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PRE DEMO DOCSApplication 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 ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ dD tz� Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR 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 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL t % I ;L ® I 1 $ See Fee Schedule $—; TOTAL FEE $ 6 Dept. of Bldgs. Phone SM -3450 Location � C / — �f c L( City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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- F `� 19 �* <�. �a,, A Owner Kind of Building=Z��Q1Lt Used as To be completed about Estimated Cost, $- / 66 COld--;'New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name X Size No- 0 1 Q 0'` ) Capacity Sq. Ft. E.D.R BTU—%, H.P. Total Connected Load Kind of Fue1 s�. d� 4 BURNER — Trade Name� ,� :r °•� Size No-/ 062 Capacity Sq. Ft. E.D.R BTU H.P. Signed FFF / ��ij' �'� i.� � lf't /�a-- '� � ✓� j -e .— .z Business Phone No 2 �Z�' °-2 T� (REMARKS -OVER) Original PERMIT for Power Plants and Heating, Cool- ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. o. Heating Plants to be installed--altered—repaired Make A 1` . ,Size_% oel 0 ; Oil fired—; Coal frred , Gas fired—Z—; Gas Authorization No. Remarks Approved by Final Inspection Date , 19_ Inspector Permit N° 4882 Fee $ •®0 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. • sO , 19-20 Owner Location y(�/� Kind of Building -- JV L MI I- -How Occupied 1 AJ n J ,'a Work to be Commenced—,&19_ To be Completed ✓ o 11'di�,19-1-0 Estimated Cost, $ -19 ao 4g Vew, Building Permit Permission is hereby granted to- A v • 7 T\Q.� .4jj fl 7I)j LA -i to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom 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 the devices herein mentioned 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 named, and to the specifications se forth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings zM 11.67 v Sali CLARENCE BELISLE 7 SUBJECT PERMI City of Fridley �� AT THE TOP OF THE TWINS PERMIT T BUILDING R COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � z/vo � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/5/73 JOB ADDRESS 4615 2nd Street N.E. 1 LEGALLOT NO. BLOCK 11 TRACTOR ADDITION Plymouth SEE ATTACHED DESCR. 19-20 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ink" . Harry Gill 4615 2nd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. os Roofing 5233 6th Street N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] = REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK re -roof 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, shingle 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 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 $435 50 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- $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE r �r',�^7 $5.50 SIGNATURE OF CONTRAC OR OR AUTHORIZED AGENT (DATE) HEN PROP LY YALIDATED THIS IS YOUFJ� PFjR MST%� N BLDG INSP J/v17 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CLARENCE BELISLE 7 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: ( . t 1 BUILDER : ADDRESS : N ic- a yNd . SkA E ADDRESS :. 2.33- 4,41..4. JV NO:. 4L l STREET: a T\1' 'l F - LOT • BLOCK • 11 ADDITION:. 1� \ j Qy1® L..:� K CORNER LOT: INSIDE LOT: 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: Height: Square Feet: Cubic Feet: -Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction; _�R— �� Estimated Cost:_,S_-'/ 3 i�tp� To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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. s r DATE:LL4:�--73 SIGNATURE• (See Reverse Side For Additional Informati .) BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the wanner herein provided to -wit: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of an7 building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application, to allow for proper review of the proposed structure and of the construction site. A Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. ("t �t y q .W SUBJECT P - city of Fridley 34047 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. � LV PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J ` 763-571-3450 910415 12/8/03 JOB ADDRESS 4615 2 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19,20 11 1 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Gill 4615 2 Street NE 763-572-1578 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 B USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION 10 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House (12 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,389 $.69 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- $50.95 Fire SC $1.39 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $53.03 SIG NA, QF [ON'i+ACT THD AG �DATE� H PROPERLY VALIDATED THIS IS YO R PEgMIT q !,J<o V WGNWYUFrE 01 OwNE ❑F OWNER B aDER. sDATE� 6-7%$P pATE .W NEW [ J CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Z`6 /15 -- Legal Description: Owner Name & Address: Tel. #-7Al-- � Contractor.MN LICENSE # 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 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. � .E `J`C/lizs OTHER: �– . J-2 90 ) a- -- /�/--, - () ac -- Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 0- - D 3 APPLICANT: � Tel. # 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 Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL 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 [ J -- 0 BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for fust $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the. proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only PURCHASE ORDER JDATE DEPARTMENT THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY F 83434 THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US / LL SUPPLIER t ADDRESS - ] (��S~ � C.,. CI1Y OF FRIDLEY PHONE N0. 6431 UNIV. AVE. N.E.FRIDLEY, 4384 763-571- 45 55432 EDP ® CONTACT 763-571-3450 PRINTED ON RECYCLED PAPER.'L PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS. IVED L PAYMENT AUTHOR ED BY ACCOUNT OTY. UNIT PLEASE ENTER eURORDER FOR THE FOLLOWING UNIT PRICE AMOUNT Nc,' Spl 340q17 a s is . 11 Inz 11,0 A)nl /6 /n '4 i . 11319 TOTAL THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. WHITE, VENDOR - YELLOW, PURCHASING - PINK, ACCOUNTING - GOLDEN ROD, DEPT. HD. 1105 �� NC / � 1-0 &,, �, o9s;-,F 760 740 f 6z4 �k \VA - I I I �a 1kPJ a �ir� �� s��.�daY- A/0Q . z� �o®� �09 VEW [ ] CITY OF FRIDLEY !kDDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp 4LTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Tel. # 7 2-6'72 '15-7O Contractor /`�- cv MN LICENSE # Address: lir %% Tel.#C 3 5�Z- / � � 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 w` � Width & Height l Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: Estimated Cost - !t `:73-3' Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: �, / " °S APPLICANT: 27 Tel.# 7G 5-1.;;-, 5'7 P- 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 �'7�',21$ Fire Surcharged Y3 $ State Surcharge//, 91$ - SAC Charge $ License Surcharge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for fust $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or -fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, . showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only 2° Aide X.26Deep X 8' Nigh ,.gable roof / 4/12 pitch trusses 2' OX 4 Mall Framing Material O" gable/0" eave overhangs 7/16" OSB Nall Sheathing 7/16" OSB Roof Sheathing L ite Vinyl 4" Double lap Siding 2 yr. Stanardglass, Dual Mack Shingles ite Vinyl Fascia PA�C6_ White Aluminum Regular Roof Edgy 2"M6� shite vinyl overhead door jamb Garage Door Opener(s) — Whu. From View ENGINEERED TRUSS DESIGNS AND LAYOUTS SHALL BE MADE AVAILABLE ON THE JOB SITE 4'S P t1V (.:er� • I I � 1tt 4 a• �L—%'• MA Today's cost for materials estimated in this design: $ 3649.33 Base garage without options: $ 2337.36 *The base price includes: 0" Eave/0" Gable Overhangs, Framing Materials, 7/16 0SB 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 Windows, or Any Other Options. PICKING LIST - GUEST COPY D 32385 STORE # 3018 FRID PHONE: (763) 571-8689 CASHIER - PRESS RECALL TRANS IIIIII IIIIIIIII'IIIIIi�IIII�iI 5351 Central Ave. NE FAX: (763) 571-1932 AND SCAN CODE Fridley, MN 55421 CASHIER: PAGE 1 OF 4 PLEASE STAPLE SOLD BY: luke DATE: 02/24/05 RECEIPT HERE. 86 EACH 2X4X92 5/8" SPF CONSTR 4 EACH 2X4-12' #2+BTR SPF 8 EACH 2X4-14' #2+BTR SPF 6 EACH 2X4-16' #2+BTR SPF 1 EACH 2X6X8' STUD/#2+BTR SPF 8 EACH 2X6X14' #2+BTR SPF SKU NUMBER STUD 102-1091 UNIT PRICE EXTENDED PRII 2.79 239.94 CONST LUMBER 102-1127 3.72* 14.88 CONST LUMBER 102-1130 4.49* 35.92 CONST LUMBER 102-1143 5.25* 31.50 CONSTR LUMBER 102-1758 3.62* 3.62 CONSTR LUMBER 102-1787 6.39* 51.12 2 EACH 2X12X18' #2&BTR FIR CONSTLUMBER' 102-2197 2 EACH 2X4-8' AC2 TREATED AG ARSENIC FREE LW 111-0818 2 EACH 2X4-12' AC2 TREATED AG ARSENIC FREE LW 111-0834 2 EACH 2X4-14' AC2 TREATED AG ARSENIC FREE LW 111-0847 1 EACH 2X4-16' AC2 TREATED AG ARSENIC FREE LW 111-0850 1 EACH 1/2" (15/32)-4'X8' 32/16 RTD PINE CD BLK 123-1085 50 EACH 7/16"-4'X8' ORIENT STRANDBOARD -WHITE 124-2728 1 EACH SIDING REMOVAL TOOL 146-0002 1 EACH SNAPLOCK PUNCH TOOL 146-0003 20.49* 40.98 2.95 5.90 5.07 10.14 6.09 12.18 6.99 6.99 12.22* 12.22 14.29 714.50 4.49 4.49 9.98 9.98 This is a quote valid today. This quote becomes a yard picking list upon payment. Guest Instructions: PRE-TAX TOTAL: (CONTINUED) 1. Take this picking list to a cashier to pay for the merchandise. 2. Enter the outside yard to pick up your merchandise. This picking list must be present to enter the yard. 3. Load your merchandise. 4. When exiting the yard, present this list to the Gate Guard. (The Gate Guard will record the items you are taking with you.) 5. Sign the Gate Guard's signature pad'verifying you've received the merchandise. (If this is a partial pickup, please verify all quantities / items being signed for. Menards is not responsible for shortages after leaving the yard.) THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE => -� - �► PICKING LIST - GUEST COPY STORE # 3018 FRID PHONE: (763) 571-8689 CASHIER - PRESS RECALL TRANS FRID 32385 5351 Central Ave. NE FAX: (763) 571-1932 AND SCAN BARCODE _> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Fridley, MN 55421 CASHIER: PAGE 2 OF 4 PLEASE STAPLE SOLD BY: luke DATE: 02/24/05 RECEIPT HERE. I DESCRIPTION SKU NUMBER 9 EACH STARTER STRIP 10' (VINYL) 146-1004 UNIT PRICE EXTENDED PRIG 3.19 28.71 97 EACH DOUBLE 4" VINYL SIDING WHITE .040 146-1211 3.89 377.33 4 EACH OUTSIDE CORNER POST 10' WHITE 146-1486 11.36 45.44 14 EACH 5/8" J -TRIM 121611 11 WHITE 146-1509 3.38 47.32 11 EACH UNDERSILL TRIM 10' WHITE 146-1512 3.59 39.49 5 EACH 12'6" DUAL UNDERSILL WHITE 146-1518 7.18 35.90 9 EACH VINYL FASCIA 8" X 1216" WHITE 146-1619 8.68 78.12 1 EACH WHITE EZ -CORNER 8 PACK 147-1007 6.99 6.99 2 EACH #15 FELT UNDERLAYMENT 31X144' (4 SQ) 151-1789 9.73 19.46 2 EACH SHINGLE STARTER STRIP 7.21IX3314" ROLL 151-1909 6.47 12.94 22 EACH STNDGLASS 20YR D. BLACK CRC F/G 3 -TAB 151-3596 9.19 202.18 1 EACH 1 GAL PLASTIC ROOF CEMENTWET OR DRY USE 153-1248 4.88 4.88 12 EACH STYLE_"D"_10' ROOF_EDGE WHITE 157-1396 2.96 35.52 2 EACH 1-1/4"X10' DRIPCAP WHITE WINDOW/DOOR 157-1554 2,38 4.76 2 EACH 5-1/2" X 50' SILL SEALER FOAM 161-1605 5.19 10.38 This is a quote valid today. This quote becomes a yard picking list upon payment. Guest Instructions' PRE-TAX TOTAL: (CONTINUED) 1. Take this picking list to a cashier to pay for the merchandise. 2. Enter the outside yard to pick up your merchandise. This picking list must be present to enter the yard. 3. Load your merchandise. 4. When exiting the yard, present this list to the Gate Guard. (The Gate Guard will record the items you are taking with you.) 5. Sign the Gate Guard's signature pad verifying you've received the merchandise. (If this is a partial pickup, please verify all quantities / items being signed for. Menards is not responsible for shortages after leaving the yard.) THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE => hid PICKING LIST - GUEST COPY STORE # 3018 FRID PHONE: (763) 571-8689 CASHIER - PRESS RECALL TRAN5 FRID 32385 5351 Central Ave. NE FAX: (763) 571-1932 AND SCAN BARCODE Fridley, MN 55421 GUEST NAME - ADDRESS - PHONE CASHIER: PAGE 3 OF 4 gill PLEASE STAPLE SOLD BY: Luke DATE: 02/24/05 RECEIPT HERE. Ph: (763) 572-1576 63 EACH 811X811X16" CONCRETE BLOCK 36 LBS. 179-4360 12 EACH 241STD 4/12 60# 210C 2'OHMARQ SEE V.O.G. 187-1306 2 EACH 24' STUDDED END FRAME 4/12 PITCH 187-1322 1 EACH HOW TO BUILD -GARAGE PLANG06022 191-7684 1 EACH BYRON ENTRY KNOB BB J54VBXhbU5 Z.L 4 EACH 7/16"PLYWD CLIP ALUM 25/BS54-BMC 10BGS/ 227-1390 24 EACH RAFTER TIE U SHAPED IPC RT15 100/ 227-1646 1 EACH NAIL 8D C.C. SINKERS 50LB BOX 229-1202 1 EACH NAIL 16D C.C. SINKERS 50LB BOX 229-1244 1 BOX NAIL 6D GALVANIZED BOX 1 LB BOX 229-5457 2 BOX NAIL 16D GALV CASING 1 LB BOX 229-5648 2 BOX NAIL 1-1/4" GALV ROOFING 1 LB BOX 229-5732 2 BOX NAIL 1-1/4" GALV ROOFING 5 LB BOX 229-5790 3 BOX NAIL 1-1/2" GALV ROOFING 5 LB BOX 229-5800 1 NOSO CMI 6 -PANEL STEEL DOOR PH36X80 LH SB 414-1554 UNIT PRICE EXTENDED PRICE 0.85 53.55 39.29 471.48 42.09 84.18 4.95 4.95 9.98 9.98 1.69 6.76 0.35 8.40 19.95* 19.95 19.95* 19.95 0.88 0.B8 0.84 1.6B 0.88 1.76 3.88 7.76 3.88 11.64 105.00 105.00 This is a quote valid today. This quote becomes a yard picking list upon payment. PRE-TAX TOTAL: (CONTINUED) Guest Instructions: 1. Take this picking list to a cashier to pay for the merchandise. 2. Enter the outside yard to pick up your merchandise. This nicking list must be present to enter the yard. 3. Load your merchandise. 4. When exiting the yard, present this list to the Gate Guard. (The Gate Guard will record the items you are taking with y6u.) 5. Sign the Gate Guard's signature pad verifying you've received the merchandise. (If this is a partial pickup, please verify all quantities / items being signed for. Menards is not responsible for shortages after leaving the yard.) THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE => * PICKING LIST - GUEST COPY STORE # 3018 FRID PHONE: (763) 571-8689 CASHIER - PRESS RECALL TRANS FRID 32385 5351 Central Ave. NE FAX: (763) 571-1932 AND SCAN BARCODE => Fridley, MN 55421 CASHIER: PAGE 4 OF 4 PLEASE STAPLE SOLD BY: luke DATE: 02/24/05 RECEIPT HERE. ::1 2 EACH GARAGE DOOR STOP WHITE 7' VINYL 417-1621 1 EACH GARAGE DOOR STOP WHITE 16' VINYL 417-1663 3 EACH VINYL JAMB TRIM WHITE 7' 11/16X5-13/16 417-9377 1 EACH VINYL JAMB TRIM WHITE 10'11/16X5-13/16 417-9380 2 EACH VINYL BRICK MLD WHITE 8' 1-1/4X2 417-9720 1 EACH VINYL BRICK MLD WHITE 1711-1/4X2 417-9746 1 EACH REAR TRACK HANGING KIT IDEAL 425-1088 1 EACH SUPPORT STRUT 2 " X16' 1 EACH CLASSICDRIVE #3018 1 EACH WHITE INSUL R/P M4RSF 1 EACH OPERATOR BRACE KIT 1 EACH PINE TAPERED SHIMS IDEAL 425-1091 1/2 HP CHAIN WD 425-1735 16X7 EZSET TORS 425-4548 #5687385 431-1342 3/8X1 -1/4X8'1 433-4222 3 EACH PAINTER'S PREMIUM WHITE WL0037700 10 OZ 563-4222 UNIT PRICE EXTENDED PRIG 4.99 9.98 12.99 12.99 11.89 35.67 16.89 16.89 8.29 16.58 15.89 15.89 15.30 15.30 16.99 16.99 129.00 129.00 399.00* 399.00 14.98 14.98 0.99 0.99 1.79 5.37 This is a quote valid today. This quote becomes a yard picking list upon payment. Guest Instructions: PRE-TAX TOTAL: 3 , 641.33 1. Take this picking list to a cashier to pay for the merchandise. 2. Enter the outside yard to pick up your merchandise. This picking list must be present to enter the yard. 3. Load your merchandise. 4. When exiting the yard, present this list to the Gate Guard. (The Gate Guard will record the items you are taking with you.) 5. Sign the Gate Guard's signature pad verifying you've received the merchandise. (If this is a partial pickup, please verify all quantities / items being signed for. Menards is not responsible for shortages after leaving the yard.) THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE => Ede 200 - New C[) Copy Savp:, (� SsveandC�ae ' Fmd 0 SoFredula w Bade X Cut Paste Customer ICOD Wrier Ntgnber: r M.0pg. Piumm& f 1 r Do6vaigData 03/24/2005 _ Zona: I" _ Namrz JUNKNOWN CUSTOMER y $ SdwLocatiorr 001 -MINNEAPOLIS • Joh OB �A S ACTIVE Z BaLocati=% . 001-MINNEAPOUS Address UNKNOWN P �Aetlock COD,CHECK,CAEDITCA'+ T.State MN T.Coda: 10 ... Desc Gorr. UNKNOWN JOB ' V�ork Type <UNKNOWN> Travel Mors: 1`' Urdoad Mmx r C%r -- Start T®w 13:12 r Plus QuaMly order State MN PQ r HowSFaipped G DeSvared . f - �iCicup L 'Erfor' o.00 aoo r" o.00 j- r Pd�oaemde Product [Dftbfir4on jStIM,jUMF%c6jTC 10fice . ' Tax: Subtotal 95.50 AIRB AIR ENTRAINMENT B%/ 1.00 CY 99 Tax FS FUEL SURCHARGE 1.00 LD 5.000 10 5.00 0.33 WINTER WINTER SERVICE 1.00 CY &000 10 54.00 3.51 Total PMDIS REDIMEOFF-PEAKCASH DISCOL1.O0 CY -8.500 10 -7&50 -4.97 < 101&� Yehida ,UNKNOWN; Schedu , <UNKNOWN> . Norex <UNKNOWN> A Start Ii ® �.J ®Mxxosoft0ifica5horicuFBad ,:Di ch I 1:32 PM r I`J „'f i• ��7ii� 9 f 0. PICKING LIST - GUEST COPY STORE # 3018 FRID PHONE: (763) 571-8689 CASHIER - PRESS RECALL TRANS FRID 32393 5351 Central Ave. NE FAX: (763) 571-1932 AND SCAN BARCODE => Fridley, MN 55421 CASHIER: PAGE 1 OF 1 PLEASE STAPLE SOLD BY: luke DATE: 02/24/05 RECEIPT HERE. 14 EACH 2X4X8' STUD/#2+BTR SPF CONSTR LUMBER 102-1101 60 EACH 2X6X8' STUD/#2+BTR SPF CONSTR LUMBER 102-1758 28 EACH 1/2" 4X8 GYPSUM TAPERED EDGE 131-1222 12 EACH 5/8" 4X8 GYPSUM FC TYPE XTAPERED EDGE 131-1280 252 EACH .046_TIMBERCREST D4 WHITE 146-1208 12 EACH TIMBERCREST_OUTSIDECORNER WHITE_10' 146-1457 15 EACH 5/8" J -TRIM 1216" WHITE 146-1509 25 EACH 1216" DUAL UNDERSILL WHITE 146-1518 3 EACH #15 FELT UNDERLAYMENT 31X144' (4 SQ) 151-1789 4 EACH ICE+WATER SEAL 3' X 33' GRANULAR FACE 151-1828 34 EACH STNDGLASS 20YR D. BLACK CRC F/G 3 -TAB 151-3596 14 EACH R19 6.5X15X3912UNF B373- 48.96 SQFT ROLL 161-7641 tICE EXTENDED PRIC 2.84 39.76 3.62* 217.20 4.76 133.28 5.98 71.76 5.89 1,484.28 12.36 148.32 3.38 50.'70 7.18 179.50 9.73 29.19 26.58 106.32 9.19 312.46 14.88* 208.32 This is a quote valid today. This quote becomes a yard picking list upon payment. Guest instructions' PRE-TAX TOTAL: 2,981-09 1. Take this picking list to a cashier to pay for the merchandise. 2. Enter the outside yard to pick up your merchandise. This picking list must be present to enter the yard. 3. Load your merchandise. 4. When exiting the yard, present this list to the Gate Guard. (The Gate Guard will record the items you are taking with you.) 5. Sign the Gate Guard's signature pad verifying you've received the merchandise. (If this is a partial pickup, please verify all quantities / items being signed for. Menards is not responsible for shortages after leaving the yard.) THIS IS NOT A RECEIPT GATE GUARD - SCAN HERE => Estimate From Estimate # 32399 U?L�6 ESTIMATE FOR: STORE # 3048 FRID PHONE: (763) 571-8689 Page 1 of l gill 5351 Central Ave. NE FAX: (763) 571-1932 i11 a. Fridley, MN 55421 Young America, MN 55555 Ph: (763) 572-1578 ESTIMATE BY ESTIMATE DATE luke 02/24/05 SKU NUMBER DESCRIPTION OTY TO ORDER ADDITIONAL ITEM INFORMATION 188-9301 S.0.24 -GABLE ROOM-N-ATTICPROMPT 60# 2 -OC 6 EACH ** Special order ** 188-9314 S.0.241GABLE ROOM-N-ATTICPROMPT ENDFRAME 2 EACH ** Special Order ** This is an estimate. It is given only for general price information. This is not an offer and there can be no legally brnarng 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: 969.32 GUEST COPY PAGE 1 OF 1 Tv Z° Engineering WATER AND SEWER Permit No.: 763-572-3551 PERMIT APPLICATION Received ByM 763-571-1287 fad CITY OF FRIDLEY EFFECTIVE 6/9/09 APPLICTATION DATE: '' YOUR E-MAIL ADDRESS: THIS APPLICANT IS: 0 CT JOB ADDRESS: NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME: TE NEN/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: 1.15 V - SUBMIT A COPY OF STATE �•1 b 4wwari �• al/� CITY % f STATE MtfUl °?I� ADDRESS:�IYOUR LICENSE KWH PHONE &1 4731 CELLPHONE- 1012-- i A' i APPLICATION STATE LIC # STATE BOND: EXP DATE: 1. Narrative/written description: 2. Please attach 055 tch showing curb line, utility line, building, etc. with distances. PERMIT TYPE O" ❑SEWER CONNECTION PERMIT $50 o W" ❑ WATER CONNECTION PERMIT $50 1 �WATERLINE _ ❑ REPAIR $40 � �B ❑ SEWER LINE REPAIR�J $40 5 0 ADD STATE SURCHARGE $.50 ❑ SAC CHARGE @ $2000 = J 1,00 .. OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE 'WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a wat6r or sewer (new connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work W, ill be in conformance with the ordinances and codes of the City of Fridley. I understand this is not a permit but only an application for a permit a p'�r1 not to start without a permit. SIGNATURE OF APPLICANT � � c- �°L'T� S' �� PRINT NAME: DATE: APPROVED BY: C DATE: it Z 0 COPY GIVEN idDALM BILLING (only if new meter) ❑ PUBLIC WORK' 'VINEER14G City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3551 FAX: 763-571-1287