Loading...
PRE 2010 DOCSCITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE N >1 a q U Y d Water :.,=!a= Fixt::ret x $3.00 $�� N h H Q $2.00 b $4 W W x Heater $ Catch Basin x $5.00 $ .Ci T N S'CJ® :tater Heater - to 99,000 BTU / x $5.00 $ =0u,OG3 B -J to 199,000 BTU x $10.00 $' C V x $7.00 $ 1.1 U: New Ground flan Old Building x $5.00 $ Electric stater Heater h $5.00 $ •.Ci y O O 1`7 A leC q; FRS '7 G CU' C7 O ;as* -7- I - t I 4... " 1 (R) = F.:t1re Connection Opening Connected with Sewer (*) = Naw Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLU�3IXG FIXTURE -RATES: NO. RATE TOTAL 4 :.,=!a= Fixt::ret x $3.00 $�� a=.re Fix -are Opening 3 x $2.00 $ New Fixt_re, Old Opening x $2.00 $ Catch Basin x $5.00 $ T S'CJ® :tater Heater - to 99,000 BTU / x $5.00 $ =0u,OG3 B -J to 199,000 BTU x $10.00 $' Water Softener x $7.00 $ New Ground flan Old Building x $5.00 $ Electric stater Heater x $5.00 $ GAS FITTING FEES: ' 1n_�x 1st 3 fix::,ires SO-- " t'� ' '� T $3.00 S Additional Fixtures x $1.00 $ Gas Ra:.ge to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ eac: add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ C RE-INSPECTI0:1 FEE �r •1) Job Address Department of Buildings City of Fridley Tel. 0571-3450 The undersigned hereby makes application for a permit for the work herein spe,lified agreeing to do all work in strict accordance with the City Coes and rulings of the Department of Buildings, and hereby declares t:.at all the,facts and roprosentations stated in this application are true and ccrreat - Fridley, Mn. /, 19 04NER , 1 KIND OF BUILDINGa� USED AS TO BE COMPLETED ABOUT f� ' ESTIMATED COST OLD - NEW BUILDING PE14VIT NO. PERMIT NO. Company Signed By y - Tel.. No. �� 4 ROUGH INSP. Date FINAL INSP. & - 7- 7 4Y Date . APPROVAL FOR PE101IT 13YNIMUM FEE FOR ANY PLUMBING P3RMIT IS $7_50 p:,75.$.50 STATE SURCrIAp_— HE ACCUI THIS I PERSO ON n City of Fridley SUBJECT PE 15 '08 1 AT THE TOP OF THE TWINS BUILDING PERMIT � CEIPT `L _____- COMMUNITY DEVELOPMENT DIV. -3 r PROTECTIVE INSPECTION SEC. / 7 i t .-n CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �"'"' ,�� 612-571-3450 910-F15 10/20/80 JOB ADDRESS 6031 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22, S31 23 5 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE D. Hendrickson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bullick Inc. 8741 Central Avenue N.E. 780-3900 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK OX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR W ❑ REMOVE 8 DESCRIBE WORK Before digging call local Construct a 24' x 40' Dwelling (NO GARAGE) utilitiag r�ic - GAS €t�, RE blot - 9 CHANGE OF USE FROM TOLAW STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide City with copy of verifying survey before capping. SAC credit from 6025 - 3rd Street wrecking permit. WATER LOCATION: 55' Southwest of Manhole SEWER LOCATION: 45' South of Manhole DRIVEWAY ESCROW: 12' + 6' = 18' x $15.75 = $283.50 TY OF FRIDLEY DOES NOT GUARANTEE TMe Clt OF UTILITY LOCATIONS AND ELEVATIC;;., SEPERATE PERIVIITS REQUIRE® 1=CDR WIRIN ATA IS FOR INFORMATION PURPOSES ONLY AN: PLUMBING AND SIGNS. s USING IT SHOULD r THE INFORMATIONYAND HEATING, E SITE, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $39,300 $19.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE ROVISIONS NY OTHER STATE OR LOCAL LAW REGULATING CON- $76. 80 CREDIT T UCTIO R T E P RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE elk, $19.20 $115.65 SIGN REO ONTRACTO ORAUTNORIZEDAGENT DATEI1 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT 11 Ojsa�_ BLDG WSP I DAT SIGNATURE OF OWNER OF OWNER BUILDER( (DATE) - CITY or FRIDLEY �. -Yin APPLICATION FOR HS11bIiIGR1 TIAL BUILDING I'.1ITS � (New, Alterations, Additions, or Repairs) Ot-JIdER: D,c�N so BUILDER: ,Q„ l• i ck J-nC. ADDRESS: (ap: 1_-_311"S). iy.f . _ ADDRESS: g,•7,I 1 Ce►,'I,a� jQ.u. M. TEL NO: TEL NO: 71Q0 -:3 el G O Construction Location STRIMT NO: (o D 3 I STREET: 3 ` L oV , LOT: .23. 74 S i 4..r- BLOB:: S— ADDITION: Corner Lot: Inside Lot: 4--' Setback.: Sideyards: 2 G — / D Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION • c�c.•lS� wont: �� Depth: '�%�° Heig ht: Square. feet: Cubic. Feet: AZOO Front: Square Feet: Depth: Height: Cubic feet: 9v,ei7/*-#s "35,130v _o 00 Type of. Construction: l40-1042( Estimated Cost: $ To $e Oar.;pleted: _ Alt. A Alt. B Proposed Driveway Width if New Opening Is Desired: ST;E REVERSE SIDE OF SHEET . dile undersigned hereby makes application for a permit for. the N:nrk' herein specified, agreeing to do.all work in strict accordance with the City of rridley Ordinances and rulings of the Departme:it of Buildings, and,,hreby declares that all the facts and representations stated :si this �cpplicatio�/�= due and correct. DATE �� /�1 F0 SIGNATURE: Stipulations: 14 1 x Y p. t orx 0)(1.190 19.2: )9-w 2V 3 ►��/ 4 as- IS- ZZ S !�Z i'1 t k J -h C. ' . 1 UBURBAN - IILM—apoln, Main Otl¢e 5716066 6875 yNo. N.E. Minesota 55332 � i N 61NEERINdN`� 890 6510 South Ott�cr fiO � I Ynl d lfumre/nl•F.nR�nvrnng s Rid TraLnr • Land Su --a • Lund Plomm�� in Burnsville, Minnesota 55337 Surn lit Ell] ertificate of Survey for �EvEv�t�P►�'►£r� ��T %T -r 4,05 1 a A�, I� 2 of OB — L U77, I N N }.. • JCIA \J "j (1L`7 — ;�•yt how► �. or 1-�- 3, %Ve'.1E-`T -•(v AU.-lov, i lF ArAY' Cb es iron\ monLtmej14 1 hereby certify that this is a true and correct representatioYD.9 rvey of the boundaries, of. the above described land, and of the location of all buildings, thereon, anble encropchments, if any, from or on said land. As surveyed by me this"LOP day of .1u,.1 tSUBURB7:�rveyors G, INC. Engineer by •�.,. a.. s.c�s....�• All C7nl.ee Rmn 11 _ q -, Ir� • 'iPP & 0L r...r�i... C Yam..—r°'.i� _ .�i4_ '': :. .i.r! �•'"ir; '17 NI r�-'.T_:�l`!j WRFC„j SGC:Ai iOld N.DNv GRA} ln' AIR, .” TOTAL Purnec"> Shell Duct c' �7 y —_____ Al:- __at, t0 S OC•. rti , . 00 r.___=: _ictus each ad -3. r„^.:'77 .I'll0 $� _ arae_ :z '.1 'eruc•t vier., to IUC,000 LTi; $=2.00 50,000 3—' 4.00 _ 00 ^ ro 100'x..00 B^U $1... '•yCi'! .:ii:!.. .J' .G�:'l'1 nTiJ 4. iOli Cr 7.11: Up i:C_�1�, �.. .. =;.ice j. CIO t C?C=: a n. ;0' CC'0 L•TU 6.00 $ =. e,ic'. par h u'.. .ti BURNH— x`cc., l...n, Vin^ BTU to Ica, ons i:T. I Ci C>pr iR[?. ,i°: _-.. .. :... r^_.. .i.^'!�nrjil.�e1 �•.--_„ GAS r ' "'T T.!, r, T= S ; A21R CONDITIONI?i::J �! $ i'.�-.:v' iiEi\l i;;li ALJ.. :-. �•!, % .�.,BA SEE SG:1^3i?lc:: $ ”, ANTI ATING SYS ALTERATIONS $ RE PA r RS ..ate . S._ iiarge $ i0 :OUP I,:iSP Da.tF: APPRW1'-L FOR ai?tii- 4,0,E ;.ru'�?I.ilit FEE _ :R A: 'c' iEATItiG Pi^?'l' Iv $:`.50 �Co fi.50 S%A" US ",GD �Attachec? st_ c : rr �r i.f i.cati cr•, fo - - Ciw n.`. F:ic�ey S a cxFxs g. rte.: ere`+y makes application for a permit dor the wor'.c. herein ales Pied agree:inc to 3o all work in strict accordance :ith the Ci.c Codes and ruling_ of ..ep<a._tme_at of Buildings, and he;.dty declare:• t;z•st all the facts and rer•:es tat:_ons statcc. in this applicat_.on are ;sue and ccr—act. ' Fridley, M:Lnn. I IrS O£ PULS ^T__?v 1 �l.40G-J D E1-a�.r`�� _ USED li, gel TO BE C OMP1,7 Q ED- A3^7: —/s "ID - . a: •+ L uILD:-NG PE? V`I'.T NC. —PERMIT NC • DESCRIPTIOr..OF FURNACE/BU?VEP. i I'vG %)OT' 2 PLATS, Steam, i:r.t i`I.3r.8r, i'i m '!kir- *No. Trade ;::�..,. �� /rv�c d size No. Capacity i Sq. Ft. EDRF TU FP ^ Total connected !cad t _ Y.ind of fuel41,6- B-imV,ER - Trade name. Size No. Caps it _ S_; Ft. EDR ?1u _ f:a _ comoany signed.By - IV- J�`. ..`�. sueJEcr ERMIT City of Fridley 18 21 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ______ r I - PROTECTIVE INSPECTION SEC. 1 � i NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/30/93 JOB ADDRESS 6031 3 ST NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 & Sly 2 5 HYDE PARK SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE DAVID G HENRIKSON 6031 3 ST NE FRIDLEY MN 55432 574--1392 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. DAVID G HENRIKSON SAME 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 _x❑ B DESCRIBE WORK INSTALL LONGER HEADERF INSTALL CLOSET,DRYWALL 9 CHANGE OF USE FROM TO STIPULATIONS SEE NOTATIONS, ON PLANS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 500-%00 '50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 16,00. NATURE OF CONTRA�OR AUTHORIZED AGENT IDATEI HE P ERLY L TED THIS IS YOUR PERMIT z s =5 9� BLDG INSP MATE SI NATURE OF OWNEROF OWNER BUILOERI IDATEI NEW [ l Effective 1/1/93 ADDN [ ] CITY OF. FRIDLEY ALTER IA SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: boa 1 z2i� sL t4 Legal Description: c 3 hl.rct aegt Owner Name & Address: jj A V t b 6, Vz-N R \ 1s, S,% 0 Tel. # S )'j -t 3g �— Contractor: Sin )E tq5 E cL tie -P MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ -!� 0 O Corner Lot [ ] Inside Lot [XJ Type of Construction: — Approx. Completion Date: �I(193 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $. II\ r DATE: APPLICANT: {r I� �-� Tel. # Permit Fee $ �� Fire Surcharge $ 115-0 State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow _ $ Park Fee $ Sewer Main Charge $ TOTAL $ 116 C) STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] rA 24, 4" I SUBJECT City of Fridley 30290 AT THE TOP OF THE TWINS BUILDING PERMIT 1 NO. 16 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 � NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 ' 612-571-3450 910415 9/24/99 JOB ADDRESS 6031 3rd Street NE 1 LEGAL LOT NO. 22, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. a S 1/2 23 5 1Hyde Park SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE David G. Henrikson 574-1392 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 O ADDITION :91 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rebuild existing deck 8 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan SEPARATE PERMITS ARE REOUIRED 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 500 $.so 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 $23.50 1 Fir SC $.50 PLAN CHECK FE TOT FEE ff 4.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE, N R VALID THIS I '! S.GNATUREO OW ER �iF OW NER BwI ERi IDA T BL ,NSP - r,AYE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY14 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �P'O'w 0 BUILDING PERMIT APPLICATION Construction Address: Sr- �,� Legal Description: S &J � ; SA Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: ,! BARD Tel. # 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 Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Driveway Curb Cut Width Needed: Estimated Cost: $ L� 6yi, Ft. + 6 Ft = Ft x $ =S DATE: APPLICANT: l Tel. # G I D. --S d 3 TOTAL STIPULATIONS: $ d IVs. CITY USE ONLY Permit Fee $ C�3 -S-?) Fee Schedule on Reverse Side Fire Surcharge $ Sb .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 STIPULATIONS: $ d IVs. r)SOk1N 14X4 t10 A ►sees, t�an��a� is m�s-� br.- .0avaty fib" cu P 36'' x3xl O RISC.; 6$I�-,�'��-, 7', K C_c �-�►ne�d c� z d� � � . �xcQeR4 -�Q, �>Mzilesi oy -�>/6`` j r4'V1j 151 o�- = ►,-ct,4 L � ---� arc=---PbnvQ AKAIVSON professional engineers and surveyors NDERSON ASSOCIATES, Ince Anoka, Minnesota 55303 612/427-5860 CERTIFICATE OF SURVEY—, Survey for Bullick, Inc: F'` 3 `,Survey ofd In -Place 'foundation location. <`DESCR0TIOK• ! 'Lot 22 and the south half of Lot 23,- o c' k. 3,ock. 5, Hyde Park, Anoka County, .Minnesota. Subject to easements of record,_. if any. 4 . r _ � t� R, ���- _��- ZJ FoONO.OT/ON �r L ,Goa4rlON ell ti 1 e E vk $ ' y a CC \ `� 3Qss S � � � �� '•'��•�� C� _' �. Y%i�/✓f rid ZZP-07 .. q4 ,ri ,w y,, ) y, +1 I ' 4 �esc8�e�` Ns� .�, TR, ^.. o Denotes iron monument s u -here y `certify that this survey, plan or report was prepared by me or under my direct pA `,sgperviSion ;and that I am a duly Registered Land Surveyor under the laws of the State ' 3 /l 3 D/10 h • ` Reg. No. Date Job No. .1_1 f v: r-KIOLCY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763)572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2002 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 11� O ( 3 S1' • NE New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 3 '� , 20 �3 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Takil d 4txid6 c,]< , Water Heater -Electric �_ $ 7.00 -7.00 Water Heater - Gas** $10.00 Building Used AsTp Gas Range** $10.00 SOD I ? I Gas Dryer** $10.00 Estimated Cost • I,,v PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Gav►c y- 5UY1S lurnb,lf'iQ Reinspection Fee $47.00/Hr SIGNED BY /�_�TCikkt CLU' C TEL NO 1(o3- ]SJ—Co4(p�i ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX # -4_120 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE 1 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INPU ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED AND rnMR1 IRTIM AIR VFRIFICATION r.QMMON VFNT, VENT r.0NNFCTQR When re Iar_ing an daxmnfina furan .e, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( i No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No() 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 Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The PAnti ng romh n inn a+r is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new comhuStion airy it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When inntallinn a new yanting nyr-tam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) 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 current codes. Yes( )No( ) Appliance Jy s and SiYe_/Common Vent and Vent r-nnnpcfnr Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter niches �r r Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date: CITY OF FR DLEY INSPEC;110N DIViSION I_fiertive Cr: january 1, 2002 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 RATE SCHEDULE JOB ADDRESS — OWN ERRCY Residential Rate TOTAL- -- - Furnace SheJI and Duct Work, Burner • BUILDING USED AS Also Replacement Furnace $ 3p-00 $ _ — (Side Vent - Fill Out Back) E GSTIMATE�' d D CO.,c T �_. PERMIT NO. Gas Piping (Needed with new furnace, $ 1000 -- but not replacement) �ESCI�iPTION 4F FURNAI Ain #1 BiFtMER Gas Range $ 10.00 $� — (kis Dryer No. of Heating Units rime O". ,Struam; (Hol -Wates," (�Varr� Air) $ 10.E $ - - ___-- Trac# arrue — -�-- Size NoAAZ_ 0�-- "Air ConditioningAll Sires $ 25.017 $ BTU Hr —�---- EDR__ uel Total Connected Load Al! Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name — Size No. 1% of value of Appliance a Work $ BTU_`_— — --- - — HP -- — -- _ FDR—_ Commercialiindustrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application, for a permit for the work herein specified agreeing to do all work in strict accordance with the City Cozies an State Surcharge .. - 50 rulings of the Building Division, and hereby declares that all the facts and representations stated in ttis application are true and correct. IOTA! FEE $ &5.50 DATES I ` — MINIMUM FEE FOR ANY NHEATING CC — RE RIGERATION/AIR CONDI ! . IS 525.00 - �� PLIES THE $ � STATE SURCHARGt Signed 1 FL FAX #t REINSPECTIC,N FEE $47.00/Hr -- 'Air Cnnditioner s can nc-1 be placed it a side yard without Approved B Rough -In Date -- -- ?— Firrai Cate written permission from adjoining property owner •�1 R ' /I Wit,',?,I Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY f Date Rec'd: DATE 10 2010-5— YOUR E-MAIL ADDRESS SITE ADDRESS 0 3 I A -P ST /�1��Ce� _A THIS APPLICANT IS: ❑ OWNER kP&iRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS:CITY STATE—ZIP PHONE:y CONTRACTOR NAME: FI vE 57Aq - CMNSrAttCi/0-1L3 t ELI�U4 STATE LICENSE # ZO EN/3 (e / EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADORES : ls-/ S 2FYyli, Sf N z CITY 07504 o STATEWki s5X?0 WITH APPLICATION PHONE 1k =®3 — 3°g FAX '2? -6 3 y — 9/r PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH 81000F ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ur5aINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Q-OPIbE H-& G SC SIZE OF MTROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ET HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• 3. Proposed floor plan List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 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: (USING7"Y. 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 $ t BZo .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 savable to: Citv of Fridlev 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 wor ich require�.keviW aid approval of plans. SIGNATURE OF APPLICANT NAMEA)I C1G X IR j0/00 DATE /O . Z® • ®- S L!l;!i2f 3uilding BUILDING Permit No.: I inspections RESIDENTIAL APPLICATION Received B- . 763-572-3604 CITY OF FRIDLEY Date Rec'd: — —�� )ATE C/,25-.06 YOUR E-MAIL ADDRESS ;ITE ADDRESS 03 / 3�© SiX_ /U, E,"HIS ,(D APPLICANT IS: ❑ OWNER I�NTRACTOR PROPERTY OWNER/ NAME: 7'0,ab 16&,4),e/eS0 ADDRESS: P'. NU CITY STATE/V4 t/3L- TENANT PHONE:rF763) 9A CONTRACTOR NAME: F -///E s Cis > G77� � DEuaJ f STATE LICENSE #SfSl�3� EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: iS/52- St -"Ue CITY 67--�Ft r 6 STATL �5� WITH APPLICATION PHO /Z L®.) - 9 03l FAX X63 ti` 6 PROPERTY TYPE CrSNGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYA MW CONSTRUCTION— STORIES PERMIT TYPE ❑ ADDITION ARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW GrADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Ori® y,#0,,W- � C 4 -e)/,/®64 -J,; S//JCcJ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING O OUSE ONLY NUMBER OF SQUARES SE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES't'ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: I X, ❑ DETACHED GARAGE PROPOSED HEIG �A Vf F J �S 2. Proposed floor plan 3. List of structural members to be used SSG o FOR NEW CONSTRUCTION INCLUDING DECKS, (Vinyl 090-f—rit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other13 F scia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS b es ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED 1/ I tiyL NUMBER OF WINDOWS % ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINNTHE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ { f 6�9 C) OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ (v 4 3. 4S7 $ I(P3 ,3i $ L17.W $ 3� $ $ IW5.11 fo See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach 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 wot_y&i5h requires revi a val of plans. ,,, f SIGNATURE OF APPLIC `- PRINT NAMEA*CZ k /iPD/Ed�� DATE 2. Z$5,06 The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (7.53) 422-1200 Wed Sap 27 15:41:38 2006 ANDREW A & A CONSTRUCTION LLC DESIGN 2 233067 The materials in this garage will cost $3173.23 This Price does not include any Special Order Items. Drawing: 3 -Dimensional View ---1 �' 0 E P,1 CR9.f3 TRUSS 4�t:._;Gu �' r (i � -( AND LAYOUTS S`'rikLL BE I• A-Pbc ! FOR THE FRAMING INSRr,C1'lt,;� 7141S JOB COPY SHALL DE AVAILABLE ON THE U)I3 SITE FOR T IE FRAMING AND INAL WOKS a P The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (763) 422-1200 Wed Sep 27 15:41:38 2006 ANDREW A & A CONSTRUCTION LLC DESIGN 2 233067 Drawing: Plan View -tav���e►., wwnl�s ,. t2e,.fc'cfj couca�% awl masoac� � 44ev+ --;I� lPG — cotl� � �v-x��Nq i►ss�iaJ Ms N Foy The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 "763) 422-1200 Wed Sep 27 15:41:38 2006 ANDREW A & A CONSTRUCTION LLC DESIGN 2 233067 Front Side 448 19 44) LAYOUT'S { 1 9i/ IlwAl:;LC ON 711E Ji,'B i f" UR THE EiRAVIING INS,P Mlw I I C;. Ped 4;.( A , (all I a I - . 1 '0 ok sm� onow �1'_ i�lltaui{c wall �u� c", elw,Kf wwlls (sz -(l nf4 a� iu lwS6i A -PON ha«dai) The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (763) 422-1200 Wed Sep 27 15:41:38 2006 ANDREW A & A CONSTRUCTION LLC DESIGN 2 233067 Back Side M The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (763) 422-1200 Wed Sep 27 15:41:38 2006 ANDREW A & A CONSTRUCTION LLC DESIGN 2 233067 Right Side -r I The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (763) 422-1200 Wed Sep 27 15:41:38 2006 ANDREW A & A CONSTRUCTION LLC DESIGN 2 233067 Left Side fA The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (763) 422-1200 9/27/2006 ANDREW A & A CONSTRUCTION LLC DESIGN 2 233067 Qty UOM SKU Use Description 2 EA 168161 Base/Bottom Plate 2X4-12FT. NO.2 PRIME PT SYP 1 EA 124479 Base/Bottom Plate 2X4-16 NO 2 PRIME PT 2 EA 124380 Base/Bottom Plate 2X4-10 NO 2 PRIME PT 2 EA 167929 Base/Bottom Plate 2X4-8FT. NO.2 PRIME PT SYP 5 EA 569062 Cripple Stud 2X4-92 5/8 KD WW STUD 10 EA 569062 Door Framing 2X4-92 5/8 KD WW STUD 3 EA 161713 Door Header 2X6-8FT. #2/BTR KD -HT SPF 2 EA 662496 DoL&LLepder 2X - . #2/B KD -=LT TT SPF 8 EA 161683 Fly/Barge Rafter X4-16FT. ST D/BTR KD -HT SPF 3 EA 161659 Ladder/Gbl Overhang 2X4-1 OFT. STD/BTR KD -HT SPF 36 EA 832150 Stud 2X4-104 5/8 KD WW STUD 4 EA 161799 Sub Fascia 2X6-16FT. #2/BTR KD -HT SPF 4 EA 161721 Sub Fascia 2X6-1 OFT. #2/BTR KD -HT SPF 4 EA 161667 Top Plate 2X4-12FT. STD/BTR KD -HT SPF 8 EA 161659 Top Plate 2X4-1 OFT. STD/BTR KD -HT SPF 4 EA 161675 Top Plate 2X4-14FT. STD/BTR KD -HT SPF 3 EA 569062 Window Framing 2X4-92 5/8 KD WW STUD 1 EA 161713 Window Header 2X6-8FT. #2/BTR KD -HT SPF 7 EA 984590 Caulk ALEX PLUS WHITE 10.1 OZ. 1 EA 454141 Door Mnting Nails 16D 3-1/2" HOT GALV BOX 5 LB 3 BX 944327 Framing Nail-51bs 16D 3-1/4" COATED SINKER 5 LB 1 BX 418463 Window Mnting Nails 4D 1-1/2" ELECTRO GALV.ROOFING 5 LB 1 door9x7 Doors 9x7 S/O Garage Door 24 LF 252677 Brick Mould Wood 180 BRICKMOULD PRIMED 1-1/4X2 2 EA 161721 Door Track Backing 2X6-1 OFT. #2/BTR KD -HT SPF 1 EA 161721 Jamb Frame -Head 2X6-1 OFT. #2/BTR KD -HT SPF 1 120706 Jamb Seal Head GARAGE DOOR STOP WHITE 9' 1 120690 Jamb Seal Sides' GARAGE DOOR STOP WHITE 7' 1 235466 Track Hanger Kit TRACK HANGER KIT 1 663623 Doors 36X80 LH BASIC FLUSH PH IS NBM 1 460395 Entry Set #1 TYLO KEYED ENTRY - PB 1 663623 Doors 36X80 LH BASIC FLUSH PH IS NBM 1 460395 Entry Set #1 TYLO KEYED ENTRY - PB 1 663623 Doors 36X80 LH BASIC FLUSH PH IS NBM 1 460395 Entry Set #1 TYLO KEYED ENTRY - PB 1 828104 Windows 2800 SLDR 3/0 2/0 WHT LOE/ARGON W/SC 18 BD 143585 Roofing TIMBERLINE 30 BURNT SIENNA 2 RL 258830 15# Felt NO. 15 FELT -432 SQ.FT 11 EA 672335 Drip Edge Brn 2 1/2X1X10FT BRN GALV-ROOF EDGE 1 BG 668932 PlywoodH-Clips1/2" 1/2 PLYWOOD CLIP/50 PAK 1 BD 149618 Ridge Shingles TIMBERTEX HIP _RIDGE BURNT SIENNA 2 BX 418463 Roofing Nails 5lbs 4D 1-1/2" ELECTRO GALV.ROOFING 5 LB 20 EA 166073 RoofSheath CDX 1/2 15/32 OR 1/2 4X8 RTD SHEATHING-3PLY 2 BX 944319 RoofSheathNai15# 8D 2-3/8" COATED SINKER 5 LB 5 CT 350823 Siding PREM D4 SNOW-CTN 8 ' EA 288483 J Channel-Dr/Wnd 3/41N J -CHANNEL -SNOW -EA 11 EA 288483 J Channel -Gables 3/41N J -CHANNEL -SNOW -EA 3 EA 288483 J -Channel Eave 3/41N J -CHANNEL -SNOW -EA 4 EA 292674 O/S Comer 3/41N OS CORNER -SNOW -EA 2 BX 418463 Siding Nails 5lbs 4D 1-1/2" ELECTRO GALV.ROOFING 5 LB 10 EA 854169 Starter Strip 10FT-VINYL STARTER STRIP EA , 4 EA 854219 U -Trim Eave VINYL UNDERSILL TRIM SNOW EA 1 EA 854219 U -Trim Window Sill VINYL UNDERSILL TRIM SNOW EA 3 BX 944319 WallSheathNai15# 8D 2-3/8" COATED SINKER 5 LB 29 EA 386081 WallSheathOSB 7/16 7/16 4X8 OSB 3 EA 401226 Soffits 121N X12FT WHT ALUM PERF SOFFIT 9 EA 412414 AlumFascia-8" White 81N X 12FT WHT ALUM FASCIA 3 EA 378031 Fascia Nail -White 1-1/4" ALUM. TRIM NAIL WHITE 40Z 6 EA 401226 Gable Soffit 121N X12FT WHT ALUM PERF SOFFIT 2 EA 161659 Lateral Nailer 2X4-1 OFT. STD/BTR KD -HT SPF 8• EA 856195 Sof F-ChanelEavWht SNOW 5/81N SOFFIT F CHANNEL EA 11 EA 669997 Sof F-ChanelGablWht 1 INX12FT WHT ALUM F -CHANNEL 5 EA 378031 Soffit Nails 1-1/4" ALUM. TRIM NAIL WHITE 40Z 7 EA 161667 Wall Nailer Eave 2X4-12FT. STD/BTR KD -HT SPF 11 EA 161667 Wall Nailer Gable 2X4-12FT. STD/BTR KD -HT SPF 8 Spec. Order 1 Trusses Custom Roof Trusses (See Note Below) 2 Spec. Order 2 Trusses Gable End Trusses (See Note Below) The total cost of in stock materials is $3173.23 plus tax. This Price does not include any Special Order Items. This estimate was created on 9/27/2006 and is valid for 3 business days. Your Roof Trusses must be constructed for: 6/12 pitch; 26 -foot span for 24 -inch spacing (o. c.); 12 -inch eave overhang; 12 -inch gable overhang 40 psf live load, 7 psf dead load Parameters from UBC.cod parameter file. Parameters used: 17' by 26' by 9' high, Eave overhang of 12 inches, Gable overhang of 12 inches, with a foundation size of 8" wide by 0" high. WARNING: THIS IS NOT A FINAL DESIGN PLAN. VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE FOR THE FINAL STRUCTURE, CODE VERIFICATION, MATERIAL USAGE, AND STRUCTURAL SAFETY OF THIS DESIGN. BE SURE TO CHECK AND VERIFY THE DESIGN WITH YOUR LOCAL ARCHITECT AND BUILDING INSPECTOR. THE COMPANY ASSUMES ABSOLUTELY NO RESPONSIBILITY FOR THE CORRECT USE OF THIS PROGRAM. ALL OUTPUT SHOULD BE EXAMINED BY A QUALIFIED PROFESSIONAL TO DETERMINE IF THEY ARE REASONABLE AND ACCURATE. 100, r� cge J1 W�- mom IL JU r� cge W�- mom IL r� The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (763) 422-1200 Fri Oct 06 10:43:012006 . A&A CONSTUCTION LLC DESIGN VIEW 2349629 0 X9 Right Side r u .b a 1 I A h -5 � rO �t� f� 2 � � �L9 jo 'S't t1Ai, �m oC � hoc rit 0 The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (763) 422-1200 Fri Oct 06 10:43:012006 . A&A CONSTUCTION LLC DESIGN VIEW 234962 Back Side I The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (763) 422-1200 Fri Oct 06 10:43:012006 . A&A CONSTUCTION LLC DESIGN VIEW 234962 Front Side M The Home Depot # 2803 3550 124TH AVE NW, COON RAPIDS, MN 55433 (763) 422-1200 10/6/2006 . A&A CONSTUCTION LLC DESIGN VIEW 234962 Qty UOM SKU Use Description ----------------------------------------------------------------------------------------------------------------------- 3 EA 168335 Base/Bottom Plate 2X6-8FT. NO.2 PRIME PT SYP 1 EA 124884 Base/Bottom Plate 2X6-10 NO 2 PRIME PT 1 EA 125597 Base/Bottom Plate 2X6-16 NO 2 PRIME PT 8 EA 161861 Ceiling Joist 2X8-8FT. #2/BTR KD -HT SPF 1 EA 845728 Cripple Stud 2X6-92 5/8 KD WW STUD 2 EA 845728 Door Framing 2X6-92 5/8 KD WW STUD 1 EA 161713 Door Header 2X6-8FT. #2/BTR KD -HT SPF 8 EA 161659 Fly/Barge Rafter 2X4-1 OFT. STD/BTR KD -HT SPF 4 EA 161659 Gable End Framing 2X4-1 OFT. STD/BTR KD -HT SPF 1 EA 161659 Ladder/Gbl Overhang 2X4-1 OFT. STD/BTR KD -HT SPF 16 EA 161713 Rafter 2X6-8FT. #2/BTR KD -HT SPF 2 EA 161721 Ridge Board 2X6-1 OFT. #2/BTR KD -HT SPF 43 EA 845728 Stud 2X6-92 5/8 KD WW STUD 4 EA 161713 Sub Fascia 2X6-8FT. #2/BTR KD -HT SPF 4 EA 161721 Sub Fascia 2X6-1 OFT. #2/BTR KD -HT SPF 4 EA 161799 Top Plate 2X6-16FT. #2/BTR KD -HT SPF 4 EA 161713 Top Plate 2X6-8FT. #2/BTR KD -HT SPF 2 EA 984590 Caulk ALEX PLUS WHITE 10.1 OZ. 1 EA 454141 Door Mnting Nails 16D 3-1/2" HOT GALV BOX 5 LB 2 BX 944327 Framing Nail-51bs 16D 3-1/4" COATED SINKER 5 LB 8 EA 464074 Ridge Connector RIDGE RAFTER CONNECTOR 1 663623 Doors 36X80 LH BASIC FLUSH PH IS NBM 1 460395 Entry Set #1 TYLO KEYED ENTRY - PB The total cost of in stock materials is $577.20 plus tax. This estimate was created on 10/6/2006 and is valid for 3 business days. Parameters from UBC.cod parameter file. Parameters used: 8' by 16'5" by 8' high, Eave overhang of 12 inches, Gable overhang of 12 inches, with a foundation size of 8" wide by 0" high. WARNING: THIS IS NOT A FINAL DESIGN PLAN. VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE FOR THE FINAL STRUCTURE, CODE VERIFICATION, MATERIAL USAGE, AND STRUCTURAL SAFETY OF THIS DESIGN. BE SURE TO CHECK AND VERIFY THE DESIGN WITH YOUR LOCAL ARCHITECT AND BUILDING INSPECTOR. THE COMPANY ASSUMES ABSOLUTELY NO RESPONSIBILITY FOR THE CORRECT USE OF THIS PROGRAM. ALL OUTPUT SHOULD BE EXAMINED BY A QUALIFIED PROFESSIONAL TO DETERMINE IF THEY ARE REASONABLE AND ACCURATE. Building 5� BUILDING N 9 Permit No.: ' 0vgi Inspections RESIDENTIAL APPLICATION -Received By: 763-572-3604 CITY OF FRIDLEY J Date M. AU 1 ZQO 763-502-4977 FAX ,°�- EFFECTIVE 1-1-09 DATE 101 oo fM rl . e -A YOUR E-MAIL ADDRESS e_n r, 9 2.:.( @ u u SITE ADDRESS 6031 _ 3 1;z4Dl-.Y `;�SY32 THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: 16D b R S NR-1l`"CVV TENANT ADDRESS: i703� 3r Sa- AA . CITY F(6 L£ Y STATE M /VZIP $S V32 PHONE: 743 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE—ZIP- TATEZIPINSURANCE INSURANCE PHONE FAX PROPERTY TYPE_111-SINGLE FAMILY —1SIZE 10 ° Z' ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ARAGE/ HED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ITADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: Gt ( t SIZE OF IMPROVEMENT LENGTH & WIDTH HEIGHT /0 SQ FT , 6 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 ❑ Vinyl _ ❑Soffit _ ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fasciaand proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OEWINDOW 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) 'OTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due L' $ 5� $ OCCUPANCY 'FYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridley Attach 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 wor�J(J,,►/w�hic-h requires review and approval of plans. SIGNATURE OF APPLICANT - LSV — PRINT NAME I -0 Nfi�2(I.4CdV DATE -3- / o. ogi CA d 5p� 31 rra ,.-a 20' : 0' x (o' wrath '7,w4aS C%jb