PRE 2010 DOCS" City of Fridley, M.inn.. 10809
BUILDING PERMIT
Date: August 28, 1970
Owner: Ed Chies Builder Ed -Ray Builders
Address 7651 Central Avenue N _E _ Address 76531 rentXal-Ayenue N_R_
LOCATION OF BUILDING
No. 1415 Sit 76th Avenue N.E. Part of Lot
Lot _...._25Block Addition or Sub -Division ._.._Meado maor Terrace
Corner Lot w _____ Inside Lot __._ X Setback 35' __ Sideyard 10'
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front 32' Depth 24' Height 20' Sq. Ft 768' Cu, Ft 15.360'
GarageFront 20', Depth 241 Height __ Sq. Ft 4801 Cu. Ft. 4.800'
Type of Construction FramP Est. Cost $20_,D_0.9._QQ To be Completed Jan. 1. 1971
Provide Hardsurfaced Driveway
SEWER LOCATION: 17 feet West from East Property Line.
WATER LOCATION: 27 feet West from East Property Line.
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 compli with provisions of
ordinances of the city of Fridley.
.0- A n
In consideration of the payment of a fee of $ 38.00 , permit is hereby granted to fid. -Ra `Builders
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 any of the provisions of said
ordinances.
NOTICE:
This porn* does not cover the conshucilon, hnhllation for whing, plumhing, gas heating, sewer or wafer. Be sure to as
the Building Inspector for wparafe permits for thus *oma.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNERS NAME.__ BUILDER:
ADDRESS:— 2LIO /-/r ;ADDRESS : `% ir
NO:. 1411-S STREET ;1(5'
(5' 10
LOT • Z BLOCK • 3 ADDITION • 114( W_-�
d �/'h Q o y -zy'�a. e
CORNER LOT: INSIDE LOT: SETBACK: ? 5 SIDEYARD: c)
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
` r t • �- Depth: - Height • oZ
Square Feet:2 Cubic Feet:
Front:_ 2_Depth: a -Height: �®
Square Feet; U Cubic Feet:_ Il /Y
Type of Construction: Estimated Cost: _$ 'o-�' Ocg c) �r
To Be Completed: _ J,1"n/ / �-- /'� 7 /
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stfict 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.
DATE: SIGNATURE:
(See Reverse Side For Additional Information.
N° 5206
Origin Kermit for PLUMBING AND GAS WTING S3 7 �3
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of thisFee $ �s-2.00
permit.,
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
City of Fridley � �ci /� ,197
.�tOrlea
yCW W
1-
'�
Z
m
O
Y
O
m Y
Y E'
m
w
O
�
Z F
Z K
WATER HTR.
GAS
ELEC.
O
U
7
m}
0
m
M
QC
3 F
r O
a U.
O tll
a Q
LL p U m
Q O
E J
W
i u.
O C
Q a
O t
IC 2
a Q
O E
Basement
ist
F
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, u on 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 f
Inspector.
4z 1M–mss-v
Owner 15EX,I t
Location /
Kind of Building,.m
Used as s
To be Completed '19—
Estimated
19_
Estimated Cost $ % ) • C.L-D
Ol eu+. Building Permit No.
Date
Inspector of Buildings.
City of Fridley
AVPUcallon for MumbYg aAd fam gMhewi►
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
ffi
®
ya
t
+�
O
N
5�3
•
♦
•
N
WATER H".
GAS
ELEC.
Base
I
/
1st
2nd
3rd
4th
• Futuro Connection Openings
* New Fixture. Old Openings
Connected with
Sewn
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
®C�
Number Fixtures ................ 7x $200 $..,,/ ,
Future Fixture Opening ........... x $1.50 $ 0
New Fixture Old Opening .......... . x $1.50 $
Catch Basin .................... x $3.25 $
Water Heater (Up to 99,000 BTU).... _� x $3.00 $
New Ground Run Old Bldg......... x $3.25 $
Electric Water heater ............. : $2.00 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures x $2.00 $�
Additional Fixtures .................. x $ .75 $
Gas Range to 195,000 BTU.. . x $5.00 $
REPAIRS A ALTERATIONS—Refer to Code
Description ............................................. i
TOTAL FEE $
Dept. of Bldgs. Phone NO -3450
i ols-- 71
City of Fridley:
The .undersigned hereby makes application for a permit for the work herei
specified, agreeing to do 811 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, Mnn Ila' -?W/3„ 19-Z6
Owner g=z
Kind of Building v
Used as
To be completed about
co
Estimated Cost, $ �� ` /n
Old 1Vew. Building Permit No. /0 O Permit No.
Signed
By -
Business Phone No
ROUGH
,e s- / O/ /4,/70
Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ........................... 5.00 $
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
r
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 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x $1.50 $
Additional Fixtures x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $ O O
ROUGH
FINAL 17 ~ L
Dept. of Bldgs. Phone SII 4-7470
Location 1415 — 7 Gish Ain-- m,,- Fast
wil�
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. �7
Fridley, Minn /0— Z 19 L O -
Owner Marlo June
Kind of Building . Frame
Used as Dwg
To be completed about
Estimated Cost, $ p
Old—NevvX Building Permit No. Permit No.Q�
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air-XNo 1
Trade Name AFCO Size No GB 1203–OHD
Capacity Sq. Ft. E.D.R 7 5, 0 0 O BTUH.P
Total Connected Load 3 8 , 3 5 9 Kind of FueL Nat. Gas
BURNER —Trade Name_ Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Signed Mill City HEating Co.
�2--
4 2 Business Phone No- 544-1501
HEAT LOSS CALCULATIONS PART
MENT ®F INSPECTIONS
Weatherstrips A.S.H. v.E. Construction No.
GuidE Insulation
lows s Reference Out. Wall Int. Wall Ceiling Roof Floor K
No ( e o — Kind
How
I• / e' oom Ungth --Width —Height FI.I oom Length --Width
1indows and 1 oors—Crackage and AreaIdth ea Windows dDoors--Crackage and Area
of pane otelane lights of crack a r ft. width Helg No. of Lineal ft. Area
No. o p lights of crack sq. ft.
Net exp, wall
Int. wall
Ceiling
Floor
Infiltration
Glen
Exp. wall
Net exp, wall
lot. wall
Ceil— —/
Floor
Total Btu.
' Windows land
Glass
yr ey. uta. w.M. Ldadfer area
Im I Length he Width �f-lei
—Crackage and Area
No. oflaaal ft. A-
lights of creek ea. it.
0
W
m
Infiltration
Glass
Exp. wall
Y
Net exp. wall
Jhtl
Inc. wall
Ceiling
loor
To Btu.
Requir sq. ft. .R. nv aq. ina. W.A. area
OF Fl.
(Length :.,Wtc th
Windows and
rackage and Area
No. of pad o eights
mr6ts olf ceal ft. rack Area
eq. ft.
�4 �� •�
r
Vei 1
0
m`�r� I
...•• w.ru er area
nthWidth Hsi
kage and Area
rl93a
k,1tt�/
m mm a
amm r,
h» w ins. W.& Leader aiea
Btu
y-� I mMuued .H. or sq. ias. W.A. J.Aader area
I
F1.1 r Roca► I Length ./ Width ••°Height
Win ows and Doom•—Crackage and Area
Width Hel ht o. of Lineal tt Area
NO f e f is of crack ala. ft.
�t
Btu
Infiltration
n i Glass
_ Exp. wall
®_ Net exp. wall
Int. wall
r Ceiling
Floor E
fs� T
U.
HEAT IHSS CALCULATIONS DEPARTMENT OF
INSPECTIONS
IVpNNEAPOLiS. MINN.
Weatherstrips
A.S. V'
Construction No.
Insulation
Infiltration
Guide
Reference Out. Wall Int. Wall Ceiling
Roof Floor
Kind How Applied
Exp. wall
P-- Net exp. wall
Int. wan
e e
�,�
19_._
m Length Width
...Height
Fl.�
cam Length Width -7neight
Windows and Doors—Crackage and Area
Windows and
s—Crackage and Area
Width
Hel[ht No. of ft. Area
Width
Jo. of pane 0
ei[ No. of Lineal t . Area
Ponslights of ck eq. ft.
No�.�• off�p a
of cr
of D e lights of a W ft
Btu
K4 Btu
Infiltration.
an
I I T
Infiltration
Glass
'°
Glass
E:p. wall
E:p. wan
®. •-- 76
Net exp. wall
Net exp. wall
y
Int. wan
Int. wall
Ceiling
Ceiling
Floor
Floor
Total Btu.
j L
Total Btu.
i
r qq. ins. WA. ader area
Requir
E.D.R. sq. ins. W.A. Leader area
I
Length •. Width
eight
H,
J Length Width Height
Windows andrackage
and Area
lows and Doors—Crackage and Area
dth eight No. o Lineal It. Area
urhtm of eraolh �• iist
Wldth
I
No. opane
Selght No. of --------. Area
of pane lights of amek
Glass
Exp. wan
Net mm. wall
Int, wan
Ceiling
Floor
Total Btu.
fL ED.R. or sq. ins. W.A. Leader area
Room I Length Width
and Doors—Craekage and Area
Etelght I No. of It®sal ft. Area
..s -- 'Irisin of Brack to.
tt•
Ire:
Btu
Infiltration
Glass At
Exp. wan
Net exp. wall
lat. wan
Ceiling
floor
Total Btu. gone
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
n 1 R......„ 11®naih Width Height
.Windows and Doors—Craekage and Area
Width ht a of Lineal rt. Area
No. of pane of pans lights of crack me. rL
Coef.1 Btu
Infiltration
Glass
Exp. wall
P-- Net exp. wall
Int. wan
Ceiling
Floor
Total Btu.
DYE-
Appgcufta fw Pow R=ft and odeCoang, Yew ®a a
Air CaraMdalml Sracms and Devi=
PARTIAL RATE SCHEDULE
GMVITY WARX AM:
MTB TOITAL
Furnace Shell & Duct Worts ... ...
. $10.00 $
Replacement of Furnaces
6.00 $
Repairs & Alterations—up to $300.00
6.00 $
Repairs & Alterations each add. $500.00
300 $
WARM Amt
Furnace Shell & Duct Work to 120,000 BTU
each add. $0,000 BTU . .........
Replacement of Furnace
Repairs & Alierations--up to $500.00
Repairs & Alterations each add. $300.00
STEAM or HOT WATER SYSTEM
..$10.00 $
3.00 $
6.00 It
6.00
3.00 $
Furnace Shell & Lines—to 400 sq. ft. FZR Steam $10.00 $
Furnace Shell & Line to 640 sq. ft. EDR 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
GAS BURNER (up to M,000 BTU) 600 $
Mel! 199,000 BW SQ* Fee Schedule
GAZ FITTING FEES: 140 RATE TOTAL
1st 3 Fixtures x$ 200 $
Additional Futures x .96
Gas Range to 19 ,000' a$ 8.W $
�•:Pipr r r .r e: x• w• t� r
State Surcharge .50
ISO* Fee schadub
0.d1CQ g
TOTAL FM
,f /{O6, ®®
Dept. of Slag. Pim aw-M
City of Fridley:
The undersigned hereby makes application for a permit for the work here
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 fac
and representations stated in this application are true and correct.
Fridley, Dian 1�
Owner 1N ; l ( i a m— T. H -o 14-e..
Kind of Building
1
Used as
To be completed about, `S -e-P+c4v-,10¢ 1G
Estimated Cost; $ - 400.00
Old New. Building Permit No. _— Permit No.
HEATING or POWER P[.1t,N7 --Stearn, Hot Water, Warm Air—No
Trade Name • size No
Capacity___. _ Sq. It E.D.R BTU lu
Total Connected Lomd bind of r=
BURNER — Trade Na Size NO
Capaci Sq. FL ZM R BTU IM
(MMA ea. -0M)
Original0
PERMIT for Power Plants and Heating, Cool-
ing, Ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of I/ Heating Plants to be installed—altered—repaired
Make �FOLD Sixe
Oil fired—; Coal fired ; Gas fired k/ ; Gas Authorization No.
Remarks
Approved
Final Inspection Date , 19_
Inspector
S-3 �� l
Permit N° 4834
Fee
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn, (1,6 a -;,- , 19 Lo
Owner
Location f�i/.� " - %o �t,� /vI
Kind of Building
How Occupied
Work to be Commenced --L.19_
To be Completed ,19_
Estimated Cost,
Permit No.
Permission is hereby granted to to install—erect—use the material and devices described in the
above statement. This permit is granted upon the express conditio4 that the person to wom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of devices herein men ' ned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein name , and to the specificatio set(orth in the approved application for this
permit on file in the office j°ice o f the Inspector of Buildings. - �dA,61 -
Inspector of Buildings
az 2M 117 V
suedEcr
P ER
City of Fridley
®12641
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R
`L -_____ COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
`
�
%,93 C!y
NUMBER
REV.
DATE
PAG9 OF
APPROVED By
1 1 CITY HALL FRIDLEY 55432
I'J
---• 612-560-3450
910-F15
7/17/74
JOB ADDRESS
1
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
25
3
1 Meadowmoor SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
William T. Holte 1415 76th Avenue N.E.
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
House and garage addition
7 CLASS OF WORK
❑ NEW Q ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
9 CHANGE OF USE FROM TO
STIPULATIONS
1. Provide 1 hour fire separation between garage and living
living area
2. FirePlace footing must be 12 inches thick
SEPERATE : PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBINGAND SI.GNI
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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
1,344
26,880
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.
$4,000
2. OO
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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$24.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$26.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
EN PRO R
AL TED HIS IS YOUR PERMIT
,
-
a. .—IDA
SIGNATURE OF ODRER
DATE
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: y((• I ,� vn T• F 4 BUILDER:
ADDRESS : 14 6' 76 hAve, ADDRESS:
�h .
NO:. 116' 1 S STREET: % v�ue. s� -
. .
LOT: 2-!r BLOCK: 3 ADDITION: l`l e" oW moorr
CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Z 44 Height: ZO
Square Feet: &*4 Cubic Feet: Vo A$®
Front: Depth:
Height:
Square Feet; Cubic Feet:
9-0
Type of Construction: Estimated Cost: $ #000 -
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in st-kict 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.
DATE: O -14 SIGNATURE: �n 0- Al -r 0 t L • W&t-1t( ( �-'� WIK
(See Reverse Side For Additional Information.)
�atw�oE 1 N¢ PIC S�PAa6TI&L ��'?wE�f�
C.� 0 �,� i%a E�, Q F"jrc � R � Fcxrr f A)c. Yn 0'-f-
4-4
s f -
I r c Z
y K 6.a v
.0 Xypo
PR R WK 1 r r,c C.
/2 %/-Y / l
(A. C.94cium acid u4ssoeiates, gAC. LAND SURVEYORS
10130 HIGHWAY 65 NORTHEAST — MINNEAPOLIS, MINNESOTA 55433
Certificate of Survey:
ED CH I E S
141.S4
O GN.
A'b
L.rWiL U113%oll Iium: �
Lot 25, Block 3, Meadowmoor
Terrace, Anoka County, Minnesota. /
Telephone
784-5480
x
SCALE'- I"=S0'
DENOTES IRON
2832-161158
J �0
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES
OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF ALL BUILDINGS, THEREON, AND ALL VISIBLE EN.
CROACHMENTS, IF ANY, FROM OR ON SAID LAND.
AS SURVEYED BY ME THIS .... 18th.....DAY OF ......... Sep..tember................. A.D. 19...7.0••••
N. C. HOIUM AND ASSOC TES, IN - LAND SURVEYORS
• ...................... �. ...�.............................................
/`
SUBJECT
City of Fridley
5 8 19
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
• _ COMMUNITY DEVELOPMENT DIV.
'70
r PROTECTIVE INSPECTION SEC.
E
_
� �'-'1 � CITY HALL FRIDLEV 55432
NUMBER
REV
DATE
PAGE Oi
APPROVED BY
,'� 612-571-3450
910-F15
2/24/98
JOB ADDRESS 1415 76 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
25
3
Meadowmoor Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Chad Weston 1415 76 Avenue NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Blomquist Construction 39061 Mica Ave, North Branch MN 55056 674-2289
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20110956
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
Reroof House & Garage (21 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must meet the State Building Code.
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
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
$1,751
$.88
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-
STRUCTIO P FO MANCE OF CONSTRUCTION
$56.75
Fi SC $1.75
PLAN CHECK FEE
TOTA EE
6
Lice S
$5.
$64.38
SIGNATOR CON ACTGRORAUTHORITEDAGENT ID TEI
N
HIS IS YOUR PERMIT
SLOG QAPELIDAT
BATE
S.GNATURE OF OWNEROF OWNER BUILDERI IDATEI
/`
NEW
ADDN
ALTER
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor: ?I
Address: J
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
7P��Ve, IeV
Effective 1/1/98
bCW-,25-?101
MN LICENSE # Ot a 1 /0 '11Q 1,
Tel. # S7 -;Z-7
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: �e- iBd 7< 7U-4 ` - Gh�Avy a2 % �P�,rp-,or 4
Construction Type: Estimated Cost: $ z 2��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = t x $ _ $
DATE: 7 APPLICANT: Tel. # 6*'
1 �-,Z '1
f I I /
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ .��
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
STIPULATIONS:
•
SUBJECT
E
City of Fridley2
8 84 3
THE TWINS
BUILDING PERMIT
572-3604
E ,
v COMMUNITY DEVELOPMENT DIV.
------
INSPECTION SEC.
r E PROTECTIVE
NUMBED
pEv
DATE
OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
1/19/99
F;GE
/
JOB ADDRESS 1415 76 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
25
3
Meadowmoor Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Chad West6n 1415 76 Avenue NE
930-2778
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
D M Tranby Siding 9131 178 Ave NW, Ramsey, MN 55383
441-6399 3889
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
O MOVE O REMOVE
8 DESCRIBE WORK
Reside House & Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
$6,900
$3.45
WITH WHETHER SPECIF H EIN OR NOT. THE GRANTING OF A PERMIT
DOES N PRESUME O GIV AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISI N OF AN OTHE TATE OR LOCAL LAW REGULATING CON-
$124.75
Fie SC $6.90
STRUC O R T P F NCE OF CONSTRUCTION
PLAN CHECK FEE
TOT L FEE
Lic $5
$140.10
GN URE F NCRACTOR ORAUTHORIZED AGENT IDATEI
HEN R VALID _TVIS IS YOUR PERMIT
t
S.GNATURE OF OWNERoF OWNER BUILDER, [DATE,
SBL ,NSF'
F1ATE
01
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: Lit 0 /2' Tel. #
Contractor: Ryo 3 u S MN LICENSE # `%
Address:��/ b Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EM PROVEMENT
LIVING AREA: Length
Width
Height
Sq. Ft.
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Lengtli-'-\
Width,
Hgt/Ground
Sq. Ft.
OTHER:
Construction Type: �/L�c/(� Estimated Cost: $ % b
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: - APPLICANT: il� Tel. # 3 �/
TOTAL $ ,/
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ �- , S'
Fee Schedule on Reverse Side
Fire Surcharge
$ 9Q
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ , D 0
$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:
Building
BUILDING
Permit N 17-0
Insprections
RESIDENTI AL APPLICATION
Recei
763-572-3604
CITY OF FRIDLEY
Date 1 ec
DATE r — Z v C YOUR E-MAIL ADDRESS 0 G m V \C> 3 C"',
SITE ADDRESS IVIS- )-64-- 14 vc- t`L is ��ad 12 1
THIS APPLICANT IS:
OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: F/A i S �- (>. V"\, c)
TENANT
ADDRESS: (L—/ 1 6 "— R V-1 hteCITY STATE0112iP S f"4 -S Z
PHONE: --13q b
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
STATE—ZIP
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
grSINGLE FAMILY SIZE
❑ TWO FAMILYINEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
%DECK ❑ SIDING ❑ OTHER
�
❑ SWIMMING POOL
TYPE OF WORK:W
❑ ADDITION
E73MAWTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:_ `- 1 GQ 19 %- 1A
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Fd;2 J Ip
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
I -
2.
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I.
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:
(USIN1997 U.B.0 E SCHEDULE)
TOTAL JOB VALUATION $ !Xq�A'
OCCUPANCY TYPE
Permit Fee $ See Back Page for Fee Schedule
Plan Review $ - I / 65% of Building Permit Fee
Fire Surcharge $ a .001 times the total job valuation
Surcharge $ L/�>, .0005 x Permit Valuation Minimum $.50
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $21 =$
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due $ 4 1, UJ Make checks payable to: City of Fridley 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 wofk which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME 46— �,,A %aWl— `DATE
.. O
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
BUILDING PERMIT APPLICANT: PROPERTY OWNER
1, rA' SIJ C OH M v D . understand that the State of Minnesota
requires that all residential building contractors, remodelers and roofers obtain a state
license unless they qualify for a specific ecemption from the licensing requirements. As
the owner of the property at ! y /, �- 6 14-+e- PLC—�r�y [ Y �� y�.z �` �ridley,
am exempt from the state licensing requirement only if I am not building or improving
this property for purposes of resale. By signing this document, I attest to the fact that I
am improving this house for my own use and do not intend to sell it. I hereby claim to
be exempt from the state licensing requirements because I am not in the business of
building or remodeling on speculation or for resale and that the house for which I am
applying for this permit, isl the first residential structure I have built or improved in the
past 24 months. I also acknowledge that because I do not have a state license, I forfeit
any mechanic's lien rights to which I may otherwise have been entitled under Minn.
Stat. 514.01.
Furthermore, I acknowledge that I may be hiring independent contractors to perform
certain aspects of the construction or improvement of this house and I understand that
some of these contractors may be required to be licensed by the State of Minnesota. I
understand that unlicensed residential contracting, remodeling, and/or roofing activity is
a misdemeanor under Minnesota law, and that I would forfeit my rights to
reimbursement from the Contractor's Recovery Fund in the event that any contractors I
hire are unlicensed.
I have also been informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to the City of Fridley for compliance with all
applicable building codes and city ordinances in connection with the work being
performed on this property.
Name F i s i,+ (— \A o m Q
Date S - Z Z 0c' '>,-
Enyiheers Surveyors
Vwt 4,
Ift
esig.n.#.62952
* * * Take this sheet to the Building Mai desk to purchase your materials
You selected a 1 level deck wit r :I3 00pY
Pressure Treated Framing Mat6dalt, : AtLABLE ON
6x,6 Framing Posts ��� �FOR
� A� Ids,
514 x 6 Cedar Deck Boards I
Poured FootingsArlub'deep
Stainless Steel Screws 1
Stainless Steel Framing Fasteners
Handrail selections:
36" Vertical Handrail to Joist wlo Posts Railing
2"x 2" x 42" Cedar Spindles, Beveled 1 End
2" x 6" Cedar Hand Rail
HALL U'
rHE J08
-RAF4 ING
ECTta►3S
is a section of the railing style and
s you have selected for your deck.
Spindle placement is approx. 4" apart depending on style
You may buy all the materials or any part at low cash and ca prices. Because of the wide variable in codes,
Menards cannot guarantee that materials listed will meet your code requirements. Check with your local municipality
forplan compliance and budding permit. These plans are suggested designs and material lists only. Some items may vary
from those pictured. We do not guarantee the completeness or prices of these structures. ax, labor and delivery not included.
��
�.
L
�0
.............. N ��L
$:.:.
60Q L).X4
row 5
Pf ��
.. ry�e,:3'M��': •:: �:::••��--::.k gib,,.{:. r•"'' �_ f • \ V��
(The posts shown in this picture ark
Illustration int
Some options
-sary and not includef the postless railing ty
to show general deck size and shape.
W may not be shown for picture clan .
Today's cost for materials estimated in this design with o tions:
Y 9 p
*The base price includes: 40 PSF deck live load, AC2 treated - horizontal 2x6deck boards, 4x4 posts, M" oists and beams, gat
fasteners, AC2 treated 36° Vertical handrail to joist without posts, and premium screws. ASEprice1
ESTIMATE FOR:
GUEST, Guest
123
FRIDLEY, NAT 55432
Ph: (763) 555-5555
SKU NU]
111-1642
111-1671
111-1930
111-2829
111-1626
111-1642
107-4763
102-1774
102-1761
102-1127
102-1114
107-2727
107-1591
107-2147
107-2121
107-2325
189-1014
230-5552
227-1743
227-1747
232-3277
Estimate From
cuxaQUE;a
STORE # 3018 FRID PHONE: (763) 571-8689
5351 Central Ave. NE FAX: (763) 571-1932
Fridley, MN 55421
ESTIMATE BY ESTIMATE DATE
est 07/28/07
QTY TO ORDER
2X10-12' AC2 TREATED AG ARSENIC FREE LW
2X10-18' AC2 TREATED GC ARSENIC FREE LW�
2X12-10' AC2 TREATED AG ARSENIC FREE LW
6X6-10' AC2 TREATED GCS ARSENIC FREE LW
2X10-8' AC2 TREATED AG ARSENIC FREE LW
2X10-12' AC2 TREATED AG ARSENIC FREE LW
6X6-1010EDAR R/S #2 & BTRAPPEARANCE GRD
2X6X12' #2+BTR SPF CONSTR LUMBER
2X6X10' STUD/#2+BTR SPF CONSTR LUMBER
2X4-12' #2+BTR SPF CONST LUMBER
2X4-10' STUD/#2+BTR SPF CONST I -UMBER
1 1/4"X6"-20' CEDAR SELECT DECKING
1X8X14' CEDAR S1S2E 3+BTR7/8" NOMINAL
1X12X12' CEDAR S1S2E 3BTR7/8" NOMINAL
1X12X10' CEDAR S1S2E 3BTR7/8" NOMINAL
2X2X36" SQUARE END BEADED CEDAR
5000 PSI PREMIX CONCRETE MIX 80 LBS
2-1/2 PREM DECKSCREW GLD COMBO 51,13
2 X 10 JOIST HANGER 18 GAJUS210-TZ
DBL JOIST HANGER 2X10-12 JUS210-2TZ
1/2" X 5" LAG SCREW 4PC 33277
16 EACH
4 EACH
3 EACH
3 EACH
I EACH
1 EACH
4 EACH
4 EACH
2 EACH
4 EACH
4 EACH
32 EACH
2 EACH
4 EACH
2 EACH
130 EACH
12 EACH
2 EACH
19 EACH
1 EACH
13 EACH
Estimate # 61568
Page 1 of 1
ADDITIONAL ITEM INFORMATION
ON SALE THRU 07/29/07
ON SALE THRU 07/29/07
ON SALE THRU 07/29/07
ON SALE THRU 07/29/07
ON SALE THRU 07/29/07
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
TODAY'S SUB -TOTAL: 2,190.95
between the parties based upon this estimate. The prices stated herein are subject to change depending upon the market conditions
REGULAR SUB
The prices stated on this estimate are not firm for any time period unless specifically written otherwise on this form. The availability
-TOTAL: 2,204.15
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
GUEST COPY
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
PAGE 1 OF 1
YOUR CODE REQUIREMENTS.
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