Loading...
AF - 41863March 21, 1963 City of Fridley 6431 University Avenue N. E. Fridley 21, Minnesota TO WHOM IT MAY CONCERN: I, ROBERT REEKERS, 6414 East River Road N. E., Fridley, Minnesota, do hereby agree to connect to city sewer when and if it becomes available to me. Rx:�ks Yours very truly, i ROBERT REEKERS J� ��� �. �� sua�ecr ERMIT City of Fridley � � 16183 AT THE TOP OF THE TWINS g � I L D I N G P E R M I r � � � � . � • COMMUNITY DEVELOPMENT DiV. ' i L _ � r � � PROTECTIVE INSPECTION SEG �G 9 � , i :' � /���1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV ���_� / �.S 612-571-3450 g�0-Ft5 5/14/81 / / JOB ADDFESS 6414 East River Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2$ AllCl. S1IY1. �2� SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Steven S. Smuder 6414 East Risrer Road N.E. 574-0979 3 CONTRACTOR MAIL ADDRESS ZIP PHONE IICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Resi.dential 7 CLASS OF WORK ❑ NEW OX ADD�TION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14 � x 24' Addi.ti.on ta Dwelling 9 CHANGEQFUSEFROM TO STIPULATIONS 5EPER,�TE PERMITS RE(�UIRED FOR i�if`R`ifl�G, H�ATI�N�, Pt.UMBING ANQ SI�NS. W�#�Htl�G S��e d��in� catf tocat utilities TEtEPtiONE - EL�CTRfC - GAS Efi�. REQUtRE� B�' EAVI/ TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOC� FY'dI110 THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITH�N 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 336 ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBV CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $13,500 $6.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO G�VE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $81. QO STRUCTION OR THE PEFFORMANCE OF CONSTRUCTiON. PLAN CHECK FEE TOTAL FEE $20.25 $108.00 � si� A�-RACTO RAUT izeon� lOATEI � WHEN PROPERLY VALIDATED THIS 1S YOUR PERMIT � �� / �. SiGNATUREOFOWNERiIFOWN RBUILDEPo IDATEI BLOG WSP DPi . .�, �� CZiY t�E' f'ItIU(_CY • ! !�f'('L1C11'C'Ii7'd f'Oft t.f:SI[)L.i�ITII'�i_ GUILI)If1G P�ftirTTS �� � Y��� (iderr, i1ll:er��t.ians, /�dditions, or f:cpairs) 4�< ,� d1T(�R: �-��vC t�,) �. ��.v i� �f'� �UI LDL-'R . S�-e�� � n�n�.ess: Cc�r�l ��as� �,vc� �� n��r�css: -- TCL �0: ���y—C`��(��(. TCL (d0: • � Consi:ruction Location ' . s�r�T r�o. � � I �j s��iu,�:T: ��5 c ��v�2 �,b. . .� x.o��: �,�_� �LO�c.: �nz�rzo�t : � . S , ��_, Corner Lot: Inside Lot: �� SetbacY.: Sideyards: Ap�licant attach to this for.m two Certificates of. Suxv�y of lot and prop�sed Uuilding loeation clrawn on certificates to sc�le. RESCRIPTIOit OC' COi�lSTRUC�IOPJ - � I'rant: j�{ � Depth: � U- � IIeight: Squar.e. Fcet:^ �,� Clibic Feet: 33� k'rant: Depth: Height: Squar.e� T'eet: Cubic I'eet: �_ . 33G� �l 4t�� I'� �- �3� ���� Type of ConsLruction : C( ��p'� �v- B� Estimated Cos �: $� 7b }3e Cbr,�pleted: �� �( - �� � � � � Alt. A Alt. B Praposed Drive�•�a�r �vidth If New O}7EI11I7� Is Deszred: $� $ _ . S�� F2�,VEIZS�� SID� OF` SiIEET . , �.3ie undexsigned l�ereby :na};e� applic�-�ticn for a perm�.t tcr_ the t:nrk' hereiiz specified, agrecing to do _a1.1 wor}; in strict accora�nce ���ith ihe City of I'ridley Ordinances and ruli_ri:�� of iite DeZ�artment. of T31ia.].dings, aizd hercby declares that all tlie facts and repiesa� t;iti.ens stated iii this «ppli� D1:T�: ���_ �� SIGN1�`.rUF.P. SL.iZ�ula�or�s : r ��•� � G � �l,c� �c �n�� ��' ���i���i� ,�,. . ��o�, o0 r � � . P � � G � 1= �k { Sr� "� � � 1 �� ` ,_.. . _ ..._ .. _. ... _. .,. ,. . __... .. � � �.. .� ..__..�� . ....... ... �_..� ... ,. .......�. « ........ ......� .. .._ _� ....... � _ ... .. � . ' .....�..._.... .._._....__.... . _._.._._.. .__. _ •__..... _ . ...._ ,_..� . .. , ti < _._- ._ _ _. __. _ _. _ _�_ _._ �. _. _, . ; 3 , , , ; � _ , _�_ _ � _ _ , , �, � � �, ., � �, .. .., ; _ � _ _ __ . , _ --'-_ - -{=,, i� � �� � ; i t,� � . ,� �- � � ,�1� . .� � t ,- i '^\". -�e� � � � '; �` `c�� , , � � � d�. { � , f 1 � Y,l y � ' i � "'°... � �? � � �1 = .`��' � 4 I �. �,� i , � � t �,�� � i , ' � � J i �, ;7 ; ^ t � �:'. : �(� i i � � i � � . ' t � ' v�. ��� ;; , � ; � � � ,, �, � � I f � � � : �� - � �: l�, '� ` ;_,_ 4 I N� ,, J ; �' � � j ; r:e� . �;-� � � i � � �— — — � ! �� '�— — --� � I o � � � �.� �� i `.�_._.,� � : �`` � ,� �i j ! f � � � � � . ���- ��� � �--� � - ---- � - --- � � � � � � � l I i � � i C �� � � � ` i � � � �� -- --- -__ , _ ___ _._ ; _ __ ._ __._ - � 4 ___ �____�� � � �� � ; ;; ►� � � �� ' ' �, , ,. � . �' i ! `�. ; 1 i � 1 ! 4 ±j = �J , � � --_ _. _ _.�, � __ _ _ � ! L _ . ._--- _ �.� ._ � ' �I � ; � �i � ; ,. � ' � � �,� �, ; , " ; ;'; � ' t'J . ; �, ; i � j , , ! _._ i � � � I � � ---_r J �. _.__ 1�__---- � V � � � � � � � �J i �t 1� `K � �0 \ �� � � � '��: �, t ' � � �.� �. �, . � �� g �� ��,.. <��� �• c ��'�� - '�..-:. � � •'- ,,,� � . .�. i � V d �i ,, �n ; ._.��_ ; ; 0 -�- � � a 0.; ,. h, + i �\� . � �.-c;'_..».___ . � � � . . . S __ »._�,� 1 __ . . ..-- _.�. -,-..� � _� a>._ ,� ;� , i� � � . . i. ; ?��--� �--.. ' � �� /�.�. __�___; �� � { _. ......�._�. _.�... � . � ; . , �,. _. _ _ __ _ __ . __._,�..� � ' � k i si ' �J £w r � � `,� ;. 4M! � I • - '�1 ; ,: ; _ ;� j •�--�---�---------. j t. .` t .v !` q-. .-� f ° � � C� � t ,` n � { ' . t � / j + . � � t. i� 'J + i : \ � � ' � ________.�_.____I ` . ��" l f -^ ~ � � ` :y � � ; , ; �,,� �\ � ! \�` fl' �, i R��• '�"/ � s �� a }� ; �� f f � � �,��� �i� , `� � �� � � �: , �, � ' i i � i , f a � , i 1 � �' ._� �w� � —. �'-� S � j .�,.-���-.-- ` �_.y � '; ty �1 `ti --. i____ 1 t ! i 3 � 1; i ,; � k s ; � \ : � � ; ``� � j � S � � � . . � � \f� . t F'w L._. .,-_ -'� . . j � r.�. . .. . ; �� . . �1 � I ( s � ,, � 7 '� ; � ,� { �. � � �______�--� --. � . — �' ,-'� ` � i . � ��.�i .. 1 •t , , , -.:: . ._.. . , �, .,�. . � ;y � : . r .�.._._..._� , . . 1 a " _ . . �. . � \ . ��` � � f . I , ..... _.,.......____.�.., ..� . . i . ...:� ; . . . .._`__.�. _.:_...._... .__ .- . -___.. __... . . . ,. ' �,. - _..__ . . _....___" i : . : � f ' - ' � � �� i �t .� �: �••� ; i � __ �. �___: i �. \, ;��� ti } r`t . .' � �� r-\ �`. \ i� \� L � �t v i�1 n� 0 Q `\ t �? . •� ' , � � t \j� � �..5 \: V '� � � 4: , �:= � ! �' �" � �/.,.-��1 t� „<.�,-/ o ��''6"i.� /v oi.c t�.a 3�� N.1 n p� ,,. .^"%''i . ;`';;Y �? / /v"G .' 1 / �'G� `�i { .._...� _„_---___._....._.__ __..._..__._._.________ � i _ - �-.J �_�_ _____...._ , ; , . _ _ _ �. , _. . . ... _ . _. _ _ ._. . ---_.__ _�__ .___.`____.._- ----- - ---.�.--.. _ ____._ _ __.__ � _ _ _ . _.._ „ _� _ ( __ .__ _ -- --_ .._-•- - __ _ �. .. _ _ .. . � � = J - _ �-_:.� 1 , i � � „` _-- '�� - - ---- - ---- _ _ ____._.._____,_ ____ = - � � , . __ _ _ ___ __! _ ___ _— - --- -� - `i____ _ ___.. ._ __.__ _ _ � z ' , -,. �., ___ � ! r. c: , �;_ _ . # - -_ _... ._ __._ ;���'� L.y,X� � : °J � � .. _.... - _ __ � ` __. _ - ----_ r.'Y!:'' •'.�"t�I'' i --. _ _ �. , y�.. ; i; . - � � . _ _ II � . ,i i y� . ' i i I ! ' _ ` �� __.._ . ___ , , , , , , .. _ _.�__ � #� � _. ___� ::,-� _ - ; ; i �r � � ; � , � � ��� � . � �� � � � � , � _ � � �_-_= � � � � � -- �� � � � i' - � � � � . �� �.._ __�! � � �____.�-_- � � . -- , 7; . ..� .. _.. .._ '__ ,..�._� _ . ' _ _' . . � .. `_ _ .. . _. , _ .__ ._._.. . . _ . '.Y .... �_., . __.�. .._ _ . T. ...... . ._. . . _ _..... . . . . . . . . . .`.. , _... . ... ....._._ . ....� _' . _�. _. ' _""' _ . . ..�_�.._.__.�..._' _ � . \\\ \\� =�i ll f,,� \.,�\ � s _ .,- � ! - - � l . \ � j r� ��' � � ,���'Vf.�`��r�' .L?S�/Y�� _ ./� ¢ ::w Y �� �� � / / "_ 1 �� \,: '�; �_ --_ . � .____ _ . _.. ___. _.__.__�__ __._.___._ �_.�,_____ ____.._..--___.______.___r.._____�__�.v_ „--- f .' { , � �-� ... . .. �. .. _._, . �_. _. . . ,. _ .�. . . . .. , . ,,._. �._� .. �. _.e,,. r.,,�, ,. }. .. _,.,_..�<.�.. �., .. . _._,� - - _... .�..�._�- ... �.,:,.. __ -_TTN .- :.�,..�.�„,. -�.. ._. _ ,,,�.... - sus�ecT PERMI City of Fridley 19219 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � . � � • � • COMMUNITY DEVELOPMENT DIV. �' i L �"�� , � �� r � � PROTECTIVE INSPECTION SEC. 1 � � i--__ �;/'�'1,,; CITY HALL FRIDLEV 55432 NUMBER i7EV. DATE PAGE OF APPROVED BV i �� 612-571-3450 910-Ft 5 10/1/87 � � JOB ADDRESS 6414 East River �3c7..C� N.E. t LEGAL LO7 NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2$ Auditor's SU�1V1SlOI1 NO. 23 SHEET 2 PROPERTY OWNER MA�L ADDRESS ZIP PHONE Steven Smuder same 574-0979 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. .Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING ReSidential 7 CLASS OF WOFK p NEW ❑ ADDITION D ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 1S 8 DESCRIBE WORK New 30' x 24' Gasa e ^ Remove 14' x 22' Garage 9 CHANGEQFUSEFROM TO STIPULATIONS Check for N& S ease,ment. Need. wreclaing permit on existi.ng garage . SEPARATE PERMITS ARE FEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTqUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEAIOD 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFiEIN OR NOT. THE GRANTING OF A PERMIT 10 339 �S.I.% DOES NOT PRESUME TO GIVE AUTHOFITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OP CONSTRUCTION. HF) SO PLAN CHECKFEE TOTALFEE $91.67 SIGN E OP CONTRAC OR A� H RIZED A NT ��n7E� �' WHEN PROP R V LI ATE � HIS IS V� R�E� T �O /-�7 � SiGNATUAE OF OWNERU NER BUILDERi IDATEI BLDG iNSP qaTE p� [] City of Fridley Effeetive 4/1/86 ADDN. [ ] �R-1 AND R-2 AI,TER. [ ] Building Permit Application Construction Addr� Legal Description Owner Name & Address: s��� S�`�D�d2� Tel. �:S�?i/'O�r75 Contractor:.s£Z� Tel. � .��� Address: � �1�� �GUEl.c_ �_�.-_- — Attaeh to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROQEMENT t�� � �� • LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length �_ Width o2� � Height ,�._ Sq. Ft. �_ DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER• l�C�pU�. /�IKL Z �' �iY���� -- �aax � �c.�6�` Corner Lot [] Inside Lot ["J Ft. Yd. Setback Side Yard Setback �' Type of Construction: Estimated Cost: $ � �o33y Approx. Completion Date: �j`�- � 7 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation � DATE: ��zZ` �7 APPLICANT Permit Fee Plan Check State Surcharge SAC Charge Fark Fee Sewer Main Charge TOTAL � S7 �-D'�! 7 Tel. � � USE ONLY ',� � � � $ �� $ �- v e/ $ � $ � ����� Fee Schedule on Reverse Side 25� of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering �ti �a'� a q, 3a,so T ��o �� �v Agreement Necessary L � Not Necessary [] STIPULATIONS: �Jt-ip�-- �v 1U iJ �95�w4 �.� � � �-�.,� �.�.9► �- �� �� K � , ,r. , � �it/f�. �33. • 3��� 1 r''�' -�- / � / ��� �n'� .��, �� �i �i �b R�s . �` �� �L � ►►� - �i b' � � J SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � COMMUNITY DEVEIOPMENT DIV. V PROTECTIVE INSPECTION SEC. � _ � ; ---- . r , �; � � �-"1 � CITY HALI FRIDLE� 55432 NUMBEF REV DATE �""�'� �'� 612-571-3450 910-F15 /10/90 �oe aooRess 6414 East River Road N.E. 1 LEGAL �OT NO. BIOCK TFACT OR ADOITION DESCR. Pt. 28 Auditor's Subdivision #23 2 PROPERTY OWNER MAIL ADDRESS Steven/Jeanne Smuder 6414 East River Rraad N.E, 3 CONTRACTOF MAILADDRESS Same 4 ARCHI7ECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAIL PAGE Of � � 20471� 3��7/ APPROVED BV SEE ATTACHEO SHEET 574-0979 ZIP PHONE LICENSE NO. Z�p PHONE IICENSE NO. PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O FiEMOVE 8 DESCRIBE WOHK Construct a 33! x 16' Addition to Dwellinq _ 9 CHANGE OF USE FROM STIPULATIONS See notations an plan, � ������ Before digging cali fo� al! utiiity locations 454•0002 REQUIRED BY L,AV� TO TYPE OF CONST. SEPARATE PERMITS ARE REOUIFED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNIT I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEO THIS APPLICATION �- AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPUEO $28 fSOQ. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $278�00 STRUCTION OR THE PERfOFMANCE OF CONSTRUCTION. SIGNATURE OF . _ i � OA AUTHOAIZED AGENT IDATEI u,�o �� � - I b— �� VER BUiIDERi . �OATE��,_ � STALLS CV GROUP OCCUPANCY�OAD CU. FT. OFFSTREET PARKING GARAGES SURTAX $14.25 SAC CHARGE AL FEE 2�2.25 11S IS YOUR PERMIT i NE�1 [ ] EffeCtiVe 1/1/90 ADDN � � R-1 P,��� ALTII� [ ) Buildirg Pierinit Application Construction Addres.s : t t�,� �@ Iegal De.scription: OAscT v � (�r � /�v.0__S✓B �3 owner xame & Address: ����11�,�t� 1�- �cr�nJ�1 E�r�r c.�,�F� Tel. #� S7�f -O� � Contract�or: c��; 'I�e1. # Address: Co��'� �- �lf.'��C.� �� �-/1`�!'%��Zi LNII�1G AREA: GAItAGE AREA: D�E7CR AR�►: O't'i��R: Attach to this application, a Certificate of Survey of the lot, with the praposed construction drawn on it to scale. DESCRIP'i'I0�1 OF II�II�'lmVF��i' i � Lexigth Width Height �_ Sq. Ft. �_ Iea'�gth Width Height Sq. Ft. ?�exigth Width Hgt/Graund Sq. Ft. Corner Ic�t [] Inside Lr�t [t� Ft. Yd Setback Side Yard Setbacks iype of Construction: �pk,tJ � ,�� i.���11 � Estiirtiated Cost: $ ��� � ' � Approx. ow�letion Date: %-�/ Proposed Driv�way Width If New Opeazirig Is Desired: Ft. $ $ Wi + 6' See Back Page LIATE: %(j - SU APPLICANr: Tel. # S 7�{�l3� 7Cf — Permit Fee $ � (��i State Surcharge $ SAC (�arge $ Driveway E��crow $ Park Fee $ sewer r�tain ct�arqe $ • v� s�z�ZZOrrs : $ �, r :t CITY USE �II,Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determi.ned bY �9ineerir�g Agre�nexit Neoe.ssary [ ] Not Ne:oe.ssaiy [ ] Q � j k ��; '` ��?'i� .� a,� x tc� = 3g�`�. � t� � fd31 � z'�.�1�� w � � � o? $, �'' a S, o 00 -► LS't► cxl 4�� •� _�- a�� C ��'�' �n �c . � � �'.� �. �, n, �b � � � r '� ,� �o � �aa �� a� �4 � -' (J �; ( �t �`� y • Px :,p�_..�. � . .. .. . . f:: . i �: + �. � . � 2f �J -- -----��-- --------_-_ __ � r [� � _ " � G_o� . .��T�o Ooo.C� _ . _. __���� ��.��.�,- _ - -- �_ �i _...__ ___. __ ,__ _ _ -- � -- --- _ _ -- -_. _ �r.�,�l�--,�a-v �`d : _ _ �.�`����� . . �'.�°�� �� �`� � _��'����`��°�',��. � � � __ _ _ _ - s'C��_ � _,,: .! �,��_ _ �� �� : __ � .? �° ¢�� _ �' �" � _ � � €`� ,.;; i'; a --- - -- — -- --.��5_�1L-�'�'�C%7'___G' __: _�__. _____ __ . u �1 , •�. � �t.Ota� �1l1� ► �.s�t L --�l1.UlT%D�t1_ ._ �Q._.��/ . ;.t�C� _ `--- _ . / "'. _.�:_,�._._.__!_�����----- - �_ -- -3 �,� _� __<: _ � Z�� J„t• � �' � � � � � '�y J, '�. � �',,� �` � � � � �� � , ��•�p � �' � � ��� t � � , � , , , ..�,.,..a��. ,�., _ � , .u_� �:. _ .._. , � _ _ _ , . 1 � ;? ._ _,. � I' i �` 4 ; � � � i � � ���. i� � �� i �. �` �� "`�1 :i ���; i i ,., � � � � j\i ( _ d I i � � i , � I/� �� � . . �. � ��_ _._�.�.�. . :_,. , ;�>>��_,�__,.x.,,r. ��� �u.,._..._.��.-°�� �� t � , . .a4.�, ��.��a::..:�`;.,�:�.a..L._�; '_.. - .. . . .. .. . � �1. ' ,�, V � � , � , i �� � �f � �� � 1� � {� I M�14 '� ' ; � �� iR ' i` �� � i � � i ; ; i ,��'' ' .�°! o� ,� �; �� � ;� �� Q; 1 a� � �� , �I, , ; D, � � J `� V , � � �. � � . i „.:.��,. ,� _ _ �.:_.�._ __::__ _- =�..�__� __ . __...v-_�.�:.� : �=�t: a�,r,:: _..c...._4_;�� � � ' 4 � I � t i j I { I � i ' i r S � i ,I i� � ' i ;: ,. -, ... . . , ...�, ...� _�_ _�.,_..,,.. __-- 0 � . �.: , .�. ....., ..� : -. . . . . _ . ._ ..... _ . .__.. ,.;._.._ _.. _..._._"..i:,...._.._-�....T_.._u..�.:�._ _...� ._.:...�...._...::: - � � �i � I � � � � � � � � ; , , � , � ; f ; ; � , ; � i i � , , � �; . � �� � I� � a ; ' '� . �� � i, �� - �"; I �, �� . ; � ��� , , , � �� ' ' , ;, ; ' 4; �� i__. __ _ ,_._._._ ..._. �-F i � � �� .� �� I , { I i I � '� �' � r � r • � � �, ,�. . .� . � � . . -.. » .��..a� mesw. � �_: ...v. a>.....:... ., .�:.._.. . . ...._ ... . _. . . .. . . _ . . . . ... _ . . . _ _ . .. . . . d 3 � a LL � �A . � b s� � � d y T � � �� ,i �i ' � � � 3 � � � w� � � + �f � � � 1 i �. , v :R� j 1 , i � � �� ! ; l0 � ; , ,� � 0; � � � , � ; �. � � ; d �E,; . �, � ;� �' ' 1 `"`, � { P . �` � , �� : I � , �.1�i,� � � ! �; �� 1. �� � � i �I � 0 , , . � . , . , . :.ti �-n,: . ^ �,..,, .: _. . .h , � . .. �.y..r:.�. �:•i::�� � � N s lat 2nd lyd 4 th N � .�1 � O •� � u o o� m T a H � � N � JL a ''� w .�i � y � O (R) � FLWri Conn�ction Opaning (') � Nsv Fixture, Old Opaning .� b �1� � 9� M .0 o g � �il {.. U CITY OF FRIDLEY APPl.1CATI0N FOR PWMBING AND GAS FITTING PEf�11T u u • x a r, .r u Ero � � O L U u m u� a 4 � t9 � COMQCL9d MSCFI ��e. �� c�fi e �Gt�S'CCF e Se w e r RATE SCHEDULE PLUMBING FIXTURE RATES: N0. Nw lixtur�� Futur• iixturs• Old Op�ning, N�w FiYturs Be�r Oi�p�nt�r Blow O[f e��in Catch Ba�in Rain Mat�r Laader Nydr�ulic Valve Suwp or R�c�ivinq Tank Mater Tr��ting Appliance Hot 1later H�at�r Gas Rang• Gas Dryer w Watec �5 Heater a7 � � _ � p as le Sewer Water C �E CLI.t � Gt� 1, RATE TOTAL S 5. 00 $ 3.50 5 1. 50 S 4.00 g 5. 00 g 5.00 S 5.00 S 5.00 S 5.00 S 7.00 g 5. 00 5 10.00 g 10.00 5 S S 5 5 S S 5 S 5 5 S S Back Flow Preventer poqutred. .. Yes O Mo O Typ° 5 5, uo S Ef f ective I9ay 1, 199U . Job Address `t' / /� �QS� ��Ve(/' ��d�� Department of Buildinqs Cicy uf Fridley Tel. N571-3450 The undersigned hereby makes applicetion for e perait for the wrk haraLn specified aqreeing to do all work in strlct eccordance with ths City Coda• and rulings of the Department of Buildinga, and her�by declnre• that all the facts and representations stated in thia appllc�tion ere tcua and oorr�ct Fridley. Mn. % / . 19 7� owNeR _c��eVe �Gt� 1 �cnr� KIND OP BUILDING �eS(CkC/�t G � USED AS TO BE COMP[,ETED 7—��- 9� ESTIMJITED OOST I Qj OQc �� OLD - NEW BUILDING PEAMIT NO. PEfiMIT NO. /��� � cbmaanY ._ /�6�-T r� ev-U• c0 , Signed 8y � J, � �v �S�l f , Ta 1. No . �S'�" Z` `/ S� ( ROUGN INSP. Oate FINAL INSP. -��— �(.d Da te (.r..�' " � APPROVAL FOR PERMIT ALL OTHERS 1►NO/OR REPAIRS AND ALTERATIONS 1� of Value of Pitture o� Applisnce 5��� '1INIHUM Ft:[: FOR ANY PLUMBING PERMIT IS s15.00 PLUS THE $.SO STATE SURCHARGE State Surcharye 5 Reinepection Fee 5 (515.00) TOT.14 FEB g��O l:ifectivc U�tc J�nuary 1, 1991 CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PEf7�11T N T � �4 u x u Water �a � c� � q � a �. c Heates �1 ✓ .r [+ N F �,•�(� �0 M ul EA 1+ [1. 4 M � L •^Ci y�, t C C l ~Q U�•Ci O L � U � 4 Q Q •.+ �1 Y1 C M .� 7 p V N a! N N M M L' w u� �i �i a �i uw° � i u�<s �� � o s la 19� x 2nd 3rd �th (R) � FLwr� Conn�ction operti�q Connact�d �ltt� S�w�s (•) � Nw lixtus�, old Op�ninq ��� RATE SCHEDULE PLUNBING FIXTUNE RATL:S: N0. Ntw Pixtures � Old Openi�g, Nov Fixture Beer Dispsnaer elow Off Basin Catch 8asin itain Nater Leader S�wp/A�ceiving Tank Wates Treating Appliance Mates Htates - Electric Mater Heat�r - Gas Ga• Range G�s Dryor 8sck Flow Preven[er Required () Yes TYPe-- ItATF: TOTaL � 7 .00 � S�/ e � S �.00 � S a 5.00 � S S 7.00 � s S 7.00 � S 5 �.00 � S S 7.00 : S � 10.00 � S S 7.00 � $ 5 10.00 m S a lo.00 � 5 S 10.00 = g i ) No S 5.00 � j s ALL OTHERS AND/OR REPJIIRS J1ND ALTERATIONS i 1• o[ Valu� ot Ftatur• or Applisnce State Surcharge ,ZBINSPECTION FEE 530.00 TOTAL FEL' � 5 5-- . —SO�., , 5� � Job Addre_:s � � L/ 8uildinq Inspection Div. 6431 Univ�rsity Ave NE Tel. No. 572-360o Fridley MN 55032 The undersiqned hercby makes application for a peceit fo[ tht wo[k herdn specified aqrecing to do all uork in strict accordance with tht City Codes and ruling9 0[ ch• De���rcmen[ of euildinqs, and hereby declar�s that •11 che facis and representation� s[ated 1n this aNplicatlon are true and co[re::t. OMNER KIND OP BUILDING r usen �s �,o � I1 ��„J 1'O 8E COMPLETED ABOUT � — ESTItMTED COST �/o10O � OLD - NE1�i BUILDING PEHMIT NO. PERMIT NO. /4 ��+'� � ��� �� � Company ,� Siqnud Dy Tel. No. S.3.S`" �o?7T f�OI�GH It7SP. aace FItinl. I:lSP. ��� � �/ Gacc AP'rhOVAL t'OH PEPMIT `� MIVIMUM FLE FOR A.'�Y' PLU>1!�I�;r,/GAS PERMIT IS $15.00 PLUS THE 5.50 STATE: SL'P.CHARGE CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION F'�R POWER PLANTS AND HEATING� COOLING, VENTIL4TION� 572-3604 REFRIGERATI�:� AND AIR CONDITIONING SYSTEMS AND DEVICES, � �� ,,.� ` RATE SCHEDULE Residential Furnace Shell and Duct Wo�k, Burner - Also Replacement Furnace .. Gas Piping (N� d�d���� f�C�n�c � (/A�C� Gas Range Gas Dryer (�<tte TOTAL a 20.00 � � ` S 1 A.00 S � JOB ADO The �ndersigned hereby makes applicatian for a permit for the work herein specified agreeing to do all work in strict �ccordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and rep�esentations stated in this application are true and correct. ,� ,%� —,/ ,t 991 • I�l����►%L/�/_/fl�� � �� � � ' �� � �� . � � � � �` � �� ! � 4//� ` 'S� � � � �/ � � "Air Conditioning - All Sizes $ 1 A.00 $ All Others/Repairs � Aiterations (LIST ON BACK) 19�6 of Value of Appliance or Work $ CommeraaUlndustrial % of Value of Appliance or Work �/j1, �/ Z.�C,CT� _ � � State Surcharge TOTAL FEE S�� S .50 s ,�a . °� MINIMUM FEE FOR ANY HEATING/COOLINGNf�NTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 515.00 PLUS THE 5.50 STATE SURCHARGE REINSPECTION FEE $30.00 ' Air Conditioners can not be placed in a side yarci without written permission from adjoining property owner. DESCRIPTION OF 1=URNACE AND OR BURNER No. of Heating Uni � Circle One (Steam) (Hot Water) arm Air Trade Name Size No.� � ��L�"�'�S BTU HP EDR Fuel� ` � ° Total Connected Load Burner Trade Name Size No. BTU Hf� EDR H ATIN P � , E G CO�NY . Signed By tel No. 7�� (!� c�� Approved By ���s..L- Rough-In Date Final Date �Z -Z7-�f FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 6���N� AND ELECTRIC! C. -.. ;. . ' �.,.�1 .'. �. .. HOUSE HEATING TEST RECORD ADDRESS �cI �`f ��I..,�7-" �� ll-F-�1.- %�� OCCUPANT C ��-C � M_ G� �_ �!'�Y HEAT LOSS OATE HTG. INST. %Z.— 2,iz �/ SOLD BY 'IL-�L t- Eiectrical Work By � �• / J � TYPE OF HEAT GA FA �HW TEAM_ SPACEHTR._ � GAS DESIGN MAKE `� Model �s � !� l." f� � (e� �%%""S Serial _',l �� / i� � � � "� % INPUT ��_� CO ROLS THERMOSTAT Heat Plug Valve �' k. �- Limit Limit Setting Fan Setting '�`,' ✓V�- , Pilot Type ���L Pilot Make Pilot Model Pilot Timing � L. W. Cut Off Pressure Percent CO, y Input CFH �"�� Percent O= ���' � StackTemp. PercentCO � Form 235 APT. FLOOR CITY � �i �� SUBURB ''— OWNER � �`�--- INSTALLED BY Gas Line By UNIT HTR._ OTHER CONVERSION'� MAKE OF BURNER Idodel Max. BTU Rating MAKE OF FURNACE Model � �r vern sue KIND OF LINER �(.,,.r o 1.- SIZE �� f NONE Draft Hood i� `S Regulator Fiiters Size /�s X't--S �t j Number i Chimney Location Insid,,e1� � Outside Chimmay Construction •� b1,� C1.� h�y W'; 1... ��� Smoke Bomb Draft ` �'A � Door Pressure Wiring Test Tag ,� Lighting Inst. �/.t/1 Date Tested Company Testing Name of Tester _� i•�v � ft�r-A'� CIIY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572- 3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND C.,AS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACN FLOOR ' PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Biow Off Basin Catch Basin Rain Water Leader Sump/F;eceiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range NO. RATE / Gas Dryer _ Back Flaw Preventer Required ()Yes () No Type — $ 7.00 $ 4:00 $ 5.00 $ 7.00 $ 7.00 $ �.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 TOTAL JOB ADDFiESS (o �j/� � '� ✓Q� �� I � The undersigned hereby makes application for a permit for the work herein specified agreeing ta do all wo�k in strict accordance with the city codes � and rulings of the Buiiding Division, and hereby deciares that all the facts and representations stated in this application are true and correct. Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND AITERATIONS 1� of Value of Fixture or Appliance , �S�U� State Surcharge T07AL FEE $ .50 g �5-� .e.� � �3 , � ss� Owner �f.�(//L =�7Y(,cc�2-/� — ,( Buiiding Used As ��� a� �•2� d / l��_l � Estimated Cost ��a-�� PERMIT NO. PLUMBING COMPANY �/}?S Ck�l.{-�/� lGr-Yri�1b� � (�j SIGNEDBY TELNO. �9%��3�5�/ Approved Rough-In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS 515.00 PLUS THE $.50 3TATE SURCHARGE � CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 . ._ Residentiai APPL.ICATION FOR POWER PLANTS AND HEATING, COOLIh1G, VEN7ILATION, REFRlGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed wfth new furnace) Gas Range � Gas Dryer *Air Conditioning — All Sizes Ail Others/Repalrs & Alterations (LIST ON 3ACIq 1% of Value of Appliance or Work Commercial/I ndustrial 1.25% of Value of Appliance or Work Rate $ 30,00 $ $ 10.00 $ Effective On March 1, 1996 JOB ADDFlESS_ (�.L.� �QS� �o ✓P.l� �C� The undersigned hereby makes application ior a p�rmit for the work herein TOTAL specified agreeing to d� ail work in strict accordance with the City Codes and rulings nf the Building Qivision, ancl hereby declares that all the facts and representations stated in this application are true and orrect. __ _ _._� -- - 991 6 OWNER �eQ,� n� �� �.L�P�I'� �J 7 y 0�I % cI $10.00 $ $ 10.00 $ $25.00 $ �c�•� $ $ Stat� Surcharge TOTAL FEE BUILDING USED AS_ L���i � �j 0� ESTIMATED COST�" PERMIT NO. -��.��� � ; •� � � •: i : No. of Heating Units_ Gircle One (Steam) (Hot Water) (Warm Afr) Trad� Name Size No. BTU _ HP EDR Fuel � Totai Connected Load .50 Bumer 7rade Name $ a5 �� BTU MINIMUM FEE FOR ANY HEATING[COt�LINGNENTILATION REFRIGERATION/AIR CONDI710NING I'ERMIT IS $25.00 PLUS THE $.50 STATE 3URCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a sicie yard without written permission from adjoining property owner. HEATIN COMPA Y_ Signe Approved By FILL OUT E3ACK SID OR REPLACEMENT FURNACE HP . Size Nn. EDR BLAINE HT�. A/C 8� EIECT. INC. 1�562 CENTRAL AVE. N.E. Rough—In Date Tel No. ' 1 � I��VLJ STACK VERiFICATION ON Final Date ��l �, �� � ���" ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �63) 572-3604 FAX: (763) 571-1287 : 6414 E RIVER RD NE : 153024420020 : AUD SUB NO 023 (REV) : LOT 28 BLOCK : PLUMBING : RESIDENTIAL : ADDITION/ALTERATION PERMIT NO.. 004-01048 , DATE ISSUED: 07/07/2004 + VALUATION : $ 693.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A INSTALL GAS WATER HEATER. # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES # WATER TRMT APPLIANCES APPLICANT TIMS QUALITY PLUMBING INC 523 CENTRAL AVE OSSEO, MN 55369- (763) 571-0454 OWNER SMUDER STEVEN S& JEANNE M 6414 E RIVER RD NE FRIDLEY, MN 55432 0 # GAS WATER HEATERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 0 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons ction or the performance of construction. A�ra�t_ � Date Bldg Insp PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 8893 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 0 693 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.00 0.50 35.50 CIiYOF rKiU�.�`Y`,�IV�PECI��ON DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 Urinai APPLICATION FOR PLUMBING AND GAS FtTTING PERMIT MARK NUMBER OF FIXTURES TO BE iNSTALLED ON EACH FLOOR ,. Wash pri�l�, �.:� Floor fi�t�h Auto. �Shower Sii�k.:,,; Tray �QUt1�< : :::<: Drain �a�tn :...: Washer PLUMBING FIXTURE RATES: NO. RATE New Fixtures $ 7.00 Oid Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas*' $10.00 Gas Range" $10.00 Gas Dryer" , $10.00 Back Flow Preventer Required ()Yes () No Type $15.00 TOTAL (�.pa 1_IIG�.IiYC: V11 JG11 1� t.VV�/ ����8 � Gas �Ii�SC Water Heater Ranqe Fix{.: :: .:; Gas Elec JOB ADDRESS ��� `� �5f ��v�' �oa�- The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. fo(� � oc,� , 2p_ Owner .,��^�`�— S i'''� uc� e Y Building Used As 1�pS�de'r^C,� �� �c�c�� , �l��l�� Estimated Cost �°�� `� PERMIT NO. PLUMBING COMPANY �� � ����'4'� ����ti v�c. f -i's^�-- Reinspection Fee $47.00/Hr SIGNED BY �°��� TEL NO.�(>;.i �-6" - AlL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance � 30 0 � Approved By Rough-In Date Final Date State Surcharge � •50 MINIMUM FEE F R ANY PLUMBINGfGAS PERMIT IS $20.00 TOTAL FEE $� PLUS THE $.50 STATE SURCHARGE COMB���T{ON AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TASLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE F{LLED {N 1NHEN REPLACING FUEL BURN{NG APPLIANCES OR THE APPLICATION 1MLL BE RETURNED �•► � : � : � •► •�,���► � ► i ► •►► •: _►� s�,: _ - When rs��a �t1Q an Y�c in� f�r� ance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes�No () The venting system is plasticlPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No (E�' The undersigned also veriftes that the replacement unit is a listed assembly . and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes (tJj No ( '�e pYictina cnmh�ctien �r is sized and installed to meet the current codes and manufacturers specifications. When required to �n�ta�� ^ n_t•� cemhuctien airi it will be sized and installed to meet the current codes and manufacturers specifications. Yes (� No ( ) Yes ( ) No ( ) �ltv�ec.d�,J hc,5 C�.bus+� �^ � �,.0 �. When �� °��� a nP�s� ��pntin�yc pm, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers speafica6ons. This does include AGA-GAMA Category i Central Fumace 1•t5cd eW s+, n� V e n 6 n g T a b l e s f o r f a n a s s i s t e d a n d natural draft a p pliances. Yes O No O V�� 5� 5��-- Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (r�No () � . . . . - _._�� ,� . . - . . . . - . . . . - . , . .�� . . � Appliance #1 Type �I�:x.°�cti ���-=�- BTU Input � � � Fan Assisted o at, Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Totai Appliances __j__ Total Btu input Common Vent Type G�.SS �. Vent Height Diameter r'�' inches Appliance #1 Vent Connector Height � ft Length �ft Diameter �in Type C-i �ss C Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ni -rcQa�nnni�• ((�e��r;t,e� ��%[! n � HEATING CO: � `"�'' s � '�`-�- � ` Q -� �— Signed By: Date : % - � `� .. �uilding BUILDING Permit rio.: � ` Inspections RESIDENTIAL APPLICATION Rece' d 763-572-3604 CITY OF FRIDLEY D���'� 763-502-4977 FAX EFFEC�vE i-i-o9 DATE ��I'� YOUR E-MAIL ADDRESS � Si'NLlt�i+� LFO`�N'!�[iI•LQisi _ SITE ADDRESS ��Ly �7 K11�'� fCy'�'j% THIS APPLICANT IS: �OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: VEjJ p,L�,{V � TENANT ADDRESS: / T � V�' CITY /titD� STATE�/1IZIP �7 � z3 Z --� PHONE�%�,� �—,rj ?y�O��� CONTRACTOR NAME: �l'"�� SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE �I SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ ASEMENT FINISH ❑ ROOF ❑ DRAIN TILE �ECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION �ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: �(/ / !'-� /� 1� I7 D�I� �.�Y �1.SDE OF �y(p u„�' SIZE OF IMPROVEMENT LENGTH .Z � WIDTH � HEIGHT � S FT �� ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing F►oor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑SoffSt ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS �Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FL+'ES AIZE BASED ON VALUATlUN,1NCLUll1NG "1'HE CUS"1' UN' LABUK A1Vll MAIr;KlALS: (USING H 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �a 3i • � OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks uavable to: Citv of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all rk which re ires review and approval of plans. SIGNATURE OF APPLICANT �CG.P��C/�,� i(i� PRINT NAMEfS%rC�U cS/l�f/li�i'L DATE �(—�—CJ / PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK ;:� � �� � � � � �' � � �> ;-� . � � % � -u �._T'� � �� ,ci��`�.� � °� N � � � 3 � � � � tJ C� �r-a�,�... �� Lz ��..�...d._— : �. n' �" � _ 5�,� ��,� � �. .� � 2 � � _��� �t - w. �w N � � 0 � � `� �6'J � o� �� s � � 2 •? i-�- � � • - -r_ 3 � J � � . � � � � W �.9 � � --U � _ � .. ci � � �i �- --- � .� W -Z � � � w_ � � � � (1--- -s � � � `� .�� ��� � r, . � � 2 � �- M �' � � _.._ ______ _ ___� ' '� ,_��..��._�.n_.�� � � _-�.:.�. ..� ,. � L ; � � ��"�., �, � �� �� �y � � � r i � �� De��gn #:26871 :.:.,..���,..:.��_�..� . �, 8/8/2009 k' {; :�; ;;�:,'v� :•;.C:� 1�� �R �� . vx�' :.,��� i ��'���. � \.\ w.\��' �** Take this sheet to the Building Materials desk to purchase your materials, YoG �� ��cted a 1 level deck with: Pres�t�; e Treated Framing Material Below is a section of the railing style and 4 x 4� raming Posts options you have selected for your deck. 5/4" x�" Pressur� �reated Deck Boards Po��e�� hootings 8" Tube 4' deep Prerc�;s�� Gold Combo Drive Screws Galv�nized Framing Fasteners * * Han�'r��� selections: 36" ��i��dle T Railing 2"x�' �;�2" Pressure Treated Spindles, �eveled 1 End 4"x�`��=��" Pressure Treated Utop Notc�ed Railing Posts 5i�;;��: ='� �ssure Treated Plain Handraii i� .• � Spindle placement is approz. 4" apart depending on styie You may buy all the materials or any part at low cash and carry prices. Because of the wide variable in codes, Menards cannot guarantee that materials listed will meet your code requirements. Check with your local municipality for plan compliance and building permit. These plans are suggested designs and material lists only. Some items may vary from ihose pictured. We do not guarantee the completeness or prices of these s ctures. Tax, labor and delivery not included. � � � �j'pR"F , ' `i �: ,,' ;� ,,� �; J w�� �� c�e� s�.Z,� ns�es . �,� r ; Illus�ration intend�'��:��=���ow general deck size and shape. Some options selected may not be shown for picture clarity. To��y's cost for materials estimated in this design with options:$771,24 , *The base price includes: 40 PSF deck live load, AC2 treated • horizontal 2x6 *�BASE price): $604,85 deck boards, 4z4 posts, 2z8 joists and beams, galvanized framing fasteners, �`*If purchased to ay, you save; $49,88*** AC2 treated 36" Vertical handrail to joist wiihout posts, and premium screws, *�'Monthly B1G Card Payment would be: $21,66*** � � �R: �/'�'�00� Design #:26871 :....: � ::��,,�:�4i�. :�;�_,... �:,::* ,..,w..�.,,:� `::::� �:,�.�� ::::� :: ........ ..... . . . . *** Take this sheet to the Building Materials desk to purchase our materials. *** �— ---- - - --- --- � , , � == - __ _ _ - _ ' � Level 1: 12` x 12' =- 2' off the ground = �' Horizontal Decking 2" x fi" .Ini�ts `— — 2 ft cantileve� n �oists __�__ = - � 2'' ' _' -- -- J tilev�r on beams 40 PSF Deck Live Load 1�_' vv��Y - ---� T����.�'s cos� for materials estimated in this design with options:$171.24 �`The base price includes: 40 PSF deck live load, �C2 treated - horizontal 2z6 * BASE price): $E44.85 deck boards 4�4 posts, 2z8 joists and b�ams, gaEvanized framing fasteners, �"*If purchased to�ay, you save; $49.88*** AC2 treated 36" Vertical handrail to jois� `•rVii�OUY �1sts, and premium screws, �*Monthly B1G Card Payment would be. $21.66�** Beam Layout for Your Deck The Scale is 114 :1 ' Design# 26871 �v,�rk Length Description �=_ --- 12� - 2-2x8 2 0 �Y � l. ,�►� Czlc� ' S� Cr x�c� I b s I�� (.bs 1 � v • ' � �l '� � ��� ��l �v� t C�1 �Ei�Vt � ` � 1 �� /-- I� \ v �` 1 � � � a:� � �"' %U _� 7.0 � t1, � �. �'V � O �.— O C � � U � � i` i � �7 � Q) cv6 N N � O �� N— O� CQ �� � > O . � QJ �'aO �� ` � � � CCl � S (n— �'�[n X -.� U _ (p � — �-- O �_`-C% NU�� � � :� c� i � � U — U m��� � r ui �L���, � U ��N _ � �� .Q �� ��o o�� U U 1J nj ;n U � � � CO�fl- � ��O � � � � � U � � � O�� � N : _ Q> � � Q (6 � Q� � � � O � — C3� U ���� a��� �.��-- �a,_� o��� � ���� ���� �a,� �� ���� ��=o � � c ��-�o •-- cB -� a — � – � ��� �oa> ���a �,�.�cs a� cv�Q� � N �.� �LoQ. O � J � � � i � � � O � Qw O � v-� �h�� 1�� �� Layou� ��mension she��� �re intended as a construction aid. Not all options selected are shown. :�:=��rk � �,= Joist Layout fcr Your Deck The Scale is 1l4":1' Design# 26871 C A Length 11'g�� 11'9" 11'10-1/2" 12' A A l�e�criptior� __ _ _ �-2x8 2 0 1-2x8 2 0 �-2x8 2 0 1-2x8 2 0 i ,f�=:�,�s to be on 16" centers. �:r�� �is to be hung from the ledger with joist ��aneers. ��:��is to be toe-nailed to beams with 3-11�" (1.�d) galvanized nails. H:��;i joists to be fa�e-nailed to joists & led5�rs with 3-112" (16d) galvanized nails. Usage - - - - 1 2 3 3 � � a� � ""' �i U � a� � Q�� �'U � O O-� N � U � � i � � � � N CQ N N N� �� CU��C > O - � 4J �' �'` ` 'a� �� "" O CE � � �_ ��Cin X � U—(Q N _ �-- 0�,� �U� � � uj N � �� � V � U � m ��� �,�� ��� � � U ��Q) ���� �� � �� o �°�� � U �o��� � a�� ���� N� °��,� �� o�� ��' � ��� ��,Q� �N�o �— Cn U QN�,� � ��� ���� o ��� � ���� �—°R,�� ��,� �� ���� ��—o c � � ��-�o .� �-a� — � � � ca a� ca � � U � � C� �,� CO � � U Q� ��OQ � C C � N C 6 O � Q,.�--• O O vi= Layout �imension shee�� �=e intended as a construction aid. Not all options selected are shawn. Post and Beam Dimension Sheet Design# 26871 14'-9" Post� ---- - - -- - — 2'-9" 5' � l � i � l � i_ � i I CV�. `-' M �I � I%I i � � � i N � I � N i -� � � � � 5' � =-a �., � � y"" � U � T� (1) Q Ci5 „� QJ U � p �. _ � O C � U � � i � � � � Q> (Q � N cv�o� c���� > O . � N �`�'` �� �� � d N � � �_ �Y Cn X � U_ (Q O-C CB~ a�U�� ui �n °J a� � � � ���� U � � U m �� i � C6 (n N � C tn U ��J� .Q�.�� N � L+� � O V �U N QJ � U � o y � � ca T�� � o � � � � � � � � —ca� o�� � m a� � � � iv�Q� ��a�o �— � U �N ff) a��� ��—F-....� � 4J �--; N �Rg'�N � ���� ��� a�� ma��� ��—o � � � ��so ���a � cv �ca� � U . � � �� �, � CO � � U Q� � � �.0 �� O Q �'C=� � � O � �L O � `� O � Layout dimension sheets are intended as a construction aid. Not all options selected are shown.