AF - 43959� SUBJECT PER
City of Fridley s
AT THE TOP OF THE TWINS B U I L D� N G P E R •
! � CEIPT
� ; L _ COMMUNITY OEYELOPMENT DIV. � �
r � � PROTECTIVE INSPECTION SEC. 9 �j 6
� . �
1 , /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE O: APPROVED BY
�""� � ,'� 612-560-3450
910-F15 10/26/78 � �
�os ,aooRess 6542 Brookview Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 2 Brookview Zrifl AC�C�ltlOri SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Delbert P. Harris 6542 Brookview Drive N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE I.ICENSE NO.
Staneck & Sons (t3nlicensed)
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDFESS ZIP PHONE LICENSE NO.
6 USE OF BUII.DING
Residential
7 CIASS OF WORK
❑ NEW ❑ ADDITION [� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof structure
9 CHANGE pF USE FROM TO
STIPULATIONS
Roof can be second but not third roof. Install ridged galvanized
valleys
SEPERATE PERMITS KEQUIKED FOR WtRING.
H�AT4NC, PLUMBING AND SIGNS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. ASPY131't
THIS PERMIT BECOMES NUL� 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 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 l. 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 COMPUED
WITH WWETHER SPECIFIED HEREfN OR NOT. THE GRANTING OF A PERMIT $9OO $. SO
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. $%. SO
_ PLAN CHECK FEE 70TAL FEE
$8. QO
SIGN UaEOF NiRACT ORAUTHORIZEDAGENT IDn7E� WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
�C �1 /� �� �� a �
� SIGNATURE OF O NEA IIF OWNER BUILDERI IDATEI BLDG. INSP DA E
/
.. . crTY or- r-i�l»�cY
' API'LIC/1TI01J f"OR fZL:SIllEt�liI/1L BUILDI�JG PE(21�1ITS
' (j�L"-W, �ILTL=R11TlOPJS, IIL�llIT10NS, Of2 RLPAI(2S)
�
owi��cR: t7e l�ert . i' f-(�+���.s . i3USLll�R: S�t�nre� k� So�s:
Addr.ess: LP S�-( 3. 13roal�vtcw �r. nddress:
Tel. No. :
NO. .
Street:
LOT: � AIACY.: ^�, ADDITIOP�:
CORIQER LOT: I2�SiDE UJT: ,✓ SLTBACY.: SID�YnRDS:
, j . . ....Y�+1!�- .
Applicart attach �L-o L-his form Tao Cert-iiicates of Survey of Lot and �roposed
- bu�.lding locaL-ion dr_awn on these Certificates. �
0
DESCRI PTI Oi'd OF BUI LDI i�G
�U
I3e Us ed 71s :
�- Q�}�- Front: Depth: ' Height:
Square Feet: Cubic Feet:
I'xont: � Depth: � Height:
' SquaLe I'eet: Glzbic Feet: �
• ` .m
Type of Construction • /4s�i �9- �� s� �!�j9 /e_ _ �S��ated Cost: $ �% ���
- , -
�.b Be Completed: � 0/-30,�� O � Alt. A Alt. B
Proposed Drivecaay tti'id'4h If iJew Openinq Is Desired $ $
(SEE l2�VERSE SIDE OF SIiEET)
The undersigned hereb�� makes application for a pe:mit for the work herein�
specified, agreeing to do al.l e��ork, in strict accardance wifih the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in i.his applicatian
are true and correct. See reverse side for acic�it�ional inforn}at' n.
. _..._
�'`�
D11T�: (�% oZ CO SIGNATURE: ���.
Sti�pulations : `� �� �' �� ��, p�.� � � /�JC) / �,� • _
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sue�ecT P IT NO.
City of Fridley � 16 4 3
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
' ' RECEIPT NO.
� �
' COMMUNITY DEVELOPMENT DIV.
: ; .: ------, y�� �
r � � PROTECTIVE INSPECTION SEC.
� � �
�l � /'�"�1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�..����i �.J
612-571-3450 910-F15 10/21/81. � �
JOB ADDRESS 6542 Brookview Drive N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 2 Brookview 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Del Harris 6542 Brookview Drive N.E.
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
Pro Constxuction Inc. 4805 Dominick Road, Mtka 933-5945
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 12' x 18' Deck and alterati.on to existing doors./windows
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEP�RATE P�R��41iS R��Utf�Ei� FQR WIRihIG�
H�:���r� �, ��_u��,��±�G �����:} s�GNS,
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUVflED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BEGOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED 1S NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOO OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION �. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUAT{ON SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK W�LL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT �SZOO �Z.EtO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OFi LOCAL LAW REGULATING CON-
STRUCT OR THE PERFORMANCE OF CONSTRUCTION. y�SO.SO
PI.AN CHECK FEE TOTAL FEE
$12.63 $65.73
sicNn7uaeoFCON�RACTOROAAUTHORIZEDAGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
i Z) �� �
SiGNATURE OF OWNER dF OWNER BUILDERI IDATEI BLDG iNSP DpT
CITY 0� FRIDLCY Effective Aug. 1, 1981
APPLICliTIa;�+l FOft RE:SIDEi�lTll'ti� [3UIl.DIiiG PE(Z'�iITS
(t�er�, Alter.�tions, Additio►�s, or Repairs}
3
dtlfdER: ��- t— �-��cc_�_s S
ADDRESS : � �� `I� �!�vU�-v c �_�,�� -�� 2 .
iCL �0:
I3UI LDER : � `f 2 � ��S i � • ! ��'..
IIDDRESS: �� ���1r � �CIC. �� f}"l i ��j.
-r�� rra: 9� -���s
Cons�;ruction Location
STRI:G� NO: CoS �� STREET: ��� )� Ui �) �!J �( (,��,f �1
L07.' : � BLOQC : o� ADDITION : � F_Cl U j� v t�`�Q_i ) °� �� �-�J Q 1t/ .
Corner Lot: Insicie Lot: SetbacY.: Sideyards:
Ap�licant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOi� OF CO���STP.�JCTION
�_�� I'ront: l�' Depth: /Cj � Height: � �
Squane �'ee�: Qibic Feet:
��� t_cfi�..� Front : De�th : H eiglzt:
� i��o �-�-� � Square Feet: Gtiibic I'eet: _
Type of Cor�struction: �� ���fZ,�
3b Be 4�r,�pleted:
EstimaL•ed Cost: $�J�O��G_,?$�
Alt. A Alt. B
Proposed Drive��ay Width If New Opening Is Desired: $� $
. SE� REVER�E SiDE OF SHEET .
Ziie undersigned hereby ma}:e� application for a permit fcr the t:nrk herein specified,
agreeing to c� .all work in strict accordance ��ith the City of I'ridley Ordinances �nd
rulings of tlle Department of Buildinc�s, and hereby declares that all tl�e fact� and
represcntsltiens stated :n this application are true and correct.
D.�T�: /'c� �-o? / -�',�..______ szcHn��. :
�--
StipulaL-ions:
P �
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T�
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t2.G3
a.6�
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BUILDII3G PE�RMIT FEE SCHEDIILE
The Inspector of buildings shall, before issuing permits £or the
erection of any building or structure, or for any addition to any
bxisting buildinq or structure, or for any alteration or xepairs
to any existing building or structure, upon application therefore,
require the payment by the applicant for such permit of iees to the
amount herein below set forth and i.n the manner herein provided to-wit:
TOTAL VALUATION
$1.00 to $500.00
$501 to $2,000
$2, 001 tA $25, 000
$25,001 to $50,000
FEES
$10.00 Minimum Fee $15.00 plus surcharge
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and
including $2,000
$32.50 for the first $2,000 plus $6.00 for each
additional $�.,000 or fraction th.ereof, to and
including $25,000
$170.50 for the f irst $25,000 plus $4.50 for
each additional $1,000 or fraction thereof, to
and including $50,000
550,001 to $100,000 $283.00 for the first $50,000 plus
each additional $1,000 or fraction
and including $100,000
$100,001 and up $443.00 for the first $100,000 plus
each.additional $1,000 or fraction
PLAN C,HECK: 25 percent of bui2ding permit fee
$3. 00 for
thereof , to
$2. 50 for
thsreof
DRIVF�n1AY DEPRESSION ESCROW: Concrete (�rb Streets Only
Alternate "A": R�emoveal and replacement of curb and gutter only
Dri.ve�way width plus 6 f eet x$13. 50
Alternate "B": Reaoval and repZacement of curb and gutter and install a 3 foot
wide approach with 6 inch depth
Driveway width plus 6 f eet x$I5. 75
VERIFICATION OF FOUNDATION
Permits for aonstruction will be issued a minimum of 24 hours fro�a the time of
application to aZlow for proper review of the proposed structure and Af the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been cmnstructed will be required before proceeding with_ the framing.
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_. _ �. _ __ • Iiux 102, Nopk±��, ,*.%il�' i5343 �}?:5- .14;
� �� �� � �
' Speculation S:izeet:
Td; D�1. Harris
6542 Rookview Dr,
N.E. Fridley, Ain.
F�ere is a list of the followin�;• z+�arli which to be com�leted ��t
bj�+2 Raokview drive. '
1� A1 2' x 1 8' de ck �
a}Coinerete peer footi�zg to be af concrete every four ft.
acr�ss the front.
b� Joists to be of a 2"x8" �const. fi� and stain before -
nailed together.
c The decking to be o_E' 2"x6" const. redwoad.
� d�There is to be of a Z 16' benclz to start 8' from end
of deck agained the garage �oing down�the 8' turning to
left going 8' across the front. ,
e> Tl;eii a �'' Si:d.i.i ivay .
f} Then put a railing of redwood 2"x2" with a 2"x4" �onst
redwood on top with a 2"x6" unddrn.eath it. Thats for the
existing 5� in front coming around tlze corner and 12�ft
in the back. -
f�T%ie raof' to be af 2"x4" const. .��dwaoti 2' on eenter to
- bemounted on�o wall o� house at a�f12 pitch supported
on the other end by tl'iree 4"x�+" . •
g�pn top of const. reciwood frame is ta be a 2ight green
fa.berglass sh.eeting ganels.
2)F�-a.tiv door
a}Tear out and make opening for patio door between the
dining room and deck.
b Put in header of 6'�5" made out of' 2"x10" const. fir.
c�Exchange cold�air duct with warm air duct by kitchen
then put warm air duct in f.Loor by patio door.
d� Put in a vetter insulation six foot patio door.
Owner to decide which directivn they want to open
e patch stucco if needed.
f� patch plasterr if nE>,eded
g�To install trim niatching to existing as possible.
j� Framein claset
a�Put a 2�:f��,'i opening from �antry into garage.
b Frame 3'�2' 6'�deep h.inging closet into garage to be� of
2"K�+" const fir
c�The framing to•be covered on the outside by 5�8" sheet-
rock and one coat of vape.
��
�`� ,�y� � _-� .� � ��_ �,� � �,
� �' ` ' :�, '� "",�„„`�"�'} : �-` . �:.
�1"Q %Ot'tS�C�'I011, ��"tC.
Box 102, Hopkiri� ;y;� Stia,:,3 733-:945
Specu�.ation Sheets
d Ins�late �2" af fx�iction fit insu2atian.
e Inside of closet to be sheetrockied with 2" sheetr�ock
to be taped and saitded.
f�Doa�rway ta be� s:he:et�acked wraped with a 2� 6" n�ohogany
Uyfold door.
�� 32' Archway
a�Put 3� £t archway though existing closet leadiri�r lIt'L.O
dinin� roorri hol��.ng open�.ng to outside wall.
b Archway is`to be shee�rack and taped also
c�Fi].l i.n existirig archway with 2"x�+" const.
sheetrock and taF+e and sand.
Bay �+indow
a Tear out e�cist:ing front picture tiaindow.
b� Put in a Anders�n� 3�g degree dot3bl.e hur�g
#30-50�2�-20-W. R:,O. to be 9'3" �;'5'�3/�+" •
c� The exterior 1�etween window and brick is
' clear const. redwoud.
d�INsid$ plaster gatching if needed. �
e T�im to ma�ch as close as possi.b].e �r_use
trim.
Bu�ild in scuddle hole
5)
6)
7)
8'�
9)
sanded,
fir and 2"
bay windoar
to be made of
existing
a�Build in scuddle hole in bedraom entry with a collas-
pable iadder. -
Ki.tche;3 wiai3uw
a) �ak.e,, vut ex�.st�,� wi�td.�v.
.b��t.it in � ���9pt.�.ine. -.�f� �r�a�arw. �
� Tri� to im�,tch as �xose as pg�sible. ,
Service daor
a`}'ear out exist��g gar$�e door. �
b� Put i� ne� 2' $" left haLn.�e ga�age service
of waod.
�arage door '
a tear out existin� garage door
0
door made out •:.
b� Put in a new masonite garage door in a 8'111 wide with
a 6'8" high with 9" header above.
iO� Driveway Asphalt
a Grade of:E' first towhere spir is to go.
b Black top over existing Driveway which is 58'by 10'
� bringing it �o apron and sidewalk.
S ir off to right af driveway is to be 27'by 10'.
1 Service
a Put in 100 amp. service. -
b� Any add�tional electric don.e in house will be billed
directly to the owner with a 15�i contractor fee.
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Page'
�l"O �OitS�'�'LtC�t�3t1} 1��.
Speculation Sheet.s
�-� � -
Aox 102, Hopkins,: i�IN 55343 933-5945
.�
�F2� Venting �
a'� �Put in two wind verxts in roof with b�il bearing mo�e-
ment.
b� Put six soffit vents and s�ffit to be k"x16" ventied.
��3� Bathroom Subfloor
a remove carpeting from bathroom.
b�_put in a�" sub fZooring in bathroom of a plywood
material owner to relay carpetirig.
1`+� T.V. window
a Tear out ehisting win.dow
b Frame in for a Anderson-�393�0 R.0.3'z�/g" by 4'�3/8".
- c Mount a Anderson� 30310 White. -
d Plaster areas around wzndow because window tabe shorter
e On outside of window on the sides and top is to to be
�� trimed with a stop.
f� Bottum of window is to be filled iri with either brick
if can be match or with a clear reawooa-, will be decided
}� �r ^- I,T11T�,r'_"' .
15� Be�room windows
a� Existing bedroom winc�ows taken out. .
b Grr�ct?,irje ?4?�+ winclo??s t� �e instaZled. ��Y:: �r �� � �wo
in ali� �t.U. : -
c �ns�ds._pa�€hi.�cg to b.e dtane. � �, �;
_ d �r�3.��:��"...to �1be���a�E,hed a.s • e�os��- as gc�ss°i:b1.e. , �. _�
e Exterior area between window and-s�tucco is to be framed _- -
_ _ wood. . -A
. �
. _ _ �
l` Ri t chen du c t �a rk ---- -------_ _
- --�--- �
a� Hot ai:r dt�ct to be taken out a�r�.ve s�eve. ------ �
�--�
b A new run across to flutside wall a�:,,.hot air regis�er
. .
�o��pttt in_:__outsi.de wa11. __
17 Permit to be pulled by contractor. -
18 Al1 painting to be done by owner.
19 Any additional work or changes is to be written up and signed
and paid before additional work starts.
Owner- �
•
Contrac-tor
Date Oct, ?"l, 1981
, .. -
_
UTYOF
FRI DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
July 5, 1990
Delbert and Marianne Harris
6542 Brookview Drive N.E.
Fridley, I�T 55432
RE: First Notice of Noncompliance at 6542 Brookview Drive N.E.
Dear Mr. and Mrs. Harris:
The City of Fridley has established a City Code for the purpose of
promoting a pleasant and attractive suburban environment. A recent
inspection of the property at 6542 Brookview Drive N.E. revealed
that not all Code requirements are presently being met. Listed
below is an item which does not comply with the City Code:
1. Observed vehicle (101-EKT) parked on grass in boulevard area.
Fridley City Code 506 prohibits parking on boulevard. Please
move this vehicle to a hard surface parking area or into an
enclosed structure outside of the public right-of-way.
Your prompt attention in correcting this situation
assist us in helping make Fridley a better place
inspection will be conducted on or about July
determine compliance.
would greatly
to live. An
16, 1990, to
If you have questions or would like to discuss this, please contact
me at 572-3595. Thank you for your cooperation!
Sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
C-90-438
SuBJECT .
C;cy of Fridley 3 3 2 9 5
AT THE TOP OF ?ME TWINS g U I L D I N G P E R M i T
� REC
� �
� � •
� •
COMMUNITY DEVELOPMENT DIV.
r � L � PROTECTIVE iNSPECTION SEC.
� , �
� � �"'1 � CITY NALL FRIDIE� 55�J2 NUMBER REV D�TE P�GE O� •PVppvEO Br
�'""��� ��' 763-571-3450 910-F 15 12 / 16 / 02 � �
J08 ADDRESS 6542 Brookview Dr NE
1 LEGAI �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHEO
DESCR. 3 2 gg�� Brookview 2nd Addition SHEET
2 PROPERTY OWNEq MAIL AD�RESS 21P PHONE
Deb Flaim, 6542 Brookview Dr NE, Fridley, MN 55432
3 CON7RACTOR MAIL ADORESS ZIP PMONE LICENSE NO
Nurnber Construction, 342 81st Ave NE, Spring Lake Park, MN 55432 612-709-2094
� ARCHITECT OR DESIGNEF MAI� AODRESS ZIP PMONE LICENSE NO.
20081011
5 ENGINEER MAIL ADDRESS 2�P PHONE LICENSE NO
6 USE OF BUIIDING
Residential
7 CLASS OP WORK
CJL NEW O ADDITION O AITERATION ❑ REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Soffit and fascia
9 CHANGEOFUSEFROM TO
STIPULATIONS
Ventilation must meet State Building Code.
,
TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVIOA�
SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAI, PLUMBING. HEATING.
VENTILATING OR AIR CONDITIONING
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT
AUTHORIZEO IS NOT COMMENCEO W�THIN 60 DAYS. OR If CONSTRUCTION
OR WORK IS SUSPEN�EO OR ABANOONED fOR A PEfilO� OF 120 OAYS AT
ANV TIME AfTER WORK IS CQMMENCED. NO DWIG. UNI7S OFFSTREET PARKING
I HEFiEBV CEfiTIfY THAT I HAVE READ ANO E%AMINEO 7MIS APPLICATION STALLS GARAGE$
ANp KNOW THE SAME Tp BE TFUE ANO CORRECT. ALl PROVISIONS Of LAWS YA�UATION SU@RTAX
ANO ORpINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED ���SOO.00 W1.2S
WITH WHETHER SPEC�FIED MEFEIN OR NOT. THE GRANiiNG OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAG CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAI lAW REGULATING CON-
STqUCTtON O TME PERfORMANCE OF CONSTRUCTION $83,2rj Fire �Z.SO
j°�jfl� �„ PLAN CHECK FEE TOTA� F
�� i
Lice .00 $9 .00
S�G�+aruQE ��CON'QACTpqppauTHOQ�IEO�GENi iO�iEi EN OP VALIOAT T S IS V Up PE IT
� � �
$�GNniUaE O� OwrvEQ��f OWNEpBU�LDEpi IDA�E� Bl �N$� ���`(
NEW [] CITY OF FRIDLEY Effective 1/1i2002
ADDN [ j 6431 University Ave NE, Fridley, MN 55432 (T63) 572,3604 Bidg Insp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APP�ICATION
�
� Construction Add�ess: � � � Z- � ���// " ��'t
Legat Description:
Owner Name & Address: %�� � Lc� �,�,., Tel. #
Contractor. l�Gl�AI Q, �l2tr- ��-�.r � MN LICENSE # ZOD�l01,�
Address: ��I L �t � �� .�d��,;� � La � �9,��C Tei. # ��Z 7�I- Zv �ry
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Fk
Length wdth Height Sq. Ft.
Length Width HgUGround Sq. Ft
� D. � _
Construction Type: .CD��� a� �aSc�c� __ Estimated Cost: $ ���
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: ��— �%� �%2— APPLICANT: �7n/PZ� SGNONI-�i v Tel.# '
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
catl you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ f33 ZS
$ �SD
$ /_ .?� �'
$ -�
$ `<� ao
$
$
$
$
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Va{uation
$1200 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 [ ]
TOTAL $ � �� . S7IPULATIONS:
,/�u3�.
r �
CITY OF FRIDLEY INSPECTION DIViSION
�
6431 UniversityAve NE•' '
Fridley, MN 55432 ' APPUCATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATtON,
(763) 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Effective January 1, 2003
FAX (763) 571-1287 : ; JOB ADDRESS ���°t' ��i�i�G� �� /l�� ��
RATE SCHEDULE `��` ' �
,
Residential
Furnace Shell and Duct Work, Burner -'
Also Replacement Furnace
(Side Vent • Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1 Jo of Value of Appliance or Work
Commercial/Industrial
1.25 jo of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MIN{MUM FEE FOR ANY HEATINGlCOOLINGIVENTILAT{ON
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00IHr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
TOTAL ' `
$�� �.
;;
$ :,
$ , . �,
�. . ..
$
$�
OWNER IiP,�oru � F�GI!K__ _�lGilr� ,
BUILDING USED AS %,e5icten�
%� �". �:
ESTIMATED COST ���(,.� PERMIT N0. �='-=
DESCRIPTION OF FURNACE AND OR BURNER
.�
No. of Heating Units._L— Circle One (Steam) (Hot Water) rm Air
Trade Namef�lirr�ei' ' Size No.�GI//�o7v�/-/�
BTU 'iU, c� _- _ HP EDR
Fuel ti��rtil lr�s Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
`: A��G �'�rr�,er 3� rZ �4c�t �i - 1'� �
$ The undersigned hereby makes application for a permit for.'the work herein
specified agreeing to do all work in strict accordance with the City Codes an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
���� � ����o � .
DATE �
CenterPoint Energy Minnegasco � �
HEATING C013562 Central Ave NE, Anoka, MN 55304
Signed �- � � 763-�757=6202
FAX # 763-757-6701
Approved By _ � Rough•In Date
�
� �i.� J
Final Date � � ��
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
� APPUCATION WILL BE RETURNED
..-.�T ..c•� �nn�n�c^TnR ���p C�MBIiSTIC�
� i�AAA A!"1t�1 VF�1 � V Y
�� •• �, the undersigned hereby verifies that the
ven�ng has been examined and is free from rust� deterioration, obstructions,
and is securely supported and firestopped where required.
The venting system is plasticlPVC and meets ali current codes and manufacturer
specifications including sizing� length, number of elbows and termina6on.
The�undersigned also verifies that the replacement e�f��o�nse Th ssdoesy
and meets the cun'�nt codes ai C ntral fFumace V n6ng Tabies for fan
include AGA-GAMA Cate9ory
assisted �nd �natural draft appliances.
The ' is sized and installed to meet the current codes
and manufacturers specifications.
When required to '– `"��°"' "^'"h"`t�°^ a�r_ it will be sized and installed
to meet the current oodes and manufacturers specifications.
�� �����•^y,y��m� the undersigned hereby verifies that
' it is a I'isted assembly and meets the current codes and manufacturers
sp�pfications. m� fan ass s ed andGna ural d ftaa pf nces.n�' Fumace
. Venting Tables for
Is the common vent and �oved from the commonv nt a(nd v n edt'y after
a n a p p G a n c e h a s b e e n r e
separately as per current codes.
Yes (xi No ( )
Yes (�► No ( )
Yes � ) No ( )
Yes � ) No ( )
Yes � ) No ( )
Yes {� ) No ( )
Yes (�) No ( )
_. �.�p� o m n�iPnt an Ve
' ce #1 T e � BTU Input an Assiste r Nat 4►�i .
Appban YP _ BTU Input � �x-� Fan ssisted or Nat _LJ� 1' ___.
Appliance #2 TYPe g.� ��put Fan Assisted or Nat
Appf'iance #3 TY� Total Btu Input 'I i� v�? —
Total Appfiances �_,
� inches
Common Vent Type i� IU Yr� �� � ��'►�— Vent Height U Diameter ��
ft Diameter ��( in TYPe v�n�"
qppGance #1 Vent Connector Height ft Length _ -�--
Appliance #2 Vent Connector Height ft Length _ft Diameter _in Type �
Appliance #3 Ve�t Connector Height ft Length = Diameter in Type
HEATING CO: CenterPoi 13562 Centra ve NE, Anoka, MN 55304
Date : � - a S�J3
Si�ned By: s� -
a
Y
GenlrerPQint,�
Enengy
Minnegasco
ADDRESS 67 �� �f '��.�V��.t.+lJ D� � ir
OCCUPANT F���_
HEAT LOSS Yes DATE HTG. INST.
SOLD BY C nt rP int Ener Min
Electrical Work Bv_ ctlYJe
7YPE OF HEAT FA i,/ SPACE HTR.
/�1 GAS dESiGN
MAKE �n � +�/�
Modei
Serial ' i� (�
NPUT ___,__,_ 7�,�� �� v
n C NTROLS
THERMOSTAT ��/�' /� t�G �%�S Heat Plug
Value
limit Setting �
Fan Setting
Pilot Type T }�
Pilot Make
Pilot Model
Pilot Timing
Pressure Percent Cd2 '
nput CFH Percent 02 �__
Stack Temp. � % � Percent CO___�
C"i.
�
HOUSE HEATING TEST RECORD
APT. FLOOR CITY l L�
OWNER
- ___ ____ - ---
INSTALLED BY CenterPoini Energy Minnegasco
Gas Line By
UNIT HTR. _ _ ____ OTHER
CONVERStON
�i
Vent Size L%
K{ND OF LINER A�/!Y?i�✓/Y) SIZE
NONE
Draft Hood Regulator
Filters Size Number
Chimney location inside 2/ Outside
Chimney ConstruCtion �Y/ �flvht�V�'i
Wiring
Test Tag
Lighting inst.
Date Tested L/.- �.- +�
Company Testing Ce terPoint En r Minne asco
Name of Tester
Building �
Insp�ctions .
763-572-3604
DATE � 1 t0 �G�.GC)
SITE ADDRESS l� 5� L—
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS �R.oy �► l T DE�.I
Kv�cv�0 OfL N� t �R;�t�U m� 55y3
❑ OWNER �CONTRACTOR
Nat�: DE F� � Rfl NK � 1�1 i M
r�DttESS: �S'L-I 2�R.oc� K�i E►�J OR►.!
PHONE:
�%
olP !-I 'T-rLo �/S n�c.l< S
Permit No.:
Received By:
Date Rec'd:�Gj- � 'L�`�
s �eHa�� �.
5S`�3Z
SUBMIT A COPY OF STATE LICENSE # Z�JS ( US �% BXP DATE 3" 3(`20oi �1
YOUR STATE LICENSE �DRESS: 9 l Z F{ O n/ Ey S cl �K 1 e 1—. N..� CITY �A Rm; n 61�Ta�E �' ZIP SSUzy
WITH APPLICATION pHONE �os j Z � O' � 38 7 FAx �S �- y�°3 533 8
PROPERTY TYPE
TWO FAMILY
PERMIT TYPE
❑ BASEMENT FINI5H
�DECK
TYPE OF WORK:
�ooF coRR�(�t'f�0
� SIDING
❑ SWARvIING POOL
O ADDITION
O REMODELING
❑ WINDOWS
❑ DRAIN TILE
❑ OTHER
DBSCRIBE WORK BEING DONE: �t.� � I U 1.1 EvJ p��.1� o i✓J QEc.K �1m A� E� gy Sfo/ZN)
SIZE OF IMPROVEMENT I Z�` � g LENGTH WIDTH HEIGHT �iQOX3� Sq. Ft 2( 6
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
❑ HOUSE ONLY
❑ HOUSE & GAR.AGE
❑ ATTACHED GARAGE
O DETACHED GARAGE
OSoffit
0 Trim
❑ Fascia
WINDOWS
IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS
OR FOR NEW OPENiNGS-DESCRIBE STZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE 1NSTALLED NUMBER OF �
BASEMENT REMODELING SUBMIT:
I. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALUATION $ ����-��`i7,-1 � E O CUPANCY_ TYPE
Permit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ ��-d2.S
$ su. � t
� 1. �Ia
$ -8
$ �
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation — Minimum $.50
.001 x Permit Valuation (1/10°l0)
$5.04 (State Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination}
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Ageement necessary ( ) Non Necessary ( )
Make checks aavable to: City of Fridle_y Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application or a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work w ic re s review d approval of plans. �_
SIGNATURE OF APPLICANT �� PRII�1T NAME I KoX �I �po�P j� DATE ���� U�
d �J
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Troys Decks - Wood Fences
912 Honeysuckle Lane
Farmington, MN 55024
Phone 651-210-1387
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'ri. .z'��aGli3� I!i Qr�W�i� �03C$ �,/� T �
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i;� .l�osi Saze ���c� -- 6Xb, �t�.� � X <v 'f�2��1TE�
�. ����� L���� � .�� __I��-��2?� 8 --�r��� rr�
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lC� "
��. Spacing Beiweei� Joists _--_,____d_C-- . _�_-
(12", 16" f1.(.:..1
Ci. Cc►m�r I'oc�t.in� Si-r.�
_ti. Intermec3iate Footing Size
I, Overati �eck Size
J, Type of Material
{ceciar, treated, etc.)
K. Height A�iove Groand
L. Type of Dxking
(5/ 4x6 - 2x5, etc.)
IZ
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c�oARZxg
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CI �� �O
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P't�AS� REA��j Af.l �NiST�tUCT1�7NS
BEFORE �El�i�hIN1NG INSTAII.AAT'ION.
1
ThWese guicf e�ines�i�'� P►�ded In �ood fikh to hsip prev�ent
mstallat3nn }xcrblpFrts caustd by canrr►on erraxCrane
Composite:; C�.I�q�lrs tw responsiWlity fiot inut�il�tion sccbns
taken nr no; take�,i7here ar� many nwnce5 of in�
tt�t Grane Gompp;��tes Co. �swma are qer�eral tvnstruttiosz
knowledge �► an�!�p�riencecf inst�tlkr, such nuancts �►e not
ic�ctuQed in thes��ir�ftructlana. R�t�her, these instaMatbn
guidelines ue str��iy recoa�nma�ations, r�,at inoended
to s�era�e as a srep�tf�r-step. foah�'ooi` instaNatia�s tfieckli�.
5tiection cyf an �pp+eritnt�d frp in3t�fier is the sole
responsibi►lty crf �h� Prolett ov►me► snd arthftect,
�f yau h� gn� q4�stions about inst�ll�tian tethn#quas fc�r
y�ur partitul�r p Ct, please r.�l! �Qb.2�i74 or
73 �-7d4-21 S3 a�ask fw an Ol�a 5al�ss (iepresent�.
,;
ZX(o C�p
sp�cEo
�RA�in 6
�out��E Zx g �Er� M
� x 8 L.EqGEl2 Lq 66�0
�3/8���� fi.� H��16FrRS
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s�►wa�acFa�c�Cyour d ��il��r,�� cades per�a6nin€�
t� �;:,: stit►g �d �r►xtn�n�g gss xus c�ovders, esbtain
arry parta";c �,t�d Irts�e�n� �eitia�t rrwy be r��u�r�sai,
W'littlrlli�r.,i; A� re�ui�r� � iaw�, i��e� ;�re �+cru �ig z►n
the c:o��ior3 stte, have aN �r,:ri+ed ..,tiiitias (�eet��,
9as. ►v�c� f�rwa. ta�bi�, �tc.� ka-;;at�r9 ac�d c.k�aiy
mu;c�eci #iy � qwl'r�si ��+rd�sic�+rtal.
Cnrrc�af�ti �b�q� i��e�s ir�i� �az�ly� With arQir�a�ry
,����� dn`�ea, sa:wta� P+�+'uha�d, dr nafi���
r
VW4ii�N Ct,J�TTlI�iC'ii a'J�t d7RiLi.i�VC`s �R.�' �A�li�1.5, �'1�A�'S
�6A� M�tyiECriYE CrL�15S�5 OR �UGC�l.fES � A
� 11Y�iCM C��'ERS 7I�l� �lkC� ��lO MCI�iTh3.
5kdn irri�at�:srt ttue u► g3axs �ibcrs mab b� a;aa�d�u by�
�p�riyir� 8 �wrrl�' ct�arrt ta �,c� �.iic;± � �reas pr!.or
tr� ��ritit►y tashth k�rruq��tt+d �arr�t#�.
�t! �'t!t{!�l.K tMJ A'�l�i�.S. �Ui�ssarv� sira° si,� fir�
�reC�tic�ns. Sr�rtila� to ars� sat equ�d thic��ness. fibe+yias.
pa�ti� c�r� � �aash-i�rtited at ��rpr�xi:�na�;>, � ?UC�•'F
APR-28-2006 16�23 KEMLITE GRAND JUNC 7317646316 P.02
' SEQUENTIA, INCORPORA'fED
LOAD/DEFI.ECTION CALCULATIONS • LINEAR METHOD
THE FOLLOWING COMPi1TATI0NS USE THE LINEAR ME7HOD OUTLIN�D IN
THE AM�RICAN IRON AND STEEL INSTITUTE'S LIGHT GAUGE STEEL
DESIGN MANUAL. THESE DA7A ARE OFFERED AS A PRELIMINARY
GUIDELINE FOR DESIGNERS. TWESE DATA SNOULD BE CNECKED AND
VERf�IEp BY A aULY LICENCED ENGINEER OR ARCHITEeT.
PRODUCT CODE
DESCRIPTION
SHAPE
ONE
TWO
7HREE
FOUR
FlVE
six
QUANTITY
PER P�TCH
2
2
2
0
0
0
73129
600 Series, SBS, Super 600 panel
ttoof Pane7
INPUT DATA
LENGTH
��n� ,
PANEL THIQCNE55--------------------
Pf TCH--------------------------=---
uLT�,�ir�i E TEivSii.E STRE�iGiii•---------
MODUI.US C?F EIASTIClTY--------•---•-
OVERAl.L PANEL HEIGFfT-••-------•••-•
FACTOFt OF SAFE7Y----• ..............
VD RAT10--------------------------
0_429
0.588
0.429
0
0
0
CALCUL,ATED VALUES
T07AL LENGTH---••-••-•-------------
��y .................... ........... .
��y^2 : ................... .... '
_ ....
SUM OF ALL MOMENTS•--•-----•---•••-
NEUTRAL AXIS FROM TOP STRAND-------
MOMENT OF INERTIA•---•-••-•----....
SEC710N MODULUS------•--•-•.------.
MAXIMUM LOAO - SINGLE SPAN---••••••
MAXlMUM DEFLECTiON - SINGLE Si'AN---
LOAD
�P�
15
30
45
60
75
90
DISTANCE FROM
roP srANO rn
(in)
0,035
0.248
0.465
0
0
0
0.04
2.67 (in)
I1,000 (psi)
800,000 (psi)
0.5625 (in)
2.5
45
2.892 (in) .
0.720648 (i�^2)
0.258900804 (in^3)
0.03224 (in^3)
0.249186722 (in)
0.02005661 (in^4Ift)
0.060173449
176.5087847 (Ib)
0247514892 (in)
MAXIMUM RECOMMENDED SPAN LENGTHS
FACTOR OF SAFETY = 2.5
L/D RATIO = 45
SINGLE DOUBLE
SPAN SPAN
('�) ( f#)
2.33
1,85
1.62
1.47
1.36
1.28
3.13
2.45
2_17
1.97
1.83
1 J2
S�t��.;'"
� """--' ��'� �
MOMENT
OF �NERTIA
� •��..
•• .
• ���•.
�
�
�
MUITfPLE
SPAN
�ft)
2.88
2.29
2.00
I.82
1.69
1.59
�'�L�� _����/�
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_ ___ _ __ _ _ _- .
a-
BURNET
SELLER'S PROPERTY
DISCLOSURE STATEMENT
This form approved by the Minnesota Association of
REALTORS�, which disctaims any tiabitity
arising out of use or misuse of this form.
01999, Minnesota Association of REALTORSO, Edina, MN
1. Date
Z. Page 1 of - -_- --.._----_._.-- Pages
3, � THE INFORMATION DISCLOSED IS GIVEN TO THE BEST OF THE SELLER'S KNOWLEDGE.
4. NOTICE: Th,is disclosure is not a warranty or a guaranty of any kind by the Seller�s) or Agentls) representing any party�s) in
5. (he transaction.
6. INSTRUCTIONS TO BUYER: Buyers are encouraged to thoroughly inspect tl�e property personally or have it inspec[ed
7. by a third party, and to inquire about any specific areas of concern.
8. INSTRUCTIONS TO THE SELLER: (1 ) Comptete this forn� yourself. (2) Consult prior disclosure scatement(sl and/or
9. inspection report(s) when completing this form. (3� Describe conditions affecting the property to the best of your
10. knowledge. If unsure, check unknown where applicable. (4) Attach additional pages with your signature if additional space
11. is required. (5) Answer all questions. (6) If any items do not apply, write "NA" (not applicable).
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Property toc ted at ����' h-��I �`'`-'��✓�
�� 1V �_�---7��
City of �l � Zti _-------- --....----- County of __ /�'��.-
�
A. GENERAL INFORMATION: T I; ; �
(1) When did you purchase or buiid the home? �-��-
(2) Type of titte Evidence. Abstract � � �gis�d To re s� Unknown �
Location of Abstract or Owner's Duplicate Certificate of Title: -
Is there an existing Owner's Title Insurance policy? Yes � No � Unknown �
(3) Have you occupied this home continuously for the past 12 months? Yes � No []
If no, explain: - ----- _____._-------- ---
(4) Is the home suitable for year round use?
(5) Is the property located in a designated flood plain?
(6) Are you in possession of prior selter's disdosure statement�s)? (If yes, please attach)
Are there:
(7� Encroachments?
(81 Association, Covenants, Reserva[ions or Restrictions affecting [he use of the property?
�9) Easements, other than utility or drainage easemen[s?
� 10)Comments:
, State of ��. _
Yes [�
Yes �
Yes �
Yes �
Yes (J
Yes [�
• �
• ���
� ���
• ►��
• ►.�/
' ��
Unknown ��
Unknown �
Unknown 0
Unknown 0
B. GENERAL CONDITION: Have any of the following conditions previously existed or do they currently exist?
(1) Has there been any damage by wind, fire, flood or other disaster(s)? Yes � No � Unknown �
If yes, give details of what happened and when: ------------- -------------- ------------
(21 Has the strucwre(s) been altered? (i.e. additions, altered roof lines, changes to load beanng walls.l Yes � No [� Unknown �
if yes, please specify what was done, when and by whom lowner or contractor):
(3) Insect/Animai/Pest infestation? j7„ �,, Yes � NoV� Unknown �
�a) Do you have or have you previously had any pets? Yes � No ❑ If yes, indicate type �•��+�and number
(5) Comments: __ _
C. STRUCTURAL SYSTEMS: Have any of the foltowing conditions previously existed or do they currently exist?
(i1i�';W6F'.:,VVCr lU nlL SIRUCII�R(;, 5';I�i�i 5,S GARAGE aND OUT'BUILUINGS.j
(1) THE BASEMENT, CRAWLSPACE SLAB
(a) Foundation problem Yes r- No t 1 Unknown � Fe� L�rain.tile p��hlem Yes.;_-_ ___ '
(b) Flooding Yes ! No � Unknown ;� (f) Cracked floor/walls Yes - No _ Unknown �
(c) Wet floors/walls Yes No '___I Unknown _,� (g) Sewer backup Yes ', No ._. Unknown �
__ -
(d) Leakage/seepage Yes � No �. I Unknown I� ---"1' �
,.___. - _.
Give details to any questions answered "yes."
(21 THE ROOF �
(a1 What is the age of the roofing material? -_� Years Unknown 0
(b) Nas there been interior damage from ice build-up? Yes 0 No Unknown �]
(c) Has there been any leakage? Yes � No Unknown 0
�d) Nave there been any repairs or replacements made to tfie roof? Yes � No 0 Unknown 0
Give details to any question answered "yes." , _/, `I
/�-, �.! %,Q- Le���iC�-Y lyi%'71J�,� f2� �
/�-C�'�• P� -?�?�./I_T�l %'�"7�� ---- ------- -------
61. D. PRIVATE SEWER SYSTEM DISCLOSURE: (A Private Sewer System Disclosure is required by Minn. Statues 115.55)
62. Check appropriate box
63. � The seller does not know of a private sewer system on or serving the above described real property.
64. � There is a private sew er syste m on or serving the above described real property. See Private Sew er Systen, Disclosure.
65. n 7here is an abandoned private sewer system on the ibove described real property. See Private Sewer System Disclosure.
66. E. PRIVATE WELL DISCLOSURE: (A Well Disclosure Statement and Certificate are required by Minn. Statues 1031.235)
67. Check appropr iace box
68. � The seller certifies tha[ the seller does not know of any wells on [he above desuibed real property.
69. �7he setler cer[ifies there are one or more wells loca[ed on the above described real proper[y. See Well Disctosure Sta[ement.
70. Are there any wells serving the above described property that are not located on the property? Yes � No Unknown �__i
71. l ed--Yer No � � r_�
72. Comments: _ . _��iL� C� ' i.2. � � % 3 _------------------_ ______ -- --- ---
73. Is this property in a Special Well Construction Area? Yes � No � Unknown `�
74. Contaminated Well: Is there a well on or serving the property containing contaminated water? Yes 0 No � Unknown �
�c nmr����� rnnv rn 1 IfT1Al!' annVeo. rnn�cc �rn cF� � rp A��vCn cc� i �ui' PP�IVCp
MAY, 31. 20Q6 2:35PM SERVICE PLUS IhJC. �uNc
CRAN E Cor�n��asites
� A C�ne Co. Co�pany
To: Deb Flarne (phone 85'l�16��Ci16)
F�x: 6�1-647-7298
�rorn: Tammy Bu�r, Inside S,��s Representaattve
Phone # 877�87-0995
FaX # 73'I-764-�3'16
�mai�: T�,tie�er�C�aneCampo:;i�t�:s,arom
Date: Q5/31/06
Number of Pag�s, includ'mg cover. 1
Comments:
i r _ �
N0. 114�31P
450 N, Highw�y 368
Gwand Junction, TN 380�3g
�3�.764.2153
731.764.6397 Faot
731 _7�4,.631G $gles ��x
www_crar�ecompasi�es.cam
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Conceming Super 60U--- wh� prc�pw..rt�r mstaiied this p�nel should suppa�t uniform (oads
of 3�-40 Ibs per sq ft based upon scee�lic:�n properdes of the panel and calcula�ted using a
safe=ty �a�tvr af 2.5.
Reviewing tables from several Unif�arm Building Codes, pfessure front w�nd velacities of
90 mph are 20-�5 Ib per sq ft, {Su��gest that you consu�t witfi tor,a! builqing c:ode offiaals
to canfirm.) v�,����, � � � �z���,G� 6,J-�-�i
Span distancE wn"I! irrfluence the lo�id b�aring t�pabifiiy uf #,hese pa�eis �nd it is
recommerrd�ci thst this di5t�nce be: fimi�.'ed to a rria�dmum aF 30 inct�s for t�ese loads.
This information is prpVided �s p�eliimin�ry data for designers and si�ould i�e chedced
ar�d ven'��d for use witn a du�y fioer�s+�d en`qineer o� �rchibec�. Qfher cortditions of use
and desigh may ne� to be c�or�sidf:�red.
Pl�s� let me kr�ow if yau need furt�l�r iiifarmatiorL
Thank you.
'ih� tsce�nae ►�9asa8e end �cveR+patlyifqj dowmGnls ate iirlendsdl0/ U+9 use of fhs W�hes�eB indfC+9ted above_ I�omiationlh�l y� ��EQ qr
eltivrwise conkdentiol lnay be canea6�d Iberein. IF yeu ¢a'� nol W+0 tntenddtl feGipiM4 Y�►4 iKC h8f9by noBfietl 1i1a1 ary d'�9mu�edao. �s�'i9w, or u89
ef thh mescage. do�,uen�i►� w iofortTlAllon C4FRainSd th919i�d la �Ehlclly pr014if��16G_ a yo{I Ili�e rACeived 11fit �/i6GS�e n7 eT1'M, PIe�'+e no�j(�I Ys
iMfned'�c3y by Id�phens a�d rr�l 1fw ai�inaF lo us a� @�,> abo�E� address. 7'Asnk you.
k�mlite,� zenican�
3�w�i M �yy� �Y..ql��wy�
TOTAL P.91