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AF - 47168City f Bi�� . nate: """` .,,�" �' . r� � Owner: __�����- ° `f`''� ' .'.�' y �..� .." � Addre�a �► No. Street Lot —.��_ Blo � Corner Lot _ Inside Lot Sewer IIevatfon Fridley, inn JG PEl�MIT N° 5365 � , . �a+ y : ,� �",i�� . „ ;� . �.�r_��..... P oP Lot _ Ytion or Sub-Divisio� '" � Setback .��� Sideyard ��_�_� Founda.tion IIevation OF BUILDING To Used � �Front ��� Depth .�.,� Height � Sq. Ft ���..�.� Cu. Ft ���� Front ..� Depth eig�t • Sq. Ft. .��� Cu. Ft. ��.�V ,y � Tj�pe of nstruction Cos ��31_'�....` To be Completed . Itt conaideration oi the issuance to me of a the proposed work 9n accorda.nce with the descr ordinanoes of the cfty oE Fridley. Ea consideration of the gayment of a fee of E to construct the buil�ling described above, I agree to do above aet forth and in compliance with all provisions of �� permit ia hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom t is granted and his agents. employees and worl�nen� ia all work � done in, around and upon said building, or part thereof, shall conform in all respects to the ordinances of Frldley, Minnesota regardiug location, constru 'on, alteration, maintenance, re�ir and moving oE buildinga ��� dty limits and this permit may be r voked at any time�pon violaU�'on of any of the provisions of said NOTICE: Y6is permh do� eot cover the �oastrucHon, I th� Buildtne tospeetor fo� aepa�aie permtb for �heas ,/�� ,.� _ ;.. ,�. Bwtldin8 Inspector foe wirine, plumbfng, 8as heaHng, sewer or Mrater. Be wro to ses 4 ^ . �, APPLIG�TION FaR HtTII�IAIG PERMIT CITY OF FRIDLEY, MINNESOTA Or�raer's Name ����� �f � Builder �/�� �-- lddress lddress ��� � ��✓% �_ �-�'�'��- LOCATION OF BIIILDING No. %// f' Street a�'��� Part of Lot Lot �_ Block � Addition or Subrlivi.sion�����'�� '� � / Corner Lot Inside Lot � Setback �� Side-Yard SE�JER EI�EVATION ��� � FOUI�IIDATION ELEV�TION ��� -� � �ppl3cant attach to this form Cartificate of Survey of Lot and proposed building location. To be used as: 9 Type of To be Completed DESCRIPTION OF BIIILDING � Sq. Ft. Cu. Ft. Front_�_„Depth Aeight .� C� _ Sq. Ft. Cu. Ft. ��'� � Estimated Cost / � �� ` . � � f The undersigned herebg makes application for a permit for the work herein specified, agreeing to do all work in atrict accordance with the City ardinances and ruling of the Department of Buildinga, and hereby declares that all the fa and represent�tione stated in thia application are true and correct. � DAT� � ' Y� �' / SIGNATUAE (A Schedule of Fee Coats can be found on the Reverae S3.de.) �� „ . .� � BTJIL�ING PERMIT FEE SCI�DIIIE Section 2. �he In�pectos of� Buildings shall, before issu�j.ng ar�y permit for the erection of ariy bu3lding or structure,� or for any add3t�.on to ,ana► e�i.sting build- iug or structure, or for a.qp al.terations or repaira to any ex�.�ting building or structure, upon application therefor, require the paqment by the applicent for such permit of fee$ to the amount herein below set forth and in the moaner hereia provided to-wi.t: 2.1. For any such permit for the erection of any f3re-proof building, other than a garage, warehouse, fsctory or grain elenator, or for the erection of an�r fire- proof addition, for aimilar occupanc�, to a�r existing bu3lding.shall be at the rate of �.L40 for each one thousand cubic feet, or fract3on thereof, in such cubica]. contents. 2.2. For any such perm3t for the erect3on of any fireproof garage, warehouse, factor� or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of��►]..25 for each one thousand cubic feet, classified as °firegroof�� b� Section 502 of the M3nneapol3s Building Code. � HOUSF.S 2.3. For eny such permit for the than a garege, warehouae, factor� addition� for s3.mi].sr occupancy, each one thausand cubic feet. GARAGES erection of any non-fireproof bu31d3ng other or grain elevator, or any norr�-fireproof to any exist3ng building. Pex�mit $1.00 for 2.4. For any such permit�for the erection of an�r norr-fireproof garage, waxehouse, factory or grain elevator, or for the erection of any non-fireproof addit�ion, for simi].ar occupanc�, to any existing building or for each such build3ng or addition. Ninety Cents for each one thousand cubic feet or f`ract3on thereof, in the cubical con�enta thereof with a minimum of $4.00. For the purpose of�computing fees for building permits �he cubical contents of any building or addition to a un3form height throughout by multiplying the ground area covered from a point s3x �(6) inchea below the floor 1i�i� of the 'ba.�ement or cellar to the average height of the upper surface or to the average heighi of the roof surface of the main gable of a pitched roof. . 2.5. For repairs or alterations to an exi�sting structure, the fee shall be at the rate of �3.00 for each Five Hundred Dollara ($5�0.00), or frac�ion thereof ia the cost of all proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less the,n �L�.00. �� �"'� d . � _., � � � � ; �?-�w, , ".� z �?,� r ��'i' "r -. � _. 4„ ,..,,� .����;.�� e . . . , '" �' �: -, �''x '�"�`��:-�T'# e�i � g ��' �� .. � ��,sa.' x � - r i'c �� � � ;� � - " . , . .� . . : . � v�r. . ....�..�: , . , . .. . .. . . . . � . . . . � . ' ` . ..� � . . �. . , . . . . „ - .� . Land Plv�rni� 687"�-N� �C5 �V.E. c�.�y�� M� u � .�s�� . E1��i1t�ERf:�1G� iN:C. ,�� : �: c�� � �,.;,�part � . . stf,�t ��o►�c �� . , , —.�. E,�;� i�eers E Surverfors — =���'���� �� !�C''!��y' ��►� E RC4 �NC. � _ � _ 1 ;,.�. �. _ � .k � . ��:. .,. , ` r _ . � ' � � ; �_� � . T, ; , I � I �� �� � -CZ� � � � � � / -+ . 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Q. � �" � � o A � � � � �� � O � ��� � � ���� d � �-� � ��°� � � � �� ��y �, � ���� ���� a��� � �iR+�p ��O ap�� P y � � �� �� � � a� �� � ~ e�► � ��� �� � ��O � � fp �. �� � � _1 i � m N _ m C r m G b �. � � a � a i► A V O � � � u� �'p '�?. �• �i � � a� � � � � �� � � _ � �� �� � � �� O.� v< e. �, � � � �• � �'. � 0. 0�� �•,6 -.... .42 HEAT LOSS CALCULATIONS DEPARTMENT Weatherstrips A.S.H.V.E. Construction T Guide Windows Doors Reference Out. Wall Int. Wall Ceiling —No I —No 19� �—�{ Z ,, 3 F7. Room � Length /� � Width Jo2,/ Height �� Windows d Doors—Crackage and Area Width Helght No. oL Llneal tt. Area No. o[ Dane of pane Ifghte ot crack eq. tt. � .� -O � �3�0 � .��o' G ld� �.3 .o Coef. Btu 1n61tration , Glasa 4.0 .S�S 3 a� Exp. wall Net exp. wall / jt� ,�' ,� Int. wall Ceiling � /� � p Floor Total Btu. ��'/ Required sq. ft. E.D.R. or aq. ina. W.A. l.eader area o2,� FI. '— oom � Length o,Z, i Width /',Z / Height �� Windows and Doora—Crackage and Area Width Helght No. ot Llaeal tt. Area No. ot pane o[ pane 1lghts . ot crack aa. tt � y / O /�j's.b � z /��o , � �/��� �� �k �.F.7 � � In6ltration � Glasa � Exp. wall Net eap. wall � , Int. wall Ceiling � lp Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area F7. Room � Length f,3 / Width /, Windows and Doors—Crackage and Area Wldth Helght No. ot Llneal tt. Area No. ot pane ot Dane Ilgbts ot crack ap. tt. � L/ o7.g Z `�%i /_�ofP Bc� �� 3 .3 L �Z� O�� Coef. Btu Infiltration 2�. s � Glaaa /,�'.�e .s �,� Exp. wall ,o Nec exp. wall � /� � Int. wall Ceiling � /,p �—� l=loor Tbtal Btu. �� Required sq. ft. E.D.R. or sq. ias. W.A. Leader area �f«� OF BUILDINGS FRIDLEY, MINN. fo. Insulation Roof F1oor Kind How Applied _ .�- � : FI.� Room Leng�h /3 Widch 2� Hei�hc �� Windows and Doors—Crackage and Area Wldth Height No. ot Lineal it Area No. ot pane o[ Dane llg6ts ot crack ap. ft. � � Z /. 1�� Coef. Btu Infiltration , / a ,Ea Z Z Glaee 1. Z� F.�cp. wall .�-/o Net eap. wall , ,I(� � Int. wall Ceiling /�`'i ��� Floor TotB� s�u. 3 Required sq. ft. E.D.R. or aq. ins. W.A. Leader area � Fl.l Room (1.•�ps� a/ Width 9/ Heighc �'/ Windows and Doora—Crackage and Area Wldth Helg4t No. oi Llneal tt. Ares No. of ptne of DBne Ushts ot crack ea. fL � �D �- , /� Infiltration Cslass Fap. wall Net eap. wall Int. wall Ceiling Floor � � a Total Btu. �p�C ed aq. k. E.D.R. or aq. ins. W.A. l.eader area � T� Fl.� Room I Lensth Width Heighc Windows and Doora—Cracl�age and Area Wldth Helsht No. of L1nea1 [t. Area No. ot DaAe ot pans Ilghts o! arack �. [t InGltration Glaas Esp. wall Nee exp. wall Int. wall Ceiling Floor Total Btu. Required sq. h. E.D.R. or sq. ins. WA. Leader area Btu �F _. _ J ;� sue�ecT PERMIT City of Fridley 15 5 01 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r ; � R IPT NO. � `L _ COMMUNITY DEVELOPMENT DIV. � �� � „� r � � PROTECTIVE INSPECTION SEC. J�' � . � � � /�'�1 � CITY HALL FRIDLEY SS432 NUMBER REV. OATE PAGE OF APPROVED BV �""-'� � ��� 612-571-3450 910-F15 10/1/79 � � JOB ADDRESS 6719 Jacic�on Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHE� DESCR. 1Q 3 Meada�nrlanc3s 2nd Additi.on SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Edv�rra,rd Blilie 6719 Jackson Stxeet N.E. 571-1572 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE �ICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residential 7 CLASS OP WORK ❑ NEW OX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOHK Consfxuct a 14' x 22� Gara e Addition 9 CHANGE OF USE FROM TO STIPULATIONS provide �I a ha.rd surface driveway. Provide fmst footings. SEPERATE PkRMi1`S REQt�tREO FOR �11Rt�fi�. HEATING, F'Lt�M81NG AN� S!Gl�S. � �����j� Befote 4ig��+t �tl4ocal �S Etc. �PHONE • EIECtRiC - �� REQV�aEO g'� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, NPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. �{TOOCl FY'3IDE. 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 ], 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 �SZS7S �`�.. 29 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. $1.2.32 PLAN CHECKFEE TOTALFEE $13.61 SIGN rua OFCONTRACT ORAUTMORI2EDA EN'r � 1DnTE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT � _:a,� /� � SI E OF OWNER iIF ER D I IDATEI BLDG 1NSP � fE CITY OF FRIDLEY - . � APPLICATION FOR RESIDENTIAL BUILDIP�G PERMITS ' � (New, Alterations, Additions, or Repai'rs) . , J�� � , � �� 04JNER: - - �� UI LDER : . � M � ADDRESS: �`` _: °������ � ADDRESS: � TEL N0: � �/ � / � ��°' TEL N0: ' - s�x rro : �'ri � ' s� LOTc l� BLOCK: '� Consfruction Location ADDITION : / CI �/1�dj O� (.-/i"� �J� ��-r J �j� ;� Corner Lot: Inside Lot: Setback: Sid�yards: Applicant aL-tach to this form iwo Certificates of Survey of lot and proposed building location drawn on certificates to scale. � DESCRIPTIOW OF CONSTRUCTION � � i�'el� � ��J Front: ���� Depth: � � Height: /(, � Squa�e. Feet: C�.ibic Feet: � Front: �pth: Height: Square• Feet; Cubic Feet:. Type of Construction : _ VCJ�� ���� � � Estimated Cost: $ ��� � Rb Be Cbmpleted: . _ Alt. A Alt. B • Proposed Driveway Width If New Opening Is Desired: $' $ , , SEE REVERSE SIDE OF SHEET . The undersianed hereby :nak�s applicaticn €3i a p�rmit far the worn'-herein sp�ci:fiEd, agreeing to do all work in strict accordance with the City af Fridley O-rdinances and rulings of the Department of Buildings, and hereby declares that all the f�cts�nd representations stated in this application �xe�true and cor�� � �� �_ DATE: � Stipulations: � . la,�� ,.a9 �� �,�3� . SIGNATURE: �� U ► �� � �rZ o� i �0�7�u CS �.f. . , ..- . __ . . . , � . _ . ,v�- • BUILDIIJG PERI�IIT �FEE_ SCHEDULE� , S�CTIOH 2. ThQ Znspector of lluildings shall, before issuing pern►i�s tor the erec�ion of any building or UL•ruct•ure, or for any additii.on tio any exisL•ing buildiny or struct-ure, . ax' for any alteration or repairs to•any er.i�ting building or strueture, up�n application 'L•hereiorc, require the payment by tiie applicant for. such permiL- of tees to_ the amount hercin be].ow set fortih and in the manner herein provided to-wiL-: � NJiW CONSTRUCTION: Sing].e 1'amily iIomes and Garages : $4 . 00/l, 000 cubic teet. PLAN Cii�GY.: 25 percent of bui.lding permit fee. DRIV�WAY DEPRL•'SSIOi1: (Concrete, Curb Streets Only) �' � • Alternate A: Remova7. and replacementi of concrete curb and gutter only; Driveway width plus 6 feet x Y1�e75 -. Alternate B: Removal and replacement of conerete curb and � .� gutter and install a 3 faot wide approach with �' ' .- 6 inch depth; Driveway width �plus 6 feet x$17.85 � :1/ � d l �' �1 ror the purpose of computing i'ees for building permits, the cubical contents o� any bua.lding ar additi.on, is determined by m�.il.tiplyizig the ground area covered from a paint six (6) inches bel�w �(-hc f3oor line of tb.e basunent or �tli� cellar to the average heights ai the upper surface or to the average height of the �:oof suriace of the raain gable of a pitched roof. � For repairs or alterations to an existing structure, the fee shall be at the rate of .$3.00 rier each tive hundred dollars °($500.00) o'r fraction thereof i.n the cost of all proposed work. . . , ' In•no casa shal.l the fee charged for any pexmit as set forth in 5ection 2 be less than $7.50 plus $.50 state surcharge. ' ' a 1 1 1 ►1► � NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review af the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location oi the foundajaon once it has been constructed will be required befare proceeding with the framing. i : � � '.1 '}�pplication for a CertifAC4� af Ciccupancy s}�alt be made �:en (10) days prior to the use or occupancy of any structure for which a building perniit has been issued; and said structure shall. not be used ox occupied until a Certi.ficate �f Occupancy has been issued. 0 ❑ 0 . s . . • � � � ' ' • , . Fi.' "-._-...-"-p Main Office 571 6068 � UoUROAN 6875 Highway No. 65 M.E. �. �NQIN�6RIN0 Minnea�lis. Mmrtesote 55432 � � � ING �� South Offlce 890-8510 � f 1iiJ & Muninpvl Engu�eering � Soil Teatu�g � Lor�d Sunryuag � Lond Pla�uung 1101 Cliff Road Bwnsvdle, Minr�esota 55337 da Mort�age Loan 3urvey for �DWA�p 1� •�1�►1 �.1� �rr I � � Z d �� � I � ---� ----- — —-- ____ _��___�_,___ __� �,� �,.� o V•,TS,! _ . c, � //. . u� Z2 `� �r; _�� � - ---�=`'�� - - - '' f � , �- � % r ,� � � .) �: � � # _. �� ` !'..•-._ , _ ;� �th �t .y `. - . � � ���� ���� � � �..—°��iRe�a �,r�G� 12� . � r 1 �� �� -- ----�-�-- ----- -------- �� � �I �- �I � �I a� �+ , % s �� ��a��j�,�. � , ::� .. f'7GR1-F�i: �e� = �?f?� lJr��' M I�t�' ��%� �Lb�i� �j� � , I�i�Ac�vwl.Ar+c� 2 "'}' �c�c�a��c�r� (�� ��-�r�'j This is o tr�e and eorrocf representation oi a svrvey oi �he 6oue�derie of the land obove deseribad and of fhe tocofFan ai oll bulldiegs, if cmJr, thereon� aed oll vlsible eneroachmeMS� ii' y� fro�n or on said land. This surrer is e+ode onlr in eorteaetion with a morfgage loan eow befng placad on propeNy ond no fiabiiitp is as��med eKeept �o tha holder of sush mostgage or any other intares� aequi�sd y t reaso f aueh enorteage. If is urtdarsfood ped agreed ��no�w�t� have boen,i�1,(�ced /or the �ur a 6sfab sh ng lot linss or bouedory cornen. Doted tht��dor o} u�.,.'',I'' A. D. 19� � �l/g�Q � � �1 ING IN V���� , lot PubHshed: Aq Rights 13eserved ��."�°i r . , �. ' a �3urreyers QOI5-09f�`Zt9 OiZt"9�£-'�Q9 TZi�S'��lW '�IPl�d t0iL�3''d'S'sU83 �!^s '3'N �S u!$iN OITB, '�►1fi �t► 'S bOL OI�E`L�'LG9 �g�y, duui�yy� 'uuuti�sMO i�J 'Ft �L $���; Y�it10I(�f�� Sil37tl30 'N183111W ONIOl1A9 '8 il39WA1 11{IL�! 01 Sa01A8t�1� 3'ItlS3'tOHiN a�oEt-�st�s L090?�''�s�'assm� e"f �. �au�e�l4 �£Lf �609£— l6irL05 3NaHd ii9055 1d1053NWI{r� �VNNd11dMa H1f10S 5i� at102i A1Nf10� 9N IO�tld QN083b Al11ddW0� �Ntaadd a3een� • ld�Q , j���d� A1 d d 11 S S3ItlOSS3��t/ 13dt1Fl,� wu 513dti1/� aNV13�lIf'� �i{a�S�� ti� z�oc 811Tffi 'Y�N. `f�'tis� �li�%r1tlE�81, � sue�ecr PERMIT NO. City of Fridley 2� 5 9 ' , AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R O. f � � COMMUNITY DEVEIOPMENT DIV. � � �� yG� � �V � r � � PqOTECTIVE INSPECTION SEC. 1 i � � �"��1 � CITY HALL FRIDLE� 55A32 NUMBER i1EV. DATE PAGE OF APPROYED BV ti.__.J`.' '-� 612-571-3450 910-Ft5 9/27/90 � � JOB ADDRESS 6719 Jackson S"tY�t 1�T.E. t LEGAL LOT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED DESCR. IO 3 Meadowlands 2nd Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Ed Slilie 6719 Jackson Street N.E. 571-1572 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. D& D H�me Iinprovement 7401 Central Avenue N,E., Fridley 784-7543 4 ARCHITECTOROESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAILADDHESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Residenti al 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION C� REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroo� Dwelling .(2nd layex') 26..squares 9 CHANGE OF USE FROM TO STIPULATIONS Roo�inc� can be 2nd layex' but not 3�d. �nstall xidged galvanized valleys SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATINO, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WOFK OR CONSTHUCTION ZONING S�. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED Ofi ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ ANO 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 $1F3OO yS.(�j WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31 e OO STRUCTI O THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE k'ire 5C $1.30 $32.95 IG ATUFE OF CON7RAC10R OR AUTMOR12E0 AGENT IDATEI EN PROP ID E THIS IS VOUR PERMIT � c� �a �-�� SiGNATURE OF OWNEF �IF OWNER BUILDERI IDATE� ,'! BLDG INSP OaTE NEW [ ] EffeCtive 8/16/90 ADL1N [ ] R-1 AND R-2 �`� [ ] Builclirr� Permit Applicatiaai ��� ��: _����' :��,��� <� ��� Legal D�.scri�tio�n: Owizer Name & Address: �� ��0�,� Zti1. # � ,�� ,�• a�� � • zra.. # ���i�� ��• __���� �'�.��� ��i� � /1�,��' . Attach to this applicati�, a Certificate of S�vey of the lot, with the praposed oonstruction drawn an it to scale. LIVIIJG ARE�i: Zerigth C�iR1�iGE ARF:�i: 7�s�gth DEGK piRF�i: 7 erlgth OTi�it: ��� «• �• .� . � Width Width Width Heic�it Sq. Ft. Heic�t Sq. Ft. Hgt/Gro�]T�d Sq• F't. Corner Lot [] Inside []�/� Ft. Yd SetbacJc Side Yazd Setbacks Zype of Construction: �� �f� ��� - ,� Estimated Cost: $ l�� '° Approx. C.aanpletion Date: � � �� � ,��{�eS _ ��' Proposed Driveway Width If New Is Desir�d: Ft. $ $ Width + 6' See Back Page I]]i�iiTE: �� � APPLIC�flVT: ���- Z�e1. # Fermit Fee s � l, � � Fire SuYri�aYge $ / , � D Stats S�rct�2�ge $ � (�S.' SAC Charge $ Driveway Escraw $ Park Fee $ S�wex Main Charge $ . �� szz�z�s: $ �� .9�,°� CITY IIBE �Y Fee Sc�edule an Reverse Side .001 x Pnxmit Valuation (1/lOth �) S.5o/Sl,000 vatuation $600 per SAC iTnit Alt. "A" or Alt. "B" Above Fee Detel'�lil'I�d by �'lg; r�ri r� � N�y L] r�ot NevessaxY [ l � e,,,'�_ i:,� ■ . . • �,-; � � �,- _ �:��+• � - 73ie Chief Building Official shall, before iss�?*+Q �*�++;ts for the ex�ec,�tion of ar�y ,; i ding or stnicture, or for ar�y addition to ariy existirig building or structure, or for ariy alteration or re�ai r to any existing buildux,� or structure, upon application ther�efore, require the payment by the applicant for such �r+�+; t of fees to the amaa.mt herein below set forth and in the manner herein provided to-wit: � �L VAIIJE $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 a��. $15 (Minin�a.an Fee is $15 plus surch�rge) $15 for first $500 plus $2 for each ac'�i.tional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to arxl includirig $25, 000 $252 for fiYSt $25,000 plus $6.50 for each add.itional $1,000 or fraction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each aclditional $1,000 or fraction thereof, to and includirig $100,000 $639.50 for first $100,000 plus $3.50 for each aclditional $1,000 or fraction thereof, to and iricludirig $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction ther�of, to arid includirig $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVE�,Y DEPRESSI�T ESC�OW (Concrete Gtirb Stxeets On1Y) Alternate "A": Removal and replaoement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replace�ent of curb and gutter and ir�stall a 3 foot wide approach with 6 irx�h depth - Drive�way width plus 6 feet times $15.75. • ' • 11 I� • •7 Pprmi.ts for construction will be issued 3 n►� *� i� n++ of 24 hours frcea the time of a�lication to allvw for proper revie�,r of the praposed structure and of the oonstYUCtion site. A Certificate of S�YVey of the lot, sh�airig the location of the faiu�dation once it has it has been oonstructed will be required before proceeding with the framing. � � �.. : _ SUBJECT r rvv. -- City of Fridley 2� 2 5 5 ' , AT THE TOP OF THE TWINS g � I L D I N G P E R M I T�' RE . � �� � COMMUNITY DEVEIOPMENT DIV. �� �ti: - --- r � � PROTECTIVE INSPECTION SEC. � i � � �"�'1 � CITY HALL FRIDLE� 55432 NUMBER REV- DATE �AGE OF APPROVEO BV �""� � ,�� 612-571-3450 910-F15 4/2/92 _ / / JOB ADDRESS 6719 Jackson Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 10 3 Meadowlands 2nd Add'i.tian 2 PROPERTY OWNER MAIL ADDRES$ Z�P Edward Blilie 6719 Jackson Stx'eet NE 3 CONTRACTOR MAIL ADDRESS Z�P Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER MAILADDRESS Z�P 8 USE OF BUILDING Res identia,l SEE ATTACHED SHEET PHONE 571--1572 PHONE LICENSE NO. PHONE LICENSE NO. PHONE LICENSE NO. 7 CLASSOFWORK O NEW � ADDITION � ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK InStdll Sp��'its. 9 CHANCiE OF USE FROM STI PU LATION S TO SEPARATE PERMITS ARE REQUIREO FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING S�. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOF A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION �- STAILS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED 8QO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE pEfiM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $2�,' OQ O�ONTR�.�UT���E/�N/J� ��A ��f/' �� w GtiOUP I OCCUPANCV LOAD CU. FT. �FSTREET PARKING IGARAGES JRTAX $,50 �C CHARGE �'ire SC $, 8Q , �TAL FEE y�22 e.3� TNIS IS VOUR PERMIT NEW [ ) Effective 3/ 1192 ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Qwner Name & Address: Contractor: Tel. #_,�?/ / s�7 � MN LICENSE # Tel. # .S% '/�7a- � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIP'fION OF IMPROVEMENT �� Width Height Length Width Height Leng�th _ Width Hgt/Ground Corner Lot [] Inside Lot [] Ft. Yd . Setback Type of Constivction: Approx. Completion Date: �'- Driveway Curb Cut Width Needed: _Ff. + 6 Ft = �- Ft . Sq. Ft. Sq• Ft, _ Side Yard Setbacks Estimate� Cost: $ �; 'p� • �--- (Cost on Back) Ft x $ _ $ DATE: �- APPLICANT: � el. #Sr�f -�57� Permit Fee $ � /, G G' Fire Surcharge $ � � State Surcharge $ o,�C SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: � aa.,�� �, Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $700 per �SAC Unit $5.00. (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] . �� 'a' � BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the ere�tion of any building or structure, or for any addition to any existing boilding or stiucture, 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 $25,0(10 $25,001 to $50,000 $50,001 to $100,000 $1�,001 to $500,000 $5(ro,001 to $1,000,�0 $1,(�00,001 and up FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for �ch additi.onal $100 or fraction ther�f, to and including $2,OOU $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fiaction thereof, to and including $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction ther�f, to and including $1,000,000 $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction �thereof DRIVEWAY DEPRESSION ESCROW (Concrete C��rb Streets Only) �lternate "A" : Removal and repla.cement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 f�t wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. 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 constivction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been consh�ucted will be required before proce.eding with the framing. - �, _ �, c� D� oo G� G) ��`� tn � c) oo ao Q Z 0 � I"' �D 01 N 41 01 O1 01 C N, d �D fD o�o � O N v� �� c��n c��o c�"u ��? g � �� ccn °, _ � � ° m � m m� � m °��' n�i � � �D �. O � �� � � � ° ° �: � � � �' � � m � -, � � � _<' r' N. H �n � � D � < � m �c � � � c�u Z D o� z � � d � .o „i � � � .n ° +� � N s �v � -+ -n S . 'L�. �I o � � A � �' C D 1 � ° m � �n o m = � W � D�� a m � � c �°—. c�n � � c� D '< � � � � � � O m D � D � co � � � � ' v m m � ° . c m � I I��I I I I I I I I I n z N � �e, � �s - - - -- n � 0 Z � � � D � D Z v D � r m � rn ,D n � � � Z < m z -� z O � Z D n � � v m ..� �.������nt�t�tflt�� CJ� O O O v O y v V V C11 A V O O O"O � O O O O O G O O O O O O � O O O O O O O O a �n � � Z C � v � c W � � � C � I � � � � o � i � I � �S m Z _.v ° . � � � • � v A' � V m � � a n H .. ,�, � � m (� � 3 , _� ! _�y . 3' , ^::�,�M-�,�'k"`.{�a�4+'+�V.;.krz . :'�@� v?�IQJta,,,�.tc—:t'+i.d .#w .«So�,�h: ' ? "�x' � c a _ � C W a _ � � n � �IP � ! s c : i � � f l N lO � � � "'� "1MI�i%�40�� i a c'flo ; �' � a, 1 y �C ; ; �, N �: « �S � i � � � I � W O � I -• i � � O � L � � � I � � � . �• O j r w' � � ' a � � ? � � � � y � ! � 5: i ; c. c�, � � � w, � :� � . � c� Q � � � a m � � � i � � : N � : . � � � �; tp c � A � : � O i N'* n, . N N il � � r C W z � � � C � m � � � z 0 D m � O D r � W � 1 � s,]T�` ••,' :a::.. 4 N fl. w � � rn� C p °A��.-n z m` � �� � ,� v N C ,,,m� m Z m� m c� -� O z < 0.�� � � � 0 � m C fD O L � � N O O O �' ..:��. �y. '.b.�°?�c�` d.'�4�zp�iy�3�'#+'.��i�' �:,��� ���-,.'�. _ CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UMVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 11, 2002 Edward Blilie 6719 Jackson Street NE Fridley, MN 55432 Re: Final Inspection at 6719 Jackson Street NE Contractor: KCJ Enterprises - Mr. Rooter Dear Mr. Blilie: A plumbing permit was issued on March 14, 2000, to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no permit called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/ls R �` t a :� � � - !- .a F � � lil �i ` 1'', �W �I 4 1 �.; a, , a � � � � ;� �. � � �: � � .. • i, _Y<�.• � • 1 1 • K; 4 � - , � , �� � � 1 . k , f Sa�*s ` � JYc � !' R .a\�1d� ' ,� ,v. ; �r �� l ���/Cl.�l�:� a � . ���x _ ��� . � . . �� . _�_._.. _ �. �� _ �; 6719 Jackson Street N� � �� 7f 3-784.-2�69 _ a�� �. � '' ; Turco Constx�uction Inc., ' �...�.:. ������� 20287552 ��? _ ��t ��'�' �� .�,� �� �'i 808 Lilac Drive North ��� ��� ���� �� ��:m �-������ �� 763-537-3535 V �� �.�F�.'i`i�` . � �c�L� A 'y, . . e��3�'��� � � ����i i�.� � �_ _ r�� r� . _ .� � � ��. � � �� ��� � �M�; �� .. � -. � ,�� - �� � � �. � o � � ,r �. ��� ��_ . :�: � � � , � ���� : ■� � �. ,;; � + � � 9 �: �1� � � � i�r � °. � . '!A `. R k '� :� , �.. i4► .� ,A., �i � : �� sl�-I�L C�. �.-. .•. r"-.. ".. �1! LF] � 1;13��. ' f� -: li � ..r... ��, �?: �•� �.. �� gi 1ffi �i� i i+: � �;�.:�.� �', 14 ��k ��.'� f�•t�,.-� k;� ��. " A�',.� ' � i . �.,'x � �' II� r�. , ; �t1� s ■ : x � � aE > „ ;r:t ; �: ` --� �. .� � ..„ _ , , � �s � r e � : � �;: � �� �� � �if � �' � • i .3jr. � �' ' r � i�, % i� �r ,l 1 �, � ' -H a:t;. 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