PRE 2010 DOCSL-A
0
City of Fridley, Minn..
BUILDING PERMIT
Date: -
109 A
Owner: _4tLid,-Af Buililer—z
Address Address
ONUILDING
No. 1'9Street _ �. / _____ Part t
Lot __ Block - Addition or Sub -Division .
N° 6702
Corner Lot . _ Inside Lot � Setback Sideyard ^/®
Sewer Elevation ___ — Foundation Elevation
DESCRIPTION OF BUILDING
T eUso :
Front Depth Height gt Sq. Ft.�Cu. F�
,� /'Fro t Depth _C� Height Sq. Ft. Cu. Ft.
07,
Type of Constructlaw� Est. / � _ To be Completed
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 v" all provisions of
ordinances oP the city of Fridley. /'l – _ 11
In consideration of the payment of a fee of $ permit is hereby granted 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
within the city limits and this permit may be revoked at any time uponviolatia f any of the provisions of said
ordinances. ^ _ _
Building Inspector
NOTICE:
Ob pom* don not corer the construMen, hnhllatlon for Whing, phmihing, gn heating, sewer or water. Be stens to no
tho Building InWmor for soparate permits for thea Rena.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S h s BUILDER J7- P
ADDRESS a o - a•ec e % e tr r� C �- ADDRESS • 1
LOCATION OF BUILDING
p�
No. Street 3,p (/5 i'Xee ry-' WA Part of Lot
Lot lock 14 Addition or Subdivision_ �i( yon Q A I�;
Corner Lot Inside Lot Y-'� Setback
S.5 Side Yard
SEWER ELEVATION
FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Front A10 Depth Height
Sq. Ft. 7e ® Cu. Ft.
Front Depth Height,
Sq. Ft. Cu. Ft.
Type of Construction Fr g a7 Q__' Estimated Cost
To be Completed
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.
DATE_ J : 6 -3 SIGNATURE .!�(/•
evo,
(Schedule of Fee Costs can be found on the Reverse Side).
�,��•ne /�ti1,9 �! S ,�� � � � S � ' �;t. `vim � �i �,v � /� o � �
v
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Furnace Shell & Duct Work ..........................
8.00
$
Replacement of Furnace .............................
5.00
$
Repairs & Alterations—up to $500.00 ..................
5.00
$
Repairs & Alterations each add. $500.00 ...............
2.50
$
MECH. WARM AIR �!
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..
.. 8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water
... 8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3 gal. per hour . 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ JC
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $
Additional Fixtures x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN DATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $ �—
ROUGH
FINAL
Dept. of Bldgs. Phone SII 4-7470 J_
Location�-
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stateiln this application are true and correct.
19
Owner
Kind of Building
Used as
To be completed about �� 3
Estimated Cost, $
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Wa ,Warm Air No 6 x,'Z
Trade Name A 1p` C Q Size NoA F5 ! ;sr -a
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load S� Kind of Fuel ? °r
BURNER — Trade Name S ze Nom.
Capacity Sq. Ft. E.D.R BTU A.P.
(REMARKS—OVER)
Signe
{.Qz
$y p•� a�c3
42 2M Business Phone No -57
6
006
HFAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ��c� � ��' �' 1,_ MINN LMS liIlM.
Wtrips A.S. V.a Construction No. solation
Guide
ws ra Reference Out.a Wall Ceiling Roof Floor n How Applied
e o 19_ ,t
10—; 1FFL / Room Length id; D _eight FI Length Width Height
rumk s, a rs-Crackage and Area ^ ( Windows and Doors -trackage and Area
Wmtb Height No. of Lineal t . Area
of Dana of crack sq. ft. Width Height No. of Lineal ft. Area
Ilgh No. of pa of Rans lights of crack p.
1 � �0 n ZP
CIS"
wall
Net no. wall
Floor Z — / DMuitk
—sq. ft. 4D.R. or sq. ins. W.A. Leader area
mi P R—oom-1 Length Width//.!S:- Height L,
Windows and Doors --trackage ind Area /
t .Ight No. of Lineal ft. Area
Na of pans llghts of cr k p. Lk
c -
P Infiltration
Glass
PIK. Exp. wall 1
Net exp. wall
Int. wa l
Ceiling
loor
Tota tu.
Require . ft.
14 rr"
FI.I
Windows and I
No. Width I H
of Dans, of
or sq. ins. W.A. ader area
V
Im I Length idth
Height
-Crackage and Area
Ah
No. of Lineal ft. Area
Net cap' WallNet
tat. wqp
light. of cr ck p. mi
y
exp. wall
Int. wvjI
...n..�w..
O
8 L,
Glass
Exp. wall
_-
amInfiltration
Net cap' WallNet
tat. wqp
exp. wall
Int. wvjI
Ceiling
Flom
�--�
l
i)
Ceiling
Floor
7 -+
Tota tu.
.R. or sq. ins. W.A. Leader area
Re a sq.
.R. or aq. itis. W.A. .der arca
F7
m I Length 0 Width
!—HeightF7
m I Length Width F
and Doors --trackage and Area
la eight No. of Lineal tt. Area
NuAt t crack p. tt.
mlide' I -JOX I I A. I -7_,,-q al _" I j -,
n
/
Windows and Doors—Crackage and Area I
i-Ot Width Height No. of Lineal ft. Area
No. of pane of ane lights of crac k
Btu
Infiltration
Glass
Ew wall
Net ev. waN
I" well
J
an
City of Fridley
Application for Plumbing and G= Ruing Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
pp
I
3
RATE TOTAL
i
12
in
3
Z
c u�
Future Fixture Opening ................
p z
� o
iii
S
ppp444
pj
< 3
J
(�'J °1
New Fixture Old Opening ..............
UN'WATER
Z
� p
•
0
•
N
HTR.
GAS
ELEC.
Base
3.25
$
Water Heater (Up to 200,000 BTU) ......
yL
x
2.00
$ d . d
New Ground Run Old Bldg. ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................�
1st
x
$1.50
$ J
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
2nd
3rd
4th
• Fugue Connection Openings
New Fixture, Old Openings
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
I
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ....... ..............
x $1.50
/1
$
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ...... .....................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
yL
x
2.00
$ d . d
New Ground Run Old Bldg. ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................�
x
$1.50
$ J
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .................$ � 6
TOTAL FEE $�
Dept. of Bldgs. Phone SII 4-7470
Location
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley,
Owner
Kind of Building _
19-41
0
Used as d Q
To be completed about ja
Estimated Cost, $
Old—New. Building Permit No U v — Fermit No.
Signe ,
By—
Business
y Business Phone No
ROUG
4 2 21A
is
Fridle Minn.
?A-tyofy�
BUILDING PERMIT
Builder
Address
•
N° 6813
�It
ILDING
No. Street ___ Part of t
Lot _Block _ _ Addition or Su vision _
Corner Lot ._ Inside Lot Setback � Sideyard
Sewer Elevation �— dation Elevation
DESCRIPTION OF BUILDING
Front �� Depth �� Height L® Sq. Ft✓� Cu.��`'
Fro DepthLeight Sq. Ft. Cu. Ft.
Type of Cowtructi_� Est. jet o_ -`'�o be Completed
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 a'll provisions of
ordinances of the city of Fridley. n 4'; 4
In consideration of the payment of a fee of $ o . _ , permit is hereby granted 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
within the city limits and permit may be revoked at any time upon violation of any of the provisions of said
ordinance& _ r\
Building Inspector
/07
400,
• NOTICE:
'chis permit don not cover the construction, instaWon for wiring, Plumbing, gas heating, sewer or water. Be ams to as
the Building inspector for separate permits for thea hems.
APPLICATION FOR BUT?:n?NG PERMIT
CITY OF FRIDLEY, MINNESOTA
Qmma I S MM Bu=ER �
ADDr?MS s ADDP.ESS
LOCATION OF S!-LDLIG
No.
Street—. oa � � ; Part of Lot
e
Lot Block Addition or Subdivision
Corner Lot Inside Lot_,* �S�back Side Yard
SEWER ELEVATION FfAMDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front_ Depth –:2 Height f
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of ConstructionEstimated Cost
To be Completed
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.
DATETA SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
v r "
O
CITY OF FRIDLEY INSPECTION DIVISION -� �� �
,� Effective On January 1 r 1998
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS I -IS% Cl
RATE SCHEDULE
State Surcharge $ .50 Burner Trade Name
BTU
TOTAL FEE $ 3
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Size No.
HP EDR
HEATING COMPANY C%P-6-� h -
Signed v 9104 Tel No. �.�-c� �`t3
PI O�aooa
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FO STACK VERIFICATION ON
REPLACEMENT FURNACE
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 $_,ya,w
representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
J — // 11998
Gas Piping (Needed with new furnace)
$10.00 $
�
OWNER �iv� IZ �.J` �4 /Z C
Gas Range
$10,00 $
/n
BUILDING USED AS �/�.v e- ('iC,��
Gas Dryer
$1p,00 $
_
ESTIMATED COST ./ �l�y � PERMIT NO. 13�1 i.._
*Air Conditioning - All Sizes
$ 25.00 $
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 , �A- Size No. � j7 V - 2
Commercial/Industrial
BTU HP EDR
1.255/o of Value of Appliance or Work
$
Fuel AJ, • Total Connected Load
State Surcharge $ .50 Burner Trade Name
BTU
TOTAL FEE $ 3
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Size No.
HP EDR
HEATING COMPANY C%P-6-� h -
Signed v 9104 Tel No. �.�-c� �`t3
PI O�aooa
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FO STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes (QAo ( )
2. Is free from rust or deterioration Yes (,-)-No ( )
3. Has no foreign objects lodged within Yes (L>/No ( )
4. Is securely supported . Yes (P.)'No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes (--)No ( )
6 Has total heating BTU's of J o
All other BTU's J
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ( )
8. Has combustion air been provided for water heater Yes (--)'No ( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
A%
CITY OF FRIDLEY PERM No.: 2004�oo93s
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 06/17/2004
r63) 572-3604 FAX: (763) 571-1287
ADDRESS
4519 3RD ST NE
PIN
263024330080
LEGAL DESC
UNAVAILABLE
LOT BLOCK
PERMIT TYPE
BUILDING
PROPERTY TYPE
RESIDENTIAL
CONSTRUCTION TYPE
DECK
VALUATION
$ 1,788.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 12'X 12' DECK.
APPLICANT
GARCIA ANDRES & LISA
4519 3RD ST NE
FRIDLEY, MN 55421
3.�1:
GARCIA ANDRES & LISA
4519 3RD ST NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
reaulatinawnstructten or the. oe ormance of construction.
Bldg Insp
BUILDING PERMIT FEE 63.15
PLAN CHECK FEE 41.04
FIRE SURCHARGE 1.79
STATE SURCHARGE, VALUE 0.89
TOTAL 106.87
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ ] CITY OF FRIDLEY
ADDN [ ] 6431 University Ave NE, Fridley, MN 5543
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-
PPLICATION
Construction Address:
Le al Descrition•
��ni .t
331 � Effective 4/1/2004
(763) 572-3604 Bldg Insp
2 (763) 571-1287 Fax `
BUILDING PERMIT A
l
9 P
Owner Name & Address: �+ 5 $ r s �' � 51 ti Z '� .- ` P� Tel. # r� �� - �� 3 ry
Contractor. I ,U ► MN LICENSE #____—.
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVINGAREA: Length _ Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft '
DECK AREA: Length Width_ Hgt/Ground Sq. Ft 144 �
OTHER:
� p
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $
DATE: (0- — 6 -0 L/ APPLICANT:
Tel. # 7 (o - S 7 a -o73 C1
Call (763) 572-3604 for Permit Fees If mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee $(r�)d 15Fee Schedule on Reverse Side
Plan Review 04 65% of Permit Fee
Fire Surcharge $ (. -1� .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1350 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Curb Cut 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 [ ] I Not Necessary[ ]
TOTAL $ STIPULATIONS: THIS JOB COPY SHALL BE
AVAILABLE ON THE JOE3
SITE E FOR THE i'RAMIPdr
AND FINAL INSPECTIONS
# PICKING LIST - GUEST COPY
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
CASHIER:
PLEASE STAPLE
RECEIPT HERE.
CASHIER - PRESSBARCODE CAL; TRANS II�III� 61041
IIIIIIIIIIIIIIIIIIIII
AND SCAN
PAGE 3 OF 3
SOLD BY: TP
DATE: 06/15/04
'ITY
DESCRIPTION
SKU NUMBER
1 EACH
10X2 1/2" COMPOSITE
SCREW350 PC,
230-5460
1 EACH
ANCHORBOLT 1/2"X 6"
3PCS
552G
232-3316
2 EACH
3/8 X6GALV.LAG SCREW
7PC
34373-1 LB.
232-4373
5 EACH
3/8X6GALV.CAR.BOLT
6PC
34755-1 LB.
232-4755
1 EACH
3/8X16GALV.HEX NUT
8PC
35589 -SLIM PK
232-5589
1 EACH 3/8X16GALV.HEX NUT 24PC 35628 -FAT. PACK 232-5628
2 EACH 3/8GALV.FLAT WASHER 24PC 35709 -FAT PACK 232-5709
2 EACH PAINTER'S PREMIUM CLEAR WL0037720 10 OZ 563-4235
GUEST NAME - ADDRESS - PHONE
GARCIA
4519 3RD ST NE
FRIDLEY, MN 55421
Ph: (763) 572-0734
IT PRICE EXTENDED PRI(
22.97 22.97
1.29 1.29
2.18 4.36
2.18 10.90
0.79 0.79
1.49 1.49
1.49 2.98
1.79 3.58
LpxrijD)_f.�1N4AL
o
A I 1OR 7HE FFtA.f:/i;i`I►NSPECTNor�s
This is a quote valid today. This quote becomes a yard picking list upon payment.
Guest Instructions' PRE-TAX TOTAL: 1,108.54
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise.
This picking list must be present to enter the yard.
3. Load your merchandise.
4. When exiting the yard, present this list to the Gate Guard.
(The Gate Guard will record the items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received
the merchandise.
(If this is a partial pickup, please verify all quantities / items being
signed for. Menards is not responsible for shortages after leaving the yard.)
GATE GUARD
THIS IS NOT A RECEIPT RD - SCAN HERE
_> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII��
E19 PICKING LIST - GUEST COPY
A D
STORE # 3018 FRID PHONE: (763) 571-8689 CASHIER - PRESS RECALL TRANS FRID 61041
5351 Central Ave. NE FAX: (763) 571-1932 AND SCAN BARCODE _> IIIIIIIIillllllllllllllllllllllllli
Fridley, MN 55421 F ni SGCT NAME - ADDRESS - PHONE
2 EACH ANGLE 1-3/8" X 4-1/2" MPA1-TZ 227-1788
0.69 1.38
4 EACH SCREW PREMIUM EXTER 2 41�/21LB � QUARE DDRNIP P 22� 78814t
�y - - �"q
3.96
YY - 3.4
r� 1LB#9 ..tUA��R 22 481 3/1 EACH SCREW PREMIUMEXTE12_`
_.
---. __ 0.88 0.88
- - 22 -5444
1 BOX NAIL 4D GALVANIZED BOX 1 BOX
�229-5457 0.88 0.88
1 BOX NAIL 6D GALVANIZED BOX 1 LB BOX
CASHIER:
PAGE 2 OF
3
GARCIA
0.88
2.64
3 BOX
NAIL
8D
4519 3RD ST NE
STAPLE
2 BOX
NAIL
FRIDLEY, MN 55421
LB BOX
229-5499
PLEASE
SOLD BY: TP
1 BOX
NAIL
16D GALVANIZED BOX 5
LB BOX
229-5570
DATE: 06/15/04
3.98
RECEIPT HERE.
230-5450
5.84
Ph: (763) 572-0734
4 EACH
10X2
1/2" COMPOSITE SCREWI
LB
UNIT PRICE EXTENDED PRIC
SKU NUMBER
ITITY DESCRIPTION
1.86
18.60
10
EACH PREMIXED CONCRETE MIX
60 LBS
189-1030
EACH 8"X41 REMOVABLE CONCRETE
FORMING TUBE
189-5117
3.98
11.94
3
2
EACH NAILS 1-1/2 JOIST HANGER
1LB GALV
227-1507
1.38
2.76
4
EACH JOIST HANGER 2X6-10 ADJ.
JH2O
50/ 227-1549
1.49
5.96
JOIST HANGER 18 GAUJUS28-TZ
227-1742
0.69
6.21
9
EACH 2 X 8
PA44E-TZDP
227-1750
3.99
11.97
3
EACH 4 X 4 POST ANCHOR
2 EACH ANGLE 1-3/8" X 4-1/2" MPA1-TZ 227-1788
0.69 1.38
4 EACH SCREW PREMIUM EXTER 2 41�/21LB � QUARE DDRNIP P 22� 78814t
�y - - �"q
3.96
YY - 3.4
r� 1LB#9 ..tUA��R 22 481 3/1 EACH SCREW PREMIUMEXTE12_`
_.
---. __ 0.88 0.88
- - 22 -5444
1 BOX NAIL 4D GALVANIZED BOX 1 BOX
�229-5457 0.88 0.88
1 BOX NAIL 6D GALVANIZED BOX 1 LB BOX
This is a quote valid today. This quote becomes a yard picking list upon payment.
PRE-TAX TOTAL: (CONTINUED)
Guest Instructions:
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise.
This picking list must be present to enter the yard.
3. Load your merchandise.
4. When exiting the yard, present this list to the Gate Guard.
(The Gate Guard will record the items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received
the merchandise.
(if this is a partial pickup, please verify all quantities / items being
signed for. Menards is not responsible for shortages after leaving the yard.)
AVAILAE'LE ON TH, ji, J
SITE FOR TI1iE FRAMIN,,
AND FINAL INSPECTIONS
THIS IS
NOT A RECEIPT :GATE GUARD - SCAN HERE
GALVANIZED BOX 1
LB BOX
229-5473
0.88
2.64
3 BOX
NAIL
8D
2 BOX
NAIL
16D GALVANIZED BOX 1
LB BOX
229-5499
0.88
1.76
1 BOX
NAIL
16D GALVANIZED BOX 5
LB BOX
229-5570
3.98
3.98
230-5450
5.84
23.36
4 EACH
10X2
1/2" COMPOSITE SCREWI
LB
This is a quote valid today. This quote becomes a yard picking list upon payment.
PRE-TAX TOTAL: (CONTINUED)
Guest Instructions:
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise.
This picking list must be present to enter the yard.
3. Load your merchandise.
4. When exiting the yard, present this list to the Gate Guard.
(The Gate Guard will record the items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received
the merchandise.
(if this is a partial pickup, please verify all quantities / items being
signed for. Menards is not responsible for shortages after leaving the yard.)
AVAILAE'LE ON TH, ji, J
SITE FOR TI1iE FRAMIN,,
AND FINAL INSPECTIONS
THIS IS
NOT A RECEIPT :GATE GUARD - SCAN HERE
Q23MQ[�; WO PICKING LIST -GUEST COPY
STORE # 3018 FRID PHONE: (763) 571-8689 CASHIER - PRESS RECALL TRANS FRID 61041
5351 Central Ave. NE FAX: (763) 571-1932 AND SCAN BARCODE _> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiII
Fridley, MN 55421
ra iFST NAME - ADDRESS - PHONE
1 EACH LATTICE DIVIDER 8' LONG P/C 111-4364
2.99 2.99
'_.� COMPOS. DECKING 112-2836 11.12
1 E H' 13 BRUSHED SOLID
ID 10POS. DEC ING 112-2838 16.68' "J50.36
27 EACH 12 BR HED SOL _ %I � t � W ��
24 22.24
1 EACH 6'' -BRUSHED SOLID COMPOS. DECKING 112-2840 i
3.69 7.38
2 EACH 10' DECK FLASHING BROWN GALV. STEEL-`.._ 155-1052
This is a quote valid today. This quote becomes a yard picking list upon payment.
PRE-TAX TOTAL: (CONTINUED)
Guest Instructions:
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise.
This nicking list must be present to enter the yard.
3. Load your merchandise.
4. When exiting the yard, present this list to the Gate Guard.
(The Gate Guard will record the items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received
the merchandise.
(If this is a partial pickup, please verify all quantities / items being
signed for. Menards is not responsible for shortages after leaving the yard.)
THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE
CASHIER:
PAGE 1 OF
3
GARCIA
4519 3RD
ST NE
PLEASE STAPLE
SOLD BY: TP
FRIDLEY,
MN 55421
DATE: 06/15/04
RECEIPT HERE.
Ph: (763) 572-0734
UNIT PRICE EXTENDED PRIC
SKU NUMBER
fANTITY DESCRIPTION
39.95
39.95
1
DELIVERY FEE
DEL
ZONE A 1-15 M
2
EACH 2X6-6' _AC2 TREATED AG
ARSENIC FREE
LW
111-1011
5.49
10.98
1
EACH_ _ 2X6-10' AC2 TREATED AG
ARSENIC FREE
LW
111-1037
6.97
6.97
2
EACH 2X6-12' AC2 TREATED AG
ARSENIC FREE
LW
111-1040
7.97
15.94
14
-1
EACH 2X8-12' AC2 TREATED AG
ARSENIC FREE
LW
111-1341
11.39
159.46
111-31 03'. •_
,;;; '•,
�6,.9�9
90.87
13
EACH 4Y,1&48 U�TOP-IT DECK POSTAC2
TREATED
82
.
EACH 2X2X42" BEVELED ONE END
AC2 TREATED
111-3�572•t i ;•.'
`,
`,^Fp:�i'tt
g
IIQ' i .
80.36
111- 3'912 -- ---
---•- --•---
- �. X49.... _.
25.96
4
EACH 3 STEP STRINGER HT : 21"
AC2 TREATED
5
EACH STD LATTICE 2X8
TREATED
111-4322
3.97
19.85
2
EACH LATTICE CAP
8' LONG P/C
111-4351
2.99
5'98
1 EACH LATTICE DIVIDER 8' LONG P/C 111-4364
2.99 2.99
'_.� COMPOS. DECKING 112-2836 11.12
1 E H' 13 BRUSHED SOLID
ID 10POS. DEC ING 112-2838 16.68' "J50.36
27 EACH 12 BR HED SOL _ %I � t � W ��
24 22.24
1 EACH 6'' -BRUSHED SOLID COMPOS. DECKING 112-2840 i
3.69 7.38
2 EACH 10' DECK FLASHING BROWN GALV. STEEL-`.._ 155-1052
This is a quote valid today. This quote becomes a yard picking list upon payment.
PRE-TAX TOTAL: (CONTINUED)
Guest Instructions:
1. Take this picking list to a cashier to pay for the merchandise.
2. Enter the outside yard to pick up your merchandise.
This nicking list must be present to enter the yard.
3. Load your merchandise.
4. When exiting the yard, present this list to the Gate Guard.
(The Gate Guard will record the items you are taking with you.)
5. Sign the Gate Guard's signature pad verifying you've received
the merchandise.
(If this is a partial pickup, please verify all quantities / items being
signed for. Menards is not responsible for shortages after leaving the yard.)
THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE
���3dol�
',rad
4 Inc
Design A 61573
�6/16/2004
COMM "--
Take this sheet to the Building Materials desk to purchase your materials.
You have selected a 12' x 12' deck 2' off the ground.
Pressure Treated Framing Material
9
5/4"W' USPL Solid Brushed Composite_Deck_Boa4-
36" Spindle Railing
2Ix2"x42" Pressure Treated Spindles, Beveled 1 End
4"x4"08" Pressure Treated Utop Notched Railing Po:
Standard Green Treated Lattice
Poured Footings 8" Tube 4' deep �� P
Composite Decking Screws.,
G#W-0 ing Fasteners
All 1-:-1 I _
�P�rt PJ i
Below is a section of the railing style and
options you have selected,for your deck.
HIS J Y HALL B`
a 1 ILAOUI V THE Joa
` TE FRAMING
D F N I EGTIONS I
Stair Widths: 36" l `� 11
For Building Material's use only: 1441440240123040603000104048160200000001
/�a// Ol %%
RII
61
Today's cost for materials estimated in this design with options: $1146.78
'Base price may include: 40 PSF deck live load, horizontal decking, 2x6 pressure treated deck boards, pressure treated framing material, no stairs,
36' 2x4 railing, pressure treated railing posts, and galvanized box nails. * (BASE price): $616.69
-, /
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABORA1ND MATERIALS:
S:
(USING THE 1997. U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
BUILDING
Permit No.:
3uilding
Inspections
$
RESIDENTIAL APPLICATION
Received By:
763-572-3604
.001 x Permit Valuation (1/10%)
License Surcharge
CITY OF FRIDLEY
$5.00 (State Licensed Residential Contractors)
)ATE it ' Co
$
YOUR E-MAIL ADDRESS)
(D,^/atepRec'd:
ITE ADDRESS �/�
�5�614
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
'HIS APPLICANT IS:
DOWNER
❑CONTRACTOR
Total Due
PROPERTY OWNER/
NAME:
r
Q3
M^ CITY�Fi t 'e �j
STATE IP U l
TENANT
ADDRESSq T1
,-4P-Q^}
PHONE: 7l al S'7�
^ n-7 '3
CONTRACTOR
NAME:
STATE LICENSE #
EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:
CITY
STATE ZIP
WITH APPLICATION
PHONE
FAX
PROPERTY TYPE
1XSINCYLE FANILY/NEW CONSTRUCTION SIZE
TWO FAMILYA MW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION
❑ GARAGE/SHED ❑ WINDOWS
°ROOF
❑ BASEMENT FINISH
❑ DRAIN TLE
❑ DECK
❑ SIDING ❑ OTHER
❑ SWI?&vIING POOL
TYPE OF WORK:[3ADDITION
MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: t)in
tv
SIZE OF IMPROVEMENT
LENGTH Ll b WIDTH
HEIGHT &Wft S . Ft
ftOOFI NG
\LUMBER OF SQUARES
❑ HOUSE ONLY
❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
I. Existing
Floor Plan
ARAGES
3
❑ ATTACHED GARAGE 2. Proposed floor plan
ROPOSED SIZE:
❑ DETACHED GARAGE 3. List of structural members to be used
'ROPOSFI HEIGHT:
'SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
D Vinyl
-S
❑Soffit ADDITIONS
& PORCHES SUBMIT:
� Alumin
❑ Trim I. Site
Plan/Survey showing the existing structures
� Other
`�
❑ Fascia and proposed project
2. Two
sets of construction plans
R'INDOW
3. Energy Calculations
N EXIS OPENINGS ❑Y
o LOCATION OF WINDOWS
JR FOR NE OP -
CRIBE SIZE OF
OPENING CHANOSS &
TYPE OF WINDOW TO BE INSTALLED
NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABORA1ND MATERIALS:
S:
(USING THE 1997. U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Surcharge
$
(.0005) times the total job valuation — Minimum $.50
Fire Surcharge
$
.001 x Permit Valuation (1/10%)
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $20 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks payable to: City of Fridley Attach Stipulations
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 and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and ork is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all wor tch r uires r and approval of plans.
SIGNATURE OF APPLICr \ PRINT NAME s4 I DATE ��'O?Lo
From: 9528814491 Page: 2/3 Date: 6/19/200712:03:09 PM
Building MECHANICAL Permit N0.
Inspections RESIDENTIAL APPLICATION Received By:
763,5723604 CITY OF FP►IDLEY Date RWCj
DATB,! (S� YOUR E-MAIL ADDRT?RS
SITEADDRESS C-1
THIS APPLICANT IS: O OWNER WNTRACTOR
ROPERTX NAME: t 1_Sev'r
OWNER/ ADDRESS: �-1Sl °( C N IE_CITY sTATB ZIP S �"l-L,
TENANT I nv.,Ng, 'i6 '12- 0-7 3
SUMMIT A COPY OF CONTACT PERSON:QYult' i w -s•
YOUR STATE STATE LICENSE 0
LICENSE WITH ADDRESS: �- r
APPLICATION PHONE k'•• ---" FAX
PERMT TYPE I "A3TNGLE FAMILY O TWO FAMILY O TOWNHOUSE
TYPE OF WORYA O NEW Y4EPLACEM5NT 13 ALTF.RATION/RE II
I)STAILED DESCRIPTION OF WORK aLVI d► CA- A -C.
PER MS 163.665 the permit fee is a Minimum of 515.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residentlal fixtum excluding the fixtures. (This
should meet only the cost of labor)
Labor cost under $300 - $15.00. Labor cost between $300 to $500 = cost of labor
X.0 =
FOR PROJECTS WHERE LABOR EXCUINS $500, FEES ARE BASED ON $10.00 PER FTXTUR& EXCEPT WHTRE N07ED. FIRTU M: (INDICATE TOTAL
NUMBER OF EACH BELOW)2-
Equipment Imstdied MFG: W v1 oX MODEL: �H f4tEC 0 Z�{
0 0 0
5
MFG: MODEL:
,/ MFG: MODEL:
(GAS) $15.00
SPLFJBT 3
GAS RANGEIOVEN 8 OOA
I�A/C $25.00 FIREPLACE
ATR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00
NEW GAS GRILL $10.00
UNIT H•I R 910.00
BOU.irR $35.00 FURNACE :635,00
CHIMNEY LINER $10.00 GAS DRYER S10.0p
GAS
POOL HEATER $35.00
'..tnrwr%VV411nnn t4A9PTPIlVG510.00 _
_ VENTRATOR$15.00
Permit Fee $ 5 . by Number of fbxtures @ $10.00 _ x $10.00 = $
surcharge .50 Number of fixtures @ $15.00 —x 51.5.00 = $
TOTAL DUE $ 2- ''50 Number of fixtures @ $0.00 _ x $25-00 = $�
Number of fractures @ $35.00 _ x $35.00 = $
State Surcharge a $ .50
Total = $
THIS IS AN APPLICATION FOR A PIrRRNT-NOT VALID UNTIL PROCESSED
I hereby apply fbr 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 nodes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit wank is not to start without a permit; that the Work will be in accordance with fix
approved plan in the caseAR work wh!*M'res r ylew ?nd approval of plans.
SIGNATURE OF APPLICANT
City of Fridley
Building Inspections Dep2rtment
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 -
FAX: 763-502-4977
2007
From: 9528814491 Page: 3/3 Date: 6/19/200712:03:09 PM
City of Fridley Residential Mechanical Application Page 2
jREQUMED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
0 NEW HOMES/ADDITIONS EXISTING HOME' 11 MAINE -Up AIR
REQUMID FOR NEWlENINS-MG HOMES
1. Combustion Air (See note below)
EL Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural [las or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
UQUlIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per.TMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanleal Code Guidelines software may be aced for
combustion and make-up air calculations.
B 1 *tali g
wjA4Apcj AtSb A) % A
BLTILI)Il�TG
Permit Nom r
Inspections
ROOFING
RESIDENTIAL APPLICATION
Received By:
763-572-3604
NUMBER OF SQUARES
CITY OF FRIDLEY
Date Rec'd:
763-502-4977 FAX
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
EFFECTIVE 1-1-08
❑ DETACHED GARAGE
SAA % Og
E-MAIL ADDRESS
DATE
SITE ADDRESS 445719.39'
{YOUR
'5 ALE N E
THIS APPLICANT IS: I OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: n fl4C IA
_ f
ADDRESS: LG - CITY ! Rl le!__STATE_
[P FYW
TENANT
PHONE: , 3 iia- D7 Ay
1. Site Plan/Survey showing the existing structures
❑ Aluminum
NAME:
13 Trim
ADDRESS: CITY
STATE ZIP
CONTRACTOR
SUBMIT A COPY OF
PHONE FAX
WINDOWS
YOUR STATE LICENSE
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes o
STATE LICENSE # EXP DATE
LOCATION OF WINDOWS
PROPERTY TYPE
❑ SINGLE FAMILYMEW CONSTRUCTION SIZE
'DASe Mt^A
❑ TWO FAMILYMEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED WWINDOWS
TYPE OF WINDOW TO BE INSTALLED
NUMBER OF WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
❑ DECK ❑ SIDING ❑ OTHER
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION S
❑ SWIMMING POOL
OCCUPANCY TYPE
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
j See Back Page for Fee Schedule
Plan Review
❑ MAINTENANCE/REPAIR ❑ REMODELING
65% of Building Permit Fee
DESCRIBE WORK BEING DONE:6'GLC'SS
wjA4Apcj AtSb A) % A
SIZE OF IMPROVEMENT
LENGTH WI TH HEIGHT 1� SQ FT
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
3. List of structural members to be used.
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
ADDITIONS & PORCHES SUBMIT:
❑ Vinyl
❑Soffit
1. Site Plan/Survey showing the existing structures
❑ Aluminum
13 Trim
and proposed project.
❑ Other
11 Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes o
LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
'DASe Mt^A
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION S
OCCUPANCY TYPE
Permit Fee
$
j See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
L� O 0 .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
$
/1/'i-, Make checks payable to: City of Fridley Attach Stipulations
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 and with the Minnesota Construction 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 will be in accordance with the approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF
APPROVED BY
PRINT NAME
DATE
DA �60
w