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AF - 46600City of Fridley, Minn. BUILDING PERMIT .: � � � . , • , - r'°.,�.�. .�,�t,. � . .� �► �.. Address Address N° 622� LOCATIQ OF BUILDING No..�� Street ��'� ,� Part t '. f �ie� ,� �!,� xr w..LJ/ s , / Lot ��=�_ Block `. Addition or Sub-Dfviai � . �'� �'� --_. , � #–,� Coraer Lot _� Inaide Lot — Setback ! Sideynrd �� '� ,�.,� Sewer IIevation — ._ Foimdatlon IIevation f DESCRIPTION OF BUILDING To vsed � r Front .,�� Depth �� Height � Sq. FL �� (�, FL {_.,,C� Fro t Depth � ITeight �...� Sq. Ft. Cu. F't. 7jme of Construction F�st Cost �� -- To be Completed In consfderation of the flsauance to me of a pern►it to construct the bwilding described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the dty oP Fridley. ei� In consfderatfon of the payment oP a fee of $��"_� , permit �s hereby granted to to construct the buflding or addition as described above. This permit ia granted upon the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work done in, azound end upon said building, or any gart thereof, shall conPorm in all respects to the ordinances of Frldley, Minnesota regarding location, constructtton, alteration, maintenance, repair and moving of bufldinga within the dty ]imits and this permit may be revoked at any time upon violation of any of the provisiona of said ordiIIBIIces. _.,.. ,.A Inspector NOTICE: '11ds p�emtt doa not eovs� ths eonstrneHoe, fmtallaHoa /or �rlrtno, �ro�a�a �.. t�a �awr ee vraMr. B� sun 10 a� fh� &rildin8 lesp�e�e� for apvab psrmib Po� t6a� tt�ms, +.�, %.� — .:a =� `�� . � � �� ,.i'�". v.. � .� .��"� �' �° #: "� y�:; e '��`.- •� �:�a �� ,c�i et��. .. .. }� . � . ,. �' ' � #y' .�; r; . ��k Y". . � �..1 .��.� - . - � ,_� . � . - � _,y- ; . r � a. a � � _ � � ' "�� . ��• �• A��,,/!±'�� Y/��`��i-��' t A�* j` ^'��' � �� C�;. ' � . . . . � . _ . . �� j .�, LANQ SURVEY�'RS �3 " ; �, tiy� • � . Arrolc�c/, MinneSOfQ - ,; . ,� K�: ' t�RTiF�CATE E'� 'S�tJRl/�xs , . r � � . R r . � y . . .'. � . � t .. . . . . .. . . . . . R�n Kre�wi ecki 791-�,I7•58 � / - �T. .. � , � � . -` � ` � � ��O "' � .. � � _ / . ' J. ' ^ .. . rl. I .1 :�� o � } � � ��. � � � -.� �,:� �, rt� . � . . � •'��i?�� i . , , �. . . � , , .. .. - � � . , . , . � . � +r . I `�� ; . . ' I • . . , ' , , � q ( , 1 . ��K� . .-� i� x � � �� . , O � ' �- � , . .• . . r _ ,; � - �� 0 , O ` � S►„� �,� � : , x3 Op . . G ''�C' 1- - F . � � ;� i � 1 � ,`*: � a .. � \ �� .��. � � 23_ , r� � � � 1 1 }b � �L �� = . , th , , � 9 rt 2'� � � . ` ,�� y. ' C��,�' =i . . t�o _ _ ` , - �; Lota 35, 3b and the West ::�;- � 10 feet c�£ L�t' ,�7, Blc�ck �;� _ x;,,. ; I� I r � � � ��i �� i�f , ` . ,. x�"� ., A�aks C cu�t�t, �l3�� :: � �� , �.:: � �: ; : . t. , � r � q �S : �. I NERibY CERTIFY TNAT TMS IS A T�UE MH? CORIEtT �iiAT10�N t?! 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O • • • 9 ' ' • N��,�� Cn G O C O O O O � � � � � Q. p.� �' �� ro ��`° � �� a � i � � �.� .. �,�a�. �� O y � � 5a��a � ��'� � � ��5�b �� a�� Op � �� y � � �� f]+ � ��j � �et F"��y �� r7 M ?i � � � ti� � � �� D � i � m y _ T C r m � � � � a �. a � � � � � � a 1 � a �o �.. � `_ . ,�� i � � � � �� i� ° � �� i� � s� � � � ; �y � H � 0.� e� � e, � � �. � 7v � � �. � 0. � ��.s �j��e,c�r.--�-e-c� �� 1 ��, .: �� .��c �� t� � � , � � HEAT LOSS' CALCULATIONS DEPARTMENT OF INSPECTIONS �� l�eatherstrips A.S.H.V.E, Construction No. Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind Yes—No Yes—No 19_ /Z �1'1•� / G'/�2� Room � Length j Width /?� Height .� oom Length Windows and oors—Cracka e and Area � I 8 Windows and Doors—Crackage Width He(ght No. ot Llneal ft. Area Wldth Hetght No. ot Lli No. ot pane o[ Dane lighta of crack eq. ft. No. ot pane of pane Ilghte of � '� G° .�`7 / � f' (� �-/� � — � � . '� .� � �/ .� �/-.� � 7 Infiltration � �j/� � �^� t, Glass � � �-�,, Exp. wall y�'' Net exp. wall � / / / v l � / � Int. wall ' Ceiling Floor 2 / 5 � c�� Total Btu. //� / yo Required sq. ft. E.D.R. or sq. ins. W.A. Leader area '� .� ,�',� Room � Length � Width fy� Height � Windows and Doors—Crackage and Area Wldth HelghL No. oL Llneal ft. Area No. of pane ot pane lighte o[ crack eq. ft. _.. 9 �O �� 3 �� Coef. Btu In6ltration � �� ,�o-..�,._.� Glaaa'` �v � c� Exp..wall �y Net exp. wall l f�(� r o ��(p p Int. wall Ceiling Floor / ?6 l S^ � 9 �° Total Btu. � D� Required sq. ft. E.D.R. or aq. ins. W.A. Leader area I �1e.� Room � Length // Width /2 I Ieight �Q' Windows and Doors—Crackage and Area Wldth Helght No. o[ Llneal ft. Area No. ot pane o[ pane Ilghte ot crack eq. [t. --�. _ � �_ . _./(i7 � �10 �� Infiltration Glaas Exp. wall Net eap. wall Int. wall Ceiling Floor Total Btu. Coef. Btu C� � Sl0 / �` � -s r � /3 � � 3 4, II � °� c7 �. Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area I In6ltration C,lass F.sp. wall Net egp. wall Int. wall Ceiling Floor Total Btu. MINNEAPOLIS, MINN. Insnlation How Applied � � Width / � Height � and Area Coef. Btu n r'/ � l� � � �a e� /e / >� o ��i�-7 /S -`��/ in C .4�` �/cs Required sa. ft. E.D.R. or sq. ins. W.A. Leader area .�%F1.� ��-•, if�e.�Room ( Length /.., Width / Z Height Windows and Doors—Crackage and Area Wldth Helght No. of Lfneal tt. Area No. of pane ot pane llghte of crack eq. tt. `� 2 �i � % �_ Z � � �, In&ltration �2 � �! /� ��, Glass /C'e �D � [J G Eap. wall / � z Net exp. wall / 7 ! p /�(„ G Int. wall Ceiling Floor /�/�/ / S � / � d ?otal Btu. Sj O Required sq. ft. E.D.R. or sq. ins. W.A. Leader area °� �'`1•I " Room I Length � ^�Width � Height Windows and Doora—Crackage and Area Width Helght No. ot Lfneal [t. Area No. of pane ot pane Ilghte o[ crack eQ. tt. � �y i6 �— �3 -� Infiltration /3 �n Glass 5-Z, Exp. wall 3►- � Net exp. wall y /� Int. wall Ceiling Floor - � f� 1'otai Btu. Required sq. ft. E.D.R. or sq, ins. WA. Leade� arca Btu � 5 v � ��G� + _ i t ' Permit Fee �•--..�.�..�.•��-..... . ', APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT � ", r No. P--•---- -- •-•---- c , �( � ' Date of zssuanrse--•--------••----•-------------------------•----------, 196_..--- Location_.. ��-�---"� -.r- ---- .. : �--•- --�-'�------- I ,� .Minrcec�poli,s, .Minn.,-----K��---�-•`--�-•-----•-, 196.---= � Inspector of Buildin�s The undersi�%ned Tzereby snakes application for 2 permit for the instal.lation, c�bteratio� or r•epair of 2 hec�tin�, air coszdition.in6 or z�eiztilati.n� s�stern, deuue or ec�zri>>rrient, as lze�•eisz specified, 2�i°eeis�� to do all suclz, u�ork zre sh'ict accor nce zvith the City Ortli.iu�nces ancl rulir�ss of the Dep rner�t of Irzspections aytcl tltc �r��i ficutinns set fcrt in this appliccttinr� cts appr•uz�ecl and filed in tlre D./�a��trfeent of Izaspectiorw. Oumer:/�::��=�•---�/L�C_ �c�-e��!�----._......�IddreSS of Ou�ner------- -• ---•--•---------- - - ----•-• --�---- - .. ... - = :��z .C-� ------•--•------How occu,nied----------- ------- -- +_"�C� �-� Kincl of Buildirc�----•`��- - ---� •--------•--•-------- -- ------•----------- � l�----- ----- 196._.� i�'ork tri bc con ted.�.. ..._ •----------•------ ---•--- 196.°,.�- _ W'ork to be started_--.�--- --=-------------- - , P Estimaied Cost �---= =----• ` ---`-.-c'�--------------•-- --...._Old — _ ei � uildi � Pernzit No.--------------....._....... _ DESCRI ION OF WORK Ptotes Inaerf the word nsta I, add, alte or repair, aaord to whieh is to b d ne Under "Remark� " itemize remov, a, If any, and alterations to equipment. •-•-••----------•---•---•---------•-•-------- - echani rm Air Heating PI rnac ---•-----------•--------•-•-------•--•--- •-•-• •--••------•--•-••- � r�-- -- - ---�� -- � ----- - -- �--�-------------- �vra��-�-�.� ------ - - �._�� -c - _---... - ---= -- --------�si� ... . Conneetedload---•-�- --�- -�� •--------- -•-------------------•---•-•-------... .. capcaeitz.f ---------•�------..��.----••------•--•---.._......---•-- Air Conditioning Sy em: Su�nm,er — Winter —�lb Y'ear;----..�.-----•------•---•---•----------------------------------------------------------- - --- - _Ca ac' -----------------C .Mccice...------•-•---••---• .................................._-----•---•-----•-----............ A �J---------•----------�. .---••-•------------------------- •-----•---•----•• .................................•---•----.._....---------------•-----••-------•---•- ------•-----------......---•------••----•----•--------•--------•---------•--...-•-------._...-------- VentilatingSystem: .Mccke----•----•-•----------••----•-----•-----•---•---------------------Capcaeity._-------------------------..... Cfm.-------••--------------------- ._ ....... ......•--•-•---•------•---------------...--••----------•-•----•------------------.......-•---�--•---•--•---------• •----.......-------------------------------•...._......-•---......------••---•-•- Rern,ccrks------------------------•---•--••-•-----•------•-------------.....---.._...----•--- ------------•------------•----------------------------------------------------------•------------•--- •-•---•-•-----------•----------------------•------•--•---•--------------•--------••----•-----••-•----�--•-•-------•----•--•---------•--•---••:---------------------•-------...-----•-•-----•.....--------.. ..__.._..----•---•-•-•----•-----•------------------------•-•---.....__..__._..._..--•-----......---... -------•-------•---•-----------------------------------•-------------------------•----------•-•--•--- ---------------------•-----••-----------•-----------------•-----------•--------•--...-•--•------.....-----------------------------------•--•--------•-----------------•----•--------------._...----------- Si�rced------------------------•--------------•--------------------•----------•---------------- 8�-----------------��a��ro�t��'atir��'c---co�cF��r; --rr�c. 2936 FOURTH AVE 50. + TA. 3-528T .11pprozed-------------------••----------•--._.._..--•---------••-----------.., 196------ .Rddress--•---------------------------•-----••-----•-------�-----------------•---- MINNEA�OU� @ MINNESOTA �-----•----...._..-•-•---•----••----------------------•------•--------------------------...---------._ Telephor�e---------------------------------------------------------....------- In�peetor. •---•------•-•--------------------••----•--------•-•-•--------------------•----•--•--•-----------------...------•---•-------------.._....------------------•-•-------------------•----------•--------------- ..---------�--••-•---------------------•-----•------------•----------------•--•--•------._.....-•----•�---. _...-•------------•------•-------•-•----...---------------------•----•-•-•-----••------•------•-- ...----•--------------------------•-----•---------.....•-------•-----------....---•-•-•----------...._..---•----•-------•...-----------------------------------•--------•-------------•----------•-----•--- o-zo +�� x 0 � � r r� � � � ° y x x � � x M r o►�r �' � � ., y M y d m a� w M � � � O p� d � � . � � � � � � � � �i � a° � ° � y u� ro L�'' o � �' S c ; � ° � : O t'� : � : : � : : : ►� : : : � � - � H � m �a x x O � N � 0 o p �, � � � � � � W � 'a O � � r � N � � � � � p A �� J �� , � � � � � w � � � � � �. � �-.J � .� � ��.� � e� � 00 �M N � � � � � 0 a � � m bs � � � 0 � 0 0 0 O O � � 0 O � ,` R n� � Q. � � fD 0 O r Od � x C � �' o w aa W w � �� M � �" y O � M � U1 y A A coj � • �: �� • w w � x a a 00 � � �� ° � � � M ' � � �� ' �� -�� 'b' � � �' p. 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G � : : : � � : : : : : � . • � � ' : : : : : : : m : . . . . . . . y . . . . . . 4 I � � 0 cn N w o0 0o t� cn cn w o0 °o 0 0°o o° o o° o°o o° f!� {fl {fl in {fl {A &► � � � 0 �O � x M O � o y a y 1�y � m ¢ O. �V � C� fwq F�'b � � � � � o � � � � � 5' �. �' � w �� g b �. � ' � er � \° z Q, � 3 � � � � � � vl m � 0 ,k �� -.. � � 7d �d �'f S w m � � �� R° R° co � y � � o � � r« y �* (�o y � �" � � � � � � �, b � o � a � � � a, �, . . �, . . �•°. : 0 0 . . o . . $ : : : � v� rn oo y ca c c o p O O O h� � 0 � 1� � �a� � yn `�C y ��,�� ro � � N�•a �� p ° °� �' � � � � � ��5�.�. y dw � � �, �� G.�p ~ cD 'f p p ��4 �. ` � �b��, �. �, � � t� �� w ��b . p��'� w �A.�p �� ,o H m� ��! � a� ��o a �� j y W M �A� �� w ��M 'J' � �+ � � CC m � I� � � � � l D '� � � T H _ T C r m d b M � `� � � Q A � V O � '0 � O � � O � -e � � 0 � ' � �• � 0 � �� A � 3 0 � 0.� � � n• �' ..: � �. � � � � v 9 .7 0. �� n.ss ,� �. .4 z � f� l 3�, � 6 i' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. Guide Windows Doors Refereace Out. Wall Int. Wall Ceiling Roof F1oor Kind Y�o I es No 19_ FRIDLEY, MINN. Insulatioa How Applied Fl.� y, L. �U Room � Length � Width � Height ,� �' FI.� � Room Length Width Windows and oors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Helght No. at Llneal f. Area Width Hel No. o[ Dane at Dane Iighte ot crack ep. [t. No. at Dane ot p � 3 r �o I 3 3� / �, �. 3� 1'� 1 I � � �- v I �, r � I 3' ��'�'" ��, _ co�f. B�, ,/ Infiltration � � ,3 % In6ltration Glass � � ,� �, Glaea �p. We�i a� �. weu Net exp. wall 1 d I� Net eap. wall Int. waU In� wall --- Ceiling �%,� .� � � � Ceiling Floor �� `y °' Floor Total Btu. �' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area Required sq. k. E.D.R. or aq. ins. W.A. Leader area Fl•� "' ,� Room ( Length Width Height /�.I � e J �m � Windows and Doors--Crackage aad Area '—'— 1f/indows and Doora—C WIdZd Helght No. o[ Lineal 1t. Ares Wldth Helght N No. ot pane ot Dane llahte ot creck ep. tt. No. ot pane of pane 11 � 2� � 4� �� / � .,� l 6 d, � � �, �.. ^ ,�„ � H� �s Coef. Btu In6ltration ��' f j? c� In6ltration Glaaa � � � I � � � Glaas Exp. wall �- Exp. wall Net eap. wall �� /� �- v=� U Net eap. wall Int. wall Int. wall Ceiling �' �' � Ceiling Floor ° � 6 Floor Total Btu. � Total Btu. Required sq. ft. E,D.R. or aq. ins. W.A. Leader ana Required aq. ft.-ED R.-or aq. ms. WA. Lreader area FI. (� Room � Length Width � Height � Fl.� �� Room I Length %� Width Windows and Doors—�rackage and Area Windowa and Doora—Crackage and Area Wldth Helgdt No. of Llneal It. Area Widts Helght Nu. ot Llneal tt. Ares No. of pane ot Dane Ilghts ot crack eQ, tt. No. ot pane ot pane Ilghts o[ crack sa• tL � c� � � ,;_� �ea `� % 7 . �� No. ot Llneal it A�ea Ifghte o[ crack eQ. tt. �-- F Sy d ? / Height � 3 Width ,� Hei and Area �eal ft. Area crack ea•[L �� .�� Ih V 1 � Coef. Btu lnfiltration � j �' � � Infiltration �as� � O ,�'O Glaas Eap. wall F�cp. wali Net esp. waU '�`' o ,� � Net eap. wall lnt. wall Int. wal) Ceiling � Floor � Tbtal Btu. Required aq. ft. E.D.R. or aq. ias. W.A. l.eader area � �, Ceiling � � � Floor � � � ..�-a'otal Btu. Required aq. h. E.D.R, or aq. ias. WA. L.eader area � � � � Be� �� v.�� Height ief. Btu � r�� a� �' /, 7 C�� sbo.3aso C�� o ��lle � � 6437 UNIVERSITY AVENUE IVE S2p�emb2lc 23, 197� Mn. J. Ma�r.a co��i. 590 �luga S�h.ee,i Na�c,�`hea�s� Fn.i.d2ey, M.inneao�a. 55432 �2a�c Mn. Ma�caco�'�i.: ANOKA COUNTY FRIDLEY, MIIVNESOTA 55432 T� ha�a 62erc 6naugh,t �o my cr�,tew�',i,avc �ha.t yau h,ave �.rvs�a.�Zed a chu,i.n .P�i,nf� �2nce ov� yaun pnopeh.�y, aplv�ax,ima�e,2y �se,2ve .i.nche�s �nam �'h.e cwcb.ing. Accondivcg �a �'1i.2 G.i,ty Cade 213.05, a.e,2 ptu.va,te $ence�s �sha.�2 be cona�'icuated on on .i.vus.i.de �h.e p�wpeJ�y .P.i,ne. On 8noad S�ii.e� when.e yowc �ence .i„�s cav��icuc,ted, �Gce C�,ty hcus a�.��y �oo� a�ice2t n.i.gl� o{��-way wh,i.ch mahe� yowr, pnopeti�y .?,i.he �en �2e.t 6acfz �nam �h2 back o� �bc2 cw:.b�.vcg. Th,i�s �enc� �sh.ou.ed be moved baefz �a �Fc2 rywpeh,iy .2.i.ne becau�se .i.t v.w.2aiea �Gua C.i,ty Cvde. Dun.i.ng �he w.i.wte�c h eaa on whev� �he C.i�y c�cewa an2 p.2aw.i.�.g d Kow, .i,� .i�s ctQmad� ccba uned �ha,i �Gws � enc2 uxi,P� b e damag ed b y a�.aw 6 e.i�ng pua hed aga,ir�� .i,t, ��ietch,i,.ng �'1-ce w.Uce�s. The C.i�y w.i.Z2�� vw� 62 neapo�s�.b.�e �on any damage �'ha,t mi,gh,t acewr. �a �h,us �enc2. May I�sugge�s� �ha.i you n.e�s� youh �ence bacfi �o yowc nnop�y .�,,�e.. I uti.Z2 6e hap�y �o aru�weh �.ny c�ue��,i.ows, on h2�� yau .�n ea�ab.?.i�sFr,i.ng yawc .2a� .P.i,ne. S.i,vccelce,2y, ��j�� l/ �Z��li►�_ RALPfi VOLKMAN Supelu.wiende.v� o� Pu6.P,i.c WanFis RV :.�Fz cc: Ri,chcucd So6�.ech, Pu6.2.i.c (Uonh�s �.i�ce.e,tan ✓ Ucuvi22 C.Plucfz, Commuwi.iy Vev22opm2vr,t Admi.vi,i�s�ir.a�an A�hwc �.P�ov�, S�'tcee,t D2pa�ne,w,i Fon¢man sue�ecr PE City of Fridley 17 3 0 5 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � � REC . � ; L _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. //�� 1 � i � � r"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV !'""'�� ,�� 612-571-3450 910-F15 10/26/83 � / JOB ADDRESS 590 Iiugo St�eet N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED oescR. 35,36 H Ri.verview Heights SHEET 2 PROPERTYOWNER MAILADORESS 21P PHONE Steve Engh 590 Hugo Street N.E. 786-1827 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. Saate 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENOINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USEOF BUILDING Residential 7 CLASS OF WORK �1 NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 22� Garage 9 CHANGE OF USE FROM TO STIPULATIONS Garage loca.tion to be 25 feet from property line. Provide a harcl surtace drivewayb 3�eet firom the side property, SEPERATE PERMITS RE UtRfD FOR W1R1[VCa. �9"�� r �roser wi�� consent Q f''"�� e�ghbor, �E�T�NG. PLUMBING aNQ SIGN-S. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCZ FY.'�@ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4�699 .,52.3�j DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S r'JO. SO PLAN CHECK FEE TOTAL FEE $52.85 SIGNATURf'OFC iRACTOR HOai ENT IDATE� WHEN PROPERLY ID TED T IS IS YOUR PERMIT - M ��. �� G 5 N` OF OWNER 11 ER BUIL�ERI IDATEI �, � p BLOG INSP DaTE � CITY Qf iltIDICY . Effective Auq. l, 1981 tiPPLIC/ITIa� FO(t t;CS1DCi��T1P.i. t3UlLDli�G PL�ufITS (t�th�. Alterations, Additions, or Repair-s) .--- • O�SNER: �'7�,Pv-P ��, t3UILDER: ��--ev� ��1 � � nn�r.ESS: S"9D /�� ./�1^, nnaz�ss: js'so �,�� TEL K0: 7 Sr �o —/ c� �� TEL 1�0: 7�� — / c� � 7 Construction Location STltI�T NO: „�-�/' D STItEF.T: �� c� p � L07': ��, 3�� BLOC9C: �� ADAITIOii: �v G^L°u� �� Corner Lot: !� Insiiic Lots _ Sctback: Sideyards: Ap�licv�t attach to t��is form t�ao Certificates of SLrvey of lot and p:oposed building location drawn on certificates to scdle. DE SCR I PT IO�� OF CO��; STF:�� CT 10N � � � �� Front: , � � Depth: �� Height: �� 'I Squarc f eet: `��C� Wbic Feet: '� C� Front: Depth: Heiglit: Square Fe�t: Clibic Teet: _ . � ��99� v 'a7�pe of Cor..tructien : /��d � d �/�¢��, -P Estimated Cost: S� � � Rb Be Cbr.�pleted: � � "— �� Alt. A Alt. B Propos�d Dziveway Hidth If New Opening Is Desired: $ S . , S�� P.iVF.R;L SIDE OF SFIE�T . 9Sie unclersianed hereb:� mal;c� t+�plic�ticn for a perrsit fcz the �:vrk herein specified, agrccin3 to �.all �.ork ir, strict accord3ncc with the Ci�y ef Tridlcy Ordi��ances Ei�d zulin�� of tlie De��.�rlmc��t. of IIuilc]in�s, and heseby declares that all tl�e f�cts and reprecc�titiens stated :n this application are true and correct. D.`.TE: �(� — � .� SIGNATI3I� : Stii�ulatioru: � ��s- �- ��d�,�S �c�-�3.�� C� �� > � / �� b- '-ri �� ` "' � � � -r� -- - Tbe Chief Building Official aball, before iasuiag permits for the erecLioA oP any building or atructure� or for any addition to aay ezistiag building or atructure or tor any alteratioa or repairs to any ezisting Duilding or atructure� upon applicatioa therefore� require the paymeat by the applicant for auch pe�it of fees to tbe amount herein belov aet fortb and in tLe manner berein provided to-vit: Zotal 9aluation =1.00 to =500.00 =501 to �2�000.00 =2�001 to =25,000 Fees =10.00 (Hinimum a15.00) ;10.00 for tAe tirst =500 plus a1•50 !or each additional =100 or fraction thereof� to and including a2,000 =32•50 tor tbe first �2,000 plus �6.00 for each additional �1,000 or fraction thereof� to and includiag �25,000 =25�001 to =50�000 =170.50 for the firat =25 � 000 plus =4.50 tor each additioaal �1.000 or fractioa thereof, to and including =50�000 �50,001 to =100�000 =283•00 Por the first a50,000 plus =3.00 for each additional �1�000 or traction thereof� to and including =100�000 =100,001 and up =433.00 for tbe first a100,000 plus �2.50 for each additional �1,000 or . fraction thereof Plan Check: 25 percent of building permit fee. Driveway Depression Eacrox: Concrete curb atreets only. Alternate •A": Removal aad replacement of curb and gutter only - Drivexay xidth plus 6 feet times =13•50 AlLeraate "B": Removal and replacement of curb and gutter and Install a 3 Poot aide approach with 6 inch depth - Drivexay width plus 6 feet times =15.75 F�l'Ti� . . � � . � . . . Permita for eonstruction vill be iasued a minimum ot 24 bours from the time of application to allrn+ Por proper revieW oP tbe proposed atructure and of tbe construction aite. ` Certificate of Survey oP tbe lot� ahowing the 2ocation of the toundation �nce it has Deen constructed xill be requfred before oroceedinA trith the framiag. � �� _ ,- �r c�. C. ��oiul�t ��1C� c,�sSOCcC�t�s, t�C. � � LAND SURVEYORS Anoko, Min�esoto CERTIFICATE OF SURVEY: Fe�n Yraw? ec'r,i � V G� 5y� � � � � � O � � t S�• � � 1 , r � � 'X ` 00 1 � _5_ � , � �S10 � � �� o� � 1_ � � 1 �o c� � � ' O � t�0 .,,C � a `� -� � �. � � �� L �� 23 ,g= � , , -� %� 1 , �� C'1- -F 1 G� . ` r - � , Telephone 421-6340 7�1-1i?-�8 � DENOTES �RoNS ' ' -� 4•$� �O \ a �� o �� '� o! � � � � � I �ts �5, �� gn� the '�►est � �� 1�� ft�et o!' Lot �7, Block H ;� � � � NIVr�VI�inf HrI.^rHTS � C � Anoka Co�u�ty, Minnesota . �� 1 F�REBY CERTIFY THAT TFfiS IS A TQUE �ND CpRRFCt REPRESENTATION OF A SURVEY OF TME BOUNDARIES OF THE AbOVE DES�R►BF� LAND. AND THE IOCATiON Of AU 61;I1Dw;,�, TMEREON, AND Alt VISIBIE ENCROACMnnENTS, IF ANY, FROM OR ON SI►ID IMID. AS SURVEYED bY ME TFOS 2�th�r of %5ep.ter.ber ................�p. 19 �2... N. C. HOIUM AN� ASSQqATE I C. - jANi� -U / , i= - -51_ _.__ �-- . � _ _ a ` :.,,��r- ��, �' ' � .4 • '� . . .a-> C='�:, CITY OF FRIDLEY 8�31 UNIVERSITY AVENUE N.E.� FRIDLEY, MINNESOTA 65�32 TELEPHONE ( 812)571-3A50 • 9, 1983 e F�qh � Street N. E. N�i 55432 Re: Final Inspection on Garage at 590 Hugo Street N.E. Dear Mr. Engh: A final inspection was conducted on November 3, 1983 for the new garage construction at your address. The followi.ng iteins were noted which must be completed before the structure can be finaled out: l. 7Awer grade along north wall so that four inches of slab are exposed. 2. Provide a hard surf ace driveway by Octaber 26, 1984. We will expect the above it�ns to be completed and a reinspection called for to determine compliance with this letter. If you have any questions on these itesas, please feel free to contact me at 571-3450. Sincerely, � DARREL G. CLARK Chief �ildinq Official DGC/mh : .City of Fricitey r AT THE TOP OF THE TwIN$ , � . i � Y ---:�_� INTER-OEFARTMENT REOUESi � � j PUBLIC WORK4 DIVISION � ' 1 ` �---t = CITY HAIL PRIDLCY 59432 i._�j`,� � e12-660-3400 rp ADDRESS 590 Hugo �• SE�IER STOPPAGE SEWER STOPPAGE E .. DATE 12-13-87 CALL RECEIVED BY Fridley Police/Jim Saefke - Weekend duty pT 10:15 a.m. (g��pM� CREW LOCATION WHEN NOTIFIED Nome - weekend incident EQUIPMEtJT TAKEN TO SITE Pickup truck, jetter. CAUSE OF STOPPAGE Stick in line caused solids builduu. blockina sewer on Huao. fIME STOPPAGE RELIEVED Approximately 11:05 a.m. (See back for chronology) )ESCRIBE DAMAGE (IF ANY) 5 houses had sewage in basements: 590, 600, 615, 617, 610 Hugo. 590 was the only call received, and that house was the highest on the line i that had damage. E ANY STATEMEPlTS MADE BY CREW OR HOMEOWNER REGARDING DAMAGE OR POSSIBLE CLAIM When asked who would clean up mess, Jim Saefke told residents that Service Masters wou.ld do the cleanup. 617 Hugo stated that their sewer line had been cleaned out about 2 months previously. ICREW A��D HOURS Jim Saefke - 3 hrs Steve Coyle - 2 hrs , � ' 12-13-87 10:15 a.m. - call received by Fridley Police Apprvx. 10:17 a.m. - call received by weekend duty man (Jim Saefke), instructed to call resident at 590 Hugo " 10:18 a.m. - lst attempt to call - busy signal " 10:20 a.m. - 2nd attempt to call -�busy signal " 10:22 a.m. - 3rd attempt successful - determined from questions asked resident that City sewer was possibly blocked " 10:25 a.m. - Called Steve Coyle, told him to bring jetter and meet me at 590 Hugo " 10:40 a.m. - Jim Saefke arrived on Hugo, checked manhole west of Broad Ave. and it was full. Checked next manhole west of full one and found it empty with a small trickle. Checked manhole east of full one and found that one about 3/4 full. Neighbor to 590 asked if she would have sewage in basement. Instructed her there was a possibility and she should remove any valuables from basement floor. " 10:45 a.m. - Steve arrived with�jetter " 11:05 a.m. - After setup and running jetter approximately 275 feet, hit obstruction and pushed it into full manhole, draining backup. " 11:15 a.m. - Steve ran line again. " 11:30 a.m. - Took survey of houses with damage. 3 of 5 residents not home at time of backup. Arrived after we were in process of relieving backup. 615 Hugo not home, but neighbor had key to check on damage. sue�ecr P City of Fridley � � � � 9 AT THE TOP OF THE TWINS g U i L D I N G P E R M I T r � � RECEIPT NO. � • COMMUIJITY DEVELOPMENT OIV. ' j L'�--�� r � � PROTECTIVE INSPECTION SEC. J�� W ' � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE PAGE OF APPROVED BV �'""� � ,'' 612-571-3450 9t0-F15 4/9/96 / / JOB ADDRESS 590 Hu o Street NE 1 LEGAL �OT NO. BLOCK TFiACT OFi ADDITION SEE ATTACHED DESCR. 35-37 H Riverview H2�g�L1t8 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Debra Strand 590 Hu o Street NE 784-4813 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Reside and re lacement windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement sleeping area windows must meet the State Egress Code. ' TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATtNG, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WOHK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY 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 SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �S�OOO �Z.SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEHMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. W99.7S Fire SC �S.00 PLAN CHECKFEE TOTALFEE �1�%.25 SIGNATUAEOFCON'RACTOROFAUTHOAl2EDAGENT IDATEI WHEN PHOPER ALI ATED THIS IS VO R PERMIT sils/�l�G ��%�'C�, ��C.� � G�. � 6L � l SiGNa RE OF OWNEF7 UF OWNEA BUILDEHi DATE� �� ipSp q�,TE NEw ADDN ALTER [] [l [] ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application � q� Effective 3/1/96 �ie�o Owner Name & Address: Tel. #/ u�" L"� � 1�� Coatractor: � � � MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'rION OF IlV�ROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: � C�,► ti C.Q C.l� ( v�C�C�C�� - Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot [] Inside Lot [] Ft. Yd Setback 5ide Yard Setbacks Type of Construction: F.stimated Cost: $��, � d� Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY —� Tel. # r � $ ,�� Fee Schedule on Reverse Side $ � . �' .001 of Permit Valuation (1/lOth%) $ 2. )`� $.50/$1,000 Valuation $ $900 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 [ ] � r� � � � , �° BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,OQ0 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,0� $62.25 for first $2,OQ0 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,0� $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $30,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $887.25 for firsf $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $5(�,000 $2887.25 for the first $5�,0� plus $4.25 for each additiona.l $1, 000 or fraction thereof, to and including $1, 000, 000 $5012.25 for the first $1,0�,000 plus $2.75 for each additional $1, 000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75 . VERIFICATION OF FOUNDATION 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 construction site. A Certificate of Survey of the lot, showing the location of the founda.tion once it has it has been constructed will be required before prviceeding with the framing. _� _, � sue�ecr P . c�ty of Fridley 5 3 6 4 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ; � RECEIPT NO. � `y _ COMMUNITY DEVELOPMENT DIV. �� ±� r � � PROTECTIVE INSPECTtON SEC. 1 . � � � /"'1 � CITV HALI FRIDLE� 55432 NUMBER REV OATE PAGE Of APPROVED BY �----� � ,'� 612-571-3450 910-F15 8/12/97 / / JOB ADDRESS 590 Hugo Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 35,36,37 H Riverview Heights SHEET 2 PfiOPEHTY OWNER MAtL ADDRESS 21P PNONE Debra Strand 590 Hugo Street NE 784-4813 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ AODITION O ALTERATION � REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear-off 9 CHAN(3E OF USE FROM TO STIPULATIONS Underlayment must meet the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY (3ROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION 20NING S�. 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 HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STA�LS GAFAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIEO WITH WHETHER SPECIFIED MEREIN OR NOT. THE GRANTING OF A PERMIT �1,668 �.SS DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING CON- S UCTION OR THE PERFORMANCE OF CONSTRUCTION. �51.25 Fire SC �I.E79 � PLAN CHECK FEE T AL FEE 53.79 SIGNATUREOFCON'RACTOROiiAUTMOpIZE AGENT IDATEi EN R VALID T D THIS IS YOUR PERMIT r • � . SiGNATUFE OF OWNER UF OWNER BUILDER� �OATE� BL G iNSP ryATE NEW � ) ADDN [ ] ALTER ( ] ConstructionAddress; Legal Description: Owner Name & Address: � Contractor: , CITY OF FItIDLEY SINGLE FAMILY ANIj DLJpLEXES R-1 A.ND R-2 BUILDING PERMIT APPLICATION Effective 1/1/97 Address: LIVING AREA: GARAGE AREA: DECK AREA: �'` OTHER: Tel. # ��` ��3 MN LICENSE �t�� • � Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP'rION OF IlVIPROVEMENT �n� �Vidth Height �nS� Width Height �n� Width Hgt/Ground a-� i' �O �4 X�� . L/D � Sq. Ft. Sq. Ft. Sq. Ft. � . . ..� �- m . Construction Type� k e�� ° . � � ��a� Cost: $ �� , • ��- (.Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft �x $ -$ DATE: � � � APPLICANT: Tel. #� , - �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULAT[ONS: � e��, Z s'� $ f , �i �— . $' .S� $ $ $ • $ $ $ $ �3- 79 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Vaivation (1/lOth%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or A1t. "B" Above $450.(?0 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] iVot Necessary [ ] ... � i3U[LDING P�RM[T FEE SCEIEDi;[_,i: "1'tle Chief Building Official shall, before issuing permits for the erection of any building or structure, or fz�r � any addition to any existing buitding or structure, or for any alteration or repair to any existing buildinv or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,OOU,000. $1,000,001 and up FEES $21 (Minimum Fee is $21 plus surcharge) � $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,0(� $62.25 for first $2,QU0 plus $12.50 for each additional $1,Ot30 or fractioa thereof, ro and including $25� $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,0� . . , - $574.75 for first $50;000 plus $6:25 for each additional $1,OQ0 or fraction thereof, to and including $1p0,(?00 r �� $887.25 for first $1�,000 plus $5.00 for each additional $1,DQO�or fradion thereo��to and including $5�,000 $2887:25-for the �'irst $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and incluiiing $1,0�;000 $5012.25 for the first $1,000,000 plus $2.75 for. each additional $1,0� or fraction thereof DRIVEWAY DEPRESSION ESCROW � (eon�rete �r� Streets On�ty) Alternate "A": Removal and replacement of curb and gutter oniy - Drive�vay width plus 6 feet tirnes $13.�0. Alternate "B": Removal and replacement of curb and gutter and instali a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Pernlits for construction wi(1 be issued a minimum of 24 hours from the time of application to allow for pro�:;r review of the proposed structure and of the construction site: �� Certificate of Survey of clie lot, showing the location of the foundati�n ��nce it has it has hecn a�nstru��_��: ..�,i'? t,c rcyuircd hcfc►rc ��rucccdin�� «=ith tt�c framin�T. .�-.. , __ � sue.i�tt M . , City of Fridley 2 � q, � � AT THE TOP OF TME TW�NS g � I L D I N G P E R M I T ; � EIPT NO. � `v _____ COMMUNITY DEVELOPM�NT OIY. � ^ fj� r � � PROTECTIVE INSPECTION SEC. 0 s� � � /'�'1 � CITY MALL FRIOLEY SSI,Z NUMBEp REV OATE PAGE OF APPRpVED 8Y �'.---�: �., 612-571-3a5o 91aFts 6/22/99 / / 10B ADDRESS 590 Hugo Street NE 1 LEGAL �OT NO. BLOCK TRACt OR AODITION $EE ATTACNED oescR. 35,36,Pt.3 H Riverview Heights SNEET 2 PROPEfiTY OWNER MAIL AOpR�S$ ZIP PHONE Debra Strand 784-4813 3 CONTRACTOR MAIL AODRESS 21P PHONE LICENSE NO Owner a ARCHITECT OR DESIGNEIi MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PMONE IICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATIpN �c REPAIR O MOVE O FiEMOVE 8 DESCRIBE WORK Reroof house (17 Sq) Tear-off; Construct an open porch 20' x 6' 9 CHANdE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. See stipulations on plan. �� Variance 35' to 29' front yard setback approved 4/28/99 Before digging ca11 for eil �tilfty lacations 454-t1002 � REQUIREQ BY L�VU TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAp SEPARATE PERMI7S AqE REOUIREO fOR ELECTRICAL, PLUMBING, MEATING, VENTILATING OR Alii CONDITIONING. TMIS PERMIT BECOMES NULL AND VOID IF WORK Oii CONSTqUCTION 20NING SO. fT CU FT. AUTMORIZED IS NOT COMMENCED VyITMIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANOONED FOR A PERIOD OF 120 OAYS A7 ANY TIME AFTER WOfiK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING I MEREBY CERTIFV 7MAT I HAVE REAO ANO �XAMINEO TNIS APPLICATION STALLS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AW$ yp�UATION SUFTAX ANO ORDINANCES GOVERNING TMIS TYPE OF WQpK WILL QE COMP�IEO �3500 $1.75 WITM WHETHER SPECIFIED MEiiE1N Oii NOT. TME GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE AUTMOiiITV TO VIOIATE OR CANCEL TNE pEqMl7 fEE SAC CMARGE PROVISIONS OF ANV OTMER STATE OR LOCAL LAW REGULA7ING CON- $97.25 Fire cJr, �3..r7� STRUCTION OR THE PERfORMANCE OF CONSTiiUCT10N P6AN CHECK FEE TOTA� FEE $102.50 S�G 14 RE OF CON" ACT p AU�NOAl2E0 AG T IDATE� WMEN PROPERIV LIOA/pj ED TMIS IS V UR PEpMl7 � ` QiG�f/A ° !/'% TUR i OWNEQ��f pyVNEABUROEN� �O�rE� BLD .��NS� - q6lt F ,s ' ' N� [ ] ADDN ALTER Effective 5/10/99 I l CI1'Y OF F'RIDLEY [] SINGLE F�►MII.Y AND DUPLEXES R 1 AND R-2 BUII,DING PERNIIT APPLICATION Construction Address: J Legal Description: � � �� Owner Name & Address: �� -}� ��_ Tel. # ��—�� v Contractor: � [ �• MN LICENSE # Address: ' �� 1�`C� �.�i�"AREA: GARAGE AREA: DECK AREA: 01'HER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT � •r.� Length ��_ Width �� Height' 3 Sq. Ft. � O�o Length Width Height Sq. Ft. Construction Type: ��C5 �, __ Estimated Cost: $ � , � � ' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: �- `� APPLICANT: ��4��1C � �� .� Tel. � �`a�i`�`�b)v Pernut Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ .�� 3 -�22� $ �� $ $ $ $ $ $ � lC��- �.� CITY USE ONLY Fee Schedule on Reverse Side .�1 of Permit Valuaxion (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] �� , � � � �� ---� � � _� , e , �� BUII.DING PERMIT FEE 5CHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or �i�act�re, upon application therefore, require the payment by the applicant for such permit of fees to the amoune herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,�1 to $100,000 $100,001 to $500,000 $500,001 to $1,Q00,000 $1,000,001 and up �� $23.50 $23.50 for first $S00 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional$1,000 or fraction thereof, to and including $25,OW $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $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 DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of applicatio� �o allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundadon once it has it has �� a�l be required before proceeding with the framing. � . .4� .. . aa , , . � . � � $t�qy � � tl(�T 1 r"� ( ' . . � .. . ��.. ��JM} ar. r° �fi1�:.0.i `t-..��. . ��4�' � . , , ,,y .. � ��, �' ��Otul�t + Q61C� ._�SSOC[C1t�S, �6tC• . ,etil,';" PP i 1 •'� (' �'j`�� '+4 t.'°.,;�. �.,�� . . � � . , . ' . .. :', ;� .; '�� '__-.::� �; '� LAN�; SURVE�YORS � . � �� '" � � ' X�• .et "'� �`�1�: — _��, �.. • _ _.; . � � ' • ' '' �i �¢%: � �� :�' � �y Moka, Miru�esota �.,• . t . . (.'•p � �►. • -. ' •, ; ' ; ; ,. 1 � . ' • • ' �'•"'. 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AND ALL VISIlIE ENCROACFUMENTS, 1' ANY� �ROM OR ON SAID 1AN�, - . t . i. .�.___,_ _ : . .. '• . . �►s;w�v�m �r. Me tNS 2Ptha►r or �Septwrcb�r..........�....,�. 1962 ''.. . � •� . • , � s: : N. � HOIUM AN� ASS CUT�'' ..I�G � (��1.tr � , �.� ._.;.:�3�,� \��1 • 1 � �� , � �� . � � � + �� ,► �� . , �► a � , b � �' - rr�.+ � . � ,: � . � � �s �� ' : � � ; � � � , � -�- a �..�.,. �� m.- _ .. ` , �. �► j . � � � � - L , � �°'_"'� x'C� _�, � I n •'� i ,4� `,. �' � r.p " �` �'ys� . n k� . � . � i��t� .YA Ja. � �� ..�r. � � C �y , J' Y ty .` (r1 } .�y� 1 ; , r � �� 4'1�..�!-" � , � �, e, , 4� "�•,. �j� 1- � '�� -:. `� � � �� - � �� r ; - ! �.L�� :: � i •�'� � . + �R�� k .. ' �;;;�..� ^ :: , ' ; ,zf:, . � � �► • � �'` � > �� . s � � -� . —�—� , o - ,-,�---- y� .� J� � i a', � � ��-- ♦ � � � o,�a �� • � � � 1 { i, i °� i�, �.. t y� � �.- 4: _�. .. 1 � +� / c , ., - Z �_______ �,� --T ------- , �' . :; i �. , � .L — rn z'�� v � � � Z T p � f*1 O �m��I-^IM . � Q v, v S6 N --�1 �..�a�. � � � N f�Ti�'� �7 ; � Q � � �•, m, N � �� or"'�.,nv� a �*+ � � � � a � ■ �■�� ■�s� ■■�■ ■�e■ ■■�■ i��■ ��■ �� ■�� sl . ■�� ---�, .�� ■■ ■!l�11� �� ■■�� Bui�ding Inspections 763-572-3604 DATE ��, SITE ADDRESS _ THIS APPLICANT IS: PRO��PERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE BUILDI�TG RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS OCONTRACTOR STATE LICENSE # ❑ TWO FAMII,Y/NEW PERMIT TYPE I � �DTI'ION N 0 BASEMENT FWISH ❑ DECK �rE oF woRx: I o ❑ DESCRIBE WORK BEING SIZE OF IlVIPROVEMENT NLTMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEI�T: - - — SIDING ❑ Vinyl ❑ Aluminum 0 orh� WINDOWS IN EXISTING OPENINGS ❑Yes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED - 1 crry ( � � Cl `� � �` � 1 EXP DATE CTfY FAX CONSTRUCTION SIZE )NSTRUCTION STORIES ❑ GARAGE/5f�D � WII�IDOWS ❑ ROOF o Dx� Tn,E O SmING � OTI�R ❑ SWIlvIMII�iG POOL Pernut No.:��(�(),�, ' (,�,�C {d Received By: Date Rec'd: � � �c� ��s� � STATE�,Z �� LENGTH � WIDTH HEIGHT ❑ HOUSE ONLY ❑ HOUSE 8c GARAGE ❑ ATTACHED GAR.AGE ❑ DETACI�D GARAGE ❑Soffit ❑ Trim ❑ Fascia L�ATION OF WINDOWS Ft. BASEMENT REMODELING SUBNIIT: 1. Existing Floor Pl� 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 strucwres and proposed projeck 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING TAE COST OF LABOR AND MATERIALS: (USING� 997 U.B.0 FEE SCHEDUI:E) TOTAL JOB VALUATION $ /�(�� OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Charge Total Due $ $ , f� $ . .�O $ $ $ $ 0 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%) $5.00 (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 Agreement necessary ( ) Non Necessary ( ) Make checks uavable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMTT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information a.bove 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 pemut 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 worl ich requires review and approval of plans. SIGNATURE OF APPLIC l��i�PRINTNAME �1 � ��1�� DATE��lS�� (��,,��(� �.�-s �%.�t-4 �° �%2vi�� Page 2- Building Residential Application BUII�DING PERMIT FEE SCHEDULE The Chief Building Official sha11, before issuing permits for the erection of any buildi.ng or structure, or for any a.ddition to any existing building or structure; or for any altera.tion or repa.ir 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 �orth and in the manner herein provided to-wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1�` $500 plus $3.05 for each additional$100 or fraction, to and includin $2,000 $2,001 to $25,000 $69.25 for 1�` $2,000 plus $14 for each additional$1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $39125 for 1�` $25,000 plus $10.10 for each additional $1,400 or fraction, to and includin $50,000 $50,001 to $100,000 $643.75 for 1�` $50,000 plus $7 for each additional$1,000 or fraction to and includin $100,000 $100,001 to $500,000 $993.75 for 1�` $100,000 plus $5.60 for each additional $1,000 or fracrion to and including $500,000 $500,001 to $1,00U,000 $3,233.75 for the 1�` $500,000 plus $4.75 for each additional $1,000 or fi-action to and including $1,000,000 $1,000,001 and up $5,608.75 for the l� $1,000,000 plus $3.15 for each additional $1,000 or fi-action VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the ti.me of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � vc� � � � � � -�. � c c � � / � � � �. �� L,� %� �.�!� dY� li �� `/�.��Z �� a� / -G �� a U , �� L-r�c%�j' � �� r�' u�� - 1� �- � ?� ,� � � ---7; . V �I � � � -� \J ' � � G� � � � �� n � � Building � Inspe�tions 763-572-3604 DATE SITE ADDRFSS -� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STAT`E LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE TYPE OF WORK: BUILDING RESIDEN'I'IAL APPLICATION CITY OF FRIDLEY �� YOUR E-MAIL ADDRESS � _ � F^i. C�I.� v� `�DWNER ❑CONTRACTOR ,�DxESS: S �� L'i�2c�, � � � i�� ci�r PHONE: STATE LICENSE # EXP DATE Pernut No.: Received By: Date Rec'd:, �� S�4 �� ADDRESS: CITY STATE ZIP, PHONE f � SINGLE FAMILY/NEW CONSTRUCTION 0 TWO FAMII.Y/NEW CONSTRUCTION ADDITION '1�c� � 'f�. GARAG ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SIDING ❑ SWIMM n *�m , e t�r�rri n DESCRIBE WORK BEING DONE: ��` SIZE OF IMPROVEMENT ROOFING NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other FAX 'SHED 1G POOL u ► , AIIt ❑ REMODELING � � LENGTH ❑ HOUSE ONLY ❑ HOUSE 8c GARAGE 0 ATTACHED GARAGE ❑ DETACHED GARAGE OSoffit ❑ Trim ❑ Fascia WINDOWS IN EXISTING OPENINGS DYes ONo IACATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF V ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $��. �D OCCUPANCY TYPE 3IZE u wuv�ws ❑ DRAIN TILE ❑ OTHER HEIGHT BASEMENT REMODBLING SUBMTT: 1. Existing Floor Plan Z. Proposed floor plan 3. List of struchual members to be used I� FOR NEW CONSTRUCTION INCLUDING DECKS, ,ADDTfIONS. & PORCHES SUBMIT: 1. Site P1an/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Calculations Permit Fee Plan Review Fire Surcharge surcharge License Surcharge SAC Charge Curb Cht Escrow Erosion Control Park Fee Sewer Main Charge Total Due � $ 63.�i $ �. eXs $ a. oQ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee A01 times the total job valuation .0005 x Pemut Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Deternuned by Engineering Agreement necessary ( ) Non Necessary ( Make checks payable to: City of Fridley THLS IS AN APPLICATION FOR A PERMTT-NOT VALID UNTIL PROCESSED Attach I hereby apply for a building pemut and I acl�owledge 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 pemut and work is not to start without a pemut; that the work will be in accordance with the approved plan in the case of all work h requires re 'e and appr �al of plans. ^ SIGNATURE OF APPLICANT �� PRINTNAME�,`_,� �CDATE� � Page 2- Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official sha11, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or sixucture, 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: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 .. °��-� � � � � ��/�� , ..�. � � � _� r�, _� .A :� �- � _� � _� �, � � � � _ �-- .-�, ._ �, _.� ___._�;.. _._. __ . _. _ � :, � - . � �' ____ _ � _ : --- � -� � _� � � i � � '' � � (' � I; ��_. } k [ I r•.-, _.._.._._ _ �_ � � i ' � 1 _. ___�.___..__.. � . � ; _..�_ "� , __.. ; . � _ �!i _ � �__ � �� ; . .__ ._. ___------- ... . . ._ � _.__�____.___....�_.___.._. � , i �.._�..� _�. ��. � � . � ., � � ; � t �� .; . � � �; � � ., , ii � � �` � � � � „ --- --,- t i � � __�_.�._._�____...____._.__.�, __�..___.__. �� :::� �ti. � � � t� a � :� I i �� . � CERTIFICATE OF SURVEY DATE >>" fco-2eo5 . �MEASUREMENTS SHOWN IN FEET AND DECIMALS OF A FOOT� o= � RON MONUMENT F��^�fl " TH/S lS NOT A BOUNDARY SURVEY " BEARINOS ARE PER PLAT FOI \ "��Cg��/ ��"�' �1� � ° � SET'�'2.02�0 PROPOSED x'-�=� = EXISTINO ELEVATION I�HEREBY CERTIFY THAT THIS SURVEY. PLAN OR REPORT GRADES (�= PROPOSED ELEV. YiAS PREPARED 8Y Mf OR UNDER MY D I RECT SUPERV I S I ON �= D A I NAOE ARROW THAT I AA1 DULY L I CENS D LAND SURVEYOR UNDER C� �.'F'= ��•s L�� :, ��..Sc� E AWS 0 T ST NESOTA, g j�.� KURTH SURVE:INC� INC. OARAOE SLAB = � 4002 JfFFERSON ST. I�E. R ndy L. Kurih, L.L.S. No. 20270 TOP OF BLOCK = ^s� C LUMBIA F�ITS,MN 5542i ' '\ ,� PHOF� �76J) 788-9769 FAX (763) 788-7602 R U s s e I I J. Ku r t h, l. L. S, No . I 6 I I 3 BASEMENT FLOOR = r� E-MAIL: KURTHSURVEYOAOL.COM _��,�. �c•,=,c�i'.._.�;�-Y�o�: L.o�-� J�7 �.�o �jCa � 20 "Y� C�. C i �..p � �,Z �S � ; � '-`t'�� -ST � C� �'� � T � � �'� � '��+ SCALE IN FEET � L.O � t!� 1-( � lZ 1 V c-= SZ. � � C� �C d G'� KT �� Qk4X�a C��} k� ��'�,tii . � 3GNGl+��lla.�1�; � Nk p �a9 Av�. < � '� IFCONTOI�k h��G'� �` � � � J�'%�L..:�" �`-J �a c��y.=$38,8$(NUVO,r9z9��;=�- _ %p . � �$-��•2; w r 8�3�'�: �<< �,. c� ti-tYO�qcs'1-� -- _ -----... �`5 ��•�`9,--- t� �<<S�C��?�Q� \`l�3to•� 1 � �J U � � J � � �) � � � �� Cu �t.c� ��' ' �3�•4 � I� � �� •y C.t��_ • � � C�-r�$�to•,3� 6� o'"b" �. e � � r � �° C J� s�-�`�C� : M �� `` � ' � y �' � o'•.� 0� --� � . i � �� ` � zo•� � �' S-'oRct{ 'ry� .9 ,$�� ' � , c�� ,�S'I` �`' �°�a r, , 23• � ,' �� `�`__ �r' _.S ,_ - , � �� I � -- ►��' ' °'�5--�.�.`��. � 0 � sz., vE. `� z2•� � .X• ' � �.. 1 1� � '-v,�� 'q?"� � - \ i , � 00 �' � � to•2 X _ i � . ; -�- - ,�,� � � �x �,� �, "' i �y�¢; ', � �`�'� \ i Y 1�SZ.� S� Q oa � a � :� '�'" C- *-t�� nt L. t�.l K F��CGE �,mSt,+�L�:.SZ„ i �'i0i C l. �1`�. c7 _ _ � j '- ' � 1� � .�� M ; � kf �s � o �-� � , 3� � s I � ; /� � � � .�- � �,�R: 4 ��- �_._.... P I r•� � ��Jq'�'' � d3 ao�' 1$J` Y :(� � � � —� , , �� ' `=� .�. � "'r.y _ '-f � �` 1 � =. \ / 1 I 1 � � .r \ � � ' c; .�°,,a �� c� ♦ i � �" � t .�� ,��•$\ � q�� 7 r� � `� � Z i. ".C,S- 1 C�'.,-1 t.' �/.. 1. c B � � __.. � . �� . � y� � .f/� [` V �_ � � ► K� '--� � fr �--�----, � �o —�--� h---�- ,� --� i �� `�� i',� � � . ��-. �%�� Od �� —� � ^ .� s. � �` �� Proposal submitted do: Deb Strand 590 Hugo ST. NE Fridley, MN 55432 612-708-0172 763-784-4813 PROPOSAL DODGE CONCRETE COMPANY 1 @45 9d'� AVE IN � BLAIN� MN 55434 763-783-71� No: 618 Date: April2l, 2006 Work to be performed a7: ('rf dr,�'erent) We hereby propose to furnish all materials and perform all lubor necessary (unless otherwrse statea� for the compldion of I8' x 20' �arage slab, acfding to �.cisting gaf•age slab New concrefe to be 4" thick, 4500 psi, 12 " footing around perimeter and have fibernaesh inlaid throughout. All material is guaranteed to be as specifted �� above work to be perfornred and co�pleted in a subslmrtiol workmar7like manner for the sum of t�vo thot�sand one hundred seventy frve dollars ($2,175. 00) With prryment to be made as follows: Payntevrt in fitdl is dzce upon compledion. Arry necessary alteratiorrs or deviatiorrs from above spec�cations wil! become an extra charge over and above the estimate. All agreements contingent upon accidetats or delays beyond our control. Owner to carry fire, tornado and vther necessmy insurance on above work. Liability insurance on above work to be token out by Dodge Concrete Co. Al! above work to be guaranteed for o►te year beyorrd irrstallation date against surface peeling and/or blistering due to improper finishing. Dodge Concrete carmot be held liable for damage to concrete due to foreign agent such as road sall, battery acid radiator fluid etc. nnr can Dodge Concrete be held liable for arry cracks in the concrete at arry time afier installalion. �P� �i.t�,nA,tJ/�In. � '�'�� -'T Kenrreth L. Dodge, Owner Note — This proposa! may be considered withdrawn by us if nat accepted within 30 days without further notice. If payment is not made as outlined above, an rrdditiona! charge of ten percent on unpaid balance may be assessed Interest on unpaid balance shall occrue monthly at a rate of 18'�o per arunum. 6Ye shall be entitled to arry and al! costs irrvolved in collecting outstanding balance inc[uding reasonable attarney's fees. ACCEPTANCE OF PROPOSAL The above prices, specificatiorrs and conditions are satisfactory and are hereby accepted Authorization is hereby granted for work to be done as spec�ed Payment will be made as outlined This proposa! shal! become a legal arrd binding contract at the tirae both parties or their agents sign their names hereto. Date of acceptcmce Signature Title Signature Title .. . .� . , , • -�- -��i�.-�.: �� .�. R � � _� ; �, _� �� :�a �+ i � � _� � � � _� u�, � �� ..� _.__----______ . �___..__.. _._ .�._ `. . _._ ._..,. _ - -- 4 •---.... _..�_ �,. � s. - __.__— r� � t I___r � _ _� ----- : f � , ! � i I 1 i , � � 1 � � t � � i �.. :�. � � � ____._. ...._ --_- _.,., _ ��,. ._.__�___. �� ., . � � i � e r.—, t � i � �� i I � � �` i r � ; � � � ;' ,- �, � ��