PRE 2010 DOCSL
Date:
Owner:
Address
City of Fridley, Minn.
BUILDING PERMIT
Builder
Address
jq6
LOC,AT!PN OF OWILDING
No. 4�1-1!1
:..t'..._........ street Part ovut ... . .......... i. -If
-Division ..... ...... � ),f
Lot .. ............. Block ...... ....... ............ j7 ................. Addition or Sub
__ �.
A,�o 0'-e
Comer Lot ......... .. ........ - Inside Lot ................ I ..... ............ Setback .............. Sideyard . . ........ ...................
Sewer Elevation ............................... — -- — ---------------------- --------------------- Foundation Elevation
DESCRIPTION OF BUILDING
To be Used
C U. F t
Front Depth ..0 Height Sq. F
YIN 4 �',.......... eight Sq. Ft. �- 9V -.K Cu. Ft.
..... . ............. Front .,I.. Depth
10
Construction -'r'.... Cogt7be Completed .................. . .. .........................
z 012Est. '-
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of permit is hereby granted to....._ ............._.. . .............. ..................
..... . . .... I
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
within the city limits and this permit may be revoked at any time upon violation of
. , -,7 )ny of the provisions of said
ordinances. Z`)
..^ Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Items.
9 .4600.4 W .0:1
APPLICATION FOR BUILDING PERMIT
CITY OF FR.IDLEY, KMMOTA
Owners Name Bui]-der
F—�
Address Address
/LOCATIDN OF BUILDING 1
No. / Street (O /G� Pert of Lot
Lot Block Addition or Sub.Div.
l �e�'4
14f 7
Corner Lot Clnside Lot Set Back Side -Yard L4
SEWER ELEVATION �'/' 7"-- FOUNDATION ELEVATION /7 200�
Applicant attach to this form Certificate of Survey of Lot and proposed building
location,
9 DESCRIPTION OF BUILDING
To b® used as: `
� a
rout Depth_,
Sq1 Ft* Ga. Ft.
12- sh-1 n+ /- n,yAh
Sq. Ft.
Type of
u. Ft1
. s or
To be completed
ted Cost
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department f gs, and hereby declares that x,7.7. . e facts and representa-
tions stated. this application are true and Como; i-1
DATE O SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
9 41
Origin Permit for I UMBING AND GAS FITTMG
N? 5180
s" 3/75-
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit f
Feegiving number of this permit.,
inspection shall be phoned in to the plumbing Inspector, 560-3450 �®
DFSCREMON OF WORK II
Number, Kind and Location of Fixtures
Stories
F
W
f 'A
o
A
3 U
J 0
-C
z
�=
7
_
t- m
Q?
O F
z
'm
Q
m
Y
z
M
Y
a
a K
3 F
Z z 3
� o
it 0 t
O W ()
z
o a
J K
LL p
U Z
f- m
4 Q
U 0
Z m
rc
Q O
E .l
U
m K
f 4
j
m y
Q d
'3
O
a z
< a
WATER HTR.
6A8
ELEC.
Basement
1st
2nd
3rd
4th
Connected with Sewer -Cesspool Gas Piping for Openings
Permission is hereby granted , to do the plumbing and
gas fitting in the building described in the statement hereto attached, up n the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection Date
Inspector.
az 1M -6.69-V
City of Fridley
Owner
Location .0// - / -ei
Kind of Building."��
Used as
To be Completed [lit -40 —.19-:20
Estimated Cost $ /-0. a
Old- Vew. Building Permit No -
of Buildings.
0yS_�o
D�
Application for Power Plants and Heating, Cooling. Ventilation, ReFrigeraMan and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00
each add. 60,000 BTU ....................... 2.00
Replacement of Furnace ............................. 5.00
Repairs & Alterations—up to $500.00 ................. 5.00
Repairs & Alterations each add. $500.00 .............. 2.50
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00
Each add. 200 sq. ft. EDR Steam ...................... 2.50
Each add. 320 sq. ft. EDR Hot Water .................. 2.50
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) .......................
5.00
$ t ® d
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................—�
x $1.50
$ %_K"E'
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
4LTERATIONS & REPAIRS
TOTAL FEE
$�
REMARKS:
Dept. of Bldgs. Phone SU 4-7470
Location b
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
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_ `7 19&
Owner ��° 0 12e� 195—
Kind of Building 195—
Used as
To be completed about
Estimated Cost, $
Old Building Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Hot Wa arm —No._ L�
Trade Name— 1_21_�Size No.A�zZ-22
Capacity Sq. Ft. E.D.R.,�G �iDTJ� BTU H.P.
Total Connected Load 2�' 'P� Kind of Fuel–
BURNER — Trade Name, Size No
Capacity Sq. Ft. E.D.R- /42 -OZ -0 o o BTU H.P.
SM"fMMI HEATING & SHEET METAL
8419 CENTER DRIVE N. E.
Signed MINNEAPOLIS 2.1, MIl1l&
By���
11 POST 1M-12-58 Business Phone No-/i����
D-36 42
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS 32-1,f 413 FRIDLEY, MINN.
Weatherstrips A.S.H.V. E. Construction No. Insulation
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
No I —No 1 /,;,— _ —
Fl.1 Room I Length Width c,6/ Height / II '/ Fl.� �l Room Length 1 i "Width /,--> / Height
Windows and Doors—Crackage and Area
Windows a
Doors—Crackage and Area
Width HeightNo. of Lineal ft. Area
No. or pane of pane lights of crack sq. ft.
No. of Lineal ft. Area
lights of crack aq. ft.
Width Height No. of Lineal ft. Area
No. or pane of pane lights of crack sq. ft.
P! e
Exp. wall G o
2
Net exp. wall ®/,7,5-2--
Y
Coef.
Btu
Infiltration
0,
-'o
,o
Glass
y
Glass
Exp. wall
Exp. wall
Exp. wall
Net exp. wall
O 2 L
p
�/
Int. wall
rzq
Ceilings
Ceiling
p
Floor
Floor
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area2 v
% Fl.vr"y„ao'44�Room ( Lenath - x / Width al Height 91
Windows and Doors—Crackage and Area
Btu
Width HeightNo. of Lineal ft. Area
No. or pane of pane lights of crack sq. ft.
No. of Lineal ft. Area
lights of crack aq. ft.
/6, , o
y / 2.-
Exp. wall G o
2
Net exp. wall ®/,7,5-2--
Y
Coef. Btu
Infiltration
Ceiling
Coef.1 Btu
Infiltration
7,0 1—
Glass
y
Glass
S yz
Exp. wall
Exp. wall
D
O 2 L
Net exp. wall
Inc. wall
rzq
Ceiling
Ceiling
Floor
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area yp
/ M I a._.fly D R....... I I -&L .—. W..1.1. ,, '
Windows and Doors—Crackage and Area
Btu
Width Height
Noe of pane of pane
No. of Lineal ft. Area
lights of crack aq. ft.
3�
y / 2.-
Exp. wall G o
2
Net exp. wall ®/,7,5-2--
Y
Int.
Inc. wall
Ceiling
Coef.1 Btu
Infiltration
O
Total Btu.
y
Glass
9 Fl.1.4,? ® Room I Length Width .9 /
Height Q/
Exp. wall
D
Net exp. wall
Int. wall
Ceiling
O
Floor
1 btal tftu.
sq. ft. E.D.R. or sq. ins. W.A. Leader area
No. I of
Coef.1
Btu
Infiltration
q y
Glass
Exp. wall G o
Coef. Btu
Net exp. wall ®/,7,5-2--
Y
Int.
Inc. wall
Ceiling
Floor
O
Total Btu.
y
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
9 Fl.1.4,? ® Room I Length Width .9 /
Height Q/
Windows and Doors--Crackage and Area
Btu
Width Height No. of Lineal ft. Area
No. of pane of pan. lights of crack sq. ft.
q y
Glass
Exp. wall g -
Coef. Btu
Infiltration ,
Glass
Exp. wall y
Net exp. wall
O
Int. wall
7i
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.) Room I Length 9l Width ;
Windows and Doors—Crackaae and Area
No.
Coef.
Btu
Infiltration
q y
Glass
Exp. wall g -
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
7i
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley
1'
Dept. of Bldgs. Phone 50-345D
DESCRIPTION OF WORT[ ,
Number, Kind and Location of Fixtu?
Base
Futuro Comeedi" Openings
Now ri3dmn. Old Opsulugs
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE BATES; NO. RATE TOTAL
Number Fixtures ................
x $ZOO
$
Future Fixture Opening .... ; ......
x $1.50
t
New Fixture Old Opening ..........
x $1.50
$
Catch Basin ....................
x $3.26
i
Water Heater (Up to 99.000 BTU) • • • •
x $3.00
$
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater........ a .. a ..
a $2.00
$
GAS FITTING FEES;
NO. RATE
TOTAL
lot 3 Fixtures ............ • • •
2 x $200
$
2 , 00
Additional l7xstures ............ • ..
x .7b
$
$
6.00
Gas Range to 199.000 BTU ............
x $5.00
$
State Surcharge
$
.50
REPAIRS k ALTERATIONS— Lager to Coda
_
Description • o o . o 0 0 • .. e. • a s. a e. o e .e., o . ...... . e. a .... • ,.. • e=
TOTAL. FEE $ 8.50
L --41m 811 NE. 66 Ave,
City of Fridley:
53-84-5915.51
The undersigned hereby makes application for a permit for the work herei,
specified. agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings. and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley. Mina Aug. 24, 1972 .19_
Owner Leo Artz
Find of Building frame
Used as residence
To be completed about A'ue 29fl 1972
estimated Cost. $ 20.00
Older New. Building Permit No.
Permit No. j-� / Z (I _
Sign d
By nnINNEraSrn
Business Phone No
ROUGH
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
PER
18303
i COMMUNITY DEVELOPMENT DIV.
L'_-____
PROTECTIVE INSPECTION SEC.
/--'1 CITY HALL FRIDLEY 55432
�•j 612-571-3450
RECEIPT NO.
1 1*1
NUMBER
910-F15
REV.
DATE
11/27/85
PAGE OF
APPROVED BY
JOB ADDRESS 811 - 66th Avenue N.E.
1 LEGAL
DESCR.
LOT NO.
8
BLOCK
1
TRACT OR ADDITION
Meadowlands
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
LeRoy Schreifels 811 - 66th Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Jack Pixley Sweeps, Inc. 2764 - 171st Avenue N.W. , Anoka, 55303
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
571-4201
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO,
6 USE OF BUILDING
Chimney Lining
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 0 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install chimney relining
9 CHANGE OF USE FROM TO
STIPULATIONS
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$1,900
SURTAX
$.95
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY E STATE OR LOCAL LAW REGULATING CON-
R N R THE P RFO MA E OF CONSTRUCTION.
PERMIT FEE
$ 21.00
SAC CHARGE
o�
N CHECK FEE
TOTAL FEE
$21.95
Sj ,f ATURE OF CONTRACTOR OR THORIZEDAGENT IDATEI
WHEN PROPERLY,4AIDATED THIS IS YOUR PERMIT
BLDG INSP
1
QA TE
SIGNATURE OF OWNER IIF OWNE BUILDER) IDATEI
NEW [ ] City of Fridley Effective 4/1/84
ADDN. f R-1 AND R -2I
ALTER. [ ] Building Permit Application
Legal Description: i�cQ� JL�y
Owner Name & ddress :✓� /� Tel �Tel. -57Contractor• �C iq&A' i "'� ;Z53%(07
Address:
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:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: _ Estimated Cost: $
Approx. Completion Date: ��J/9 U®.OU
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: /a<0 -d 5� APPLICANT: Tel. # % 3 9
CITY USE ONLY
Permit Fee $ 01.0a Fee Schedule on Reverse Side
Plan Check $ _ 25$ of Building Permit Fee
State Surcharge $ ,�i, $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
fOTAL $ I Agreement Necessary L ] Not Necessary [ ]
STIPULATIONS:
SUBJECT
07.
City of Fridley
kPE
19817
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
RECEIPT
1 • COMMUNITY DEVELOPMENT DIV.
r i PROTECTIVE INSPECTION SEC.
1 1 i
CITY HALL FRIDLEY 55432
�'-"• %j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/5/89
JOB ADDRESS 811 - 66th Avenue N.E.
1 LEGAL
LOT NO.
8
BLOCK
1
TRACT OR ADDITION SEE ATTACHED
Meadowlands
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Rindal 811 - 66th Avenue N.E. 571-9617
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
AMRE Building Systems 2804 Vicksburg Lane, Plymouth, MN 55447 553-9274
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
8 DESCRIBE WORK
Construct a 12' x 12'.Deck onto Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Flash deck to house under existing siding. See plans for stipulations.
WARNING
SEPARATE PERMITS REQUIRES F® ' fb►e digging call 10,01 u+ai tia
°,� GAS Et��,
Tg EP^HONE • EIECTRryryiI; �
IM! n_ 11,l 4°': �" ,�Y g_� s�:* � �� � �
n. .t-� � �^�' ?�
i
a REQUIRED BY LAW
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
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
$1,000
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$•50
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.
$25.04
PLAN CHECK FEE
TOTALFEE
$25.50
�SIGNATU E FCONTRACTOR OR AUTHORI GE (DATE,
ATED THIS IS YOUR PERMIT
V90EN PROV41i
MLA
BLDG INSP ATE
SIGNATURE OF 0VQNER 4F OWPAR B IL ID TEI
NEW [ ]
ADDN [ ] R-1 AND R-2
ALTER [ ] / Build
'ing Permit Application
�
Constriction Address: <K1 I O/� 141, Allz N.
/J�
Legal Description:
1900 J ayj /A N b r
Effective 5/ 8
Owner Name &Address:
u e12 t" K i �u � � �
�ll �6 � � /614E&%- del .
# -S / - ?i 1I /
Contractor: �1<2 - -
2 gd y ale 49wzw
Zw AllIAo-u t� w.
# SS -3 - ?Z IA-�l
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to sole.
EESCRIMION OF
LIVIM AREA: Length Width height Sq. Ft.
AMM: length Width Height Sq. Ft.
DBCCR AREA: Length / Z Width 1 Z Hgt/avq d 3'� Sq. Ft.
o►r�:
Corner Lot [ Inside lot [ ]� Ft. Yd Setback `? U Side Yard Setbacks 3 Z
Type of Construction: Estimated Cost: $ "
Approx. Ccopletion Date: MqS, 0
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
See Back Page �
DATE: Y APPLICANT: �� S Tel. # S�3 - Z �%L7
CITY USE ONLY
Permit Fee $ ,<
State Surcharge $47
SAC Qiarge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
SZ'I MATIONS:
Fee Schedule an Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
FLAII)r- amt- To A ouC � It
h
)0()(5 -00
DESIGNER DECKS.
By L/ r ' ' RE` -a
A Sears Authorized Contractor
2804 Vicksburg Ln.
Minneapolis, MN 55447 No.: S'
(612) 553-0456 Job. No.:
II,, /
Nam � L' Phone Res. Bus.
Address :Vyj Q 4- city '11,7— StateIfM-1, 1A zip J.O M. .-�,
(Are, the owners of the premises described below, hereinafter referred to as "Purchaser" offer to contract with AMRE(A SEARS AUTHORIZED CONTRAC-
MR), hereinafter referred to as"Contracjpr�tQju�,toeliverandarrangeforinstallationofallmaterialsnecessarytoimprovethepremiseslocatedat
^O—`Y; `/Yi/� (street)
according to the following specifications:
(State) (zip)
SPECIFICATIONS
1
IV
The CASH PRICE for all LaDer & Material (Including any applicable discounts) Is $ 6
Terms: Cash ❑ Cred (Subject to the approval of the Credit Sales Department)
If this is a cash transaction, the purchase price shall be paid as follows: 151-11 CIO/ L.i
Cash Down Payment $ leCA, Balance Payable $ o
Mthls Is acredh trensactlon, the agreement for credit is contained in a separate document which is incorporated herein by reference and made apart thereof.
I/wethe undersigned are hereby authorizing AMRE (A SEARS AUTHORIZED CONTRACTOR) to verity and review my/our credit record with an indepen-
dent credit reporting agency and release them from all liability incurred from inadvertent omissions or errors.
VERBAL understandings and agreements with representatives shall NOT be binding. All understandings and agreements must be set forth in writing in
this Comract. ADDITIONAL PROVISIONS ARE STATED ON REVERSE SIDE AND ARE PART OF THIS CONTRACT.
6710IN WITNESS WHEREOF Purchasor(s) have hereunto signed their name(s) this _O day of 1*110 h e—k 19 / and
acknowledges receipt of a true copy of this Contract. (PROVISIONS ARE STATED ON REVERSE)
UNLESS
NABOVE WILL BESE SPECIFIED, IT IS HONORED ONLY UNTIL UNDERSTOOD THATTH� OWNER IS READY FOR THIS WORK TO BEGIN. THE PURCHASE PRICE 000T -
_I ATE
THIS MESSAGE APPLIES TO DOOR-TO-DOOR SALES ONLY. You the Purchaser(s) may cancel this transaction
at any time prior to midnight of the third business day after the date of this transaction. See accompanying notice
of cancellation form for an explanation of this right.
Signature affixed below also acts as receipt that Purchaser(s) received
r separate cancellation to
(SUBMITTED 1Y' , l.^' LC¢ SIGNED �:� `i eIGCQV
BY
Representative Purchaser Date
ACCEPTED
BY
Authorized Signature Date
For AMRE.
SIGNED % W U -1 S—V'e!
Purch i" Data
AMRE Is a servicemork of American Remodeling, Inc. and licensed to AMRE Decks. Inc. Ca -50 rev 7/88
011111111
`?��� DESIGNER,
DECKS +.
C� •' ��
BY uuunupnm
A Sears Authorized Contractor
Addendu to Contract
Customer Name: -aasi l Date: 3.:�� - Page
Job Address: U"
%
Job Ph.:,,L1 His Work Ph.: ____ _ He Work Ph.:
Deck Specifications: l
TheAeck Is to be _ eet long and is to project out r—feet Thp dock is to be supported by � 1) 0, is
and sd ooters. The footers are to be set 30 to 36 inches below grade surface The deck's understruclure is to op
2x10 and 2x4 laminated beams which will consist of a house plate. front plate, girder beams. side bands.and cross
Joists. Each beam Is to have galvanized stress plates pressed in at both ends and one centered The understructure
beams are to be set with the crown side up. The house plate is to be fastened to the house using 3/8 inch by 4 inch and
3/8 inch by 6 Inch zinc plated leg bolts The 4" lags are to Pe spaced 24" on center and the 6' lags are to be spacr'd 48"
on center. The decking pattern is to be the r^_I/ 4– _type. The 2x4 decking boards are to be spaced with a 118
inch to 1/4 Inch drainage gap between boardif. All hmber is to be 100% presssure treated, number one grade. SEARS
BEST WOOD which carries a forty year non -prorated warranty against damage by termites rot and decay.
R511ing Specifications:
TRADITIONAL: Posta and post supports are to be 2x4, fitted and bolted with 3/8 inch lag bolts Railing cap is to
be 38 Inches above the deck floor. Bottom rail is to be 1 1/2 inches from deck floor. Railing pickets are to he 2x2
and are spaced approx. 4 1/2 inches.
_ CROSSBUCK: Posts and post supports are to be 2x4, fitted and bolted with 3/8 inch lag bolts. Railing cap is to
be 38 Inches above the deck floor. Bottom rail is to be 2 1/2 inches above the deck floor. The two middle rails are
to be centered between the top and bottom rails. Railing cross braces are to be 1 x4.
_ FULLVIEW: Posts and post supports are to be 2x4, fitted and bolted with 3/8 inch lag bolts. Railing cap is to be 38
inches above the deck floor. Bottom rail is to be 2 1/2 Inches above the deck floor. The two middle rails are to be
centered between the top and bottom rails.
_ CONTEMPORARY: Posts and post supports are to be 2x4, fitted and bolted with 3/8 inch lag bolts. Railing cap is
to be 38 Inches above the deck floor. Railing pickets are to be 2x2 mitered with a 45 degree cut on top and bottom
of each picket and are spaced approx. 4 1/2 Inches. The bottom rail is to be 1 1/2 inches above the deck floor.
LOWBOY: Posta and post supports are to be 2x4, fitted and bolted with 3/8 Inch lag bolts. The railing cap is to be
22 Inches above the deck floor. The bottom rail is to be 1 1/2 inches above the deck floor.
_ Lowboy Fulivlew Style Is to have two 2x4 plates.
_ Lowboy Traditional Style Is to have traditional style picket spaced approx. 4 1/2" apart
_ Lowboy Contemporary Style is to have contemporary style picket spaced approx. 4 1/2" apart.
DECORATIVE: Posts and post supports are to be 2x4, fitted and bolted with 3/8 inch lag bolts Railing cap is 2x4
and Is 38 Inches above the deck floor. Rail slats are to be made 1x6. The bottom rail plate is to be a 2x4 and is 1 112
Inches above the deck floor.
_ Decorative Type A: Hand cut decorative designed 1 x6 slats.
Decorative Type B: Hand cut decorative designed 1x6 slats. A e g C D
Decorative Tye C: Hand cut decorative designed 1 x6 slats
Decorative Type D: Straight cut slats 1x6 with 1/2 inch space between.
PRIVACY: Posts and post supports are to be 2x4, fitted and bolted with 3/8 inch lag bolts. Railing cap is to be 6
feet above the deck floor. Horizontal top, middle and bottom ledger strips to be 2x4
1x8 Traditional Privacy rail with straight cut slats attached to the top and bottom plates. Slats are to be spaced
approx. 1/2 inch apart.
_ 2x2 Traditional Privacy rail with straight cut pickets attached to the top and bottom plates. Pickets are to be
spaced approx. 2 Inches apart.
1x8 Contemporary Privacy rail with straight cut slats attached to the top rail plates and to the face of the
understructure perimeter. Slats are to be spaced approx. 1/2 inches apart.
_ 2x2 Contemporary Privacy rail with mitered cut pickets attached to the top rail plates and to the face of the
understructure perimeter. Pickets are to be spaced approx. 2 inches apart
Stairway, Landing And Walkway specifications;
E -Z GLIDE STAIRWAY: The stairway support stringers are to be 2x10's. The rise per step is to be 8 inches and
the tread is to be 91/4 Inches wldB. Each tread Is to be supported by a 2x2 mitered cheat.The railing is to consist
of 20 posts, two center rails, top rail and rail cap. As appropriate, a stairway pad 48 inches (36 inches for 3 feet
wide stairs) by 18 1/2 Inches will be set at the base of the stairs. Stairways over 6 feet in elevation are to be
supported by 2 additional 20 support posts placed mid -way in the stairs along with 1/4 wind bracing.
TWO LEVEL STAIRCASE: Staircase Is to consist of laminated plywood stringers 4 feet on center. There are to
be treads (5 1/2" rise with 14 112" tread) consisting of 2x6 perimeter apron and three recessed 2x4 slats.
The total width of staircases are to be
SINGLE STEPDOWN PADS: The rise for the stepdown pad is to be .3 1/2" .5 1/2" .8" .other . The
length of the stepdown pad is to be . Stepdown pads are to consist of perimeter apron with three
recessed 2x4 slats. Total tread size is to be 14 1/2".
CORNER STAIRCASE: Staircase is to set against a corner wing on deck. Staircase is to consist of 2x10 stringers
with a 2x8 kick board at the base of each tread The rise per tread is to be 8 inches and the tread is to be 9 inches.
LANDING: The landing is to be supported by posts) and footer(s). The understructure, decking and
railing is to be the same as specified in the deck and railing sections.
WALKWAY: The walkway size is to be feet long and is to project out 4 feet. The walkway is to be
connected to the main deck and is to be supported by footers. The understructure, decking, and railing is
to be the same as specified in the deck and railing sections.
'AMRE is a servicemark of American Remodeling, Inc. and is licensed to AMRE DECKS. INC.
Designer Deck Addendum
Continued
Customer Name* i1h
ate:
Deck Accessorles: (Check as appropriate and Indicate size)
_Cantilever package
_On Ground tree box (N.C.)
_Beam Trellis
_Corner Wings
yy ailing Back Bench
—Window Trellis
--Pickets on Stair rails
Open Back Bench
_(Width_Pro).—)
_Gate (Style:—)
Icnic Table
_Open Weave U S.
_Comer Planter Box
all Table
_Lattice Underskirt
rectangular Planter Box
—3un Trellis
—Closed Panel U S.
_Relimount Planter Box
—(Width:—Projection:
—Post Gussets
Free Standing Deck and or Landing.
Extra Post (s) and Footer
Feet of Extra Railing
—Utility Meter Notching w/cover --- Modules to be custom cut
—Utility Meter Notching wo/cover - _Modules cut around tree
—Custom Sizing (No. of Mod. cutsE�� ---Railings
_Custom FIII In (Sq. Ft.:_) _cher:
Tear Out and Excavation:Contractor to Haul away: Yes No
remove Existing Wood Deck _Repair Masonary/Concrete/Flash
_Width_pro)._ Flev.
._Save Awnings, Roof, or _Excavation (Hours: )
_remove Existing Concrete Steps/L ding Other:
_Wldth__Proj._Flev.
.
NOTE: If after the old structure (i.e., old deck, concrete stoop, etc.) is taken down and any unforeseen damage
Is discovered such as rotten wood, cracked or chipped masonary/bricks, and/or other stru r I work that must
be repaired before the new deck can be Installed, there will be additional charges made ` )
'NOTE: If the relo I tility lines, meters, etc. is necessary the customer agrees to be responsible for the
additional costs. Customer Initial)
Soeclel Instructions and D agram of Deck: (Include location of house, size of deck, elevation, and location of all
accessorles d IP)ructions)
Elevation e!
Horizontal Starting Point (HSP)
Vertical Starting Point (VSP)
Date: Q `�
Directions to Job: (Give Main Cross Streets)
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P:Ie I
Building
BUILDING
Permit No.: -7-
Inspections
RESIDENTIAL APPLICATION
Received By: -
763-572-3604
CITY OF FRIDLEY
eARR ` 6 2007
DATE V O /
YOUR E-MAIL ADDRESS C.� e Ta"Yl
V K - (V LQ 2 w V V 1 U Mh
SITE ADDRESS
THIS APPLICANT IS:
❑ OWNER AONTRACTOR
PROPERTY OWNER/
NAME: Q y dVVI
TENANT
ADDRESS: q I C 4t) MN ,C—
CITY 'N 16 WA STATB�IPE3 Z
t
PHONE{11,C1"
CONTRACTORV-�Vl
NAME.TC nn 01
STATE LICENSE # S Co EXP DATE 0,5 f 31 f 0 � ,1IP yS®L
OI rI �J CITY LO I� rn STATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:
WITH APPLICATION
PHONE (P (0 FAX
PROPERTY TYPE
AUNGLE FAMILY/NEW CONSTRUCTION
SIZE
Cl TWO FAMILYINEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH -"'R❑
DRAIN TILE
ClDECK ❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:❑
❑ ADDITION
ANCEIIUTAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: JMV 0 cAnA g y O
SINE OF IMPROVEMENT LENGTH
WIDTH HEIGHT Sq. Ft.
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES_ ❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SMING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS & PORCHES SUBMIT:
❑ Aluminwn
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and 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 OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MA EKIALb:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ L� A0 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
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 work which equires review and approval of plans.
SIGNATURE OF APPLICANT 1AAA RINT NAME K