AF - 47654i
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City of Fridley, Mirm..
BUILDING PERMIT
nate: _.._. �T�.ne 25, 1965
-�����
N° 8035
owner: ..�� __�_.. s Msi.er su3�der _ Reco Ccrostru�ctioa ._.._.._.__._____
A� d321. Jefferson Street N. E. A� 1311 Sant� 5th Strset
LOCATION OF BUILDING
Na 6321..�.. Street Jeffers� 3tr'eet Ai. E. �..._....�.. Part o! Lot
Lot _.___...1�.�..__ Block _____�__ �. Addit3oa or Sub-Divisio�n __.�e.��_�� ��
Corner Lot .__ Inaide I.flt �.� Setba.ck ._._._ Sideyard _..
Sewer Etevatiori _____.� � Foimdation IIevatian f
DESCRIPTION OF BUILDING
To be Vaea as:
F�o�tt Depth Aeight Sq. Ft � Cu. F't
_. I+�+ont Depth w I�eight _.._. Sq. F't. Cu. P't.
Zype of Coi►structiara w.. ____��... Ee� Co�t �-s�?�...—.._._ To be Completed
S'�Ol`l� GI&�18p,@ T�p&j.i'
In oonsideration o! the issuance to me of a permit to cans the b�
tt� propo�ed work in atxordant:e with the dhstxiPtf� abave orth and
aa�dinances o! the city of Fridley.
I agi+ee to do
pa�ov,�[ons a�
� r
Ia ca�sidarattan � the payaient ot a tee oi � 141.0�_, �t ia hereby► graated toaeco Constructicn
to c�struct the building or additfari as d�aribed above. This t is granted upo�
the express condition that theperson to whom it is granted and his agents, employees an worlanen, in all work
da�e in. aroiuid and upo� said building, ar any �art thereol, shall oonform in all respects to the ordinances of
Fridley, Minaesota regarding locaticm, constivetlon, alteratio�. maintenance, repair and mavin8 of build�
wi�� dty limits and this permit may be revaiced at auy time upom violation of any of the provisians at said
Allen Jeusen B�� �
NOTIC�
� p�nrtf deN �ef eewr fla ee�elio�, � hr wkiW PluwbisW Yu MNbo, s�ww er waM. M son fo s»
Nw 6�iWinY h�der ter s�p�ra1� p�e�ib for 11� h�aa.
� APP'LICATION FOR BUILDING PERMIT
. � CI'i'Y OF FRID�LEY, M�ISSOTA
owr�� � s Nar���' �/ � f i S' 1Nl f=i- l� Y ' svn.n�R
ADDRBSS � �.� � `-cT_� /�-�� r.� �► �( S� i %���ADDRESS,
LOCATIO�i OI� BUILDING . _ .
No._ � ��; `� I Street TE' �i�F'"�'-s �/U � �F'art of Lot , �`
'� � . . , . . _ i . ���
LOT BLOCR__�`ADDITION OR SUBDIVISION
Corner Lot�Inside L � etback ' �Side-Yard '
SEWER EZEVATION POUNDATION ELLVAI'XON -. '_
_ � . .. ..
Applicant attach to this form Two Certificates of Survey of Lot and pso�osec�.,
. building location drawn on these Certificates. � _- .. �
� �p�%��C� /'�%�3"h'l�lY�
�-�� ,,,,�/�-�o- . :,��1`�'�� �`� n�scRZ�rzox � sun�nn�c Nl �aS �-- . , ����f� /�-%i�S'
To be used as; - . , ,
Front Depth � Hei�ght
Sq. Ft. Cu. Ft. �
, . , - . , ,�� .
Front 'Depth��TAeight ... _.
Sq.` Ft. Ci�..Ft.
Type o� �ouatruction C� %� LY��,_��}�' � Betimeted Cost q� ,�'�"E% 1�'
�. ""'"''"'" '� .
- To be campleted - � � . �- (°:.- � . •
t.
The undersigned hereby makes application £or a permit for the work herein-specified,
agreeing to do a11 wo.rk in strict accordance with the City of Fridley Ord�nences
and rulings of the DepartmenC of.Butldings, .and herebq declaree that sI�'the facts
and representations stated in this appl�cation are true aad `corr�ct. '�`�
� ��,� t � `� ' .�`� Jc�
� . _. ,
DATE .�- SIGNA __ , ,P . � , �, �, �! '- s
e of Fee Coa ts can be f ound �s�-t�ie Reverse S ide ).
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City of Fridley, Minn.
BUILDING PERMIT
Date: ..._. OCTOBER 1, 1965
�d �d�d
N° 8503
�: � DENNIS MAIER B��r _ r RECO CONSTRIICTIOR. C0�____
Addreea ...__ 6321 Jefferson St. N. E. ^��_ A�s �� 1311 South 5th Street
Fridlcy 21, Minnesota wW Minneapolis 4, Minnesota
LOCATION OF BUILDING
Na ....__�6321 s� � Jefferson St. ft. E.__�__._W_. Psrt o! Lot ____._..
Lot _.._.. 13 .._._.__ Block _�.. 5 _.. Addiittou or 8ub-Dividaa► ._._.._ Christie
Corner Lot _._____......._.. Indde Lot ___.._._..�_____.__._. Setback ___.__._......_.r..._ Sideyard __._
Sewer IIevaticai �._._.._._.._.�......�.. _.._.____ Foundattaa► Elevatio�► .._._...._ ._
DESCRIPT{ON OF BUILDING
To be Veed as:
Att. Garage�� �t 23 .... Depth ._._22 Height ..Wl� ._ Sq. F't. 5� Cu. Ft ?..:�0
.._._._._..._._....._,.._....._.._....._ Front � Depth _..._ Height _._.._�.__ Sq. FL __ Cu. F't.
Type of Co�ataucti� _. Frame _. Ee� Cost $1, 518 . 00 To be Completed _.._.
Iu co�dderation o! the isruaaee to me of a permit to coa�atruct the buildin� describad aboNe I agree to do
the propo�ed work in accordance with the deacriptioa ebove aet lorth and in compliance with afl p�avidons o!
ordinaac�s of the dty o! F�idley.
� ����� � �� � � � � ,
Ia coodderat[on o! tihe paya�ent oi e!ee e!; 5__�___�� _.., Deraiit ie hereby �rantsd to._._RECO
CONSTRUCTIOR : C0. to construct the buildin� or additlau ae deecribed sbove. This perrnit is granted upan
the exp�ress oondition that thepe reart to whom it ie granted aad his agents, employeea and wo�1� in ell woTk
done in, around aad uP� said buildla�, or anyp� thereol, shall conlorm iri all reepects to the oTClineace� o[
��Y� �� �ar�n¢ locatio� conatructiom, alteratio�, maintenance� repair aa8 mavluu� o! buil�tn�
o�rdinan�. d� �ts and th�s pe:mit may be revoked at any time upoai violatiari of aay oi the P�'o�aru o� �aTd
ALI,EN G. JENSEN � �
NOTICEt
11�M p�nnil dea aef awr fM eaahdNlay in�alMNes Mr wlri�. Pb�b1�W N� Iu�Mu�. �rK er wahr. N a� 1e �
NN �rNdia� I�upMloe ioe wpwN� p�ih ht tb� NMa. �., ..
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APPLICATION FOR $UILDING PERMIT
CITY QF FRIALEY, MINNESQTA
,
OWiQER' S NAME ' �.�
t�le.�r��� �cl��/ B�JILDER �„�.,,.�,
;� .
ADDR8S3 / �a?I � �C�„��p � Y1 f. ADDRESS `
.._,......
. � �/ . � � � .. .
L�ATiON OF BUILDING �� / - � �
y�� - Street PBrt of Lot `
- ........._,_.._.
L�T K ADDITION OR SUBDIVI510N
Corner Lot`Inside LOT�_Setback Side-+4ard
�SE6JER ELEVATIOiV FOUNDATION ELEV�OI�L
+ , �._ �: e�...�.�
Applfcant attach to thia form Two Cartificates of Survey of Lot and propose�l
_ tiuilding location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDII3G
����st.PJ c�.y.��,�� � gront_ �3 �,Dept4_ aa ` Beight � •
Sq. Ft._ �-D� Cu. Ft.
Frcmt DepCh ��fleight . �
� Sq. Ft. Cu. Ft.
Type of Co�tstruction _ „�., Estimated CosC- ,�-/ �
6� . �
To be� compleCed ��D � "� ,� )
"7� `� w
SE'he undersigned hereby makes application for a permit for the work herein sp.ecified,
agreeiag to do a11 work in strict accordance with the City of Fridley prdinances
and rulings of the Department of Buildings, and hereby declares that a11 the facts
and representations stated in this application are true and correct.
HA?F _ �� I- � 9�� T SIGirTATfJRE
(9chedule of Fee CQSts can be found on the Reverse Side).
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sue�eci PERMIT NO. -
City of Fridley 321 �
�
AT THE TOP OF TME TWINS g �� L D I�1 G P E R M i T
,,
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COMMUNiTY OEVEIOP�ENT pIV. ��� ��o w " ���
f � � PROTECTIVE INSPECTION SEC. � 4
� . ,
� � �"'1 � CITY HAIL FRIDLE� 35�32 NUMBEp pEV O�7E P�GE Oi �nvpOVEO Br
�'�"�"� �'� 612-57�-3a50 s�aF�s 9/6/O1 � `
108 ADDFESS 6321 Jefferson Street NE >
1 LEGAL �OT NO. BLOCK TiiACT OR AbDITION SEE ATTACNEO
oesca. 13 5 Chr�stie AdditiorL s►+eer
2 PiiOPERTY OWNEA MAIL ADOR�S$ 21P PHONE
Charles Segner 6321 Jefferso:� Street NE 763-571-0862
3 CONTRACTOF MAIL ADORESS 2�P PMONE IICENSE NO
S SIII2
e ARCNITECT OR DESIGNER MA1L ADORESS ' ZIP PMONE UCENSE NO
5 ENGINEER MAllAODRESS ZIP PHONE IICENSENO
6 USE OF BUILDING �
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION �7 REPAIR O MOVE O REMOVE
8 OESCRIBE WOHK
H�� Reroof House (20 Sq) Tear-off
9 CHANGE Of USE FROM TO
STIPULATIONS
Ur_deriayment must comply with the State Buildirag Code.
7YP�OFCONST. OCCUPANCVGROUP OCCUPANCYlOAO
SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAL, PLUMBING. MEATING,
VENTILATING OR AIR CONOITIONING
TM{S PERMIT BECOMES NULL ANO VOID IF WOiiK OR CONSTRUCTION ZONING SO. FT CU FT
AUTHORIZED IS NOT COMMENCED VyITHIN 60 OAYS. OR IF CON57RUCTIpN �
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 12Q DAYS A7
ANY TIME AFTER WOaK IS COMMENCED. " NO OWIG. UN17S OfFSTREET PARKING
i NEREBY CERTIFV 7HAT I HAYE REAQ ANO EXAMINEO TMIS APPLICATION 1 STA6LS GARAGES
AND KNOW THE SAME TO 8E TRUE ANO CORAECt. ALL PROYISIQNS Of I,AWS VALUATION SURTAX
AND ORDINANCES GOVEiiNING THIS TVPE OF WORK Wlll �� COMP�IEO
WItH WMETNER SPECIFIED HERE�N OR NOT. TME GRANTtNG OF A PERMIT �2 � 144 $1 .O7
DOES NOT PRESUME TO GIVE AUTMOFI7V TO VIOLATE Oii CANCEL THE pEfiMITfEE SACCMARGE
PROVISIONS OF ANY OTMER STA7E Op LOCAL LAW REGUUTING CON- $$3 , LS Fire SC �2. 1�1
STRUCTION OR THE PERfOFMANCE Of CONSTRUCTIQN
PLAN CMECK fEE TOiA� FEE
$86.46
S�cN E CON"FA(;iOQOAAU Op�ZED�GENT iO�TEi ME PROPERLY VALIOATED TNIS IS YO R PEF IT
�� � �G a� 9 � y
•TUAE O� OWaEa��c OwNEQ RDEAi �D�TE� � � � ip5� - � � � r�arE
w `
NEW [ ] Effective 1/1/2001
ADDN [ J . CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: __ (,p � � �����- e S o n� S�
Legal Description:
Owner Name & Address: �1-1�2 l. �� � SEG�E�- Tei. # Y6 3-�7/ od'G �
Contractor: MN LICENSE #
Address:_ � Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length
Length
Width Height Sq. Ft.
Width Hgt/Ground
�� s� -�E- � r' �� � �re
Sq. Ft.
P
Construction Type: `I`ar, � i n1 <� Estimated Cost: $ "��7'� v
Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � � � - � � APPLICANT: � � Tel. # 7G .3 � �7�� �02
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ��f Fee Schedule on Reverse Side
$ . / .001 of Permit Valuation (1/10th%)
$ lr D �% $.50/$1,000 Valuation
$ $1150 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 [ ]
s
I �_____ �
_..
sue�ecT RfiA1 N .
C�ty of Fridley 3 3 6 2 8
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
� • R IPT NO.
� �
� • COMMUNITV OEVELOPMENT DIV.
' j ti ������, ���
r � � pROTECTIVE INSPECTION SEC
� �
l_--. �;����;•/ CITY HAII FRIOIE� SS�3Z NUMBER pEV O�TE VAGE OF AViROVEO 9�
L f` 763-571-3450 910-F15 6/20/03 � /
J08 ADDRESS 6321 Jeiferson Street NE
t LEGAL �OT NO. BLOCK 7RACT OR ADOITION SEE ATTACMED
DESCR. 13 5 Christie Addition Sh1EET
2 PROPEiiTY OWNEii MAIL ADDiiES$ Z�F PHONE
Charles & Karen Segnar 6321 Jefferson Street 13E 763-571-0862
3 CONTRACTOR MAIL ADORESS Z�P PHONE �ICENSE NO
Owr�er
� ARCHITECT OR DESIGNER MAII AODRESS ZIP PMONE LICENSE NO.
5 ENGINEER MAtL ADDfiESS 21P PMONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
G� NEW O AO�ITION � ALTERATION O REPAIR p MpVE O REMOVE
a oescaiae woaK
Construct a 41' x 24' Detached Garage; Convert eYistin attached ara e to livin are
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan. Provide a hard surface drivewzy. Variance
4�03-03 approved to reduce the side yard �or iiving area from 10 feet to 6 feet.
Permit issued subject to variarce approva' stipulations.
WARNiNG
SEPARATE PERMITS Before digging call for
REQUIRED FOR: a�� uti�ity �ocations
WIRING HEA71N 4�0002
PLUMBIN� ANa SI6�i�1s �tEQUIRED BY LAW
TVPEOFCONST OCCUPANCYGROUP OCCUPANCvLOAO
SEPARA�E PERMITS ARE REOUIREO FOR ELECTR�CAL, PLUMBING. HEATiNG,
VENTILATING OR AIR CONOITIONING.
TMIS PERMIT BECOMES NUII AND VOIO IF WORK OR CONSTRUCTION ZONING S�. fT CU FT
AUTHORI2ED IS NOT COMMENCED WITHIN 60 OAVS. Oii If CONSTRUCTION
OR WORi( IS SUSPENDED OR ABANDONEO FOii A PERIOD OF 120 OAYS AT
ANV TIME AFTEF WORK iS COMMENCED NO DWLG. UNITS OfFSTAEET PARKING
I HERE9Y CERTIFV THAT I HAVE REAO AND E%AMINEO THIS APPLICATION 1 STAILS GARAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROYISIONS OF �AWS VALUATION SURTA%
ANO ORDINANCES GOVERNING 7HIS TVPE OF WORK WILL BE COMPLIEO
WITH WMETMER SPECIFIED HEREIN OR NOT THE GRANTING Of A PERMIT �31 f 7S6 �iS.B%
DOES NOT PRESUME 70 GIVE AUTHORITY TO VIOLATE OR CANCEI THE pERMIT FEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGUTATING CON•
STRUCTiON OR TNE PERFORMANCE Of CONSTRUCTION $461 .9S Fire SC �3I. .%S
PLAN CMECKFEE TOTA�iEE
$509.57
5� ►reju O�CON'QACTOQOAOUT �2EDaGEN* iD�TE� WMEN PROPERLY VAUDATED TMIS IS VO A PE Ii
L�, � � �
�Gtiv7UAE O� OwtiEA��� O NEQBU� EQ� �OATE� � BIOG �NS� ��� F
NEW
ADDN
ALTER
[] • 1 CITY OF FRIDLEY Effective 1/1/2
[] ' 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 BI ns
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 ax
BUILDING PERMIT APPUCATION �
� �
Construction Address: �O 3�
� � �C►�-�o�J .
Legal Description:
Owner Name & Address: � r� a 2 �� s C '` 4�—�-�C �1 S�G��TeI. # 7� 3. 57 i-0�6 �
Contra�tor: �1.J ►� b 2 ___ MN LICENSE #
Address: Tel. #
LIVING AREA:
� GARAGE AREA:
Attach to this application, a Certificate of Survey of the __�
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length ' Width � Height
Length `�� � Width oZ 'y � Height ��
Sq. Ft.
°sa. Ft. _ 9� �'' ,r1? // =
� �,5�'�. a�
DECK AREA: Len th ' Width HgUGround Sq. Ft. '
� OTHER: �/ �1 tf � p /� l �i`i.� 6 E�.�,
l/�"�2 D/V ja aao _ °'
Construction Type:�����1� ____ Estimated Cost: ������•- �
� R�'ll
��� �v� _
Driveway Curb Cut Width Needed: i� Ft. + 6 Ft =�� Ft x$ � 0• �d =$
DATE• � ' � �'� 3
Call (763) 572-3604 for Permit Fees if mailing in applic�
call you for card number.
cinr usE
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
�__��2C_�.
$ 3l� 7 .�
$ v��
$
$
$
$
$
$
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12
wo ��)
Tel. # �o't � � J��o
to 763-571-1287 if using credit card and we will
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ j Not Necessary []
TOTAL $ Sul • �7
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SLAB� Nor�ina
Seal Down Shingles
r-- Roof Sheathing
Ice & Water
�'t't��2,
2'X4' Studs
Grade
0
Closing of attached garage door:
2 x 4 studs 16 inches to center
trusses 2 feet apart
R19 insulation
6 mil vapor lock
5/8 inch sheetrock for ceiling
'/2 inch sheetrock for walls
30 pound felt for exterior wrap LI� S/D/,v�//�2�/�/`
7/16 inch OSB wafer board it,/��y iQZL ��.:r��'�' L�4. �. �� �O. C, y% �+C,�
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The Home Depot # 2802
5650 MAIN ST, NE, FRIDLEY, MN 55432
(763) 571-9600
Fri Jun 13 14:10:46 2003
CHARLES SEGNER
GARAGE 2 (GEM)
125124
Drawing: Plan View
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24'
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The Home Depot # 2802
5650 MAIN ST, NE, FRIDLEY, MN 55432
(763} 571-9600
Fri Jun 13 14:10:46 2003
CHARLES SEGNER
GARAGE 2 (GEM)
125124
Front Side
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LI . �
The Home Depot # 2802
5650 MAIN ST, NE, FRIDLEY, MN 55432
(763) 571-9600
Fri Jun 13 14:10:46 2003
CHARLES SEGNER
GARAGE 2 (GEM)
125124
Back Side
�
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The Home Depot # 2802
5650 MAIN ST, NE, FRIDLEY, MN 55432
(763 ) 571-9600
Fri Jun 13 14:10:46 2003
CHARLES SEGNER
GARAGE 2 (GEM)
125124
Right Side
M
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The Home Depot # 2802
5650 MAIN ST, NE, FRIDLEY, MN 55432
(763)571-9600
Fri Jun 13 14:10:46 2003
CHARLES SEGNER
GARAGE 2 (GEM)
125124
Left Side
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Ju1y 1, 2003
To whom it may concern: ✓
We, Chuck and Karen Segner, of 6321 Jefferson Street Ne, Fridley, Minnesota, give
our permission to, Ron and Pat Heid, of 6311 Jefferson Street NE, Fridley,
Minnesota, to replace the e�isting air conditioning unit Iacated on the North side of
their properiy with a new air conditioning unit.
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NEW
ADDN
ALTER
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[] CITY OF FRIDLEY Effective 1/1/2003
[] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp
[) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION '
,;�"� Construction Address: � � � � � �,�E:2 S v'J � c � �
Legal Description:
Owner Name & Address: � N-!� 2 �-- s S�G �l �� _ Tel. # 7 L 3• .� 7� � ���2
� Contractor. 6 W n1 -- z � MN LICENSE #
' Address: Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width HgUGround Sq. Ft. �
��`� N �
Construction Type: Estimated ost: $
D�o P,2� ��- �7 s� /� s�
� Driveway Curb Cut Width Needed:1,�,Ft. + 6 Ft = �Ft x $ � � �� _ $ �'��� � �
�
DATE: ��� r%-3 APPLICANT: Tel. #��9 �_ �%!-dd'6�-
�� , .
Call (763) 572-3604'for Permit Fees if mailing in application. ax to 763-571-1287 if using credit card and we will
catl you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$
$
$
$
$
$
$
�
$
Fee Scheduie on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 $ �TIPLILATIONS�
ADDRESS
PIN
LEGAL DESC
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-36U4 1+'AX:
: 6321 JEFFERSON ST NE
: 143024420079
: CHRISTIE ADDITION
: LOT 13 BLOCK 5
571-12If7
PERMIT TYPE : HEATING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : FIREPLACE
VALUATION .
NOTE: INSTALL GAS PIPING FOR FIREPLACE. CALL FOR GAS LINE AIR TEST.
VALLTE (FOR MINIMUM CALC) 200
APPLICANT
FIREPLACE PROFESSIONALS THE
5297 KAHLER DRIVE
ALBERTVILLE, MN 55301
OWNER
SEGNER CHARLES E& KAREN M
6321 JEFFERSON ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicantc� n Date f �
Bldg Insp
_...__ __., _
�.._ _
��
PERMIT N�.: 2004-01749 `
DATE ISSUED: 10/06/2004 •
GAS PIPING FEE
HEATING PERMIT D�IlNIMUM FEE
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 9725
0.00
15.00
0.50
15.50
C1TY OF FRIDLEY BUILDING INSPECTION
6431 Uc�ive�sity Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-571-1287
RATE SCHEDULE
Residential
Furnace Sheil and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Firepiace, lnsert)
Gas Range
Gas Dryer
Effective 4J1/2004
APPLICATION FOR P�WER PLANTS AND HEATING, COOLING, VENTIlATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVlCES
F�e Total
$35.00 $
$10.00 $��
$10.00 $
$10.00 $
*Air Conditioning - All Sizes $25.00 $
All Other Repairs or Alterations (List on Back) �
1% of Value of Appliance or Work $
Minimum Fee $15.00 for Residential or 5% of cost of
improvement whichever is greater on work less than $500.00
CommerciaVlndustriaVlnstitutionaf
1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/Industria!/Institutional
State Surcharge
JOBADDRESS ���� �P����`��+V S'�� 1���
owner C���ck .Sz'�r�tX'�C-
Building Used As �eS i �e�i � �
� � <-
ESTIMATED COST : ____, � PERMIT NO ��'�C'�-�`� �� �I ��
f�ESCRIPTION OF FURNACE AND BURNER
# of Heating Units Circle One (Steam) (Not Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel _ _ _ Total Connected Load _ _
Burner Trade Name Size No._
BTU _ _ __ _ . — — _ HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
$ and ruli�gs of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
$ .50 HEATING
TOTAL FEE $ �� �� � Signe
r
REINSPECTION FEE $50.00/HOUR � � ` �"' fiXCSC #
�
*Air Conditioners can not be placed in side yard without written pproval r �
�b.�
from adjoining property owner - copy to City `
Tel #�'��a 3�
Date �� '– D.� � `� _
FILL OUT BACK SIDE FOR STACK VERIFiCATION ON REPLACEMENT FURNACE
Approved by Rough-in Date Final Date
,
-� �
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�631572-3604 FAX: (763) 571-1287
: 6321 JEFFERSON ST NE
: 143024420079
: CHRISTIE ADDITION
: LOT 13 BLOCK 5
: HEATING
: RESIDENTIAL
: ADDITION/ALTERATION
PERMIT NO.: 2004-00252 Y�'�����
DATE ISSUED: 02/23/2004 ,
VALUATION .
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM
ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
REPLACE FURNACE (WARM AIR, TRANE, 80,000 BT'U'S) AND AIR CONDITIONER
# A/C UNITS 1 VALUE OF APPL OR WORK
#FURNACES
# GAS RANGES
APPLICANT
TOTAL COMFORT
12800 HWY 55
PLYMOUTH, MN 55441-
(763)383-8383
OWNER
SEGNER CHARLES E& KA.REN M
6321 JEFFERSON ST NE
FRIDLEY, MN 55432
1 # GAS DRYERS
0 ENTER VALUATION
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construcrion
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. A11
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. T'he
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
re�;���onstruction or the performance of construction.
Annlic Date �
: � : •� ��� 1� � -
�
HEATING PERMIT MINTMUM FEE
FURNACE SHELL/DUCT WORK
GAS RANGE FEE
GAS DRYER FEE
AIR CONDITIONING FEE
HEATING REPAIRS/ALTERATIONS
STATE SURCHARGE, MECH FLAT
TOTAL
PAID WITH CHECK # 36802
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0
0
7293
0.00
30.00
0.00
0.00
25.00
0.00
0.50
55.50
C(TY OF FRiDLEY INSPECTION DIViSION
fi431 University Ave NE
Effective On January 1, 2002
Fridley, MN 55432 APPUCATIdN FOR POWER PLANTS AND HEATING, COOLING, VE�dTILATION,
(763) 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES .� �
JOB ADDRESS Co3a. I ��e�'��JV� 'S�. NF
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not repla�ement)
Gas Range
Gas Dryer
*Air Conditioning • All Sizes
All Others/Repairs & Atterations (LIST ON BACK)
1�'Jo of Value of Appliance or Work.
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surch�rge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT 15 $25 00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yarci without
written permission from adjoining property owner.
TOTAL
� �b.oc�
$
OWNER G ��""��'
. ��� "
BUILDING USED AS�,�E'S\C'i�✓\�1�1� �'�
ESTIMATED COST ��LGi�.� PERMIT N0. ���`ll '�i�'•��'� �
DESCRIPTION OF FURNACE AND OR BURNER
$ .
No. of Heating Units l, Circle One (Steam) (Hot Water) arm A' )
$ Trade Name�[PBKI.� Size No:NDOR��`�3to
� �D BTU g0�OAt� __ HP EDR
$ Fuel ��_ ���a ._ Total Connected Load
$
$
$ .50
$ 55 •SD
Burner Trade Name Size No.
BTU _ HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do al( work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
HEATING CO
Signed
FAX�'
DATE � `/''�-����
TEL # �� �`�'2v ���$3
Approved By �� � i�ough•In Date Final Date
FIi.L OUT BACK SIDE FOR STA�K VERIFICATION ON REPLACEMENT FURNACE
�, THE BELOIN MUST BE FILLED IN WHEN REPLACWG FUEL BURNING APPUANCES OR THE
APPI_ICATtON WILL BE RETURNED
CnMMnN VENT� VENT CONNECTnR 4ND _nMBl1STInN QIR 1! RIFI _,4TInA!
When rP lar_ina an� ictin� f�ran _p, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes ( No O
The venting system is plastiGPVC and meets al! current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes {) No (�
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances. Yes (�No O
The pY'_�tinO �e�„e�,�t�en air is sized and installed to meet the cuRent codes
and manufacturer's specfications.
When required to in� an a n w �ome �� ien air�it will be sized and installed
to meet the current codes and manufacturer's specifications.
When ins al�in0 a npw �� _nti� c.�,_�,,�t�, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacture�'s
specifications. This does include AGA-GAMA Category t Central Fumace
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. �
Yes (�No (r/�
Yes (V� No (
Yes ( ) No (J�
Yes( )No(J�
A�nliancp T�r� and Sizp/Cemmen V_n and Ven _enn -cter Informa ion
t�� �/
Appliance #1 Type _ I,J� ��TU Input 2 000 Fan Assisted or Nat <�Q �
Appliance #2 Type � BTU Input 22 Fan Assisted or Nat �FO
Appliance #3 Type � �urnar� BTU Input dad Fan Assisted or Nat Fcn
Totai Appliances ,� Total Btu {nput �
� Common Vent Type n Q�1 Vent Height tz Diameter,�_ inches
Appliance #1 Vent Connector Height Z ft Length Z ft Diameter y�� in Type .r l� !x✓� ��
Appliance #2 Vent Connector Height �ft Length � ft Diameter �i �� in Type S a lt w� r�
Appliance #3 Vent Connector Height �_ft Length 2 ft Diameter y" in Type Q%�
. n
�:� � � C'
�
HEATING CO: f
Signed By: Date : ���2 6._.3
- -
r�I/.� �- 1� �` �
CITY OF FRIDLEY INSPECTION DIV. _ �� Effective A ril 1 04
�%�" p � 20
6431 University Ave NE �
' Fridiey, MN 55432 APPLICATIOI� FOR PLUMBING AND GAS FITTING PERMIT ��'I
(763) 572-3604, FAX (763) 571-1287 �
; MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
I�L��:7_�t�
Catch Basin
Rain Water Leader�
Sump/Receiving Tank '
Water Treating Appliance
Water Heater -Electric �
Water Heater - Gas"* �
Gas Range'`"` �
Gas Dryer*" F �
Back Flow Preventer Required OYes O No
Type
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$35.00
$35.00
$35.00
$10.00
$10.00
$15.00
Reinspection Fee $50.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25°/a of Value of Fixtu.re or Appliance
State Surcharge
' TOTAL FEE
TOTAL
�
$ •�a
$�_�
,
'-J06 ADDRESS � �'���' � ��`�
;
The undersigned hereby makes application for a permit for #he work herein
�pECified agreeing to do all work in strict accordance with'th� city codes
�and rulin�s of the Building Division, and hereby declares that all the facts
�;and reptesentations stated in this application are true and cgrrect.
�: ::.
:� DATE: T!°1'� I� b" U J � , 2p 'i7 J
�
, � " r
:OWNER �.�IJG�� I�i� %t,� 1'`f.0 P���
;BUILDING USED AS 1 Pi�1 � �C�
� _
ESTIMATED COST � o�-C� O.00 PERMIT NO +
�QLtJMBING COMPANY 1Tf 1' I (�•Ii�I��� � `
-= , , �-- ` ' �
:$IGNED BY-�^ ��LPiI� � TEI�'N0. �� I.J`F.� �- I�"1CJ
, - ,,
, rz:
, -�#pproved By Rough-In Date �'�Final Date
�-MINIMUM fEE FOR ANY PLUMBINGIGAS PERMIT IS����$15 00 or 5% OF COST
OF THE IMPROVEMENT WHICHEVER !S GREATER PLUS THE SURCHARGE
. �, ��
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVlDE COMMON VENT lNFO ON BACK SlDE �
NEW
ADDN
ALTER
� � CITY OF FRIDLEY � # �� �
�� 6431 University Ave NE, Fridley, MN 55432
t J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
� Construction Address:
� Effective 4/1/2004
(763) 572-3604 Bldg Insp
(763) 571-1287 Fax
�?oo�-/-��Ja
f �, .. �.y ✓
Legal Description:
,( Owner Name & Address: i�a�ka-�2 �� s ��G �� 2- _ Te1. #,�� 3.- �? �� O�� �
Contractor. MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LNING AREA: Length _,_.. W�d� Height Sq. Ft.
GARAGE AREA: Length _ w+d� _ Height Sq. Ft.
DECK AREA• Length Width Hgt/Ground Sq. Ft.
QTHER:
Construction Type: ���'� Est' ated Cost: $
i LL. � JC. i S �`71J10 �� . ��
„ Driveway Curb Cut Width Needed: Z 2 Ft. + 6 Ft = Ft x$ _$ ��� ^
�
DATE: � - .3� �� APPLICANT:
� Tel. # %�3-�7�-� �
Cail (763j 572-3604 for Permit Fees if mailing in applicati . Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$
$
$
�
$
.$
�
$
$
$
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (9/10th%)
$.50/$1,000 Valuation
$1350 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 $ STIPULATIONS:
Building
Inspections
763-572=36(�4
�,arE 7 ' � o �G
SITE ADDRESS � 3� f ,
THIS APPLICANT IS:
PROPERTY OWNERJ
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
BUILDING
RESIDENTIAL APPLICATION
CIT�' OF FRIDLEY
YOUR E-MAIL ADDRESS
� �WNER OCONTRACTOR
ctTV �Yz �o t �
PHONE: 7� 3 � r�'J� f�`C� � L ri-- �' �i J_ �
Permit No.:
Received By:
Date�2�' •� ' �,,. ����
A
�� �
NAME:
STATE LICENSE N Ei� DATE
ADDRESS: . CITY STATE ZIP
PHONE
❑ TWO FAMII,Y/NEW CONSTRUCTION
❑ ADDTTION O GARAG
❑ BASEIvIENT FINISH ❑ ROOF
�'6ECK ❑ SID1NG
DESCRIBE WORK BEING
SIZE OF IMPROVEMEr
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDIIVG
❑ vs�y�
❑ Aluminum �
❑ Other .
WllVDOR'S
IN EXLSTING OPEIdINGS OYes �IIJo
OR FORNEW OPENINGS-bESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
FAX
❑ DRAIN TTLE
❑ OTHER
❑ ADDITION
CF/REPAIR O REMODELING
'�e. e �..
LENGTH �� WID'TH
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
�A�v� ��'���3%7
o�fft �-���?�'3 8d
❑ Trim ~ �
0 Fascia
LOCATION OF WINDOWS
OF
HEIGHT ZC ��
BASEMENT REMODELWG SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
� 3. List of structural members to be used
Ft.
FOR NEW CONSTRUCTION MCLUDING DECKS,
ADDI1'IONS. & PORCFIES SUBMiT:
1. Site Plan/Survey showing the acisting structures
and proposed projxk
2. Two sets of construaim► plans
3. Energy Calcutations
ALL FEErS� � A£� ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
��� (US�G THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOE VALUATION S r— OCCUPANCY TYrE
Permit Fee
Plan Review
Fire Surcharge
Surcliarge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ (.
$ L
$
$
$
$
$
Q
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum 5.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$2I=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks oavable to: Citv of Fridiev Attac
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aelrnowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fritiley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for permit and w is not to start without a permit; that the work will be in accordance with the approved
plan in the case of aIl work re ' es rev e d approval of plans.
SIGNATURE OF APPLIC � PRINT NAM� l`1RlLL E`! G S��C DATE ��1�� O7
The Home Depot # 2802
5650 MAIN ST, NE, FRIDLEY, MN 55432
{763) 571-9600
�/iled Jul 04 10:13:53 2007
This Project cannqt be priced because not all materials are carried in stock.
See Store �lssociate for prices on non-stock items shown in Bill-of-Materials.
CHARLES SEGNER
BACK DECK !"�' �V � �. � (�V • � �I'�F �.PS
193224 � � �
Deck Layout � � �Q � ( � ��� �
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The Home Depot # 2802
5650 MAIN ST, NE, FRIDLEY, MN 55432
(763) 57'I-9600
Wed Jul 04 10:13:53 2007
This Project cannot be priced because not all materials are carried in stock.
See Store Associate for prices on non-stock items shown in Bill-of-Materials.
CHARLES SEGNER
BACK DECK
193224
3D View
i�
�
�
.
,
REVIEWED
�OR CODE
QM'�L(ANCE
I
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�
�he Home Depot # 2802
5650 MAIN ST, NE, FRIDLEY, MN 55432
(763) 571-9600
iNed Jul 04 10:13:53 2007
This Project cannQt be priced because not all materials are carried in stock.
See Store l�ssociate for prices on non-stock items shown in Bill-of-Materials.
CHARLES SEGNER
BACK DECK
193224
Post Layout for Deck 1
10'
�
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The Home Depot # 2802
5650 MAIN ST, NE, FRIDLEY, MN 55432
(763) 571-9600
Wed Jul 04 10:14:08 2007
CHARLES SEGNER
BACK DECK
193224
Construction Specifications
deck 1:
Construction Method = Beam to Side of Post
Footing Type = Pier In-Ground
Live Load = 40
Dead Load = 10
Decking Spacing = 0 1 /4"
Joist' Spacing = 16"
Beam Spacing = 96"
Post Spacing = 72"
�ecking = 5/4X6 Slate Veranda Decking
zmS = 2X12 Treated Southem Pine No: 2
.loiscs = 2X10 Treaied Southern Pine No. 2
Posts = 4X4 Treated Southern Pine No: 2
Deck Height = 36'�'
Diagonal Bracing = Yes
Deck Skirt = No
Joist �verhang = i 2"
Beam Overhang =12"
Decking Deflection Factor = 360
Joist Deflection Factor = 360
Beam Deflection Factor = 360
Pref Decking Size = ML5/4x6
Pref Joist Size = 2x10'
Pref Beam Size = 2x12'
Pref Post Size = 4x4
Diag Brace Height 1= 24" in
Diag Brace Height 2= 24" in
Stair 1:
Step Width = 36"
Step Height = 28 3/4"
Step Rise = 7 3/16"
Step Run = 11"
Stringers = 2X12 Treated Southem Pine No. 2
Risers = 5/4X6 Thompsonized Southem Pine No. 2
Treads = 5/4X6 Slate Veranda Decking
Railing 6:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4"
Railing 7:
Railing Height = 36"
Baluster Spacing = 3 3/4"
Toe Space = 3 3/4"
Railing 2:
Railing Height = 36"
Baluster Spacing = 3 3/4"