PRE 2010 DOCSBUILDING PERMIT
Village of
Date .4��!� • �u .. �, �........ .
Owner .. ..... .v ..... .
Address ht -.7.®...... . `. ............
Fridley, Minn. No 2921
Builder........................................
Address ...................
LOCATION OF BUILDING
No. ..�® ..... Streeter �.................... Part of Lot �...�.Q. ��...
Lot .....r ....... Block ... `.'........... Addition or Sub -Division . . ................. .........
Corner Lot ..:......... Inside Lot ............ Setback Sideyard .........::::.............
DESCRIPTION OF BUILDING
To be Used as:
Front ....... Depth ........ Height ..0 ...... $q. Ft. Cu. Ft.
........ Front . Depth.... Height/ MSq. Fi.Cu. Ft. ........
Type of Construction .............. Est. Cost F. ? To be Completed ..V.P . ............
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley. f l\
CD
In consideration of the payment of a fee of $........ , permit is hereby granted :3 ......... :-------
to
.....to construct the building or addition as described above. This permit Is/granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. �
Building Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
City of Fridley, Mine 11.10
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUIELDING PERMIT
mate: fly_ 27- 1971
Owners Lestgr A. Kallis Builder Johnson Building Mart
Address —.4707 - Lid Street N E Address '161 5. 9.at Lake Street
LOCATION OF BUILDING
No —4 Z 0 7 Street 2nd Street N.E. _ part of Lot
Lot1�— Block - h Addition or Sub -Division - Plymouth Addition
Corner Loi inside Lot Setback Sideyard
Sewer Elevation
Foundation Elevation
To be Used as:
Aluminum Siding Front Depth Height Sq. Ft.
Front Depth Height
Sq. Ft.
Cu. Ft.
Cu. Ft.
Type of Construction Est. Cost -. $2., 200 00 To be Completed Aug . 1
In consideration of the issuance to me of a permit to conwftvmt the building described above, I agree to do
$he proposed work in accordance with the description above st fr and incoM ce yv th all provisions of
Ordinances of the city of Fridley. /
In consideration of the payment of a fee of $---L 00 , permit is hereby, granted to Johnson Bldg Mast
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of
Zridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
.Within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
JL v� w Building
Inspector
RANK ETRTcli
NOTICE:
This permit does not cover the construction, installation for whine, plumbing, gas heating, sewer or water. Be sure to see
the Building inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM: BUILDER
ADDRESS 0
,7
1
LOT: BLOCK: ADDITION:
CORNEA LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of SurvgX of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
X v�v?/,a/('1-e Ov
Type of Construction: C t/ Estimated Cost: $ Z A
To Be Completed:u %5
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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.
DATE: f/,j7/f SIGNATURE:
(See Reverse Side For Additional Information.)
�'—
�I
z2C-V
CV
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1991
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH Fi nna
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS Ld ®� %
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 ( )Yes () No
Type
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge .50
TOTAL FEE $-\,'5s ®
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.
-11991
Owner rD I
v
Building Used As
Estimated Cost®� �� •PERMIT NO. _
PLUMBING COMPANY Attns Judy
nnagasco #
SIGNED BY
700 W. Linden Avegtr. No.
Minneapolis, MN 55440-116:`
Approved By Rough -in Date Final Date
42�
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
PIN V'24 ll-, C;Co
Ory— ('J0.j:vC'3 Z-ao,-15 ` f Minnesota Well and Boring
WELL OR BORING LOCATIQ9 MI NESOTA DEPARTMENT OF HEALTH - Sealing No. H 6008
County Name WELL AND BORING SEALING RECORD Minnesota Unique No.
Minnesota Statutes. Chapter 1031 or W -series No.
Anoka(Leave blank if not known)
Township Name Township
G No. Range No. Section No. Fraction (sm. - Ign.) Date Sealed Approximate Date Well
F r i d i e, 30 2 6 is N W, SU,i
or Boring Constructed
Numerical Street Addressor Fire Number and City of Well or Boring Location 37
4707 2nd St., Fridley Depth Before Sealing � ft. Original Depth ft.
Show exact location of well or boring Sketch map of well or boring Static Water Level ❑ Accurate
in section grid with "X-. location. showing property lines,
N roads. and buildings. ElApproximate
W
MIME
a
Screen from to
ft. Open Hole from to ft.
EMEM
PROPERTY OWNER'S NAME
Sandrae Dykbui zee
Mailing Address if different than property address indicated above.
SEEN
PUMP
❑ Removed E'' Not Present ❑ Other
CASING
Diameter Depth
in. from to 34 ft:
in. from to ft.
in. from to ft.
MEMS
GEOLOGICAL MATERIAL
COLOR
HARDNESS OF
FORMATION
h` [N Single Aquifer ❑ Multiaquifer RE ft, below above land surface
CASING TYPE
�E
�GA
smile y $ Steel El Plastic ❑ Tile ❑Other
34 37
S
1-4-- r mile
a
Screen from to
ft. Open Hole from to ft.
OBSTRUCTIONIDEBRISWILL
❑ Obstruction ❑ Debris ❑ Fill
none
Type of dabDebdris/structre
ObstructionlDebrislFili removed? [I Yes ❑ No
PROPERTY OWNER'S NAME
Sandrae Dykbui zee
Mailing Address if different than property address indicated above.
PUMP
❑ Removed E'' Not Present ❑ Other
CASING
Diameter Depth
in. from to 34 ft:
in. from to ft.
in. from to ft.
Set in oversize hole? Annular space initially grouted?
El YesPfi No ❑Yes El No El Unknown
❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown
❑ Yes ❑ No ❑ Yes . ❑ No ❑ Unknown
GEOLOGICAL MATERIAL
COLOR
HARDNESS OF
FORMATION
FROM
TO
If not known, indicate estimated formation log from nearby well or boring.
METHOD USED TO SEAL ANNULAR SPACE BETWEEN
No Annular Space Exists
❑ Annular space grouted with tremie pipe
❑ Casing Perforation/Removal
in. from to
in. from to
Type
2 CASINGS, OR CASING AND BORE HOLE:
ft. ❑ Perforated ❑ Removed
ft. ❑ Perforated ❑ Removed
of perforator
❑ Other
GROUTING MATERIAL
Grouting material �i 4" Cm t. from
from
from
from
5 to 37 ft. yards 1 bags
to ft. yards bags
to ft. yards bags
to ft. yards bags
REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING
UNSEALED WELLS AND BORINGS
Other unsealed well or boring on property? ❑ Yes ff No
LICENSED OR REGISTERED CONTRACTOR CERTIFICATION
This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is
true to the best of my knowledge.
Ho e3 _CQ %., JLn_p-jj in 02133
Contracto ass Name F..Wof or Registration No.
-15-95
Authorized Representative Signature
Rieke
Date
LOCAL COPY
�HGreg
0
Name of Person Sealing Well or Boring
HE -01434.01
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER
PLANTS AND
HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING
SYSTEMS AND DEVICES
c
JOB ADDRESS 47'Oj�6
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 ar
Furnace Shell and Duct Work, Burner —,
0Q°/
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00
$ Z®
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
1995
Gas Piping (Needed with new furnace) $10.00
$
/ %
OWNER SGZ 1/2Ci(�
Gas Range $10.00
$
�J
BUILDING USED AS ��S lC-�' � x C
Gas Dryer $10.00
$
ESTIMATED COST Zf�49 ® PERMIT NO.//91
*Air Conditioning — All Sizes $10.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of. Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water)arm Air
Trade Name //677- Size No. r-
Commercial/Industrial
BTU OlJ® HP EDR
1 % of Value of Appliance or Work .
$
Fuel Total Connected Load 1/ /014000
State Surcharge
$ .50�'
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
�_��� a�
HEATING COMPANY
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE IL
L
1, •) C
REINSPECTION FEE $30.00 f
J
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Signed
Tel No.Z
r
ApprovedRough—In Date Final Date ,
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
NOTE: til through #8 required when using a side vent furnace.
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes W4 No ( )
2. Is free from rust or deterioration Yes 04) No ( )
3. Has no foreign objects lodged within Yes Qom} No ( )
4. Is securely supported Yes No ( )
S. Meets all current Code requirements for size
and total BTU's connected Yes (n- No ( }
% 400
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's d (�
7. Has a liner been provided for water heater Yes(?) No ( )
8. Has combustion air been provided for water heater Yes (K) No ( }
Remarks:
HEATING CO:
•
Signed By: —w��
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On Janpary 1, 1995
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
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
Gas Dryer
Back Flow Preventer Required
NO. RATE TOTAL JOB ADDRESS ..'17e 7 C
)Yes ( ) No
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
Type $5.00
Reinspection Fee $bO.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
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.
// J1
Owner _� 2 4 Z /tet U A
Building Used As tl 00 r
Estimated Cost �Z� G PERMIT NO.
PLUMBING COMPANY �. 9
SIGNED 13(��;j TEL N0. V3/0S~
Approved Rough—In Date Final Date S
50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
$ IPLUS THE $.50 STATE SURCHARGE
W
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
L-COMMUNITY DEVELOPMENT DIV.
v
r ; PROTECTIVE INSPECTION SEC
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
3/20/95
JOB ADDRESS 4707 2 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
18,19
6
Plymouth Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Sandra Dykhyizen 4707 2 Street NE
572-8763
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
J & J Total Construction 6870 164 Ln NW, Ramsey, MN 55303 753-6558 9227
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 IR REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside; reroof, shower walls, redo flooring and gutters
and downspouts
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors adjacent to all sleeping areas. Replacement
bedroom windows must meet the State Egress Code.
' E PERM-'"S
REQUIRED F®
. G, T, ING�, R
PL'JM'31NG AND SIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
$15,252
$7.63
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-
$171.00
Fire SC $15.25
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
'�
PLAN CHECK FEE
TOTAL FEE
SIG
License SC $5.00
$198.88
ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHE PE YATED THIS IS YOUR PERMIT
BLDG INS_P
GATE
SIGNATURE OF OWN ER I IF OWN E R BUILOE RI tDATEI
W
NEW [ ]
Effective 1/ 1/95
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: q 70 7 d dv � .5 eee /-
Legal Description:
Owner Name & Address: S;&'6R'q Q !;� kjg 3o4 -Z-. f_ Tel. # Sid
Contractor:�MN LICENSE # 9,;)a
Address: && `76 164114 /'ate. f°Z/' Z'U. s eX Tel. # -7-5- s -s
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
GARAGE AREA: Length Width
DECK AREA: Length Width.
OTHER: � � e �'� r,?0C -P'1
5�e .4J4,,Lhe
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: %� .i Estimated Cost: $ /-T '2 '6C
Approx. Completion Date: J u <
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x
DATE: 2 5` APPLICANT: g,,z.::4 Tel. # a 5-3
CITY USE ONLY
Permit Fee $ j -% l ° 00 Fee Schedule on Reverse Side
Fire Surcharge $ % S� �� _ .001 of Permit Valuation (1 / 10th %)
State Surcharge $ i , 63 $.50/$1,000 Valuation
SAC Charge $ $850 per SAC Unit
License Surcharge $ 5.00 $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary (] Not Necessary. ( ]
TOTAL $ v p
f
STIPULATIONS:
BID SHEET
Sandra DyKhuizen
4707 - 2nd Street
Fridley, MN 55432
572-8763$
Contractor
Contractor's Signature
Page 1
$ a. Seal countertop and backsplash behind sink and make impermeable to moisture.
$ b. Install new range hood, mechanical ventilator, UL listed, mounted above cooktop (sized for
cooktop surface), duct to exterior (through roof), insulate and size to code. Nutone or equal.
Owner's choice of color. A4,.,a i /
$ c. Cover edge of floor covering (confirm material and finish with owner). 2 r ®��� s e
r
S-3 BATHROOM
$ a. Redo shower walls. Remove existing tile, drywall and window. Frame window opening and
insulate exterior wall. Install new water resistant drywall. Remove cabinet on north wall and
confirm disposal with owner. Install new 3 -piece fiberglas shower wall.surround with
molded soap dish, white color. Kohler or equal. Seal joints. Repair damaged exterior side
of removed window area to blend with adjoining work as close as possible.
$ b. Redo flooring. Remove existing and install structural grade underlayment. Install new vinyl
�( sheet floor covering of owner's choice of color and pattern. Armstrong or equal. $20.00 sq yd
installed allowance. Edging of vinyl floor shall be covered (confirm material and finish with
owner). Reset stool with new flange seal.
$ c. Install new mechanical exhaust fan, secure in ceiling, duct to exterior, insulate to code, size
to provide five air changes per hour and equip with damper for complete assembly. Nutone
or equal.
�4". 1)I�1��l�Li�
$ a. Reside house. Remove old siding and haul away debris (two layers). Provide sound substrate
far new siding. Install Tyvek or equal weather type barrier over sheathing. Installnew vinyl
siding. Alside or equal. Rework items (shutters) that interfere with the siding application.
Owner's choice of color and style. Seal around west entry threshold (water leakage in
basement).
$ b. Cover entire trim around windows and doors of house with .019 baked enamel prefinished
aluminum. Alcoa or equal. Replace rotted and damaged boards. Owner's choice of color.
$ c. Tear off shingles on house down to bare wood. Haul away debris. Replace rotted boards.
Specify separate board replacement cost per sq ft $ Install ice and water
shield/starter. Replace roof vents and plumbing jacs if defective, missing or damaged. Install
metal drip edge along roof edge where gutters or ribbon boards are not installed. Install 240#
3 -tab asphalt shingles laid over one layer nonperforated Type 15 felt. Certainteed or equal.
Ridge shall be laid "Boston" style. Owner's choice of color.
$ d. Install new gutters and downspouts along west roof edge of house and garage, baked enamel
prefinished aluminum, Alcoa or equal. Gutters shall be 5" seamless, secured to the roof edge
36" on center and pitched. Downspouts shall be 2" x 3" corrugated, secured to wall and with
an installed extension, extending a minimum of 60" out from downspout. Owner's choice of
color. Install along west roof edge.
M 113.4: i 31-30r
4707 - 2nd Street
Fridley, MN 55432
572-8763
Page 2
$ e. to
S-7 HEATING AND PLUMBING
$ a. Install new furnace. Haul away old unit. install new forced -air heating unit, natural gas, AGA
or UL listed, Carrier or equal, that will maintain a supply of safe and adequate heat to each
conditioned room in the dwelling (includes basement). The installed unit shall be designed
to meet or exceed 78% AFUE. Installation shall include combustion air intake and new
thermostat. Vent to approved flue. Reconnect to existing plenum and distribution system.
$ b. Abate asbestos on flue and dispose properly.
$ c. Disconnect basement gas space heater.
A0 $ d. Install new shower/tub fixture, chrome, anti -scald (thermostatic or pressure -balancing type)
and with 3 gpm showerhead. Delta Monitor or equal. Nie®
$ e. Abandon well per State requirements.
3;S• $ f. Vent laundry tub. ill , df
yd' $ R. Install back flow preventer to laundry faucet.
&,f- $ h. Abandon floor drain in garage.
S-8 GENERAL HEALTH AND SAFETY
$ a. Blow insulation, UL listed, in attic to meet R-38. Seal thereto by-passes prior to insulation
work. Install air chutes for soffit venting.
$ c. Install wood handrail continuously along one side of basement stairs. Owner to paint.
S-9 ELECTRICAL
$ a. Install 100 amp circuit breaker panel with main breaker, UL listed, 20 pole. Tie in all
circuits. Ground service. Service mast shall be properly sized. Locate meter to exterior.
$ b. Protect wall receptacles within 67 of kitchen sink with GFI. Install 20 amp wall receptacle
at countertop.
$ c. Correct defective wall switch in kitchen.
$ d. Install wall receptacle in bathroom, protected by GFI.
$ e. Install 20 amp appliance receptacle for laundry.
$ f. Wire installed furnace on separate circuit.
$ TOTAL BID BID GOOD FOR 90 DAYS FROM
This work write-up describes the rehabilitation work to be performed on the subject property. The contractor
will be required to do all work in a trades like manner and in accordance with the building code and
TECHNICAL SPECIFICATIONS.
BID SHEET
4707 - 2nd Street
Fridley, MN 55432
572-8763
ALTERNATES:
Page 3
$ 1. Code plumbing system. Specify all other plumbing code work not listed above and the cost
per work item.
$ 2. Code electrical service. Specify all other electrical code work not listed above and the cost
per work item.
$ 3. Cover entire eave area of house with .019 baked enamel prefinished aluminum. Alcoa or
equal. Replace rotted and damaged boards. Apply aerated material to vented soffit area and
make soffit venting open to attic area for unobstructed air flow. Owner's choice of color.
$ 4. Install new kitchen countertop,,one-piece custom top, square edge front and with backsplash.
Laminated plastic on composition base. Formica or equal. Reinstall sink and faucet, unless
specified otherwise.
I
From: Ofty of Fridley To: 9524743748 Page: 2/2 Date; 1/6/2009 0:46;1$ AM
Building
PLUMBING
PermitNo.- -
Inspections
RESIDENTIAL APPLICATION
Received 13y:
763-572-3604
CITY OF FRIDLEY
V
A 6 2AO(
763-502-4977 FAX
LFI ECTIVE 1-1-08
DATE /-&^ 0 1 YOUR E-MAIL AIII)RE%q
SITHADDRESS 4f_7o:7 2wW sr
THIS APPLICANT 18, C] OWNFR OCONTRACTOR
PROPERTY
NAME:. Dw r, JM CA/
OWNER/
TENANT
ADDRFSS,I
':5�4 crry �-PfA'fh ZIP
MIONW, !7 -7 -10
CONTRACTOR
NAM I --'-
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE'i ff EXP DATE
LICENSE, BOND AND
STATESOND
CERTIFICATE OF
AINIRliSS: CITY STATE
INSURANCE
—ZIP
PHONE FAX
PERMIT TYPE
1EI/SINOLE FAMILY 0 TW*O FAMILY El TOWNHOUSE
TYPE OF WORK:
El NEW: Pf&PI A CHM ENT
DETAILED DESC-RIFr1ON OF WORK eD J41-tik Ac-lorth..
PEP, MS 16B.665 the permit fee is a mlininjum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a msidontial fixture, excluding the fixturm. (This should reflect only the cost of labor)
Labor cost under ,5300 — $15,00; Labor cwst between $300 to $500 "cost of tat;or x.05plu. plus.50
OR
FOR PROJECTS WHERE LABOR EXCEEDS $500, FULLS ARE BASED ON $10.00 PER I"IXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDIC-ATIi TOTAL
NUMBER OF EACH BELOW). MINIMUM FEE $15.50.
—HATHSJNKfLAV L
__VLOOR DRAINS SHOWR WATER PIPING
BATHTUB GAS PIPINVY tNEED CITY LIQ SWIMMING POOL —WATERSOFTNER($35)
_CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($1.5)
DISHWASHfilk —LAUNDRY TRAY WA'I'liR RhAlhit ($35) FOR IRRIGATION
WATER MYTER _OTHER
p p
Numborof fixtures @ $10.00_x$10.00 = $
SU5!1c .50,
Number of fixturms ®R, $15.00 x $15.00 = $
OR Number of fixtures 0 $35.00 x $35.00
TOTAL DUE $
State Surcharge .50
(MINIMUM $15,50)
(MINIMUM $15.50) Total $
THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTI), PROCESSED
I hereby apply for a plumbing permit and I acknowledge, that the information above Ls complete and accurate; that the work will be in
conformance with the ordinanccand codes of the City of Fridley and with the Minnesota Construction Code; that I Understand this is
not a permit but on%X an application for a c1rmlt and work is not to start without a permit on site; that the work will be in accordance
with the approved pl in the Oak f a,, w r which requires review and approval of plans,
-1
SIGNATURE OF APPLIC T i'ovc�'Ik -
&944.�A? PRINT NAME A41C, DATE/ - 4
APPROVED BY DATE 7/
k -P -T9'-A
city of Fridley
Building Inspections Department
6431 University Avenue NE, Ffidley, MN 55432
763-572-3604
FAX: 763-502-4977
A '['rust dNi
A -Aaron's
't'tarlc your 8r.r':icU
Plumbing . fielting- Camliztg - Sewer & I7ruin Clemning
Goncrccf ORiu s: Y. 0.1kw 712. Cl ut uissocl . M n 55317 - 0712
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OLSON . ARIN M
A 8 T EXCAVATION (OLSON GRIN M)
MOHLER , TIMOTHY E
A 1 PLUMBMASTER (MOHLER TIMOTHY E)
LEES RICHARD
A 1 REFRIGEiiATK7N OF HIBBING INC
A 1 WATER CCAiDITIONWG (GITZEN JOSEPH C)
MUHAMMAD , ELIJAH /( S-
A AARONS (A TRUST) (/` j l
WRENSHALL, MN 139052
2008
Certified Pspe Layer (No License Nufter)
�,.,..
BLAINE. MH
MN34700
2006
62774 -PM
(Pre -2008# PMO05639)
A ACTION DRAIN AND PLUMBING
HIBBING. MN
93 GN 6630 4
2006
57282 -MR
QnvaFrd In clttasltovms Met 5,000 poputatlan.)
2008
MOUND, MN
RLI477848
2006
80980 -WC
(Pre-2008#_WCDD0405)
A AND A PLUMBING INC
CHANHASSEN, Mid RLISI3029
2008
58918 -PM
(Pre-2DO6 S: PM003569)
ALEXANDRIA, MN 7900436107
ruwwr '.. ,+,.,,a..v
�,.,..
-GREEN , DAVID A
59362 -PM (Pre -2008 #-. PM004115)
A ACTION DRAIN AND PLUMBING
ROSEVILLE, MN 9874444
2008
MCGUIRE , PATRICK J
E0594 -PM (Pre -2008 #- PMDOS826)
A AND A PLUMBING INC
ALEXANDRIA, MN 7900436107
2008
TRENNE ARLYNV
58016 -PM (Pte -2008# PM003706)
A AND E PLUMBING AND HEATING INC
ST PAUL. MN 9330581
2008
STODOLA , JAMES J
23526 PM ('re -2006 # PMO03652)
A E NELSON PLUMBING INC
WOODBURY, MN 13883
2008
ALERTS , JAMES M
59-053 PM (Pre 2008 #: PMU04215)
A J ALBERTS PLUMBING INC
HOWARD LAKE, MN 69463036
2006
JORDAN , ARTHUR L
Cer6Rad Pape Layer (No License Nufter)
A L JORDAN INC
ROCKFORD. MN 55 196780
2DO8
LARKIN , DANIEL P
63130 -PM (Pre -2008 #: PM006434)
A MECH PLUMM INC
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