PRE 2010 DOCSU
ApplitatiOn for power Fknft and Ham, Coofihos VentRa bas a. Ion and.
Air Conditioning Spftm and Devien
PARTIAL RATE SCHEDULE IMpf_ of Bzaga. Phone OW -M 72 �/
GRAVITY WARM AIR: RATE TOTAL Locaflen ,��'�' -� � �' �` � `' 2
Furnace Shell & Duct Work ...........................
$10.00 $
Replacement of Furnace .............................
6.00 $
Repairs & Alterations—up to $500.00 ..................
6.00 $
Repairs & Alterations each add. $500.00 ...............
3.00 $
u -
Furnace Shell & Duct Work to 120,000 BTU ............$10.00
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00
Repairs & Alterations.—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 9.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR. Steam .... .$10.00 $
Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $
Each add. 200 sq ft. EDR Steam ...................... 3.00 ' $—
Each add. 320 sq. ft. EDR Hot Water . . . ........ ... 3.00 $
OIL BURNER—to 3 gal. per hour ..... ' ... ... .. ..... 6.00 $
over 3 gal. per hour—See Fee Schedule
- `7i
GAS BURNER (up to 189,000 BTU).......:...... '.......... 8.04 $
over 199,000 BTU See_ Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ..... ..... x$ 200 c)
Additional Fixtures x .76 $
Gas Range to 199,004
AIR CONDITIONING
FAN HEATING SYSTEM[
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
FINAL ,-e - 75--
.......... is.6" $
f
See Fee Schednb
$
TOTAL FEE
City of Fridley:
The undersigned hereby makes application for a permit for the work hereic
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn-�-
Owner % LI ` 2C, . Z ®'4—
Kind of BuildingUsed a3
To be completed about
Estilmated Cost, $ `l % 5
Old --)New. Building Permit No. Permit Pio.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—.Steam, Hot Water Warzn Air 'No
Trade Name � 'Z =` Size No, -:7
�G% Cl f.' i J - H.P.
Capacity. 3q. FL E.D.R..��i BTU
Total Connected Loan` Lc / Bind Of Fue
BURNER —Trade Names Size No
Capaci Sq. FL E.D.B BTU H.P.
(aEPu►.as--.ovER!
By
Business Phone No��%�i /
SUBJECT
PERM O.
City of Fridley
15 2 3
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT N
COMMUNITY DEVELOPMENT DIV.
r i PROTECTIVE INSPECTION SEC.
y�
� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L J` 612-571-3450
910-F15
6/5/79
JOB ADDRESS 1.012 64th. Avenue N. E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION ... SEE ATTACHED
DESCR.
5
2
Moore Lake Highlands 2nd Addn. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Emmett Wretling 1012 - 64th Avenue N.E. 571-1315
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Bob & Sons Roofing Inc. 4553 Xerxes Avenue South 920-1251
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
geroc)f dwelling and garage
9 CHANGE OF USE FROM TO
STIPULATIONS Roof can be second but not third roof. Install ridged galvanized
valleys.
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
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
$1,400
$.70
DOES NOT P UME TO GIVE AUTH ITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS F ANY OTHER STAT LOCAL LAW REGULATING CON-
STRUCTION PRtHE PERFORMAN F RUCTION.
$9.00
PLAN CHECK FEE
TOTAL FEE
$9.70
' SIGNATURE OF CONTRACTOR OR AU HORIZEDAGENT IDATEI
WHEN PROPERLYVALIDA� IS Y04R PERMIT
BLDG
SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: BUILDER:
ADDRESS: ;;L - G "�- �ADDRESS: '%ems
TEL NO: S71-1316- TEL NO:
Construction Location
STREET NO: STREET: 6 5� ' W, C
LOT: j BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth: Height:
Square.Feet: Cubic Feet:
Front:
Square Feet:,
Depth: Height:
Cubic Feet:
Type of Construction � �� Estimated Cost:. $ A S/U® .v
To Be Oompleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and.
rulings of the Department of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
,� ., t
DATE: -ij. Z!� SIGNATURE:
Stipulations: 774
ooh. /� �� �� n 1 �A�ot4N, z� U LLE�S,
0
SUBJECT
City of Fridley
2 6 0 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
~
r 1 PROTECTIVE INSPECTION SEC.
PJ6/
1 �
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/20/98
JOB ADDRESS 1012 64 Avenue NE
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tim Richterkessing 1012 64 Avenue NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
All American Roofing/Remodeling 4112
97 Ln NE, Blaine, MN 55432 786-6676
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5160
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION J7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
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
$2,085
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-
$74.75
Fire SC $2.09
STRUCTION OR THE PERF CE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL E
(rY_✓J�� 'e�
License C $5.
$82.88
SI REOFCONT FACTOR ORAUTHORIZED AGENT IDATEI
p PER LIDATED T 1S IS YOUR PERMIT
•
00,
'BLDG NSP MATE
SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI I
0
z
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 10 1a_ (. y"h 'A V t N F_,
Legal Description:
Owner Name & Address: 'T% M R kc H T.0R Ke5S I Q C-7 Tel. #
Contractor: ALL Amu ftAQ QoaJPkn$ - RemoA_-�%r'1a MN LICENSE# I O
Address: 4 t I a� -1+`` LN N L. Tel. # 7
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF DAPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq, Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
Construction Type.
�-o,ee*
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estimated CSst: $
(Fee Schedule on Back)
Ft x $ = $
DATE: S - a O - q% APPLICANT: Tel. #
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ ]
su6jEtr
NO.
City of Fridley
29517
AT THE TOP OF THE TWINS
BUILDING
PERMIT
, t
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
F ,
= CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/21/99
10B ADDRESS 1012 64th Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
Moore Lake Hi ghl ands
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
kiLmxiaxRilfkkaxkvxxiR j Tim & Laurie Ri chterkessi n
572-9793
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 CNx ADDITION O ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Wood burning stove and chimney
9 CHANGEOFUSEFROM TO
STIPULATIONS
As per manufacturers recommendations
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
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
$1200
,60
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
44.85
Fire SC $1.20
PLAN CHECK FEE
FEE
T//$265
IGN4TURE OF CO 'RACTOR OR A"EDf iDa TEi
N P OPER IDAT HIS IS YOUR PERMIT
`
��GNATURE OF OWNER i. ONERBiDAiEi
INSp
rjA iE
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FANJULY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �--
Construction Address: ID(a 6gy, ME j --*'5q3-)-
Legal Description:
\( Owner Name & Address : Tf A4 & Li U K I f l Q (C�f� �£. 551 A) 6 Tel. # 5 7 -1 —`l -713
1 Contractor: MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA:
Length
Width
Height-
Sq. Ft.
GARAGE AREA:
Length
Width
Height
Sq. Ft.
DECK AREA:
OTHER:
Length
U3oob
Width
B U 6)14 6 SfiU F
Hgt/Ground
AN 0 0)�JAU E
/ Ft.
�
a
Construction Type:
4Estimated Cost: $_
('
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: 5 _a P q
APPLICANT fic6 Tel. # s 7a —�
CITY USE ONLY
Permit Fee $ / S Fee Schedule on Reverse Side
Fire Surcharge $ /a0 .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation S
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 $
)Of
STIPULATIONS:
® o1�i19�99 17:07
CUSTOMEk 5tr<v►�� ��� —
TTrL . �
This Manual desadq Inalaitalon enrr
roealer 4111mnal P101110111
Ig uhesteerAhas peen hoown to
M el No. S273EJEP & 528SE/BP
Is Unit hes been listed by
Wam9ck Ilmsey Limited to
meet or erased ULC 8.627 Cbtnalill
and UL 1482 im
of the Model No. 8273E-1BP 8 S2133FJEP nonaelalytl9 wood healer. This
I emission limits lot wood heelers sold alter duly 1, 1980, under sp8oilic
6t lit rates ranging from 10,370 to 29,301 BTU per Hour.
a" F16VE REQUIRED
FIG. A. CLEARANCE FROM Cc1MBUST1113LE CO STConnector
lS
From Healer Fro, I Chimney U,S,I,;arlada
U.S.ICanada
A Sldewall ....... 17.5" ((444 Mnt)) P 91dawall .......... 28" (711 mm
51dewall (5206. 113.5" (419 mm) 814pwaq (S2axE).... 27" 1963 mm
B Backwall ......... 13" (330 mm) E Backwell ...... 16.5" (363 mm)
C Comer ..:.......... 11 (279 mm) F Corner ............ 22" (598 mm)
Ceiling........ 54.8" (1384 mm)
p.J� r •
o . 1 I •'1
FLOan MlartalWN '� '— •—•1 .n
haat 11.1tt MIN• ' I
R r.►Ut aF ,set �l
L.
UalMust bo Dlatrd one nan-cOmlfufiiWR flour proleelur equlvalenl in 1/er n1111boerd. vaatull your teem building gr111or1+les for fortnor Infarmallon.
Coa/prl four Inept buI14111p latpadur 0r6r to Inslaltallon.
A pFrmU may. Ua regglroll In four Well.
11 �(7
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In m
were s =_na•! Cion
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ora1N11:11ANVLL
Twill wilt htndle In 11901111" dNat�hr mopes fullv
puhb.p onto headlal tarlus btndk will "Ihlead" down
to d"rhed MrMlan.
Pats No. Stogie Rev. 1 61114
roll, Ilplut t �
>i ata t a- c —
•"appru><. Bru 011111111Desired
(0,370
FBngeTAL ul•r1nN s11UwN
Y,
1
01 ON
DOOR NO CLASS
PART 0
931128
1
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1
DOOR ABSOMBLY
08110.7
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831120
9
4 n•
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Pats No. Stogie Rev. 1 61114
roll, Ilplut t �
I'rINi:S:
Inlal air 9611,11111
•"appru><. Bru 011111111Desired
(0,370
FBngeTAL ul•r1nN s11UwN
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Ilk
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Inlal air 9611,11111
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CITY OF FRIDLEY INSPECTION DIViSION
Effective On May 10, 1999
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND.HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING
SYSTEMS AND DEVICES
/DISC. A)-e_n�
JOB ADDRESS "
RATE SCHEDULE
r -
OWNER �" " tZ&li�
Residential Rate
TOTAL
Furnace Shell and Duct Work, Burner -
BUILDING USED AS
Also Replacement Furnace $ 30.00
(Side Vent - Fill Out Back)
$:ao,60
ESTIMATED COST PERMIT NO.
Gas Piping (Needed with new furnace, $ 10.00
$
but not replacement)
DESCRIPTION OF FURNACE AND OR BURNER
Gas Range $ 10.00
$
No. of Heating Units % Circle One (Steam) Water) Warm Air
(Hot
Gas Dryer $ 10.00
$
Trade NAme ' / Size No.Cooi`N7-6 w - �
YO
BTU j D HP EDR
*Air Conditioning - All Sizes $ 25.00
$
Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade Name Size No.
1% of Value of Appliance or Work
$
BTU HP EDR
Commercial/Industrial
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 Codes an
State Surcharge
$ .50
rulings of the Building Division, and hereby declares that all the facts and
A
representations stated in this application are'true and correct.
TOTAL FEE
$ CA) -
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE Signed DATE /b r !o - 9
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date
written permission from adjoining property owner,
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
CHDINEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or.stack:
t 1. Has been carefully examined Yes No ( )
2. Is free from rust or deterioration Yes No ( J
3. Has no foreign objects lodged within Yes fe�) No { ).
4. Is securely supported Yes K) No ( )
5. Meets all current Code requirements: for size
and total BTU's connected
Yes No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
Yes () No
8. Has combustion air been provided for water heater
Yes () No
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX: (763) 571-1287
ADDRESS 1012 64TH AVE NE
PIN 133024320065
LEGAL DESC MOORE LAKE HIGHLANDS 2ND
LOT 5 BLOCK 2
PERMIT TYPE BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK
,ea��
PERMIT O.: 2004-00652
DATE ISSU /2004
VALUATION : $ 2,881.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT AN 18'X 16' DECK.
APPLICANT
LAURIE J, RICHTERKESSING
1012 64TH AVE NE
FRIDLEY, MN 55432
OWNER
LAURIE J, RICHTERKESSING
1012 64TH AVE NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating c ns ctio or e p ormance of construction.
ApplicxnAwAtm DateS'S-0
Bldg Insp Dat 5 1166�
BUILDING PERMIT FEE
83.25
PLAN CHECK FEE
54.11
FIRE SURCHARGE
2.88
STATE SURCHARGE, VALUE
1.44
TOTAL
141.68
PAID WITH CHECK # 8157
SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW (] CITY OF FRIDLEY Effective 4/1/2004
ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1 87 Fax
V_
BUILDING PERMIT APPLICATION
ion Address: � 0 / `/'� l' ave NE SS c/3 a V"
Construct / �i
Legal Description: 01 S 010CK a kcoc e e- i�! 1 -cm d Add; -ri
Owner Name &Address: �grari� R,ch�e�kess %"5 lf%r eti A -0f ' S,*meTel. # 70 S7.2 -3
k.
Contractor. /+/l� MN LICENSE # �s�
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVINGAREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length Width Height Sq. Ft
Length Width Height Sq. Ft 2
Length 78 Width / d Hgt/Ground all Sq. Ft
Construction Type: PreSSure Tr C4 Ile W Estimated Cost: $//''Q �' �e✓
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: y�s�� APPLICANT: Tel. # 76 3!-572 —i7 q_5
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
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ 01p,6
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ STIPULATIONS:
2-
FT
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Joist layout for Your Deck
The Scale is 1/4" :1'
Design#:43686
D
D
D
D
D
n
Mark
length
Description
Usage
A
r
2x8 Green Treated
Rim joist
B
719"
2x8 Green Treatbld
ledger
C
811-1/2"
W. GreeNTreated
Rim joist
D
1019"
2x8 Green Treated
Joist
D
1019"
2x8 Green Trgpted
Rim joist
E
16'
2x8 Green Treated
Rim joist
F
17'9"
2x8 Green Treated
Joist
G
1710-1/2"
2x8 Green Treated
Rim joist
Joists to be on 16" centers.
Joists to be hung from the ledger with joist hangers.
Joists to be toe -nailed to beams with 2-1/�2 W galvanized nails.
Rim joists to be face -nailed to joists $ ledgers with 3-1/2" (16d) galvanized nails.
Blocking and bridging is not shown, but may be required by your local code.
Illustration may depict options not included.
1111111911
1917 8912
Please bring these plans to
the cashier to purchase.
Post and _Boom�imension Sheet
design :43686
2' a($ � 2 1, 3' �1
MOW-
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45X 4-3" M = i'u«
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Illustration may depict options not included.
Mr!
mi
slim
�zam OftlCS
45X 4-3" M = i'u«
-7-to
Illustration may depict options not included.
OP of
MAIK
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C-4 \
Beam Layout for Your Deck
``3he Seale is 1/4° :1'
Duignf:436 '
P_ '*-� $F�at �
Irl
A 16' 2-2xg Green Treated
Vel til �� S
.� -- M l N �N '
ddbCb
Illustration may depict options not included.