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AF - 47175Caty of Fridley, 1Vlinn. BIJTI�DING PE�VIIT N� 5� 5 8 Date: �"""��_ � ,'3 ^ - , �� Owner: Builder +��..e�` �' Addr�ecss Address LOC TION OF 1 ING No. ��j2��� Street � Part of Lot Lot -� _ Bl Ad�ttion or Su'b-D4yi�� .� � Coraer Lot Inside Lot �"�""� Setback � Sideyard �� Sewer IIevation ° Foundation IIevation �, DESCRIPTION OF BUILDING T „ Used � � P ��'+�'— g .a�_ q. ��`,� F'�� Front _� De th Hei ht . S Ft, Cu. Front �!� Depth �,�� HeiP,ht �.. Sq. Ft. .�� Cu. Ft. :��� Type o c13on Fast. Cost � To be Completed 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 descript3on above set forth and in compliance with all provisions oP pr8inances oP the cfty of Fridley. � ' In consideraiion oP the payment oE a fee of $,��� , permit fs hereby granted to to construct the building or addition as described abuve. This permit is granted upon the express conalition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, around end upon said building, or any part thereo% shall conform in all respects tp the ordinances of k'ridley, Minnesota regarding locatton, construction, alteration, maintenance, repair and movfng of buildia'ga ��� dtY limits and this permit may be revoked at any 't�e upon�violafi�"on�of aay of the provisions oE said BtSlding 7napector NOTIC� T6b permi� does net eover t6s caest►ueHon, Inshllaiton for wlrtng. Plumbfng, gas 6eaHeg, sewee or wafer. Be are to me ths Butldtee lespeefo� for aeparate peraifs io� 16�e ttems. /'� 4 ^ � -� <- .�. _ - - _ _ �, �__ -- � APBLICATI011i FOR BUSLDiNG PERI�lIT CITY D�' F1tT�J.�EY, N[�NNE�4TA LOCATI011T OF BUITaDiNG No. � ` � of zoi I .� � �, .�` Hlock_„� � �Addit3on or Subdivis�.on,�,+� � �� Corne�c�Lot Tnside Lot Setbac��Side-Yard � SETnTER Ei1EVATION �� FCIUNDZ�TSON ELEVATION 1 �pplicarlt attach to thie �orm Certiricate of Surv�y o�E Lot and proposea buildin� locat:ton. DE�CRIPTYON OF BZJILDTNG To �e used aso 7 � �'ront��!�Depth ,� � Heigh� `�� eS�s �'tr• �• �.• i . Front—.l-�"`DBP�ch,��I�eight � �'� _. .`.-- Type of Construci� �o be Sq• Ft• Cu. Ft. stimated Cos� �he uriders3gned her�y mak�s appl�.cation �or a permit �or the wo�k he+�ei� apeci�Cied, agree�.ng to do a11 work in strict accordance with the C�.ty of Fricllay Ordinances and ruling o� the D�par�nent o� 8uild- ings, and hereby declares that a11 the fac�cs and represenicatioas stated in this apg�li ation sre true and correct. DA►TE � �?sJ ,� � � ..__, �,__SIC�1A1 .� � (scheaule o£ Fee cos�e car� be found on the Rev�rse �iaej. s� � � , �UiLD�TG PE1�NlIT Zs`EE SQ�EDULE Secrion 2. The Tnspector o� Buildin�s sha11., be�oge issu�.ng any perm3.i: for the erec•�ion os any 1ou11ding or s�ructure, or for any addit�.on to any c�x�s�jng �uilding or sicruc'�ure, or for ar�y aitera'cions or repaira �o any oscis�t�.ng bui.ld�.ng or si:ruc�u�e, upon applica�ion �h��e�or, requige �he payment by trhe a�plicant �or such pe�mit of fees �to the aYaount here3.n below set �orth and �n iche manner h.�rein pgovided to-w3.to 2.1. �'or any such p�rmit �Eor the erection o�E any �ire-p�oo:� building� o�lner than a garage, waac�house, factory or graln eleva�tor, or gor the e:rec�ion o�c any ��s:e-p�coo� addition, �or sim�.lar occupancy, �o an�i e�e�.s�ing building shall he at the rate o� $1.40 for each one thousand cu'�ic �eet, or �ractaon thereof, in such cubical conten�s. 2 e 2. �c ox any such permi� �or �che erec�ion or an�r fire-proof garage, warehouse� cactory or grain eleva�or, �r �or �e erection oi ar,y fire- proo� adc�ition, iox simj.laac occupancy, 'co any exis�ing bui lding shall be at the ra�ta oy $1.25 for each one thousarid cubic feet, classi�ied as "fiseproo�° by Sect�on 502 0� the �l�.nneapoli� Building Code. fiOUSES 2.3. For any such perm3.� for the erec�ion of any non�fi�eep�coof builcl- �.ng oilzer than a garage, warehouse, �ac�ory or gra�.,n elevator, or any aon-sixep�coof add�.�ion, £or similar occupancy, to a�y exis�tinq buildingo Peacnnit $1.00 for each on� thousand cubic �eet. GP�AGES �.__, 2s�. For any such �e�rait ior �he erec��ton oi any nan-�ireproo� garage, warehouse, yac�o�y or gra�.n eleva�or, or for the erec�t�.on of a�y non-fireproo� add3.ti.o�, �or si�nl�.ar occu�ancy, to any ex3sting . build�.ng or �ox each such louilding or add3.t3one Ninaty Cen�s �or each one �ousand cubic �eet or fraction �hereo�, 3n the cu�ica]. conten�s �hereo� wi�h a ma.n�m�n of $4o00a For �he purpose oc cora�u�ting fees for building pernai�ts the cubical con- te��s o� any build�ng or addition �o a un�.fo�m height throughou� by multiplying �the grou�nd as.�ea covered yrom a point six (6) inches below �the floor line o� the basement or cellax �o �che avegage height oiE the uppe� surface or �o 'che average heigh� os the roog surface of the tnain ga'�le of a p�.tched root. - 2� For repairs or alterat3one to an exis�ting structure, �the cee shal� be at the raie of $3.00 per each Five Hundr�d Dollars ($500.00� or iYSC'F�lOYl �hereos in �the cos� o� a11 pro�osed wor� e 2� �n a�o case shall �he fee charged �or any permit as sot �orth in Section 2 be less tl��} $4.00. r"� _...� � ' • `2 - q �, �� g ;' fiq 5�' � ?ic �a. .� V- � � ru:ut x�r . ,� imw. � � .� � t' Y^ �' � . . � � � � ..�?,t z�': . �. . . . . . ,.,. . ,. ,n ., ,., ,.. , ... . 4r . ,,.. . .. . . . .. � � _ .. �, - . � . . . : . . . . � . , .. -: �- .. ;� . . , .. ,. q . . . .� . .. _ . a . .,... , � . . ,., . . . � ..- . . . .. �. .- . �. . . � ._ . :. ,�,.- . . . . .�. . - ,- . .. - . . . ,�., . � ;�ia�t�' ' Gd?°�'�ny +'i� ,�tE. , trr�`3y��ain� Mi�,eqAo�s 2l, .S+e�s � ` - Civ;l� • - , �� � �i� � ����. : �� : � - �. _ �;� ----. �rt�in�ers � Sur ve�ar� -- . . f ������a#.e � ��a : �•� E��: f. �iG - �:. ��r� iz�.s -- � � : . � —'� � . .� _i� � � �. � t � f. � :i' . }--- ,/' , � � ; �,; ; ,: :� , � . : :s ' � ,,`. , . , ' v`' -v � � / � �C Ls� � L+ - r { r � .� � . � � i � �' . ; c.�'' a' � c� � � _� i5 t `f "� I � � �.. � t...� 1 ' � �`� ' � �.s� � . — � _ ct � .,� A i . � �`' -- l'lZ.� -- � : , L(�T 1� C����,'� :�����:����.�.�1 r�'�' .��� I' , �r I�,> Z�' �tJ�T � SC.AL� 1's �0' , /� � �rf'�is a o �t�s aa+d ��c# r�or�sa�f�,i�r� �'a .sr�/ �'�t;�c ��i(r �r �,���d ��ad,�o�9t ,- ���fl�i-�t��.r�,A'��/PfJ1��"�"il/1tf�WSs:lFy.�l�f-M'I�P�I�� �i.�ill'K�t I��/A�7��..,�—..� � Fr -.�..''` �.�.._ A.Q �f � ,�r/iil�ts�l :�1�Vf€�u�l�. /NfL. . = _ � - � _ ��. -� =� ����. `� � _ _ 3 = J-� . �. -, �, ,�;;' $�-�=�'��° �•. -;,. ,�y ,. �.. �,d — , . , ...�,: , ,,, , � , , -„• f�: .z sY �,. ;,�„ , ,.. , . , F. � . , -. ,. _ .. ,� _ � .. 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O . . $ : : : N��,�� v� o 0 0 0 0 0 0 fn O �. a+ w �; � ;��� ° b ��� A � p�p� � p'�^'i' � D � t� o���. � �°° � �b �� fD�O y Q, � � p,"�!�`4 et tiro►�I� � v� b ��'� � ��� ���� p- `+Nk� m �°'op �. � �, y �� �ro a� �.� o��� �yf�D►�! �m�� GQ 8 M y ��P'i �p �y. w �� D � 1'D" � � m � 2 m C m d » M �e � � � � � a A O � '� � � O � � �O 0 � � 0 �'. d ;, _ � t� � � � 3 O � 0.� A � �• � ..� � 3. � � �i. � � ', � d � � �- - �� � . _ Dd6 .._.'< az HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E, Copstruction No. lnaulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor How Applied No I e No 1 ' � � fJ' -3 -- _� '= � : - .� FL� ' Room � Lengt Width � Height / Fl.� Room Length � Width Z/ Height ,� Windows a Doors—Crackage and Area Windows and Doors—Crackage and Area �Vldth Helght No. ot Llneai It. Area Wldth Helg6t No. ot Llneal tt Atea No ot Dane ot vane Iighte ot crack eq. ft. No. ot pane ot Dane tlghte of crack ea. ��/ i � , � �/J� i 't/�Gi�� / L.�� ��. � "f�h In6ltratioa � Glass � � I Exp. wall Net exp. wall � � ` int. wall Ceiling � � Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area � F1 oom � Length 2 y/ Width / Hei; Windows and Daors—Crackage and Area Wld'th Hefght No. ot Llneal ft. Area No. ot Dane ot pa�e IiQhte ot crack sa. tt. G/ c � � , �� / 1. -� � Ga f//_ //i/ � /1% 7 i6 � BcU � �� �/ Infiltratioa ?;� Glaaa �`'� Fap. wall � Net eap. wall Inc. wall ��� Ceiling �� Floor i �_ Total Btu. COtf. Bhl Infiltration � � � Glasa � �2 Exp. wall Net eap. wall �y `� y� Int. wall Ceiling Floor � Total Btu. � Required sq. ft. E.D.R. or aq. ins. W.A. I.eader area F7• Room �LenBth ,� � Width L/ Height Windows and Doors—Crac�age and Area Wldth Helg6t No. ot Llneal [t. Ares No. of pane ot Dene Ilg6ts ot crack eQ. tt. � � � � / / ��' ,3 � �% Z, Inhltration � � Glaas F�cp. wall ` Net exp. wall � Int. wall Ceiling Floor Tocal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i Coef.� Btu Required sq. k. E.D.R. or aq. ins. WA. l,eader area � FI. Room I Length �/ Width / � Vf/indows and Doora--Crackage and Area Wldth Selght No. ot Llneal 1t. Area No. o[ pane ot pane Ifghts ot crack eQ, [t _ .� � / .li � � Infiltration Giass Eap. wall Net eap. wall Int. waU Ceiling Floor Total Btu. � � Required aq. k. E.D.R. or aq. ins. W.A. L,eader area f FI.� Room I � Windowe and Doors—C Width Hefght N No. ot cane o[ o�nw u Btu �Infiltration ' � Glaas 3�� Eip. wali Net eap. wall Int. wall ��_ Ceiling Floor �� ' Total Btu. � w�a� � and Area neal tt. Ares aq. ft. E.D.R. or aq. ins. QIA. Leader area � [!� Btu � M d � y � t�t: r p � . M : °x :� ' M • M • O � a . m o� � . � � � N � � � F+ � � � w � � o '�1 ����o � � � N • o • � $ : o . o . o.. abd : : �1 . . x 0 i4 �a �a � ►�+ � °o 0 0 � irr H . y q� C' z � C%� � z � � z � z � a ° " �M � � � � y �C a��� '�J � : O � � �a p' O m � � � o : � �. : � � . . bd ,°oo �' : � � . . . . ' � . . . . : Gd : : : . � . . . . x 0 �a � � x � � w n� w � � � pp C�77 p C�7� O O O � rs� <n ssa t�s tsa tn � � � y , � � y 0 0 �� a 0 Q x el W , � � � m � w � � � f D � r � --� m � _ m C r m a � i ¢^ \I O � s� � � � � � � � � �� � . a. w p r� � � a p• � � StOrles � � w�Tea �m � � URINNS enr►+ � � 1'UBS D 5'r � � e�siNs � h3 I SINKS �� � W�, � rRars DRINK. FOUNT. SFIIMRS. FLOOR DRAINS �� �i B�SINS � ntrro WASHER � GAS APPL GAS RANGE GAS OPENINGS � • z • � �m � � 8 p $ � ,� � 1n I � � � O m � � � (] �+ F�ia � � b �; � � R. upa � a-�► e � p � �� � � � � � ro ���� � ��� p��� ��' oc�o 5' �' � y � 0 ^ � �� ��.�� � �� � �' � ����a � o, o ���� � I7! � � ;d � � � 'd io��w p m o Q � p�, o p r= � ��,o N ���� � a�� ���� ���o fp M :"�A� �� m ��o � m � � `" � N ��A � �' d �Ay�rr � Fj � � a� R & �°n p � M 1•O� �� � � � �i � � � � � � {� � �� 1 �d Q. � � � � � M � �� � ro � 0 � m � �� � � 0 �� _ sue�ecr � PER CitY of Fridle � AT THE TOP OF THE TWINSy gU I L D I N G P E R M I ° ��O � � RECEIPT NO � ; y ____ COMMUNITY DEVELOPMENT DIV. � r � PROTECTIVE INSPECTION SE0. � , � _ � �' r���� � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OP APPROVED BV ----� ' ••' ei z-ssaaaso 910-F15 4/18/77fd � � JOB ADDRESS 6729 Jackson Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ],]. 3 Meadowlands Second SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Steven A. Holter 6729 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 10' x 9' Shed SEPERA'i'� PERMITS REQUIRE�f F�t liI�R1HG. 9 CHANGE OF USE FROM 1Jc�'��, p��} � �� �, r��. STIPULATIONS Shed must be pernLanently tied down. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTIIATING OR AIR CONDITIONING. Me'�3�. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPEWDED 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 $200.00 �`.SO DOES NOT PRESUME TO GIVE AUTHOFiITY 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. � yS`%. SO PLAN CHECK FEE TOTAL FEE �`8. �0 SIGN REOFCONTRACTO RAUTHORIZEDAGENT (DATEI WHEN PqOPERLY VALIDATED THIS IS YOUR PERMIT �/� 7� _/8 -7 ��� p^ �yNATURE OF OWNERIIF OWNER BUILDERI IDATE) BLDG INSP pqTE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS �NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: 070 � Uc/I° �• OG' c%�,� BUILDER: ��;��; ���' Address : �/ �,� � �%i��,('�S��o ' �'. d�-� Address : Tel. No. � `r �` No. :_ � .� .-� ✓ Street: �%�1��5�.'���' �?-� /��� � LOT: ,o BLOCK: ��� ADDITION: /.�: ��7.°j-�; ;',!'.�?� ;��� �S S� e- 6 �,�f ���--c= CORNER LOT: INSIDE IAT: [�' SETBACK: SIDEYARDS: Applicant atta.ch to this form Ztnro Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: ti�.'���� Front: ,�G' ° Depth: � � Heigh�: Square Feet: • `�e`'� Cubic Feet: � ��=��' Front: Depth: Height: Square Feet: Cubic Feet: 4'ype of Construction: �=� T��,! Estimated Cost: $,���G-�. �� 7.b Be Completed: Alt. A Alt. B Proposed Driveway Width If New Openinq Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: �/�!%� .�� SIGNATURE: ''-���..�..°, .��«�-� .,- --�- _ Stipulations: �� �� �� , � � ���� � � � BUILDI(JG PER��IIT FEt SCHEDULE shall, before issuing Pern►its for the erection existing building or Stru°ture' SECTION 2• The Inspector of Buildings addition to any u on application of any building or structure, or for any�isting building or Stru�t�'e' p or for any alteration or repairs to any licant for such permit of fees to the ���t thereforQ, require the payment by �e app herein below set forth and in the manner herein provided to-wit: Homes and Garages= $4•00/1,000 cubic fee�. �W CONSTRUCTION: Single Family e�t fee. pLAN CHECK: 25 percent of building P AN oval and replacemexit of coiuse6 fee tX al • 75 DRIVEWAY DEPRESSION: (Concrete Curb Streets On y Alternate A= �tter only; Driveway width p oval and replacement of concrete curb and p,7�.ternate B: � roach witY► gutter and install a 3 W a� pauSa6Pfeet x$15.40 6 inch depth: Driveway � ADDITIONA� I IO fees for building permi�� the cubical contents of any For the PurP°Se of computing ��,tiplying t�e ground area covered from a building or addition, is detern►ined by inches below the floor line of �he basement or the cellar to e point si.x (6) er surface or to the averaqe height of the roof surface - average heights of the upp of the main g�le of a pitched roof . For repairs or alterations to an existing structur��► fraction thereo el ttheecoste of $3.00 per each five hundred dollars ($500.00 of all proposed work. . hall the fee charged for anY P�lt as set forth in Section 2 be less In no case s t� $7.50 plus $.50 state svrcharge. IC 0 F F I0 for construction will be issued a m�oi��d stn��t� 5and of�the �e NOTE: Pe�l� ro r review of the p P� of application to allow for p Pe construction site. of the lot, showing the location of the foundation once it p Certificate of SurveY ired before proceeding with the framing- has been constructed will be requ � IFIC 0 P Cl shall be made ten (10) daYs Prior to the ancy �it has been issued; and Application for a Certifs�ructureoforpwhich a building Pe use or occuPancy of anY ied until a Certificate of OccupancY has Saic1 structure shall not be used or occup been issued. ,� - ., � • `� � Lond Plonn�n9 Lvnd Survecfiac� So�ls Testrny Ciwl b Alumcipol En�ineerinc� :�� � J' f 6875-Nr9hwoy f�S �/E. ti�innevFvliS 2l, E1�9 G� N EE R i� G� � N�./. � ��inn�esa}v SUn;ei4-60&b En9ineers � Sur vec�ors � �����.��c��� d�� ��,�3�� �or _ ERCO , `t�I��► . � �. _ t, l % �lJ � —.;: i-- r /\ J ' T� , -, �..J f � <_, L, �� ,�,� 1 �� r- i .`t�� 4` � - I I - ���; - ^e �� , � � I � _- L ' � ' _ i 0 � �__ . . �� '� ic, ,.�� j :1 I � / - ?�, - �-- - - - - -i -� ` r t J, • _: I ' �L_"_� s' �_ .1� ; � � � '�� � � . � � � 1 i, ' ' ' t !! � A t'"'� � f D f � • � � -� -• � ' % ,_ � t �. . , _, __ _ . , '. . ; .i.! ., , '_ .. , . 1 �. .. Srni _ ���_-.�. ,_ � _- .� �a� � �� � -}.._ � ^: k d � � � u� � „, i n" ( `": � r � d � � '� 1 O j �s � � ��f ` ' � _� �' � `C ��� ` \ �, I �� � � i l�tp� A� }^'•;.--1 � T� � 2, � L � E ; . �� '►���ij! . + � • ¢ j' i 1 i f: �f � i; ( i l h�-e zr; ;erfi�'� fhof fhis is o lrue ond correcf rePresenfofinn o�'o survet� �'."ire �ndories c�'f%e aboly descr:6ed land, o�d �'ffr� lcur'U.. ;!��/ b�n/d.-��r s,�ie�evn , ond o!/ ris�b/e encrovchmenfs , r,CuncJ, fran or orr soid /ond. As surreyed by me h5is �'' "�_ �t� af� f=e:.`,-.�z, :,- A.Q19G/ r � SUB U28AN EIVG��IEE21NG , IIUC. 6n ineer_s E S r. r ors 9� � f' �J , � :i, .i • i� �-r.,,�f'_ 1'... :%.=', =rs `•r% 1 ` �., .. � .. � . °00'�b� �-� ssaT aq Z uo��.�'aS u�r u�ao� ��S s� ��ru�=ad 1�ue aoz pabaEV� aa� �K�. Tt�us as�a ou ur ° 9' Z � � sue�ecT P O. City of Fridley 15 5 0 0 , ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T R EIPT NO. r � `L ____ COMMUNITY DEVELOPMENT DIV. � r j � PROTECTIVE INSPECTION SEC. � . , i L-__. � �����,', CITY HALL FRIDLEY 55432 NUMBEP REV. DATE PAGE OF qPPROVED BY L J\ 612-571-3450 910-F15 10/1/79 / / JOB ADDRESS 6729 Jac.kson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1], 3 Meado�nrlands 2nd Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE 5teven A. Aolter 6729 Jackson Street N.E. 574-0807 3 CONTRACTOR MAILADDRESS 21P PHONE LICENSENO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Resident;�ai 7 CLASS OF WORK O NEW � ADDITION � ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14" x 22� Gara e Add3tion 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Provide frost footings . SEPERA'tE PERMIi'S REQtifREO F�R WtR1�G, _.. tt`EAi1MG, Pl.UNI�ING ANO SiG�iS, WARNIN�� � 8efore dtg�ing c�111�a1 utllit��� '�EIEPHONE •EI.ECti�IC o �d�� �t�s R���l�h'�� �°�' t��►'+�I SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. WOOCI FiaIIlE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 $2578 $�-. 2g DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S12e32 PLAN CHECK FEE TOTAL FEE � 13 e 61 SIGNAT flEOFCONTRACTORORAUTNOR�ZEDAGENT .(DATEI WHEN PROPERLY VALI ATED THIS IS YOUR PERMIT •���✓ �O-/-%� 1� [ NATURE OF OWNER UF OWNEA BUILDERI ' IOATEI - BLDG INSP 4 TE . • , • , • CI?Y OF. FRIDLEY • � . - • � � , � APPLICATION FOR RESIDENTIAL QUILDIP�G PERMITS � � � �. r � " � � (Wew, Alter���ions, Additions, or Repairs) � , _ . . ' � 04�`�ER: �� �,��� o�' r -�� G%E � BUI LOER : . . ����� � . ADDRESS: G� � `�' ���/1 � �� ADpRESS: • . ' . TEL N0: _ � �,�=t�� �� TEL N0: ' � ' • � ' � Construction Location . .. • s�T No : � � .�� s�rx�r: ,� � ���c��,0 ���''c r .a. . , • LOT: •BLOCEC : ADDITION : Corner Lot: ' Insicle Lot: Setback: Sideyards: • Applicant atta.ch to this form two Certi.ficates of Survey of lot and e � proposed building location drawn on certificates to scale. �- �. � � DESCRIPTIOW OF CONSTRUCTION • . � � .. � �p A2_I�o� �1dJ�IJ. Front: � �7 � DePth:. 0�2 � Height: /Q f . � • . - Squa�e. Feet: Gtiibic Feet: _ . _ Front: � Depth: � Hea.ght: � � Square• Feet: Cubic Feet: TyPe o� Constructio� : (��jOD ��� (� � , � � Esti.mated cost: S ��%C� . Rb Be Cbmpleted: ° . � � . . . � � . . �, ' . . . � Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $' $ � � � -. , , • . � . SEE REVERSE SIDE OF SHEET _ .7�e undersigned hereby makes applicata.on for a permit for the work� hesein specified, agreeing to do all work in strict accordance with the City of IYidley 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: ��� �7% SIGNATUI2E: � . Stipulations: • � � � . 02 � � ✓ � /��t � 2°�6 F���'c�. � . . . �� � PR� . � i. �9 . � � - . � � � . � �� �I . . . . . � .. . � -- J � . . uu, �v, rvc f�Ear��T r-EC SCHCDULE' . ,. 8J3CTION 2. T)�Q Inra�,�ector �oL 13uilclinq� uha7.l, hc�orc is .uing pennits for the erecL•ion � oL• any buil.a�.nc� ar :�L•ruct:ure, or �or any addi.t•a.an to any exi�L•inc� building or strucL•ure, . ciz tor any .zlteratia� or Xepair:s , to •any exi.�ting }�ui.lding or st•ructurc, upan anp�.ication •.'L•hexeL•orc, requirc l:hc PaymenL by tlie applS.cant far. such permiL of fees to the amount . hcrein be].ow seL- forth and in L-}�c manncr herein providcd L-o-wiL•: . • ' � ' • • : ' N1sVJ CONSTRUCTION: Single 1'ami].y IIomes and Garages: $�.00/1,000 cubi.c ieet. �. PIJ►N CiiLCY.; 25 percent ot- bui.lding permit tee. ' '' D122V�(rJAY D�PRL•'SSIOiJ: (Concrete, Curb Streets Only) � �' • ' Alternate A: xemoval and replacement of concrete curb and ' gutter only; Driveway width plus 6 feet x Y15,75 �• . l�ltcrnate B: Remova]. and replacement of concrete curb and I' .• � , gutter and ins�all a 3 foot wide approach with " .•• : . 6 inch depth; Driveway width ��lus G teet x$17.85 � - •� . . . � _ADDITI�N/1L IN�OR�IATION ' Tor the purpose of computing fees ior building permits, the cubical contenL-s of any builda.ng or addition, is dcL-ermined by multiplying ihe ground area covered irom a point sir. (6) inches below t:he floor line of the basement or th� cellar to the average heights of the upper surface or to the average height of the roof �uriace of the raain gable of a pitehed roofe � - . . For repaixs or alterations to an existing si:ructure, the fee shall be at the rate . of $3.00 per each five hundred dollars -($500.00) or fraction ttiereof in the cost of all proposed work. _ . . ° In•no case sha].1 the fee charged for any pezmit as set forih in Section 2 be less• •than $7.50 plus $.50 state surcllarge. , . � • ' ' . . _ .. . .... . _ . . . _ ..- VERIFICATIO��F FOUNDATIOfV . .. _' . .. .. . .. .. . �NOTE: Permits for cons truction ��ill be issued a minimtun of 24 hours from the time oi application to allow for proper reviecv of the proposed structure and of the construction si te. ° � ?1 Certificate of Survey of the lot, showing the location oi the foundation once i� has been constructed will be required before proceeding with the framing. ' � � � � _GERT I F I C/�TE OF OCCUPANCY � . ' ' Application for a Certificate ot Oceupancy shall be made ten (10) days prior fio the use or occupancy of any structure for �aiiich a buildi�ig permit has been issued; and said structure shall no� be used or OCCL1p7.@C� until a Ceriiticate of Occupancy has been issued. . ' • • • • � • � • • : _. . , . • : . � � . . , .. a .. � - •' • � • ' • , , , . �. � . ' . - -- -- -- _-�` ---- - y_ r; . --- - - ---- --- - - - � __ _ � � -----_ _- � � -- - _ _ �: �' -- - - - � - - � V � - -- - - � - - -�-- � - --•- - _ _- -, � � � __ --- - ��.-- .� -- - --- - --� - - � ---� - _- -- - _ _ �O - -- - -- �- - -_-- -- - - -�I�- � � �I _ _ 41 � -�- __ - -- --- - r- -�i �-- � � - -- __ - --. - - - --- --- - ----�-�-� -- ,' -- -- -- - - r -- - � 1 4 . ... _-' ._._." __ __.___.___ _. __ '-"-__'_'_ _l_ _.. ._�_ � �� B -_. _ ..._.. ._ � � I _ _ _".'-'_'_ ". .. __ _. " -_"' . _ " ._. _ _.i _ _. . 1 _s _ a� — — _'�a� _ _ �� . "" "'"_ _ _" __ _.wL__' .' _._—'." _" __ __ "'"- _.__'_ C6 V i ...—__..___ _ ______. .____�—_._—___--Lea__... ! -_.. � _- _______—_ -.____ V� �1 r� l�1 �'� �\ r� /� f�1 /�1 � i�1 /�1 /�1 � �1 /1 l�1 � /� /�1 �1 /1 � �� _ _ '__ 4 _' _'� usuRSwN �NOIN6�RINa ('md & Mun�npul Enguieenng �.4od Test�ng � Land Surueytng � Land P(muung Main Oftice 571 6086 6875 Highway No. 65 N E. Minrreapolis, Mmrtespta 5543Y South Office 890-6510 1101 Clitf Road BurnsvJle, Minrresota 55337 Mort�age Loan Survey for ��WA�p T�• gl.l L!� � , �� 3+-✓ � I Z D v_� v" Q � � 0 � r �� �,.� .5 12`1.� �Gp,��; � `� _ ��, . Q i� r .,1����, z��. a���►� ��' ID, �`r���c '�, I�G�Aav�.11.At,�g 2 `'� �oc��-�-ee�s� ��� ��d.��-�-�� This is a true and correcf representation of o su�vey of the boundarie of �he land obove , dsscribed arui of tha lotafion of all bufldings� if ony� fheraon� and oll visible encroochmenfs� if y� from or on said laed. This aurvey Is made onlr in connestioe wifh o�norfguge loan rtow being ploced on t proparty and ne IiobilHr is assumed e:cept to ♦he holdm of such mortguga or onr ofher interest ocquirod y t ��asot�'' f sueh mort�age, H is undersfood ond agrsed �,qmonu�no�ts have been I ced for �he iur e estob�d`sh ng lot lietes or boundary cornen. Doted this�day of +a.L.�" A.D. 1V� _ ,+ �' _ SUBUR,BA lill� ING IN� ���'l��- Not Pu6lished: All Rights Reserved � � ����t, wy, . Surv�y0rs t > � �-;1 �,�' ' �...r :a�"z4,. �� SUBJECT City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � ( �L _ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. l-_--� ��"� �,� CITY HALL FRIDLE� 55432 NUMBER REV DATE i 612-571-3450 910-F15 6/8/89 JOB ADDRESS 6729 �?ackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. ],]. 3 Mea,dornrrlands 2nd Addition 2 PROPERTY OWNER MAIL ADDRESS Z� Steve Holter 6723 J'ackson Str�t N. E. 3 CONTRACTOR PAGE OF � / �� PERMIT _ 17541 ; O. l � ��y APPROVED BY SEE ATTACHED SHEET MAIL ADDRESS ZIP PHONE LICENSE NO. Pati.o Enclosure Inc. � 3537 Hillsboro 2�,venue North 546-3322 4 AqCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 8 USE OF BUILDING Resid�ntial 7 CLASS OF WORK 8 DESCRIBE WORK ❑ NEW ❑ ADDITION B 15' x 2Q.' 3 Season Pe 9 CHANGE pF USE FROM STIPULATIONS VVA�NING Before �j��i�g cail locai utilities fE�Ep�01�� � ELECTRIC - GAS ftc. REG2�I��ED BY LAYV ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE & Patio Door TO SEPERATE PERMIiS REQUtRED FOft �YIR�NG, H�,ATING. PLUMBI�� ,��yp SIG�$� SEPARATE PERMITS ARE FEOUIRED FOR ELECTRICAL, PLUMBING, HEATING, nPE OF CONST VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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. UN I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ], AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,250 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S R CTION OR THE P RFORM NCE OF CONSTRUCTION. $SF). �JO PLAN CHECK FE ^�- `��' $14.13 SI NA RE OF CO i RACTO OR AUTNORIZED AGENT �DATEI VVHEN �. �DATE� OGCUPANCYGROUP OCCUPANCYLOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $2.63 SAC CHARGE TOTALFEE $73 .26 RLY VALIDATED THIS IS YOUR PERMIT �� � ��'�!o �1�,t (I;��o • ��kC � Ip�p^ti, s� ��p�R�w "�k � RZ� 1LC LCTML A � � I� ,I`1'� p �' In� '�, 1.� �l�` ��, � J� � � n L� I\�� . ��*f� '' �� Ip� .� 1 1\ �� V1:1 _i : � •� •j �� 0 �� I I — �± � :�' �� . � � .•��!.isr. � C H .[�s.•c.slr�e•.e V ��� pr io ' � �.r — - I' h � a I � t �� �4 ��,� n r J � r � n L ♦ ' \ � L � * I � �� ��� � ; ° �; _ $ r �, a ��� __. � � .� — � ���, �� i i� P ' �� �y�� --' �, '- � 0 _ 2 � i%� - __— ' `� �.�i ��o - --'. � �'� � I' � + _ W:ai � I��O "� � 0 "� i � ` ^ I9 ��` � r{� � ` Po.� ._ i I (' _ - . l� 4�� a[i�0 N fis� .�� ►i�� u. D.� �� . Mlls _ �il' C. � � ' \, I�i- . � . ' . i Il _ IVL� e f/ � 1 •1 � � '�� O ' .� ��'� f a � � �° " r ws rspn .�e . : . _ -_-t ' .-•. 9 i�' '�In � / �! u�ar. 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'� aq�;Y���a+�... . � o�i;��,ti'� �s�r� � . 'Y�x ¢i�,T� � ." � ADDRESS: �o`�z`%; ' � `��� "; '� , `� �°"- ' � --- �`.� ■ � 3 DRAWN BY:� i t,��4Gicsoif . . ���• � ��f � � FI�/DI� �,- ��`'� '�f f, _ r � DATE:. �,c,yy . ��'�r r �• �� . _ " 'Z ��l afi�� � �` � . R ?�l+"^ t: � .._ ' ' _ _ . _._ . . -. . .. - .Y.. �' .."_ '_ . . p� [] City of Fridley Effective 4/1/8� ADDN. L 7 R-1 AND R-2 pI,Tgp. [ ] Building Permit Application Construation Address : � % °� � � �'% � � � �� � Legal Desaription: Owner N�e & Address : � %eu-� �e� /7�t �' � ! �� �'9 �� �0 � ' Tel . # Contractor : �fi Ti <� £",t� c,�,c-� Lfr�t �'itr � ° � � Tel . # S�� ` 33 �2 Address: �S 3� �-/i //S �c.'�t�v 64r�z /t, , Attach to this application, a Certifieate oP Survey of the . lot, with the proposed construction drawn on it to scale. DESCaIPTIOA OF IMPaOVEMENT LI9ING AREA: Leagth Width Height Sq. Ft. GARAGE AREA: Length Width fleight Sq. Ft. DECS AREA: Length W.idth Hgt/Ground Sq. Ft. ar�a: �► � � ��� ������-- � � �=°'��r� z'�ei� � +� e o� X�• W'y z��.�1 t 5 Z. � Corner Lot [ Inside Lot [] Ft. Yd. Setback Side Yard Setbaek Type of Construction: � S�l��v%� ���'�1� Estimated Cost: $ ��� Approx. Completion Date: �cl/v � 2� f��� SZ� Alt. A Alt B Proposed DriveWay Width If New Opening Is Desired: $ $ See Baek Page for Explanation DATE: ��'°� ` Sy APPLICANT: � Tel . # � � �� ��z � CIT7[ IISE ONLY Permit Fee $ �+� Fee Schedule on Reverse Side Plan Check $ • 25� of Building Permit Fee State Surcharge $ �� � � $•50/$1,000 Valuation SAC Charge $ " $425 per SAC Unit Park Fee $ ��' Fee Determined bq Engineering Ser�er Main Charge $ '��' Agreement Alecessary [ ] Not Necessary [ ] TOTAL i � STIPULATIONS: , e e BIIII.DIHG PERMIT FEE SCHBDIILE The Chief Building OfPicial shall� before issuing permits for the erection of atty 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 applieant for sueh permit of fees to the amount herein beloW set forth and in the manner herein provided to-Wit: Total 9aluation a�.00 to �500.00 Fees ' ,. $10.00 (Minimum Fee is �15.00) � �501.00 to $2,000.00 $10.00 for th� first $500 plus $1.50 for each additional �10i! or fraetion thereof, to and including �2,000. $2,001.00 to $25,000.00 $32•50 for the first $2,000 plus $6.00 for each additional $1,000 or fraetion thereof, to and including $25,000. $25,001.00 to �50,000.00 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000. $50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100,000. $100,001.00 and up $433.00 for the first $100,000 plus $2.50 for eaeh additional $1,000 or fraetion thereof. DRIYEfiAY DEPRESSION ESCaW (Conerete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway �ridth plus 6 feet times $13•50 Alternate "B": Removal and replaeement of curb and gutter and install a 3 foot wide approach With 6 inch depth - DriveWay width plus 6 feet times $15.75 VERIFICATION OF FOIINDATION 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 construetion site. � A CertiPicate oP Survey of the lot, showing the location of the foundation onee it has been aonstructed will be required before proceeding with the framing. � �� -Z o vd� ��p � -�2,�'� �, � � �� � � � � � ����� � ����� ZONING - NOTIFICATION OF INTENT Foster Family Homes Day Care Homes � ' ; �� i/� Municipa � �� ess � .„ cal 5ub �vision , , `,aY��i�,, FROM: ANOKA COUNTY COMMUNITY HEALTH & SOCIAL SERVICE ANOKA COUNTY COURTHOUSE ANOKA, MINNESOTA 55303 APPLICANT: _ �G�-�, c���1°I D� ��ir � • � �y' , Ip ' ? '��°7 � P1 (Number of Natural Children under 18 in Home: 0 1� 4 5 ) � (Circle Number) j (Number of Foster Children included in License: O�Z 3 4 5 6 7 ) ( cle Number) (Number of Natural Preschool Children in Home: 0 1 2 3 4 5 ) 4 (Circle Number) ) l ) (Number of Day Care Children included in License: 0 1 2 3 4 5 ) (Ci rcle Number�) DATE OF NOTIFICATION: �-- -��--�� `�+� G� C�i�la'c` , ��. �.�� � �'� -7� �S� ` 0 acCxss 169 (l0/80) ,\ \ _ SUBJECT City of Fridley ="° AT THE TOP OF THE TWINS g U I L D I N G P E R M i� r � � � • COMMUNITY DEVELOPMENT DIV. � �v------� r � � PROTECTIVE INSPECTION SEC. ' i ' � /'�'1 � CITY HALL FRIDLE� 55432 NUMBER HEV. DATE PAGE Of �"'""� � ,'� 612-5� 1-3450 910-F15 4/1/�2 � � J08 ADDRESS 6729 Jackson Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION DESCR. 11 3 Meado�tlands 2nd Addition 2 PROPERTY OWNER MAIL ADDRESS Z�P Steven Holter 6729. J`ackson S'tx'eet NE 3 CONTRACTOR MAIL AODRESS Z�P Axneberg Constxuction Co 25.75 Di.a,nne �t� No St P�,ul, MN 5510g 4 ARCHITECT OR DESIGNER MAIL ADDRESS Z�P 5 ENGINEER MAIL ADDHESS ZIP 21250� �s�c�E�ztv�' � ��� 9� APPROVEO BV SEE ATTACHED SNEET 574--Q807 PHONE LICENSE NO. 777-6948 528( PHONE LICENSE NO. PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASSOFWORK � NEw p ADDITiON ❑ ALTERATION �df.7 REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace Screened�-in Porch Roo� (Tisater. D�1a,�e) 9 CHANGE OF USE FROM STIPULATIONS See not�,tibns can plan, TO � SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBIIdG, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZONING SQ. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IP CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINA CES GOVERNI THIS TYPE OF WbRK WILL BE COMPLIED $r� OQO WITH WHET Fi SPECIFIED EREIN OR NOT. THE GRANTING OF A PERMIT � DOES NO RESUME TO E AUTHO ITY TO VIOLATE OR CANCEL THE pERM1T PEE PROVISI N OF ANY O STATE LOCAL LAW REGULATING CON• ��� $72�QO T UC O OR THE P FO MANCE CONSTRUCTION. j PLAN CHECK FEE '` L/ - � '% Z License SC $5.00 SIGN TU E OF ON i RACTOR OR AUTMOR E AGENT IDATEI HE PRO ER Y V� �_ �' -.--. -'.._.. __ ,........,..� ..,.�.,�o e� ��� ncm �DATE� BLDG INSP LOAD FT. �GARAGES URTAX $2.50 AC CHARGE Fixe SC $5,00, OTAL FEE $84.5Q I THIS IS YOU PEAMIT �, ;.�n.:.:v.A;v::.b.1:i.�:Ri.�i�� .i.!.>.y:5ti. :i:wt:.h:.:.:�:c:�:.::::tirih:::.:.:.:..� w �.:i . . , bu. . ..... .. . ... ... . .. . .... .. . . . ... . . . ..... ..... . ......... . . . . .. ..... . ... .. ... . ....... . .. ....... , ..., ,�.,. . . . . .... NEW [ ] Effective 3/1J92 ADDN [ ] CITY OF FRIDI.EY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Peimit Application � � COnStrildlOn Addl'�S,S: :D �02 � ��-C-,�Sa�t/ � % - ✓��: � � ��cY Legal Description: � Owner Name & Address: ��v��v /��T��2 Tel. � �`��- ���`7 COOtraCtot': f��C=rJC�'-�`'��C� � r�a;-v �z�; zd� �� . MN LICENSE #�a�S� 8� Addtess: c����� �i��.v� ��- �� , �T� �� /� ��-,. , TeI. # � "7 ? -�gYB At#ach to this application, a Certificate of Suivey of the lot, wit6 the proposed cons�uction drawn on it to scale. LIVING AREA: GARAGE AREA: DECg AREA: OTHEii: DESCRIPTION OF IIVIPROVEMENT Length Width Height Leng�th Width Height Leng� Width H,�t/Ground a-- Sq. Ft Sq. F� Sq. Ft. ��� Corner Lot [ J inside - Lot j J Ft Yd S�back Side Yard S�backs Type of Constiucti+�n: !�� �'s¢r�S �fi -�c��� Est�mat,ed Cost: $ ��� — Approx. Completion Date: � - `�'-9� . (Cost on Backj Driveway, Curb Cut Width Ne�ed: F� + 6 Ft = Ft x$ _$ - - �i �� � - - �'�7-���r� DATE: '� � � APPLICANT: ����%�----- TeI. # Permit Fee $ �/� � � Fire Surchazge $ � OZ� State Surcharge $ �. �� SAC Charge $ License Surcharge $ �• GfJ' Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ � � � � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50J$1,000 Vaivation $700 per SAC Unit $5.00. (State Licensed Residemial Contractors) Alt. "A" or Alt "B" Above Fee Deternuned by Engin�ring Agreement Nec�ssary I l Not Necessary [ l STIPULATIONS: _ g BUII,DIN(i PERMIT � FEE SCHEDULE The Cluef Building O�icial shall, before issuing permits for the �ction of any buiiding or sbructure, or for any addition to a�► existing building or strucd�e, or f� any alteration or repair to any existing building or st�ucture, upon aPPlication therefore, require die paymem by the applicant for such p�rmit of fees to the amount herein below set forth and in the manner herein provided- to-wit: TOTAL VALUE $i to $500 $SOl to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,0� $100,001 to $500,000 $500,001 to $1,000,0� i�� $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 pins $2 for each additional $100 or fiaction thereof, to and including $2,000 $45 for fir� $2,000 plos $9 for each additional $1,OQ0 or fr�iction thereof, to and including $25,0(� $252 for first $25,OD0 plus $6.50 for each additional $1;�0 or fraction thereof, to and iacluding $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 $1(�,OOQ plus $3.50 for each additional $1,000 or fractioa thereof, to aad including $500,000 $2039.50 for the first $500,�0 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,OOU,001 and �p--� _ __ ._�--._�6�3539.50 for the first $1,000,000 plus $2 for �ch additional $1,000 or fraction �thereof DRIVEWAY DEPRESSION ESCROW (Conctete Curb Slreets Only) Alternate "A" : Removal and replacemem 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 foot wide � approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for coashuuction will be i�ued 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 la;ation of the foundation once it has it has been consbiucted will be required before proceeding with the fcaming. a 1 � 1 � W, 2 � h ^. � O � � � ^ z� � `� � Q � � � ; . � t � -- -- --_.._ . _"_ : `.:� . 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J�.•� Mr�" ;'}U i ' , �' � ;:�'rt 9 µ��:t� ki j��� � Z � _f � .;.4p . i'. •, � , ` � �.t ;� :. � ' � .� . . �����t S � � �� O '����* t5;;'• � � i � i tir� � R 1 �' ''` ♦ �` Sv .• ! � ' ' � � 1 . . �: r, �, , `'� � �p , it �;:, ., . ., � ; } . y.. �.� � � t� ��.� S� • y.�.i 7 , ( � z � ` � .!"<.p , . d 4 ' t � '• v v '-} . w = � ��'# � � .:,` o� � . , ; � t . , *, � �••� ijG:?�.i Y � i '{%7 L , � Ci��4 �. „ k( N�$2.� X �S_yd .. �+�.:". ., .�F a r. � �'4' ,. �,r � t k�J � , . � : r �, � . i ' � , � .�4�. . .! f. . .�i� . . .. _. _.. _._�...r.,r�:. . �.' A ,: � .. - .::5' , .. � . " f � I°a :� . . . i?°:i;^ o. : ; • �• � MATTSON/MACDONALD INC. 9TFIUCTUFRAL ENOINEERS � ' 1422 W. LAKE STREET MINNEAPOLIS, MINNESOTA 66406 (B,'� Qj 627 7625 � May 7, 1987 � �,� �S - � . i; . '= ' . . �:. • '� F Panelcrait Inc. 3I 18 SneUing Avenue South ,` MInneapoUs� Mlnnesota SS406 - � ;: REa INSULATED ROOF PANEL '-4t ' '' Gentlemen: I have revtewed the load carryIng capacIty of the 3" insulated rooi panel. -: , I have completed calculations for a panel constructed as followss � 032" 3003-H14 Aluminum Alloy facing on each sIde oi 3" thidc 2 potu�d per cubic foot polystyrene foam. 3" x 1.961b/ft Aluminum beam 6061-T6 AUoy spaced at 4'-0" � cente�. Based on my calculations I ilnd that thls panel can span 12'-0" when subjected to a snow load oi 40 p.s.f. The span under thls loading Is 1lmited by a deflectlon of L/180 =.80". .. Ii there are any questions plea� do not hesitate to contact me. . Yours truly, • � , MATTSON/MACDONALD� INC. , � ,:; . ' +_ ��' �- h' v / 1��'! . � �'. a � � �• Davld H. Macdonald, P.E. 2 I� ' r: ` DHM:dIb ' ` - — 7 a .l! ih�' f '� � f Y• f , ♦, + . 4 ,` t, � 0 � � 'jy , .., � : ��- : :. t. , , ; MATT80N/MACDONALD INC. BTRUGTUAAL ENOIIVE@RB 1422 W. LAKE STREET °' � � " MINNEAPOLIS, MINNESOTA 86409 (612) 627,-7926 � o , Y �-�,i � � " � ' !� .e�: a;z k ' T, STRUCTURAL CALCULATIONS FOR `� 3" lnwlated Rooi Panel A,;:;; ,; : f' ' " „� , _ ,°, � ,Y t� � � 1 — � C . �vk ` . , '4� . . � ' � I h�reby certlfy that these calculatlons a►ere �• prepared by me or under �" my � direct supervislon and that t am a duly regIstered • PcotessIonal Engineer unde�.the laws oi the ' State of Mlnnesota. ' J. � i �. � �. ,� David H. Macdonald, Reg. No..1Q751.: ,C+ � ': � � Date �� � �; , a _ 4 ^ t ♦ Prepared for: � � � � Panelcraft Inc. MInneapolIs, Minn4sota SS406 � �, =' , a .:1:,7 r, P . � � P�epated by: � ' � ;� Mattson/Macdonald, Inc. ` Structural EngInee�s 1422 West Lake Street ' � MinneapolIs, Minnesota 33405- ' , ; , 3 )' i��— A .� ' � � As V:•t '_.�, . r i 1 ° I � � �1 � . , � ' :� r i 6 .3r �xio.rc�Gc� �f"oam' Co�L � , ' j ; �, : 1; � i � ��I i' t�I 11I'� ' �iii �II. I Ii���11ii ;� � j 'Qr►ope.r�:. 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I��,Ii;;i�, ii ��,;ii� j ( I(�� �i��� � I �� ����I;� I I�I I, �i;��j' �'� �'�+i'' 1! ! + �,��'� ►j �(� ,�, � ;�� ,i�', 1i;!�� i_ ':,-��',-��..i �; � i. �,�I�i;..l�.�.�.;i..' �iti'�;��i'j�i li;�ii�;��ll+�{fIf �1�I�i��!'I��! � �Ili!�ilill.11t�Ili!ii!�lil'ii� ,, - Qi; ,;i I� i , i I , I I' �I.�; ' ,,, � II�! �!j �i'! Ii 1 �i ',1 i iII I+ji �I� , I I ; I � i � i ��r'. �' �� I , �'' ��ii I� � � � ' � � I I !���� I I;I;(i � i�i,l 1 �ii �I._i'';i f li ; �� i��l�'i I��;"'; I�I;� ,� � � i{I��� i 1ili;;ill j i �ii I; ,�;� i ; � � i � �. � �, � i�i �il, � II�� 'I I II i����' i ! � : ' , i� � �i i;.���1 i i � II'�:' i'►���� i i:: 'I i� �'i' ,Ji if ,� ; I �� �� I� , �I!i ���, !!( i � � ( � � '' '. ,� ��; , i � �,�;, li �;�;i ;�� � _I, I��I r � � � �1 � � � j' - - � � . � _ _ _. _; _.I � � - ,� ; � (, .� _ _.�� _ .,.�: � �?�: , � -�: � ; sue�ecT P MIT NO. City of Fridley � 0 0 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T .�--_ r ; � RECEIPT NO. � ; y ______ COMMUNITY DEVELOPMENT DIV. r�7 g r � � PROTECTIVE INSPECTION SEC. / C�'•' �� I 1 � � � /"'1 � CITV HALL FRIDLEV 55432 NUMBER REV DATE PAGE OF APPROVED BV ti.__.11.' '•� 612-571-3450 910-F15 4/20/93 � � 108 ADDRESS 6729 Jackson Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �-�. 3 iKeadowlands 2nd addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Iiolter 6729 J'ackson Street NE 574�0807 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNEH MAIL ADORESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS Z�P PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK rnstall �o��i.t & �'as.cia 9 CHANGEOFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PEFiM1T BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED 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 CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STA�LS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WOFK WILL BE COMPLIED y�`].�ZOO $ F2O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ° DOES NOT PRESUME TO GIVE AUTHOFlITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- $29�00 Fire �C $Za2O STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE �30e8V. S�Grv TUAEOFCONTRACTOAORAUTHOA�2EDAGENT iOATEi WHE P PE Y V�A ATED THIS IS YOUR PEAMIT ��� �� �J �� - � � 2���� = � Y��S�GNOTU EO�(.�WNEA�iFOWNEABUILDEF7i IDATE� BLDG �NSP � pbTE NEVfi [ l ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 1/1/93 �j 232 Construction Address: 6 ��' � � .�;''ef-y' C..�; .� t�' � �SG?� � ,� % �.�� � �, Legal Description: ` F Owner Name & Address: ���� ' a,r!c=°�' � f � 5�,�;�r� � Tel. # S%�-�o �'U -� Contiactor: Address: LIVING AREA: GARAGE AREA:. DECI� AREA: OTHER: MN LICENSE # Tel. � Atxa�h to this application, a Certificate of Survey of the lot, v�+ith the proposed constructioa drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height I.ength � Width Height Length Width . HgtlGround _ Sq. Ft. Sq. Ft. Sq. Ft. Comer Lot [) Inside Lot [] Ft. Yd Setback Side Yard Setbacks � s Type of Construction:�'��"��,%f�'°�!�,��'�'..�'�' Estimated Cost: $ j��� , �'� ` Approx. Completion Date: ��� G;i'�1'�� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: ,fP .�' APPL][CANT: �:.��� J.:::,''"`�,�i==f�e✓ Tel. # v���l/�U � ..� Permit Fee $ � � d � Fire Surcharge $ f . �C� State Surcharge $ � �C-� SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ ��� �O CITY USE C1NLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/51,� Valuaxion $750 per SAC Unit $5.00 (Sta.te Licensed Residential Contractors) Alt "A" or Alt. "B" Above . Fee Aetermined by Engineering Agreement Necessary ( ] Not� Neces.Sary [ ) .� ..� -� BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erectioa of any building or structure, or for any addition to any existing bnilding or structore, � or for azty alteration or repair to any existing building or stivcture, upon application the,�efore, require the pay�nent by the applicant for such permit of fee.s to the amouat herein below s� forth and in the m�nner herein provided to-wit TOTAL VALUE $1 to . $S(TO . $SOl to �$2,0(� $2,001 to $25,000 $?.5;001 to $50,000 ' $50,001 to $100,0(� $100,001� to $500,000 $500,001 to $1,000,000 � $1,004,001 and up FEES $15 (Minimum Fee is $15 plus svrcharge) $15 for first $SQO plos $2 for each additionat $100 or fraction the�eof, �to and including $2,000 � $45 for fust $2,000 plus $9 for �ach addilional $1;000 or fra,ction thereof, to and including $25,000 - $252 for �first $25,�0 p��s $6.50 for each additional $1;000 or fraction thereof, to and idcluding $50,000 $4�14.50 for first $50,004 plus $4.50 for each additional $1,000 or fra.ction th�eof, to .aad including $100,000 $639.50 for first $1�,OQ0 plus $3.50 for each additi.onal $1,000 or fraction th��eof, to and including -$500,(�0 $2039.50 for the first $S�,OQO plus $3 for each add.itional $1,000 or fraction thereof, to and iacluding $1,OQ0,000 $3539.50 for the first $1,(�00,000 plus $2 for each additional $1,OU0 or fraction �thereof � DR�VEWAY DEPRESSION ESCROW (Concrete � Curb Streets Only) Altemate "A" : Removal aad 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 foot wide . approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOU�iDATION Permits for construction will � issued a minimum of 24 hours from the time of appGcation to allow for proper review of the pro�sed structure and of the coastruction site. . A Certificate of Survey of the lot, showing the lorttion of the foundation oace it has it has been coastructed will be required before proceeding with the fiaming. . ., �� a � D m � z � .� v � rn � � � o � W � W Z �, � m o � � 3 3 ��'a �' `o m � � � � A Z7 Q `0 7 � � � � �� � � � a� �. s 0 w 70 -?i D -�a � � � � rn -�+ Q � � � �� � � � � z R' D � C% 0 X7 m � o Cn c � 3 [ll 3 v � � � � D � O z Z � � m � v� cfl � � n. � � d \ � _ D � z � n 0 � � Z -C 1 ,,� � '� � V � �y o� �,�� -' o � 3 0 °. 3 � � c A � � � .�r. � a � rt � � 0 0 � O � � � � c m c, m � cQ � �� � o � �. m � � � -��a. SY `a �° m � � � °C o G , tA O ? � � -i 0 z D C� 3 � � � �� � �� c� m -t � Q � z � (D _ � rn v �o � m z 0 � ao-+z � C Q � �p O �3 m � o � � � c . � � � � ��` _ � � � n O � � .n � � O � � �`t � � o � m $ �-. cn c� � � 3 fl.� p = �O �� � �i �� �n �i � c� a � 3 � � ( n � � � w yJ � 0 � � � � � � � � ct� � � a. � � � 7 A W ��� o � � m � � -a N s� � � � � � .� Q. c ° � � `� o � W C 7 � � fn tf, E» � t� a o 0 0 0 � °o °o o° °o o° � � � c� m � � � r�ir v � 0 � --t � � 03 IO Q � m � � � z 0 �� �a; � � C � a z � c � rn � D � � � Z m � � � � N' p � � 1� � � � � � = m a � � m N � � �3m m o � cu �. N W �. � y = � Q p�" � � ? Q� o � Q � � � � s a-i' D' � v� o �' w ? o m� � � N � tn � =� ... - m = . � � �� � `< � � ��o�' c � � � � j � A �N a � � � • p � � x s -� 0 � �" � \�?m � • (� /� � �. � ��o ��� �Q� Q�.� 3 � ,..► a � � O � D v v �D � � �\ � 6 N��° �e.F1 � w��0 �Zm� � � � I'fl N � � Z Z m �' � m -nt Z � C Tro �� mn � � �O OZ Z -q Z � v �, D �� n� O Z � v� �Z 0 z r�r, �Z v, v u�i = m �� � z� n� m p <� mZ N A < m Z -"� � ' � z � < � 0 � � m � � � � � � W G� a r; CHIMNEY 2lND BTACK V$RIFICATION The undersigned hereby eerifies that the existing chimney or stack: 1. Has been carefully examined Yes (� No (� 2.. Is free from rust or deterioration .� Yes (� No () 3. Has no foreign objects lodqed within Yes (� No () 4. Is securely supported Yes (�j No () 5. Meets ail current Code requirements for size and total BTU's connected 6. Has total heating BTU's of ��, � o t� Al l other BTII' s � ��� f3' O� TOTAL BTII' s % � �� � Remarks List Alterations Beinq Done: HEATIIdG COMPANY ��1��� S igned By ��� � Date � ���'��� . Yes (f� No ( j /� � 0 su6��tt P . City of Fridley 3 i 6� 3 AT TME TOP OF TNE TWINS � � r L D I N G P E R M I T r � . � � • � `L __���_ COMMUNITY DEYELOPMENT DIV. ,�.�� r � � PROTECTIVE INSPECTION SEC. i . . 1 � /�"1 � CITY MALL FRIOLE� SS�32 NUMBEP pEV DATE PAGE OF AVVROVED BY �----� • •,� 612-571-3450 9t0-F15 12/20/00 / / JOB AOpRESS 6729 Jackson Street NE 1 LEGAL �OT NO. BLOCK TRACT OR AODITION SEE ATTACMED DESCR. 11 3 Meadowlands 2nd Addition SMEET 2 PROPERTY OWNER MAIL ADDRQS$ 21p PNONE Jed Marck 6729 Jackson Street NE 438-3187 3 CONTiiACTOR MAII ADORESS Z�P PMONE LICENSE NO Roberts Residential Remodel 16320 Kenrick Loo Lakeville, MN 55044 469-3900 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 6885 5 ENGINEER MAIL AODRESS 21P PFIONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS OF WORK O NEW O AODITION � ALTERATION ❑ REPAIR O MOVE O REMOVE 8 DESCRIBE WOfiK Basement Remodeling 9 CHANOE OF USE FROM TO STIPULATIONS See notations on plan. SEPARAT� P�RR��T� REQUIRED FORe PLUM�I�GG AN� SI�� � . tYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD SEPARA7E PERMITS ARE FiEOUIRED FOR ELECTRICAL, PIUMBING. HEATING. VENTILATING OR AIR CONDITIONiNG TMIS PERMIT BECOMES NUIL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU fT. AUTHORIIED IS NOT COMMENCED V�IITHIN 80 DAYS. OF IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONEO FOR A PER100 OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWI.G. UNITS OfFSTREET PARKING 1 MEREBY CERTIfV THAT I MAVE REAO ANO EXAMINEO THIS APPLICA710N 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS yp�UATION SUFTAX AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIEO WITH WHETMER SPECIFIEO HEREIN Oii NOT. TME GRANTING Of A PERMIT �20�000 �IO.00 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TNE pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STA7E OR IOCAL LAW REGULATING CON- OR RMANCE OF CONSTRUCTION $321 . ZS F e SC �LO .00 P�AN CMECK E TAL PEE Lice e SC 00 $356.25 5� NATUpEOFCON•AACT(SAQ_ TMOp� DAGENt �DAiE� N Pq LV VA TED TMIS IS VOUR PE IT `� � 6 S�GNA�UAE O� OWNEA��f pWNEp BU�LDEN� �D�rE� B �NS ���tF DEC-14-00 12:47 PM R08ERTS RESIDENTIAL 6124693939 NEW "ADDN CITY OF FRIDLEY ALTER ( J SlN�LE FAMILY AND DUPLEXES R-1 AND R Z BUILDING PERMITAPPUCATION P. 04 Effectlue 1/9/2000 (763) 672�604 BIdB Insp Construction Address: L Legal Description: Owner Name & Add�ess: � Tel. # - Contraclor: ' � �- �n s MN LICENSE # L �eitirsoe• 1 i �e .. � � i . //�.�.��? ��/�� �c'�('�^� � �C��� �%�/���(/,L�� ���� T@�. # QC �°' �y Attach to this applfc�tion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNQ AREA: Length Width , � � , � --�- `` .� � , Height ` ,P, Sq. Ft � - � OARAt�E AREA: Length �` �dth �,� Height � S, Ft DECK AREA; �A�gth �` y�dth Q _`� HgtlGround _` gq, p� OTHER: Construction Type: A �F�q,,;{ EsUmated Cost: $ �" ��� /�c�T' QCi OMd �°S�/�Y/�Q��'c� �'� D�iveway Curb Cut V�idih Needed: Ft. + 8 Ft = Ft x$ = g DAYE: APPLICANT�� �v1.� ,� ` . �� Te�.# 3 �9 -2�8� c�� ��'b1AS't�.T�.�� �OPCIL.�J � �ITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License 5urcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TorA� STIPULATIONS: Call (783) 57Z-3604 for permlt �ees 11 malline In appllcatlon � $ �l o� Fee Schedule on Reverse Side $ �� � � .Q01 of Permit Valuation (1/10th%) $ � �� $,501$1,000 Valuatlon $ $1100 per SAC Unit $ �_ � $5.00 (State Licensed Residential Contractors) $ Alt, "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ . 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VENT CONNEGTOEt AWD COMBUSTIOM AIR VERifly CAYIOloI When Eeqlacin� an existin� ftarance, the unclersigtted hereby ve 't'�i'ieg titat ihe venting has b�n examinea a�d is free frorn rust, deterioration, obsgructions, and is secureiy supported and fire�opped where �equired. Yes ( j No () 7�he venting system is plas�clPVC and meets a41 euRent codes and manufacturer speclticaticns including sizing. tength, nurnber of eibows and termination. Yes () No ( a The w�dersigried also vetities t��at the repiacement unit is a listea4 assembPy and me�s the cuRertt coc�s and manutac�urer's speaiica4ions. Tttis does inch�de A�A-GAMA Catego►y 1 Centr'al Fumace \Oenting Tabtes for fan ass�ted and r►atucal draft appliances. 'P'he e�clstit� combustian air is sized and installec! to meet the current codes and m�nufaacturer's spepfications. Whe� required to install a new comP�ustian air. it wil! be sized and ins�aped % meet the aarrent codes and manufacturers specifi�a�ons. Yes()No() Yes()No(� °!es ( ) n�o ( ) When instailin� a new veMina svstem� the u�ersigned hereby verif�es that d is a listed assembiy and meeM the cuRent codes and man�,factu�e�s specificatlorts. 1'his dces i»dude AGA GAMA Category t Centra! Fumacs Venting Tabies for fan assisted and natura! draft app6an�s_ Yes () No () Is ft�e common vcnt and verd aonnedots siz�d artd instatled wrrectly after an appliarzce has be�n'removed from the ;ammon vent ar�d vented separately as per cuRent codes. Yes () No () App[ianee Tn�e and SizelCoe�nrnon Vent aetd i/ent Con�eator l��arrr�tioes Ap�lPance #�i Type _„______� �TU Inpu� Fan Assisied ar Nat A�Gance #2 Ty� � �TU lr�puF Fan Assisted or lVai � Appliance #3 Type BTU lnpc�4 F�n Assts%d or Nat Total Apppancss To4af �tu Input _____�_ Common iJerit Type _,,, Vee�f Helght Diameter inches Applfanc� #1 Vet�t Cortne�to� H�ight ft Len�h � Diame@�r in Type Apptiance #2 Vent Connector H�sgpt# �t Lertgth 4i Diameter,�,ir� Typs Appliar�e �f3 Vent Conneotor Height �t Leng�h � Diameter in Type A!1'�RATIONS: fDesc�ibe) ,�, HEATING S1gr�ed By: ZB/Z0'd 56�68�. Ol J.3iQlA1� � AlI� W0�1� 85:zZ 000Z-tiZ-ftON '� � � � � � Z � m z � z �n O O z W D n � � 0 m � � �,^ YI � � � � D �° r � '� m m � � � � � � 'p O � � 2 C� N � � c � T o�zc�u v �o� c � o fD m = � � 1 � � � In � Vl °1 D n Z c� v D � m � O z � r� , - � � � pWj p�j p�j ``` C � 01 � fD � N K � N N N N f�D � 7 =- � � O� ` � � � � N � �D N � (�D .��. N � v �. C �p � .0 ; �p � � p� �p � � p� N � �p � �-� -� 7 < r tB, y� N C � � �C 7� � f�D m � Z � o�i � v -� m f � rn � A � � � c � � m � Q i� � � v Z 0 I Illlllllllll �+ ��� En � En fn c�r t�+ fn t� e�► cn 000�cv���c�,�+;.i °o °o °o o° o° °o °o °o o °o °o °o °o D fn 'o � � c Z a o o�o � � � C t0 S 7 v d � T � m v �, � � �' � m � °.' a i� 0 y .-► � �� n � m z � � -i � QA� � � � � a � � C N m n � � � m � ► 1 N � Q :��, � � �, i. Y� t � � .r ili � � Z 0 � m -� O D r � O W D v � � w _ CITYOF FRIDLEY FRIDLEY MUIVICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 8, 2002 Jed Marek 6729 Jackson St NE Fridley, MN 55432 Re: Fnal Inspections at 6729 Jackson St NE Contractors: Dave's Heating & Air Conditioning Fgnar Plumbing Co. Dear Mr. Marek: A mechanical permit was issued on ]uly 18, 2001, to install an air conditioner, and a plumbing permit was issued on January 5, 2001, to install a fresh air extension in the basement at your address. According to both the 1991 Uniform Mechanical Code and Section 4715.2800 of the State Plumbing Code, final inspections shall be conducted on the work authorized by these permits. As of this date, no final inspections have been called for. The permit fees that were paid cover the inspections to make sure the work was completed according to the Codes. We will keep your permits open for another 30 days and if we do not hear from you within this time to set up the inspections, we will mark the permits "no inspection called for" and take no further action. To set up an inspection or to have any questions answered, please contact the Building Inspection Divi_s on at (763) 572-3604. Inspector