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PRE 2010 DOCS— - PERMIT NO. SUBJECT City of Fridley ; r,• AT THE TOP OF THE TWINS BUILDING PERMIT. RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r ~ PROTECTIVE INSPECTION SEC. i, I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �..__.Jl.' �•� 612-571-3450 JOB ADDRESS i '�.'t N. 1 LEGAL BLOCK TRACT OR ADDITION SEE ATTACHED DESCR.1 [LOTNO.­ ' SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE _ 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK r 9 CHANGE OF USE FROM TO STIPULATIONS ,- � �.£` . .!�_. ... _ pow ..._.. er.0 fT. „ c'�'. �.. �. ._ ., .I ., ... .. �,s ..,,, � • . .... .. �i .'f�'... . .i., ..5 I, i��� �i,^.. ��© ,�c�; ....Z . � ,4n.R w",,tp� 3 d. . `4. S't`,® }����,y ,'•.)q �,llTra, ._..fie L1.3Co7 cv.4 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 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 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 1.3 �r PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) .,, WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG "NSD DATE SIGNATURE OF OWNER dF OWNER BUROERi IDATEI City of Fridley SUBJECT � 161.43 AT THE TOP OF THE TWINS BUILDING PERMIT r CEIPT `y _____ COMMUNITY DEVELOPMENT DIV. p Q r PROTECTIVE INSPECTION SEC. 30 ll 1 i i CITY HALL FRIDLEY 55432 ,•� NUMBER REV. DATE PAGE OF APPROVED BY "'"" 612-571-3450 910-F15 JOB ADDRESS 5821 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21,22 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Del Price 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hullick Inc. 9133 van Buren Street N.E., M ls, 55434 780-3400 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. P 5 ENGINEER MAILADDRESS • ACCUUC,, ZIIG�uA LICENSE NO. tamG; j M� ri?L 6 USE OF BUILDING p ��N Fu. f GN'. U� 3Ek, CN1Y AND Residential R SHOULD mr,VER 7 CLASS OF WORK "myON ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 40' x 24' Dwelling NO GARAGE- 9 CHANGE OF USE FROM TO STIPULATIONS Provide City with copy of verifying survey before capping. • Provide sod in the front and side yards. Provide a hard surface driveway. SEWER LOCATION: LApprox. 8' Deep In Street) 60' S. of M.H. (Inv. 836.89) WYE ELEVATION: 836.71 TOP OF FOOTING: 840.21 Minimum WATER LOCATION: 10' South of Sewer Service A) DRIVEWAY DEPRESSION COST: W"N6 SEPERATE PERMITS REQUIRED FOR WIRING Setae ding call local utilities HEATING, PLUMBING AND SIGNS TaEPHONE • ELECTRIC - GAS Etc, REQUIRED SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 19,200 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 960 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $38,600 $19.30 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF OY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR E PERFORMANCE OF CONSTRUCTION. $76.80 $425.00 51Ul/�� /C -y — �% / PLAN CHECK FEE TOTAL FEE 3 7 $19.20 $540.30 S ATURE CONTR TOROR4 THORIZEDAGENT (DAIT) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 1 � BLDG iNSPrjATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATIM FOR RESIDENTIAL BUILDING PER4ITS (Mew, Alterations, Additions, or Repairs) OWNER: �"�'r�-�f— BUILDER: Aa/k, ADDRESS: TEL NO: ADDRESS: 9W //ii, k;,e t:.7 TEL NO: 7" —j Zg c) Construction Location ' STREET NO: STREET: LOT:''' Z Z- BLOCK: Z / ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: /2 Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIO14 OF CONSTRUCTION CAS Front: �/O Square. Feet: No Front: Square -Feet: Depth: Height: / 2_. Cabic Feet: Depth: Height: Cubic Feet: Type of Construction: Estimated Cost: $ -�`-� G' To Be Completed: �/a1 d'' ✓ 22 13 •�► Alt. A Alt. B Proposed Driveway Width If New Opening .Is Desired: 2.2 $ '099.0d $ SEE REVERSE SIDE OF SHEET . The undersigned hereby makes application for a permit for the work herein specified, agreeing to cb.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 iii this application are,�rue and correct. DATE: L Zq/L� SIGNATURE: Stimulations: p -C. X4.2.0 'f �e ICA • 3n In l h" Elo ave • ao'.S�h �'.S Mob] % .riti're �+ cold og'ZC.3 '8�e.� it 00% E -RA444,tt1 MADOOC i X 1t"i- -wl-shisi x O91$ x wolf =.sem x hit 9-xZ1 -cam i.: 5 Main Office 15716066 l� UBURBAN 6875 M-ghway No. 65 N.E. j�❑NBINEERINQ , Minneapolis, Minnesota 55437 INC.��-� oIrSo.rh'Olf-eo 1, 890 6510 rdL MumcipalE*n[�neenn[aSod7,atmg•LandSunsryvm[aLand.Tantg0ldRad rnsville, Minnesota 55337 Certificate of Survey for 47 . A 4 `wa7cr-seuc� a; 0 1Ij i•i it i _ M' KE (iTY .F FP4t)L" ®ES ACgURACY QP lFTiM 1OCNnONS AND EL'EV'AT!C-: !H --f DATA IS FOR INFORMMION PUPPOSES ONLY ivl-,; h 'S.OHIS USING IT SHOULD sl[-Nif• THE t-Ion.=TL1 �•il(F�4"'• i h Ara 221 gLvGK 21�cJ' L T 21 /0.9 1 hereby certify that Ibis Is o tree and cerrest represenlatiurvey of the boundaries of the above described land, and of the location of all'buildipgs, thereon( aible encroo* ments, if any, from or on sold land. As surveyed by me this 2r>7 day of ..1v�E o�,SUBUR QtINEf G, INC. Engine r. �., Surveyors b N.!�, of Published: All Rights Reserved 4 , - --- _ %, o J Z Be ca11 local oie digogEtc. Ei'EC�RIC-GAS uti�iitles iEIE?"CyRL UIRIE® RI C t-Ion.=TL1 �•il(F�4"'• i h Ara 221 gLvGK 21�cJ' L T 21 /0.9 1 hereby certify that Ibis Is o tree and cerrest represenlatiurvey of the boundaries of the above described land, and of the location of all'buildipgs, thereon( aible encroo* ments, if any, from or on sold land. As surveyed by me this 2r>7 day of ..1v�E o�,SUBUR QtINEf G, INC. Engine r. �., Surveyors b N.!�, of Published: All Rights Reserved 4 , - --- �yf - v, -- 9 36. -7/ L,P/C / (/ fes/`// V' � 4.>rA"e ��� • '. W 2 '�mr 3 t �'. r� _ .. .� Fy. g�ia y"YT,,:Ly ..�'� x. J � _ YV - 4 s+._,'un �'�-x�-...a�^�� � f �T T�� �. j� h r nay✓ A-antq'.e :�r$�'�a.��.z�r�+y�, 'f`. a"'' z ---_--+"- - r.. . - z '•�_ r•F�I �y�' 4'_ �... rS. - �1.�1tl .l'�';/" 13` 4 s.. ,. i�-� -S .ry Ya ^ ., r� �`a�"_` ��Y(''G'"'�F"'�`y- �7�'i. �,r arr r ta• •#'^ .l r .i '�- ...� v r*' �,+a fis� . ';... GI\VII2® ®��k, 101!C /4"I aJ DJ• -J-arLJrf y •� �- R 2 7 r.�- '��r "� fi • � - s # � o it 3" r 'b t � t. ..t °i � !►�� i�'' a -tiCAI'rRA1' AVE NE '� W _ ; 1 �S -lam $•7 • '�.0 q,i _� _ .d i• r� MCI-, t0. V+� 1E`14N 5543 4 }L 3x.. G• �v'l s�'''S '3�-?' -'r3F3 � ; q - e - 4'd' having: met the standards of the = Home Owners Warranty Corporation, has been registered to offer home buyers the benefits ;and protections of the Home'Owners Warranty Program. �fprr fig' O�PO�� apo 1w:0 SEALO%-p - oi: a 1978 F� d` Pre6iderd Effective Date Wanonly rali 6/21/79 - 6/30/81 S Builder Registration Number 24'45-92194 Nome owner wamw*Caoaciron.wmhaVcn. D.C. Copvnpte • 1978 MOW WA 1101761 IVISION .UME INDUSTRIES ST. PAUL, MINN. 55121 J.D. ADAMS COMPANY ENGINEERING PkL =s' ca ' ID -1 w PML *e COPYRIGHT TY7Y r- 4-19-1979 I hereby c ify that this plan, specificati n, or report s prepared by me or under y direct sup rv�sion and that 9 am a d ly . Registered rofessional Engineer under the f th State of n iota. i _ -----------------------------------------•-------------------- __ _ ---- ------------------ ---------------- -- MINIMUM LUMBER TOP CHDRD-2X b DOUG FIR -LAR it HORD-2X 6 DOUG FIR -LAR #1 BOTTALLCWEBS=2X 4 DOUG fIk-LAR STD Lis r- ATURE DATE L EG. o. 8548 sP�►N _ _ - N --------------------- 4.00/12 W � _ -----------------------------------------•-------------------- __ _ ---- ------------------ ---------------- -- MINIMUM LUMBER TOP CHDRD-2X b DOUG FIR -LAR it HORD-2X 6 DOUG FIR -LAR #1 BOTTALLCWEBS=2X 4 DOUG fIk-LAR STD FOR SPAN 39'- 0' OR LESS 6- 9 JOINT Ala 2- 3 JOINT Bs b- 6 NO BRACED WEBS JOINT A= THE MINIMUM NEARINGm 3.5 INCHES JOINT C2= 6- 6 JOINT E- 4- 4 4- b JOINTD= ------------------------------------------------------ ----------------------------- -- MINIMUM LUMBER TOP CHORD -2X 6 DOUG FIR -LAR it BOTTOM CHORD -2X 6 DOUG FIR -L ALL WEPS=2X 4•DOUG FIR -LAR STB FOR SEAN 36'- 3' OR LESS. 5- 9 JOINT Al- 2- 3 JOINT B. 6- 6 NO BRACED WEDS JOINT A= 6 THE MINIMUM BEARINGS 3.5 INCHES-_-- • JOINT C2= 6- JOINT E- 4- 4 - ------------------------------------- JOINT De 4- 6 _ --------------- BOTTOM CHORD -2X 6 DOUG FIR-LAR ---------------------------------------------- 7. OR LESS MINIMUM LUMBER TOP CHORD -2X 6 DOUG FIR -LAR f1 ALL WEPS=2X 4 DOUG FIR -LAR STD FOR SPAN 33'- JOINT A= 5- 9 JOINT Al- 2- 3 JOINT B= 6- 6 NO BRACED WEBS BEARING' 3.5 INCHES JOINT C2= 4- 4 JOINT En 4- 4THE ------ MINIMUM JOINT D= 4- 6 --------- ------------------------------------------------------------------------------ --------------- - -- -- TOP CHORD -2X b DOUG FIR -LAR •1 BOTTOM CHORD -2X 4 DOUG FIR -LAR DOUG FIR -LAR STD FOR SPAN 30'-11. OR LESS MINIMUM LUMBER ALL WEBS=2X 4 JOINT A= 6- 7 JOINT Al- 2- 3 JOINT B- 4--6_ _ ____ - - - NO BRACED WEBS MINIMUM BEARING= 3.5 INCHES JOINT C2= 4- 4 JOINT Es 4- 4 THE JOINTD= 3- 6 -------------------------------------------------------- __------- ------ ------------------------- LUMBER TOP CHORD -2X b DOUG FIR -LAR it BOTTALLCWEBS=2X 4 DOUG FIR -LAR STD SPAN 28'- 7' OR LESS MINIMUM 9 JOINT Al. 2- 3 JOINT B= 4- 6 NO BRACED WEBS JOINT A= 4- THE MINIMUM BEARING- 3.5 INCHES :JOINT C2= 4- 4 JOINT E- 4- 4 JOINT D= 3-•6 _________ _________ ---_-_---_-~-_-_ BOTTOM C X 4 DOUG FIR -LAR 01 3' OR LESS MINIMUM LUMBER TOP CHORD -2X 4 DOUG FIR -LAR it LYEBS=?X 4 DOUG FIR -LAR STD FOR SPAN 26'- JOINT A= 6- 6 JOINT Al- 2- 3 JOINT B= 4- 6 NO BRACED WEBS BEARING- 3.5 INCHES ` JOINT C2= 4- 4 JOINT E- 3- 4 THE MINIMUM JOINT D= 3- 6 ---------------------------------------------------- ----------------------------------- -- TOP CHORD=2X 4 DOUG FIR -LAR i1 HORD-2X 4 DOUG FIR -LAR #1 BOTTALLCWEBS=2X 4 DOUG FIR -LAR STD FOR SPAN 24'- 3' OR LESS MINIMUM LUMBER 6 JOINT A1= 2- 3 JOINT B= 4- 6 NO BRACED WEBS JOINT A= 5- THE MINIMUM BEARING= 3.5 INCHES JOINT C2= 4- 4 JOINT En 3- 4 -- JOINT D= 3- 6 ------------ ------------ _ ----------------------------------- LESS MINIMUM LUMBER TOP CHORD -2X 4 DOUG FIR -LAR 01 TOM NOT. ALLCYEBS=2X 4 DOUG FIR -LAR STD FOR SPAN 22'- 3' OR JOINT A= 5- 6 JOINT Al- 2- 3 JOINT B= 4- 6 NO BRACED WEDS NEARING- 3.5 INCHES JOINT C2= 4- 4 JOINT E- 3- 4 THE MINIMUM - --------------- JOINT D= 3- b ------------------------------------ ------------------------------------------------ TOP CHORD=2X 4 DOUG FIR -LAR it BOTTALLCWEBS=2X 4 DOUG FIR -LAR STD FOR SPAN 20'- 3' OR LESS MINIMUM LUMBER JOINT A1= 2- 3 JOINT B- 4- 4 NO BRACED WEBS JOINT A= 4- 6 THE MINIMUM BEARING= 3.5 INCHES JOINT C2= 4- 4 JOINT Es 3- 1 ----------------------------- JOINT D= 3- 4 ---------- _ --- ----- FIR -LAR HOTTALLCWEBS=2X ----------------------------------- 3. OR LESS MINIMUM LUMBER TOP CHORD -2X 4 DOUG FIR- LAR ii 4 DOUG FIR -LAR STD FOR SPAN 1S'- JOINT A= 4- 6 JOINT Al- 2- 3 JOINT B= 4- 4 NO BRACED WEDS NEARING- 3.5 INCHES 3- 4_______________________________________. JOINT C2= 4- 4 THE MINIMUM JOINT D= 3- 4 JOINT E� JIG THAT ELIMINATES HARMFUL STRESSES CAUSED THE BEST RESULTS IN TRUSS FABRICATION ARE OBTAINED WITH A MECHANICAL SFORED ITHEAERECTIONNDLING PLATES HOFTTRUSSES.RUSS OR LAPERSONSNUSINGRTRUSSES LACKING SUCHDAADISP BY HANDLING.RESPONSIPILITYRE MUST BE ALL JOINTS MUS AMS CO.ABEAkSANO AND PERMANENT BRACING. SH BE E PROFESSIONAL ADVICE IN REGARD TO ERECTION BRAC EJOINTS LMIGHT ESS HREQUIREELARGER SFOR ARE CAUTIONED TO SEEK ATES C ENTERED BACCURATELYCUT FIT. MENSIONS TFINDBE VFROMIEXPERIENCEED. ALL LTHAT SOME PLATES . SAND . FABRICATOR MAYSUITABLE SUPPORT. MINIMUMON ANCHORED OTHERSu)BSALLAND 1 WEDSRLX4TUNLESS SUPPLIEDBRACING OTHERWISE SPECIFIED. BOTH INTO BOTH FACES OF JOIN T HALDLBRACINGALL TO BECONTINUOUS -------------------------------- • Q-5 GU55ETS'(BY J.D. ADAMS CO-) SMALL SE MADE OF 20 GAGE STEEL AND PRESSED ----------------------------- --- -------- t TRUSS LOADING ------------------------------ MULTIPLY SPAN BY FACTORS BELOW FOR STRESSES = ROOF 40.00 PSF A -A1 -123.14(C) A1-9-106.92(C)rA-C2-116.52(T) C2 -C1- 79.30(T) LL- = DL■ 5.00 PSF Al -C2- 22.60(C) C2-9- 31.90(T) { CEILING 0.00 PSF FOR ALL BRACED WEBS. USE A.1X4 CONTINUOUS BRACE • 3 1/2' BUT NOT EXCEEDING 7 f LL- = DL- 10.00 PSF INCREASE FOR STL-15 FOR A MINIMUM REARING GREATER THAN Z i SPACED AT 24'O.C. ADD ONE BEARING BLOCK RLOCKw(MIN.9RG.-3.5)X 6.14 PAGE 12 REQUIRED NAILS ON BEARING --------------------------------------------------------------------------------------------------------------------i EXTERIOR ENVELOPE AVERAGE 11U1t COMPUTATION , SITE ADDRESS S8;t I N CONTRACTOR B u I 1 i ck 1io yy%*y t Inc. DATE '//2 3 8i PHONE 9,F0 - 3'-1 0 0 DeteA ine woAhing squaAe footage of each. 1. Totat exposed wa.P,!? area . . . . 6 G q s q. it. x — .77 = 28-; t . KS' 2. Tota. Aooi/ee c,e i.ng aAea . . . . 960 sq. it- x — • 03 = `/8. 0 Totat exposed watt a&ea above i.Eootc = a. Totat watt window ateea . . . . . . . . . . . . . . . . . . . . . . b. Tota doote area . . . . . . . . . . . . . . . . . . . . . . . . moi, o c. Totat s.e id ing gta.as dooA area . . . . . . . . . . . . . . . . . 3G - o d. Totat ji eptaee wage ateea. . . . . . . . . . . . . . . . . . . . e. Totat wage 6kam t.ng ateea (av eAag a 10%) . . . . . . . . . . . . . /G 6. V J. Totat net watt a&ea above 4tooA . . . . . . . . . . . . . . . . I/ g . Tota( )Lim j o.i,st area . . . . . . . . . . . . . . . . . . . . . . 0 Totat exposed j ou.ndat io n area = ?,C h. Totat 6oundati.on window ahea . . . . . . . . . . . . . . . .i.. Totat net 6oundation area above grade . . . . . . . . . . DeteAmine "U" vague os each wage segment. a. 1.30./ 6 x "Ulf b. a/.0 x I/Ulf ,33 = 6,93 C. 74,0 x 11 UI► d. x llu►/ e. x II Lill , // 9 = /9,7 �• /az, x nun , OS'`/ = 01r 9• /�(/ IO x 11/1 111 910 h. x ►/ull = - 3. . . . . . . . x fluff "17 96 I� item 413 iz the same as, oA .fess t12an item 01, you have met the bitei-tt o6 SBC 6006(c)2. Tost exposed tcoo 6 /ee c.E;ing a&ea = 9 C 0 j. Totat skyteight area . . . . . . . . k. Total nooj/eeU-ing �Aam.ing atcea (average 10% 196 .-. Totat- net .i.nsutated Aoo4/eeing a&ea . . . ley Detehm-ine "U" value UoA each noo.�/ce i -ting segment. 1- x 111 U(11 c �. nlfit CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address 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 reprosentations stated in this application are true and correct OWNEkt USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. °i TOTAL -4 Water o OLD PERMIT NO. PERMIT NO. Namber Fixtures A �+ $3.00 m E a c rt x s�4 C $ ro $4 , q w w tp $ Heater I -t 0 S4 O 14 rJ $ m C 71 E x .c+ X JJ se4 a S4 m 40 0 e 0 4 $ 9 &N1 x w $7.00 $ Q L7 -4 L ROUGH INSP. Electric Water Heater . -i O 3: 0L0NC Date 41 N 01 $ FINAL INSP. `2 1st 3 fixturesx $3.00 $ 3,CJU 0 Additional Fixtures x $1.00 $ o x $10.00 $ U REPAIRS & ALTERATIONS M First $100.00 W U Cn each add. $100.00 or fraction $2.00 $ as lec State Surcharge $ .50 I TOTAL FEE 9-�7q $ J -D. V ls= nd 3rd 1 4 tom) Future Connection Opening Connected with Sewer (*) _ New Fixture, Old Opening Water Job Address 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 reprosentations stated in this application are true and correct OWNEkt USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL Q OLD PERMIT NO. PERMIT NO. Namber Fixtures x $3.00 ("LDING Future Fixture Opening x $2.00 $ Compan r New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Signed By Water Heater - to 99,000 BTU E x $5.00 $ 5.0 © Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ water Softener x w $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date GAS FITTING FEES: -//- 9 FINAL INSP. `2 1st 3 fixturesx $3.00 $ 3,CJU Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT 9� REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE State Surcharge $ .50 TOTAL FEE 9-�7q $ J -D. V REINSPECTION FEE ($10.00) 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=•J6✓( S[ F� Furnace Shell & Duct Work $12.00 $ *Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Dopartment of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 Repairs & Alterations each add. $500.00 4.00 $ C:.ty of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein $12:00 $ �U specified agreeing to do all work in strict accordance with the City Codes Furnace Shell & Duct Work to 100,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the each add. 50,000 BTU *Replacement of Furnace - to 100,000 BTU 7.00 $ facts and representations stated in this applicati are true and correct. Repairs & Alterations -up to $500.00 7.00 4.00 $ '$ Fridley, Minn. CA -A11__ , 19 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU 4.000 $ USED Boiler only up to 100,000 BTU AS each addn. 50,000 BTU 6.00 $ ?d • TO BE COMPLETED ABOUT v OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST �laJ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ 10-0 Q_ OLD-UILDING PERMIT NO. PERMIT N0. U (over 199,999 BTU see Fee Schedule) $ GAS FITTIXG FEES: 1st 3 Fixtures x $ 3.00 $ _3-U c) DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, W rm Air NO. AIR CONDITIONING $Trade Name Size No. ��� �� FAN HEATING SYSTEMS VENTILATING SYSTEMS See Fee Schedule $ $ . Sq. Ft. EDR BTU t� HP ALTERATIONS $ REPAIRS $ Capacity / �,%j • • State Surcharge S .50 Total Connected Load ( Kind of Fuel /U&• TOTAL FEE $ BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) ! � (y", FINAL INSP. J®•-�� �CYr Company 1� (i��'J� .G�'p�, Date Signed By APPROVAL FOR PERMIT��% Tel. No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS••$.50 STATE SMWHARGE *Attached stack verification form 9 01 SUBJECT City of Fridley 26135 AT THE TOP OF THE TWINS BUILDING PERMIT _ COMMUNITY DEVELOPMENT DIV.��� PROTECTIVE INSPECTION SEC. I , NUMBER REV DATE PAGE OF APPROVED BY I i /'•'1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/3/98 JOB ADDRESS 5821 3 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21,22 21 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Del Pierce 5821 3 Street NE 574-9331 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 12' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WAR �6 Before digging call for all utility locations 454-0002 REQUIRED BY LAW 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 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 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 $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,291 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- Fire SC $1.29 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $43.00 PLAN CHECK FEE T AL FEE $44.94 IGN URE C NT ACTOR OR AUTHORIZED AGENT IDATEI W ROP VALID,#TQFD THIS IS OUR PER �^ �p BLD . INSP GJ OA TE SIGNATURE OF OWNER OF OWNER BUILDERI I ATEI 9 01 NEW [ ] ADDN [ ] ALTER .001 of Permit Valuation (1 / 10th %) ConstructionAddress: Legal Description: Owner Name & Address: Contractor: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �ffective 1 1/98 eta Tel.# 572(- X33/ MN LICENSE # Address: 5 g 2 t s i. N Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length i 2 ` Width 1Z _ Hgt/Ground s Sq. Ft. io Irl OTHER: Construction Type: �Estimated Cost: $ IL 76c ` (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # 5N -Ml CITY USE ONLY Permit Fee $ y , Fee Schedule on Reverse Side Fire Surcharge $ /s .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 $ Y9 STIPULATIONS: AKANSON professional engineers and surveyors NDERSON ASSOCIATES, Inc. P.O. Box 665 2665 4th Avenue North Anoka, Minnesota 55303 612/427-5860 CERTIFICATE OF SURVEY Survey for: Bullick, Inc. Survey of: In-Place foundation location. DESCRIPTION: Lots 21 and 22, Block 21, Hyde Park, Anoka County, Minnesota. Subject to easements of record, if any. W /.28.9% •,Sk 44P 1 � AV ANelf O Of0!/ND/D7/O • 4. iw .COC�VT/ON \ Q ---444 --- 24 Xef.96 Scale: Bk. R8 pg, 7/ . T. , R. o Denotes iron monument I hereby certify that this survey, plan or report was prepared ..by me or my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Min sots. /,2.263 Reg. No. Date Job No. 04 I _ „ ti's 1� �L ' -O". -,( 12'-0" 1/20 = 1'-0° PRAMIN PLAN -hf/7✓� �U 1S / rjt�(,C VAO A Y� ��� � f J ; ►tel s�■i �■ �� ■� �■s� �� �� ��+ �■tea M■I���m■m���1■M ►� ►� ►� ' -O". -,( 12'-0" 1/20 = 1'-0° PRAMIN PLAN -hf/7✓� �U 1S / rjt�(,C VAO A Y� EASY RAISED Dff GK SGAI f J EASY RAISED Dff GK SGAI g 5/4' j'b 71CSSURr TREATED RAIL GAP I. 2 v 6 PRESSURE TREATED TOP. RAI L NOTE: 51;E RAIL POSTS ARE ATTAWED TO INSIDE OF END J0IST 2 )e 2 PRESSURE TREATED P.IGKETS @ 5' O.G. 4 v 4 PRESSURE TREATED RAIL POST- 2 OST-2 v 6 PRESSURE TREATED RIM JOIST NOTE: FRONT RAIL POSTS ARE ATTAG14CO TO OUTSIDE OF RIM JOIST N y 5/4" x 6 PRESSURE -- TREATED DEGKING 2 x 6 PRESSURE TREATED DECK JOIc 2 )( 6 PRESSURE T. TREATED LEDGER 1/2" )e 50 LAG SGF 2 g 6 JOJ ST MANGE 2 x 4 PRESSURE TREATED BLOCKING 1/2° )( 8" CARRIAGE UXT 4 )t 4 PRESSURE TREATED POST 2 — 2 e PRESSURE NOTE: SEE DETAILS TREATED SEAM — FOR FOOTING ss SPECIFICATIONS. L GRADE .1 ' rl ISOMETRIC DRAWING NOT TO SCALE j 2- 2 6 ' TREATED 1 W/ STAIRC 2)( 12 PR TREATED e e ' " 4 v 4 PRESSURE TREATED STAIR P05T / ��� I j{ ��,,��'�`" 2 e 6 PRESSURE l7' TREATED END JOIST - EAiSY RAISED DECK shE Pi OARLIN©HOUSE OThe LF. Garlil All Rights resen Printed in the U, 1991, 1995, 19! EASY ncluddiing any din derivative works U ,i A . Q !, cp^�nor written strict OF SUBJECT PER City of Fridley 2 81 17 AT THE, It�T%11S� BUILDING PERMIT o __ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC / r PROTECTIVE 1 6 NUMBER REV DATE PAGE OF APPROVED BY 1� 1 CITY HALL FRIDLEY 55432 ' 612-571-3450 910415 10/6/98 JOB ADDRESS 5821 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21, 22 21 Ade Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Del & Peggy Prize 574-9331 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 D ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house (13 Sq) Tear -off; Reside south side of house 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for building wrap inspection before covering. 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1264 .63 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $43.00 j Fire/9C $1.26 PLAN CHECK FEETOT EE 8 SIGN TU Erj ON' C�OAUTHOAIZEDAGENT iDATE i EN OPE BL0,9 INSP IVALIDAT I�THIS IS /YOUR / PERMIT dwo 7. DAtE S-GNA URE O OWNEROF OWNER BUILDER, I IF (DATE, OF K NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: Owner Name & Address: Comer: g -/0 r" Address: .54P-2-1 -3,�'L S CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION P . 1 V t�• -f-I"-j l of r Effective 1/1/98 Tel. # S'?V x93.31 MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: l� �'_ - > (,l S - l t' f� r 6 �� '-)F;S/ i Construction Type. �ajf., Est' ate Cost: $ S JA AD� ee Schedule on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $ _ $ i DATE: /� �'� APPLICANT: /� Tel. #%`i' 7 3 3 STIPULATIONS: CITY USE ONLY Permit Fee $ 136 0 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 $ $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 $ 771& STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSIOItlj�� 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES si RATE SCHEDULE r� Residential Furnace Shelf and Duct Work, Burner - Rate TOTAL_ Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10-00 $ '-Air Conditioning - All Sizes $ 25,00 $ _ Ail Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $_ x L4 �omrnerciall/industrial 1.25% of Value of Appliance or Work LL LL State Surcharge $ x.50 TOTAL FEE $� . 0 e U- HNIMUM FEE FOR ANY HEATING/COOLING/VENTILATION IEFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 2" ILUS THE $.50 STATE SURCHARGE !EINSPECTION FEE $47.00/Nr 1-1 M Air Conditioners can not be placed in a side yard without Britten permission from adjoining property owner. Effective On January 1, 2001 JOB AIDDRESS Sf9,?] 3 r4 UArfl, T=S41ry M 4W hf ER_ 00L, j� J^ fC P 73 BUILDING USED AS _ Eio ell C-7 ESTIMATED COST �ZS ®®" PERMIT NO. DESCRIPTIONOF FURNACE AND OR BURNER No. of Beating Units—L­ Circle One (Steam) (Hot Water) arm Trade game_ Gem es Aov► Za, a"( Size BTU ® HP EDR Fuel. 6' _ Total Connected Load_. Burner Trade Name__- -- Size No. _ BTU HP _ 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 art rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO g-a,jic-,, a. A�, Signed—W(?'V'.TEL #( G 1 3 7 Approved By _ Rough -In Date Final IANO COMB SU�pN AIR VEB�IFIICATOIOIVENT SIZE, VENT CONfdECTORS MAY -25-2001 11:45 FROM CITY OF FR DLE'r TO 651?797214 P.04'04 COMMON VENT,,_ VENT CONNECTOR. TI FICATION When reglaging an existing furance, the undersigned hereby verfts that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes o No( ) The venting system is pfastictPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and terminaton. Yes( ) No 6Qj' The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications_ This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes M No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes;<) No( When required to install a now combustion ai it will be sized and Installed to meet the current codes and manufacturer's specifications. Yes No ( ) When Installing a new vgnting. s-y§jMrn, the undersigned hereby verifies that it is a fisted assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ij No ( } Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per curent codes. Yes } No( } Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type 2S:Oo® _— BTU Input Fan Assisted or(g Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input _...__ Fan Assisted or Nat Total Appliances Total Btu Input Common Vert 'type ' Vent Height Diameter inches Appliance #1 Vent Connector Height eft Length ft Diameter Appliance #2 Vent Connector Height ft Length ft Diameter in Type in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS, (Describe) BEATING CO: Signed By: Date : TO -AL P.04 G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 March 29, 2002 Mr. Del Price 58213 Street NE Fridley, MN 55432 Re: Final Inspection at 58213 Street NE Contractor: B A Dorweiler Heating & Air Dear Mr. Price: A mechanical permit was issued on June 6, 2001 to install a furnace and an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. �f / - J k 6 k -5T, HAKANSON professional engineers and surveyors NDERSON ASSOCIATES, Inc. P.O. Box 665 2665 4th Avenue North Anoka, Minnesota 55303 612/427-5860 : CERTIFICATE OF SURVEY Survey for: Bullick, Inc. Survey of: In -Place foundation location. DESCRIPTION: Lots 21 and 22, Block 21, Hyde Park, Anoka County, Minnesota. Subject to easements of record, if any. i I /N �,CyCE Q pauvoiv rzo Q ---44.9 --- 24 � J IMF. P46 V Scale: /,• =30' Bk. R8 Pg. 7/ Sec. , T. , R. o Denotes iron monument I hereby certify that this survey, plan or report was prepared ..by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State of Min sota. A9"63 Reg. No. Date Job No. , USUROAN '�.NOINtsnino ist[ Mein Office 571-8065 16875 Highway No. 65 N.E. Minneapolis, Minnesota 55432 Cavil 4 Munwipal Enguceerwg • Soil Teetug • land Suneyurg • Land Pkmmng South Office SM65VO 1101 Cliff Road - slurnsaille, Minnesota 55337 e Certificate of Survey for retspt- �4vu6pir 4 A-14ca 4�4TY *a.3t s �,/'1 - �- 7, I,�r. �i^ay8�4E O c'tri�&W-tprp Ire "opiw-161-ii1- �iVTh f1 1 ALI, As-mva. 1 hereby Certify that this is o tree a" Cor»Ct.reposontatlen of surrey of the borndariis of the above described lend, and of the location of all buildings, thereae, and 1 lsible onsr taonts, if any, from or ea said head. As surveyed by me this day ,' r'Q of -AV'-e �A SUBUR19 s N o, INC.. engin is - b'"� Surveyors Not Published: All Righn Resenred lip