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PRE 2010 DOCSCity of Fridley° SUBJECT 14 AT THE TOP OF THE TWINS BUILDING PERMIT r � I LL -___-- COMMUNITY DEVELOPMENT DIV. � I r PROTECTIVE INSPECTION SEC. 9e Du O 1 1 ° /---1 CITY HALL FRIDLEY 55432 �'J NUMBER REV, DATE PAGE OF APPROVED BY ----h 612-560-3450 910-F15 3/24/78 JOB ADDRESSAt 1400 - 76th Avenue N.E. V 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION ISION SAFhTYIjR�CH�ryEP1 p' DESCR. 7 1 Meadowmoor Terrace Ad DO NOT PLANT SdAETPLACE ANLY. 2 PROPERTY OWNER MAIL ADDRESS ZIP EAREA WITHOUT AP. PROVAL OF THC• . CITY f- Fp"). ")• F.Y Jerome Machlitt 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gar'ac Inc. 625 Hi hwa #10, Blaine 784-6850 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. �jJQAI� >j�NO. 5 ENGINEER MAIL ADDRESS ZIPPERMITS 6�( 1'�fj� 1�■ RFQv1^E® 6 USE OF BUILDING PLUMBING AND SIG Residential HEATING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK -- RTA ' T— Construct a 26' x 44' Dwelling and a 32' x 24' Garage - ve7 DIVISION REGARGANG C1..112,I3 AND _R1911.410-ii.A.-I 9 CHANGE QF USE FROM TO A' ii�;�i` 11Jf� ;' ;' +;'v,idl S. , STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards.. Provide a verifying survey before capping. Provide copy of truss design by 4/30/78. Soil tests may be required. Increase hearth width to 18" minim -1m. Provide combustion air to furnace. VARIANCE APPROVED 2/14/78. SEWER LOCATION: (Approx. 11.0 feet deep in street. 10' W. of M.H. (INV. 887.14) WYE ELEV: 887.07 + 3.00 riser at angle (2.00) = 889.07 TOP OF FOOTING: 892.07Mi WATER ELEVATION: 10' E.of sewer service. DRIVEWAY DEPRESSION COST: Recommend additional depression; ��� THE GN 161 $14.50 = $319.00 Bdm digging call local. OF FRIDL[Y DOES NOT G �.6' `x util' ACCURACY OF UTILITY LOCATIONS AND TELEPHONE - ELECTRIC - GAS ELr`aa I TRIS DATA IS FOR INFORMATION PUP;POSES ;. ; ,,, PERSONS USING R SHOULD REQUIRED B �� LA, VERIFY TN SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 120 DAYS AT R-1 1384+768 33,440 Total 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 $48,465 $24.23 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVINS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUC O OR THE PERFORMANCE OF NSTRUCTION.$133.76 4 O.00 c PLAN CHECK FEE TOTAL FEE Aw :s ATURE RACTOR OR AUf4ORIZEDAGENT (DA111E) ! H P PERLY. VALIDATED THIS IS Y R P MIT a� SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) , BLD WSP - DATE 110 a All PC -w "red ;AN Aw ,p/ CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEM41 TS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) 0111[1ER: M fI CH L r ft Address: 19 Dd Q G Z4 'yVk /V I. BUILDER: Address: (,7,5- Tel. ,7,5- Tel. No.; �/ f /6 7//a e, No.: 19oo Street: LOT:7 BLOCY.: 1 ADDITION: ���-Y vo o L %e Acv CORNER IAT: X INSIDE LOT: SETBACK: 35— SIDEYARDS: 19'S" ' 10,1 v s Applieart attach 'to this form 1Vo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING , To Be Used As: Front: (o b' Depth: Height: Square Feet: 138'y Cubic Feet: me Front: •34 Depth: L1 Height: / l7 Square Feet: 768 Cubic Feet: % Type of Construction: Estimated Cost: $"� _ �s' 'f8 s�Gy7.2 To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired 16i $ $ dt- (SEE REVERSE SIDE OF SHEET) 4re undersigned hereby makes application for a permit for the work herein pecified, agreeing to do all work in strict accordance with the City of idley 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. See reverse side for additional nformation. DATE: /? SIGNATURE: � Stipulatioi . "hoo- �3 .-� err '• lg "�qj Mrd t i1.1i bosom 1,20 1. Address 2. Legal417 3. Zonin 4. Lot Width 5.. Building Width G g 6.. Front Setback 3� 7. Total Use • . 8. % Lot Coverage 9. Easements olP� 1 ariance Soil 7 Q tractor ' EiAL ' �G• *.4. Phone 7.O�/ Architect ✓mw - a Drainage: nergy Ashiae 17. Utility Locations Specials iveway opening Truss Design Combustion Air 23. •24. 25. r �u-"i+y✓p�1�5F, Kl r 1 • • 1 tt ]i1'li d eiV 11.,f 1 •�` � v >R .�ii . > 4-.. i. l LS.;.+'A t & ..1 i i 1 ✓L7 t Y } i �� S i �1 tg a�g } V � 4 YF #W ,r�`�-�,r - it A3 j p r ;; t y. ( ^f 1Y l'ff1 `l,til 1 1' e 1 f .t, p` *F T j a'!•il 2 h o r fit's. ��i j x'07 A, 'r.w Ferry CT ?';i�.,t:i` 1`l k SEi_{+j•l nt _nt 2 .TUJI.3F'd to, .,.: ,.t :t thc,, '�ii>i%11c•itkt l.il Gi)aiputi'ng 1 XTL'Pr00,--M :. _.< "0" FACTOR- INt"t;i INTION. This information is' r red so the..HTJIYEQTNG _ f;AVTRAr% i •FbiOiAl. 4sii, do t:errtiF�•_° t2,ut- `:UbmiLtod j11an: 4otni>)y will! tine E:ILRf;Y CONSE:R'+F�,,I'I( a c e1L 5IGN CRITERIA of the STATE- BUIL DIAiG CC?Ui: (Seg ticm �f1F�0) . it .is the At?pIv3CA�TiS N''`-° responsibility to accurately compute the d�t.�; rc,flect t)ie proper DESIGN.CRIT RIA. °;.inthe;-s submit:product . si*2cizications, if needed to support the "R" and U. ��'` $actors Used; and to assure construction is per approved plans. - F p , JCB LOChTION OWNER/CONTRACTOR: C � J�fC. a ADDRESS: / z PHONE: Q 4 ` A. Determine the Total Exposed !Mall Area as follows: j 1. Total wall window . area f a. L `Total door area 3. Total sliding glass doom area ,r.. ' . A. Total fireplace wall area 4d® Total wall framing area (average 10%) 1A 6. Total not wall area above floor(average 90%) Total rim joist area 'Subtotal: Total exposed wall area above floor t _ x 8. Total foundation window area ' . 9. Zotal net foundation area above grade a/, 17 A,. Subtotal: Total exposed foundation area 7% tgy= GRAND TOTAL EXPOSED WALL AREA a >3 ' 9S. Ift1t:iply the GRAND TOTAL EXPOSED WALL AREA X .17 Item Z ?� C. ;Determine the Total Exposed Roof/Ceiling Area as follows: 10. : Total skylight area 1l. Total roof/ceiling framing area (10%) D. 3.2. Total net insulated roof/ceiling area GRAM TOTAL EXPOSED ROOF/CEILING AREA Mdtiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 T 0 do Item II .CE "� f - y�y}.'�!"S'!R i. u' i ` i' j " 1= . r +` Y; ., � x- ` ; p�etet,mInc the Ni!" value 'cif each ei�t -� ti �3)', end ,muit�l%y by the arra# lJ 3.. X .. U..� 4• C3 x "U., x stuff . , x foul$ 1 I a. x I.U.. _ ADD 1-9 FOR TOTAL WALL SEGMENTS = i a ITEM III F. Determine the "U" value of each segment (10-12) and multiply by the area as, follows: 10. XIfulf-', X .. U.. ! of n ;. ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = - 1TEM IV `x G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. ` H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I n,0, 9 + Item II J'. Add Item III !4 + Item IV K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system., • i2 1E1E1EIEIEIE�: 5 i The undersigned, as applicant for a building permit, hereby affirms the above information h:::, b on _)rcpareki and suhmitt:_d bl himself or under his direction, hereby acknowledg •s th:l information to be correct and accurate; and hereby } F'resents the inform„t:ion with required places in support of the building permit application. - CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND 4.00 .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 7.00 Repairs & Alterations each add. $500.00 4.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU > 00 GRAVITY WARM AIR: RATE TOTAL Job Address / Furnace Shell & Duct Work $12.00 $ $10.00 Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 each add. 50,000 BTU 4.00 Replacement of Furnace 7.00 Repairs & Alterations -up to $500.00 7.00 Repairs & Alterations each add. $500.00 4.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 each addn. 50,000 BTU 4.00 Boiler only up to 100,000 BTU 7.00 each addn. 50,000 BTU 6.00 OIL BURNER- to 3. gal. per hour $10.00 each add. 3 gal. per hour 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Late APPROVAL FOR PERMIT S $ 3 . MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. OWNER KIND 0 USED A TO BE COMPLETED ABOUT ESTIMATED COST OLDNEW B LDING PERMIT NO. PERMIT NO, DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam,_Bot Water, Warm Air- No. Trade Name --L-� Size No. Capacity Sq. Ft. EDR BTU d HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. N Capacity Sq. Ft. EDR BTU HP Suburban Air Conditioning Co. Company 8419 CantAr ul ,i e A neapofis, 'nnesota 5, 432 Signed By A Tel. No. 2(P�-�C0a CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures /0 x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 v x Water Water Heater - to 99,000 BTU �_ x $5.00 100,000 BTU to 199,000 BTU x $10.00 E 3 m New Ground Pun Old Building A ro w w w $5.00 GAS FITTING FEES: Heater m x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $7:0.00. REPAIRS & ALTERATIONS RA First $100.00 14 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE x'I pI g N . V MW t!1 3 Q W t�i� W � U GroC � l 1st 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer M m New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures /0 x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 Catch Basin x $5.00 Water Heater - to 99,000 BTU �_ x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener x $7.00 New Ground Pun Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: lst 3 fixtures x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $7:0.00. REPAIRS & ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) TOTAL $ 30,00 Job Address / 7 © O Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. (_t a- , 19 p OWNER U RA' T (9- C KIND OF BUILDING USED AS C� c TO BE COMPLETED ABOUT ESTIMATED COST <9 (( 11 OLD - NEW BUILDING PERMIT NO. PERMIT NO. � �(p UOQ Company x Signed By Tel. N 2=--2-- 19,d ROUGH INSP. Date FINAL INSP. - 3 Date APPROVAL FOR PERMIT :Za MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 ry7' Mr. Gary D'Aigle Garjac Construction Co. 625 Highway #10 Blaine, MN 55434 Re: Final Inspection at 1400 -76th Avenue N.E. TELEPHONE ( 612)571-3450 Dear Mr. D'Aigle: A final inspection was made on August 8, 1978 of the above address and the following items were noted which must be ccmpleted before the structure can be finaled out; 1. Provide sod in the front and side yards by September 30, 1978. 2. Provide City with copy of verifying survey by September 30, 1978. We will expect the above items to be completed by the scheduled date when a reinspection will be made to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, P - DARREL CLARK Community Development Adm. DGC/mh City of Fridley SUBJECT P IT o - 16185, AT THE TOP OF THE TWINS BUILDING PERMIT r � ECEIPT N COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. l Q CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/14/81 JOB ADDRESS 1400 - 76th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Meadomoor Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Jerzy Machlitt 1400 - 76th Avenue N.E. 784-6354 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnetonka Pools 10820 Wayzata Boulevard 546-3281 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. e 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 181 x 36" Swinming Pool 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on letter dated May 13, 1981 by Envirdrmental Officer. �epel?q �`/F TF pE/�jf,//r WARM1146 �!JmQ S digging can local 0040's R� Before qN� U/R TELEPHONE . ELECTRIC - GAS E[- p �, aR REQUIRED BY LAW 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 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 SP IED HEREIN OR NOT. THE NTING OF A PERMIT $8,000 $4.00 DOES NOT PRESU TO GIVE AUTHORITY TO OLATE CANCEL THE PERMIT FEE SAC CHARGE PROVISI OF OTHE TE R LO LAW EG EATING CON- STRUC ION R E PERF M C OF C STRUCT ON. $48.00 NONE v o PLAN CHECK FEE TOTAL FEE NONE $52.00 SIGNATUREOFCO R CTORORA'TH RIZEDAGENT IDATEI k WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG WSP DAZE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICA,ri 'J FOR RESIDENTIAL BUILDING PER4ITS • Wevi, Alterations, Additions, or Repairs) • OW14ER: �/' BUILDER: A1.4 ADDRESS: lZa2 21, ADDRESS: TEL NO: � � — CO ,� S � TEL NO: Construction Location Z;O- STREET NO: STREET: ' LOT: BLOCK: �� ADDITION: Corner Lot: !/ Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Squane. Feet_ Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: 1.4 Estimated Cost: $ Zb Be Completed: � Um e LS Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET Zile undersigned hereby makes application for a permit for the %,,ork'herein specified, agreeing to do,all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hergby declares that all Ahe facts and representations stated in this application ar true pA,correct. DATE: � / �' o � SIGNMM Stipulations : 4 � �UkUM3Atd 1 � I Mnm OIhn• GHI4 Huhw.r N., 611 lrbpf, . 6b ht t" -If-_ wafar-ral'ClPeitD k **yy f� (�//��/� \``�(/A\�/, ��{AAA\\\ /\(/��/� r1/^J�j M C D M O T ,dma.alyds.•Mu�rprr.rrnW,4.r) 1r. p�-� �.• 1 ( u I A, .Nruu.r1,i �,�r' :,,�u Engs—e C 410 Soil 'I -Ping . /.and Surro)rnR 0 Land I'IunnrnR ,z •nAhf,lhrr esu{,510 'I f01 f.r.11 IW•ul. 0wnsvrnr Mwrrvrre 557/ to e,•rsvnenlc .��r� -car Mortgage Loan Survey for GARJO ACCONST.- this is a true and correct representation o/ q surrey of the boundaries o/ the land abate described and of the Go.. 7G AVENUE ? Ne E. with to mortgage now placed on the property and no is assumed except to the holJer of such martgoye or any other interest acquire j by the reason of such morttiage. It it, 5 0 IV +1 #cx� Iri 0 J r 1 2G.1 ' C" r` a Lit ,c.l p�,. - �,, ' �� 5 4,6_ sTovY FRAME 2 ' ,t 14 0 0 Ll �' t 3G.4 14.9 L I b rig V111- . OW Lt , l < i r r� NORTH 13C,11e, �_� J20, '•1 �r tidy FY •glYivrr�) ' r L ?i16 SU�UR49� E GllalEER6PfG, IIdC. r ,�`� yy� inginuors j Surveyors q T by Not Puhlished Ali fiiyhls fteurtved 1 LoT_� �aCK �. "� f r C f� T�,..�atF�:•, k **yy f� (�//��/� \``�(/A\�/, ��{AAA\\\ /\(/��/� r1/^J�j M C D M O T d aC s`i 4 Y h ��ht rFh ) /®\ PMS• T r♦ �A . \ 'le./ ' 1 ,z to e,•rsvnenlc .��r� -car this is a true and correct representation o/ q surrey of the boundaries o/ the land abate described and of the ja; location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land'. This surrey is made only in connection loon being liability ? with to mortgage now placed on the property and no is assumed except to the holJer of such martgoye or any other interest acquire j by the reason of such morttiage. It it, understood and ayreed monum"ts have been paead for the putyosv of establishing lot lines or boundary corners. Dated day thisof A. D. 19_/_;� L ?i16 SU�UR49� E GllalEER6PfG, IIdC. r ,�`� yy� inginuors j Surveyors q T by Not Puhlished Ali fiiyhls fteurtved ..., A¢ h, 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 May 13, 1981 i y P Minnetonka Pools 10820 Wayzata Boulevard Minnetonka, N1 55343 Re: Swimming Pool Construction at 1400 - 76th Avenue N.E. Dear Sirs: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As indicated, four (4) inlets of approved design for fresh and/or repurified water will be provided. 3. As indicated, a main drain of approved construction will be provided. 4. 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. 5. 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. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. 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 of 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. 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. Minnetonka Pools. May 13, 1981 Re: 1400 - 76th Avenue N.E. Page 2 10. 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. 11. The pool fill spout must be protected by a vacuum breaker or air -gapped. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1� times the pool diameter, and shepherds crook pole must be provided and 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, AVENST. OLSON, R. S. Environmental Officer SJO/mh CC: Mr. Jerry Machlitt 1400 - 76th Avenue. N.E. Z', �,r,,y /I%�!� L; �t �'�'-G �s'�{ -p- Luh 10820 Wayzata Blvd., Minnetonka, MN 55343 / 612-546-3281 G MRAL REMARKS The following specifications are issued in compliance with all Ctill w- , 4 health and construction codes stipulated. All equipm nt specified herein is NSF approved. The proposed private swimming pool is to be constructed at 4 00 U located in M AL The following specifications include only the installation of one I S'X 3 C �? Wz--& 1Pja!f -Jcx vinyl liner swimming pool and shall not be construed to include any additional structure or shelter hereafter referred M. to or implied. Fence requirements are to be done by the owner as shown on the drawing. Any and all changes to these specifications must be approved by Minnetonka Pools$ Inc. and the department of public health, prior to construction. These specifications do not include operational permit fees or inspectior. fees. A Min .Ft. patio shall surround entire pool. Pool shall have a 6114019 concrete frost footing re-inforced with 31/811 re -rod. All equipment andpiping shall be UL or NSF approved. Fence shall be a minimum of�Ft., non -climbable with self -latching gates. Electrical shall conform to article 680 National Electric Code. Swimming Pool tc be located as follows: Ft. from house to pool ►1 fi,_ _ < . a, lit Ft. from rear lot lire to pool's � —Ft. from right lot line to pool%% � _Ft. from left lot line to pool it DISTRIBUTOR OF FOX POOLS / STRONGEST NAME IN POOLS The completed pool shall be inspected to assure that the entire filter system is free of leaks, the tank is clean and disinfected and proper safety precautions are impleinented 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. kinnetonka 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 the 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. .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 Fools with a 2" 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, brain drain to be 2" deeper for proper flow or water while filtering. The transition as shown on plan. GROUNDING AND HOOK-UPS The steel panels, the steel concrete reinforcing, the deck reinforcing.,.ladders and any other miscellaneous metal fixtuire within 10 feet of the pool perimeter will be grounded to conform with State Electrical Code. See print cross section for con- nection details. Y The filtration pump shall be wired to a minimum of 100 AbiF circuit, 230 volts utilizing a circuit breaker and onepull switch. All meohani,cal.electric components are to be installed to kinnesota State Code. These specifications are not to in- clude any service to filter area. V Chlorinator, hrosion. gDPTTIONAL SAFETY EQU1PKIN-Te The pool equipment shall include the following itemsr One test kit Containing accurate: tests for chlorine residual, PH test, alkalinity content and acid demand. The vacuum system shala consist of one vacuum hose, one vacuum sweep, and one collapsable pole. The cleaning equipment shall be one wall bruvh and one leaf and debris rake. The pool :ihal.l be equipped with one - two tread stainless steel ladder and one 3 tread SS ladder be placed as indicated on location print. The ladders shall be removable to facilitate clean -ng. The safety rope shall be placed at the transition point from shallow to deep and consist of id," nylon rope and 5 floats. A schematic showing operation, backwash, balance and priming shall be posted near a'ilter area. Rhe schematic shall be labeled as to each gaffe: val.ve and ::how sequence of operation fcr normal backwash arid cleaninj: LisF:. RECIPROCAL PLUNBI.,�Gt All piping shall be located as to meet state code. The skimmer and return lines are to be li" black plastic 80 lb. test pipe. The main drain is to be 1j" 80 lb. test black pipe. All joints that are buried are to be nylon or FVC double clamped and caulked. External manifolds of 1j" 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 c:ycolac'eyeball type restri.ctors 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 12" common manifold by a 1j" 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. HITER AND Fliff�l One pump and f; it • HYOU Compal and shall have is lz H.F. and 22,600 gallons :6 filter combination shall be as manufactured by :y. Each tank shall. be 24 inches ii: diameter 3.142 sq. ft. of filter media. Each pump motor capable of 62.84 Uk which will facilitate of treated water each 6 hours. I N r Ur1 Crus�•�� r2o�� r:llwo. IVWI 9v— to F01CM THE STRONGEST NAME IN POOLS MINNETONKA POOL CO. 10820 WAYZATA BLVD. PBI -S11) ,, SAWARD MINNETONKA, MINN. 5534a r(m E]<b: IS Em,( mis PHONE: 546-3281 TOTALLY NON -CORROSIVE SYSTEMS DESIGNED FOR LOT LIFE AND HIGH EFFICIENCY swminm,L, filters Every swimming pool system requires a filtration system consisting of a filter, a filtering media and a pump and motor. This system serves to purify the water and provide continuous circulation, allowing you to swim in a healthy body of water. Of the many systems available today, Fox offers you the very finest in filter system combinations using the three media: sand, diatomaceous earth and cartridge. All filtration systems offered by Fox assure sparkling clear water. Your Fox builderwill recommend one ofthethreeto best meetyour needs or local codes. The Fox High Velocity Sand Futter These filter systems are totally corrosion -resistant and the motor is approved by Underwriter's Laboratories for safe electrical operation. The Cycolac® filter body is wound with fiberglass ribbon, impregnated with polyester resin, the same process used in jet airplane tanks! A pressure gauge tells you when to backwash or an automatic backwashing device is available. The entire filter is designed so that water never contacts any metal parts. The Fox Multiport Control Valve operates with fingertip control, making backwashing easy and simple. FOX MULTI -PORT VALVE OPERATES WITH FINGERTIP CONTROL o The efficient design of the Fox Multi - Port Valve assures low pressure drop and positive sealing in all positions. -Automatic self-cleaning design pre- vents clogging or sticking. o Control handle rotates on a non- metallic bearing. Fox Perflex Diatomaceous Earth Filter This filter uses a fine white powder to remove particles as small as one micron. Patented Flex-TubeTm elements work with the DE powder and help to extend the filter cycles between cleaning. When cleaning is required, you simply switch off the pump and "bump" the handle several times. Turn on the pump and resume filtering. The same powder can be used over and over again. This filter also features corrosion - free construction; the unit is molded from durable Cycolac®. One size fits all domestic pools, new or existing. The Harmsco Betterfilter Cartridge Type The design of this filter reflects 20 years of development. The tank - type housing is constructed of low -carbon 304 stainless steel, treated with Harmsco's exclusive Electro- Glo finish, adding years of life to the unit. Inside, a bank of cartridges, each with six square feet of filtering area, is fitted in a cluster for easy removal. When the filter needs cleaning, simply remove the cartridge bank and wash it down with an ordinary garden hose. No backwashing is required. Tank seams are argon -submerged heliarc welded for total strength that morethan meet pressure requirements. THE FILTER PUMP THAT WON'T CORRODE, WON'T STAIN Like the filter tank, the Fox filter pump is totally rust -free and immune to the effects of all types of water and normal pool chemicals. This assures a constant supply of pure, clean water in your pool, an absolute end to staining caused by metal corrosion and longer filter life because metal parts are never exposed to water. =,.NSF' UL THE FOX "WATERFALL" CIRCULATION SYSTEM SETS A NEW STANDARD IN POOH. FILTRATION The unique Fox Circulation system provides direct, highly effective, corner -to -corner circulation similar to the flow characteristics of a waterfall. Filtered water is returned to the pool while two skimmers at the other end receive the water, along with floating debris, back through the skimmers to the filter. As pictured in the illustra- tion, the pool water flows in a direct manner rather than a circular pattern. The smooth, curved transition from the walls to the cor- ners of the Fox rectangular pool assures maximum effectiveness of this unique circulation system and creates active water flow throughout the pool, including the corners. This enables the pool to be more evenly and effectively filtered and treated, chemicals are rapidly and thoroughly distributed and, in heated pools, cold spots are eliminated. This Fox "Waterfall" feature is stan- dard with all rectangular pools with over 800 sq. ft. of surface area and op- tional with all others. FOX HIGH -VELOCITY SAND FILTER SPECIFICATIONS All Fox filters are sized by filter type as rox pool Corporation indicated above on the Fox High Velocity reserves the right at Sand Filter chart. Your Fox pool builder has any time to alter the similar information on Cartridge and DE specifications and filters. design of Its products 1018 without further 3970 notice. • PATIO POOLS Filter Model No. Pools Pool Volume (Gallons) Average Filter Rating GPM Actual Turnover In Hours Type Size Shape 1 1018 Oval 3970 1.65 I 1228 Rect. 8340 3.47 Mini- 1 1324 Oval 8065 3.36 Perflex 1 1530 Oval 10830 4.51 1/2 H.P. 1 1729 Edney 10860 40 4.52 F3-428 1 1729 Pear 11345 4.72 1 1729 Tiffany 8 10840 4.51 1 2029 Delta 13255 5.52 1 23' Round 1 10585 4.41 faUMILP.O. BOX 549, YORK, PA. 17405 SA -65-81 Printed in U.S.A. • 11 I i ILM an r P11% n E] Pa,en: No. 3,6t 6.916 * OVERSIZE BASKET—Capacity of 330 $ UNIQUE EQUALIZER (Patent Pend- short or long extension models, con - cubic Inches Is more than twice any Ing)—Direct suction does the work, crate models, etc. other. Keeps skimming when others not gravity flow. Extremely simple '4+ COMPLETELY ASSEMBLED—Every choke and quit. mechanism eliminates possibility of lock. Operates Admiral skimmer comes to you com- FLOATING CIRCULAR WEIR—Over air from 5 G.P.M. to and pletelyass's 20" of skimming perimeter. Operates maximum pipe capacity. Converts to no costly on-the-job u p. There's no costly on -the -Job over a 6" water level range. Foolproof vari-fio control to allow connection to assembly. —no hinges to break down. Efficient main drain (exclusive feature). operation from minimum to maximum COMPLETE LINE—Standard or vari- There's a lot more that makes the flow, flo residential, commercial with equal- VACUUM PLATE—Standard Izer drain Americana Admiral the best skimmer buy. To the details— equip- or with main equalizer, ment with all models. Drops in to models for vinyl pools regardless of you can get all the complete story on the Admiral allow vacuuming directly Into basket. wall construction, stainless steel bot- —write today or see your American Keeps filter cleaner. toms for direct copper soldering, Products distributor. mcricon -�: , 00� rowcE.0 compeny 10913 Vanowen Street ,. North Hollywood, California 91605 (213) 980-7800 989568 2%76 •The re -invention of the pump. RquatroW,. zhe noryle pool pump that thinks it's bronze. • MINNETONKA POOL CO. 10820 WAYZATA BLVD. MINNETONKA, MINN. 55343 BWIMMINO POOL PHONE: 546-3281 Pp®®UCY8 ®Trademark General Electric Corporation Copyright 1978 Purex Corporation. Virgil M. Kelly, designer of Aquatron, first became known In the swimming pool industry in 1953 when he developed the first pump designed specifically for swim- ming pools. The result of further development was the Eastside Series A pump. Virgil ]Kelly speaks out ®ii plastic pAIMps o 0 0 "When I was first appzroached,1 saki, 6The time is not now,,' "The A pump was my concept. I designed and built it — with help from a lot of other people. "Several years ago others began experimenting with plastic for pumps. I was confident that one day there would be a plastic material that would be competent to do the job. But the time was not then. "The guy who has to live with the product—year mi ~ and year out —that's the guy I.'m concerned with. I always think in terms of the end user. My effort's been in terms of the end user. • "A responsible manufacturer will not build the cheapest product he can make. He just won't. He exercises responsibility in making choices for the end user. The end user is dependent mostly upon the integrity of the manufacturer to provide him with a satisfactory product for the dollar he invests. "That's why we at Purex insisted that the material for our Aquatron pump be thoroughly tested first. Actually tested in place. In in -ground pools. There's a vastly different requirement of a pump serving an in -ground swimming pool than there is for a pump serving an above -ground pool. That takes time. But field testing requires time. "Now our field testing provides information that indicates that 30% glass -filled Noryl is satisfactory, is capable of giving satisfactory durability and performance. "We propose that we have built a pump equal in performance to the A pump that has been so highly successful, so widely acclaimed, as the best pump on the market. "We did not sacrifice performance." • VIRGIL M. KELLY Aquatrori delivers! Purex Pool Products for years has sought to develop a pump that would combine the performance characteristics of our bronze Series A pump with the cost -savings of plastic. Aquatron is our answer. Its introduction was delayed to allow careful field testing while servicing in -ground swimming pools. We have tried to make a durable pump that delivers more water with less horsepower. And for less cost to the swimming pool owner. 30% glass -filled Noryl. This high-grade Noryl is resistant to corrosion, heat, and electrolysis. Aquatron's pump housing, mounting foot, and impeller are all injection -molded, 30% glass -filled Noryl for maximum strength. F. 7! 3i 4IbW ril I`I ®Trademark General Electric Corporation • O Many parts complicate working on competitive models. Design simplicity makes servicing Aquatron a snap. i Fewer parts o easy servicing. Aquatron's®design is one of classic simplicity. Aquatron features an integral, injection -molded pot. Just unscrew four nuts. Slide out the motor. For easy removal, the This eliminates parts, avoiding leakage problems. impeller is threaded to the shaft, requires no adjustment. The "see-through" Lexan strainer cover has a snap -open clamping band that permits easy removal of the specially "See-through" Texan cover patented * strainer basket. The basket itself is oversized so \.,,,snap -open" clamping band that emptying is required less often. Maximum water output Four bolts for easy servicing Mounting foot stabilizes pump, supports motor (2)1/4-18 DRAIN 35 30 Z o25 N W 20 a. m 15 J 10 PUREX CORPORATION. LTD AUUATRUN CHARACTERISTIC CURVE 3450 RPM,1 PHASE, 60 CYCLE GALLONS PER MINUTE Full Rated Horsepower Aquatron equals the performance curve of the Purex Series A pump. All models are high -head, full -rated horsepower with closed impellers designed specifically for swimming pool application. 56 Frame Uniseal Motor Aquatron's motor has a 303 stainless shaft. It operates quietly and efficiently. Single phase 115/230 volt -60 cycle. SWIMMING POOL PRODUCTS PUREX CORPORATION/POOL PRODUCTS DIVISION 18400 E. Mohr Ave., City of Industry, Calif. 91749 1340 Seaboard Industrial Blvd. N.W., Atlanta, Ga. 30318 60 Clayson Road, Weston, Ontario, Canada M9M 2G7 HP MODEL A.. SUCTION "B --FRANKLIN DISCHARGE MTR. CENTURY MTR. C D C D AOUATRON-2 1 % 1Y2 21 X, 10 , 211 %s 11 AQUATRON-3 11/2 1 % 211 %6 11Y, 211% 11 1 AQUATRON-4 1% 1% 211%6 111/2 22%6 12 1 AOUATRONA 2 1% 211 V1 11% 22%6 12 1/ AQUATRON-62 1% 22'/,6 12 23V16 13 2 AQUATRON-8 2 1� 23/s 12 4 237YI6 13 Full Range of Sizes. Aquatron is available in ia HP to 2 HP. All full -rated. :NSF 5039 From Purex. 0 Trademark General Electric Corporation AQUA 79 • C7 • CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE uo New Fixtures a is h Future Fixtures q $ 3.50 u Old Opening, New Fixture K 0 ° $ Water S 4.00 S Blow Off Basin $ 5.00 $ a 0 �i $ .E�+ a W $ Hydraulic Valve Heater .ei a Sump or Receiving Tank Z Y Water Treating Appliance �C c $ 7.00 $ u t $ 5.00 u Gas Range w $ 10.00 $ Gas Dryer $ 10.00 $ �qq Yes ('A) No ( ) C C g .yCi 1 O j u�y� 1t of Value of Fixture or Appliance U 0 State Surcharge H Re�ns)�ection Fee S O 0 N W U � 3 FEE i� ii o lec val 10 Al 7 1fq l7 as lot 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer M - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Not Water Neater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Prreventer Required. Yes ('A) No ( ) Type d ci , ;n l� v. c� $ 5.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1t of Value of Fixture or Appliance i $ State Surcharge $ .50 Re�ns)�ection Fee S ($15.00) TOTAL FEE $Zf-� ..."�� Effective May 1, 1990. Job Address /q0(f) 761 1 VE OV Department of Buildings City of Fridley Tel. 1571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. j U AQ /2 , 19—S2 OWNER J -e KIND OF BUILDING USED AS TO BE COMPLETED ABOUT J U ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company Signed By Tel. NO. FINAL INSP. ( 6 Date APPROVAL FOR PERMIT FiINIMUM FETE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Building BUILDING /S, Permit No.: Inspections RESIDENTIAL APPLICATION. . 0'7. Z-5. See Back Page for Fee Schedule Received By: , 763-572-3604 65% of Building Permit Fee Fire Surcharge $ • 763-502-4977 FAX CITY OF FRIDLEY $ D ' License Surcharge EFFECTIVE 1-1-08 _ ° -$5.00 (State Licensed Residential Contractors) SAC Charge ss�� • 0 $1825 per SAC Unit (Plans to MWCC for determination) DATE ca YOUR E-MAIL DRESS $ SITE ADDRESS Erosion Control THIS APPLICANT IS: O OWNER YCONTRACTOR ci $450 Conservation Plan Review PROPERTY OWNER/ NAME: Fee Determined by Engineering TENANT ADDRESS B D e4 CITY STATR!TN• ZIP a4-3 Total Due - I� `" / PHONE. Make checks payable to: CItYof Fridley Attach Stipulations CONTRACTOR NAME: ADDRESS: 7 CrrY /mow ArEyhNzn,��t1 SUBMIT A COPY OF PFIONE S' ?—otCo FAX YOUR STATE LICENSE STATE LICENSE # 7 ECPDATE PROPERTY TYPE INGLE FAMILY SIZE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE O ADDITION D GARAGE/SHED WINDOWS 0 BASEMENT FINISH 0 ROOF 0 DRAIN TILE 0 DECK D SIDING 0 OTHER 0 SWImmiNe POOL TYPE OF WORK: ;13 NEW HOME CONSTRUCTION 0 ADDITION MAINTENANCETMAnt 0 REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 0 HOUSE ONLY NUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING SUBMIT• GARAGES 0 ATTACHED GARAGE 1. . Z Existing Floor Plan Proposed floor plan PROPOSED SIZE: 0 DETACHED GARAGE PROPOSED HEIGHT: 3. List of structural al members to be used SWIN FOR T T NSONSTRUCTION DECKS, 0 Vinyl OSoB'it ADD PORCHES N 1MTTINCLUDING 0 Aluminum 0 Trim 1. Site Plan/Survey showing the existing structures 0 Other 0 Fascia and proposed project. wnyDOWS :'i— !�!d/ IN EXISTING OPENINGS DYes ONo LOCgTION OF WINI 2. 3. Two sets of construction plans Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF �.�.� I,b hA K l ^*V,�l1 OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS ♦ T T Ti•IITI♦ 1nTn T s.a,.a. cJ'+L• 7 a'aaW DLiOLL Vl\ V—L#Aaiavi'J, a'qa;a,,tJJJM1 s IUL 9-VL%)T OF LABOR AND 1VIATERI4LS: TOTAL JOB VALUATION $ /S, (USING TIM 1997 UBC FEE SCHEDULE) Soo - . OCCUPANCY TYPE Permit Fee $ . 0'7. Z-5. See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ • j .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ _ ° -$5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 - I� `" / $ Make checks payable to: CItYof Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMrr 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 win be in conformance with the ordinances and codes of the City of Fridley and with the Mimnes Construction Codes; that I d this is not a permit but only an application for a permit and work is not to start without a purnit on site; that the work wr71 be m rdan . the approved p the case of all work which requires review approve o pl SIGNATURE OF APPLICANT NAME J /�-, DATE 9• g• U; APPROVED BY V DATE DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (MICA'ZE'i TAIL NUMBER OF EACH BELOW Equipment Installed MFG: MODEL: SIZEJBTU &uildirig, MODEL: MECHANICAL � � N° MODEL: Inspections _A/C $25.00 RESIDENTIAL APPLICAM- ON ReceivedB _AIR TO AIR EXCHANGEER $15 763-572-3604 _NEW GAS GRILL $10.00 _BOILER $35.00 A DECD UNIT HTR $10.00. _CHIMNEY LINER $10.00 _GAS DRYER $10.00 CITY OF FRIDLEY DUCT WORK $10.00 GAS PIPING $10.00 763-502-4977 FAX _ EFFECTIVE 2-19-09 DATE I O YOUR E-MAIL ADDRESS SITEADDRESS I qob _ -i � %)E- _..._ THIS APPLICANT IS: ❑ OWNERCONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: 14 c)O '7 LQ4-b A -a -L ME CITY ZIP TENANT PHONE: `I l f 'J -I W �• - 9 -1 b _STATE CONTRACTOR COMPANY NAME: CONTACT PERSON: l (� SUBMIT ACOPY OF YOUR STATE LICENSE WITH STATE LIGASE # ' EXP DATE - 1 /.'�. �1�� APPLICATION ADDRESS: Crr�"'•7ll�,f1�i STATE ZIP PHONE bal -LJ - `�1JU D FAX - i l03 - 4 0 - 350 I PERMIT TYPE 'SINGLE FAMILY ❑ TWO FAMILY 13 TOWNI110I7E TYPE OF WORK: 0 NEW OEPLACEMENT ❑ ALTERATIO DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (MICA'ZE'i TAIL NUMBER OF EACH BELOW Equipment Installed MFG: MODEL: SIZEJBTU -MFG: MODEL: SIZE/BTU MFG: MODEL: SIZFJBTU _A/C $25.00 _FIREPLACE (GAS) $15.00 __GAS RANGWOVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 UNIT HTR $10.00. _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _GAS HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 _POOL VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UMC.P=ROtCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will buo in conformance with the ordinances and codes of the City of Fridley and with the Mi cam Construction Cases; that I undkxstand'this is not a permit but only an application for a permit and work is not to start without a pew that the work will be in aecordmnce with. ithe approved plan in the case o all rk 'ch requniresesew and approval of plans. SIGNATURE OF APPLICANT C PRINT NAME (�/ Li�/C� DATE d l City 6f Fridley Building Inspections Department 6431 University Avenue NE, Fridley„ hM 55432 763-572-3604 FAX: 763-502-41 /