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AF - 35886NEW [ J Effectivve 1/1/2001 ADDN [] , CITY OF FRIDLEY ,(763) 5723604 Bidg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R•1 AND R-2 BUILDING PERMIT APPLICATION ConstrucUon Address: 7��% �. �� G Ori/ �� • Legai Description: �� LUG 1� /. N'!15?v A�A7/T/b �v Owr�er Name 8 Address: ' Tel. # Contractor. �/Z/ Ckw��l2 131Ai � l�€d2 S MN UCENSE # Address: � — Tel. # LNING AREA: GAltAGE AREA: DECK AREA: OTHER: Attach to this epplication, 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 Length Width Width Height _ HgUGround Sq. FL Sq. Ft. Construction Type: E tima�t: S Driveway Curb Cut Width Needed: _Ft. 6 Ft = LFt x S I�. � _$ 2 q`�� C([�OIT O rl 1$� S� fCU�"` %�1D6 lSHcov�. 02 � � DATE:'°/6� APPLICANT: .i�)CIC !�/Z/c/fn�c=/l Tei.#,�t�� 7�/-9�7/ CITY USE ONLY - Pennit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1150 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 [ j $ i I City of k'ridl�y AT TME TOP OF TNE 71YM5 �, � � �� CQMMUN�TY qEVELQPMENT OIV. % � � iROTECTrvEINSFECTION SEC. � i � �"9 � CIiY NAII FRIDI,E� SNJ3 �'-°-� � �'' 612-571-34F0 �oe �ooatss 7492 Bacon Drive NE 1 IEGAL ��OTHO. BL�CK � ��. �RAC1 BUILDIN� PERMIT siaF�s DESCR. 1 1 Misty Addition 2 PROPEPTVOWNER . MMIAQ{iRESS� Brickner Builders Inc 6230 Hwy 65 NE #103, Fri ] CONTRACTOR MAIL A�OFES$ Same 1 AFCMITECTOROESIGNER MAI�ApDRESS � �I NEW a 38' x 46' 9 CHANGE OF USE 10/30/O1 � / / 32285 RECEIPT NO. 6 �y� �Y/ROVEO YY SEEATTACNED SMEET 21P P110NE , MAI 55432 763-574-9871 21P PMONE LICENSE N 3440 O ADDITION O ALTERATIpN O� itEPAIR� ❑ MOVE �� ❑ HEMOVE a 35' x 28' TO STIPULATIONS See stipulations on pian. Provide a hard surface drivewa�. Provide City with copy of verifying survey before capping. Provide sod in the fro:�t and side yards. Paid $750 Park Fee. SEWER & WATER LOCATIONS: See City Engineering Dept. DRIVEWAY CURB CUT: Credit of 18 feet from 7486 Bacon Drive NE. SEPARATE PERMITS WARNING Sefore digging call for REQUIRED FOR: ail uti►ity �ocat�ons wIRiN6 HEATINC, a5�woo2 ti...._---� - SEPARA7E PEBMITSARE REOUIRED FOR ELECTNICAL, PLUMBING. MEATING. �� Y�� VENTIUTING OR AIR OpND1T10NING. - � � �� . . �' � - TMIS PERMIT BEtAMES NUCL �NO Y010 IF WQRK Q? �pNSxrau4T!on ZONING -90. fT AVTMOR4ED IS NOi GpbMENCE6V�pTNIN 60 DAY9�. ON iF CONSTHUCTION ; OR WOAR. IS SUSpEN0�0��ON�AYANDONEO FON A PEt{Ipq pf 12q DAYS A1 � AMY jM1�� ►F}f@R YYOqI( 1$ COMMENCED. ' NO. DWLG. UNITS �.�MEREBY GERTIFY THAT I M�4E RERD AND EXAM�NEC TH�S �PPUCA7ION 1 STALlS �ANDKNOW TNE S�ME 70 BE TAUE ANO CORFEC�. ALL PROVISIQN$ 0� LAW$ VA�Wt10N � AND�ORdNANCES GOVEFNING TMIS TYPE OF WpRK W14L QQ COMP�IE� WITN� WMETNEA SVECIFIED MEFEIN OF NOT. tHE GNANTING OF A PERMIT $134�Z6Z DQE$ NOT PRESUME TO G�VE AUTMOpITY TO VIp�ATE OR CAMCEI TME pEq��7FEE � PflOY�5iON5 OF ANY OTHEA 57ATE OA IOCAL LAW NEGULATING CON�. SiRUCj10N/OF T,NE �ERFQRMANf�E OF CONSTRUCiION �L1H9.%S `� � S�GNSruME 0� ro.rE� $67.13 :CMARGE 150.00 Fire SC 14 + PF � � . . _.....� NEw I1 ADDN [] ALTER [ j ..�- �-* CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPUCATION Effective 1/1/2001 (763) 5723604 Bldg Insp Construction Address: 7�/ 9 a � A C' O/�lJ lJdl 1 Vt LegalDescription: C.UT !� i�3LOClc / I'1')lSTV �7YJiJJ9'/nvv OwnerName&Address: i3�i.lUcn/h7L. lSu�cn[:�zS�Tlvc- Te1.# 763-s7Y-9&�7i Contractor: d�n I�_,rlvt- �C A3Uir nFac S�11/L - MN LICENSE # 3 y Y O Address:6o230NWyC��/I�L �/�3 Ff'CIDZf--1/ Te1.#763-57�/-`1£�7/ LNING AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scaie. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. IS�i GARAGE AREA: Length �3EC�C AREA: Length OTHER: Width Height Sq. Ft. / 0�`� Width HgUGround Sq. Ft. 6 Construction Type: (-=(.(J l S 1 6 � Estimated Cost: S o�o �`� C� ?�O� • Sd • Ed�i cF l� � -Fkc�7 `7`l'8� A�e� %Q � Driveway Curb Cut Width Needed: _Ft. + 6 Ft = Ft x S = S �4 �U -�/-O i DATE: � APPLICANT: �4,�L�i�,�. Tel. # 7fo � S 7 Sh C''/�� CITY USE ONLY - Call (763) 572-3604 for Pertnit Fees if mailing in application Permit Fee $�� % %Jr Fee Schedule on Reverse Side �� (� Fire Surcharge $ f��/. � �o .001 of Permit Valuation (1/10th%) ��y State Surcharge $ 7. / 3 $.50/$1,000 Valuation SAC Charge $ j/ 50 . 00 $1150 per SAC Unit License Surcharge $ 5. 00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ r%�• DO Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TOTAL STIPULATIONS: �� YL. � �i f`- �W 1- BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteradon or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 � $69.25 for first $2,000 ptus $14.00 for each additional $1,000 or &action thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof,to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4J5 for each additional $1,000 or fraction thereof, to and including $1,000,000 ^� $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof i � �,� S DRIVEWAY DEPRESSION ESCROW � y (Concrete Curb Streets-0nly) i � �� Alternate "A": Removal and repiacement of curb and gutter only - Driveway width plus 6 feet times U�� Alternate "B": Removal a� replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. �`IOZ� VERIFICATION OF FOUNDATION �� Permits for construccion will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certifcate'of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv , ;�, �e City of Fridley 6431 University Ave. NE Fddley, hIN 554324383 � � 763-571-3450 zs-o�r-ot Special Assessment Search And Statement of Charges TO: On all that tract or parcel of land lying and being in Anoka County, Minnesota described as tollows to wit Parcel No: 12-30-24-13-0093 7492 BACON DR Lot: 1, Block: 1, MISTY ADD LEV�D SPECIAL ASSESSMENTS This is to certify tLat I 6ave ezamined the records in the oftice af the Clerk, City oF I�Yidley, Anolza County, Minnesota, and [or suc6 search, cer[ify that the following special assessments appear unpsid with respect to t6e above described tract or parcel of land: Term Cerdfied Initixl Interest Remaining Current Current Proiect Number Proiect Deccriniion TYPQ (Yrs) Date Amouut Rata Balan e Princioal Int r t 9100.0000-00 OOREG SA(Water/Sewer 3100 15 12/31/1960 $16.51 5.00% $0.00 $0.00 $0.00 2000-0024-00 00 S 2100 20 09/10/1961 $148.50 6.00% $0.00 $0.00 $0.00 1000-0034-00 00 W 1100 10 10/03/1961 $205.26 6.00% $0.00 $0.00 $0.00 4000-0024-AB 00 SS 4400 20 09/17/1962 $63030 6.00% $0.00 $0.00 $0.00 3000-0048-00 Ol W/S 1230 20 10/01/1962 $720.87 6.00% $0.00 $0.00 $0.00 3000-0048-00 00 W/S 2230 20 10/Ol/1962 $2,13535 6.00% $0.00 $0.00 $0.00 5000-0073-00 OO W/S/SS 4400 20 09/06/1966 $90.25 6.00% $0.00 $0.00 $0.00 6000-1966-01 00 ST 6400 10 09/18/1967 $588.80 6.00% $0.00 $0.00 $0.00 5000-0084-00 00 W/S/SS 4400 20 09/16/1968 $18934 6.00% $0.00 $0.00 $0.00 6000-1974-01 00 ST 6400 10 03/17/1975 $865.95 7.50°/a $0.00 $0.00 $0.00 Amount Certifred to Anoka County Auditar for Current Year Taxes Is: $0.00 PENDING SPECIAL ASSESSMENTS For the purposes of this document, the City of Fridley has determined that an assessment is considered pending after the City Council passes a reso►ution ordering the improvement, the approval ot plans and the advertising for bids. This is prior to the City Council adopting t6e final assessmeut roll. If you seek further informatlon, you should do so upon your own independent inquiry. Any amount given as to pending assessments is informstional only and may or may not be the amount ultiroately assessed. Term Initial Interest Estimated Proiect Number Proiect Descriotion (Yrs) Year Rate Pendin¢ Amt. NONE MISCELLANEOUSFEES Descriotion Status Date Fee Amt. PazkEees Unpaid 10/26/00 $750.00 UTILITY CHARGES Yau shall be responsible to veri[y the status of any outstanding utility charges. To check utility charges ( water and sewer) contact Fridley Utility BiRing Department at 763-572-3529. Page 1 of 2 S NEW ADDN ALTER [ J Effective 1/12001 [] , CITY OF FRIDLEY ,(763) 572�3604 Bidg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � BUILDING PERMIT APPLICATION Construction Address: 7�/ 9� � A f O h/ lJft 1 Vt Legal Descriptiom C�T l f�LO C I� 1 /'� ISTY �11�iJ / Tin �v OwnerNameBAddress: i�LlClcn/f-7L CiU�cnL-"7zs Iyvc- Tel.# 763-s75�-9tr7� Contraaar. d�121� ,C.�Vr. �2 /�ui� hf� s� k/L • MN LICENSE # 3 y Y U Address:�� (o�II�G �/�� 'CIDLFY Tel.#7�3—S7S/—`7S�// LMNG AREA: GARAGE AREA: pEC�AREA: OTHER: L��`C Attach to this epplication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft ��`� �� 7, (Y37 C�7 , length Width Height Sq. Ft. / O�'� �Q �`f -%�, �� I _ Width (� fil� I HgUGround Sq. Ft. U - _ , Co / S5, 3 Ca I ConsWction Type: L=(.1/ L I / Estimated Cost: S /7� Dao � I 3<� �4a ��'j • � ��td�i cF l�' �•1'cai��'1`l£�G- V��cr� /�C' . Driveway Curb Cut Width Needed: _Ft. + 6 Ft = Ft x S = 3 /� ��' -�/-�' � DATE:� APPUCANT:/.Mfi� ��_� ___ Tel.#,(o� S %Y �%� CfTY USE ONIY- Permit Fee Fire Surcharge State Suroharge SAC Charge License Surcharge Oriveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application �S Fee Schedule on Reverse Side � .001 of Permit Valuation (1/10th%) �3 $.50/$1,000 Valuation $/% SU , O� $1150 per SAC Unit $ S, Oc�$5.00 (State Licensed Residentiai Contractors) $ AR. "A" or Ait. "B" Above $ $450.00 Conservation Plan Review $ '75i� , OdFee Determined by Engineering $ Agreement Necessary [ ) Not Necessary [ ] . � �. t .�� . rR01" : Panasonic FAX SYS'EM Jum25-09 12:2.i�n F�uu- �' �' �a � x c � � 0 � a H � � � �E .�� t A � � V ��; �� B�� ;z� �y� �� P �� a" �$ � �� i . ij' :; � -,. t � PHpJE N0. : � » a v a � 0 � � 8. 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FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-128'7 March 14, 2002 Brickner Builders Inc 6230 Hwy 65 NE #103 Fridley, MN 55432 Re: Final Inspedion at 7492 Bacon Drive NE, Fridley Dear Sirs: A final inspection was conducted on March 14, 2002 of the above noted address and the following items were noted which must be completed before the building can be finaled: 1. Provide sod in the front and side yards by June 17, 2002. 2. Provide a hard surtaced driveway by June 17, 2002 The structure is approved for occupancy. If you have any questions conceming this matter, please feel free to corrtact me at 763�72- 3603. Sincerely, Q�I�i . , . ... wuEtl"r �.- . . . , � .. , . c;ty of Fr�af�y ` 3 2 � 5 3 .� "'T�E'°°°""E""'"5 BUILDIN� PERMIT � - �'v�_��_ COMMUM�TYpEVELQPMIkNT�DIV. � � REC � � iROTE4TIVE �NSPEGTIQN S4C� �1�a5 � V i-_-. ��"' �'� CITV MALL FNIQLE� 536� NyM�EA �EV . Mii v1GE Oi �MROVED �� 612-571-3450 9�aFis 7/3/02 / � ioe �onness 7492 Bacon Dr NE 1 IRGAt � �OTNO. LpCN �� ihApiORAD0ITION . SEEATTACMED oescn. 1 1 Misty Addition SHEET 3 PFpFENiY OWNER . M. IL AROR�$§ � ;IP PMONE Harold Amiot, 7492 Bacon Dr NE, Fridley, MN 55432 763-786-3950 J CONTqACTpR � MAILADDRESS 21P PNpNE IICENSENO 13arold Amiot (same as above) � ARCMITECT OR DESIGNEN MAIL ADORESS � ' ZIP � PNONE � LICENSE NO. 5 BNGINEER MA�lA00NE$S . ZIP PXONE LICENSENO b USE OF 8UIl01NG � Residential 7 ClA$SOFWORK �g NEW ❑ AQD1710N ❑ AITERATION. ❑� qEPA1R� p MOVE �� ❑ REMOVE B DESCRIBE WORK � � � Construct new shed. 9 CHANGE OF USE FqOM � TO STIPULATIONS . See natations �$i�C on plans. s� V�'�� 8eft+r�! al�ai�fng c�li for �� pE� ali UtiiiiY'vc�Ytions , IfC� �H� 4��f�U�E� � REQtiI�� ' �.AW � � �� ' � -� ' � �� TY OFCO T. OCC ANCYGROUP DCCUPANCY�OAD SEPARATE PERMIT$ RRE NEOUIPED fOR E4ECTRICA�, PIUMBING. HEATIN6, . YENTIIATINGI OR AIR CONDITIONING. � � � TXtS PERMIL �BECOMES NULI ANp VOID �P WQNII QN. CpNSTpUGTION LONINg � SO. FT LU FT. AUTMONIZEO�IS NOT COMMENCED V{!ITl�IN 60 DAYS. OR IF CON$iRUCT10N �� OR W;,7AN I$.SUSPENDED OR A9ANQQRiEO FOA � PE9�0� OF 11Q OAY$ yA� . �. ANY?YME AFTER WQRK IS CAMMQNEEO. ' NO: OW�G. UNITS . OFFSTNEET PARKING 1 MEPEBY CER)IFY TMAT I MAXE NE(!0 ANO EXAM�N�D TMIS APP41C�i�QN ST��S G.�.qAGES 4NpKNOWTNESAMETOBETRUE��NOCOFRECT.ALLPPOVISIQN$OfLNWS yp�WT10N�� URTA% AND ORqNANCES�.GOV@RNING THI$ TYPE OF WQRK W1�� G(�MPUED @ ' WITM WHETNQR $PEC�FAED.HEREIN OR NOT. TME GRANTING OF A PERMIT W4>SHS•LH � �2•ZJ OOES NOT;ppESUME TO GwE AUTNOAITY TO ViOUTE Ofi C�MCEI�TNE pERMITFEE�� $ACCM�RGE PAOVISlONS OF qNY OTMER�STATE OA LOCAL UW FEGULATING LON.� @ STAUCT4ON OA TME�PERfORMANCE OF CONSTRUGTION � ,.pl:ll�.ZS� F�TO SC $4.59 � � . G4pN� M � .E¢ � TO7��FEE . $1 .13 SK�H� UAEO�CON'P�(,'if)qOM YMOA�2EO�GEN1 �O1T � H P �� yp��(�TE MI$ I OUR"PEAM17 �GN�lUAEOfO NfPi6Q N[ �UK.�N� � � �If�. '� �'�iNSO' � ��L�� . .. . . ! � �.f NEV1f ( ] ADDN [j ALTER [ ] Construc6on Address: Legal Description: _ Owner Name 8 Address: ConVactor. CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FANpLY AND DUPI.EXES R-1 AND R-2 BUILOING PERMIT APPLICATION Eifective 1/1/2002 (763� 5723604 � g I�p �l . ��' Te�. #7G3 -78'C�-� 4 S'O MN LICENSE # Address: Tel. # I.AAMI�MSA: GARAGEAREA: DECK AREA: 07HER: Attach to this application, a Certificate of Survey of the lot, with the propased construdion drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length %�� Width %�/ � Height � Sq. Ft a a Length Length Width Heght Sq. Ft HgUGround � n C:o--GI� «(�.�-c, ��+ _ , -" - �� ,jJ �S � Construdion Type: -SZ�X Estimated Cost: S �a �9, ?? Driveway Curb Cut Width Needed: _FL + 6 t=_Ft x S = S DATE:7— I'O `� APPLICANT: � Tel. # Call (763) 5723604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit ca�d and we wili cali you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ . $ /. 5 $ � , a9 $ $ $ Park Fee $ Sewer Main Charge $ TOTAL $ ��(.`J� �i CITY USE ONLY - Fee Schedule on Reverse Side .001 of Pertnit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unft $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 [ j STIPULATIONS: BUII.DING PIItM[T FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erecdon of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or strucnue, upon appiication therefore, require ihe payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $10(Y,000 ' $100,Q01 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for fust $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for fust $50,"OOO plus $7:00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fracaon thereof DRIVER'AY DEPRFSSION ESCROR� ., ; (Concrete Curb Streets Only) . Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. Permits for construcdon wffi be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. . VERIFICATION OF FOUNDATION A Certificate of Survey of ihe lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv . The Home Depot # 2802, 5$50 MAIN ST, NE, FRIDLEY, MN 55432, (763) 571-9600 Tue Jun 11 11:44:32 2002 The makeriais in this garege will cost $1645.56 File saved as: f:Idnlgarages16110A4F2.GAR Drawing: 3-Oimensional View .._..--_---- "` (/�'N?� ,�i�� . 1 c.�- cJ� Ce,,,,�ry �� S /��-r s� s � , 5�� . ��r e, W c� /� � � �� o-�c-r se ; , �„Q,� .... ,[!'�s`'.1.1f�ijy A��_�.I�r�.fi ` � ��" � /'�.%� . �R ,'��.��, f�p ' (//� �f: /' �Ir l�Tf/t f �� ` � r ,.� /i`%!�t/ �? f=k'il S'l,�',''r f , �, � F�- �l�C�,�Y7 ".�.�/� �,� �2 �� ,�r. ,S �,�5�� , /J . �ti� t � ^ �� r,r;' ;i. .��,� �, . �J �j i: \ ii-„�i i"/��.'�.�i5 r�h s, 'c� . L.'J�- � Y c a ! V .� , O O N .-� � m � c R "f C 0 � > N W Z � � W g� Z Q �G �Z Za J y O � W U V~I 2 y FZ so c� az NO . 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CALL GOPHER STATE ONE AT 651-454-0002 FOR UTII.ITY IACATIONS. CONSTRUCT A 24' X 12' ATTACHED DECK IN REAR YARD APPLICAr1T BUILDING PERMIT FEE 83.25 AMIOT, HAROLD PLAN CHECK FEE 54.11 7492 BACON DR NE FIItE SURCHARGE 2.98 FRIDLEY, MN 55432 STATE SURCHARGE, VALUE 1.49 TOTAL 141.83 OWNER AMIOT, HAROLD 7492 BACON DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes aull and void if work or construction authorized is not commenced witin 60 days or if constructian or work is suspended or abandoned for a period of 120 days et any time after work is commenced. I hereby certify that I haue read and examined this application and ]mow the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit dces not presume to give authority m violate or cancel the provisions of any other state or lceal law onshv tion or the performance of construcrion. App ant Date Bldg Insp �� - Da� � ! SEPARATE PERMITS REQUIItED FOR WORK OTf�R THAN DESCRIBED ABOVE. � NEIN [ ] ADDN [] fu.7�R I I CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION R ►� a�� Effective 4/1/2004 (763) 572-3604 Bldg Insp � (763) 571-1287 Fax � � aoo� -o Construdion Address: % C� o� /aQ e o '� r. Legal Description: _ Owner Name 8 Address: Tel.#?G��-395�0 Contractor. C')L.�2r�e.�r MNLICENSE# Address: � Tel. # Attach to this application, a Cert�cate of Sunrey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width Height Sq. Ft. GARAGE AREA: DECK AREA: Length Width Height_T Sq. Ft. Length �_ Width � o_ HgUGround Z� Sq. Ft. �,� OTHER: 1 Construction Type: �v��,�e��c�(L(`� Estimated Cost: $ � �Q �� Driveway Curb Cut Width Needed: _Ft + 6 Ft =_Ft x$ _ DATE: �6 0 APPLICANT: ��_,� Tel.#%� �- 78'ti 39S"� r Call (T63) 5723604 for Permk Fees 'rf mailing io application. Fax to 763�71-7287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Pian Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow $ , o� J� � �'�• 1 $ $ � $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Aft. "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 $� l �• V V STIPULATIONS: l BUII.DING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such pemut of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,OOlto $50,000 $SO,OOIto $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fracdon thereof, w a� including $2,000 $69.25 for first $2,000 plus $14.00 for each addidonal $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for fust $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additionai $1,000 or &action thereof, to and including $1,000,000 $5,608.75 forthe first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete C�ub Streets Only) Removal and replacemem of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Pernuts for wnstruction will be issued a minimum of 24 hours from the time of applicarion to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of �uvey of the lot, showing the locarion of the existing foundation will be required before procceding with the framing. New Hwses Onlv 0 ��, d � O � a --� d n 1 V � �� 9 M � � Z- ti _� � �£ � � w � �� T � �-w�� = � � .—�,e'� '`- i � � - - '� � � '6' ro , � �,��.m 1 � ��---� � � a X � �� .1 �- 3 �" m � � 0 k � I `c�° �� :� cr � �� c 1 J ` � �� '�� .� � _. � � °� �,,, �� ,_ 1/� ! I i � -� v : UJ :: P i i i � _.---I 3 _� x � � � � .�� ; . � o � � � _.._ ` _._..., � - _...— _ X `., i 'i; � . � � J � - � �ti � .� � � �X A- � �x _�l s d o� 0.1 V � � � �a � W �9 x v CJOr► U ti oi�4-'v3 � \� �� i � Q , �,��' �� R _ : .�, � x �-1_ �a��+-� � � . z� �� .� _`� x'�9 � v��ct�u� � !� .�� N � �, 7y � c/ � � 2 �� 1 � w � � �� v � o a x�-� Vo��o��-� , �l � - a,. � � \� �� .� _� Q b v�3 _�-_o � �� c�, . � - c�, - r6 � � ,. 0 {� , � �-. � � .. � ` � �i _ .•3 � � n__ _ ;- , :� ,3 0 o � .� �,� - �v �� '� _ � x � � � ,� ;� f _� y �I� �I � � �� __ _ � �Ii . � .� 3 I,,�I l ; �. �� . � i� � w� -�� . � ; �� I1'�II :.� f �' : � I �o �� i s j� f d f � .j . I � �i � I II ' � � jIl ll' \ � iI� iI � ;� � �, . � � � � �/''� - e ♦ % �--- ! X The Mome Depot # 2802 5650 MAIN ST, NE, FRIDLEY (7C�) 577-9600 A(�fi/2084 H'AROLD AMIOT 24X72 DECK 141550 Materials for Deck: Qty UOM SKU 141 1 12 1 5 77 12 3 2 1 1 18 2 4 1 1 7 14 6 8 12 17 9 13 2 26 3 1 19 19 54 54 54 1 EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA 430400 124884 128372 168335 129093 168768 129093 255888 168335 255974 168746 755959 155959 260937 258132 260697 256278 256276 255988 128692 167929 MN 55432 Use Baluster Beam Beam Beam Decking Decking H Top Rail Joist Joist Joist Joist Joist Ledger Post Post Post Post Railing Post Stair Stringer Tread V Top Raii 7 . � �Q 865869 2x12JHangr(use2x70) 294261 6x6 Post Foot Brkt 206450 MchorBollwMl6l 735002 BalusterScrewGreen 169765 ConcPierin-Ground 735003 Dedc Screws3inGreen 454741 Jast Framing Nails 538981 Lag Boit Washer 928607 L�ger-Bolt 544208 Rail Post-Bolt 538892 Rail Post-Nut 538981 Rail Post-Washer 735002 Step Screw Green Description 2X2-42 61 E BALLUSTER TREATED ACQ/CA �--.2X6-10 NO 2 PRIME PT ACQ/CA 2X8-8 NO 2 PRIME PT ACQ/CA 2X6-BFT. NO2 PRIME PT SYP 5/4X6-8 STD/BTR DEC G PT ACQ/CA 5/4 X6-BFT THOMPSONIZED DECK ACQ/CA 5/4X&8 STD/BTR DECKING PT ACQ/CA 2X12-10 #2 ACQ/CA 2X6-8Ff. NO2 PRIME ACQ-C PT SYP 2X12-S #2 ACQ/CA 2X6-12FT. N0.2 PRIME ACQ-C PT SYP 2X12-12 #2 PT ACQ/CA 2X72-12 #2 PT ACQ/CA 6X6-12 #2 ACQlCA 4X412 #2 ACQ/CA 6X6-B #2 ACO/CA 4X4-8 #2 ACQ/CA 4X4-8 #2 ACQ/CA 2X12-10 #2 ACQ/CA 5/4X6-10 STDBTR DECKING PT ACQ/CA 2X4-BFT. N0.2 PRIME ACQ-C PT SYP The totai cost of in stock materials is $2253.13 plus tax. This estimate was created on 4/.16/2004 and is valid for 3 business days. Parameters from UBC.cod parameter file. Parameters used for Deck 1: 60 pst live ioad, 48 indi footing depth.. Paremeters used for Deck 2: 60 psf live load, 48 inch footing depth. IN ANCHOR BOLT,NUT WlWASHER SLB 2 1/21N DECKMATE DECK 80LB. CONCRETE MIX GREEN SLB 31N DECKMATE DECK SCRW 18D 3-1Y2" HOT GALV BOX 5 LB FLAT CUT WASHER GALV 1/2 LAG SCREW GALV 1/2 X 6 CARRIAGE BOLT-GALV. 1/2 X 8 HEX NUT GALV 1!2 FLAT CUT WASHER GALV 1/2 GREEN SLB 2 1/21N DECKMATE DECK SCRW WARNING: THIS IS NOT A FINAL DESIGN PIAN. VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE FOR THE FINAL STRUCTURE, CODE VERIFICATION, MATERIAL USAGE, AND STRUCTURAL SAFETY OF THIS DESIGN. BE SURE TO CHECK AND VERIFY THE DESIGN WITH YOUR LOCAI ARCHITECT AND BUILDING INSPECTOR. CONSUMER INFORMATION SHEET THIS WOOD HAS BEEN PRESERVED BY PRESSURE TREATMENT WITH AN EPA-REGISTERED ?ESTICIDE CONTAINING CHROMATED COPPER ARSENATE (CCA) TO PROTECT IT FROM TERMITE ATTACK AND DECAY. WOOD TREATED WITH CCA SHOULD BE USED ONLY WHERE SUCH PROTECTION IS IMPORTANT. CCA PENETRATES DEEPLY INTO AND REMAINS IN THE PRESSURE-TREATED WOOD FOR A LON� TIME. EXPOSURE TO CCA MAY PRESENT CERTAIN HAZARDS. THEREFORE, THE FOLLOWING PRECAUTIONS SHOULD BE TAKEN BOTH WHEN HANDLING THE TREATED WOOD AND IN DETERMINING WAERE TO USE OR DISPOSE OF THE TREATED WOOD. USE SITE PRECAUTION FOR CCA PRESSURE-TREATED WOOD * WOOD PRESSURE-TREATED WITH CCA PRESERVATIVES MAY BE USED INSIDE RESIDENCES AS LONG AS ALL SAWDUST AND CONSTRUCTION DEBRIS ARE CLEANED UP AND DISPOSED OF AFTER CONSTRUCTION. * DO NOT USE TREATED WOOD UNDER CIRCUMSTANCES WHERE THE PRESERVATIVE MAY BECOME A COMPONENT OF FOOD OR ANIMAL FEED. EXAMPLES OF SUCH SITES WOULD BE STRUCTURES OR CONTAINERS FOR STORING SILAGE OR FOOD. * DO NOT USE TREATED WOOD FOR CUTTING-BOARDS OR COUNTERTOPS. * ONLY TREATED WOOD THAT IS VISIBLY CLEAN AND FREE OF SURFACE RESIDUE SHOULD BE USED FOR PATIOS, DECKS AND WALKWAYS. * DO NOT USE TREATED WOOD FOR CONSTRUCTION OF THOSE PORTIONS OF BEEHIVES WHICH MAY COME INTO CONTACT WITH THE HONEY. * TREATED WOOD SHOULD NOT BE USED WHERE IT MAY GOME INTO DIRECT OR ZNDIRECT CONTACT WITH PUBLIC DRINKING WATER, EXCEPT FOR USES INVOLVING INCIDENTAL CONTACT SUCH AS DOCKS AND BRIDGES. HANDLING PRECAUTIONS FOR CCA PRESSURE-TREATED WOOD * DISPOSE OF TREATED WOOD BY ORDINARY TRASH COLLECTION OR BURIAL. TREATED WOOD SHOULD NOT BE BURNED IN OPEN FIRES OR IN STOVES, FIREPLACES OR RESIDENTIAL BOILERS BECAUSE TOXIC CHEMICALS MAY BE PRODUCED AS PART OF THE SMOKE AND ASHES. TREATED WOOD FROM CONA4ERCIAL OR INDUSTRIAL USE (E.G., CONSTRUCTION SITES) MAY BE BURNED ONLY IN COMMERCIAL OR INDUSTRIAL INCINERATORS OR BOILERS IN ACCORDANCE WITH STATE AND FEDERAL REGULATIONS. * AVOID FREQUENT OR PROLONGED INHALATION OF SAWDUST FROM TREATED WOOD. WHEN SAWING AND MACHINING TREATED WOOD WEAR A DUST MASK. WHENEVER POSSIBLE, THESE OPERATIONS SHOULD BE PERFORMED OUTDOORS TO AVOID INDOOR ACCUMULATIONS OF AIRBORNE SAWDUST FROM TREATED WOOD. * WHEN PQWER-SAWING AND MACHINING, WEAR GOGGLES.TO PROTECT EYES FROM FLYING PARTICLES.* AFTER WORKING WITH THE WOOD, AND BEFORE EATING, DRINKING, AND THE USE OF TOBACCO PRODUCTS, WASH EXPOSED AREAS THOROUGHLY. * IF PRESERVATIVES OR SAWDUST ACCUMULATES ON CLOTHES, LAUNDER BEFORE REUSE. WASH WORK CLOTHES SEPARATELY FROM OTHER HOUSEHOLD CLOTHING. * TREATED WOOD SAOULD BE DRY BEFORE HANDLING. ADDITIONAL INFORMATION IS AVAILABLE AT WWW.EPA.GOV. EPA APPROVED The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Fn Apr 1610:38:34 2004 The matenals for this project will cost $2253.13 HAROLD AMIOT 24X12 DECK 141550 Deck Layout —�is cmp� �h�ll bF pu2� �b1� oN s� �.-�-�,�. �oa4.�� ua( ►usP�c-��a�•1� — ��2�� ,�pPR'�� zrha�r s� h��es �►.,c� �t ( s plow_ �1 �� ( r�� ` ol�s � �) — � � N�� .�d�c -� ��m �o�s-� w�-�h � � .� �_ �c� o.e. M r N. � �-C� —��'aS� !4 � �� X�.0 ro� ��u ir�S -��. ��I�� 6,., bs�'i�r�S _5�py�� _' ��%- � t� S�. � C3 a� , ,, �—o ��-�� I'-C� � r ��t� �� 1 vv1�i �� V��Ns{�oN� S-��trw�a� t�3E � , ('V�.i� S a1�`t�+�c� llluv�n�N�'ito�.� ��g �. (Qa , The Home Depot # 2802 5650 MAtN ST, NE, FRIDLEY, MN 55432 (763)57i-9600 Fri Apr 16 10:38:34 2004 The materials for this project wiil cost $2253.13 . HAkOLD AMIOT 24Xi2 DECK 141550 Deck Dimensions for Deck 1 Joist SpaCing @ 16 in. o.c. Baluster Spacing = 3 3/4" Toe Spacir�g = 3 3/9" Railinq H@iqht = 36" TheHpme Depot # 28D2 5850 MAIN ST, NE, FRIDLEY, MN 55432 (763)57+-9600 F�i Apr 1610:39:06 2004 HAROLD AMIOT 24X12 DECK 141550 Construction Specifications dedc L• Construction Method = Beam on Top of Post Footing Type = Pier In-Ground Live Load = 60 D�d Load = 10 Decking Spacing = 01/8' Joist SPadng = 16" B�m Spacin9 =120' Decking = 5/4X6 ACQ Premium Southem Pine No. 2 Beams = 2X8 ACQ Prime Southem Pine No. 2 Joists = 2X12 ACQ Southem Pine No. 2 Posts = 6X6 ACQ Southem Pine No. 2 Deck He"ight = 86" Dia�nal Bracing = No Deck Skirt = No Joist Overhang =12" Beam Overhang = 12" Decking Deflection Factor = 360 Joist Deflection Factor = 360 Beam Deflectiai Factor = 360 Pref Decking Size = Pref Joist Size = 2x12 Pref B�m Sizs = 2x8 Pref Post Size = 6x6 Railing 1: Ra7ing Height = 36" Baluster Spacing = 3 3/4" RaiBnp 7: Railing Height = 36' Baluster Spacing = 3 3/4" Stair 1: Step Width = 38" Step Height = 26 3/4" $i6(i i21$9 ° 6 .�i8� Step Run =11" Stringers = 2X72 ACQ Southem Pine No. 2 Risers = 5/4X6 ACQ Southem Pine Standard Treads = 5/4X6 ACQ Saitliem Pine Standard Railin$ 9: Railing Height = 36" Baluster Spaang = 3 3/4" Railin$ 10: Railing Height = 36" Baluster Spacing = 3 3/4" RaAing 3: -.� The Fiane Depot # 2802 5650 MAfN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 Fff Apr 1610:3929 2004 HAROLD AMIOT 24X12 DECK 141550 Construction Specifica6ons deck 2: Construction AAethod = Beam on Top of Post Footing Type = Pier In-Ground Live Loed = 60 Dead Load = 10 Decking Spacing = 0' Joist Spacing =12" B�m Spaang = 461/2' Post Spacing = 38" Decking = 5l4X6 ACQ Southem Pine Standard Beams = 2X6 ACQ Prime Southem Pine No. 2 Joists = 2X6 ACQ Prime Southem Pine No. 2 Posts = 4X4 ACQ Southem Pine No. 2 Deck Height = 58" Diagonal Bracing = No Deck Skirt = No Joist Overhang = 0 3/4' BC8R1 �1/@I�12IIQ - 0 .3i4� Decking Deflection Factor = 360 Jast Deflection Factw = 360 Beam Deflection Factor = 360 Pref Decking S¢e = Pref Joist Size = none Pref Beam Size = none Pref Post Size = none Railin� 5: Railing Height = 36" Baluster Spacing = 3 3/4' Stair 3: Step Width = 38" Step Height = 56 3/4" Step Rise = 6 75/16" St� Run = 11" Strmgers = 2X12 ACQ Southem Pine No. 2 Risers = 5/4X6 ACQ Southem Pine Standard Treads = 5/4X6 ACQ Southem Pine Standard Railing 11: Rading Height = 36" Baluster Spacing = 3 3/4" Railing 72: Raiiing Height = 36" Baluster Spacing = 3 3/4" Railing 6: Railing Heipht = 36" Baluster Spacing = 3 3/4"