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AF - 40855� � y_ ' N: �1�1�, SANITARY SB�IIIt FJDCTIC?N PUN� SYSTEM INSTALLATION ArID MAIlJ7�[JANCE �iIS AG made and e tered into this ��� day of ��` , 1987 between he ' nafter ref� to as "Owners, " ee owners of � � � � G", ,�i� � � s ; and the City of Fridley, County of Anoka, Minnesota, hereinafter referred to as "City.° WHEREAS, the residence was constructed and lived in prior to the installation of the public sanitary sewer line. WI�RE�S, the residence was assessed the normal sanitary sewer costs and these assessnents were p3id. W�S, ariy available sewer line does not provide for a normal gravity gliunbing service and the aaner (s) request the City to oorrect the problen. �IEREE�DRE, the City wi11 install at no expense to the awner a Sanitary Ejection P�m►p Systen tmder the follawing oonditions: 1. 'The aaner(s) pravide the City with penaission to enter the property and locate the most benef icial and ewnoanic location ( in the building or on the property) as cl�eternnined by the City. 2. The awners(s) prwide imnediate and oontinued maintenance and repair of the City installed Sanitary Ejection P�ucip Systen and shall hold the City harmless of any liability or damages oonsequent up�n, resulting from, grawing out of, or in ariy maru�er v�nnected with the Sani.tary Ejection Runp Installation. 3. The o�wner (si release the City of ariy future obligation regarding sewer hookup for the above property, that aar�r (s) maintain all facilities out to the City sewer line and realize there wi11 be no future �st to the City for this facility and servioe. FTJR7�iER, IT IS MIZtJALLY AGREID that the pravisions of this agree�nent shall be binding upon and enforceable against the parties hereto, their sucoessors and assic�s and all susequent awners of the property herein described. An executed oopy of this agre�snent shall be filed with Anoka Couty Reo�rder's Office and made a part of and be binding upon the above described property. IN WITNFSS F, the garties have her�mto set their hands this �� day of � , 1987. � � � . This instr�nnent drafted By: City of Fridley 6431 University Avenue Fridley� N�V 55432 C! .����-� State of Minnesota) )ss Cotmty of Anoka ) On this �� day of ���, 1987 , before me, a Notary Publ ic within and for the Co�m,, of Anoka and the State of Minnesota, personally appeared �i�.�r �=�� �� �� �S�°�� � to me lalaan to be the same person described in and who executed the foregoing instrLanent, and aclalawledged that they executed the same as their free act �a a�a. • ��,� � . . . c�.YO£ v. a�o��vErr >��`�`'� �OTl�Y �Liti - MIN1ll8�1i ,uvo�u► «�utin > Mrcoiaa►isstr� E��ra, a�. �t � .^�.vwrv � State of Miruzesota) ) Cou�ty of Anoka ) % �' -, ��� , ( • • Wil liam J. Nee - Nlayor City of Fridley �Nasim M. Qureshi - City Manager City of Fridley On this day of , 1987, before me, a Notary Public within and for said Cotuity, personally appeared William J. Nee and Nasim M. Qureshi, to me personally l�awn, who being each by me duly �worn they did say that they are respectively the Mayor and City Manager of the City of Fridley, the mmicipal oorp�ration named in the foregoing instr�unent, and that the seal affixed to said instrtanent is the corporate seal of said municipal �orp�ration, and said WilliaQn J. Nee and Nasim M. Qureshi aclviowledged said instrunent to be the free act and deed of said municipal oorporation. I�btary Public , J i �.':: _. ',E �� ., /' t - _ `ty5. y 4 .v .'V.. . sr i.. ' - , . .r .r.a . � .. ,. . .r��. N ...� � ., . , � � :i::.:, fF �1 . pe.�� !>'•c' Y 1.. -"l ;"k'... .. f F f �� ��� :,i 1j�� r'ki ' v� y� «�{ �,�1 (�1�� }� � n ��. � k +&C'�Y .: * 1 A '� ��T•,� ��M� . . . . . . . . . .. . , � �; 4 � ., r 1 y � � , _ , �M � . , .,.., _ . , , . . , a�.,; , ,f, ,rf.�., �� -�, ' � ��s'�''��,,+��rR�s�'���� co., �NC. �'�•1'�0 "� �.'": re �_'. ",� �� . :;�� �1(� DaveAport Street , . _ �� r,'" � � i, ��:Al�IE; fiAIIVNESOTA 6b434 x '± � „_ � l . ,• - . . . . � . . � �� ��" PI30PE�SA4 �tl�{k� it,� � � WQRK �TO �E PERP�1ti1A�SD A� � �' ���!'.'�` JOB NAME �.� �r.�� s�� . cET .. � � JOB LOCATIOiV .� +��"� � �m��� .�'X��`�",� ,�'�, ,Y��%%� CflDE. AHCHlTECT ,. , , ; CITY, &TAi'�E A�11R �IP. °, ��/+���'�, �/1�. DATE `��� ��� ��� � DATE OF PLANS _ V � DESC�tIPFIQN Qt�C�:- MATE;RIA� LABOR UNIT T�TAI: ` � �� �, �,�„P � ; .;�,� ' �,'� � '�:� `�'�!.+fi� - / �`°� �"�� aQ , _ ` ; . � , „ , �" �c `� �' ��° ; = i � 5. �� : ��',,�� .' S Sr ��F6 .;' . • y•�� • � ��, :�.. , . I - ' �TM � . . ���y�� . . f � . . . . . . . . . . >: �'��; �r �a� � '��_�;� �." c"�r�s��;� �� ` - '`a ���, �r� f � ��"��'� �" ��� � "75. �'Jt� '��, �,� � ; ' ` �'� ��'9�` °� �'"la a�' � � � � ar � � � . � � �� �`� �°� ������' � ��`J'6°�f,`', � �ci d�'d`�fi �'� �` � �' R /`�'. �'� �`'i �#'`�'}�T'. ��, f"�°�: e� ���� �'"a��.� � �"'��t,���r �.�', °�'t�� ��� ��-+�� � ' �"�a�'��rg�9d�� � ���1 ~� � :�'. � i�`' � ':� C; r'� ."� s /'�.>+r�?,�' � �",r"'e ,�, /�' � � c�' t:� �" "� �� � �t� .� i � �r. . , . .� ;f-�� t`�' � :� ��3 7'e=.�� �� !��; "�. : � � � � �� ��'�'r�r�'�� �> �' . ,--; �'S{�. �� . .���� �� �F �d- a f' `�'/� /�ts� P d - - �'�r 35b: � ..�: ,�=���`� r�s ,r'l �'� t� ��' �'� r� '�� �.,; �' �`�� +�::±� � €� �% : TNIS PRUPQSAL !)OES NAT tNCLUDE: , ANY PERMITS iW„A.C. �R S.A.G.) , ' � � �;',' ` `' . � DEIAfATERINi'.�r ' FROST RIR@ll�l�'a, RQCK, QFR PEAT E�M�tTlQpi. �F �i,q�lJ�$R here6y tc� #yrRlsh'meteriat etu� (g�o� r- aon�pi�te'ia� eceordar�ce with the plana end S�ificetio�re, deted . for the sum ofc Ooliere ($ 1. Paymeat eha11 be r#�ecJq� 8a. follows unl�s othervuisa dpacif�d: $0% of b1U(ng �ived, �y the ZFfth of tt� rtbnth shat{ be �� by the 1Oth of tha failowing mc�, i�i� emdutfts noC � paid sl�att �ar� e aenrice eherge- af f%s% pea nra�tti �7896 ennuRl, rete). The .10% rexeina� fe dus snd PeYeble with{s� � dsye af initi�t i7ililtlg. ' En9ineering Sewer Water Parks Streets Maintenance MEMORANDUM TO: Nasim Qureshi. City P?anage� PW87-223 FROM: Mark L. Burch, Asst. Public Wor]ts Direct�ar DATE: July �, 1987 SUBJECT: RssidentiaT Sanitatiy Sewer Ejection Piutq� Systsm Agreeirnnt for 66�2 �ast River Road The hceneowner at 6652 �ast Ri.ver Road has requested the City's assistance with the in,sta�,�,ation of a san%ta�y sew�r ejection P?�nP SYstem. The hcame bu�ilt in 195� qualifies for City assistance under'our recent Sanitary �ewer Ejection P� System installati.on and Nlaintenance Program. The home located c�st of East River R�ad is tflo law to take advantage of gravity flow to tiZe sanitary sewer line in East River Road ar�d has paid wate.rtnain and sewen�na.in assessm�,nts tota2l.ing $488.07. With your approval, we wi7,1. work wi.th the contractor installing_the sewer and water s�rvices into thi� home ta faci7.itate the install.ation of the ejection ptmtp system. MI�B/ts Q CJ71lOF FRIDL�Y �i�±T�.- G�!.i,� �•, _ � 9slo � �,�_ � °,1•,, '�., � _ ... �` P ,j,� _ �!. �' �-� � � _'� �_- -� �/ � ��� ���-:� � _ � ^ ; � _ . . f u.--�9' . . . . . . . 'i -d:.� a.� a : .._ - . , � � = S `� _ '# �: _ i��-�" '� ';��f - 1�:= �� 4����; � �� a ° , 4 � - : .F! _� �K�.���; , �•t1 � = ' �^±+�. 1 " � d 1 ) > ,.. � - . _ y _ . . �•�t1�', _ , � .� �. � � v ?��° < _ p� �j�.�,�, �: �� ^�_ , " - -_ `=�__ � '_"i_�'�"o�l��!_'�' � Q � "-�, � ^ ��. .. � .3 - - '� -'".. .� `"�'; _ � ". _ .:. � • - _ _ _ _ -:. �� _ ����. _� .. � a - �.-r _ ,i y � . , ix' �b� � ���� �C'`•�5` _. - . � '.� R. i : � � �,�. ' � ' q .. . C. 's�� 1,. ry o �� ��'i�� ` _ 9s� . '�� 1"� 4� `- _ 'j a � �.-: � _ �- - - � MEMORANDUM TO: •John G. Flora, Public Works Director � PW87-233 FROM: Mark L. Burch, Asst. Public Works Director DATE: July 16, 1987 SUBJECT: Residential Sanit�xy Se�r Ejection P�p Agreemerit for 66b2 East River Road L�Te have been working with the e�wrser of the hca� at 6652 East River Road to assist him in upgrading his sanitary sewer sexvice frcan a septic system to c�nnectia�n to City water and se�r servic:e. This hcane qualifies for assistance under aur program since the home.�was built prior to c:onstruction of sanitary.sewer mains in this area. V� haVe ol�t',a? n�'1 two quo�es from 1oc37, contraCtors a11d Midwest �H.�*» ca.l is the lma bidder with a bid of $920.00. We are progressing with this work and expect to c�unplete th,e co�nstruction next week. P�B/ts . � • �� � . . , ; r . ;. a � „ 1 . ���� � ;;. ; , � , :, , . M M QTY OF . FRI�EX ; � � � � �� . � L� �- srtafi � - �c� � , , ,� r �/°; !;' .% �� •� • d e �'�� I�� IIATE $ . e r DEPT. �� )''�CPd 1 v� � �� � S u, S�C�iVz" _ , " �'ot� ��Sa cAs� 1'��v�� 1�0� �I� _ .Su w�. � - /vl�.�WCS'1' NIECN(�N� CAL � �e Yr �{' 4yl "1c, VII�IDOR . ADD�S � � b3 �[t vpi�.QovT -�r�� TII�� �'g O^ l� � �0 oos-r � vNrr � aos-r ��� ��� n�c. n�� Ne xl�G.�eo-I� / 5 Ir�. C- r I • � r •�' u• � !.� ' J� • • ,- , � � �� �i' ��; I i � / .. •��,� � • u= �• � • ��; �� �, . J �! / l. Purchases �der S100.00 a. No bicls or quotes required 2. Purchases S100 - 55,000 a. At least two (2� written quotes preferred� but (2) telephone quotes acoepted. 3. Purchases 55.000 - S10.D00 a. At least two (2) written quotes requirec7. 4. Putchases �510.000 - �15.000 a. Sealed bids required - Ac�vertising & Council action not required. 5. Purchases wer 515.000 a. Sea].ec] bids required av/9/83 .. a;:c ,. 4:,, L� , r; i ... : . . _ , , ,, . _ ,: � � . �� ,. _ •.,, , �.., ,. _,..,- . - . .� -- �.. _ .t..�. r � _. - � � � ' . � . . ' • .. .- .. ' sue�ecr PER City of Fridley 20169 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. ' � 1: ----- � � -7 � r � � PROTECTIVE INSPECTION SEC. 1 . , `--_. � �'�'1.� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED B� i �� � , 612-571-3450 910-F15 10/2 0/89 � � JOB ADDRESS 6652 Ea.st River Road N. E, 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. P't. %� 9 RG'V . ALiC1. Sl1U.. #8S SEE ATTACHED SHEET 2 PROPERTY OWNEfi MAIL ADORESS ZIP PHONE Ralf Peterson 6652 Ea.st Ri.ver Road N.E. 571-6857 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING • R@S 1C�{eIl't1Z�. 7 CLASS OF WORK ❑ NEW C� ADDITION � ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 40' x 32' Garage and �oye� Addition 9 CHANGE OF USE FROM TO STI PU LATION S Provide a hard surface drivetitay, Canvert existing garage to living area witiiin 60 days o� ne�r gar�ge completion, SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO 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 REAO AND EXAMINED THIS APPLICATION �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,OHDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED $]_'rj Fi�O $%.S3 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $�-71, OO PLAN CHECKFEE TOTALPEE $178.83 SIGNATUREOFCONiRACTOHOFAUTHORIZEDAGENT iDaTdi " - WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT �� � � SIGNATURE OF OWNER IIF OWNER BUILDERI IOATEI BIDG �NSP nA E � [l AD�N [ n�T� [ ) �ion Address• Lega1 Des�t'iptian: owr�er Natae & Addres.s: . R-1 AND I�2 m, �� c3ing Petm,it Application i a f0 ! Effective 5/1/88 _ Z�el • # �7 % 6�..� 7 Contractor: �"� � � �. � Aaar�: _ l � s`� � � �P�'c�i�� ��• Attaeh to thi.s applicatian, a Oertificate of Survey of the lct, with the pzq�o�ed ao�struct3aa�► drawn a�n it to scale. � �� 7i!j�T�.��' : Tpn�r�h cTiRAGE ARF:�,: Iength � �lCK ]�,RF�A: Ienqth �/�.��; �1� t � . _ �orner Iot [ ] Inside Iat [ ] �YPe of o�nstnu.�tion: �'r_ w•��' •: •7' �v�a��i/sY��+�14 w�atn width � Width Ft. xeic�t Height � Hgt/Grotuxi sc�. Ft. I"L� �•' �• � Sq. Ft. �- �X o�!►.G�1.o � I �,,Z� � ,�j�b (1�'��G Yd Setback Side Yaxd Setbacks � Fsti.mated Dost: $ Approx. Cce�letion Date: � t.� Proposed Driveway Width If New O�eninq yS ;�__�. $ $ ,� -`.��Tn1��.'dt�i>�+ 6' See Back Page DA'I'E: � i�' ^� � �°� � �APPLIC�INP: ��.�:���� � � �� `"� `� ,�y � ��• � . �, � -� ; . ,. �� - � $�` �_ C1'1'Y �SE �iII�Y � :; PeYmit Fee $ U , State S�arqe $ ` SAC Ct�arqe $ Drive�ray Esc�,o�„i $ Fark Fee $ Sewer Main � $ �, $ t��. � �ee Sdyedule an Rever�.,e Side $•50/51,000 Valuatian $575 per SAC Unit Alt. nAn ort Alt. '$° Al�oVe Fee Dete.rmiried bY H�gir�eering � �'�Y [ ] � N�YY [ l ���: c�,�c�r' �io isr ,,v � G�Ac � w��� GO (�Jy.S o � �ur�.w c� . C.e� P��R t • r �, �'� 2- ac�c� — � c�v su�c5 — i ��. 1'� � . (�c� :•� � � � r • �+•. � :c _ •:i:,�� - �e �ief Huilding Official ehall, before issuing permits for the erection of any ti,; � ding or �e, os for any additiaa� to any exist,ing buildirg or stnu.�ture, or for any altetatiaa� or re�a,ir to anY e�stinc! building or stnicture, upo�i aPPlication therefore, require the payment bj, the applicant for sucii pezmit of fees to the amour�t irez�ein below set forth ani in the matu�er i�erein prwis�ed to-wit: ZO►I'AL VAIIJE $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 ��y. $15 (Minitn�n F'ee is $15 plus su�ge) $15 for fixst $500 plus $2 for each additia�nal $100 or fraCtian thp.r+eDf, to at�d including $2, 000 $45 for first $2, 000 plu.s $9 for each ac�itional $1, 000 cr frdC�t.iCa'1 thereof, to ar�cl inCluditx� $25, 000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraCtiCez therecf, to arid inclt�ding $50, 000 $414.50 for first $50,000 plus $4.50 for each additional $1, 000 ar' fractioai thereof, to and is�cluding $100, 000 $639.50 for first $100,000 plus $3.50 for each ackiitional $1,000 or fraction thereof, to and includit�g $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,Q00 or frackia�l thereof, to and inCludir�g $1,000,000 $1, 000, 001 arid up $3539. 50 for tt�e fiYSt $1, 000, 000 plus $2 for each additional $1, 000 Or frdctio�l thereof �IV�Y �GI�iT ffiQiOW (Ooa�crete Oirb Streets OrilY) Alten�ate ��A�� ; Re�aoval ani re�laoesoent of c�rb ar�d gutter only - DriveWay width plus 6 feet times $13.50. Alternate ��g�� ; ROaoval and replao�eat of c�rb ani c�tter and i.nstall a 3 foot wide approadi taith 6 iT�ch depth - Dariv�wdy width plus 6 feet times $15.75. `'/:�: �;i �': M •.� •�- ��.�i.u�: M •;,I PeYmits for �i� �.�;17 �� a mi nim,�+� of 24 hoa�5 frcap the tjme of applicatiae� to allaw far prop�r review of the prqx�sed � ani of the �ian site. A Oertificate o� �rvey of the lot, st�awirg the locatia�n of the fanY3atio�► onoe it has it has been �ar�tiucted will be iequired before proo�aedir�g with the f�. � r i � r � yf I� � I II � � _ _. _ __.. ---.. __ ..--- --- ---... . � I ..°"su ���w__.� -- .��_ —� _. -/�...,�— -- ------�—� -_ �. _.r _ ._�.__._ - - .«Aer.r.^� Q�t . > . � ._,....�: ��� "7p/-�, ., �-- --- - -�-Y._..,.__.�_.��.. _..� _ _..-,-_.�._...�.._._..__°'_-- --.�. 'i`"(r� - .__. .... __ _ _ _ . . . _._ /! '� � ^ . ,..,,+ms�:.a...,aak.::v.-..,.�..b�: '! � _.. �.-....._. 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Fixt �v, Gas Range a r c �i � Other N 6 d � r c r � n A n � � N O VCi «�r � 6 � � �, o � � � � � � v � m M M � � � n � � _ � � � � � � ._ � � , � ��� _� � � !fl c ' o Z � � p �� M N � � , �� � ^� % `'� � . � �+ 0� �Np �i � �6 O R� 6,lC � �r� p .., ., .n.. �'o ' " .°,' a G'�aa �.�°- � � m,�o a nao N .n ��• � � � � o t� � �� �� •�i m m' °' .`-� � � d40� � � „ � °' � � dSo� '° N �C�� � � � s°��dp i p Aom�'O O aw7 ►" .� r�6b O 1 � "` � � 1 V q r � S m f� 7 � r � e� (� �5�� ro 6 � � ~ � s � ��5: � f \ � A R O � � !�' S w �i A R � i i s . • ��f�..i O � � A � � �� 8~�� � r € w � � � ; n a � � r n D -'i `o z � O � � E r' 3 � � � 2 � O T D 2 p T � �' v v� r T � � � z � � T � � Ff� M m n � < � � I--� r � �o D J ��� �\ � � \ J Gtl. �a�� � ��UI�DI�S P%A "`� L+F� STPT�°'� . 1 i � I I 1 I � �� �a�� � N1 1 c bscT t3�x i ` �=-, / \ � .:� f �r 1�. ���� `s� � I I �� �-- _ � � `a ,-�s ��. � > >� ' ,1. t Fl ST �1 �� c1t 20 j �r � r � e e i _� r�omESTic �T mECH�nic�►� ry . 6667 West Old Shakopee Rd., Sulte 101 • Btoomington, MN 55438 • 829-0775 • � l �I,� � �i � ! LET�TER �O RANSMIT� A GENTIEMEN: WE ARE SENDING YnU �Attached ❑ Under separate caver via the following items: 0 Shop drawings ��Prints ❑ P1ans � Samples ❑ Specificatio�s O Copy of letter O Change order Q THESE ARE TRANSMITTED as checked below: 0 For approval � Approved as sutimitted � Resubmit copies for approval �For your use Q Approved as noted p Submit copies for distribution p As requested O Returned for corrections p Return corrected prints ❑ For review and comment p p FOR BIDS DUE 19 p PRINTS RETURNED AFTER LOAN TO US REMARKS � COPY TO CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, NIN 55432 � PERMIT N .: 2004-01162 ,� ✓ DATE ISSUED: 07/21/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6652 E RIVER RD NE PIN : 153024130009 LEGAL DESC : UNAVAII.,ABLE : LOT BLOCK PERMIT TYPE : BUII.,DING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 14,000.00 NOTE: UNDERLAYMENT AS PER STATE BUII.,DING CODE. REROOF HOUSE & GARAGE USING TILE. INSTALL PER MANUFACTURER'S SPECIFICATIONS. APPLICANT BUILDING PERNIIT FEE 237.25 PETERSON RALF M FIRE SURCHARGE 14.00 6652 E RNER RD NE STATE SURCHARGE, VALUE 7.00 FRIDLEY, MN 55432 TOTAL 258.25 OWNER PETERSON RALF M 6652 E RIVER RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construcrion 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 l�ow the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with w ether specified herein or not. The granting of a permi oes not presume to give authority to violate or canc e provisions of y o r tate or local law regulating c construction. Applic at --- e Z/• a Bldg Insp v Da l - SEPARATE PERNIITS Q D FOR WORK OTf�R THAN DESCRIBED ABOVE. NEW ADDN ALTER �� CITY OF FRIDLEY Effecfire 4/1/2004 �� 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp �� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION onstruction Address: _ � Legal Description: Owner Name 8 Address: Tel. # �( � 76� ��-� Contractor. � G��v � _ MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT , �� ���-- Length Width Height Sq. Ft Length Width Height Sq. Ft Length �dth HgUGround Sq. Ft � . - �, Construction Type: �'P Estimated Cost: � ��ll�'c� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: � � � l ' D%� APPUCANT: Tel. # C� � � °� f�� � � 2.� Call (763) 572-3604 for Permit Fees if mailing in appli on. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ ���- �. Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ � .001 of Permit Valuation (1/10th%) State Surcharge $ . $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. "B" Above r Erosion Control $� $450.00 Conservation Plan Review � Park Fee $ Fee Determined by Engineering � Sewer Main Charge $ Agreement Necessary [] Not Necessary [ J TOTAL $ e�� • °��� STIPULATIONS: „_ BUII..DING PERMIT FEE SCHEDULE The Chief Building Of£cial shall, before issuing permits for the erection of any building or structure, or for any addidon 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 permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5� $501 to $2,000 $2,001 to $25,0� $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,0� $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 $1� or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.� 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 first $50,004 plus $7.W for each addidonal $1,OQ0 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each addidonal $1,� 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 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate Permits for construction 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 construcdon site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before pro�ee,ding with the framing. New Houses Onlv ,.. 07/21/2004 9VED 08:18 FA% CETCO Building Materials Group STRONGSEAL ROOFING MATERIALS � °1 � �.. � �� R� � c / � � � ��' SECTION 071 "1� �3" � �1 � � � �'4% ���1 ��� � ���� � ooiioae 11/10/03 � b���s NAIL-DOWN ROOFING UNDERLAYMEN � PART 1- GENERAL ' �� ' r �; � �\!(, � 1.01 RELATED DOCUMENTS - ���r1.N `��Q,�C ��' , A. All of the Contract Documents, including General and Supplemerrtary'General Conditions and Division 1 General Req�irements, apply to the �vork of this Section. 1.02 DESCRIPTION OF WORK (Spec Writer) Determine scooe of work and edit or add as reauired for oroiect reauirer�ents A. The Work of this Section includes furnishing and installaGon of a premium, nail-down rubber roofing underlayment membrane derived from recycled tire crumb rubber. The underlayment membrane shall be installed over the field of the roof deck prior to common exterior roofing materials like architectural shingles, slate, tile, shake and metal roofs. The membrane undertayment shall also be capable of being used at such a�eas as parapet walls behind EFIS or stucco architectural finish systems. The roofing underlayment is not a self-adhering roofing unde�layment and is therafore not recommended for use vn critical roof areas to protect the structural roof deck from water penetration or from ice dams. 1.03 RELATED WORK BPECIFIED ELSEWHERE A. B. Carefully examine all of the Contract Documents for requirements which effect the uvork of this section. Other specifications sections which directly relate to the work of this section include, but are not limited to, the following: (Spec Wr'�ter) Select from the items below and edit or add as reauired for oroiect reauirements 1. 2. 3 4. � 5. �--� 6. 7. 8. 9. 10. 11. Section 06100 - Rough Carpentry Section 07270 - Air Bamer Membranes '.___.- � Section 07310 - As halt Shin le Roofin � Section 07315 - P Roofin 9 g�e� � p�Q � Section 07317 - ood Shingles and Shakes Section 07320 - Roof Tiles - Section 07600 - Flashing and Sheet Metal Section 07610 - She�t Metal Roofing Section 07720 - Roof Accessories Section 07810 - Plastic Skylights Section 07900 - Joint Fillers and Sealers 1.04 QUALITY ASSURANCE A. Installers: Firms responsible for installing the above referenced work shall have at least two years experience in applicetion of nail-down membrane underleymentwaterproofing materials and be acceptable to the underlayment manufacturer. NAIL-DOWN ROOFING UNDERLAYMENT 07111 -1 Q7/21/2009 �9ED 08:19 FA% CETCO Buliding Materials Group STRONGSEAL ROOFING MATERlALS � °a � 1 RIAl6 � oo2iooa 11/10/03 B. Source: For roofing underlayment materials required for the work of this section, provide pr(mary mater;als which are the products of one manufacturer. Provide secondary materials whlch are acceptable to the manufacturer vf the primary materials. C. Manufacturer's Rearesentation: Make all arrang�ements and payments necessary to have manufacturer's authorized representafive on-site at b�inning of underlayment application to advise installer and to ensure compliance with manufacturer's requirements. D. Confer�nce: Convene a pre-installation conference to establish procedures to maintain optlmum working conditions and to coordinate this work with relat�f and adjacent work. Representatives of the General Contractor, Architect, Roofing Contractor, Roofing Materials Manufacturer, Underlayment Materials Manufacturer and Undrlayment Installer shall be present three days prlor to start of underlayment work to inspect subsirate and review installation requirements. 1.05 REFERENCES A. American Sociery for Testing and Materials (ASTM): 1. D412 Standard Tesi Methods for Vulc�nized Rubber and Elastome�ic Tension 2. D1204 Standard Test Method for Linear Dimensional Changes of Nonrigid Thermoplastic Sheeting or Film at Elevaled Temperature 3. D1970 Standard Specifica6on for Self-Adhering Polymer Modified Bituminous Sheet Materials Used as Steep Roofing Underlayment for Ice Dam Prote�tion 4. D2523 Standard Practice for Testing LoedStrain Properties of Roofing Membranes 5. D5147 tandard Test Methods for Sampling and TesGng Modified Bituminous Sheet Material. 6. E96 Standard Test Methods for Water Vapor Transmission of Materials 1.06 SUBMITTALS A. Product Data; Submit manufacturer's product dafia, installation instructions, use limitations and recommendations for each material and system specified in this section. B. Samples: Provide a minimum of two 12" x 6" samples of roofing underlayment material to be used for the system described herein. 1.07 Mock-Ups A. Provide Mock-ups before beginning work of this section at location acceptable to Architect and obtain Architect's acceptance of visual qualities. Protect and maintain acceptable mock-ups throughout the work of this section to serve as criteria for acceptance of this work. Acceptable mock-ups may be incorporeted into the finish work. 1. Sample application of roofing underlayment shall consist of the following: a. Closed valley: (10 linear feet) 1.�18 DELIVERY. STORAGE AND HANDLING A. Deliver materials and products to the job slte in original, unopened package, clearly labeled with the rnanufacturer's Identiticatlon and printed Instructions. All material shall be stored and handled in accordance wlth manufacturer's Instructions and rer,ommendations. Protect from damage. 1. Roofing underlayment rolls should be stored vertically on end, in a storage facility where the temperature is befinreen 40°F and 100°F (4°C and 38°C). Use a protective covering ove� NAIL-DOWN ROOFING UNDERLAYMENT 07111 - 2 OT/21/2Q04 F9ED 08:18 FA% CETCO Building Materials Group STRONGSEAL ROOFING MATERIALS � `" �, ' �� �' e �a r� oos�ous 11/10/03 pallets while being temporarily stor� on site. Underlayment must be kept at a minimum 40"F (4°C) for 24 hours prior to use. Do not double stack pallets. 1.09 PROJECT GONDITlONS A. Conditions: Perform work only when ambient conditions are within the limits establishe� by manufacturers of the materials and products used. B. Substretes: Proc�d with wo�lc related to roofing underlayment only when substrate canstruction and peneVating work is complete. 1.10 WARRANTY A. P�ovide written warranry signed by manufacturer agreeing to repair or replace wo�c which exhibits defects in materials. "Defects" is defined to include, but is not limited to, leakage of water, abnormal aging or deterioration, and failure to perform as required. Wamanty period shall be as follows: 1. Roofina Underlavment Membrane: 10 years from date of Substantial Completion. PART 2 - PRODUCTS 2.01 ROOFING UNDERLAYMENT MEMBRANE .. ' A. Provide nail-dawn roofing underlayment consisting of a durable 27 mil thick rubber membrane waterproofing material that contains no asphalt. The membrane shall be produced with 30% recycled tire crumb making it a"GREEN" product Underlayment shall be capable of resisting temperatures as high as 300°F (116°C) without flowing. Underlayment membrane shall be Duck's Back, Roof Deck Protectlon as manufactured by CETCO Building Materials Group. Other manufacturers and underlayment products meeting or exceeding this specification may be acc�pted by the Architect. Undelaymerrt membrane properties shall be as follows: B. Other Features and Att[ibu es shall be as fo1ows: 1. One Year Ex_posure Period: Duck's Back membrane can remain exposed for up to one (1) year to direct sunlight and inclement weather'. 2. Low Temperature Aoplication: Duck's Back remains flexible in cold weathor and will roll out without cracking or shattering. NAIL-DOWN ROOFING UNDERLAYMENT 07111 -3 O7/21/2009 �9ED 08:20 FAB �j004/008 CETCO Building Materials Group STRONGSEAL ROOFING MATERIALS � 1 �!�e 0 �, ' •� e �Yf �e��� �e 11 /10/03 3. Seals Around Fasteners: Duck's Back shall seal around most fastener penetrations like a gasket, resisting leakage and moisture infrusion from wind-driven rain. 4. Slia Resistant SurFace: DuCk's Back features a slip resistant surFace for safe and easy instellatwn. 5. EBSier 8nd Less Costiv Re-roafina: Duck's Back uvill not adhere to the underside of the exposed roof covering, making re-roofing easier and less c�stly. The non-aggregate underlaymerrt will not score the underside nf inetal roofing caused by constant expansion and Contraction, resulting in no underside rust cr corrosion. 6. Non-Absorbant: Memb�ane does not absorb moisture, avoiding buckling and wrinkling like conventional organic felt underlayments. Avoids drying downtime. PART 3 - EXECUTION 3.01 INSPECTION A. The Installer shall e�m ine aubstrates and conditions under whlch thls work is to be instealled and notdy Contractor, In wrl�ng, of conditlons detrimental to the proper completion of the work. Do not proceed wlth work until unsatisfactory conditions are co�ected. Beginning work means Installer accepts substrates and conditions. � � 3.02 ROOF DECK PREPARATION A. Duck's Back roofing underlayment membrane shall be install� direcUy on a clean, dry, continuous sloped structural roof deck. Suitable deck materials shall inGude plywood, OSB (orient� strand board), wood plank (no chamfered edges), metal, and concrete. Rernove dust, dirt, loose nails, and other debris. Roof deck shall have a minlmum pltch of 3" on 12" (75 mm on 300 mm) without voids or unsupported areas. Remove all protruslons and sharp edges. Repalr damaged deck areas before installing the underlayment membrane. Re-roofing projects require the removal of old roofing materials. 3.03 DUCK'3 BACK UNDERLAYMENT MEMBRANE INSTALLATION A. Do not stretch membr�ne when installing. Roll out membrane flat and allow the membrane to relax prior to fastening to the roof deck. Do not tack at one end of rolt and s�etch during installation like conventional felt products. Do not apply heat to the praduct for application in cold weather. B. Apply Duck's Back underlayment membrane direcdy to properly prepared roof deck. Always begin installation at lowest point on the deck and work up the roof so membrane overlap seams shed moisture. Roll out mem brane flat and alfow the membrane to relax prior to fastening to the roof deck. C. Fasten membrane securely to deck with button kap (washer head) fasteners in accordance wlth local building code for conventiona130-Ib. felt underlayment products or equivalent. Overlap membrane end seams minimum 6" (150 mm). Do not fold over the roof edge unless the edge is protected by drip edge or other flashing type material. NAIL-DOWN ROOFING UNDERLAYMENT 07111 - 4 07/21/2004 �ED 08:20 FA% CETCO Building Materials Group STRONGSEAL ROOFINC MATERIALS � � ,� � � � � � a �,� t �JQ05i0U8 11/10/03 D. For successive membrane courses, align and overlap the edge of the previously installed underlaymerrt sheet a minimum 3" (75mm); lap minimum 6" (150mm) in high wind areas. Stagger end laps a minimum 12" (300mm) and overtap minimum 6" (15o mm). E. For valley, hip, and ridge applications, center the membrane over the valley, hip, or ridge and secure with button kap fasteners, On extreme slopes, it is recammenderl to narrow spacing of button kap fasteners and cover nails by over lapping with next sheet. F. Full roof deck coverage may be applied with proper attic ventilation and roof drainage to minimize interior condensation. Consistent with good roofing practice, install the membrane such that all laps shed water by always working from the low point to the high point of the roof. G. Duck"s Back membrane can be left exposed during const�uction as a temporary dry-in barrier for up to one (1) year. H. When used with previously installed self-adhering roaf underlaymerrt, allgn and overlap the down slope membrane edge of Duck's Back a miniumum 3" (75 mm) over the adhered membrane so that the lap sheds moisture. Lap minimum 6" (150mm) in hlgh wlnd areas. Lap membrane ends a minimum 6° (150mm). At the ridge of the roof, selfadhering underlayment may be installed over Duck's Back to provide proper lap that w111 shed water. Refer to local building codes regarding self-adhering roofing underlaymerrt application and installation requi�ements. When fastening shingles over the membrane, use smooth shank, electroplated galvanized nails to provids the best seal. Place metal drip edges of wood starter shingles over the membrane. 3.04 PRECAUTIONS AND LIMITATIONS A. B. C. D. E. F_ G. Membrane is slippery when wet or cmvered with frost. Fall protection equipment is required when working on a roof deck. Oo not leave permanentiy exposed to sunlight. Maximum recommended exposure is one (1) year. Membrane should not be folded over the roof edge unless protected by a gutter, drip edge, or other flashing material. Do not install on chamfered edges of wood plank. Do not install fasteners through the membrdne over unsupported areas of the structural deck or leave holes from removed fasteners. Repair holes, fishmouths, tears or other damage to membrane with a patch of inembrane extending past the damaged area 6" (150 mm) on all side�s. If the use of a sealarrt or flashing is necASSary, usa an EPDM Black Lap Sealant or Black Lap Caulk with a but�+l base. Avoid using solvents on membrane. 3.05 REPAIR AND CLEAN UP A. Remove and replace work whlch is damaged o� deterioratad in any respect. NAIL-DOWN ROOFING UNDERIAYMENT 07111 - 5