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PRE 2010 DOCSN City of Fridley SUBJECT N 4461AT THE TOP OF THE TWINS gU IL D I N C P E R M I T T�? rTCOMMUNITY DEVELOPMENT DIV.� PROTECTIVE INSPECTION SEC. lJf�J r 1 = � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 11/8/77 JOB ADDRESS 5141 & 5143 3rd Street NE, Fridley, MN 55432 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 ]. C'arlson's Summit Manor Annex SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE B-E Enterprises, 85 - 3rd Avenue SE, New Brighton, rMT 636-4164 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. B-E Enterprises 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING puplex and g4rage 7 CLASS OF WORK NEW ❑ ADDITION A_ Q. &L1jMTION ❑ REPAIR ❑ MOVE ❑ REMOVE RAS' 8 DESCRIBE WORK Mao Does 10NS AN �5 Q��Y pt�.� Same of c vN� A � 11�FO ®M N011ce a u cufol Accv'Ais {AOR VVo� �p 9 CHAN RUSK0 is®' O CEM E REPLA c. tse. AND STIPULATIONS A.� t)VOWAY 1. Increase garage size to 600 sq. ft. WARNING 2. Provide insulated doors as indicated in energy calculati° digging local utilities 3. Provide louvered door and light in utility area. 4. Provide adequate access in order to service furnace. TELEPMEP HONE -ELEECCTRIC - GAS Etc. s, � a"� re e- /+14 -fa �,e��E REQUIRED BY LAW Tots 1 through 6, Block 1, CarlsonIsStumdt Manor Annex 2nd Addition are served with 2" water and 6" VCP - Both are located on Lot 4, Block 1. Sewer = 11' N of manhole NOTE: Wye's available in street (They have not. Water = 21' N of manhole been extended.) SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. Wood Frame 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 1 C76 scF. ft. 26,976 cu. ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS-APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $38,485.00 $19.24 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- $107.90 $750.00 STRUCTION OR THE PERFORMANCE OF CONS RUCTION. PLAN CHECK FEE TOTAL FEE , 97 -0-1 $2fr.98 $904.12 SIGNATUREO NTRACTO4 AUTHORI EDAGENT (DATE) LIDATED THIS IS YOUA PERMIT �PPfieERLY LLL BLDG INSP - - DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) t. CITY, OF FRIDLEYe-�9�/ APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: Address :O .S-5 i� ".Address: -/ Tel. No.CO No.:S/Street:r �o ? LOT: BLOCK: � ADDITION: CORNER LOT: INSIDE LOT: _ SETBACK: �6SIDEYARDS: zjf 0- Applicaht attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. r DESCRIPTION OF BUILDING To Be Used As: Oa' Front: t/4 Depth: •.1? Height: liV Square Feet: Cubic Feet: r Front: Depth: Height: Square Feet: 4 Cubic Feet: Type of Construction: �ldo-a.F,o�9' Estimated Cost:_�� To Be Completed:/ 2Y �� • f Alt. A Alt. B ; Proposed Driveway Width If New Opening Is Desired ®2-0 $ Y_ $ p r (SEE REVERSE SIDE OF SHEET) I 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 a anal information. DATE: SIGNATURE: Stipulations: a ,00 QQ ( OF L'J" Pa ��-.�-I 2E 919� 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 Fsrnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU L_ $12.00 $1 a each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURLIER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU �_ $10.00 $ G3r O �' (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures "_ x $ 3.00 $ & �e� e 1 Additicnal Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING $ FAN HEATING SYSTEMS Sea Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS f, REPAIRS $ State Surcharge $ .50 TOTAL FEE $ wr ROUGH INSP. Date FINAL INSP. 9-7- %p Date APPROVAL FOP, PERMIT�� REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address 157/!V/ / -y' 7-'3 Department of Buildings City of Fridley Tel. #571-3450 �A-7 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. • .nR KIND OF BUILDING - USED AS TO BE COMPLETED ABOUT Fridley, 19� ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. . DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. t' Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU yj AHP Company j` C ZF Signed 8 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND 0 AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE DESCRIPTION OF FURNACE/BURNER GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Kind of Fuel Furnace Shell & Duct Work to 100,000 BTU $12.00 S Q Qo each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ S1FAM OR HOT WATER SYSTEM: Boiler &.Lines up to 100,000 BTU $12.00 $• each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ o2`D-OCA (over 199,999 BTU see Fee Schedule) $ s GAS FITTING FEES: V o• lst 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00. $. AIR CONDITIONING S FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS S ALTERATIONS & REPAIRS $ State Surcharge $ .50 TOTAL FEE $A19.SZi ROUGH INSP. REINSPECTION FEE Date ($10.00) FnaL INSP. ]- Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Job Address ,S-/ /,/ / - 'C/,j ':5'0 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. OWNER 9 q E KIND OF BUILDING USED AS TO BE COMPLETED ABOUT Fridley, Minn. . 19_ ESTIMATED COST X` 04�9 OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water,arDAir- No. `a Trade Name / fi-1'�l��l ) —Size Size No. Capacity f r,) O 3TL)Sq. Ft. EDR BTU G 4;'/0e0HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR BTU HP CompanyZ Signed By � �3 Tel. No. CITY OF FRIDLEY APPLICATION FOR PUJMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE (a /-7- 1 $3.00 o 4-i $2.00 New Fixture, Old Opening Water x $2.00 Catch Basin x $5.00 Water Heater - to 99,000 BTO x $5.00 100,000 BTU to 199,000 BTU x W Water Softener Heater $7.00 New Ground Run Old Building x $5.00 Electric Water Heater x $5.00 J VA 9 U 0 A R1 to 3 ow W to W U W� 3 c7 � O lec has 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures, /-7- 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 BTO x $5.00 100,000 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: 1st 3 fixtures ..2 x Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $1:0.00 REPAIRS & ALTERATIONS TOTAL $ J6.00 S $ 3.00 S S First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 49S-6 REINSPECTION FEE ($10.00) Job Address `y - s I q 3 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 OWNER KIND C USED A TO BE Fridley, Mn. ::? - / 4 , 19 7 - ESTIMATED COST CD 2`'y7% OLD - NEW B ILDING PERMIT NO. PERMIT NO. Company �° Signed By Tel. No. �LZ - /? L-25 ROUGH INSP. Date FINAL INSP. 7 Date APPROVAL FOR PERMIT , ,&/r MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLU3 $.SO STATE 8DRE CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE ro New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Water m a� e .-� Blow Off Basin m 5.00 w H [ ro $ O m ro u W w $ Hydraulic Valve Heater 14 N N rof, JC .[I Y x ,,lr� C C 3 $ „fir @ O a u Gas Range m 10.00 S Gas Dryer 1(1701 if V 5 Nro " 7 b N 0 �cc 8M .1 ro ro .�C 7 ro ro y u mro a0 N S o w v7 w U m a 3 t7 chi O 5 Elec 1Dryer 1st 2nd 3rd 4th (R) Future Connection Opening Connected with Sewer (°) New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 S Gas Dryer j $ 19.00 $ 15.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type S 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS le of Value of Fixture or Appliance $ Reinspection Fee $ State Surcharge $ .50 ($15.00) TOTAL FEE $ 15.50 Job Address 5141 NE 13 St. Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby specified agreeing to do and rulings of the Depar the facts and reoresenta OWNER Bill Col Effective Date May 1, 1988 kes application for a Permit -for the work herein 1 work in strict accordance with the City Codes nt of Buildings, and hereby declares that all ns stated in this application are true and correct Fridley, Mn. 7 JUL 89 . 19 nbian #572_2078 KIND OF BUILDING Fr USED AS Res TO BE COMPLETED ABOUT 7 Jul ESTIMATED COST 316, 0/p0 , OLD - BUILDING PERMIT NO. ,� PERMIT NO. / V Signe By3 Tel. No. ' ® i o Ue r e ROUGH INSP. Date I h �P. i _1165 FINAL INSP. ` Minnegasco #342-5337 Date 700 W Linden Avenue P. 0. Box 1165 x APPROVAL FOR PERMIT Minneapolis, MN 55440-1165 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE Ef�pl City of FridleySUBJECT 2753 3 AT THE TOP OF THE TWINS BUILDING PERMIT i RE—CEIPT NO ______ COMMUNITY DEVELOPMENT DIV. v ��`T i 1 PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATE PAGE OF APPROVED BY ---;'j CITY HALL FRIDLEY 55432 i ---.� L 612-571-3450 910-F15 9/3/98 JOB ADDRESS 5141 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 lCarlson's SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cor Bra571-9798 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Viking Home Im579-1890 4779 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 28 SO Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2399 $1.20 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- STR TION ORTH P FORMANCE OF CONSTRUCTION..$74.75 Fire SC 2.40 PLAN CHECK FEE TOTAL FEE License SC $5.00 1$83.35 rATURtOP(PN--..RACTOROR UTHORIZEDAGENT IDATEI WHEN PROPERLY )(A/.IDATEQ THIS IS YOUR PERMIT BLD INSP 3- GATE S.GNATUREOFOWNEROFOWNERBUILDERi IDATEi NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 10BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: pprJ Owner Name & Address: 01L RA -VI Tel. #5- 7l f l Fd Contractor: C/z MN LICENSE Address: vfi S�.�1 1� L� Tel. # X72 l Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type -2611, ± Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ (Fee Schedule on Back) Ft x $ = $ DATE: �� 7 " APPLICANT:�� I Tel. # CITY USE ONLY Permit Fee $W /-)(- Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ ��• C�C� $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 $ L3, STIPULATIONS: 3uilding MCC. BUILDING Permit No.: () . nspe,ctions �,�a RESIDENTIAL Received By: ' 763-572-3604 CITY OF FRIDLEY nate Rec'a: )ATE 06 UR E-MAIL ADDRESS c ;ITE ADDRESS 1415 MIS APPLICANT IS: mP6WNER ❑CONTRACTOR PROPERTY OWNER/ NAME: 2 ADDRESS: S–Ikl --,, rA CITY TENANT PHONE: ` CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF E3DRAIN TILE 'DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: [ L7 FT SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing strucum ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WLNDOWS 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 13 1-7. io OCCUPANCY TYPE Permit Fee $ , rj®. q 9- See Back Page for Fee Schedule Plan Review $ 33. / 2 65% of Building Permit Fee Fire Surcharge $ 1. A-2 .001 times the total job valuation Surcharge $ _ (0(1 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ �Y' _ cis 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; that the work will be in accordance with the approved plan in the case of all work which r uires re iew and approval of plans. � f /� � /� ��[ B SIGNATURE OF APPLICANT §0 .w� • PRINT NAME / V 12- Or` �7� I V C' ! ' d7ATE � ®� / '— OWE CIE-ck 10`1 �o a�C� ein . 76263 g 7/3012006 l MC 1' x Take this sheet to the Building Materials desk to purchase your materials. You selecteci a 1 level deck with: Below Is a section of the railing stye an Pressure Treated Framing Material options you have selected for your deck. 4 x 4 Framing Posts 514" x 6" Pressure Treated Deck Boards Poured Footings 8" Tube 4' deep Premium Gold Combo Drive Screws i IMI N Galvanized Framing Fasteners" I� Handrail selections: 36" T Handrail to Joist w/o Posts Railing 2"x2"x42" Pressure Treated Spindles Beveled 2 Ends 514x6 Pressure Treated Plain Handrail Spindle placement is approx 4" apart depen ing on s e You may bu all the materials or any part at low cash an cam, prices. Because o e Mae vasa e in co, es, Menards c rind guarantee that materials listed all meet your code requirements. Check with our local municipality for plan compliance and building permit. These plans are suggested designs and material lists ony. Some items may vary from those pictured. We do not guarantee the completeness or prices of (hese structures. Tax, labor and delivery not included. SUFI WAL 84 '42W1 04A i®'q'oo =-DECAIb; a - CD,s t (The posts shown in this picture are not necessa nd not included with'the postless railing type you selected!) Illustration intended to w general deck size and shape. Some options selected may not be shown for picture clarity. Today's cost for materials estimated in this estgn withTtions:$450.54 The base price includes: 40 PSF deck live load, Ad treated • horizontal 2x0 deck Wfds, 4x4 posts,oists and beams, gaiv sized framing fasteners, AC2 treated W Vertical handrail to joist without , and premium screws.*( ASE price). 429,42 - esign #: ,: MENQIR�S - ,,, Take this sheet to the Materials desk to four materials.* * * Level 1: 10' x 10' 9' off the ground Horizontal Decking 2" x 8" Joists Be 40 PSF Deck Live Load To ' cW-o-rmArjA--esfim*d in this design with !Ptions: ,4 *The base price inclu k live load RC2 treated - horizontal 2xG deck boards, 4x4 posts,oists and beams, gala nixed framing vers, AC2 treated 36° de ca an rai joist without posts, and premium screws. (ASE pdco)a 429.42 i o , CA CO CD CD C7 ZE Pot 2' —�� 8' 1 Ybum y buy all the materials or any part at low cash and cavy prices. Because of the wide variable in codes, Menards nnot guarantee that materials listed will meet your code requirements. Check with your local municipality for plan co Hance and building permit. These plans are suggested designs and material lists only. Some items may vary from those pictured, We do not guarantee the completeness or prices of these structures. Tax, labor and delivery not included. Beam Layout for Your Deck The Scale is 112" :1' Mark . Length Description A 10' 2-2x8 Green Treated Layout dimension sheets are intended as a construction aid. Not all options selected are shown, U C N CU U 75 O C O -C = C%) t. y O_ CO O CB ~ 8 CU CO �N V O O d O i m E O� N � � N ui C en 455 � C' Ch V O CMC O T CM O CD N CA C CO N N N Q E C N W 6 � � O U CC F— CO .sO+ :t CU O CO € N 2 Ca cc t:7)T CO E— WcC, CcCMC13� CO U CL E cn E L� 7E U Q C C=N O Ca O 2 Qs 0 Joist Layout for Your Deck The Scale is 112" :1' A A Mark Length Description Usage A 99" 2x8 Green Treated Joist B 99" 2x8 Green Treated Ledger C 9'10-112" 2x8 Green Treated Rim joist D 10' 2x8 Green Treated Rim joist Joists tg be on 16_ centers+ Joists to be hung from the ledger with joist hangers. Joists to be toe -nailed to beams with 3-117 (16d) galvani2ed nails. Rim joists to be face -nailed to joists & ledgers with 3-112" (16d) galvanized nails. Y bracing is estimated, but not shown. Blocking and bridging may be required by your local code. Layout dimension sheets are intended as a construction aid. Not all options selected are shown, z! O C CU (U N N U � O � C �o CU CU C O O CB rte--• V — C6 m V a> m C C ui � a) c F15 a� CMC Q CO C O N CO') to N � CO CO CO cc CO N ts CO �.Q G CO ED �R E n E C� U CQ C CU O O �:E; 0 G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER t/?- Vp /V , understand that the State of Minnesota requires that all residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at �'I Lc 1 ?. r-1 S, �- 8/'/ ,Fridley, I am exempt from the state licensing requirement only if I am not building 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 Date Building.. BUILDING Permit No.: b GD'I Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DAWDMAY 2007 DATE , '" - 04' YOURE-MAIL ADDRESS SITE ADDRESS- �1' '�UR A /� I KA � 4 L' + � �� Vy �1h�11 THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: N IIZWK 6 EVA 4 K TENANT ADDRESS: tE) `1 I !� M S CITY V- r 1� STATE P_ V C" I Z,, PHONE: 0 `Z — �j d :� CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SF ED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE drDECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: MNEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH 0 F `► HEIGHT J 0 Sq. FL ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT:- SIDING /� / 1 ��CDDL� -Ol L q� FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit a� a,�r ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project WINDOWS T, 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ % z5 / % OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $DOI 001 times the total job valuation Surcharge $ �, .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 $ n5 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; that the work will be in accordance with the approved plan in the case of all work which requir�:?` ew and approval of plans. �j [n I 6 SIGNATURE OF APPLICANT A* PRINT NAME l �. 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