PRE 2010 DOCSCity of Fridley, Minn.
WELDING PERMIT N® 3896
Date: .. �+........ �.:.. �. .......... .
Owner.WA4. ............. +.. Builder .. ............................ .....
Address ............................
.........
� Address .............................................
ILOCAT OF BUILDING
No....7/ .... Street ..Y . . ! ... . ........... Part of ...............................
Lot . Q1.10 ..... Block ... ef� ........ on or Sub -Division . . ................ .
Corner Lot ............ Inside Lot X......... Setback ............ Sidey ...........................
DESCRIPTION OF BUILDING
2ToVU edas:
. ZFront .i Depth i Height . .. ro Sq.Ft. Cu. Ft ... .. .. ..
..... ......
.. .. Front ,a.�. �. Depth �i..:.�d r�Heiight Sq. Ft Cu. P't.Gc,�97.7
Type of Construction ................... ]!'tet. C04%.�. J 4.�.....:... To be Completed ... ..... .
In consideration of the issuance to me of a permit to construct the building desribAabov agree to do
the proposed work in accordance with the description above set forth and in complianprovisions of
ordinances of the city of Fridley.
.....�..........
In consideration of the payment of a fee of $.. permit is hereby granted to ...................
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
.r
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbin gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
e4
0
City of Fridley
SUBJECT
PER
1234
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
14
R IPT N0
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 } �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE 5
PAGE OF
APPROVED BY
612-560-3450
910-F15
10/9/73
JOB ADDRESS 71 - 632 Way N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
19,20,21,2
15
Fridley Park Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mrs. Mildred Ring 71 - A 632 Way N.E.
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.
6 USE OF BUILDING Residential
7 CLASS OF WORK
❑ NEW IN ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK Construct a 18' x 12' Addition onto Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS Owner agrees to get City approval of a lot split before any portion of
Lots 19,20,21, or 22, are sold off separately.
SEPERATE . PERMITS. REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
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 -
R-1
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
$3, 682
1.84
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-
$8.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
9.84
SIGNATURE OF OR AUTHO IZ DDGENT (DATE)
EN PRO E Y AT THIS IS YOUR PERMIT
�CONTRACTOR
/A
/V
DG )NSP DATE
SIGNATURE OFOWNER (IF OWNER BUILDER) (DATE)
MA
APPLICATION FOR RLSIDENTIAL, ALTERATJON,
OR AODITTON BUILDING PERMIT
CITY OF I-RIDLEY, MINNESOTA
OWNER'S NAME:— K 1 , L. BUILDER:
ADDRESS V?/ 63v, CJ 41 ADDRESS:
NO :. STREET
TOOT: 1�1 20 a 2 L BLOCK: (S ADDITION: 07R, r,, ?,pRc„�_
CORNER LOT: INSIDE LOT: _SETBACK: SIDEYARD. /3,.S—
Applicant attach to this form Two Certificates of Survey of Lot and proposed
buildisig location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front:_ Depth: / Height: oc 6
N°'2quare Feet:` —Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction:
Estimated Cost: $ Q`
To Be Completed: CO "
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in st7ticL accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that ,i11 the facts and representations stated in this application
are true and �,:.jrrvct.
DATE: UL
�1 19 7j S IG NATURE,% ,J %
Z�iZ�2L �%
✓�
(See Reverse Side For Additional Information.)
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Orr,Orr, W -^o v l —IM3 Minnesota Well and Boring
WELL OR BORING LOCATION tj MINNESOTA DEPARTMENT OF HEALTH Sealing No. H 26698
County Name WELL AND BORING SEALING RECORD Minnesota Unique No.
Minnesota Statutes. Chapter 1031 or W -series No.
Anoka (Leave blank if not kno n)
Township Name Township No. Range No. Section N(sm. ) Data Sealed Approximate Date Well
No. Fraction
Fridley 30 23 15 SW"JNE ,/S9' ,,, 5-25-93 or Boring Constructed
Numerical Street Address or Fire Number and City of Well or Boring Location 34 34
71 63j Way, Fridley Depth Before Sealing ft. Original Depth tt.
Show exact location of well or boring Sketch map of well or boring Static Water Level Accurate
in sectiongrid with -X'. location, showing property lines,
N roads, and buildings. ❑ Approximate
SScreen
N— r tuna —�
l
l
f
l
PROPERTY OWNER'S NAME
Edina Realty
Mailing Address it different than property address indicated above.
1900 S i l W er Lake Road
New Brighton, MN 55112
PUMP
Removed ❑ Not Present ❑ Other
191 Single Aquifer ❑ Multiaquifer
ft. below above land surface
W
E
Vmile
* 1
FROM
TO
l
f
l
f
l
l
CASING TYPE
Steel 11Plastic 13Tile ❑Other
l
f
l
l
f
l
-;-
- ; -
- ; -
-;-
34
SScreen
N— r tuna —�
from — — to — R. Open Hole from to ft.
OBSTRUCTION/DEBRIS/FILL A
LTObstruction ❑ Debris ❑ Fill
� 3 4n d
Type of debris/obstruction e p .
Obstruction/Debris/Fill removed? ®Yes 11No
PROPERTY OWNER'S NAME
Edina Realty
Mailing Address it different than property address indicated above.
1900 S i l W er Lake Road
New Brighton, MN 55112
PUMP
Removed ❑ Not Present ❑ Other
CASING
Diameter Depth 9 Set in oversize hole? Annular space initially grouted?
1� in. from r 7 a1
to ft. ❑Yes )h No [I Yes ❑ No ❑Unknown
in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown
in. from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown
GEOLOGICAL MATERIAL
COLOR
HARDNESS OF
FORMATION
FROM
TO
It not known, indicate estimated formation log from nearby well or boring.
METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE:
L7'No Annular Space Exists
❑ Annular space grouted with tremie pipe
❑ Casing Perforation/Removal
in. from to ft. ❑ Perforated ❑ Removed
in. from to ft. ❑ Perforated ❑ Removed
Type of perforator
❑ Other
GROUTING MATERIAL p
Grouting material Nt Cmt from 0 to 34 ft. yards 2 bags
from to ft. yards bags
from to ft. yards bags
from to ft. yards bags
REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING
Well pit filled i n after well was
sealed
UNSEALED WELLS AND BORINGS fftt
Other unsealed well or boring on property? ❑ Yes & No
LICENSED OR REGISTERED CONTRACTOR CERTIFICATION
This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is
true to the best of my knowledge.
Mork Well Co. Inc. 02133
Conme License or Registration No.
5-27-93
Authorized Representative Signature Date
Ron Danielson
NPORTANTZILE WITH PROPERTY
PAPERS -WELL OWNER COPY
H
Name of Person Sealing Well or Boring
HE -01434-01
SUBJECT
City of Fridley3!m3"4
6 4
AT THE TOP OF THE TWINS
?
BUILDING
PERMIT
RECEIPT NO.
: `y COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CEJ /may'
-
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
4/23/03
JOB ADDRESS 71 63 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
20
15
Fridley Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Allen & Barbara Erickson 71 63 1/2 Way NE
651-636-8806
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
6 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Construct a 22' x 22' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Provide a hard surface driveway.
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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 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
I STALLS I 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
$5
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$10,701
.35
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
211.30 .,/
SIGNATURIEpOF CON'RACTOR 0 AG,EENT IDATEI
ME PR
Y VALID ED THIS I Y PE
AAUTHORIZEpD�
9, l J RA ✓/�_/ H�C�I i — -3 —A�
/�?
!/ ^•l
SIGNATURE OT OWNERIIF OWNER BUILDERi IDATEI
B G IN$D
rA Y -
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: q/ �o.3 /6- VU Q lV. E
Legal Description:
Owner Name & Address: A l [ e yA 'ePvevba gra- E C kS o VA Tel. # f0 SI -/0 36 --886
Contractor: MN LICENSE #
Address: 1416 Al /bthr�,nh+Qv'\.h'1�� Tel.# Setry
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
SSI T�
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 c;;?� Width c=P-Q Height <3 Sq. Ft. C/
Length Width Hgt/Ground Sq. Ft.
Construction Type: �� Estimated Cost: $ i, DI/
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:4-IK-03APPLICANT: .�9�.z,� ��,� n yrS�r Tel. #%S 1
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
-Desi9 n #12343 4/17/2003
*** Take this sheet to the Building Materials counter to purchase your materials. ***
You selected aars a With these options:
9 9 P �
22 W 22 0
Wide X Deep X 8 High J`I sS
Gable roof W/ 4/12 pitch trusses 2' O.C. _
12" Rd
gable/12" save overhangs
1/2u OSB {Nall Sheathing
1/2" OSB Roof Sheathing S
�` ��
Tan Vinyl 4„ Double lap Siding o �L,
30 yr. Superglass, Forest Green Shingles F�s-ITELABLE
IS JOB COPY SHALL BE
AVAIWhite Aluminum Soffit & Fascia FOR THE ON FR=AMIING
NG
White Aluminum Regular Roof Edge ANB FINAL INSPECTIONS
White vinyl overhead door jambNGINEEREC TRUSS DESIGNS
rl,(111 LA`(OUTS SHALL BE MADE
AVAILABLE ON THE JOB SITE
r vH THE FRAMING INSPECTION
/.
Front View I
1
lb) Attic Ventilation
Back View
1/300 of horiaontai projection
of roof area — 1/2 to be in
sol fit, 112 to be in roof near
ridge.
V47
Today's cost for materials estimated in this design: $ 2399.37
l Bas age without options: $1463.63
/���Gv� �Q` 0� 0 � prise includes. 0 Eave/0 Gable Overhangs, Framing Materials,
A2/� s s 7/16 OSB Roof Sheathing, 20 yr. Fiberglass Classic - Onyx Black Shingles,
�% Pine Fascia, Galvanized Regular Roof Edge, 8” Textured Vertical Hardboard Siding,
No Service Doors, No Overhead Doors No Wlindows, or An/ ;�, 1� y Other Options.
�X f
J
ESTIMATE FOR:
DESIGN IT SYSTEM
Ph: ( )
Alt:
Estimate From
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
ESTIMATE BY ESTIMATE DATE
AL 04/17/03
SKU NUMBER DESCRIPTION QTY TO ORDER
102-1091 2X4X92 5/8" STUD GRADE 74 EACH
8 EACH
4 EACH
8 EACH
4 EACH
4 EACH
1 EACH
1 EACH
2 EACH
8 EACH
1 EACH
3 EACH
3 EACH
1 EACH
23 EACH
23 EACH
1 EACH
1 EACH
8 EACH
84 EACH
4 EACH
14 EACH
This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding contract
between the parties based upon this estimate. The prices stated herein are subject to change depending upon the market conditions.
The prices stated on this estimate are not firm for any time period unless specifically written otherwise on this form. The availability
of materials is subject to inventory conditions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE
GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS
STATED HEREIN. All information on this form, other than price, has been provided by guest and Menards is not responsible for
any errors in the information on this estimate, including but not limited to quantity, dimension and quality. Please examine this estimate
carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWISE THAT THE MATERIALS
LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE
VARIATIONS IN CODES, THERE ARE NO REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET
YOUR CODE REQUIREMENTS. e
Estimate # 12343
Page 1 of 3
ADDITIONAL ITEM INFORMATION
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
SUB -TOTAL: (CONTINUED)
GUEST COPY
PAGE 1 OF 3
WALL STUDS
102-1114
2X4-10' STUD/#2+BTR SPF
TOP PLATE
102-1127
2X4-12' 42+BTR SPF
LATERAL BRACING
102-1127
2X4-12' #2+33TR SPF
TOP PLATE
102-1130
2X4-14' #2+BTR SPF
GBL FLY RAFTER
102-1143
2X4-16' #2+BTR SPF
GBL LADDER RUNG
102-1758
2X6X8' #2+BTR SPF
SRV DOOR HEADER
102-1758
2X6X8' 42+BTR SPF
WINDOW HEADER
102-2197
2X12X18' #2+BTR HFIR
OH DOOR HEADER
102-1787
2X6X14' #2+BTR SPF
111-0805
2X4-6' AC2 TREATED AG
ARSENIC FREE LW
SILL PLATE
111-0821
2X4-10' AC2 TREATED AG
ARSENIC FREE LW
SILL PLATE
111-0834
2X4-12' AC2 TREATED AG
ARSENIC FREE LW
SILL PLATE
123-1085
1/2" (15/32)-41X8' 32/16
RTD PINE CD SLK
HEADER SPACERS
124-2809
1/2"-4'X8' ORIENT STRAND
BOARD
ROOF SHEATHING
124-2809
1/2"-41X8' ORIENT STRAND
BOARD
WALL SHEATHING
144-1147
SIDING REMOVAL TOOL
SDNG REMOVAL TL
144-1176
SNAPLOCK PUNCH TOOL
SDNG SPUNCH TL
146-1004
STARTER STRIP 10' (VINYL)
STARTER STRIP
146-3798
DOUBLE 4" VINYL SIDING
TAN .040
VINYL SIDING
146-4069
OUTSIDE CORNER POST 10'
TAN
OUTSIDE CORNER
146-4085
J -TRIM 12'6"
TAN
J TRIM
8 EACH
4 EACH
8 EACH
4 EACH
4 EACH
1 EACH
1 EACH
2 EACH
8 EACH
1 EACH
3 EACH
3 EACH
1 EACH
23 EACH
23 EACH
1 EACH
1 EACH
8 EACH
84 EACH
4 EACH
14 EACH
This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding contract
between the parties based upon this estimate. The prices stated herein are subject to change depending upon the market conditions.
The prices stated on this estimate are not firm for any time period unless specifically written otherwise on this form. The availability
of materials is subject to inventory conditions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE
GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS
STATED HEREIN. All information on this form, other than price, has been provided by guest and Menards is not responsible for
any errors in the information on this estimate, including but not limited to quantity, dimension and quality. Please examine this estimate
carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWISE THAT THE MATERIALS
LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE
VARIATIONS IN CODES, THERE ARE NO REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET
YOUR CODE REQUIREMENTS. e
Estimate # 12343
Page 1 of 3
ADDITIONAL ITEM INFORMATION
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
ON SALE THRU 04/27/03
SUB -TOTAL: (CONTINUED)
GUEST COPY
PAGE 1 OF 3
r
Estimate From
I ESTIMATE FOR:
DESIGN IT SYSTEM
STORE # 3018 FRID
5351 Central Ave. NE
Fridley, MN 55421
PHONE: (763) 571-8689
FAX: (763) 571-1932
ESTIMATE BY ESTIMATE DATE
AL 04/17/03
Estimate # 12343
Page 2 of 3
SKU NUMBER DESCRIPTION
QTY TO
ORDER
ADDITIONAL ITEM INFORMATION
146-4124
12'6" DUAL UNDERSILL TAN
5
EACH
FINISH TRIM
147-1065
TAN EZ -CORNER 8 PACK
1
EACH
EZ -CORNERS
151-1789
#15 FELT UNDERLAYMENT 4 SQUARE
2
EACH
ROOFING FELT
151-1909
SHINGLE STARTER STRIP 7.2"X3314" ROLL
2
EACH
SHINGLES
151-3938
SUPERGLASS 30YR FOR GREENCRC F/G 3 -TAB
21
EACH
SHINGLES
153-1248
1 GAL PLASTIC ROOF CEMENTWET OR DRY USE
1
EACH
ROOF CEMENT
155-1134
STYLE_"D"_10'_ROOF_EDGE WHITE
11
EACH
ROOF EDGE
157-1403
12'_PRO_FRIEZE_ALUMINUM WHITE
9
EACH
ON SALE THRU
04/27/03
FRIEZE RUNNER
157-1487
16"X12' PRO VENTED SOFFITWHITE
7
EACH
ON SALE THRU
04/27/03
ALUMINUM SOFFIT
157-1554
1-1/4"X10' DRIPCAP WHITE WINDOW/DOOR
2
EACH
DRIP CAP
157-1567
6"X12'R/S_FASCIA.019 ALUMWHITE
9
EACH
ON SALE THRU
04/27/03
ALUMINUM FASCIA
157-1664
1-1/4"NAIL_1LB._ ALUMINUM WHITE
1
EACH
ON SALE THRU
04/27/03
ALM SOFFIT NAIL
161-1605
5-1/2" X 50' SILL SEALER FOAM
2
EACH
SILL SEAL
187-1267
221STD 4/12 60# 210C 2'OHMARQ SEE V.O.G.
10
EACH
ON SALE THRU
04/27/03
COMMON TRUSS
187-1283
22' STUDDED END FRAME 4/12 PITCH
2
EACH
END TRUSS
219-5722
BYRON ENTRY KNOB J54VBYR605
1
EACH
SRVDOOR LOCKSET
227-1400
1/2"PLYWD CLIP ALUM 25/BGS56-BMC 10BGS/
4
EACH
H -CLIPS
227-1646
RAFTER TIE U SHAPED IPC RT15 100/
20
EACH
RAFTER TIES
229-5347
NAIL 81) C.C. SINKER 5 LB BOX
5
BOX
SHEATHING NAILS
229-5363
NAIL 16D C.C. SINKER 5 LB BOX
5
BOX
FRAMING NAILS
229-5457
NAIL 6D GALVANIZED BOX 1 LB BOX
1
BOX
GALV BOX NAILS
229-5648
NAIL 16D GALV CASING 1 LB BOX
2
BOX
CASING NAILS
This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding contract
between the parties based upon this estimate. The prices stated herein are subject to change depending upon the market conditions.
The prices stated on this estimate are not firm for any time period unless specifically written otherwise on this form. The availability
of materials is subject to inventory conditions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE
GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS
STATED HEREIN. All information on this form, other than price, has been provided by guest and Menards is not responsible for
any errors in the information on this estimate, including but not limited to quantity, dimension and quality. Please examine this estimate
carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWISE THAT THE MATERIALS
LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE
VARIATIONS IN CODES, THERE ARE NO REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET
YOUR CODE REQUIREMENTS.
SUB -TOTAL: (CONTINUED)
GUEST COPY
PAGE 2 OF 3
ESTIMATE FOR:
DESIGN IT SYSTEM
Estimate From
STORE # 3018 FRID
5351 Central Ave. NE
Fridley, MN 55421
PHONE: (763) 571-8689
FAX: (763) 571-1932
ESTIMATE BY ESTIMATE DATE
AL 04/17/03
Estimate # 12343
Page 3 of 3
SKU NUMBER DESCRIPTION
QTY TO
ORDER ADDITIONAL ITEM INFORMATION
229-5732
NAIL 1-1/4" GALV ROOFING
1 LB BOX
2
BOX
ROOFING NAILS
229-5790
NAIL 1-1/4" GALV ROOFING
5 LB BOX
2
BOX
ROOFING NAILS
229-5800
NAIL 1-1/2" GALV ROOFING
5 LB BOX
2
BOX
SIDING NAILS
403-2278
36X24 WHITE VINYL
UTILITY WINDOW
1
EACH
WINDOW
414-1020
CP1 FLUSH STEEL DOOR PH
32X80 PH SB
1
NOSO
SERVICE DOOR
417-1621
GARAGE DOOR STOP WHITE
7' VINYL
2
EACH
OH DOOR STOP
417-1663
GARAGE DOOR STOP WHITE
16' VINYL
1
EACH
OH DOOR STOP
417-9377
VINYL JAMB TRIM WHITE 7'
11/16X5-13/16
3
EACH
OH DOOR JAMB
417-9380
VINYL JAMB TRIM WHITE 10'11/16X5-13/16
1
EACH
OH DOOR JAMB
417-9720
VINYL BRICK MLD WHITE 8'
1-1/4X2
2
EACH
OHDR BRICKMOULD
417-9746
VINYL BRICK MLD WHITE 1711-1/4X2
1
EACH
OHDR BRICKMOULD
425-1075
KEYED LOCK SET
#1024050
1
EACH
OHDOOR LOCKSET
433-4222
PINE TAPERED SHIMS
3/8X1 -1/2X8 "
1
EACH
PACKS OF SHIMS
563-4015
ACRYLIC CAULK WH RDEVIL
#0846 OQ12
3
EACH
CAULK
This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding contract
between the parties based upon this estimate. The prices stated herein are subject to change depending upon the market conditions.
The prices stated on this estimate are not firm for any time period unless specifically written otherwise on this form. The availability
of materials is subject to inventory conditions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE
GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS
STATED HEREIN. All information on this form, other than price, has been provided by guest and Menards is not responsible for
any errors in the information on this estimate, including but not limited to quantity, dimension and quality. Please examine this estimate
carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWISE THAT THE MATERIALS
LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE
VARIATIONS IN CODES, THERE ARE NO REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET
YOUR CODE REQUIREMENTS.
SUB -TOTAL: 2,264.82
GUEST COPY
PAGE 3 OF 3
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SUBJECT
P
City of Fridley
'Ay
33864
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
COMMUNITY DEVELOPMENT DIV.
CE
RECE,p�®
r � PROTECTIVE INSPECTION SEC.
/
E
NUMBER
REv
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 5542
763-571-3450
910-F15
9/9/03
JOB ADDRESS 71 63 1/2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DEscR.
20
15
Fridley Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Al Erickson 71 63 1/2 Way NE 651-636-8806
9 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Same 1415 16 Ave, New Brighton, MN
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 ❑ ADDITION ❑ ALTERATION J] REPAIR O MOVE ❑ REMOVE
B DESCRIBE WORK
Replace 5 windows within existing openings; cover fascia with metal; reside house
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not
a weatherproof covering unless the manufacturer states this in their application
guidelines. Call for inspection of wrap before covering or take pictures. Caulk
and flash all exterior openings.
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
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 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,500
$1.25
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
$83.25
Fire SC $2.50
PLAN CHECK FEE
TOTAL FEE
$87.00
A uAEOFCON'aACTOAORAUT�ORiZEDAGENT iDATE�
HEN PROPERLY VALIDATED THIS IS YOPR P RMIT
(S.11G
/
'rLIbG IN-p •�E
ATU OF OWN PiiF OWNEp BU4DE Ri iDA i
" V
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Ad
Legal Descriptic
Owner Name &
Contractor.
Address: Tel. #
)i,°� C"A MN LICENSE # 1>1C-_
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/Groun. Sq. Ft. _
OTHER: �.0
Construction Type: Estimated Cost:
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: - APPLICANT: i Tel. #"��' d
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
$ 63--�S^
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1110th%)
State Surcharge
$ /,
$.50/$1,000 Valuation
SAC Charge
$
$1275 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Curb Cut Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ 62. O