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AF - 47218�-,� � /'-1 City of Fridley, Min.n. BUILDING PERMIT Da�; A,pril 23 � 1969 p�; Tri-Co Builders B�� Same Address ffi 7561 Van Bureu St. N. E. �,d�� Same ������� N° 10198 LOCATION OF BUILDING No. 7310 s�t Jackson St. N. E. p� of Lot Lot 23 _ Biock �' Addition or Sub-Division Melody Manor 3rd Addn. Coraer Lot _ Inside Lot X Setback 35' _ gq�y� 13 � 6" Sewer IIevation — 869.69 _ 872.69 Top of Footiag DESCRIPTION OF BUILDING To be Used as: Dwe� 1 ix� F'ront 46 ' Depth 26 � Height 20' gq, �, 1196 �, Fy; 23 , 9 2 0 a''�f� Front 22' Depth 22' ITeight 10' gq, �, 484 �, r-t, 4840 Type of Construction Frame �� �_$20, 000 To be Completed SEWER LOCABION - 140' North of Man.hole WATER LOCATION - 150' ftorth of Ma.nhole In consideration oP the issuance to me of a permit to construct the buildiug described above, I agree to do the proposed work in accordance with the deacrlption above set forth and ia compliance with all provisfons of ordinances of the dty of Fridley. �;i�?�i^ L f Connection Char In consfderation oP the payaient of a fee of $ 43 .00 � p��t fs hereby granted to Tri-Co Blders . to coastruct the building or addition as descrYbed above. This �rmit 9s granted upon the egpress conclition that the person to whom it is granted and h3s agente, employees and worl�en� fn all work done in, around and upon said building, or anypsrt thereof, shall cbnform in all reapecta tfl the ordinances of Fridley� Minnesota regardtng lacation, construction, alteration, maiatenaace, repair and moviug of buildinga within the dty ]imita and thia permit may be revoked at any time upon violal3on of aay of the provi�lona of said nnr7innwnne NOTIC� Tids psrmit d+� uof eovse ths coestrndioe, installaMon }e� wietag, phrmbtne, ea haHeg, sswa or watsr. B� arro te ss t6a Bnildio8 Inspeetor for aparaf� pormtls Por thess (tfms. _- - -. APP�,ICATZON FOR BIIILDING PERM2T CITY OF FRIDLEY, MINNESOTg OWNEL3'S NA�+ �i�� � � ���'�- ��P BIIILDER � AUDR.�S 'jS,fo/ lO,�i �•Z � Jv�'` . AUDRESS i� LOCATION OF S[TILDING NO . ��l � STREET , � LOT o7� B�,QCK� ADDITION OR SIIBDIVISIONr��'� �✓^�� 3�¢� CORNII3 I,OT INSIDE LOT � SETBACK c� s SIDEYARU / 3`G `� ,r._,..�� SEWER EJ�EVAT�ON TOP OF FOOTING .Ap�la.ca.r�.t at-�ach to this form Two Certificatea of Suxvey of Zot and propoaed bu�lding location drawn on �hese Certifica�es. DESCRIPTION OF BUILDING �'o Be IIsed As: .���� ��"'�'`� ��"�� � � Front '1��v Depth Height � � Squaxe feet /> 9� Cubic Feet � 3 P�� d � Fxont �'�— Depth a� Height f d Squaxe feet Cubic Feet y$�d , � Type of Construction �°��-�.C' Estimated Cost �. �-� , To Be Completed �� / � � � � v� ��� ��►s� '� b'�G � The undersi�ned hereby makes application for a permit for the work herein speci�ied, a.g�eeing to do all work in etrict accordance with the City of Frid.�.ey Ordinances and rulings of the Department of Buildinge, and her�by declarea that all the facts a.nd representationa stated in thia application axe �true a:nd correcte .� ��r,�, ���� c� D�TE �`�� � � � SiGN9TUR� � st.., ����-� .($oh�dule of Fee Costs can be fouzid on the Reveree Sideo) � � , �, / $�° _� � � �. �b � ��S ^ � �` � � e� �-�..�' � .� � l;f�.;..r.� F •'��" C� s � 1 1 _ • . r .f BiTILDING PEftMIT � FEE SCH�DUI,E S�CTION 2, The Iri.spector of Buildinga sha.11, before issuit� permits for the erection of any building or �tru.cture, o� for any additio�. to any c��i�ting �tructure or building9 or.for aiay alteration or repairs �o any' existing buildixa.g o� st�uctu:�e 9 upox� application therefore, requixe the pa,yment by the applieant for such permit oi fees to the amount herein below set forth and i.n the manner herein provided to-wit: Uniform Building Code: Type 1, 2, & 4-$1075 for each one thousand eubic feet, or fraction thereoi, i:n such cubical c.nntents. Type 3& 5- $1050 for each one thousand cubic feeto For the purpose of computing fees for building permits, the cubical ' c`t�x�tenta of any'b�.iidir�°add:itio�.� '�o°`a uni�orm liei�t�th�u�hau.t =%y `° ' multiplying the ground area covered from a point six (6) i.nches below the floor li.ne of the basement or the cellar to the avera.ge height of the upper surface or to the avera,ge height of the roof sur�ace of the main gable of a pitched roof. For repairs or alterationa to an existing atructure, the fee sha,ll be at the rate o� $3.00 per each iive hundred dollars (�500.00) or iraction. thereof irb the cost of all proposed worka In no cas� shall the fee charged for a�y permit as aet £orth in Section 2 be less thexi $5v00o NSSSD Cox�.ection.Chax ges ba�ed on lo�ation - Area 1 or 2. . . . , .. _.� ,,.�,=-T- - • � - - - - I�'�'1 �� L . a _ � rH. ,y. .Y � ,c.� c ,�+r±�a».txA„��tR��+� t �s' s` ar �'�... !� ,t b � +� �� . .. , .. . ,�.+ . r � `� � �;.�v ����,*�'-.�' .;.� r a�' �,ex- .. 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R� � � � � � ��p y � z O � � b � R+ � e K s� � � � � o� � M m �. W � � � � � a � m � � I �° I CLOSETB URINALS BATH > � rues � \ ` BASINS � o � � �' �� � � �' Q W � � O �' � y � � � � � � N I� � � y � , � � 0 � ISINKS �+ �• � � e � � WABH p C �; tJ � TRAYS � v? p a � �� �� � ORINK FOUNT. � O �' x � � O IsHOweRS nq Q.'� b' C� � � FLOOR O � � � � IDRAINB .� � ICATCH �' � � BASINS � �' � N �ph'�J � RAINW. CD f-b � ILDRB. � � � F M16C. � �• � FIX. �� `. W �I CdA9 IFI � � R IAPPL. � 6A8 � � RAN6E y ro � � � i �� � i � m � �� � m = � � �• � p �• � � `� �"�C�Qj. � `! ~, y 07 O � �� � � M . � � O �! �ro Z .� �� � Q 1 � `� ' , . , G� � , � � �, . � cc W � SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D i N G P E R M I T r � � � � � • COMMUNITY DEVELOPMENT DIV. � i V ����� r i � PROTECTIVE INSPECTION SEC. 1 . � � � /"'1 � CITY HALL FRIDLEY S$432 NUMBER REV. DATE PAGE OF �"'"'� � �'' 612-571-3450 9� 0-F15 5/20/83 / / JOB ADDRESS �310 Jackson Stxeet N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR, 23 4 Melody Ma.nor 3rc1 2 PROPERTYOWNER MAILADDRESS Keith Bellefeui.11e 7310 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS 4 5 ENGINEER Same OR DESIGNEH MAIL ADDRESS MAIL ADDRESS ZIP ZIP ZIP PER . _ 17154 RECEI . 9s �� APPROVED BY SEE ATTACHED SHEET PHONE � �so-ai3s PHONE LICENSE NO. LICENSE NO. PHONE LICENSE NO. 8 USE OF BUILDING RES].C12rit:],.�1 7 CLASS OF WORK ❑ NEW g ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 12' Poreh Addition 9 CHANGEQFUSEFROM STIPULATIONS � ���r�iG utili�ies Befare diBb+�� ��� �ocal T�I.EPHBNE -����TRtC - GAS Etc. REC��!IREp B'� �►W TO SEPERATE PERMt7S—�fQl11RE0 F4R W1Rt�G� HEATIN�, PLUMBt�NG ANQ SIG{�"5. i TYPE OF CONST. SEPARATE PERMITS AFE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOCZ Fr�t.' THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORI2ED 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 I FiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED $2 �%SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $38. SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE $9. 63 O� AC R OR AUTHOR12ED AG NT IDATEI , �' -dS ��J� .�.., �eo,�env,ruoowiwnca� IDATEI OCCUPANCY GROUP ` I OCCUPANCY LOAD CU. FT. 24o I OFFSTREET PARKING STALLS GARAGES SURTAX $1.38 SAC CHARGE NONE TOTALFEE $49. 51 :RLXIVALIDATED THIS IS YOUR PERMIT qP � � W _ H � Z Z Z � � - - _' . � _ __�. �._- � ' �. _.. .�l �.. :._' r?.-` --- _" �_�- ' � , � �._.. . ., . _ ..._. ._ . .. . . : _ . - - - -: , _- - : . _ a- -- :- � - - : �- - � .- _ � -_ . � - :�- � � _;-.��_:;::. -�;- .-.--_: --;-:.--�.- �v,� -� . _ . _ . --- � � _� : _ : �_- -� =- � . _� ; - : _ : _: r _: -- . � - �- -- � � .- i � - f � . _ �- ------ -� i � � - -� - . _ � . _ _;r � __,j -. +. ;_,. "_� _ ,_,� .__''i� :� 1 � - -,- � ; { _ T ` . {- - _ � _ _ � .-_� �--T �: ; �__ -� . � i --. ' -; . . _T _. __ . .. � -.. , -- - - . -- '-_,� .- . � _ .-a . �T- • " � ' __ _ 1 _ .. � .-, . .1 _ +. , > ' __. . . . � -. � ' . . . r 1 ' � ' . � � � � __ . . „ __ " _" " '_'. . ' i_ t • . '_1 .. . ... � .' ' ' . t _ . -i '.' " ' ' _"_ �� ' '. ' -1--� 1.._. . ;� ♦ � . . ._ .._� � � _ ,.. .� ;. . 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" - -- - - _--. _ ' •' - �-- -. -+- ; } _'_ . -�-j -�-' r'- • - .-� _ -� �'� _ �_ . _ . - _ �� �: i �. --. r-- - . ; ----1 - - �--, - - _ � . .1 � � __ : -T . _- ._. � - . �- � : � � � � :- � _ _. : . _ � _ , �T- � :_, , � �� , ; - � -, T -'f'_ � _--_-t �-f ' ' _+ I �_. -�_'1_ '-�-_� L� `_�. r . 4 i -- -+---�- f- -' - - - � i � � ` r-- . __ t--� ; -+-; -,-- -� '--:--� - r: } =�--�-- , , -T--! •--�- ; -�- ; i Z _ _ -- i • - � -+--� �-- -_ _ _-� r-� � -�--+ ' - `-�- t--F---F-}- : - � �-�-1- . ; - ` �` � = - I- ' . - - � _t._ . _ � � , _ -�_�- � --{--� ' -r; - - -. . � � . ' ' f �^ _i_: __ i ��,-F--� � b�.--T -� ' 1- i � �---� - -� • - ' - i ' _ ��-1 1 �t - iy_. �? -�.i i =r -1- ±-±- f--��� �-� -t- Y-- - -- ; � - � . . � . I �. __ � � M CITY OF FRIDLCY Effective �ug. 1, 1981 APt'L�CAT1Qi FOk R[SIDCNTIII� 6UlLDlP1G PIRt9lTS (Nc,,r. Alterattons. Additions. or Rep�irs) OW��R: � il�- �e � � u � `� BUILOER: ' . ADDA.ESS: �3 !� o(� e I�S e u S�7 � ADDRLSS: — TEl A0: ' ��� Z i 3 3 ' TEl N0: . _ ��� ��� � � I � � strvction Location • iTRTST NOa �,� / l� 6TREET: J/� � iC f' t7 n. S 7 ��c Lo'r: � 3 �i.00c: ,�� acnir�: �/'.p � �� ,�/� r��c- � ,� .� 2 ,� Cozner Lot: � sn�ta� Let: `�( ictbacka ________ Sideyazds: �-�--- J1p�]icar�t attach to t)�is lozm L+o Certificates of S1�zvey of Iot aru! pzoposzd buil�]ing loeataan drawn on eertificstes to seale. . - OE SCR I PT IO�t OF t;01•�STP.UCT 10�� f�Q.��� � �R� Fror�t: � � Oept?�s Height: 6quare Feets 2� � _ Oubic Feet: j� D � , Ftont: Deptl�: Bef�ht: Square Fest: p�bfc Peet: . ��U� ��oc�Q � ��� � a��°'� • � ���% �►pe oi Cbrstzuetion: �2A�� Esti�ated Coste : �` UJ -_� � 7b Se Onnplctee: Gj - / ' �-? — f11t. �► !�l t. B proposed, Drivc�+ay I:iath Ii Nev Opening Ie Desireds =' ��` . , . 6E� Ri.VER;E SIDE OF bHF�T � 7i�e undercigned T�ereby mal:e� app2ic�►tion for a per�it icz the �,ork f�ereirs apecifi�d, . egreein9 to �b ,all vork L, striec eccozdsnce with the City of Fridle�• Ordi»ances �nd :vli»�s of the Del�►�str►c�t of Duiidingt, and hereby declazes th�+t ail �ie facts and represe�G+�tfens stated in t]�is appiication are true and correct. narE: _ � ; !�� � � sicN�►zv�: 6tipulations: r� � ���� P � �. �� �1 J � � �5 � � � � "�_ sUILDING PERMIT ?EE SCHEDOLE The Inspector os eviiein�s •?�all, betoze issuaag pesmits ioz the •s�cticn oi any builaanq oz •tructure, oz toz any aeditioa to ar,y •:i�tiAq DuilaiAg or struetur�, os ior any altezation os z�paiss to �r►y •sistinq bvildinq oz strnctuze. npoa application t?�esetoze, s�quist t�e paysent Dy tAe applie�nt toz sue?� pezmit pi te�s to the ��oaat L�sein Delov s�t toztA and in the sannez rereiA pzovided to-vita !'0?11I. VJ1I�[)ATI�1 �l. oo ea i Soo. o0 SSOi �D ;2�000 i2.001 !c t25,000 f25,001 to �50.000 I lEES i10. �0 �lini�� Fee 515. 00 plus surcMrge :10.00 toz the iirst i500 plus Sl.SO for each •dditional =100 oz fzaction theieof, to ar�d ir�cluding :2,000 i32.S0 ioz th e fizst 52,000 p2us 56.00 for each additional 51.000 or izaction thes eof, ta and inclvding i25,000 i170. SO for the iirat S�S, 000 plus Sa. SO for each additional s1,000 oz tzsction th�eoi, to ar�e including iSO, 000 i50,001 tc i1C0,000 :263.00 foz the fisst =50,00� plus S3.OD for eech •dditional i1,000 oz fraction theze�f, to and incluair�g 5100, 000 i100,001 ar�d vp t4a3.00 ior the firat 5100,000 plus 52.50 icz �ach •dditionsl 51,000 or izaction thezeof pI.�W O�C7C: ZS percv�t of pui lding pe�rmit fee DRivfl,TA� DEPRESSION ESQt�i�T: Conczetc Q�rb 5tseeta �ly 111teznate 'J►•: Renov�al and zeplace�oer�t of cvrb and�guttez oaly , Orivevay vidth plus 6 feet ::13. SO ' 111ternate •B': Reaoval ar�d rep2scw.�ent ot cvrb ar�d gutter ana install a 3 ioot vide �ppzosch vith 6 iruh depth Drive�ay vidth plus 6 teet s:15.75 VERIFICATION OF FOUNDATION Permits toz cor�tsuctian viil De issued • �einiir+�n of ?4 hcurs fzom the time of applieation to allcw tor propez sevie.r ot the pzoposed ctzvcture and of the const� ction site. 11 Gertilicate of �rvey of the lot, showing the loeation of the foundation once it ?�as Deen vonstsvcted vill De zequized before proceed_ ir� vith the fzami�Q. �� � `� � v- �2 ."S� / � � � _'� � . � � �� r '� . c� � r � c�av�.�,►q cer� �r�ao,�,� Ks � r�ds,.�y,� ,a�����. ��s��� ENGINEERING, INC. �°� nn� i t��ool , slhir� e� � — En9ineers F Surveyors — cett���cate o� sszsve�r �•: �1'Y� DFV�I.O�m�.n'i � NOR'�N � " 5� I I aO ( �oT � � I o � �'+ I I t 61 � tr 112 `� �s 9 �� F` ✓l 0 N X U Q 7 Q ` � {� � OENOTES IRON__�WOTES ORAINAGE ANO UTILI?Y EAbEMENr � LOT 2;BlOCK�ME1.00Y MANQR 3RD ADOITION � �`�L1 y.A�KA T`Y f �� �/I� � �S Is O � � �CV /�li,'fb!/Or�f �O f(�'�/ �WC �f 1� �wH� CE�tJy� IS71d, w7d �'�,► /�co� �('y+ b�s , t�rnwr , ead rr/ nsrd�ft e�nvordmvaa�s . r�'arf. %n ar a�ad larid AS s�r'►eyed !+� nae 1hs -- dK� '�--��} - �� "�' SUdURBAN fNG1NEERfNG, /NC. 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O O • � eb . . . . � � : : : : : � : : : : : � N N � � °o 0 0 °o o° �» sn tn �n v� � � � � z � M � � � (i 0 .� 0 � � � o � W O r N 0 � N i O 0 � � x M 0 �° N � � N � 0 0 °o °o °o sn sn �w cn m 0 0 O y H Q R' � � � a � � � ro � � � � n � � �• �- � R. � �L �. � w � g ro �. �. h � h z ° � o N � � o m � z �C.. � � y � / b � b � S m su m � "�' � y � � � � �� � p � � '�°�� ti � � � � � � � � m � � �' ro � M m � : v� ¢�: � . . � oO : : pp 6 . . O . . . a � � � m � en o c o 0 0 o p <n O � a.o.� � � ;��� � y ��'�C � �p°�p p' �''�'� f�D A w � fi oc�op�. w p�.yo� `� y v �A � e� o :� � ��° � bd �, R• � a � �� I' j M• �+ � ¢ o Ul m y. ,." ti � ��5'b � ���b p =° `� � � ��a�p � � a' ., - ���� � � �' �. g ���. �j � f�D M ���� ��o x � •• � �x r+, � � � 5' D = i � � m H _ m C T G b » M � � � � Q A A 0 � � � � O � DO �� � � � � � _ � � �� � �� a � 0.:� �°! � �7� � � � � 90 � � � D 0. N 4\ �� � � � �� � ,- r� _ p � °�`i�= � �� ` �' �-��� � /����� -- / 7 � ��` �! /�1� �� .,�.. , �� �/ , �fF1�►T LOSS CALC`�JL.ATIONS �EPAIt7�MF,'oiT ut� IhrSF3t�C1�lO:e' I�I . Af�tIV. Weat�erstrips � �� • Coaetruction Na. � � ` lnseillation ' o�va I ea Fteference Out. WaU Int. Wall C.eiling Roof Floor Kind How App e No es o 19_ FL� � Room ([.ength - Width Height Fl.� oo� L.eDgth Width f�ieeiyqht � Win�ow� an ro—Cracka o and Area v1 Wis�dows and rs--Cracica and Ana ///��� -/ K'�dth HelgAt No ot gLlneal (t. Are► � v � Wld Helsh o. gLloul ft. Araa � ./ No. ot pane o! pane 116ht• o[ k . tt. � L � �� N. n ot a • ot aek aQ. t. �/ /n r I _ �"/ �/�` . � � ��� �c� lefilteation �' In�iltration - � Gla,e E�. wall Net e:p. wall lnt. w Ceiling Floor To tu. or �o. ins. W.A. Leader area � �id►h � tie►gnc r Area „ n at tt. Area � � ot crsot cp. tt. � 1� Inbitration G1a� E:p. wall Net e:p. wall � '� ' Iat. wall Ce�lmg Floor .-' To n. Requir D.R. or eq. iee. WA. r ar�a '• FI. Roa� � Leey�eh edth ' eight �li�ows aeirl �OOn--�Crackaee aud Area /^^� IdIA •I�bt Ne. Of Lln�al !t. AreO � N�. ot pan� ot a• 11 pi� ot c k eQ. t � ' � 1a61tra�in d:laas �� 109et t�, waDl Int. waQ Cciling floor T u. 1I � !��-� �'CJ I1 N �/ E.D.D R or �. iea, W.A. l�ader acea � Glaaa Esp. wall Z Nec eap. wall C� Int. wall �, Ceiling Floor / �_ �ota tu. ��� Requir ft. E.D . or eq. ias. W.A. l.eader area F7.1 m I Lengch �►idth ' Windows and Doore—Cracka�e ad Area Wte[n H�ISht No, ot l.�neal lc. Ans No, ot D�ne o(,�yle LsTab ot cr4c4 �. ft. � � In6ltration Glass F.�cp. wal) Net eap. wall Int. wnll Ceiling �Fioor Tot tu. ED.R. or sq. in�. W.A. Leoder sre� � y m I I.et�th Width --plei�he aed rackage and Ares H�I�ht AYa ot Llneal tR ♦n� /�i � o aae ►/�ht� o! e .!t- /� /� / lnfiltrstion Cala� • Esp. wsU ., � Nst e:p. well Iat. w Ceiling ,_Floor Tot u. ea�. � i,�er anea - -.�. ---- • _ ` ��� CAL�°�°I ,' ,rc '��, ;�� _ ' -�; ,. , ,�y ,� "_��,,�T �_-- _--- _— ATl �N.� - -- ; ; F ,�.' ;1 k 9 6 � il.� I U1- [\'�1�i ( lld�\ • Weatherstr�pa ��:���.H.�.E.:� "—`'� Cwde Conattuction 1�Ju, ' �� ----�. __ _ -- - --,- _ -- Yes �g e, Refuence ;' Ou �all Int. Wall Ceilsn� Roof �'�I — lnsulaeiod. �' " o -- Y� 1q_ � Floor I Kind f-(ow App e� ` Fl i Length ,�-�lyidth � Windows and Door e'? H�;�he � �_ q - rackage and Area {�� �°Om �48� C�Vidth _--f-��;�ht Wldth He1gryP Nn. of �p'4� �'YUI and D � No. ot pane of Linoal Pe. nre¢ � u�n�e „r ��.�k oors—Crackage and Atea '°�- 'a � �� wiain He1BAt o. oc Lineai rc. wraa / � � No. D e ot p 1• ot cr4ck �. tt. lC � j .--- . � �,s / II A � .� ��� / 1 1n61tretion —_ �aae E:ap.�--- �i�.., Net e—__ lat. wa11 • Ceiling Floor i- � ro u. _ KtqUlild b(j. �i. E.D.R. OP �. lfdf. W.A. LtedPP lY7�a Fl.� � en�th VVidth Window� and u�.,-�,,o,;�� aad Are� W� e e1�At No. o[ Llneal [t. Are� No. ot o[ pane 11 hl� o[ crnek t �p. tt. � le�ltiation �f• 8tu Glara Eap. wa1) Net e:p. wa�) Int. wali C In��e g Ftoor Total �tu. REquired sq. h, E,p.it. or u�. in�. P1/,A, (,ea�r area --� Fl. Room � LenBCh Width Wiadowe aad Doo �s8hi n---Gackage �nd Area waen KN�ee xo. o[ Lrre.a� te. wrea �a o! pane o[ pane IISBt� ol enck e a. tt. Is6hr�tio� �f' � �;lau 1 , Esp. wall i Es N� ssp. wall � � �� Int. wall �� Ceeling Floor Total �tu. �irmd oq. Fa. E.DJZ. � �. �i+.A. l�adc� ar�a `��ma,r�re„�. _ _ �•.., - a.. c..::::Y;w...�. — - dn6ltratioa Glaaa � F.xp. wall Net ezp. wall � Int. wall Ceiling �oor �^ __ Tot tu_ sq. ft. E.D.R. or tq, ins. �I.A, j,,eader arre r�.� Room I l..engch Q/;d�, Windows and D�rs--Creckage end Area Wldth Hel��t No. ol Llnsel [t. Area No. ot pane ot pan� ll�ht� ot craek W. ft. In6ltration Cilasa Eup. well Net e:p, wall Int. wall Cei�ing Floor Total Btu. Requiced �q. ft. E.D.R. or aq. iaa. �V.A. Leadee area FI.� Roo� I Lsagtb Width ��d°� °pd ��d--Craeleage and Area WIdeA He1sAt No. ot Llneal ft. p�y No. ot pan• ot pane IIQAt� ot er�cie .e a 1n6ltration ----_ Glese ------- Eap. waA --____ IVet ezp. w�ll J��, waA Ceiling E' loor 7'otal �tu. � d4 is�. �A ` __�� Iiei�6t C.oef.� Btu /o� T' R¢ ` �y �_ 7 CtTYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY, MINNESOTA 55432 • PHONE 16121 571-3450 April 9� 1984 Mr. Reith F. Bellefeuille 7310 Jackson Street N.E. Fridley, IrW 55432 Re: Concrete Obstruction In The Gutter Dear Mr. Bellefeuille: It has been confirmed by recent inspections that you have placed concrete in the gutter immediately in front of your driveway. This practice obstructs the Water flox in the gutter and can cause damage to City vehicles When clearing snow from the streets. Therefore the City must require that any material be removed from the gutter. To insure that all the concrete is removed and that there is no damage to the curb� a City street maintenance cre�► will be removing the concrete. Any initial costs Will be absorbed by the City, but if at a later date, it is found that a neW obstruction exists, any new removal expenses Will be the property oxner's responsibility. If you feel that a problem exists When trying to enter your driveWay from the street� please contact the City Engineering Department about acceptable solutions, e.g. constructing a neW driveWay depression. T* �ho��d be noted Work• The City is confident in your cooperation on this matter and again, if any questions or problems arise, please feel free to call on me at 571-3450. Sincerely, .o`� STEVEN J. OLSON, R. S. Environmental Officer SJ 0/mh CC: Mr. Ralph Voll�aa Supt . of Public iiorks �$�� '� :.r�=��� CITY O� FRIDLEY � J+�-�.:'�� d�31 UNIVERSITY AVENUE N.E.. FRIDLEY. MINNESOTA 6S�3Z TELEPHONE ( 612?571-3�50 - '"� o , '- _�". � �, �`�' .%'� October 26 � 1983 - ..�,�;,"� ���- — ��:, ,. � — <:.� - � • ..;�� �,z. .;,- .A��,x��; �,.�,�; -_���� Nr. Reith F. Bellefeuille .#� 7310 Jackson Street N.E. �' Fridley� !�1 55432 Re: Concrete Obstruction Zn The Gutter Dear Iriir: Bellefeuille: _ It has been cont'irmed by recent iaspectioas that you have placed concrete in the gutter immediately in front of your drivexay. This practice obstructs the vater flow in the gutter and can cause damage to City vehicles �rhen clearing snow from the atreeta. Therefore the City must require that any material be removed from the gutter. To insure that all Lhe concrete is removed and that there is ao damage to the curb, a City street maintenance crew will be removing the concrete -. Any initial costs Will be absorbed by the City, but iP at a later date, it is found that a new obstruction exists� any aew removal expenses will be the property owner's responsibility. If you feel that a problem exists when trying to enter your driveWay from the sLreet� please contact the City Engineering Department about acceptable solutions, e.g. constructing a aev driveway depressio n. j�. should be noted that only the Citv or its �u*�^^��°'� ^nntrae�OP C8fl do s±�rb and a�tter cement rrork. The City is confident ia your cooperation on this matter and again, if any questions or problems arise, please feel free to call on me at 571-3�►50. Sincerely� STEVEN J. 4i.SON � R. S. Environmental Officer SJO/mh �%_ K�i� ��c^��P- /rY�-,.�. NEW ADDN AL1'ER [ l E 've 5J26/93 �� L I Crr�t OF FRtnr.�Y Q�, �� � U [ J SINGLE FAMII.Y AND DUPL�XES R-1 AND R `L�' � Building Perrnit Application XConstntction Address: %� /C� �/�9c�sd � �� � � � � Legal Description: • �Owner Name & Addtess'.���E2 ��c� j� �� �J,��!,�� S7- Tel. #��a "�� ���ar; MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lc�, with �d�e preposed �ca�ucd:on drawn on it to s�a1e. LIVING ARSA: Length Q�ARAGE AREA: Length DECK AREA: Lengtt�► OTHER: DESCRIPTION OF IlVIPROVEMENT Width Vl�idth Rlidth Corner Lot [ j I�nside I,ot [] Ft� Yd Seiback . TyQe of Coastcuctian: Agprox. Con�letion �aate: Height Height HgtlGround Sq. F� �. Ft. �. Ft. Side Yard Setbacks Eslimated Cost: $ (Cost � Back) �Driveway Cnrb Cut Wi� Ne�d�: l�o Ft. + 6 Ft = A2� Ft x$ I 3.��i =� oZ 9' 4�� DATE: Permit F� Fire Surcharge St�ate Surcharge 5AC Charge License Svrcharge Driveway Escrow Erosion Control Park Fee Sewer Maia Charge S $ $ $ $ S $ $ $ APPLICANT: �. _�. _ ' ! �L F� �t�lule on Reverse Side .001 of Permit Valuation (1I1(#th°b) $.50/$1,OOU Valuation $750 per SAC Unit $5.00 (State Licensed Residentiai Contiractors) Alt. "A" Or Alt. "B° AbWe Conservation Plan Review $450.� Fee Determinal by Engineering Agreemem Aie�essa�y I l Not Ne�cassar�► [ l TOTAL $ STIPULATIONS: Tel. # BUII,DING PERMIT FEE SCHEDULE �'I'he 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 applica.tion therefore, require the pay�ent by the applicant for such permit of fees to the amount herein below s� forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,0� $2,001 to $25,OW $2.5,001 to $50,000 . . $50,001 to $100,0� $10(},001 to $5(10,000 $500,001 to $1,000,(�0 . $I,OOt},001 and up FEFS $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 pins $2 for each additional $100 or fraction ther�f, to and including $2,000 $45 for first $2,00p plus $9 for �ch additional $1;000 or fraction thereof, to and including $25,000 $252 for fYrst� $25,000 p��s $(.50 fur each additional $1,000 or fraction thereof, to and including $50,000 $414.50 for first $50,0� plus $4.50 for each additional $1,000 or fraction thereof, to .and including $100,000 $639.50 for first $1�,OOU plus $3.50 for each additional $1,IX10 or fraction thereof, to and inclu+ding $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,UQ0 or fraction thereof, to and including $1,000,000 $3539.SU for the first $1,OOO,Q00 plus $2 for each additional $1,000 or fraction �thereof � DRIYEWAY DEPRESSION ESCROW (Concrete Ctirb Streets OnIY) Altemate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternaxe "B" : Removal and replacement of curb and gutter and install a 3 foot wide . approach with 6 inch depth - Driveway width plas 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 structare and of the coastruction site. 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Ft Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: L`��✓%/1UG, � 5��d � 1�DJQ-c f-� 7'� �I � c.7'9��3� �l�l . ev Construction Type: - �L L— Estimated Cost: $ Z C�v� Driveway Curb Cut Width Needed: _��± 6 Ft �_Ft x$ _� DATE: J � Z S " �S Call (763) 572-3604 for Permit Fees if you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � �11f.�S � ` `�s� °. $ �7, �' � � `3��� $ $ a �� $ $ $ $ Tel.# l /2- 22/- `�3s �/ in application. Fax to 763-571-1287 if using credit carrl and we will call CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ TOTAL $ !�`f . �f STIPULATIONS: 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 buildi.ng or siructure, 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 $SOQ $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $5� 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 ea.ch additional $1,000 or fraction thereof, to and including $25,Q00 $391.25 for first $25,0(JO plus $10.10 for ea.ch additional $1,000 or fraction thereof, to and including $50,� $643.75 for first $50,0� plus $7.00 for each additional $1,000 or fra.ction thereof, to and including $1�,(�0 $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 ea.ch additional $1,000 or fraction thereof, to and including $1,Q00,000 $1,000,001 and up $5,608.75 for the first $1,0�,000 plus $3.15 for each additional $1, Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed. structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv � s� St�te of Minnesota oep�rtrn�nt ot commerce 85 - 7tft Plat�e East. 5uite � <;,� •. �-a� : St PaUI MN 55101-3165 �;� ����� . �.�. � .. . .<>: DBA. . Address: 4��,4�� AVE N ` _ ROBBFNSDALE, MN 55422 Ucer�e IdentH'ication Numi�r. BC• ��$Z ticense Ex�rtratian oate: 3l37l2005 � Department of Canmerce Licensing D'nrision Tetephorre: (651) 2�-6319 �rnail address: Ik;ettsMg.cornmerc�state:mn.us Webs�e addr�s: crommer�.state.mn.us . >.. .. _ . .< ,: A'�. � ....r......�..�-... �■:.Y..:.. .._.:' ..;., quaitfying Pefson: DMVID P DAHL cor�thwir�g �ducation: 7 HI^s C� due by 3/39/2Q05 CITY OF ERIDLEY INSPECTION DN. 6431 Uninersity Anenue NE CONTRACTOR LICENSE Fridley, NNm11 55432 (763) 572-3604/572-3602/572-3603 EXPIRES : April 30, 20(�' APPLICATION FOR FRIDLEY LICENSE 535.00 EACH - Mark only one license per application form [ ] Blacktopping [ ] Chimney Sweep [ ] Excavating [ ] Gas Services [ ] Commercial or Specialty [ ] Plastering [ ] Heating [ ] Roofing [ ] Masonry [ ) Sign Erector [ ] Oil Services [ ] Wrecking REGISTRATION FOR STATE LICENSED CONTRACTORS NO FEE For the following registrations [ ] Electrical [�]. Residential Contractor [ ] Mobile Home Installer TO THE HONORABLE CITY COUNCIL: [ ] Moning [ ] Plumbing [ ] Well Driller I herewith submit an application for a license to perform construction within the City of Fridley, in accordance with the ordinances of said City regulating the same. I am over twenty-one years of age. Submitted herewith is a Certificate of Insurance evidencing the holding•of Public Liability Insurance in the limits of $50,000 per person, $100,000 per accident for bodily injury and $25,000 for property damage, and Workers Compensation as required by State Statute Section 176.182. Attach Copy of CERTIFICATES OF INSURANCE Public Liab. Expiration Date Worker's Comp. Expiration Date *MINNESOTA LICENSE # 2--3'� � *ATTACH COPY OF STATE LICENSE FILL IN REVERSE SIDE OF FORM FOR OFFICE USE ONLY ��-c�b7 �c .�c5/Gti��l� Name of Company to be Licensed/Registered �1� N� C� �.� �G��I� Name of Individual to Contact �/i�/v �/2 N`—� d.r Jr- _ � ) , — Address of Com �����° � C����` � �D13C3�� 5 lJ�-� ���j� � City , � VI ,/�-1 �° � � -�1 v 763 -5 33 -v3.� (��� � � � Tel # of Busine Receipt # License # Counci WORKER' COMPENSATION INSURANCE COVERAGE � Minnesota Statute Section 176.182 requires every state and local licensing agency fio withhold the is�uance or renewal of a license or permit to operate a business in Minnesota until the applicant presents acceptable evidence of compliance with the worker' compensation insurance coverage requirement of Section 176.181, Subd. 2. Provide the information requested in the spaces provided, or certify the precise reason your business is excluded from compliance with the insurance coverage requirement for worker' compensation: I am not required to have worker' compensation liability coverage because: [] I have no employees covered by the law. [ ] Other (specify) [] Insurance certificate provided to City. MINNESOTA TAX IDENTIFICATION NUMBER Laws of Minnesota, 1984 Chapter 502, Article 8, Section 2(270.72) (Tax Clearance; Issuance of Licenses), the licensing authority is required to provide to the Minnesota Commissioner of Revenue your Minnesota business tax ident�cation number and the social security number of each license applicant. Under the Minnesota Govemment Data Practices Act and the Federal Privacy Act of 1974, we are required to advise you of the following regarding the use of this information: (1) This information may be used to deny the issuance or renewal of your license in the event you owe� Minnesota sales, employer's withholding or motor vehicle taxes; (2) Upon receiving this information, the licensing authority will supply it only to the Minnesota Department of Revenue. However under the Federal Exchange of Information Agreement the Department of Revenue may supply this information to the Intemal Revenue Service; (3) FAILURE TO SUPPLY THIS INFORMATION MAY JEOPARDIZE OR DELAY THE PROCESSING OF YOUR LICENSE ISSUANCE OR RENEWAL APPLICATION. Minnesota Tax ID Number Applicant's Last Name First Name Middle Initial Applicant's Address Applicant's Soc. Sec. # Position with Company Business Name and Business Address I have read and understand my rights and obligations with regards to business licenses, permits and worker' compensation coverage and I certify that the information provided is true and correct. Date Signature MECcheck Compliance Report 2000 Minnesota Energy Code MECcheck Soflware Version 3.2 Release lb COUNTY: Anoka STATE: Minnesota ZOATE: 2 CONSTRUCTION TYPE: Single Family DATE: Ol/27/OS DATE OF PLANS: 12/20/04 PROJECT INFORMATIOAT: NAWROCKI 7310 Jackson St NE COMPANY INFORMATION: Sawhorse COMPLIANCE: Passes �`�` f_� _ �ta�mum UA = 49 Your Home = 49 j 1T.$°/u�etter Th811 Code = ,-:- � �� Permit Number Cha k� By/Date Crross Glazing Area or Cavity Con� or poor Perimeter R_value R_Value U-Factor iJA Ceiling 1: Cathedral Ceiling (no attic) 240 38.0 Wall 1: Wood Frame, 16" o.c. 396 21.0 Window 1: Above Grade, Wood Frame, Double Pane with Low� 64 20 I�or 1: Glass 20 Proposed and Ma�mum U-Factor Averages Proposed Average U Factor Above-Grade Windows and Glass Doors Includes Foundation Windows > 5.6 ft2 COMPLIANCE STATEMENT: The Plans, specifications, and other cul been designeci to meeL�e�20�D���ilinp� 5.7 6 1.3 17 0.310 0310 6 Maximum Allowed U Factor 0.310 0.370 lding design descrt'bed here is consistent with the building terl with the permit applicatioa The proposed building has Code requirements in MECcheck Version 3.2 Release lb. Date l -' 2,�^0�' � CERTIFICATE OF SURVEY FoR: SAWHORSE DESIGNERS & BUILDERS LEGAL DESCRIPTION: Loi 23, Block 4, MELODY MANOR SITE ADDRESS: 7310 JACKSON ST. N.E. FRIDI,EY, MN . 00 �� I �` � ,< ��e Adjacent House I �;y ,� �0��0 BB3.l x x 883.2 ss�.o � N B9°44'18" w 112.00 61 881.0 � ( � $/54 w � I ti �M c � `J ol �' O C� 'o �i Q �$Q Converf ExisUng 3-Saoson Porch to 4-Seoson Ronm � �" �,._ 6I 882.9 x x 883.2 22.5 GARAGE o �� Gor. FU � � / M 883.1 � � 24. ��, 2� EXISTING ,N ���I HOlISE � � 1 8B4.1 a � , 12.2 M `�i 46.5 x 882.5 6rtuminous Orive x 882.5 � n �, , �T v ✓ � � � � �x 882.5 0.8 over line I I 33 I .�r 881.3 879.9 � M� ti �" d � �O � I 0��� �� 1V 89°44'18" �P B81.9 X 112. oo eeo.5 ��s.5 � Fanca 0.14 over Gne 88� 6 x' I Adjocenk H�use I � I 33 o Denotes iron monumenf • Denotes found monument x Denotes large spike x 000.0 Denotes existing elev. � _ • � ; � � W I � "' 1 r�� �J � � I � �:\EP\DFAW\ 1 271 L'.LIWG 1 hereby certify that this survey, p/an or report was prepared by me or under File No. DEMARS—GABRIEL my direct supervision artd thot I om o duly Registered Lond Surveyor under the 12718 LAND SURVEYORS� jNG'. �aws of tne State of Minnesoto. Book-Page 3030 Harbor Lane No. fts surve e; by me tn1; — <otn day of �ecembar 2o a4 428_9 Plymouth, MN 55447 Scale Phone:(763) 559-0908 • ��� David F. Crook Minn. Rrrj Nn. ,7q14 �"-30� 12/22/04 11:07 DEMARS—GABRIEL i 7635332668 � CERTIFICATE OF SURVEY FoR: SAWHORSE D.ESIGNERS & BUILDERS LEGAL DESCRIPTION; �ot 23, Block 4, ME,LODY MANOR S7'TE ADDRESS: 731 p dACKSON 5T. N,E, FRIDLEY, MN ``ce � � o� � ��� I O� �WJjOCr�f lfouDR �� ��op���, 883.1 z x B83.2 ee�.o �'_"_ e9°44'1e" w 112.00 61 8BT,0 I �/A4 � w�: � ~ � d � � I � � �� � � �0C Convvrf ixil(i»g J—SsOSOn 17.: PoroA to 4—Saoson Aoom I �„_ g 882.9 �� x B93.2 GARAGEp� /�if�rm�npu9 Ui��a Gar, I'U.= ry BBJ.1 I �---�--- za, o x 882.5 EXISTING � ,, ��� AOUSE � r� v � let FTr,R N i J � 884.1 �• `ti 48.5 x 892.5 x 8B2.5 ^ �Fente 0.8 ovor Hne ��°� �j` rr e�°4¢'ls" wy e 112 00 �++�I��11 Fenc. o.fs ovor lina �8�,6 • AdjUCln( iIpU.9p . � o Dsnotes iron monumeni • Denotes lound monument x Derrotes �ar9e spike Y 000.o Denoies exisling elev. �—......, c :\i'v'���nw� i � � t � ::wG ,.._..._,....—�� ..., I ne�eDy c�rlily thot thi9 survey, p/an or report wos prepored Gy me or under File N0. my direct supervision ond lhat / am a duly Registered Lpnd Survoyor undei tAe � 2718 Laws of tbd Stota ol Minnes�to, Book-?oge a� aurve ed by me tni� ?��� dQy of Dee�mbvr — ' � , 20_D4 , 4'l.Ei- 9 . I _____ a-�,�.... Scc�e 1 Unvin F (.'innD .. .. � ' °• - - DEMARS— GABRIEL LAND SURVEYORS, INC. 3030 Horbor I_pne No. Plyrriouth, MN �5�t4•7 Phone:(763) 559—Q9U$ � I J3 I k ee�.� ��e.9 � � w~ � � � � �r 88�.5 879,5 � � � �. 0 I � � � � � � �1 r0^ vJ � � I � _� SAWHORSE D�SIGNERS & BUILDERS Roger and Gwen Nawrocki 73 i 0 Jackson Street North F.ast Fridley, MN 55432 Job # 1800 �� U � 1. SCOPE OF PROJECT: Porch conversion Date: 12l20/04 Rev: 1l11/OS per CPR & C/O Walls to be removed shown as "sha.ded" on e�sting plan. New wa11s constructed are shown as "cross ha.tched" on proposed plan. WINDOWS- Pella Proline 2953 aluminwn clad casement window (qty. 2) Rough openi.ng: 2' S 3/4" x 4' 6 1/8" (includes 3/8" @ sill) Glass size: approx. 24" x 48" Glazing: Low "E", Argon gas filled Exterior finish: Clad; aluminum-white Interior finish: Unfinished wood Jamb size: 6 3�4��� due to new 2x6 stud. walls Sash to open as per plan, w/ "champagne" latch, rotos and screen No grids, blinds or shades included in this contract Trim: Oak ranch casing, stained by owner 2. Pella Proline 2953-2W aluminum clad casement window (qty. 2) Rough opening: 4' i 0 3/a" x 4' 6 1/8" (includes 3/8" @ sill) Glass size: 24" x 48" *remaining specifications simiiar to window #1 above* 3. Pella Proline direct set trapezoid window (qty. 2) (above window #Z) Rough openi.ng: 4' 10 3/4" x varies *remaini.ng specifications similar to window #1 above* � � EXTERIOR DOORS- Pella Proline 3781 French door Rough openi.ng: 3' 1'/4" x 6' 8 5/8" Jamb size: 4 3/4", due to mfg., door will not open past 90° Glazing: Low "E", Argon gas filled Exterior finish: Clad.-white Interior finish: Unfinished wood No grids or bli.nds included in this contract Hazdware: Mfg. Brass lever with three point lock Trim: Oak ranch casing, stained by owner MECHAIVICAL/HEATING per contrac� Reloca.te one existing wall register (living room). SPEC'S Page 2 of 3 [J ELECTRIC per contract; • ALL FIXTLTRES (UL listed), if on job site at electrical fuush, aze furnished by owner, installed by SAWHORSE. • Switch and outlets to be "IVORY" color. CABLE TV, SECURITY and/ or PHONE rough ins aze by owner. SAWHORSE will advise owner when to call for installation of the above items. • ALL electrical openings in exterior walls require an "air-tight" rough-in box. • No DOOR BELL BUTTON relocation is included in this con�act The following aze electrical items included in your contract: 6 - removals/relocations in existing area 1 - circuits added as needed for addition/remodeling 1 - hardwired smoke detectors with battery backup 3 - battery powered smoke detectors 4 - standard receptacles (wall duplex outlets) 1 - weatherproof ground fault interrupter (GFn receptacles 2 - standard switches 1 - ceiling fan/light openings with two switahes 1 - electric junction for owner's gas fireplace Any changes to the above quantitiea will be charged or credited accordingly. °�Indica.te any special receptacles needed for computers, entertainment centers or any special height wanted. [] INSULATION- • Wall insulation shall be R-21 friction fit fiberglass. • Floor and ceiling insulatioa shall be 3/4" thick rigid insulation (R-5) with 5" t�ick polyurethane "foaan-in-place" (R.-35) insulation in ceiling and R-30 insulation in floor. Four mil poly vapor barrier over studs and joists. [] DRYWALL — • %2" gypsum board over wall studs w/ taping process, sanded smooth for ovv�er's prime, spackle, and painted finishes. • 5/8" gypsum board for all ceiling applications w/ taping process and "medium" texture finishes. [] FIREPLACE- By owner. Install new 42" Country Stoves Cha.teau 42DV (R.O.: 43" x 35 %2" x 20 3/4") with stone facing, raised hearth (15" high x 19" deep), and an unfinished wood mantel ($500 allowance). Stone facing, gas piping, and fireplace provided and installed by owner. (Facing- Hamilton Blend 56120-3 Boulder Creek). [] GENERAL NOTES [] CAUTION: Do NOT remove, t.�ar dawn, or dig up anything before buildi'.ng permit is on job site. SPEC' S Page 3 of 3 � [] OWNER to protect or move all personal property from in or around consttvctioa area, bath interior and exterior. Please review area before construction start-up and remove necessary items. [] OWNER DIRECT "Not Inclnded in Contract" ITEMS: SAWHORSE to assist in schedule coordination • All painting, staining and decora.ting by OWNER. • Fireplace, stone facing, and gas piping • LIGHT FIXTLJRES • FLOOR FINISHES • Modifications to public utilities • ABATEN�ENTS (lead or asbestos) • Corrections of existing substandard conditions (structural or mechanical) Owne�r is responsible for all N.I.C. obligations: Selectioas, schedule costs, liabilities and warranty issnes. Q Clean up of building debris at job completion by SAWHORSE. Dumpster may be left on job site for building debris. (No tires, appliances or neighbor's matt�ess). [] Any yard damage REPAIR including ttees, shrubs and all landscaping by OWNER. Communication is essential for a successful projec� Project Manager: John Westgaard cell (612) 221-4354 Construction Administrator: Tracy Wright (763-533-0352 ext. 241) Weekend EMERGENCY Pager: 612-527-a590 '� �,�,�L/ � � � �D65 ORDER FOR PAYMENT NO. - �- - _>�,�. ; - �'�-,�i' a�€R F� Installer of Wiring `/ �� � ` `�' � �"` ` � � h/ t� k� i� ��c �c i Job r�/`��� `I Owner/Occupant _ . �:� - ;'iz<<�� Property Address �`-��� � ������ Z�p � Date �_� .S '� �` t� Permit No, ��:� 7�� " t y � Date Filed � O Additional rough-in inspection was required. ❑ No access - scheduled inspection. [a'Fee shortage - see computation. O Reinspection fee. Fee Computation: � ` / �`' S� � �c'+ � . � / � �� r_ ..�- ��" .f �, c � �, � . fj •- r c� � � � � �, z, 1l� �� �7 j [ -i ,�r � � � iz,, t`��� �c�� ,nl, �' �= iz, �f �r � �"1!I H , .S S"Y-f:� --�/3 �3� 5� Please retum this order with your check in the amount of ��`- �� `—� payable to the city/ � township by (date) 5 �— � � � �'�S inspector �'�'�`�' `J—' _ Telephone �'��— �� 7 7 � �`� RETURNTHIS ORDER WITH PAYMENTTOTHE CITY/TOWNSHIP WHERETHE JOB IS LOCATED. RC-02