PRE 2010 DOCSENG.
CURB
'MENT
IINGS.
SUBJECT
P T NO.
City .Fridley
13989-
AT THE TOPOP OF THE TWINS
BUILDING PERMIT
' '
R
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-1715
4/8/77
JOB ADDRESS 1404 West Danube Road N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
21
1
Innsbruck North 2nd Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mr. Forsberg
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Harstad-Todd Construction 2200 Silver Take Road, New Brighton 636-3751
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. ,
T146 OW OF FRIDLEY DOES NOT GUARA4g THIS
5 _ENGINEER ACCURAQYIL0J§RQUM LOCATIONS AND EIkA/A'ff0m6JP PHONE LICENSE NO.
THIS DATA IS FOR INFORMATION PURPOSES ONLY AND
6 USE OF BUILDING PERSONS USING FY THE NFORMATION
Residential ON TME SIT%
7 CLASS OF WORK'
�l NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WRKu
Construct a 56' x 28' Dwelling and a 24' x 22' Gaxage_
SEPERAlt PERMITS REQUiRED FOR VVIRITSIU, Before digging cap local vNliti
9 CHANGE OF USE F;F"IING; PLUMBING AND SAKS.
REQUIRFE) AY L"
STIPULATIONS Provide a hard surfaced driveway. Provide sod in the front and side
yards. Provide a verifying survey before capping. If recreation room window is
removed, provide 59 square feet of windows total or supply mechanical ventilation
for recreation room. 5/8" type X sheetrock on all frame walls and ceiling in
garage. Floor joists to be of Douglas Fir No. 2 grade or equivalent.
Manhole #1 CL: West & East Danube: TC 974.88, INV 956.89
Manhole #2 CL: Center of Lot 20 (166.5 South of Manhole #1) TC 975--, INV. 958.02
WYE: 63.5' South of Manhole #1
Elevation: 957.34 + 7.0' riser = Sewer Service 964.34 at Property line
WATER: 3.0' South of Sewer Service at property line.
30 DAY NOTICE TO Ci
MIN FOOTING ELEV: 967.5
DRIVEWAY DEPRESSION: NA, Existing is concrete surmountable DW. REQUIRED FOR
REMOVAL AND REPLAC
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPAN ROU
Y L ki
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
5528
33,280 Total
1664 +
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
$4$, lOO
$24.05
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-
$133.12
$375.00
STRUCT E PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$33.28
$565.45
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN P OPERLY VALIDATED THIS IS YOUR PERMIT
s
�\ �CP r
k)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
BLDG. IN -SP DATE
ENG.
CURB
'MENT
IINGS.
CITY OF FRIDLEY �
APPLICATION FOR RESIDENTIAL BUILDING PERMITS ,�/
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) U
OWNER: !'v1 iZ !- 0 12 S 3 1= �Z 6 BUILDER: H A .IP- ST /ID - l c T? o C, N 5 I
Address: - :. _ Address: ,?- ;L o d S t w , (Z
Tel. No.: 6 3 6 3'75"1
No.Street: (V - 2 v, -e r
LOT: / BLOCK: ADDITION: -� 0 d15 � ell c 1-1 V0 t!t o2 01 W j � � 1 o k
CORNER LOT: INSIDE LOT: SETBACK: -3 5 r SIDEYARDS: f Il ,
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
143" 5 -e
DESCRIPTION OF BUILDING
Front: 5-Depth:o2- �/ Height:
Square Feet: Cubic.Feet:
�2`r2 Front:
Depth: 02 Z Height: /6
i
Square Feet:
Cubic Feet:
Type of Construction: �f�' cl
rz�4�c'_
Estimated Cost:
$ 70 O
To Be Completed:
Proposed Driveway Width If New Opening Is Desired
i Alt. A Alt. B
$ r/ $
(SEE REVERSE SIDE OF SHEET)
The 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
are true and correct. See reverse side for --additional information.
�/
DATE: '7 SIGNATURE: ���`,�
Stipulations:- - k
vq�'4' jo-4 a", ?A- ku, qevN
Ad", 40W 54Q-
41.)
�#C0
3
r .
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER � 4t. OM5 tie
I�
SITE ADDRESS
CONTRACTOR �` �V CiA% COVISWDATE V Ai r. PHONE 4 % I
Determine working square footage .of each.
1. Total exposed wall area ...... sq. ft. x .17i•S"2•
��
2. Total �rhoof/ceiling area ... Y sq. ft. x .05 _ A.
3.
Total exposed wall area above -floor
a. Total wall window area.......... a�
b. Total door area.... . ... ..... ..
C. Total sliding glass door area ....................
d. Total fireplace wall area........ .........
e. Total wall framing ,area (average 1O%)......... O
f. Total net wall area above floor ................. /97
g. Total rim joist area ....... .. .... I,--*
Total exposed foundation area ��►
h. Total foundation window area .......,.............
i. Toal net foundation area above grade ............. i
Determine "U" value of each wall segment.
amp
of 11
d.
h. X 11U11
76
3 ........................ ............Total W-2
If item #3 is.the-same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
w
Total exposed roof/ceiling area :=
Total gross roof/ceiling area =
j. Total skyttght' area ...
k. Total roof/ceiling framing area .............
1. Total net insulated roof/ceiling area.......
Determine "U" value for each roof/ceiling segment.
16 kV, IZ@AIL j - x „u,, _
t
k. r x
1. 1' x „u„ . O S S =
4...'....... ..Total =1 A 5 To—T-A �-
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(61.
To utilized the total envelope system method the values established by the
sum of items #3.and #4 shall not be greater than the sum of items #1 and #2.
3.
2. _
+ 4.
f
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
I
Number Fixtures
x
$3.00
$
Future Fixture Opening
Water
$2.00
$
New Fixture, Old Opening
x
$2.00
$
H
x
$5.00
$
Water Heater - to 99,000 BTU
o N
$5.00
$ a®
100,000 BTU to 199,000 BTU
x
Heater
$
Water Softener
ro
$7.00
$
m
x
N
$
Electric Water Heater
a m
0'a
$
GAS FITTING FEES:
-
'$3.00
3`0
1st 3 fixtures
x
$
w
-5
0
8
49 •M
x
$to.00
o`
REPAIRS $ ALTERATIONS
,
ro v
p
oar
$5.00
w
3
A w
y
w
0 aD
3
$ .50
o
as
lec
ui
TOTAL FEE
$ —331,
I
,
1st
2nd
3rd
4th
(Ri = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
I
Number Fixtures
x
$3.00
$
Future Fixture Opening
.� x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$ a®
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x'
$5.00
$
GAS FITTING FEES:
-
'$3.00
3`0
1st 3 fixtures
x
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$to.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
J "•
TOTAL FEE
$ —331,
REINSPECTION FEE
($10.00)
:Jab Address
l �fv` WG5' T D up .� . .
Department of Buildings
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley. Mn. /// a 19 7 ^
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT 6-1-77
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO./esL
Company` L) `i / E' S U / 1"'M
Signed By �/ �f -a
Tel. No. O 'J
ROUGH INSP.
Date -
FINAL INSP. 7
I Date
APPROVAL FOR PERMIT W
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7,50 pLUS $.50 STATE SURCHARGE
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 A/C) �'0;5j OXA'+VUZ F
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL WARM AIR:
J
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 Codes _
each add. 50,000 BTU
4.00
$C
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
4.00
$
y�
Minn. /M y 19
Repairs & Alterations each add. $500.00
$
Fridley, . -LZ
cc
STEAM OR HOT WATER SYSTEM:
OWNER 1_'W49
Boiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING—,a.L,f`,0F14 7114e -
14e -each
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
$
ESTIMATED COST
^-o
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
OLD - NEW BUILDING PERMIT 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
$10.00
$
Gas Range to 199,000 BTU x
$
HEATING or POWER PLANTS, Steam, Hot Water, Warm Ai
AIR CONDITIONING
$
//No.
Trade Name Size No. 'Jf� �•��
FAN HEATING SYSTEMS See Fee Schedule
VENTILATING SYSTEMS
$
Capacity �, �FSq. Ft. EDR BTU Imo" (� HP
ALTERATIONS $ REPAIRS
$
State Surcharge
$ .50
f�Y7
Total Connected Load °%,{� �'Kind of Fuel /y G �YYf
TOTAL FEE
T—
BURNER - Trade Name Size No.
ROUGH INSP. REINSPECTION FEE
Capacity Sq. Ft. EDR BTU HP
Date ($10.00)
Company i 19ll.Je•, pp��,, � �
FINAL INSP.
Date
Ile Obi
Signed By4&
APPROVAL FOR PERMIT
-17 /
Tel. No.
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
• ,°`aha?/+ Y : ..�-��,.�;�,�,�
63.4
I?J6
HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION
Weatherstrips A• HVL Guide Construction No.
Windows I Doors Reference 1:Oii::W=41nt. WaU Ceiling Roof Floor ll:iad
Yea— Imo Ye—� 19_
F1.1 Room Length Width Height II Fl.1 /�t�a�'�P,�f6�'Roona 1
Windows and Doors—Cra
Windows and Doors—Crackage and Area
d
Exp. wall
Width Height No. of Lineal ft. Area
No. of Dane of Dane, llghts of crack sq. ft.
Width Height No. of Lineal ft. Area
of pane of pane llghts of crack aq. it.
'
C�
Ceiling
CoEfBtu.
Coef.
Infiltration
Infiltration
31
Glass
�t�
�'
.Exp.
wall
3 a
v ,
Exp. wall ,
Net exp. wallInt.
Glass
Exp. wall
7 ` "
wall
Exp. wall
Ceiling
Ceiling�"
x
Floor.,,
Net exp. waU
Floor
Total Btu.
Required sq. it. E.D.R. or sq. ins. W.A. Leader area
Fl.I %� P Room I Length , ' Width f/7, Heiaht F'
Windows and Doors—Crackage and Area
d
Exp. wall
Wldth Helght No. of Lineal ft. Area
No. of pans of pane Ilghte of creek M. f,
Width Height No. of Lineal ft. Area
of pane of pane llghts of crack aq. it.
'
C�
Ceiling
gra; �;vj1
Coef.
Btu
Infiltration
Infiltration
3F
Y,r 9-2
Glace
Infiltration
Glassy
'
v ,
Exp. wall ,
n,FSA,
Glass
Exp. wall
7 ` "
Net exp. wall
Int. wall
Exp. wall
\
Ceiling�"
x
r:
Net exp. waU
Floor
77Ila :57777
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 'Z
®—_ I f ---.L A Rf:.3.L 1 W.:®t..
Windows and Doors—Crackage and Area
d
Exp. wall
No.
Width Height No. of Lineal ft. Area
of pane of pane llghts of crack aq. it.
'
C�
Ceiling
gra; �;vj1
Floor
Coef.
Btu
Infiltration
�T
Coef.
Btu
Infiltration
Glassy
n,FSA,
Glass
Exp. wall
7 ` "
Exp. wall
Net exp. wall
x
Net exp. waU
Int. wall
Int. wall
Ceiling
Ceiling
Floor
77,7
'`
Floor
A?:q`
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
0
Infiltration
Glass
Exp. wall
Net exp. ;all
Int. wall
Ceiling
Floor
13L�-
MUMAPOLIS. MM.
Insulation 999
How Applied
1 Width ,, Height a
e and Area
.Inul ft A.
of crack sq._ft.
0
Btu
7T
po 0
Total Btu.��
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. 10 6ft`lY i W & Roofs (Length �_- Width, Height rn
Windows and Doors--Crackage and Area
Width Height No. of Llocal ft. Area
No. of pane of pane lights of crack eq. ft.
-3 6 /
Btu
Infiltration
Glaze
d
Exp. wall
Width Height No. of Lineal tt. Area
No. of pane of pane lights of crack aq. ft.
Net exp. wall
'
Int. wall
Ceiling
gra; �;vj1
Floor
Coef.
Total Btu._ et-`
Required sq. ft. E.D.R. or sq. his. W.A. Leader area 1,
6,:a dy Wf:.a.t. 'PI U -M..
f -1111--f v ✓ AY' t r aw,er— i ......d... � i ---- y
Windows and Doors—Crackage and Area
d
- v _
Width Height No. of Lineal tt. Area
No. of pane of pane lights of crack aq. ft.
Coef.
Btu
Infiltration
�T
Glassy
Exp. wall
7 ` "
Net exp. wall
x
Int. wall
Ceiling
Floor
Total Btu. c�
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
i► . 130410►-
;
Y1✓!6
HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION MITMEAPOUS.
Weatherstrips _ A. Guide Construction No. insolation
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes— Imo I Yes—,70
a 19—
Fl.I �9 Room I Length Width Height G F1.1Room. Length Width Height
Windows' and Doors—Crackage and Area Windows and Doors.-Crackage and Area
Width Height No. of Lineal tt. Area width Height No. of Llaeal tt. Area
No. or pane of Dane Ilghte of crack sq. ft. No. of Mans of pane ngbto of crack sq. tt.
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
m
Btu.
F1.1 Ld U, I&4'iz Room l Length ? ?
Width
f Height
Windows and Doors—Crackage and Area
Exp. wall
Net exp. wall
Int. wall
Width
No. of pane
HeightNo. of Lineal.".
of pane lights of crack
Area
p. ft.
Infiltration
Total Btu.
Glass_¢
ft. E.D.R. or sq. ins. W.A. Leader area
F1.1
Room I Length Width
Exp. wall 77, T
width
No. of Dane
a
Net exp. wall
'
lCoef. Btu
Infiltration
Ceiling
Glass
Floor
Total Btu..
Exp. wall
Required aq. ft. E.D.R. or sq. ins. WA. Leader area
Net exp, wall
``
Ceilin
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Lensth4t Width lil
Windows and Doors—Crackage and Area
width Hslght No. of Lloeal ft. Area
No. of pans of Dana Ilgbts of creek sq. tt.
Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Coef.
Btu
Infiltration
Total Btu.
Glass_¢
ft. E.D.R. or sq. ins. W.A. Leader area
F1.1
Room I Length Width
Exp. wall 77, T
width
No. of Dane
Height No. of Lineal ft. Area
of rane I lights of crack aq. ft.
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu..
Required aq. ft. E.D.R. or sq. ins. WA. Leader area
Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq.
ft. E.D.R. or sq. ins. W.A. Leader area
F1.1
Room I Length Width
Windows and Doors—Crackage and Area
width
No. of Dane
Height No. of Lineal ft. Area
of rane I lights of crack aq. ft.
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. itis. WA. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
w/dth Height No. of Lineal tt Area
v_ s ...... ..� ...... tlrhu of crack ea. f4
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Btu
s
July 1, 1977
6439 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 692)579-3450
Harstad-Todd
2200 Silver Lake Road
New Brighton, Mn. 55112
Re: Final Inspection at 1404 West Danube Road N.E.
Dear Sirs:
A final inspection was made on July 1, 1977 of 1404 West Danube Road N.E,
and the following items were noted which must be completed before the
structure can be finaled out;
1. Provide sod in the front and side yards by July 12, 1977.
2. Provide a bathroom fan by July 12, 1977.
3. Caulk under all windows by July 12, 1977..
4. Provide house numbers on structure by July 12, 1977.
5. Provide a hard surface driveway by July 12, 1977.
We will expect the above items to be completed by the scheduled date when
a reinspection will be made to determine compliance. If you have any
questions on these items, please feel free to contact me at 571-3450.
sinSey,
RON HOLDEN
Building Inspector
RH/mh
SUBJECT
PE
City ®f Fridley
_ 15.9 2 5
P, AT THE TOP OF THE TWINS
BUILDING PERMIT
_
r
RECEIPT P>Q,.,-
• _____ COMMUNITY DEVELOPMENT DIV.
-------
r e PROTECTIVE INSPECTION SEC.
1 ,
i -'B CITY HALL FRIDLEY 55432
NUMBER
REV.
DATEP
AGE OF
APPROVED BY
612-571-3450
910-F15
9/10/80
JOB ADDRESS 1404 West Danube Road N. E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
21
]
Innsbruck North 2nd SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Thomas Forsberg 1404 West Danube Road N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Brickner Builders Inc. 6249 Ben More Drive -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
x
8 DESCRIBE WORK
EM Construct a 12' .x 12' .Addition to DIgel li=
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FoR kY11til
HEATING, PLUMBING AND SIGNS.
locale
6iBBi�g calf Etc,
Qetate RtC
I&EPHOREELECi
DIM LAIM
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Frame
VENTILATING OR AIR CONDITIONING.
Wood
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
1
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
$4450
$2.23
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRIES E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS Y OTHER STAT LOCAL LA REGULATING CON-
$27.00
NONE
TRU
STI HE PERFORMA U ' E CONSTRION.
'ld
PLAN CHECKFEE
TOTALFEE
$ 6.75
$35.98
SIGNATURE OF CONTR CTO OR HORIZED AGENT IDATEI s".
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
�� V
BLDG INSP ATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
• CITY OF FRIDLEY
APPLICATION FOIA RES I I)EUTIAL BUILDING PERMITS
.01EW, ALTERATIONS, ADDITIONS., OR REPAIRS)
Address: 4*10 e- Address: �2_Ye L2 &A
1
... - -Tel. No.
�r .
- NO::% Street: lu f
LOT: BLOCK: }ADDITION:
CORNER LOT: Y INSIDE LOT: SETBACK: SiDEXARDS:
Applicant attach 'to this form Two Certikicates of Survey of Lot and proposed ,
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be • L°sed As: _
6G✓� Front: Depth: �. Height:
,?quare Feet: Cubic Feet:
Front Depth Height: _..
Square. Feet:.. Cubic Feet:
g
Type of Construction; Estimated .Cost: -$
To Be Completed:
Alt. Alt. B
Pro used Driveway ididth If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby mal es application for• a permit for. the work -herein �
specified, agreeing to do all work. in strict accordance with the City of E
Fridley Ordinances.and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side or'Additional information,,
.DATE : SIGNATURE: �--�
i
Stipulations... E.
i
' j f
SUBJECT -
P M
City of Fridley
18 716
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
r
REC O.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r i
"1 CITY HALL FRIDLEY 55432
�'•-" ,'�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/20/86
JOB ADDRESS 1404 west Danube Road N.E.
1 LEGAL
LOT NO.
BLOCK
TR ACT OR ADDITION SEE ATTACHED
DESCR.
21
1
In.n.sbruck. North 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tom Forsberg 1404 west Danube 1�oad N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO,
Christensen Contracting P.O. Box 126.15, New Brighton 434-6456
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW f ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 14' x 12' Addition to Back of Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide egress window. Provide fire alarms in hallways leading to
bedrooms.
SEPARATE PERMITS REQUIRED FOR
Before digging 0311 10cai udi11""k., WIRING, HEATING, PLUMBING AND SIGNS.
- GAS Eta.
TELEPHONE - ELECTRIC
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$ 9,150
$4.58
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRE5 PE TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
P O IS NS O NY OT ST OR AL LAW REGULATING CON-
$80.50
STR ION HE P O F NSTRUCTION.
LAN CHECK FEE
TOTAL FEE
'$20,13
$105.21
SIGNAT RE OFCONiRACTORORAUTHORIZED AGENT (DAT-6 P
WHEN PRO PERL ALIDATED THIS IS YOUR PERMIT
BL G INSP/)ATE
SIGNATURE OF OW NER OF OWNER BUILDER( IDATEI
NEW [ ]
ADDh .
ALTER. ]
Constructii
Legal Desc,
Owner Name
Contractor
City of Fridley Effective 4/1/8(
R-1 AND R-2 j
Building Permit Application
Address: P /a!S /y m— l.�/I,COF
Attach to this application, a Certificate of Survey of the
lot, With the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROYEMEN1
LIVING AREA: Length
Width _�[._ Height ___ Sq. Ft.
GARAGE AREA: Length Width _ Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft. -
OTHER:
Corner Lot Inside Lot
Ft. Yd. Setback Side Yardtback
[�i [ ]1
Type of Construction: f�/ 1.0 _ Estimated Cost:
Approx. Completion Date:
f11.�, Z- .30)4 �� � 3g - Alt. A Alt P
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
Tel 0-12 (I 40 i4
DATE. I� APPLICANT :--&
CITY USE ONLY
Permit Fee Fee Schedule on Reverse Side
Plan Check Q), 25% of Building Permit Fee
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
TOTAL
v /��'-�` Agreement Necessary [ ] Not Necessary [ 7
STIPULATIONS: � tbC- •
is ?"040 w L FtA4M*0A-*\
P a
CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES _j�
JOB ADDRESS )14N �. b u gd-
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00 $.W...00 representations stated in this application are true and cor ect.
(Side Vent — Fill Out Back) -- — 1996
Gas Piping (Needed with new furnace) $10.00 $
OWNER %i� C'S b -
Gas Range $10.00 $
BUILDING USED AS
Gas Dryer $10.00 $ (�
ESTIMATED COST ' �`® PERMIT NO. 0 5.90
*Air Conditioning — All Sizes $ 25.00 $
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
I% of Value of Appliance or Work $ No. of Heating UnitsCircle One (Steam) (Hot Water)arm Alr
Trade Name Size No. /U' Bik
Commercial/Industrial BTU l500E)HP EDR
1.25% of Value of Appliance or Work $ Fuel Total Connected Load
State Surcharge $.50 Burner Trade Name Size No.
JDI
BTU HP EDR
TOTAL FEE $ r
1;{NIE HTG. A/C & ELECT. INN,
HEAT114G CO ANY 13562 ENTRAL AVE. N.E.
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION _
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Si Tel No.�G
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr Approved ByRough—In Date Final Date
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FtFRITACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNACE
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes
No
CHIMNEY AND STACK VERIFICATION
No
The
undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes ()
No
( )
2.
Is free from rust or deterioration
Yes ()
No
( )
3.
Has no foreign objects lodged within
Yes ()
No
( )
4.
Is securely supported
Yes ()
No
( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes {)
No
( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes
No
Yes
No
SUBJECT
PERMIT NO.
City of Fridley
M556�AT
THE TOP OF THE TWINS
BUILDING
PERMIT
Ir?
• COMMUNITY DEVELOPMENT DIV
_
INSPECTION SEC.
r PROTECTIVE
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/17/9
JOB ADDRESS 1404 West Danube Road NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
21
1
Innsbruck North 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tom Forsberg 1404 West Danube Road NE
574-0463
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Wren Builders Inc 8218 11 Ave S, Bloomington MN
55420 888-4952 4360
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION l REPAIR O MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (Tear-off); Reside House & Garage
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
SQ. 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
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$17'000
$8.50
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-
$249.75
Fire SC $17.00
STRUCTION OR THE P RFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
License SC
$5.00
$280.25
SIGj ATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY
BL*OG NSP
LIQATED THIS IS YOUR PERMIT S
_ OATE�/�,,
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application (�
ConstructionAddress:�/��� �fj2L-n,
Legal Description:
Owner Name & Address:
Contractor:
Tel. # , 5"�2 K - 0 Y 6 -3
MN LICENSE #
Address: 551'jp / 14, X� � ,3 o Tel. # 9S_ Z
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: �/ Vii✓' /��� �� _
Comer Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date:
Ft. Yd Setback Side Yard Setbacks
Estimated Cost: $ 0 a
Driveway Curb Cut Width Needed:
DATE: 6 APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$
$ 6y
(Cost on Back)
_Ft. + 6 Ft = Ft x $ _ $
Tel. # eff V 5' S_ L
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$900 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
GI I OF FRIDLEY Mbrtu I ION DIV.
64Y1 University Ave NE
Fridley, MN 55432
572-3604
L � /e "cp -C)U Effective On Jan 1, 2000
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTAR Fr) ON FArH FI nnR
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas**
$10.00
Gas Range"*
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required K)Yes () No
Type kJ%l w -s "7.;?o A I3
$15.00 /S
_�
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
°'°
State Surcharge $ .50
TOTAL FEE $
JOB ADDRESS :/7 U v W
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.
2000
Owner (/7'1 J 1 LL % L -01L
Building Used
Estimated Cost
PLUMBING COMPANY //J tC I D
SIGNED BY
Approved By
PERMIT NO.
TEL N611!:.Z)
Rough -In Date Final Date l®�
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
rJAIN
CINOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287
October 2, 2000
Tim Taylor
1404 West Danube Road NE
Fridley, MN 55432
Re: Final Inspection at 1404 West Danube Road NE
Contractor: Weld and Sons Plumbing
Dear Mr. Taylor:
A plumbing permit was issued on May 19, 2000, for the above noted address,
to install a back flow preventer for an irrigation system. According to section
4715.2800 of the State Plumbing Code, a final inspection shall be conducted on
the plumbing authorized by this permit. As of this date no inspection has been
called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
,--fl A B,A
Building 1W
$ a
BUILDING
Permit No .
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
Received By:
763-572-3604�
Surcharge
CITY OF FRIDLEY
Date Rec'd:
763-502-4977 FAX
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
EFFECTIVE 1-1-08
Curb Cut Escrow
DATE
YOUR E-MAIL ADDRESS
Erosion Control
SITE ADDRESS ®
lVV� pQ /
Park Fee
THIS APPLICANT IS: Jd OWNER ❑CONTRACTOR
Fee Determined by Engineering
PROPERTY OWNER/
NAME: / /0
Agreement necessary ( ) Non Necessary ( )
TENANTADDRESS:
� /�/r
STA ZIP
%� E'S% ��A (�� CITY
!V
PHONE:
NAME:
ADDRESS: CITY
STATE ZIP
CONTRACTOR
SUBMIT A COPY OF
PHONE FAX
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
PROPERTY TYPE
XSINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR )gREMODELINP
DESCRIBE WORK BEING DONE: 8VY1 'Q i�'tS'r S 2G a nd b Gt
SIZE OF IMPROVEMENT
�2— LENGTH 3 ® WIDTH HEIGHT SQ FT 36�
ROOFING
❑ HOUSE ONLY
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
structu
3.�",
PROPOSED HEIGHT:
FOR NETRUCTION INCLUDING DECKS,
SIDING
/ADDITIONS
& PORCHES SUBMIT:
❑ Vinyl
❑Soffit
1. Site Plan/Survey showing the existing structures
❑ Aluminum
❑Trim
and proposed project.
❑Other
❑Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(S �TJE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ 6 (�� OCCUPANCY TYPE
Permit Fee
$ a
See Back Page for Fee Schedule
Plan Review
$ 0
65% of Building Permit Fee
Fire Surcharge
$ —
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ e
Make checks payable to: City of Fridley Attach Sti ulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes
of the City of Fridley an with the Minnesota Constru 'on Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work 'll be in acro d ce wi eo ed an in the case of all work which require, review and approval of plans.
SIGNATURE OF AP CAI n PRINT NAME Q D ),- DATE � 1
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
BUILDING PERMIT APPLICANT: PROPERTY OWNER
1,y understand that the State of Minnesota
requires that�allsident ' building contractors, remodelers and roofers obtain a state
license unless they qualify for a specific e , m on, the lice sing equirements. As
the owner of the property at !D (- , Fridley, I
am exempt from the state licensing requirement only if I am not uilding or improving
this property for purposes of resale. By signing this document, I attest to the fact that I
am improving this house for my own use and do not intend to sell it. I hereby claim to
be exempt from the state licensing requirements because I am not in the business of
building or remodeling on speculation or for resale and that the house for which I am
applying for this permit, isl the first residential structure I have built or improved in the
past 24 months. I also acknowledge that because I do not have a state license, I forfeit
any mechanic's lien rights to which I may otherwise have been entitled under Minn.
Stat. 514.01.
Furthermore, I acknowledge that I may be hiring independent contractors to perform
certain aspects of the construction or improvement of this house and I understand that
some of these contractors may be required to be licensed by the State of Minnesota. I
understand that unlicensed residential contracting, remodeling, and/or roofing activity is
a misdemeanor under Minnesota law, and that I would forfeit my rights to
reimbursement from the Contractor's Recovery Fund in the event that any contractors I
hire are unlicensed.
I have also been informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to the City of Fridley for compliance with all
applicable building codes and city ordinances in connection with the work being
performed on this property.
Name*v
Date_ V— /�— QS;>
f
Ydo
A-
Tt-
rcOw
ml,
12'x30' deck located at 1404 W. Danube RD, Fridley, MN 55432
Construction Specifications:
construction method = beam on top of_onst
footing type = pier in ground
live load = 40
dead load = 10
deck spacing = 1/4"
joist spacing = 16" ox.
beam spacing = 120"
beams = 2"x12" treated pine
joists = 2"x12" treated pine
pOSts = Fi"YFi" tr _aad pine
deck height = 8'
joist overhang =
decking deflection factor = 360
joist deflection factor = 360
beam deflection factor = 360
decking size = 5/4"x6" - ER GREY, -
baluster size = 2"x2" - TREX WINCHESTER GREY
baluster spacing = 3 3/4" 1
railing height = 36" -RTREX WINCHESTER GREY 2"x4" 1 A
decking direction = perpendicular to joists
The deck will have ledger boards/walls on three sides, with the railing on one side only.
The deck will have no stairs.
i
Q
pGy -?r64? NnU