PRE 2010 DOCSi
City of Fridley, Minn..
BUILDING PERMIT
Date: 6
Owner: - 461 67th. AVRO.
Address 461 67th. Ave. N. E.
Builder
Geo. Norton & Gllpalq
Address 6072 Rhode Island Dr.
N° '7613
'-V'5
LOCATION OF BUILDING
No. 461 Street GM • Avenue N. E. _____ Part of Lot
Lot ___ _ Block _ 1 Addition or Sub-DivwongCe Creek Terraces Plata
Corner Lot _ Inside Lot Setback __ _ Sideyard
Sewer Elevation __ _ Foundation Elevation
To be Used as:
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of construction Wood Fast. Cost 00.00 To be Completed
• Storm Damage Repair
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 fo and In compliance with a'll provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ L , permit "is- hereby granted toG@O. Norton & C
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.
A11en Jensen ceding Inspector
NOTICE:
Ub pumb den net emw the eondruaHm, kahMen hr wkhm plu nbleg, gas heeling, maw or wder. B sure to we
Hn Wdtug bwwbr for ap rds pwm& for thin hang.
APPLICATION FO B DING PE
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS/�? (s / i� . ADDRESS
LOCATION OF BUILDING'
No. / Street f a f Part .of Lot
LOT BLOCK_ ADDITION OR SUBDIVISION2L,4
Corner Lot. Inside LOT Setback.
Side. -Yard
SEWER ELEVATION FOUNDATION'ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
-To a sed as:
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height.
S Ft.. Cu. Ft.
L 0
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 are true and correct.
DATE �. SIGNATURE
(Sc edule of Fee Costs can be found on the Reverse Side).-.-.
S`
SUBJECT
PERMIT N
City of Fridley
10923
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT N
� • _ COMMUNITY DEVELOPMENT DIV.
----- .
PROTECTIVE INSPECTION SEC.
yp 1,7 9
r � �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
I 1.
j 612-571-3450
910-F15
7/8/91
JOB ADDRESS 461 - 67th. Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
4
4
Rice Creek Terrace Plat 3 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mark Adler 461 - 67th-Avenue NE 572-8169
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (20 Squares.) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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 60 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 I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1040
$.52
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-
$27.00
Fire SC $1.04
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
CHECK FEE
TOTAL FEE
$28.56
Si R OFC NTRnr*�n0 u IZED AGENT MATE)
WH N PROPE LY I HIS IS YOU PERMIT
♦ )NSP f1ATE
SIGNATURE OF OWNER11FO E WILDER) (DATE)
NEW [ ] Effective 1/1/91
ADEN [ ] R-1 AND R-2
AMER [ ] Building Permit Application
oamstructian Address: - U� 1
Legal Desc-ripticn: dgl6r- Qt�aL%-%
Owner Name &dd • ess : MqrL dk r 4CNLA-k Tel. # ZoR - d/— 9
Contractor: 2 io'-m Tel. #
AM
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction dzmm cn it to scale.
LIVIM ANSA: length Width Height Sq. Ft.
GMLVZ AREA: Length Width Height Sq. Ft.
EEM AREA: lencith Width Hgt/Crntnhd
77)
Corner Lost [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost:
Apprmc. Completion Date
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
idth + 6' See Back Page c�
DATE: `� 6 APPIMW: Tel. # Z2
Permit Fee
Fire Surcharge $ / L
State Surcharge $ ��
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
701AL
STIPf MATIC NS :
IL
CITY USE CAiIIY
Fee Schedule an Reverse Side
.001 x Permit Valuation (1/10th $)
$.50/$1,000 Valuation
$650 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by;
Agreement Necessary [ ] Not Necessary [ ]
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Effective On January 1, 1991
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
Rate TOTAL
$ 20.00 $-
$10.00
$10.00 $
$10.00 $
$ 10.00 $
*Air Conditioning - All Sizes $ 10.00 $
All Others/Repairs & Alterations (LIST ON BACK W )
1 % of Value of Appliance or Work $ 1 U if
Commercial/Industrial
1 % of Value of Appliance or Work $ C
State Surcharge $ .50
TOTAL FEE $
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB ADDRESS T �' 6'A
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 ruling of the Building Division, and hereby declares
that all the facts and representations stated in this appli do ar
true and correct. / / �! ,1991.
v
OWNERlC, A,C
BUILDING USED AS
ESTIMATED COST Yo V PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
ROYALTON HEATING & COOLING
HEATING COMPANY 4120- 55TH AVENUE N.
BROOKLYN PARK, MN 55
Signed By a JM PA 17'0 A �
Approved B � Rough -in Date Final Date -TT
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
s been carefully examined
Yes (
) No ( )
2.
Is free om rust or deterioration
Yes (
) No ( )
3.
Has no foreign o is lodged within
Yes (
) No ( )
4.
Is securely supported
Yes (
) No ( )
5. Meets all current Code requirement r
size and total BTU's connected Yes ( ) No ( )
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
HEATING COMPANY
Signed By
Date
SUBJECT
E
P27-2762
City of Fridley
2 7 9 2
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i •+
RECEIPT NO.
L`
___-_ COMMUNITY DEVELOPMENT DIV.
U
PROTECTIVE INSPECTION SEC.
r � ,
CITY HALL FRIDLEY 55432
NU=..ERREV
DATE
PAGE OF
APPROVED BY
'�'`'612-571-345.0
8/16/94
JOB ADDRESS 461 67 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4
Rice Creek Terrace
P
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mark Adler 461 67 Avenue NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
D M Sather Co Inc. 7920 Powell Ed, Hopkinq
WIN 55A43---
93R-79R9 3778
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 13' x 14' Addition to
Structure
9 CHANGE OF USE FROM TO
STIPULATIONS See notations on plan.
F�/G
Before digging call for
all Utility locations
���%
� p4 R�pt'/j
454-0002
1e
REQUIRED Y LAW
jN�F5 Fo
4N6
R
RNs,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 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 I HAVE READ AND EXAMINED THIS APPLICATION
]
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$10,346
$5.17
PERMIT FEE
SAC CHARGE
TO VIOLATE OR CANCEL THE
DOES NOT PRESUME TO GIVE AUTH:ORIOCAL
PROVISIONS OF ANY T STAT LAW REGULATING CON-
$126.00
Fire SC $10.35
TRUCTION ORMA ECONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC
$5.00
$146.52
SIGNATURE OF CONTRACTOR OR A- RIZED AGENT IDATEI
WH P PE Y VALIDATED THIS IS YOU�R//' PP�EyRMIT
M 1. r,/
BLD P
f)A7E
SIGNATURE OF OWNER IIF OWNER BUILDER$ IDATEI
NEW [ )
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description:
Owner Name & Address:
Contractor:
Address: � 9 -Zo �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
C
J, ,
Tel. #
Effective 1/1194
—4-3/ /0 &
MN LICENSE # -3 -7 -70
Tel. # ?360- 7f _
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 --Q---- Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft,
Sq. Ft.
Corner Lot [ ) Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks
Type of Construction: ", I,,, Estimated Cost:
Approx. Completion Date: 76
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft � , Ft x $ = $
DATE: APPLICANT: �,�,e t �8 �� Tel. #
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ 10, 3 J .001 of Permit Valuation (1/10th%)
State Surcharge $5'7 $.50/$1,000 Valuation
SAC Charge $ $800 per SAC Unit
License Surcharge -$ $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:
a
Citi lcn "r
s ,
,t
EXTERIOR ENVELOPE AVE RAGE "U" *COMPUTATION
OWNER � .2
SITE ADDRESS
CONTRACTOR �, I , `, , , •; h DATE PHONE ;L
Determine working square footage of each.
1. Total exposed wall area ..... 3 ' �� sq. ft. X
2. Total roof/ceiling area 100-- sa. ft. X �- I Z
H. 'Total foundation window area ...................
I. Total net foundation area above grade...........
4-1,-5-?-
Determine "U" value of each wall segment.
a. 4-1, 3 � X "u" . ZZ
b. X ,lull . > l =
C. X "U" _
d. - r X ""
% V
e. -j, ! X "U"
X "U"
g. Z l X „U„
h. X "U"
'S
i . Z6 x "U" -Z, K
3...................................Total
If item #3 is the same as, or less than item #1, you have :net the intent of
SBC 6006(c)2.
A.
Total
wall window.area............................
B.
Total
door area ................................
o -
C.
Total
sliding glass door area ..................
D.
Total
fireplace wall area...... ................
--^
E.
Total
wall framing area..(average 10%)...........
37.1
F.
Total
Rim joist area ............ ..............
7
G.
Total
Net wall area above floor ................
Total exposed foundation area
H. 'Total foundation window area ...................
I. Total net foundation area above grade...........
4-1,-5-?-
Determine "U" value of each wall segment.
a. 4-1, 3 � X "u" . ZZ
b. X ,lull . > l =
C. X "U" _
d. - r X ""
% V
e. -j, ! X "U"
X "U"
g. Z l X „U„
h. X "U"
'S
i . Z6 x "U" -Z, K
3...................................Total
If item #3 is the same as, or less than item #1, you have :net the intent of
SBC 6006(c)2.
r
1p 1
Total exposed roof/ceiling area = C
j Total skylight area ...............................
k. Total roof/ceiling framing area (average 10%).....,
1. Total net insulated roof/ceiling area .............. 1-0
Determine "U" value for each roof/ceiling segment.
X HU91
/J
k. 6�Z X "U" Z
is lCo��GG X "U"
4.. ..................................Total= Gl`� —z 3
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006 (c)1.
Alternate Building Envelope Design
To utilize the total envelope system method; the values established by.the
sum of items #3 and 7#4 shall not be greater than the 'sum of items n' and V.
r?ALL SECTIONS
'cnr- "use ig$ of opaque wall area for
frame construction
I
�) 3
BASIC
FALL
FRAME WALL
L
Construction R -Value
1. Interior -air film 0.68
2. 1/z" 457
3, �'/�'i.ncres soft. w006 6-T7
4.
5.
6. Exterior air film (' 0.17
Total 11,04
1. Interior air film 0.68
2. 1-1 'Sine.4-n <--k
3. ,r,
5.
6. Exterior air film 0.17
Total 2 3 � -7
1.
Interior
air film
0.68
2.
�O`'
3.
1 p
�.S I w to
Q0
I,8 61
4.
o
5.
44a ,ri%.00ti
c SL,
6.
Exterior
air film
0.17
Total
�,/,® f
1. Interior air film 0.68
3. 11 1' c� Ki/e-
4.
IC4.
5.
6. Exterior air film 0.17
Total q , ?. f
SLAB ON GRADE
C tij-r� i /rr X
FIG. ##4
rr� 0. o
X
NOTE: Indicate type, "R" value, depth and
placement of insulatio:i.
Tented
- - ROOF /CEILING
.,
FIG. #S
row
Seat f low
up
�_, T.�„ v -•;,s, •�.y«•��i�L.rs�c'-'...a;, c�,ea�.c�
Heat flow up ;.vented-.
FIG. #6
NON -VENTED
Heat
• flow up
FTr.. A7
Construction (Use for Item L) K -Value
1. Interior air film 0.61
2. ' S/8'' Sim ,. P-+ r o e- le, ._!aal
4. Exterior air film (still) 0.6
Total
CLG. FRAMING(Use
for Item K)
1.
Interior Air
film.
0.61
3.
Inches soft wood
4.
Inches insul
above
framingG "
lq
S.
Air Film
O.ol
1.
Interior air
0.61
film
'2.
3.
4.
Exterior air
film
(still)
0.61
Total
1. Inside air film 0.61
2.
_i .
4. -
S. Outside air. film
Total
0.17
tgota: Use additional sheets if more space is
needed for details and calculations.
SUBJECT
IT NO.
City of Fridley
� � � •� 2
AT THE TOP OF THE TWINS
BUILDING PERMII(
r
COMMUNITY DEVELOPMENT DIV
I PROTECTIVE INSPECTION SEC
D71
r
NUMBER
REV
DATEPAGE
OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
6/2/97
JOB ADDRESS 461 67 Avenue NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
4
Rice Creek Terrace Plat 3 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
M Mark/Diane Adler 461 67 Avenue NE 572-8169
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
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 UX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR D MOVE ❑ REMOVE
8 DESCRIBE WORK
Install a 24' Round, Above Ground Swimming Pool
9 CHANGE OF USE FROM TO
STIPULATIONS
See letter dated June 2, 1997. Must conform with NSPI Standards
for a Type 0, nondiving pool.
9PPARATE PERMITS REQUIRED''FOR
WIRING, HEATING, PLUMPING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
1
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
$3,750
$1'87
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
TOTALFEE
$92.87
14
SIGNAT CONT A R;U�-yGENTIDATEI
WHEN PROPERLY L^DATED THIS IS YgJR PERMIT
0
4 ^ �(/
BLOA INSP DATE
fGNAOrUREOF OWNER IIF OWNER BUILDER) IDATEI
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY � G7
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 24(Q - (��V,� Jy 030 6z�
Legal Description:
Owner Name & Address: Mc'' L i l V j c ,,-t Tel. # j'%a
Contractor: rnar �� �e _ MN LICENSE #
Address: Lt(a Tel. # j- 02 - FAV7
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width HRVGround So. Ft.
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estimated Cost: $,3,,-7 S 0
(Fee Schedule on Back)
Ft x $ _ $
DATE - 3 d - 9 APPLICANT: /—/:/ P -r- Tel. # 5 7.;-) -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY
$-S Fee Schedule on Reverse Side
$ '% ' .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation �� 1
$ $950 per SAC Unit
$ $5.00 (State Licensed Residential Contractors) L)fO
$ Alt. "A" or Alt. "B" Above
$ -$450.00 Conservation Plan Review
$ Fee Determined by Engineering"
$ Agreement Necessary [ ] Not Necessary
STIPULATIONS:
IS -1091 -ES -92
SR -1091 -ES 1 HRUVALL FULLY AUTOMATIC SKIMMER
AND. HYDROSTREAM RECI RCU LATI.ON __SYSTEM
T —T
Combo Front / Top Access
Automatic Surface Skimmer
HAYWARD, THE INDUSTRY LEADER
IN QUALITY IN -GROUND POOL
SKIMMING AND RECIRCULATION
PRODUCTS, NOW OFFERS THIS
PROVEN, DEPENDABLE SYSTEM
FOR ABOVE GROUND POOLS
t
Hydrostream
Return Fitting
THE SP -1091 -ES FEATURES: I * Vacuuming connection inside skimmer for 11/0" or 1112"
* Rugged, tamperproof, full sized built-in automatic hose sizes.
skimmer for emoving leaves and surisce debris — complete * Thru-the-wall locknut fitting with adjustable
with patented weir which adjust; automatically to a 4" Hydrostream directional inlet fitting ... Flow direction
variation ir., water level. can be easily set for proper, efficient circulation pattern.
it Completely eliminates cumbersome, unattractive "hangover"
* Large capacity skimmer basket, prevents leaves and other hoses, and loss of pump prime caused by the irregular
debris from clogging hose lines and loading up filter — sucking action of float -type attachment skimmers.
gives Innner fitter cycle! * All parts completely corrosion -free. Ouality built to give
years of dependable service.
OPERATING INSTRUCTIONS
1. To adiust Inlet flow direction — Loosen knurled outer ring of "eyeball" fitting, move ball to desired position
and tighten knurled ring hand tight.
2. To clean skimmer basket — Remove top cover; or fold weir forward and squeeze pins toward center to remove.
Remove basket.
3. To attach vacuum cleaner hose — Remove top cover; or fold weir forward and squeeze pins toward center to
remove. Remove basket. Fill nose with water and insert vacuum hose cuff into skimmer outlet. Some vacuum
hoses may require use of a separate hose adapter which your dealer can provide.
RECOMMENDED WINTERIZING PROCEDURE
Drain pool level approximately 2 below skimmer opening. Remove Hydrostream fitting and securely plug wall
fitting (11/2" threaded plugs are available from your dealer). Disconnect filter hoses from skimmer and wall fitting.
Be sure that skimmer is kept flee from water accumulation. Warranty does not include damage caused by
formation of ice in skimmer.
SP -1431
OPTIONAL ACCESSORIES TO ADD MORE PLEASURE TO YOUR POOL
� TM
IA VrV
HYDgO7HERAPY FITTING
For an extra measure of that tingl;ng, feel -good -all-over
feeling. Jet -Air action injects air into return water, creating
a high velocity stream of stimulating, oxygen -enriched water.
Invigorating, yet relaxing
Jet-Alr Fitting Installs easily. Just sc,, )vi into front of wall
fitting.
TM -
VACUUM HOSE TO
SKIMMER ATTACHMENT Vp�""M �"
S3�a. s
{ Furn.shed -th 1%'
r Nose Elbow. For use on _
kt�"j5 Sk,mmer Model SP -1090. 1092.
B d{ To PUMP a FILTER
SKIM -VAC attaches to vac hose and is inserted in skimmer over
the basket, allowing you to conveniently vacuum through the
skimmer basket. SKIM -VAC revolutionizes pool vacuuming by
eliminating the need for pump shutdown for cleaning pump
strainer basket.
SP -1090
AUTOMATIC SKIMMER
DIMENSIONS
7 J.•e"
T 1yy9" 1 1.1/18"
�-- -spa•• 1 v
s7ie
CYCOLAC FACE PLATE
MODEL SP -1091 -ES, includes:
1 — SP -1090 Skimmer
1 — SP -1023 Fitting with Locknut
1 — SP -1419-D Hydrostream Fitting
(10) HOLES
7 !2 —
2 - 1 %," x 1% " Hose Adapter
1 — Roll Pipe Tape
METAL WALL PANEL INSTALLATION INSTRUCTIONS
CUT-OUT FOR SKIMMER MODEL SL"- , ii90 SERIES (lt pool wall is not factory pre-cut)
1. Locate skimmer face plate against metal wail at desired position. (Average water level should be approximately
at the mid point of the face plate). Make -:(:r`= that the face plate and the skimmer will not interfere with top
coping or lip border of the pool st"ucture.
2. Drill or punch twelve %" holes pe spacing details of SP -1090 drawing.
3. Make rectangular cut-out per SP -1090 inside face dimensions.
CUT-OUT FOR FITTING MODEL SP -1023 (ifpooiwaHisnotfactory pre-cutJ
Cut 2-7/16" circle pt desired location. CL<t-out should be approximately 8" below desired water level.
— INSTALL LINER AND F:LL POOL TO APPROX. 2" BELOW LOWEST WALL OPENING —
SKIMMER INSTALLATION
1. Screw one nose adapter (with pipe tape) into skimmer outlet.
2. Place one gasket on skimmer face, making sure holes in gasket align with holes in skimmer face. (A very light
application of adhesive cement will assist in holding gasket in place).
3. Align skimmer face and gasket with drilled panel holes and fasten to wall panel at center of each side with the
two (2) pan head securing screws.
4. Install Vinyl liner.
5. Align second gasket and face plate and fasten tightly to skimmer face with ten (10) 12-24 x 1" screws (pierce
liner through face plate holes one at a time prior to inserting each screw). Screws secure through: 1. Face plate;
2. gasket; 3. vinyl liner; 4. wall panel; 5. gasket; 6. into skimmer face.
6. Connect filter suction hose to skimmer hose adapter and secure with clamp.
7. Cut out vinyl liner along inside edges of face plate with razor blade or sharp knife.
FITTING INSTALLATION
1. Gently press vinyl liner at circular wail ii*ting opening to locate exact opening. Make a circular cut-out in
the vinyl liner approx.'/" smaller than the circular opening in the wall.
2. Screw one hose adapter (with pipe tape) into %mall end of wall fitting.
3. Place one gasket on the fitting and insert through the vinyl liner and wall panel. Place other gasket over
fitting hub and screw locknut, with washer, up tightly.
4. Screw adjustable directional ball fi ting into face of wall fitting. Opening should face away from wall skimmer
opening.
5. Connect filter return hose to fitting hose adapter and secure with clamp.
HAYWARD POOL PRO®UC7■S, INC.
900 FAIRMOUNT AVF NUE, ELIZABETH, NEW JERSEY 07207 / Phone: (908) 351-5400
1 5.5/9"
00
sire..
O 0 5.7/8"
I
O O p
2 - 1 %," x 1% " Hose Adapter
1 — Roll Pipe Tape
METAL WALL PANEL INSTALLATION INSTRUCTIONS
CUT-OUT FOR SKIMMER MODEL SL"- , ii90 SERIES (lt pool wall is not factory pre-cut)
1. Locate skimmer face plate against metal wail at desired position. (Average water level should be approximately
at the mid point of the face plate). Make -:(:r`= that the face plate and the skimmer will not interfere with top
coping or lip border of the pool st"ucture.
2. Drill or punch twelve %" holes pe spacing details of SP -1090 drawing.
3. Make rectangular cut-out per SP -1090 inside face dimensions.
CUT-OUT FOR FITTING MODEL SP -1023 (ifpooiwaHisnotfactory pre-cutJ
Cut 2-7/16" circle pt desired location. CL<t-out should be approximately 8" below desired water level.
— INSTALL LINER AND F:LL POOL TO APPROX. 2" BELOW LOWEST WALL OPENING —
SKIMMER INSTALLATION
1. Screw one nose adapter (with pipe tape) into skimmer outlet.
2. Place one gasket on skimmer face, making sure holes in gasket align with holes in skimmer face. (A very light
application of adhesive cement will assist in holding gasket in place).
3. Align skimmer face and gasket with drilled panel holes and fasten to wall panel at center of each side with the
two (2) pan head securing screws.
4. Install Vinyl liner.
5. Align second gasket and face plate and fasten tightly to skimmer face with ten (10) 12-24 x 1" screws (pierce
liner through face plate holes one at a time prior to inserting each screw). Screws secure through: 1. Face plate;
2. gasket; 3. vinyl liner; 4. wall panel; 5. gasket; 6. into skimmer face.
6. Connect filter suction hose to skimmer hose adapter and secure with clamp.
7. Cut out vinyl liner along inside edges of face plate with razor blade or sharp knife.
FITTING INSTALLATION
1. Gently press vinyl liner at circular wail ii*ting opening to locate exact opening. Make a circular cut-out in
the vinyl liner approx.'/" smaller than the circular opening in the wall.
2. Screw one hose adapter (with pipe tape) into %mall end of wall fitting.
3. Place one gasket on the fitting and insert through the vinyl liner and wall panel. Place other gasket over
fitting hub and screw locknut, with washer, up tightly.
4. Screw adjustable directional ball fi ting into face of wall fitting. Opening should face away from wall skimmer
opening.
5. Connect filter return hose to fitting hose adapter and secure with clamp.
HAYWARD POOL PRO®UC7■S, INC.
900 FAIRMOUNT AVF NUE, ELIZABETH, NEW JERSEY 07207 / Phone: (908) 351-5400
no "p 1,
p
VA
0
/, 05 11) .v
",
TOP CONNECTORS
HAVE NO EXPOSED
SCREWS /
CONNECT
BRACKE
FASTENS'
UPRIGHT PRC
MAXIMUM SUI
STRONG 7' 1
PRO KOT
FINISHED UPI
CORRUGATE[
WALL PROVIDE
UTMOST IN
VERTICAL
STRENGTH
PRO P
FINIS
WALL
LONG U
BEAT
A SMART AND TASTEFUL POOL THAT WILL ENHANCE
THE BEAUTY OF YOUR BACKYARD.
STURDY 8'TOP LEDGE
ARE MANUFACTURED FROM ALUMINUM BOTTOM CHANNEL
STURDY GALVANIZED STEEL FOR CORROSION RESISTANCE
AND DURABILITY
JON -SLIP
E FINISH
:HIPPING,
CRACKING.
) STEEL TOP
CURES LINER
AINING COPING
CHING
S
=R AND OUTER WALL
:ONNECTOR
TYLE LINER
30ARDER AT
AND PEBBLE
)N FLOOR
Y
THE PRO KOTE STORY
"Protecting Your Investment for Many Enjoyable
Years With Beauty & Durability Built In"
• SUPERIOR IN DURABILITY
• STRONG RESISTANCE TO CHEMICALS
• DIFFICULT TO STAIN AND SOIL
• BEAUTIFUL COLORS AND TEXTURE
COPPER BEARING
STEEL
GALVANIZED COAT
PRIMER COAT
EPDXY
ADHESIVE
DESIGNER
PATTERN COAT
CLEAR PRO KOTE
FINISH
WALL FRAME
COPPER BEARING
STEEL
GALVANIZED COAT
PRIMER COAT
EPDXY
ADHESIVE
BAKED ENAMEL
COLOR COAT
CLEAR PRO KOTE
FINISH
STANDARD ON HARBORSIDE II
OVAL
SURFACE, SHIPPING
SIZE DEPTH AREA GALLONS`-, ' WT:
24'x 15'
52"
327
9,600
525 lbs.
30'x 15'
52"
402
12,000
650
33'x 18'
52"
519
16,000
715
EM Series
Perflex Systems.
Enjoy the benefits of
crystal clear, sparkling
water with the basic
Perflex system designed
for smaller above -ground
pools. System comes
complete with fully -
assembled EC -30 Perflex
filter, Power -Flo 1/2 or 3/4
HP pump, quick -connect
union, and modular
platform base.
7-197-
EC -40 Series
Perflex Systems.
A more powerful Perflex
system designed for
larger above -ground
pools. System comes
complete with fully -
assembled EC -40 Pert
filte r -Flo 3/4 a 1
P pump, -
d modular
platform base.
Ca Series
erflex Systems.
high-powered, high-
apacity Perflex system
hat is the ultimate in
ome pool filtration.
System comes complete
with fully -assembled EC -
50 Perflex filter, Power -Flo
1HP pump, modular
platform base; plus the
Union Diverter Valve for
easy vacuuming to
waste.
EC-40.75CLT Series
Perflex Systems.
An exceptional Perflex
System for truly automatic
and worry -free swimming
pool filtration. System
comes complete with
fully -assembled EC -40
Perflex filter, Power -Flo
1 HP pump, union con-
nection, modular plat-
form base; plus includes
automatic chlorine
feeder and Auto -Time TM
automatic pump timer.
Swimming pool filtration
has never been so easy.
Perflex filters are also available custom design filtration requirements for new or existing pools.
Choose the appropriate pump as well as system enhancing accessories, such as optional Hayward automatic timer
and chlorine feeders.
Completely corrosion -proof platform bases accommodate the broad assortment of Perflex systems. Each base is
designed to allow for quick assembly of filter system components, and ensure precise alignment.
SPECIFICATIONS - EC -304%50 Perflex Filter Systems PERFORMANCE - EC -30/40/50 Series Filter Systems
Filter Type:
Perflex Extended -Cycle Diatomite
Filter Tank:
Molded Duralon Tm
Filter Elements:
Dacron Flex -Tubes
Fastenings:
Stainless Steel
Pump and Motor:
Power-Flolm Series Pump -115 Volts
Mounting Base:
Corrosion -proof platform
Filtration Turnover (U,S, Gallons)
Filter Series
Rate *
8 Hours
EC -30
30 GPM
14,400
EC -40
40 GPM
19,200
EC -50
50 GPM
24,000
'Controlled by pump selection.
For proper filtration of residential swimming pools, your filter system should provide a complete turnover of the pool
water once every 12 hours. Determine the capacity of your swimming pool to select the correct size Perflex system,
or consult your swimming pool dealer.
U@L**
HAYWARDO V
Hydrogen, Oxygen and Hayward. The elements of clear waterP
Elizabeth, NJ (908)351-5400 • Pomona, CA (714) 594-1600 - Oakville, Ontario (416) 829-2880 - Jumet, Belgium 3271 341242
12-92
oc 1992 Hayward Printed in U.S.A.
CIlYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
June 2, 1997
Mr. Mark Adler
461 67 Avenue NE
Fridley, MN 55432
Re: Swimming Pool Construction at 461 67 Avenue NE, Fridley
Dear Mr. Adler:
This letter is to make clear this department's requirements for
the swimming pool construction at the above address.
1. As indicated, one (1) skimmer approved by the National
Sanitation Foundation will be provided.
•2. As indicated, one (1 ) inlet of approved design for fresh
and/or repurified water will be provided.
3. The filter and pump shall be approved by the N.S.F. and be of
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.
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 least 6 feet high and entrances
shall be equipped with self-closing and self -latching gates
capable o.f being locked.
c. Self-closing and self -latching devices shall be placed at
the top of the gate or otherwise inaccessible to small
children.
d. The opening between the bottom of the fence and the
ground or other surface shall be not more than four inches.
June 2, 1997
Mr. Mark Adler
Re: Swimming Pool Construction
Page 2
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 Inspection Department.
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.
The building permit is approved contingent on final inspections
and approval by the City.
If any questions or problems arise from this letter, please feel
free to contact me at 571-3450.
Sincerely,
/' �� Z��X" 161:�l
13KRRY RIESCH
Buil ing Inspector
BR/mh
SUBJECT
City of Fridley
28299
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
�y-- - COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
706;�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
�
L J` 612-571-3450
910-F15
10/19/98
108 ADDRESS
461 67th Avenue NE
1 LEGAL
LOT NO_.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4
Rice Creek Terrace Plat 3
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mark Adler572-8169
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Four Seasons Roofing & ReLLC 7930 Univ- Avp NE Fridley
-15412 -
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 3a REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 19 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO 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
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
$1628
$.81
D S NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
RO ISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
FORMANCE OF CONSTRUCTIOAA
�J��
00
Fire $1.63
PLAN
PLAN CNECKFEE
TOTAL FEE
EE
N
IMAJf
Licease SC
5.00
61.44
IGNATUREOFCON ACT RORAUTHORIZEDAGENT ATE.
WHEN PROPERL V LIDA TED THIS IS YOUR PERMIT
k�l"
BLOq INSP
�
W ///®�/ gAtE
S-GNATURE OF OWNER,'F OWNER BUILDER, MATE,
_[J .
CITY OF FRIDLEY
[ J SINGLE.tAMILY•AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
..ZuructionAddress. % " ` )9 6 Aid 9
Effective 1/1/98
blame Address: _ Tel. /t
:�.. MN LICENSE /{
(_ C
icor:, S.e«bs __/
7 9� ant Lr PX3 t'�4 ''i`�✓2.' &t -p -Fr � c� �-et,1 Tel. � / �J�—'
l
AttabtC}S4.appltcation, a Certificate of Survey of the
lot, With" thd4propo'sed construction drawn on it to scale.
_,•. " ng DESCRIPTION OF IMPROVEMENT
tit' +A:Length 'Width Height Sq. Ft.
AFtI:A: LCrigth Width Height Sq. Ft.
AI EA:Lengtt"" a Width Hgt/Ground Sq. Ft.
milt: cN q
Estimated Cost: $ ((
(Fee Schedule on Back)'
Curb cut Width : filed�d' a 6 Ft = Ft x $ _ $
T", -f
APXCANI.#� l'
4 ` �ga-
CITY„ USE ONLY
{
:. Feek
$ �� 'Fee Schedule on Reverse Side
t"of Permit Valuation (1/10th%)
::::� Surcharge$1,000 Valuation
:C Charge t 7$` $� per; SAC Unit, `
_.i rise Surcharge(State Licensed Residential Contractors)
�::vcvray Escrow, ':.$ iq r s t. "A" or Alt."B” Above . to r #��;�.• " * s� ;
R t�
pion Control $ ,,$450.00 Conservation Plan Review
Determined by Engineering
_. ?fiaiii Charge $ reement Necessary [ ] Not Necessary [ ] x
y
. a 1dS:; y;^il�,'�r3�+t rno a • j.. ! .. e++ ,i'!-{V°l
TOTAL"
-•,M1 �k
"If P ULATI 0S r��
v
,gy�,pp
Building
BUILDING
Permit No. — M
J '
Inspections
RESIDENTIAL APPLICATION
Received By:-'
-
763=572-3604
CITY OF FRIDLEY
Date `req: n
/ —70 d a q
DATE_ /
YOUR E-MAIL ADDRESS
SITE ADDRESS 416/ 6 %fA AtlE /✓C— 56016yr M R1 S�y 3
THIS APPLICANT IS:
❑ OWNER $ICONTRACTOR
PROPERTY OWNER/
NAME:—N'1qL3/6R
TENANT
ADORES,s : e{6/ 6 %red+ /4UE A/C CITY_ 6iB-'LP4W
STATF$YICGIP��2
PHONE: (7e-?) 57a — ql6 !P
CONTRACTOR
NAME:
STATE LICENSE # N!4 EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRES : ✓'S 1%V9LVG+/ CITY_$T 10/o✓S1A0� STAT&ft/ZIPS54/-6
WITH APPLICATION
PHONE `15"0 Cl'A-?' 4v -R100 F '752 �3'� -/�G'
PROPERTY TYPE
Iff SINGLE FAMILY/NEW 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 ❑ ADDITION
I$1 MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:. _1�pL [ // W /a.ij04.S — S7'/�,2
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.
Proposed floor plan
PROPOSED HEIGHT:
3.
List of structural members to be used
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I -
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE7 U.B.0 FEE SCHEDULE)
9y
TOTAL JOB VALUATION $ %Di / �S 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
$
$ '5d
$
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)
$1550 per SAC Unit (Plans to MWCC for determination)
—ft +6 ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks Pavable to: Citv of Fridlev 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 p it 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' u' es review and approval of plans. _ /
SIGNATURE OF APPLICANT PRINT NAME / l U6TS�-/ DATE l� �9