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PRE 2010 DOCSCity of Fridley SUBJECT P ��-6-2 AT THE TOP OF THE TWINS BUILDING PERMIT r ` ECEIPT NO COMMUNITY DEVELOPMENT DIV. L r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 812-580-3450 910-F15 8 Z17/78 JOB ADDRESS1250�Norton Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 1 Norton HOmesites SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Martinson Builders 8131 - 6th Street N.E., Mpls., MN 786-1599 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK j1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Duplex Construct a 46' x 26' and a 28' x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface drivewa . Provide sod in the front and side yards. Provide a verifying survey and truss design by Sept. 30,1978. Provide combustion air to furnace. Provide party wall section drawing by Aug. 31, 1978. _ --- UTILITIES WERE PUT IN BY PRIVATE CONTRACT. NO AS-BUILTS AVAILABLE AT THIS TIME. CONTACT DEVELOPER FOR LOCATIONS_ WAG 8ef= digong call local willies SEP�R�kTE PERMITS REQUIRED FOR V�t1Rl�IG, TELEPHONE • ELECTRIC • Gas Etc, HEAVING, ftumew' G AND SIGN, REQUIRED 8Y LAW ' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 1346+672 32,440 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 ISTALLS 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 $47,145 $23.57 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR HE PERF MANCE OF CON TRUCTIO $129.76 $800.00 PLAN CHECK FEE TOTALFEE '0 44 $985.77 SIGNATURE OF CONTRACTORO AUTHORIZED AGENT (DATE) MHENPRO ERLY VVALIDATED THIS IS YOUR PERMIT BLDG INSP p—iCo DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) 00 A/Wra� 4e, — gg i� 8 92, 4�4�c) 2 - T CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEIZ14ITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: DUILDER: Address: ✓ Address :%�%✓/ �Tel. No.: No.: Street: LOT: 13Iodn �_ ADDITION: CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS: Applicant attach to this form lWo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: OA 4/1 Front: 7fo Depth: el A M Ke V4 Square Feet: �� Cubic Feet: Height:d ' W1;,z0 Front: C± Depth: 2V Height: /0 Square Feet:.—a,24- Cubic Feet: 0 Type of Construction: Estimated Cost: Q.a ry� To Be Completed: �A Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) he undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application re true and correct. See reverse side for ditioi 1 information. �- oe 01 ATE: SIGNATURE: C� Stipulations: .014 • 30� si%P saj — J9 7� r ,S�O�u.�►c .�1s5. -4F ,/g. 00 f.: Y 1lei T�►f tai i�: tib th E,iO As �r r� t ` Jol �� 71 77 w t + I I � 4 erik C] 9'�1 1nct xn Ir l O t d T :3 wYr.rY. ......,....:s,...,.... 3 4-1 rt� I K a 1-7 }1 r'. x xy i t.Yzant�a ye�u .Yrav tnet kh in tell k 9.. �. A n, �: aM1 3 "+ r3 M t �� tj .q t •; i � '�FR �T ', G� �� I gY : 4 �a 1teia I, you .have mei'th'' Briton r OIL!; r1a ! Ht:.e 5Tt (Pic+ USiIR��M i; ta8Id5 f,f '- . '.'__ ._ _ .._.ap,,,;.y 'deem N)!n G`•1 A.' a K it w.• a7•i t nay rnrr.:,F � � P r �r;r � (,:r.. a � 1 •..d F i.: nrw.y � C -.rf I� fi e �s �t;w 593ii Certificate of Survey for ,t7 r k -50A) NORTON AVENUE �— 74.00 des 31� 51 f o I 7q, 0 0 L OT4,BIOCK l , NO )? To N A Vf. HQMfSITES NORTH gca/e: / 40 r l Denotes Drafriage Utility Easement ANOKA COUNTY . I hereby ce.tify that this is o true and correct represemotion of a survey of the boundaries of the obow described food, and of the locotign of at� buildin s, thereon, and oil tI.ls�ble encroochatents, It any, from or em sold load. As surveyed by me thii qday of Le A. D. I9:L s uRtwN •NGIN/ERING, INC. loins uv �• s,v.ars by t .�._ lows 8..ain1.�M.i, All �) r1Z / )'--/ J:� W C) �7— o) X� 0-,)1vT-1Ftq C7-. A-) -- 7-S /�T 11-115 //-�w , �re�z i ,�%C 7- w t ,6y �� e—�c� �r Cd57- �' CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING P5r#4It Job Address /( >>`Q Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes &lplicaticn for a Permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. — / , 192 -,?-- OWNER KIND C USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ICA a c ESTIMATED COST �i NO. V .. a w a 5 -9 Water Heater Future Fixture Opening x $2.00 $ �b +av New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Signed By Water Heater - to 99,000 BT(J x $5.00 $ BC) Tel. No. 100,000 BTU to 199,000 BT(T x $10.00 $ ' Water Softener x $7.00 $ Hew Ground Run Old Building x $5.00 $ ,01 u a x $5.00 W 3 oL g v a ro GAS FITTING FEES: i� o as lec In '53.00 $ �(,� to Additional Fixtures x $1.00 u°. Range to 199,000 ST(T oa $10.00 $ APPROVAL FOR PERMITGas l REPAIRS $ ALTERATIONS First $100.00 $5.00 pZ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMS330 PERMIT 28 $7.50 pL= $.g0 STATE SptgGE w $ .50 TOTAL FEE 1st $ J, s-6 ' 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) - New Fixture, old Opening Water Job Address /( >>`Q Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes &lplicaticn for a Permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. — / , 192 -,?-- OWNER KIND C USED AS REINSPECTION FEE ($10.00) TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMING FIXTURE RATES: NO. RATE TOTAL 0 NEW 8 ILDING PERMIT NO. PERMIT N0. /22.2'7Number Fixtures -9 $3.00 $ �c� .00 Future Fixture Opening x $2.00 $ Company New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Signed By Water Heater - to 99,000 BT(J x $5.00 $ BC) Tel. No. 100,000 BTU to 199,000 BT(T x $10.00 $ ' Water Softener x $7.00 $ Hew Ground Run Old Building x $5.00 $ AGN INSP., Electric Water Heater x $5.00 $ Date � GAS FITTING FEES: FINAL INSP. 1st 3 fixtures x '53.00 $ �(,� Date Additional Fixtures x $1.00 $ Range to 199,000 ST(T x $10.00 $ APPROVAL FOR PERMITGas l REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMS330 PERMIT 28 $7.50 pL= $.g0 STATE SptgGE state Surcharge $ .50 TOTAL FEE $ J, s-6 ' REINSPECTION FEE ($10.00) 548 0 CITY OF FRIDLEY PUBLIC WORKS DEPARTMENT TAPPING APPLICATION AND PERNIIT FOR INSTALLATION OF WATER & SEWER SERVICE I) This form to be completed before a tap is made to any existing water or sewer line. , P I , Address l Owner CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY II) Water & sewer connection permit must be registered before this Tapping Permit can be issued. City supplies all material and labor for 1" or under water tap. Con- tractor supplies all material and labor for water tap over 1", and all sewer taps. WATER TAP: Materials Used: $ 1026-1 on Street Patch: = x 7 : $ / lJ TOTAL: $ _ SEWER TAP: Street Patch: x : $ III) If this property has not paid a full Lateral Charge for its share of the water and sewer system, additional charges will be placed against it. This will be in addition to the normal connection and tapping permits, meter deposit • etc. GCn� S -a Water ASSESSMENTS TO BE ED: Lateral: $ Sewer Lateral: $ TOTAL ASSESSMENT: $ Clerks Signature- Supt. ignature Supt. of Public Works M/P 3/76 White P.W. Canary Finance Pink Prop. Owner Goldenrod Plumber CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings City of Fridley Repairs & Alterations each add. $500.00 4.00 $ Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Cordes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ % Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. STEAM OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ RIND OF BUILDING each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ C�,n ESTIMATED 01- GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ ®((� OLD NEW BUILD ERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER LANTS, Steam, Hot Water, Warm Air- No. AIR CONDITIONING $ Trade Name Size No. FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ Capacity Sq. Ft. EDR BTU State Surcharge $ .50 Total Connected Load Kind of Fuel TOTAL FEE $ L BURNER - Trade Name Size No. ROUGH INSP. Late FINAL INSP. Date APPROVAL FOR PERMIT ` lkJ REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Capacity Sq. Ft. EDR BTU HP Company T- Suburban Air Conditioning CO. 8.:19 CentE Drive Signed By t Minneapolis, Minnesota 55432 Tel. No. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 November 8, 1978 Martinson Builders 8131 - 6th Street N.E. Minneapolis, MN 55432 Re: 1250-52 Norton Avenue N.E. Dear Sirs: Please be advised that the City of Fridley's inspection staff has completed the final inspections of the above referenced property and has found that it does meet the City's requirements for a two- family dwelling. Please contact us if you have any questions on the inspections. Sincerely, DARREL G. CLARK Canmunity Development Adm. DGC/mh SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r i �• _ COMMUNITY DEVELOPMENT DIV. _RECEIP .0 r � � PROTECTIVE INSPECTION SEC. iGe fes]` NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/23/95 JOB ADDRESS 1250-1252 Norton Avenue NE 1 LEGAL LOT NO. BLOCK TRACT6R ADDITION SEE ATTACHED DESCR. 4 1 1 Norton Homesites SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don/Sheri Elias 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quarve Contracting 8427 Center Dr NE Spring Lake Park MN 55432 785-1472 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 6016 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Rl REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Structure 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $4,000 $2.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $87.25 Fire SC $4.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION, PLAN CHECK FEE TOTAL FEE � V, License SC $5.00 $98.25 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERL ALI DATED THIS IS YOUR PERMIT fig/ ✓ -11 . 8tDGj1NSP _4 )' DATE _ SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI NEW [ j Effective 8/1/95 ADDN (] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ) Z Ta - F Zr Apov✓L 1W E , 1N t 4 Legal Description: Owner Name & Address: OCM + 50-K! ii ```� Tel. # 7 86 " 3 f / r Contractor: (� 61"S'A'I —MN LICENSE Address: Z"t CQ a g ✓ f 'rv, Tel. # Attach to this application, a Certificate of Survey of the lot, - with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Yv R'Vj -- V '-A _ SJP mi - Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: /- % -rr (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: j0- Z APPLICANT: 0�q -q' Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ c� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.0 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 4 / SUBJECT P�72i5 city of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT N i COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . i NUMBER REV DATE 9/11/98 PAGE OF IAPPROV!ED18V CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 JOB ADDRESS 1250-52 Norton Ave NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 4 1 Norton Homesites SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Elias 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quarve Contracting Inc 8427 Center Dr NE Spring Lk Pak 55432 7R5-1472 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Rxxaa*xhWx-N Reroof duplex (28SQ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,399.60 $1.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARG SSC PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire $2.40 STRUCTION OP -THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE License SC $5.0 TOTAL F E $83.35 SIGNATU FCO TRACT OR UTHORIZEDAGENT IDATEI W PR ERL ATED fS R PERMIT NSP GATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 4 / NEW [ ] Effective 1 / 1 /98 ADDN [ 'CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2' W. BUILDING PERMIT APPLICATION ConstructionAddress: /A *d "7'�� . Legal Description: Owner Name & Address: Tel. # Contractor: �(,LGZ/�l/`C' �� %C� C �� i MN LICENSE # Address: 21- a4 %,- Tel. # %Y57 - Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IlVIPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Construction Type: %?dA iii a Estimated Cost: $ 566 • a'/) VV (Fee Schedule 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: Tel. # CITY -USE ONLY $ Fee Schedule on Reverse Side $ '� .001 of Permit Valuation (1/10th%) $ 12D .!�b $.50/$1,000 Valuation $ $1000 per SAC Unit $ �j�• �y $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 [ ] 41 rJ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater –Electric Water Heater – Gas** Gas Range** Urinal NO. Gas Dryer** — Back Flow Preventer Required ( )Yes () No Type__ APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Shower RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance %b State Surcharge TOTAL FEE Wash Drink I Floor I Catch .� Auto. Tray Fount Drain I Basui Washer Effective On January 1, 1999 O� d Gas[M' - Gas 6**..`.`1---.7,.:1 Water Heater Range .Fixt..: > Gas Elec JOBADDRESS laSD* `NOC�Oy,�, , The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. >; z1999 Owner Building Used As bWi L.LA t1(5- CIO Estimated Cost PERMIT NO. E £v NtN 'sUIX-10 { WGUIRE & SM13 PLUMBING COMPANY ILIWOS inIJaA . IIIZJ gog 605 12yh Avtenut Soul ENOS 9 3U 153A Hopkins, fl 55343 SIGNED BY TEL N0. c(Sa-yg� :;'Approved By Rough–In Date Final D� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SO INCHES. • z Phone: GReenwood 3-8352 .E RLEIGH C. SMITH Registered Professional Engineer and Land Surveyor A 2030 East Wayzata Boulevard Wayzata, Minnesota TI/ -?/'r.:y OF PRC)pF,R.Tv nr 4 G 'r° �Al / -7- tj - /_ 4 �� ` _ r' , ., 1 C G' I 4i;;wl described as follows: e-,, `L e� a o o x:- o -7- L 0 rL<o �.rCTN� /L' iVd. `G �� .L��,.� .c,a CG Scale: 1 inch - � '-'- Beet. No P, -no dam, a � - 2oc�.or, • _ J o ry4 ��✓ �' b� lbs y� E� I M b 0 v t ACR r SD.Op SLY L in/E of L07- /3 TIFICATE OF L ION OF BUILDING I hereby ce ' that o is— I ma survey of th osed location o e building on the a described pr ty and that the cation of said buildi correctly sho on the above t. A t4 A < v `'+c �1 M J 0_ CERTIFICATE OF SURVEY I 'hereby certify that on MAR surveyed the property described above and. that the above plat is a correct representation of said survey. HC 2855 Sutpoena STATE OF MINNESOTA, ss. DISTRICT COURT FOURTH JUDICIAL DISTRICT CASE N04,�& —t— Greetings: and excuses, you be and on the_' day of then and there to give evid in and place aforesaid to be used as (spike if noe applicable) evidence: in said county and state, , 19-;Z/, a dclock in the noon, the above entitled cause and to bring with you and produce at the time Hereof fail not on pain of the penalty that will fall thereon. WITNESS the Honorable DONALD T. BARB U Wef Judge eecof the District Court aforesaid, at Minneapolis thi �j DISTRICT COURT SEAL Hennepin County, Minn. Jack M. Provo District ourt Administrator Deputy I at the requ _Attorney foF A�x __-Phone Numb (Addrem) r No State of Minnesota COUNTY OF HENNEPIN DISTRICT COURT Fourth Judicial District AGAINST Plaintiff— Defendant SUBPOENA 0 I . To bring with you all applications,plans, specifications, resolutions, proposals and any other matter and thing concerning the development, improvement plans for the development of the LeRoy Smith property located at Central Avenue Northeast, and Norton Avenue Northeast. 2. To bring with you any propositions to rezone the LeRoy Smith property located on the south side of NortVAvenue Northeast where it intersects with Central Avenue Northast, together with any official notices from the City of Fridley, for a public hearing before the planning commission, which may, or may not have been approved or disallowed for the erection and construction of a professional building and/or general assembly accommodations, and/or apartment buildings. 3. To bring with you any and all documents, plans, specifications and any other written materials concerning the construction of an apartment building on the LeRoy Smith property. 4. To bring with you any and all correspondence, petitions, memorandums, documents of any nature and kind whatsoever, submitted by the law offices of ,, Wyman Smith, attorney for LeRoy Smith involving the development of the subject property generally located on the south side of Norton Avenue Northeast- where it intersects with Central Avenue Northeast. 5- For more particular description, see attached official notice of the City of Fridley for legal description. The ward "document" means any written, recorded or graphic matter, whether produced, reproduced or stored on papers, cards, belts or computer storage devices - of any other medium in your possession, custody or control or known by you to exist, and include originals, all copies of originals, and all prior drafts thereof. 0 I . To bring with you all applications,plans, specifications, resolutions, proposals and any other matter and thing concerning the development, improvement plans for the development of the LeRoy Smith property located at Central Avenue Northeast, and Norton Avenue Northeast. 2. To bring with you any propositions to rezone the LeRoy Smith property located on the south side of NortVAvenue Northeast where it intersects with Central Avenue Northast, together with any official notices from the City of Fridley, for a public hearing before the planning commission, which may, or may not have been approved or disallowed for the erection and construction of a professional building and/or general assembly accommodations, and/or apartment buildings. 3. To bring with you any and all documents, plans, specifications and any other written materials concerning the construction of an apartment building on the LeRoy Smith property. 4. To bring with you any and all correspondence, petitions, memorandums, documents of any nature and kind whatsoever, submitted by the law offices of ,, Wyman Smith, attorney for LeRoy Smith involving the development of the subject property generally located on the south side of Norton Avenue Northeast- where it intersects with Central Avenue Northeast. 5- For more particular description, see attached official notice of the City of Fridley for legal description. The ward "document" means any written, recorded or graphic matter, whether produced, reproduced or stored on papers, cards, belts or computer storage devices - of any other medium in your possession, custody or control or known by you to exist, and include originals, all copies of originals, and all prior drafts thereof. OFFICIAL NOTTCE CITY OF FR3 DLkY PUBLIC HEARING BE:FORI THE PLANNING COMMISSION TO WHOM IT MAY CONCERN: Notice is hereby given that; there will be a Public Wring of 40 Planning Commission of the City of Fridley in the Cit, Hall at 643! !!aver— si i;y Avenue Northeast on Wednesday, September 22, 1975 0 the Council C} unhci~ at 7:30 P.M. for the purpose of: Consideration of a rezoning request, ZOA #76-05, by Wyman Smith, to rezone the Easterly 200 feet of Lot 13, except the (northerly 30 feet thereof- also the Easterly 50 feet thereof_, Auditor's Subdivision No. 89, from R-3 (general multiple family dwellings' to C-1 (local business areas) or C-2 (general husingss areas), to allow the con,,buction of a speculation building to be used for offices and assemblies, located in the South Half of Section 12, T-30, R-24, City of Friedley, County of Anoka, Minnesota. Generally located on the South side of Nortoo Av nuc N.E. where it intersects with Central Avenue N.E. Alcyone desiring to be heard With reference to the abovo matter may be heard at this time. RICHARD H. HAKK CHAIRMAN PLANNING COMMISSION Publish: Septrarnbor 8, 1976 September 15, 106 e .. COMMUNITY DEVELOPMENT DIVISION CITY OF FRIDLEY �t 6431 UNIVERSITY AVENUE NORTHEAST i FRIDLEY, MINNESOTA 55432 NOTICE OF NON-COMPLIANCE Name J. Mancuso or Current Occupant Date July 30, 1979 Address 1250 Norton Avenue N.E. Date & Time of Inspecticax July 30, 1979 11:00 AM An inspection by this Department has indicated that you are in non-compliance with the following checked (x) sections of Chapter 113, Refuse Disposal, of the City Code. You are hereby notified to take whatever action is necessary to correct any violations. on or before August 13, 1979 Failure to comply with this notice may result in legal action by the City Prosecutor. ( X ) 113.02 Provide sufficient containers for the storage of all refuse (including garbage) accumulated on the premises between collections. ( X ) 113-02 All refuse containers shall be water tight, have a tight fitting lid, be impervious to insects, rodents, vermin, and absorption of moisture, be fireproof, and not exceed 30 gallons in size (unless otherwise specifically authorized). ( X ) 113.02 All refuse shall be stored in approved containers, with the cover in place. ( ) 113.08 Containers shall not be placed or maintained as to interfere with 7 the use of adjoining property. For the purposes of collection only, the containers may be placed a maximum of 3 feet in front - of the dwelling unit. ( X ) 113.07 The contents of storage containers shall be collected at least once every week, or more frequently if necessary. ( ) 113.09 Containers without covers, in poor repair, corroded, or otherwise defective shall be repaired or replaced. ( X ) Other Immediately discontinue the practice of storing garbage. in plastic bags. Provide 30 gallon metal containers with covers to store garbage inside between weekly collection. If you have any questions concerning this matter, please feel free to call on .us at 571-3450, extension 164. CC: Donovan Elias 7390 Concerto Curve N.E. PON U 0" `rTU w L n ,L T 14 I 10'Lf Lr I 5. a 11 L_ �oeTo�m Avewve 'c 11 . C1 EiOiom ''art. , LEGAL DESCRIPTION The -Wes-t-416-•feet-of. the East 675 feet of the South 112 of the South 1/2 of the South 1/Z of the Northeast 1'. of the Southwest 1/4 of Secticn 12, Townsnin 1 , Range 24, Anoka County, Minnesota except the Horth 30 feet thereof taken for road. Also known as Lot 13; except the East 200 feet thereof and except the earth 3J feet thereof for road, Auditor's S;ibdivisien Number 89, Anoka County, Minnesota. C' 'ir1IV \ ,tS.• �'�^� ... lhereby,rrtirvth,ltth-.Qurv!•v,plzn.•,rr-rt we? pn:rmrn.+1 1•v8n"-! 'Ind --r •i: d r• f gin,. r• •rr du. 1 i � .� • 0 1. BUILDING STANDARDS -DESIGN CONTROL SUBCOMMITTEE MINUTES OF SEPTEMBER 4 1969_ The meeting was called to order by Chairman Erickson at 8:05 P.M. MWERS PRESENT: Erickson, Biermann, Tormoen XWERS ABSENT: Tonco, Sornsen OTHERS PRESENT: Clarence Belisle -Building Inspector OF A REQUEST FOR CHANGES AND AN ADDITION TO THE ADMIN IN THE TARGET WAREHOUSE LOCATED AT 7120 HIGHWAY #65. STORES INCORPORATED, 700 ON THE MALL. MINNEAPOLIS. MI AND Target requested that their proposal be postponed until the September 18, 1969 meeting to allow them time to receive their completed plans. 2. CONSIDERATION OF A REQUEST TO CONSTRUCT THREE 12 UNIT APARTMENT BUILDINGS TO BE LOCATED ON PART OF LOT 13, AUDITOR'S SUBDIVISION NO 89, THE SAME BEING 1250,12 and 1300 NORTON AVENUE N.E., FRIDLEY, MINNESOTA. (REQUEST BY MR. WALTER THUFTED 3212 -32ND AVENUE N.E., MINNEAPOLIS, MINNESOTA.) Mr. Thuftedal and his builder, Mr. Don Udsten, were present to present the request. The Board asked the applicant to bring in a new survey which would include the East 200 feet of Lot 13, to make the land area adequate for 36 units. MOTION by Bierman to continue this item to the September 18, 1969 meeting. Seconded by Tormoen. Upon a voice vote, there being no nays, the motion carried unanimously. ADJOURNEMENT: The meeting was adjourned by Chairman Erickson at 9:35 P.M. Respectfully submitted, CISUNCE BELISLE Acting Secretary CITY OF FRIDLEY BUILDER: ADDRESS: Street City Zip Code TELEPHONE: Home Business PROPERTY OWNER(S) NOTE: Applicant should obtain building permit procedure information from Building Inspection Department Secretary. ADDRESS(ES) ^19q( - � �k'Gc�d �S� /®/�L/� _S o Street City Zip Code /®ct_2 .®/ 12 0600 A- Ole E' /2 0-09.0 02 ..W. rri i"weu• Street City Zip Code TELEPHONE NO - (S) 70 Al Home Business d�2>s-- Z9 -sr- LOCATION OF BUILDING Property Location on Street or Exact Street Address (if any): /a2 X --o G®_A jo! r-0,0 Z3 c24• 4 A Legal Description of Property: �C)T CXGpQe7"HG F"ofSI' �D(o�tas T/YC 0 ®fir H �� fe rT Th�'Y��ca®��T�� `s 'P� Total Area of Property /z_ sq. ft. Present Zoning Classification -3 DESCRIPTION OF BUILDING Proposed Building Use : ,2 9 /)f} /, r /'h 151 -,UT & 4 1- 1 0 N 7_-_S • CAGi-r Ly e Building Dimensions: Front Depth Height __L�00 Ej A' Square Ft. S Cubic Ft. b ��/ a- P �O a'P @`"'/Ga"`"G Type of Construction: 'qm F- N /2.4ser H Estimated Cost®,®f�. " To Be Completed oc t .'., DATE. 2,16 G �_ .'APPLICANT'S SIGNATURE: NON-RESIDENTIAL BUILDING PERMIT CITY OF FRIDLEY 4 ADMINISTRATIVE PROCESSING AND PLAN CHECK ZONING: ADDRESS: x w VARIANCE REQUIRED: x LEGAL DESCRIPTION: SPECIAL USE REQUIRED: PLOT PLAN: TOTAL AREA GRADE ELEVATION SET BACKS: FRONT YARD SIDE YARD REAR YARD O N ' SUBMIT TO: BUILDING BOARD BOARD OF APPEALS PLAN. COMM. COUNCIL APPROVAL DATE: o REMARKS: P:1 U FIRE REQUIREMENTS: FIRE MARSHALL FIRE PREVENTION BUREAU EXITS (dates App) P, t,41 INSIDE UTILITIES: PLUMBING VENT & HEATING ELECTRICAL Uww W x E-� U H U2 H O Date Approved : OUTSIDE UTILITIES & SITE DEVELOPMENT: Date Approved City Engineer WATER SETTER ELEV CURBING DRAINAGE SCREENING & PLANTING Sewer Connection Charge Receipt No. Permit Fee & Plan Check Receipt No. M Less Deposit Receipt No. Net Permit Fee Due Receipt No. SPECIAL ASSESSMENTS: IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGREEMENT MUST BE SIGNED, AGREEING TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A PERMIT WILL BE ISSUED. V2 AGREEMENT NECESSARY Finance Director AGREEMENT UNNECESSARY a. . 110, Registered Engineer's Stamp (A) FOUNDATION PERMIT Building Official (B) FINAL APPROVAL City Engineer CERTIFICATE OF OCCUPANCY: PARTIAL: DATE: REMARKS: Legal Description Check FINAL APPROVAL, Building Official NOTE: Easements, R/W, Special Agreements DATE: FINAL: DATE: REMARKS: STORAGE AND LAUNDRY SPACE The following material is an attempt.at more practical and realistic approaches to the problem of storage and laundry space. These are suggestions and they are meant to make adjustments not to lower standards. STORAGE SPACE: Forty square feet of floor area, floor to ceiling, per dwelling unit for storage shall be provided. A minumum of twenty square feet shall be provided in the dwelling exclusive of the dwelling unit. The remaining required storage area, may be located anywhere on the lot (as defined herein) provided this area is convenient and not located or included in the storage space within each individual dwelling unit. Also, each storage space for each dwelling unit shall be enclosed and separated from other storage spaces. LAUNDRY SPACE: The minimum space for laundry room facilities to be provided shall be not less than 100 square feet of floor area in structures containing not more than four (4) dwelling units, not less than 200 square feet of floor area in structures containing not more than eight (8) dwelling units, and a laundry room area of not less than 50 additional square feet for each additional four (4) units or portion thereof. 2. BUILDING SWDARDS DESIGN CONTROL SUBCOMMITTEE MINUTES OF APRIL 9, 1969 Toe meet#W was called to order by Chairman Erickson at 8:05 P.M. KWMERS PRESENT: Erickson, Soxnsen, Tonco, Biermann MEMBERS ABSENT: Hauge OTHERS PRESENT: Clarence Belisle -Building Inspector, Pete Herlofsky-Senior Engineering Aide Mr. R. L. Johnson was present to present his request. The following points were discussed and marked in red on the plans; Plot Plan: 1. 5 foot fence across the rear lot line of the property. 2. 3 foot separation between the fence along the rear property by precast curbing. 3. Poured concrete curbs through out,except for the rear lot line. 4. 10 foot radii at street openings. 5. Sod the areas not to be blacktopped. Buildtn„glans; Sheet 1. of 5- 1. Special Notes: Insulate laundry rooms for sound, soundproofing walls, resilient channel and 3 5/8 inch insulation. Sheet 4. of 5. 1. Wall section specifying soundproofing for floors, 5/8 inch plywood subfloor, felt pad, 2 inch overlay, carpeting, joist 3 5/8 inch insulation, R-31 Resilient Channel Clips. MOTION by Tonco to recommend approval of the request subject to the items marked in red on the plans. Seconded by Sornsen. Upon a voice vote, there being no nays, the motion carried unanimously. Mr. Carroll and Mr. Weisberg were present to present their request. MOTION by Biermann to table the request until the various recommendations made by this Committee could be incorporated into the plans. Seconded by Tonco. Upon a voice vote, all voting aye, the motion carried unanimous ly . f 3. 4• %Building Standards Design Control Minutes of April, 94 1969 Page 2 C�NSTD=ION OF A REQUEST TO CONSTRUCT A DAIRY STORE AND WAREHOUSE ON OUTLOT 1, L, OCK 1, NAGEL'S WOODLANDS, ANOKA COUNTY, MINNESOTA; TOGETHER WITH ALL THAT P RT rlri TUM ATLT J. /1P. RMTi TTI.T .1. O-Wi .qVr TORT 19 m_14n R -9A T.VTMr V-A.grP .RT.V (1Ti gATT1 VAMPTAR LAMPERT'S ADDITION; NORTHERLY OF THE WESTE OF SAID LAMPERT'S ADDITION, AND SOUTHERLY C 1010 OSBORNE ROAD N.E., FRIDLEY, MINNESOTA. INCORPORATED. 1052 OSBORNE ROAD N.E.. FRIDI Mr. Gordon Swenson was present to present his request. The following points were discussed and marked in red on the plans; Plow an: 1. 10 foot radii on entrance driveway and interior corners. 2. 3 trees specified as Green Ash or Maple. 3. Blacktop to extend around to the rear of the building. 4. Eliminate one-way, use drives for two-way traffic. Elevations: 1. All concrete block to be painted. MOTION by Tonco to recommend approval of the request subject to the items marked in red on the plans. Seconded by Biermann. Upon a voice vote, there being no nays, the nation carried unanimously. AILROAD TRACKS NORTHEAST CORNER THEREOF AND MINNESOTA. REQUEST BY PLYWOOD MINNESOTA INC, E.. FRIDLEY. MINNESOTA. Mr. Rudy Boschwitz & Mr. Kenneth Frost were present to present their proposal. The following points were discussed and marked in red on the plans; Plot Plan: 1. Parking eliminated on the Northwest corner of the office end of building. Buildix Plans: 1. Add pilasters & brick on third side of office and showroom instead of split face block & 8" x 8" block. 2. Brick on all three sides of the office and showroom. NOTION by Biermann to recommend approval of the plans subject to the changes marked in red. Seconded. �y Sornsen. Upon a voice vote, there being no nays, the motion carried unanimous �y. Building Standards Design Control Minutes of April 9, 1969 Page 3 5. CONaIDE A ION OF A R VEST TO CONSTRUCT A NURSING HOME ON THE N. QUADRANT OF 3QISON SOM AND LYRIC LANE THE SAME BEING LOT 1 BLOCK 1 PRO SID MAPLE MANOR ADDITION.(REQUEST BY BIGHLM PARK DEVELOPMENT COMPANY. Mr. Fred Donaldson was present to present the request. MOTION by Biermann to recommend refusal of the plans as presented because in the opinion of this Committee, the changes on the plans as offered were not enough of an improvement to recommend approval. Seconded by Sornsen. Upon a voice vote, there being no nays, the motion carried unanimously. ADJOURNMENT: The meeting was adjourned by Chairman Erickson at 11:25 P.M. 'eeN.Pt£ully submitted, Pete Herlofoky Senior Engineers Ai e YC, 01- 7 .KINGSBERRY MODEL NO. E Prosed construction DE IPTION OF MATERIALS ❑ Under Construction Ooneulting .,.rehitect- Swe- zf 07 fe, V 13._ V No......(.To • .. M .....fsa....e....................... . (rted bx FHA oT VA) Property address Ci ...................... State .................. Mortgagor or Sponsor .........................................• (Name) (Address) Contractoror Builder---------------------------------------------------------•----••-•-------------- •----••----------•-•-•-•----•....--.....••.....----•--••........... (Name) (Address) INSTRUCTIONS I. For additional information on how this form is to be submitted, number minimum requirements cannot be considered unless specifically described. of copies, etc., see the instructions applicable to the FHA Application for Mortgage Insurance or VA Request for Determination of Reasonable Value, 4. Include no alternates, "or equal" phrases, or contradictory items. (Con - as the case may be. sideration of a request for acceptance of substitute materials or equipment 2. Describe all materials and equipment to be used, whether or not shown is not thereby precluded.) on the drawings, by marking an X in each apppropriate check -box and entering information for in If is inadequate, "See b. Include signatures required at the end of this form. the called each space. space enter mist." and describe under item 27 or on an attached sheet. 6. The construction shall be completed in compliance with the related drawings and specifications, as amended during processing. The specifications 3. Work not specifically described or shown will not be considered unless include this Description of Materials and the applicable Minimum Construction required, when the minimum acceptable will be assumed. Work exceeding Requirements. 1. EXCAVATION: ----------------- Bearing soil, type -RIank__Ao]1*_�Cltsy__811�1Ba11___—__��1 ._AA.d1JE li�Z2BSi__iiLZ).1._N!kliC_tl_1111__AZ"QL11e___________________ -&oc.d_be..ririn(-_fax__fat -.und__foundatioa.----------------------------------------------------------------------------------------------------- 2. FOUNDATIONS: Footings: Concrete mix -2500 --P&L --------------------------------------- Reinforcing ----k— at�4..•R.4d0 -------------------------------------------- Foundation wall: Material _8~__QoZ_1-CI'ete B1oCk _ __-____- ---------------- Reinforcing _______________________________________________ --------------------------- Interior foundation wall: Material _________________________________________ Party foundation wall___________________________-________________-------_------_. Columns: Material and size ----- — --------------- Piers: Material and reinforcing__QAQ1'fii1P!!__s`�QQ__R4i._--__-_•--. Girders: Material and sizes $..$YP_.] _ ------------------- Sills: Material -i 8__M___ 4Q0__f____-__--_______-_-___-________-_-_--..---- Basement entrance areaway -------------------------------------------------- Window areaways _,Staadi%r_d_OjLl.-vAnizAd__MaL:yl___.__-______-- Waterproofing __kAPhalt_ _GQ&t321g------------------------------------ Footing drains _Ao-sk_si,Ad-T11l1------------------------------------- ----- Termite protection --- "-AtanA?e-_O_y_F.__warrAiLtY__l/h8=fl_-L14-_& Basementless space: Ground cover ------------------------------ Insulation ------------------------------- Foundation vents •_______-_________-___--____-. Special foundations Q1HDJM&_,__GQnAI11.ti__pI.iinast-PDT_IItlmtial}_Y�iLetria.L_arid__flaa-------------------------------------------------- __�EF._FI. iB__-_Far_�eick_�eneer__ e__taund�tioa_>call_xiLL_be__12N__n._conaultL-:laaa�----------------------------- 3. CHIMNEYS: Material ------- Prefabricated (make and size) --------------------------------------------------------------------- Flue lining: Material ----------- Heater flue size ___- _ __ Fireplace flue size ------------------------------ Vents material and size): Gas sm ma heater __Ml31A.I. � __-____ � 5.'.i�___ Water heater 3irsxmL_3"_____________________ ( )---.--.----e�-6 - - --�-�- y-------------------------------------------------------------- --------------------------------------------------------------------------------------------- 4. FIREPLACES: Type: ❑ Solid fuel; ❑ gas -burning; ❑ circulator (make and size) -------------------- — ----------- Ash dump and clean-out ----------- —__--__--___ Fireplace: Facing ---------------------------- lining ------------------------------; hearth -------------------------------; mantel ------------------------------- 5. EXTERIOR WALLS: K. D. DDuglas Fir. 30% Standard Grade 70% 0onstmetion Graft Wood frame: Grade and species __1 a._______________________ ___ ❑ Corner bracing. Building paper or felt ____._.___________._______------ Sheathing _ 68 _ t4Al_2.7___-.; thickness js_r_------- ; width -A& ----; N solid; ❑ spaced -------------- o. c.; ❑ diagonal---------------- Sidin g -------------------------------- g'l'ade ----------------; type -------------; size ---------------; exposure --------- r fastening --------------------- Shingles -----------------------------; grade ----------------; type — ----------- ; size ---------------; exposure -------- fastening --------------------- Stucco -------------------------------- thickness --------------- Lath -------------------------------------- r weight Masonry veneer_$I�CkwSll►1an1as3[_ 75�Ji►____________ Sills A3_'].ak_Aanlook ---------- Linte1sAA-_"quirnd.3t40-L--- pe - Masonry: Facing ----------------r; back uP------=----------------- thickness ------------". Bonding ---------------------------------------------------- Doorsills -------------------------- Window sills ----------------------------------------------- Lintels ----------------------------------------------------- Interior surfaces: Dampproofing-------- coats of ----------------------------------------- ; furring ---------------------------------------------------- Exterior painting: Material ------------------------------ number of coats -A ----- Gable wall construction: ❑ Same as plain walls; ® other _dtud&_.24___- ® __ -------------------------------------------------------------------------------------------------------------------- -- 6. FLOOR FRAMING: Joists: Wood, grade and speciesother ______________________________ bridging - _________; anchors j!'ac13'_!_bO.lt Concrete slab: M Basement floor; ❑ first floor; Z ground supported; [I self-supporting; mix _LWO -_ _ _, thickness reinforcing insulation_PAr_Pltill/_--------------------- _; membraneJ rvi_.nmi------------------------- Fill under slab: Material%LAhB$_Z'QAk__0.r_�&nb------------- _ thickness ------ 4....... ----------------------- —-------- —------- —------ —----- -- ----------------------------------------------------------------------------------------------------------------------------------------- -------- - ----;__------------------- i 7. SUSPLOORING: (Describe underBocring for special Boars under item 21.) or $outbern Pine Plywoo ' • __• ».� _wars �7rs! w Materiel: Grade and species !'S�II~_St27iBttlz'Bl_Aotlgl+sl_FiT_.Ely_111Md__________ , = r , � . Laid: E First floor; ❑ second floor; ❑ attic -------- sq. ft.; ❑ diagonal; j] right angles. wit h L FINISH FLOORING: (Wood only. Describe other finish Booing ander item 21.) LocATiON Boons Gsaos Sm== TiRimmm WmrE Brm. Paris RNME First floor------- sFar Pt--ftn—e=--.... --------- -- --f_ - ------ Second floor- -PBZ_PlAllsit -------- -------- ------------ --------------------__-- ---------------------- ----------------------- •3Ii1 •------------ Atticfloor------- i ---- sq. ft. ---- --- ----------- ----------------- ----------------------------------------------------- VA Perm VN -11152 1 •��+1• DESCRIPTION OF MATERIALS PHA Perm 2005 DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: K, D. Doaglas Fir, .3twmrd Studs: Wood, grade and species prude or hallar Sizeand spacing 2"_Z'�~_ �II�Other _qtlSfsner____ --L1i�IDhhIJL--. _liElQh-jZtL> iit1ina ----------------------------------------------------------------- --------------------------------------------------------- 10. CEILING FRAMING: AD or KD Joists: Wood, grade and species AYE__p=_ aZAL1a.__ Other ----------------------------------- Bridging ------------------------------------ -- o�_.BeaS__2zvtaa__ettseas_�lnercim._snd. dat�_.ila atttnhad--ta--PLL`na-----------------------------------.-- ------------------------- 11. ROOF FRAMING: Rafters: Wood, grade and species Tlnaaaa.asa_ ditt& l s___ Roof trusses (see detail) : Grade and species _At_AD.d._hfi=HT. Jr.__��tt�i__''��,__8ti@lel'8---------------------------------------------------------------------------------------- 12. ROOFING: Sheathing: Grade and species -24/-Q--G1=R-_1-------- - size _ilii '_------------------; ® solid; ❑ spaced ------- O.C. Roofing _Asphalt••COEtpDSWOD---------; grade ----Mt----------; weight or thickness J!W; sizel; gW, fasteningGalsr--1 _1g Stain or paint ---( --- L-Saulz_1hQlm--2�------------------- ------ Underlay ---------------------------------------------------------------------------- Built-up roofing-------------------------------------------------------------------- number of plies ------------; surfacing material --------------------__---- Material 13>3l=SniZali_Ilwn_D , gage or weight __ 6-bs-------- ; ❑ gravel stops; ❑ snow guards Flashing - 3'.1.� _'�gU------------' 13. GUTTERS AND DOWNSPOUTS: Gutters: Material_S)alffl9II1Z2d__1=A-------- ; gage or weight k_gAt; size ---- g~ _-----; shape ------R "____________________________________. Downspouts: Material ----------; gage or weight_. gk_jgikpsize 9•_'4_"____; shape Reot�ingttlar_____; number __________ Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry -well. m Splash blocks: Material and size _ it 6^ ------------- ------------------------------------------------------------------------------------------------------------------------------------------------- -----------^-----6-^-------------- 14. LATH AND PLASTER: Lath ❑ walls, ❑ ceilings: Material ______________________ weight or thickness --------------- Plaster: Coats _______; finish ------------ ---___________ Dry -wall ® walls, M ceilings: Material -Gypsum ---- - ---- -; thickness _1/_2"_; finish3=Qt.h:paint.-; joint treatment TSp&_MA. Gamest--}er.menuPaaturez!a_re>ZlnmmnndaLiOAd�_Y_#.de_met_nl__cornsra-At-all exteriorcornersof IS. DECORATING: (Paint, wallpaper, etc.) S')le9tQ7C. Rooms I WALL FINISH MATERIAL AND APPL[cAnox VcaLLNO FINISH MATERIAL AND APPLICATION Kitchen --------- -_--__. _T!!t!_�Q6i6i_L e_ _114 e1-on-(ly_sana--_----------- One co.it primer -one_ coat _latex.-------- ------------ ------- ---- Bath_flat _.eAR=1__QU__GY_a--------------• One goat__p_rileer-one coat _ latex ---------- --------------- ,111_ of har w ones• DnA_Aoa1_primar.Wm_ coat_=1a tear----------• -Osie-tet - rims -ase--ooa - trax-------------- -------------------------nal ;-ng --------------------------------------• --=-------------------------- ---------- ----------------------- ------ p_ 'igD`---------t-------illi.PS-------s_F84SII1'yttini�1,Wa ---------- ------------- -__--_---------------------------- 16. INTERIOR DOORS AND TRIM: Doors: Type Flush - 0111]L-OCV-D------ ------------- ---- ; material J1Qfa7:[_Q9$----- --------- ---------- _; thickness _1.30'! Door trim: Type material-_QBk--------__ Base: Type _Umt] dad --;material �---------- she -- Finish: Doors 1Q4atg-UNOX OZ---------------- ----; �-�--s�z�in--a�ld-tFar i�-------------=------ -------------- Other trim (item, type and locution) - I'-p1aIIaw lopgere--f--_- n � _Sk1Qla_a[ill_ha_ at813eQ _grid ------------- varnished. _ o r _painted, -------- ------------------------------------------------------------------ *---------------------------------- --------- 17. WINDOWS: MOD Sash is Ponderosa Pine Windows: Type DDnble-bqnK_; make 9149AeM-------------- material PDQ---C._� -----, sash thickness 1 Glass: Grade----SM___� --. -----; ❑ sash weights; ® balances, type X_3A%k*d._J/1=.iWrA_------- ; head flashing --�}g•.- $ ___ Trim: Type �111d8$------------ ; material --- Oak -------------- --------------- Paint ___; number coats --------------- -3— Weatherstripping: Type AliminUM-CasiO4 ----- -------- material A lu»__________________ _ -- Storm sash, number Screens: ❑ Full; M half; type _klumirinm -MEMS ------------ --- ; numberftr-plgoVcreen cloth material 11'ibarglwas------ Basement windows: Type -------------------------; material ------------------------; ❑ screens, number ; ❑ Storm sash, number__ Special windows J11ades--mb I I _ltnit L par_,pl$as,____SEBtu ra_panel & _ ->N��-•dam--R�t.�l--------- -• .' dLr:�ntiAl_iTBmfld__p9r-plaaaM__�@]Y-�,i.nddc►1ta-Taa�-*+1---- ____-_-_- ---------------- -__�� 18. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: Material -------------------- -----; width --- ft! ---; thiclmesA,4/*'. Frame: Material. -T. -M-1138, thickness14-11 Other entrance doors: Material --------------------------; width -_,'32_~ ---; thicknesFrame: Material .N._Mi G; thicknes&4_11 Head flashing _8&__(%A- G1- Whe_Q_XAQ--------- Weatherstripping: Type saddles Screen doors: Thickness ---------"; number -----------; screen cloth material ----------------- Storm doors: Thickness - ....... ; number Combination storm and screen doors: Thickness ---------; number r_____; screen cloth material ------------------ ------------------ -____________-. Shutters: ❑ Hinged; ® fixed. Railings-P_ar_. 1=6L! ____-__________________________ Louvers Y'41-4.-TrQ4 F _Sc4d1 1A9L>sd- . Exterior millwork: Grade and species �C~__-�_`_-_Paint __Sill_ LLaB@_1Z4�1____________; number coaten -----------------------t$etas7_�rilper------------------------------------------- 19. CABINETS AND INTERIOR DETAIL: Hitchen cabinets, wall units: Material------------------------------------------------------------- lineal feet of shelveRAL.J11A* shelf width 2 Base units. Material----------------------------------- -; counter top-Pla4t10-I�4n; e --------- ;. edging PlantlCL__ SJa�d Back and end splash __40 Plastic Finish of cabinets ____; number coats Medicine cabinets: Make any__DA,.- hath _]who ,yO -a„�ow11-------.; model ----..i��lc-lli,:lL�r► d1 Is1 rmr Anr�a Other cabinets and built-in furniture !sLYAT0�._9� '�:__t_ A -94i" - -!-lids_,__ffn mi:t__pla&tJA leaitated doors; --Cultured mazy -e- -- V;__�_�-Abdw mliihad -pjatA._Aitzor--------------------- ------------ ---- 20. STAIRS: i Lennon Deluxe medicine cabinet # 3660 S:.IR Tie STRINas HANDRAIL. Material Thickness I Material ThickLu� Material 8150 Mater -I sine BALUMM Materw size Basement-----' law I SYP----1�5------- --------------- - ~ -- Main_..------- ---- clear -- -- -1-=1116"- -2 ---- -----'•ice-------,gXP--='slOS --- •--fin---�'-'----Ij.--Imo�n-- » -- --- - - '-.-_1 Attic. -----------II --------------------------- ---------------------- -- ------------------------------------------ Disappearing: Make and model number------------------------------------------------------------------------------------------ E b.. e-16-63:ee-6 21. SF%AL FLOORS AND WAINSCOT: Bathroom accessories: ❑ Recessed; material _Gh=1R&-------------- _ number ______; ❑ attached; material _DIEM=__________; number ------ 22. PLUMBING: FIETURR LOCATION MATERIAL. COLOR. BORDER, Sins. GAGR. ETC. - --- _ - THMHOLD BAn 1UNDICRYLOOR COLOR Kitchen---- ----------------------------------------------------------------------------------------- -------------------- ---------------------------------- 6 -3Z~ __X_ZL!----- Bath-------- ------------------------------------------------------------------------------------------ -------------------- I AMA -------------- ---------------------------------------------- ------------------------ MATERIAL, COLOR. BORDER, CAP. SIZES, GAGE. ETC. HEIGHT HEIGHT AT TUR -nth---------- LOCATION HEIGHT AT SHOWER ------------------------ Bath-------- .-.G.eta,in__Tila------ ------------------------------------------ --------- -------------------------- ---------- - 6100---------- --g•o».--- -- ----------- ---------------------------------------------- -------------- ---------------- --------------------------------------------------------------------------------------- ----------------------------------------------------------- ---------------- ---------------------- Bathroom accessories: ❑ Recessed; material _Gh=1R&-------------- _ number ______; ❑ attached; material _DIEM=__________; number ------ 22. PLUMBING: FIETURR NUMBER LOCATION MAKE MTa's FIxTURE IDENTIMATION NO. size COLOR Sink-------------------------------- - rttahell---- ---------------------------------- -------------------------------------------- -3Z~ __X_ZL!----- --------- ----- Lavatory--------------------------RN&h ------------------------------- -------------- ---------------------------------------------- ------------------------ ---------------- Watercloset----------- ---------- -nth---------- ------------------------------------ -------------------------------------------- ------------------------ ---------------- Bathtub---------------- ---------- -nth---------- --------------------------------- ---------------------------------------------- ------------------------ ---------------- Showerover tub*--------------- -Bath ------------------------------ - ------------- --------------------------------------------- ------------------------ ---------------- Stallshower**------------------- ----------------------------- ---------- ---------------- --------------------------------------------------------------------- ---------------- Laundrytrays------------------- ------- --------------- -------------- ---------------------------------------------------- --------------- ---------------- --------------------------- ---------------------------- -- . --- -----F_jj;Ajn__b__.f4]C -------- ------- --_-------- _Ii.RL3iA__t9F->-I.ma--- -------------------------------------------- Q --- ---- --------------- anda.A..----------------------- -------------- *10 Curtain rod **❑ Door ❑ Curtain rod Water supply: KI Public; ❑ community system; ❑ individual (private) system.* Sewage disposal: ❑ Public; ❑ community system; ❑ individual (private) system. *Show and describe individual system in complete detail in separate drawings and specifications according to requirements. House drain (inside) : ❑ Cast iron; L tile; ❑ other - ------- ____ House sewer (outside) : ❑ Cast iron; X tile; ❑ other __________________ Water piping: ❑ Galvanized steel; ❑ copper tubing; ❑ other__T--------------------- -- ---- --------------------- Sill cocks, number Domestic water heater: Type __G"_Sirad _----------- ---- _; make and model - ----------------- recovery --------------------- gph. 1000 rise. Storage tank: Material ---------------------------------------------; capacity ---------------- gallons. Gas service: ❑ Utility company; ❑ liq. pet. gas; ❑ other ----- -- ---------------------------- Gas piping: ❑Cooking; ❑house heating. Footing drains connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry we1L Sump pump ----------------- -_ -------------------- -__------ 23. HEATING: ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One -pipe system. ❑ Two -pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model____________________________._.___________-____________________ Radiant panel: ❑ Floor; ❑ wall; ❑ ceiling. Panel coil: Material -------------------------------------- ---_------------------------------ -------_- ❑ Circulator. ❑ Return pump. Make and model------------------------------------------------------------------; capacity -------------- gpm. Boiler: Make and model ------------------------------------------------------- Output ------------------ Btuh.; net rating ------------------ Btuh. Warm air: ❑ Gravity. Z Forced. Type of system _P_es'1R ter--------------------------------------------------------------------------------------- Duct material: Supply _(Faly_.__ima; return ------------------ Insulation ------ ____------ thickness ----- -_ ❑ Outside air intake. Furnace: Make and model ------------------------------------------- ---------- Input - ------------------- Btuh.; output --------------------- Btuh. ❑ Space heater; ❑ floor furnace; ❑ wall heater. Input ----- -------- _----- Btuh.; output _____________________ Btuh.; number units _________ Make, model----------------------------------------------------------------------------------------------------------------------------------------------------- Controls: Make and types-YimmaWliSi- II11 911.---------------------------------------------------------------------------------------------- Fuel: ❑ Coal; ❑ oil; ❑ gas; ❑ liq. pet. gas; ❑ electric; ❑ other -------- --------------------- ---- _; storage capacity _ ------------------------------------------------------------------------------------------------------------------------------------------------ Firing equipment furnished separately: ❑ Gas burner, conversion type. Stoker: ❑ Hopper feed; ❑ bin feed. Oil burner: ❑ Pressure atomizing; ❑ vaporizing ____________-_ Makeand model------------------------------------------------------------------------ Control ----------------------------------- Electric heating system: Type Input ------------ watts; @------------ volts; output --------------- Btuh. Ventilating equipment: Attic fan, make and model---------------------------------------------------------------------; capacity --------------------- cfm. Kitchen exhaust fan, make and model K1alk.NmTgMt.'_Seri ion _E�]fl�I_�aL1rig_1$Q__L'Dd_____________ Other heating, ventilating, or cooling equipment P�2 _plana-9ilh _�1Chau _fid►A_A!!S2_�_ZQ.-Cid____________________________ 24. ELECTRIC WIRING: Service: Overhead; ❑ underground. Panel: ❑ Fuse box; ❑ circuit -breaker ----------------------- ------------ Number circuits ___M Wiring: ❑ Conduit; ❑ armored cable; 0 nonmetallic cable; ❑ knob and tube; ❑ other --------------------------------------------------------- Special outlets: ® Range; ❑ water heater; Z other-I&YT------------------------------------------------------------- ------------------- —---- --------- ❑ Doorbell. m Chimes. Push-button locations .2=11t_ DMZ ------------------------------ ----------------- ----_-_--- -_---- -------- 25. LIGHTING FIXTURES: Total number of fixtures _w_ Total allowance for fixtures, typical installation, ;__- ----- -_ Nontypica,Il .installationllL _ w��fl�d�iQ1IItl�_A.1B121A!!t1!__btLY_!!_ ♦ !141 4♦NQreRt__3.Uht _-tj.9_A�4a4_ A -s___-_/_- ------------------ r16-&3168-6 3 DESCRIPTION OF MATERIALS DESCRIPTION OF MATERIALS 26. INSULATION: LOCATION THICKNESS MATERIAL. TYPE, AND METHOD OF INSTALLATION VAPOR HAMM Roof-------- ---------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ Ceiling --------------------- --Glass _fi�ber__1B_ ,g --------------------- ---------------------------- --------------- -.A�tTlGtslLed--Pater_..... wall -------- ---------------- -- O1aec_-• thl! r--lR batta�_tti9,ple�_ tA__•sudn - - ---- - -�A�1-tom Pyr -- Floor------- ---- - - -- -- - -- -- - -- - - -- ----------------------------------------------------- - - 27. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere):__DBnllll__�1.baL_DDA�Td------------------ .Sheazhing,-- comp4ing_-with_S11fl�i4�__Dill__ha__s1th,�r__d,D�-�I�a�►LharDr a"i_ CD1Qtex- "atamly__Blcuase_"_�--- -Barratt_ -�?IU.gi-d..ir U",__Dierka_ n jntamad i ate»y_ pr _Inatlita_ » jntdrnleat ate!�y--sQla�;ly[in4-------------------- -with-Z&- 8 19"-5 4b•------------------------------------------------------------------------------------------------------------------------------------------------- Wf de_ overa__screen-d vent _ at_: soifit1__25--- Gkk-_____________________________ Arc-: hkte_cL13-1--9rla1P-.nlled-iA- construction.-- ------------ ---------------- ------ -- -- -- ---------------------------- --A --- ---- -- - -- - - ----- -- -- - - -- -- -=-Ail__arterio_r__mlIIwork._old__t ------------------------------------------------------ �1a�.�__aI.L_eT_10� aldi.lct__ar_Xtt-Cvo-3"Y__PrImp-_D%kgVP4 ---------------------------------------------------------------___et__the_JizAul4__Pxvp4r r_- Stsudarda._Qf_-the _ 9AQral_,'pualag _ad.-------------------------------------------------------------- ------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------- HARDWARE: (Make, material, and finish)4 __________________ Ixtexio_r--- -GkA-_kayvtd_ *11ke._..-tAr�lQle__ei�'lsl__I.ALB�'lQr .11a�utohsOAv _ QA _ f lu4b__e teri r_ door a-._-________ ------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------=---------- SPECIAL EQUIPMENT: (State material or make and model.) Plumbed for hot and Coid Venetian blinds ____________________________________ Number --------------- Automatic washer -)ABT--and__drtlliu-_ Kitchenrange-------------------------------------------------------------------- Clothes drier ------------------------------------------------------------------------ Refrigerator----------------------------------------------------------------------- Other ---------------------------------------------------------------------------------- Dishwasher------------------------------------------------------------------------ ------------------------------------------------------------------------------------------- Garbage disposal unit--------------------------------------------------------- ------------------------------------------------------------------------------------------- PORCHES: -------- ---- ------4"__C�iQk _x'@ ASQJmed_ >d3 __fi_Aore g__txD4t_"X91;._$ %b-----i�llls_ eeiLtng_l8_�sla�_ptlb_-__�IxtQristy__A]13►_wtood.-------------------------------------------------------------------- 4'�c4'---- �" _ tllialc_r_eints��loasl_sia�ue 4A__ltt��Rl4 .SIA__ '° ►r -O ----------------------------------------------------- ---------------------- --- Bad�o�d_data.--6"_ttu�n�asl__slDlIlt9Aa,--I__n4upa�c_e_�__flo4all_columna_or_10'! heavy-r�a�-___----__ TERRACES: x-►ttern cast ibo n columns !qr plans. - --- - - GARAGES: -( ) Single car Garage ( ) Double Car Garage. Garage well foundation - 80 concrete bleak _--___-- -------------------- ------------------------------------------------------------------------------------------------------- S--- t1Qo?-_A@h__Mdnforcjdwirh 6" z 60 #_ 10 wire mesh. ----------------- ---- - -------------------------------- -------- as manufactured_bg_General Door Corp._ -------------------------------------------- ------------------- _ �.�ibar__ board_ �b►eatk�lz�S-siAe-nterio r- rrall--------------------------------------------------- --------------------------------------------- ---- WALKS AND DRIVEWAYS: Sand Driveway: Width ------------ Base material - j& Concrete -----------_; thickness --_; thickness 'It'_' _". Surfacing material �cr---4 ---- ------ Front walk: Width J16 -t- Material thickness Service walk: Width ------ Material --------- thickness.----" Steps: Material_Z0114XIISd!---------------------- - treads ----- ------- ; risers --------------- ". Cheek walls ---------------------___-------------------- OTHER ONSITE IMPROVEMENTS: (Specify all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, retaining walls, fence, railings, and accessory structures.) _s13r8diu8RM-T14€?_- e.lli------------- -- ------------------------------------- ------------------------------- a.Feacsee..--trll].1i8}__plaAt.Qvxe+9,--decOrativ8__gTille_ua_ _or_porch_ rails_ sr_�lans,- ------ --- --------------------------------------------------------------------- LANDSCAPING. PLANTING. AND FINISH GRADING: Topsoil ---- AL--'! thick: NJ Front yard; B side yards; R rear yard to --------------------------- feet behind main building. Lawns (seeded, sodded, or sprigged) : @ Front yard -------------------- M side yards — ----------------- ® rear yard --- —_--___--___w w Planting: O As specified and shown on drawings; 10 as follows: ------------ Shade trees, deciduous, ---------------" caliper. _---------- Evergreen trees, ___' to ------- B & B. ------------ Low flowering trees, deciduous, ---------- to -_------- ------------ Evergreen shrubs, ' to ', B & B. --------------- --------------- ----------- High -growing shrubs, deciduous, -------- to -------- ------ Vines, 2 -year --------------------------------------------------- --- _--------- Medium -growing shrubs deciduous to ------------ Low -growing shrubs, deciduous, -------- to ---------- ---------------- ---------------------------------------- -------------------- --------- IDENTIFICATION.—This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter is known at the time of application. Date 4 VA Fenn V34-1852 PHA Pena 2005 Signature --------------------- —------- —_—____________ Signature-------------- ------------------------------------ a 18-691811-6 8. -. GOTUNEW IOIRTIN *MCC