtERRWmRtlRBF>t®®IaNW�B mlwww Bo-3wtvL�LMEMMA,ao[ $W Ytl a AB.finmma=mmmum wmmsmasPso� 9 PBI BLF, wA�AA�BnmBaasuBQ�rr vPPnrmua R:Wf' flw01 FAsmA3B a BYMIOL WB ABfm1 ■uLL RRR &M'w Bala F Aa Ya A� IAT M ALLFmBRB7 MLRWABa�� WAMWOAL R n ou4mmImommo LOAa. Jill,� IL A9BBTBAAB®aUWWWUN M fmB1•B71 aRFBaewrtrAoncBa�aBmP�esBAm®waBx g� � m�aPa�m�4��t�aDue4�04&ilA®aQommmA® K W �� wo-m wm BAR Bm Oa NFP TABLE "A": MAXIMUM ROOF PANEL SPANS* DESIGN PANEL DESIGNATION LOAD T-3-2-32 T-4.25-2-32 T-6-2-32 SNOW LOAD 13'-0" 15'-6" 18'-6" 90 MPH WIND 35 PSF SNOW LOAD 12'-3" 14'-7" 17'-3" 90 MPH WIND SNoSF LOAD 11'-6" 13'-8" 16'-2" 90 MPH WIND * MAXIMUM PANEL OVERHANG IS 1'-6" MINIMUM ROOF PANEL SLOPE IS 2% I HEREBY CERTIFY THAT THS ENGNEERWO DOCUMENT WAS PREPARED BY ME OR UNDER MY DOWT SUPMSIDN AND THAT I AM A DULY LIAISED PROFESSIONAL ENGWEER UNDER THE LAWS OF THE STATE OF MWNESOTA Wind Calculations for Standard Mullions � Wind Speed (80,90,100,110,120,130,140,150) 90 Exposure (B,C,D) 6 Mp°� Calculated Wind Pressure 94 0 s Male -Female Mullion Male -Stud -Female Mullion Male-RacewayLFemale Mullion mill, a� 111H u Maximum Mullion Height (ft) 12 Maximum Mullion Height (ft) 16 Maximum Mullion Height (it) 20 Centroid (in) 1.8282 Centroid (in) 1.8264 Centroid (in) 1.8502 Moment of Inertia (in,14) 1.3283 Moment of Inertia (in^4) 2.4763 Moment of Inertia (in'14) 3.7152 Section Modulus (in"3) 0.7266 Section Modulus (in^3) 1.3558 Section Modulus (in^3) 2.0080 Calculated Moment (lb'in) 15120 Calculated Moment (Ib'in) 26880 Calculated Moment (Ib"fn) 42000 F Allowable Fb (psi) 21000 Allowable Fb (psi) 21000 Allowable Fb (psi) 21000 Calculated fb 20810 Calculated fb 19825 Calculated fb 20916 Section OK Section OK Section OK I HEREBY CERTIFY THAT TMS ENGINEERING DOCUMENT WAS PREPARED BY ME OR UNDER MY DIRECT SUPERVISION AND THAT I AM A DULY LICENSED PROFESSIONAL ENGINEER UNDER THE LAWS OF THE STATE OF MINNESOTA Building, BUILDING Permit No.' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd:'VA 763-502--4977 FAX EFFECTIVE 1-1-08 DATE 07— 7` l7 O<�� YOUR E-MAIL ADDRESS SITE ADDRESS 7:5A2//1711 ST Al C f R /-D s 3 Z THIS APPLICANT IS: AbWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: �f� �S ADDRESS:%`� ® �% ST F CITY � -� �% STATE / ✓ZIPS� TENANT PHONE: NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE ❑ SINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER -SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH 2- HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1, Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: El Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: I1�G�THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 0 OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT AC'/i^a / e PRINT NAME /`10-R C /�'"(' DATEO% / 7-cZ� APPROVED BY DATE v(25 STANDARD PACKAGES /2007 48" Sand Dollar 48" Adobe & Cooper 48" Moumino 52" Silver 52" L e Intri ue 52" Desert Spring 52" M sti ue 52" Copoer 52" Pristi a 52" Tuscany 54" Dese. Sorin onace 12' 2050 2350 2500 26951 2995 2565 41951 31 16' 2385 2675 2850 3150 3460 2910 4950 U 18' 2550 2975 3250 3180 3550 3649 2640 3250 5195 7995 38 21' 2,795 3260' 3595 3530 3895 4720 28501 3600 5850 50 24' 3220 3750 4095. 3875 4475 5350 4120 6550 10150 57 2T 3580 28' 3650 3995 48251 4540 5295 61501 4820 7595 11995 65 30' 3870 32' 6350 6695 71 12x20 2M 3595 4060 4250 4880 3970 52 12x24 3295 4050 0 4850 5650 4540 6275 60 12x28 4495 5500 6395 4995 68 1242 4295 6195 7100 76 12x44 10500 114 16x24 3295 4050 4400 4460 4895 5650 4595 6995 60 16x28 3660 4650 5100 5100 5595 6495 5250 7995 69 1642 4195 52951 5830 5795 6450 7450 4395 5995 9250 13995 79 16x40 9895 105 1844 6075 6650 6700 7395 8760 6895 10850 16399 94 1848 6600 7350 7340 8150 9895 7550 106! 21x41 72958150 81001 8895- 10600 83501 12600 18995 114: standard Package Includes: 20 Mil UDL Blue Liner - 2091 Standard Skimmer - Standard Ladder -1 HSP 75 sq' or 1 1/2 20( sq' Water Way Cartridge (1 1/2 on 24' Rd. or Larger & 1642 Oval or Larger) - Solar Cover - Standard Chemical Kit - Standar Main. Kit - 21x41 & 32' Rd. Extra Return - Delivery & Demo - Up to 6' Pump Hose *20 Blue Liner On Embassy Pools 116261 �IXo35-20, X237. .1757-Z 4�- '2 a .� �0 0/, / •3� 0� ----------------------------- illllej— ao �wpj ) /--- -z - SWIMMING POOL CONSTRUCTION REQUIREMENTS The following information needs to be submitted to the City before a pool permit can be issued: 1. Number of skimmers approved by the National Sanitation Foundation. 2. Number of inlets of approved design for fresh and/or repurified water. -3 ,Specification sheet for the filter and pump that shall be approved by the N.S.F. and be 6T sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. The decking and or pool must be at least three feet from the side or back lot lines or off from any easements. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: a. The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. b. The fencing shall be at a minimum 6 feet high, maximum 7 feet, and entrances shall be equipped with self-closing and self -latching gates capable of being locked. c. Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small d. The opening between -the bottom of the fence and the ground or other surface shall be not more than four inches. 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City. 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope* that is 1 1/2 times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming pools. LEeVle- k ii �IK4 C\�Quxd �ca Q NA � u m p , s�� I b� � �� bt-) � vt� �l `c3c�. (S;w i m ryA I Poo i �-EqOOC� C(bsttjy cltqic-� FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER 1, �ICCC�Y'F-L �''� r Cr rstand t the Minnesota requires that all residential building contractors, eemodeleras and roofe rtate oofers obtain a state license unless they qualify for a speck exemption from the licensing requirements. As the owner of the property at 7510 gre S?— IV-e-�ieoo , Fridley, am exempt from the state licensing requirement only if I am no uilding or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. Name 1'C�`DO 0� Date ® 7— %7 c3 �5 Building Inspections 763-572-3604 763-502-4977 FAX DATE SITE ADDRESS PLUMBING Permit Not RESIDENTIAL APPLICATION Received By CITY OF FRIDLEY'�RPd EFFECTIVE 1-1-2010 YOUR -E-MAIL ADDRESS im THIS APPLICANT IS: ❑ OWNER -(CONTRACTOR PROPERTY NAME: 1 ( x $15.00 = $ OWNER/ TENANT ADDRESS: 0 — :E CITY ift a k's- 1A STATEM IP WATER PIPING PHONE: —GAS PIPING (NEED CITY LIC) _ _ SWIMMING POOL CONTRACTOR NAME: _KITCHEN SINK WATER CLOSET SUBMIT A COPY OF YOUR STATE STATE LICENSE # © (12)- 3 a'� EXP DATE Va 0 LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESSy-E S, _'3L1)C)Zn k V(' c r rY_ n01 STATE_MAZIP INSURANCE PHONE 91,0 -41 DQ-- _A FAX Q�� uq(p -11?g:l PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: NEW ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK Pk U.I,YnUM TW7 \a.I.Jr1 'I (T \4 'DY1 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. Number of fixtures @ $15.00 ( x $15.00 = $ Number of fixtures @ $35.00 _ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING —BATHTUB —GAS PIPING (NEED CITY LIC) _ _ SWIMMING POOL _ _ WATER SOFTNER ($35) _CLOTHES WASHER _KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 ( x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge $ .50 ME[N MUM $35.501 Total = S 35 §D THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an appl' do for rmit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in tV c of work which requires review and approval of plans. SIGNATURE OFAPPLICANI� PRINT NAME94JPG-L 1-r/Cw. DATE '/ ItV PLEASE NOTE' iSEPARATE PERMITS ARE REOUIRED FOR City of Fridley Building Inspections Department 0431 1Jnivercity Avenue WF._ Fridley. MN Si432 763-572-3604 FAX: 763-502-4977