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AF - 47290Date: ._.. Owaer: Adareas No. .� Lot � Corner I Sewer � TobeU, Dwell: Tuck-1 Type of � SEWER WATER In � vvithin � ' ---� t6a City of Fridley, Miun.. BUILDING PERMIT g�� Same Address Hame ��-��7 N° 10419 LOCATION OF BUILDING Street Jackson Stxe�t N, E,�� part oE Lot _ Block 1 Addition or Sub-Division M�l.od.v Mat�ox 3rd Adddn , Instde Lot � x Setback 35 �__._ Sideyard 17 � �� _ 872.03 R75 �3 Ton of Footin� as: DESCRIPTION OF BUILDING �ont 48 � Depth 26' 24' Height 20' Sq. Ft 1196 C�. Ft � 20 ;�ont Depth fTeight Sq. Ft. Cu. F`t. Fxame �, ��27, 000.00 To be Completed - 30' South of Manhole - 20' South of Manhole dderation oE the issuance to me of a perm4t to construct the building descrlbed above, I agree to do �d work 9n accordance with the descrlption above aet forth and ia compliance with all provisions of oY the dty of Frfdley. :� % l� /� r> derai3on of the payment of a fee oP $ 36 . 00 � p�{t is hereby granted to Tri-Co . Blders to construct the buflding or addition as descrfbed above. This �ermit is gran'ted upon condition that the person to whom it fs granted and his agenta, employees and worl�nen, in all work �und and u�n said building, or any part thereof, sizall conform in all reapecta to the ordinancee of �nesota regarding location, construction, alteration, azaintenance, repafr and moving of bufldiugs �ty limits aad thia permit may be revoked at aay time upon violation of any of the provisiona of eaid � � %�� "�'�� Building Inspector Han.k Muhich mh doa eef emrs� t6s eomtructtoe, iasta11�1on fo� wietag, plumbing, en h�adeg, avra er walsr. B� sura to � lespeetar ior aparal� p�rmtfs for lkss N�mf. _ , A $ i � < � � s �, � � � ti `�+�'� p �. � � � o°�n � �'b �o �� ! � }�• ��ppp � � C � � �. `V � � � �• �� ,� �� ,� �� o o'�,s�� •� A' o a' °� �. ��. �o � a�0.o o �" � �A �� .r,� �� b �� A � � � O ��i. `� � n. �. . �� to ��+ C R' (� r. �. c4. � V � �(� \l�F� Cn �V �.�'� �� o � � � A�� M _d�'�� a y � �r. co � o � ��A� A `�.�� _� ��•� � by � I `��S �n` „��`' �. �' � � � � �' 0 �� '� � , �'R,�° � . Q �. Q b�� O (y fC0 y � (p' � �, � r. � � b�"��° �•��•� Q r. � ��; � °, � co � �� y� �•�' � �' � � � `r O � � C � � n � � I � � I � � � O � � � � - A. � � �. �, � � o� `� �. z 0 0 � � � � � � � � 0 � � t3. � � . 0 a r• � � � �. \ � � � ' � � q O �' o � � ( � d o � �' ° 0 � � � �. �. � � � , � � � � � � co �' a � ti. � � � � a � b � � � v � y O Z � \ � � m � n m � 3 � � � A =• o m � � � c, � o: 9 � � � C� � 'o � � � - � � � � o '.i —1 �� : -�. ' � � i� � � � 0 � � � 3 � � N � Q� � � � Q rt N � � � A� � _ y � � ..• � , t� O 0 � � � ro�p {•� F, � � O o � , ;, � � � o� �� _ `_�. LarMG/armrr►� Lar�rJ S�y�i� So,,s rtsru�y �vrl F. A�fr�rr"�crp E��er►rt� � 4 � c � \ O ! ba�by cer 9��s1 697'S-X� +ts ,vE. �4�mr�uf�a/s 12. ENGINEERING, INC. �°'v �liisrt 4-h0ati i -- En�►ineers � Surve�C/ars --- 'scate o� s�,�� o: � .,� � --- � ,a, � � � — � � � � . � �. _ z �� ° ' �� a Y ' v I ,4�" � � � � `� ",_ � � 1�r1 �FV�LO��1�' r�oa�� - ��-�- �r _� t�a- ��-----�6 ,� = I �oT 1 . �, � , ,- � , �---- - � 1 � ' � 9 (6 -112 - � � 0 NOTES Ii�N�CENOTES ORAINAGf; ANiO 11TlL1TY EASEM�NT �� LOCK��._��.LOCY �1/IAN4R 3RD ADD1714N A�10KA C�I,INTY flm� !h� IS O fi ue au/ ar�'cf re�xtSatlfQfran 0�'Q Sr�'�tl1 �'!�.' daun�d�i�ir3 �!le a�oA! OFsr/9�d larAd, a,nd din9S ,�ea1, s�o'd/ n3t6d[ O�d1%s ,��'a j. �S1 ar w7.larit� iand. As s�rr`�r�ed 6y mt /Irs "- dn� dt a A'Dt�' 5�118uR$AN EMGI/l�ERING, /IVG. f�rieers fr Sur�or�s � � - �-� � Scale: {�s40 ey.::�...: �� - �`p �`� �- d . _� � � �^ � � __.______.__ _ �� - � C� �� ` �� ,. �'yt,�. � a' � . � l,l , �v r¢.�-� � C � � � � , a 3 r- j '" � � 3 - �. �,�, � : n � � � e. � � .� ��S ° . ✓ N0. LOT To f /�`z"� � Type To B APPLICATION FOR BIIILDING PERMIT r.Tmv 11F Ti*RT71T,�Y _ m7��nma . . . 'S NAME /.��/�. �_r�� i� BUILDER / � � �s % s-� i, �� d�� „�. �t.J� o�n�xESs —r LOCgTION OF BUILDING �STREET % � � //t�� . �BT,OCI{ l AUDITION OR SIIBDIVISION � � ,3 ��@ t LOT INSIDE LOT�_SE°1'BACK_� SIDEYAR:D /%.. ELEVgTION TOP OF FOOTING � �ant a�tacl� to this form Two Certificates of Survey of Lot and aed. bui].ding location drawn on theae Certificates. DE.SCR.IPTION OF BTfILDING IIsed gs: ..� ,� . � �.�-I a � ont Depth �� Height ��' Squaxe feet � %�� M� � � Cubic Feet � _''- � �� ' '�! Front Depth Height � Squa�e feet Cubic Feet Canatruction ��/�,�� Estimated Cost � � d"��' �� , ,._ Completed ��K�'�� r - �� The dersi�ned hereby ma,kea application for a permit for the work h�re' specified, agreeing to do all work in strict accordance with �he City f Fridley Ord�.nances and rulings of the Depaxtment of Build�ngs, and h reby declares that all the facts and repreaentations atated in this ppl�.cation are true and carrecte DATE .(Sch . �� ,�' � ,.:6� 1 _� �, ;_: � ile of Fee Coate can be fouxid on t� �- �„�:, .�� , - }.- __ .Y _ �� , ,�;�yr�. , � � � � �-� `'' .�_. � ,� �'-� r, Reveree Sideo� _. �.�-;:�._�:�.,,.. � � � :� �, �� , �-'' � , �� - � '�. BIIILDING PERMIT�FEE SCflEDULE SECTION �2e The In�pector of Buildings shall, before issuing psrmits for the erection of any building or at:�ucture, or for any addition to aMy ��i�ting structure or building, or .fo� a,:p.y alteration or repai.rs to a�.y existing building o� struetur°e, upon application therefore, require the pa.yment by the applicant fo� sueh permit of fee� to the amoun.t he�ein below eet forth an.d in the manner herein p�:ovided to-w�t: IIniform Buildi� Codes Type 19 2y & 4-$1a75 for each one �hou$and cubic feet, or fraction thereof, ira such cubical c.�nt�nts. Type �j & 5- $1050 for Eaah on.e thousand cubic feeto For the purpoae of computing fees for buildi.ng permits, the Cubioal can.'tents of any 'builcling�`�r°addition to a uni�orm hei�� th�dughqut ��iy multiplyin� the �round area covered from a point aix (6� i.ncY�es below the floor line of the basement or the cellax to the average height of the upper surface or to the avera.ge height of the roof sur�ace of the main ga,ble of a pitched roof . For repaixe or alterations to an exiating structure, the fee sha,ll be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof ir�. the cost of all proposed worka In no case shall the fee charged for asiy permit as set iorth in Section 2 be lese thar�. $S.00o NSSSD Co.nnection Cha,rges based on location - Area 1 or 2. � �� . - � - -� � ^ � ,._ _. � � �� R � p � : � � : s . 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O D � � � � � .i d �� - _ ,: _ ,,, , , � : ,; ... � �,�.,,_ . -__ , �, _ ,� _ :�+ _ _ � ;�-- f =' HEAT LOSS CAL TIONS _ , __,� � �' ` .,,�_ DEPAEt1'NIENT OF BUILDINCyS��"�-.,, �! � : , F Weatherstrips A�•H•v�' Coaetruction No. Guide Windows � I�oors Reference Out. WaA Int. Wall Ceiling Roof Floor Kind i� ,�� Blo�mington -, ot f/ lnsulation `' How es No Yes? No 19_ � �' F7.( � ,,,:,? R m � Length '� Width Height ,�° Fl��' ';' �" Room Lengtb �_ �' Width Height Windows and Door rackage and Area Windows aa�d Doors—Crackage and Area \Yldth Helght No. ot Llneal t. Area Wldth Ha16ht No. ot L1nea1 ff. Area No.. o[ Dane o[ Dane lighte ot crack aq. 1t. No. o[ pane ot pane Ifghte oi crack ep. tt. : s+ f / ,�-( ,F _� i! . d: G t ,s �.� K.' . Gz-y �. -- v: :l,�- � � , �� r� � Ll e L �� -s� ` � `c� fF � `' ' � � G �: � _- �� r, � � � ,�, Infiltration � Btu �� 835 �;.-<, �5�, ,f�c' / ; � r �;i Fap. wall ` - �' Net exp. rvall .=-� ,' Q Int. wall --- -' — � Ceiling %G�� _ � Floor "�P � '� e 7'otal Btu. — - ,-�;� Required sq. ft. E.D.R. r aq. ias. W.A. I.eader area ` ,/ F7•�/�`,''. �'' � = �oo � Leagth,, �°' Width � �Ieight Windows and Door rackage aad Area W/dth Helgdt No. ot Llneal It. Area No. ot pane o[ pane llghte of craoB aq. tt � �, � � - � � � _. P�� F%a � =. � � .:� � Infiltration C.lasa Exp. wall Net exp. waq Int, wall Ceiling Floor �08f. Bhl F �� t�- , b!� ;�� ' ,.7'`� � � f' ,/ ? CR` l� ' �% �-° � Total Btu. Required sq. ft. E.D.R: o aq. ws. W.A. Leader ana ��' Fl. - �" i� �- R � Length �'�� Width :�'� Windows and Doo rackage and Area Wldth Helg6t No. ot Lineal it. Area No. o[ pane ot Dana Ifg6ta ot cracB eq. ft � � � �� z'�=�� 3ac� , `' �f �� X i/rl� / � � '� i� � In6ltration Glaea Eap. wall N�� xp. Wau 0 G'� - I Kf. Bcu �� J � _ �-. U ;` , „ , --� , Int. wall -- — Ceiling �=�;' �; Floor f" `� .�; Total Btu. Required sq. fG E.D.R. o sq. ins. WA. l.ee�der area B.D. Z18 r Btu Infiltration ' �' , �^ �i � '�� ;,� �il�S r�� /.a ��D � � . � � Eap. wall `�'' '� � �� Net eap. wall ,�i' � ,� `C�' ,�' �,� �J Int. wall � -G- Ceiling "'�` - �' % .� ,s° Floor ;'r' � ``� � � "" � Tocal B.cu. ; � �� '� Required sq. k. E.D.R. or aq. ins. W.A. Leader area y '' FI,�,,�� %;`� Room ( Length '�` Width �%' Height Windows and Doora—Crackage and Area Wldth Helght No. ot Llneal ft. Area No. ot pane o[ pane I1Bb�e ot crack eQ. tt �"� ,� � � f-� f� ,�c?. b� r�� (� In6ltration ;�'�`�A � �`% �� Glaas c�• ,.��(i� ?.->�1 Exp. wall � Net eap. wall ' ;' /(/ `�i� � Int. wall °° — Ceiling �;;'E� `� �, , -, F1oor �� / ��J Total Btu. �"' ��,2 Requued aq. f� E.D.R. or aq. ias. W.A. l.eader area - ?' Fl.��' ,� �<<�,�" Room I Length�%'� Width ,,` `�' Height Windowa and Doora—Crackage and Area Wldth 8elght Na o! Llneal tt. Ares Na o! pane of vane Ilgdte ot crack ea. tt �" : ~ �� ca: ,� L% � � %J.+� �' .�'{ � � Gr� f ? — � -� �`�/' c� i' � � Coef. Btu I�nfiltration � ;�' � � �- _,? � -� <:. Glaas �.� A� v`'�C� ��' i' �' Exp. wall e� ' .� Net exp. waD r`? �� .1(I `'_ U u' Q Ia� wall � ---m Ceilin8 ��%. � � � Floor �'�%s � �..�' �:; �"" , E-<_ 7'otal Btu. � t; ,��° a Itequired aq. k. E.D.R or sq. ins. W.A. Leader area ! �►T �oss c�.. noNS n��rn�vr oF sun.unvcs ,� Weatherstrips A.S.H.V.E. Conatruction No. Guide lnsulation Windows Doors Reference Out. Wall Int. Wall CeJing Roof Floor Kind How e �No I �'''e�s=—No 19_ � Fl.�c? /�� Roo Length !�' Widt6 f� Height Fl.� Room Length Width Windows and Door rackage and Area Windows and Doora—Crackage and Area Nldth Helght No. ot Llneal it. Area Wldth Halght No. ot Lineal tt. Area Na. ot pane ot Dane Iighte ot crack aq. tt. No. ot Dgne o[ Dane Ilghte ot crack ea. [t. .'- � � � � - � _�n . -� � � Coef. Btu Infiltration �; " �" �� f' �"`� "� .� � Glasa � ,�Ge p' ��°�^ Eap. wall -= - Net esp. waU — `` ,�`� �;'� "°'�` Int. wall .� � -=° Ceiling ��°' �- �, _;' �r Floor �� -� ` � Total Btu. � Q_ ,. � Required sq. ft. E.D.R. r aq. ins. W.A. Leader area � Fl.�� .�' :-�� Roo ( Len�eh ,� c . Width ' �' Height Windows and Doo rackage and Area W/dt6 Helght No. oL Llneal It. Area No. ot pane ot pane lighte ot craok aa. !t. -. � C� A r-� � �, � .. y -.� I,,.� G`'L ^ . � � . Cuef. Btu In6ltration �' � �' �� 1 �� ` Glasa ,��; �G, F�cp. wall �� , Net ezp. wall "1 1 �> �� %� Int. wall -- — -� Ceiling i`^ "' .�, U � � Floor . "' ,' ,^� �" �� Total Btu. � � � Required sq. ft. E.D.R. o aq. ias. WA Leader area �' Fl. R � L.tngth Width Height Windows and Doo rackage and Area Wldth Helgdt No. ot Lineal tt. Ares Ieo. ot pane ot pane Ilg�te ot crack ea. ft � Ia6ltration Glaaa Eap. wall N�� p.,�u int. wall Ceiling 1� loor Required sq. k. E.D.R. o aq. ins. W.A. l.e�der ana B.D. Z18 BiU Wiltration Glass �p. Wau Net esp. wall Int. wall Ceiling Floor Tocal Bcu. Bloomington Btu Required sq. k. E.D.R. or aq. ins. WA. L,eader ana FI.I Room ( LenBth Width Height Windows and D�ra—Cracicage and Area Wldth 8elght No. ot Llneal It. Ares No. of paoe ol �na lfghte ot creck sa. [t. In6ltration Glasa �p. Wau Net eap. wal) Int. wall Ceiling Floor Total Btu. Required aq. k. E.D.R. or aq. ins. WA. L.eader area FI.� Room I Length Width Height Windowa and Doora—Crackage and Area WtdtA Helg6t No. ot L1nea1 1G Ares Na_ ot paoe o[ pane Ilghts ot creck ea. tt Infiltradon - Glaas �. �u Net esp. wall Int. wall Ceiliag Floor Total Btu. Required aq. ft. E.D.R or aq. ins. WA. I.eader arra Bh� SUBJECT �ty of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � ; L _ _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � i' i ' --_-� �"1,� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE oF � ' , 612-560-3450 g10-F15 5/23/74 � � JOB ADDRESS �341 Jackson Street N.E. 1 IEGAL L T NO. BLOCK TRACT OR ADDITION DESCR. 11 1 Melody Manor 3rd Addition 2 PROPERTY O NER MAIL ADDRESS ZIP PHOP Mr. Hollis McKenzie 7341 Jackson Street N.E. � 12553 ECEIPT NO. /� �� APPROVED BY SEE ATTACHED SH EET 3 CONTRACTO MAILADDRESS ZIP PHONE LICENSENO. cifi 4 ARCHITECT R DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUIL ING 7 CLASS OF W RK ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE W RK Construct a 14' x 12' � Deck off the back of the dwelling 9 CHANGE QF uSE FROM STI PU LATIOId TO TYPE OF CONST. OCCUPA SEPARATE PERMI S ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR IR CONDITIONING. TAZOOCI THIS PEFMIT BE OMES NULL AND VOID IF WORK OR CONSTAUCTION ZONING SO. FT. AUTHORIZED IS N T COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUS ENDED OR ABANDONED FOR A PEHIOD OF 120 DAYS AT R�'�- ANY TIME AFTER ORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIF THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS AND KNOW THE S ME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. y�`L�2S.00 WITH WHETHER S ECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESU E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE PROVISIONS OF NY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR T E PERFOFiMANCE OF CONSTRUCTION. S.00 �v✓/s ... �/ s�.° ,1�Vi_ .�% p PLAN CHECK FEE � d'SIGNATUREOF IDATEI HEN P PERLY a� IDATEI .nr, INRD OCCUPANCYLOAD CU. FT. ET PARKING GARAGES �� .�J� AL FEE $5.50 il IS �OUR G 1.7r10 f'lonn,n� �ulllF �CJ�'Vf yl.� 7 t,?�l,s lestrn:� i 1 �Y!' i ' ,1 �6�%IK�r — i ; �r�r:��,•�ti � � �% � �' :r � � • �� 1 '� ,� ,� � � � R' r+� ��= � �S � ��%� �M%J/►�L s�f .4rE. 7 ,�t,n.��v! i2. � � ia.� � Q � � �. ,�'4b'.Y'.)t:�i] .SUf/fP.� v°-bi�i fe�i i En�in��°s E Survecfvrs Y '�� ' �� `�°t�i �gV�l.n�i�1�� i C � _ __.._ _ ��i� k— �,-� pL V O e/D x � � � �� ` ,r � T '� �O �.� s�� J- °` "' — — � . I �� , - �►�- -, _� 1��--'�/-----'6 �� ^ 1 f �Or � � << I 'i � 1 1 9 � ` �6 � "� � 0 0 i { � � ENOT�,S IRON"-'—"pENOTES OQA11�tA,GE AND UTII.iTY EASEMEl�1T o�' "• BLOCK��k;OD`( M��coR 3a� Aoa►T�oN A�OKA C(;t1N4Y / fr�b�f cer �i� fhvt lhJs �s o hv� c�d a�recf �epresenfo¢ion o�'o sr,r�2t� �'fltr �+undari�s � f� .e6�re a�sray�si vrad, mxi ef ;`� /o�vfmra o�'o; �!s�+�s , thd�an , an,ti Q// nsib/e e�rhm�r�� , it',�, �n or m.soid /oad. As surveye� � me ilrn '� _� o�� A.C) �9�4. . .� 5UB uR �qlVl ENfiIiVEE21NG . fI vC. > E��ne�er-s • fi� .fw'ler�or �� , , � � SCale•. I�s�10 �y ,�:. _� �!1` :�� - � ;`� f.._ , S1 � _ . d � .. "__".. � .... 4.� . .. .__ ... . � , _' . � _ .._ .. . . � _-_._...._._ . . ..____ -.J 4`d " . ._ � -.. ..__ _' _.'_.� _'_' 'a ._' . ra � c' . � :�i: . _ � ,. ' � . OWNER'� ADDRES AP.PLICATION FOR RESIDENTIAL, ALTE�.ATION, � OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA �:�''e��' �0��%��BUILDER: � ��y� ��``� ��"" �6 ��`� ADDRESS : � N0 :_%I �3 �/ STREET : LOT : BLOCK : r/ � ADDITION : � �J • /��'��/, e L�"'�C/�'L � CORNER LOT: INSTDE LO'�:�SETBACK: SIDEYARD: Applic nt attach to this form �ao Cextificates of Survey of Lot and proposed buildi g locati.on drawn on �hese Certificates. To Be i�sed As : DESCRIPTION OF BUILDING Fron.t • % � Depth :_ 0 ,.� Height • Square Feet• � Cubic Feet• Front: Depth• Height• Square Feet; Cubic Feet: Type o Construction: �' /�—�� L�� Estima.ted Cost: � CZ� , � �� To Be ompleted: % � � ' � The un exsigned hereby makes app�.icativn for a permit for the work herein specif'ed, agreeing to do all work in st�eict accordance with the City of Fxidley Ordinances and rulings of the Department of Buildings, and hereby declares that all the�facts and repxesentations stated in this application are true and corxect. DATE : .S`� -� � `� S IGNATURE : D� � a � (See Re erse Side For Additional Informa,tion.) � DO , � a, � �� — � � � �•� ,� ` e .` BUILDING PERMIT FEE SC�EDULE SECTION 2. The Inspector of Buildings sha11, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterati�n or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the aanount herein below set forth and in the manner 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. AD�ITIONAL INFORMATION For the pur�ose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches 'oelow the floor line of the basement ox the.cellar to the average heights of the upper surface or �o the average..- height of the roof surface of the ma.in gable of a pitched roof. For repaixs 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. Tn no case shall the fee charged for any permit as set for�h 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 titne 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 occup3.ed until a Certificate of Occupa.ncy has been issued. � � SUBJECT �ty of Fr�aiey AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � r i L_ COMMUNITY DEVELORMENT DIV. � PROTECTIVE INSPECTION SEC. � � � i � � �"1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE �•"'� � ,•� 612-560-3450 910-F15 l�/ JOB ADDRESS �341 Jackson Street N.E. 1 LEGAL L T NO. BLOCK TFiACT OR ADDITION DESCR. 1], 1 Melody Manor 3rd Addition 2 PROPERTY p NER MAIL ADDRESS Ho11i Mckinsey 7341 Jackson Street N.E. 3 CONTRACTO MAILADDRESS Rich d Hasti.ngs 6331 Ri.verview Terrace, Fridley 4 ARCHITECT O DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUI �° 13299 RECEIPT NO.,� PAGE OF APPROVED BV 5 � � SEE ATTACHED SHEET .'IP PHONE Z�P PHONE LICENSE NO. ZIP PHONE UCENSE NO. 21P PHONE LICENSE NO. 7 CLASS OF W RK � NEW O ADDITION ❑ ALTERATION I� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE W RK Reside 3 sides of house 9 CHANGE OF I�SE FROM STIPULA TO SEp�R�T� �E�Ti�VG ��R��TS a�pur�� . PL��N� A�O Sf � �� , �� SEPARATE PERMI S ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. VENTILATING OR AIR CONDITIONING. n pi],nmin� THIS PERMIT BE OMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZ D IS OT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK�S SUS ENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R�. ANY TIME dFTER WOAK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIF THAT I HAVE READ AND EXAMINED THIS APPLICATION �- AND KNOW THE S ME TO BE THUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCE GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER S ECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yS`�. � 3OO DOES NOT PRES ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF NY OTHER STATE OR LOCA LAW REGULATING CON- STRU TION OR T E PERFORMANCE OF STRUCTION. � $`9.00 �' / PLAN CHECK FEE � I� �` � ,� S� ! � i SIGNATUREO CONTRA TO ORAUTHORI2E AGENT �DATEI HEN PRC _ r � I _/ � A n OCCUPANCY GROUP OCCUPANCY LOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX .94 I 70TAL FEE $9.94 Y VALIDATED THIS IS YOUR PERMIT „ �.�.�� / 1� � - %. �' • � . - � ' . .. . � � ' '. . • PFLICATION FOR RLSI�DL'NTIAL., ALTLRAI ION, • � . � � . . . OR /lllllITION. BUILDING P�R�I�IIT . • ' CITY OF FRIDLEY, hlINNESOTA • � . , . � . � oi,�i� � s ru�r � �:�,�� -te f�-ti.�.,� $uziv�x : �� c /�� d ��'-�� . , ADDRESS • % s 7' ✓� r_� ADDR�SS : �3.� f �-�. /�e�-.J �y"�-. . � . . . N0: . % � STREET : �'�z�� . S %'° n%r • . I.OT : BLOCl:: I ADDITI01� : �"�''�'2�rfe� - 3.�� • CORNER ZOT: INSTDE LOT: �� SETSACK: � SIDL'YAP.D: Applicant 2. Cacr. to this forx� Tcao Certificates. ?f Survey.of L�ot an3.pxoposed . building lo ati.on drawn.on these Certificates. � �' �BESCRIPTION OF BUILDING �� ' � . _ . � To Be Used s : ' � ��2�� -- � Front : Depth : � ' Height • '.• . Square Feet: Cubic.Feet: � � � Front:� Depth:. � Aeight: �.. . � Sqwaxe Feet; Cubic Feet: � •� � R�tpe of �Co struction: �'.c.��.��. � Estimated Cost: CJ C� , ' To� Be Comp eted: �•�� . • - . . �� The unders gneci hereby makes applicatinn for,a permit for the work herein speeitied, agreeing to do all worlc in st=ict accordance �aith the Cit}* of � Fxidley Or inances and rulings oi the DepartmenC of Buildings, and he�r��b -- declares tlat all the �acts and represenrations stated in this a 'ca�tion 8xe'true d correct. � � � . � ' i ' � �' ' � • DATE: � SIGN�ITURE: �'�`� �`"`� • (See I�ever e Side For Additional Information.)' t . %•�� •� � ' . � � • ' . ' E�� • , ' , � . �► . � • . 1 .. �'= C, �,� ' , . , . : � � . r . , e . , • , • . . . . ' • . � ' • • • � BU1Lll1Ni� L'.L•1�I11 rL•L• ��tiiuuL� . ' . • ', � � . ; • , : . , , . . � � SECTION 2. 1'he Inspector of• Buildings shall, befoxe issuing permits for the ; cxection of any building or seructure, ox for any addiCion to any existing � building or structuxe, or for any altcration or repairs to any cxisting ;' building or struc.Cure, upon application therefore, requirc the payment by the applicant fo'r such pennit of fees to the a�:ount herein below set fortli and in , the manner lierein provided to-wit: . . • . j� o • ' ' • ' i � �.� UDTITOItM BUILDInG CODL: Type 1, 2& 4-$2.15 for each one thousand cubic , feet, or fraction thexeof, i.n such cubical contents. �pe 3& 5-$1.85 £or. ' ' ' each one thousand cubic feet. • - �' i . � • ' � ' • ' � ADDITIONAL INFORI�IATION � • i ' � _ . , ; . . . ,. � For the puxpose of compu�i.ng fees for building iermits, the cu�ical contents • of any building or.addition, is determined by multiplying�the gxound area . covexed from a point six (6) inches below the floor line oi the basement • ox the cell.ar ta the average heights of the upper surface or to the avaxage � :height of the•roof surface of the main gable of a pitched roo�. � ' ' . . . � • For repairs•or alrerations to•an existing structure, the fee shall be at tlie � • rate of $3.00 per each five huridred�dollars ($500.00) or fraction thereof in . . the cost of all �roposed work. , ' . ' � �� In no case shall the fee charged for any permit as set forth in Section 2 be • . � Iess . than $5. 00. �. � � , ' ' � � � � iTERIFICATION OF FOUNDATION � . . i . � NpTE; Permits for construction will be issued.a minimum of 24 hours from th.e . s time of applicaCion, to allow for proper revie�a of the proposed structure and. � • of the constxuction site. . � � . , • A Certified Suxvey of the lot, showing the loca�ion of the foundation, once it has,been constructed, will be required before proceedin� �aith the framing. CERTIrICATE OF�OCCUPANCY ' � Application for a Certiiicate of Occupancy shall be made ten (10) days pxior � to the use or occupancy of any structure for wliich a buildin� permit has beea . � issued; and said seructure shall noC be used or occupied until a Certificate "•• of Occupancy ti�s be�n issued.. • , ' . . � I ' • . I . ti� , • • ' ' ' ° . .� I - q • . . • �r�° � �, e • ' � ,' � � ' � � .. ' . � SU9Jrcr . � � r ity of Fridley 3113 9 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � RECE�PT NO. COMMUNITY DEVELOPMENT DIV. r � v � PROTEC7IVE INSPECTIQN SEC. 1 ; i �� /� '1 � CITY NALL FRIOLE� SS13Z NUMBEii REV OATE 7/7/00 PAGE OF APPROVED 8Y �'"'"� � ��' 612-571-3450 91Q-F15 �� / / �oe nopaess 7341 Jackson St. NE t LEGAI �0 NO. 9LOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 Melody Ma.nor 3rd Addition SFIEET � PiiOPERTY OW EA MAlI AODRES$ ZIP PHONE Wendy H son 7341 Jackson St. NE 763-785-4904 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellingt n Window � Door Co., 3938 Meadowbrook Rd., St. Louis Park, MN 55426 a ARCNITECT OR OESI(iNEF MAIL AODRESS ZIP PHONE IICENSE NO. 952-933-6300 5 ENGINEER MAIL AODiiES3 ZIP PHONE IICENSE NO 8 USE OF 9UIL0 Resident 7 CLASS OF WO 8 DESCRIBE 9 CHANGE OF US� FROM STIPULATIONS O NEW O ADDiTION O ALTEFIATION C�C REPAIR O MOVE O REMOVE Window Replacement TO Provi e smoke detectors in all sleeping rooms and on all levels of the dweli ng per Section 31U.9.1.2 of the 1997 Uniform Building Code. Permft Inspection Cards INill �e Mailed To Homcowner To Post SEPARATE PERMITS RE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING. "rc vr vvna� . v�.�.ur� VENTILATING OR AI CONDITIONING TMIS PERMIT BECO ES NUL� ANO VOID If WORK OR CONSTRUCTION 20NING SQ. FT AUTHOR�ZED IS NOT COMMENCED V�1ITHW 80 OAYS. OR IF CONSTHUCTION OR WORK IS SUSPE DED OR ABANDONED fOR A PERIOO OF 120 OAYS AT ANY TfME AFTER W qK IS COMMENCED. N0. OWLG. UNITS 1 MEfiEBY CERTIFV T AT I HAVE READ ANO EXAMINEO THIS APPLICA710N 1 STA�LS ANO KNOW THE SAM TO BE TRUE AND CORRECT. ALL PqOVISIONS OF LAWS VALUATIO� QQ� ANO ORDINANCES G VERNING THIS TYPE OF WORK WILL 9E COMPLIED �'�a WITM WHE7MER SPE IFIED MEREIN 01i NOT. TME GRANTING OF A PERMIT �X1ii4�. DOES NOT PRESUM TO GIVE AU7MORITY TO VIOLATE OR CANCEL TME pEfiM17 fEE PAOVISIONS OF AN OTMER STATE OR LOCAL LAW REGULATING CON- STqUCTION OF THE ERFORMANCE OF CONSTRUCTION .�9%.ZS S�GN4TUAE O� CON'AnCTOAOp AUTMOp�2E0 AGENT ID�TE� �O�rE� LOAD CU FT. OFFSTREET PARKIN< IGARAGES $1.94 SAC CHARGE Fire SC $3.89 TOT FEE $103.08 M17E 7H15 IS VOUA PERMIT �'/! `��_ �16 I f N EVV [ ] ADDN [] ALTER [ ] Constru�tio Address: � Legal Desc ption: ' Owner Nam & Addre ,� Contractor:�/ � ilna-/� LIVING AREA GARAGE ARI DECK AREA: OTHER: Construction Driveway Cu DATE: (1� �� Permit F�e Fire Surchar� State Surcha SAC Charge License Surc Driveway Es� Erosion Cont Park Fee Sewer Main 1 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Effective 1/1/2000 (763) 572-3604 Bidg Insp l�' �� a . el. # ' 1 ln,h- /a5 -� LICENSE # Tel. # ! �CX��'L,�/13 � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft � Length Width Height Sq. Ft Length � Width HgUGround Sq. Ft. Estimated Cost: $ ,�� Cut Width Needed: Ft. + 6 Ft = Ft x =$ � � APPLICANT: Tel. #/��l— �j� �� 0 e Call (763) 572-3604 for Permit Fees if mailing in application - � _ �� °� 5 �e.� Sched�le en Rev�rc9a C'QI° -------- � �' 9 .001 of Permit Valuation (1/10th%) $ .r $.50/$1,000 Valuation $ $1100 per SAC Unit � ��:00-(S�ate-Lis�s�d-�esidential Contractors) $ Alt. "A" or Alt. 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O � � � � fl- o `D • 7' 1 � a . � �- _ 0 c .+ � m Z � 'D rn C� � O Z '� m m �� V O 0 \ 2 1 � � �' 'o 00 1 � cD � �.a a , � \ � ` 0 � � � 3 r v \ d m � � d v d � \ � 0.� • C \ `�\ lm �' � � �� . ��c�� I ►-� o D iv 3 ►' _ tn 3 � O og eo o � � � c� o.� �� < � � � °1 � � m � Q- �. d n � � N. � � a Q° � oi' D °1 c�i rn A � � m o = 1 O o � � t N ? O � r � N O � � � .-r Z D � r N Qo T � n ci m � v d � - � � � . � . � c.n (� . _ � � N � (�(D�tt77 � C• c�u c?c y �OG �C N N � � a Z ,��..° aco d r• � H �`° N � �. �. c � a .N. o0 3 • �C) ��p� r. � a � a Q N •vo� '.�Z �<_°'� � � N °' � � � � N v °1 "' °1 �' � a�v � �^ . � � � � � � c�n �. °_�*', , � d � � i m a � o 1 1 � � 1 c Q- d co�'°'v � � � N � � �fl-? � 3 � . ° ��o -.°�r►� � �� o C7 � d `< O N Q � � Q � �D � p. �f�_D � _. D n 0 � O ? � 00 D N N tu N � d � v m � n�i o�i n c vi N d ��'� f') � � �p cn co � = m pq caD ut N d . Q^ < � � � � rt � d' 7 d . � 7 o °-?'•„c° —c v �.0� �, o► � r` °� � � _ �D � o � f � � � � V 1 " � d � f) � N � ts► t� �s► _ � o 0 0 0 0 � t� � � �� : � W co � � � o C � �p C ai . � ao c� � -� � d m 1 � � d � �p � 7 Z I � � � � _ � � N � _ � ��°�� d � � � o p > > � � co � � V� m N (v Q- N c'''D � r ni °1 z �m�3 0 mo' °'�o � I �\ � , 1- � �J � �. 0 O 0 � m N �i > � m v C7 O � � � o- °o �' co �► � O i� a �, r � C r v Z � C N m v � m � �` z 0 \ W � � � 1�1 N C'i _ m v C r � v �� 11 n�aw� rn� c� �3�•� Z N � p� m -�C N c�D Z z� rn� m � � 0 Z � . N � � � Z � r �� O �f 2 , � C -- �� O� Z� 2� v .� >� �Z ON vz �v o= Z W Z� D � Z � N � �n N m � N r I� Z� c v< � az � '� �. rn s N '� � z � � c� � < � 0 � d � ►-. 0 r l0 � l0 ��; �� ;. CHIlVIl�TEY AND STACK VERIFICATION •- • The undersigned hereby verifies that the existing chimney or stack: . 1. Has been carefully exaznined Yes � No () '2. 3: 4. ___ , S, Is free from rust or deterioration Has no foreign objects lodged within Is securely supported Yes (� No ( �� ) Yes (�f No ( ) �� Yes (�. -No ( ) � Me�ts all current Code requirements for size •..� ` �-- and total BTU's connected Yes (� No O� � 6 Has total heating BTU's of _�� All other BTU's . r�� , -� TOTAL BTU's' f ��C � �" 7. 8. Has a liner been provided for water heater Has combustion air been provided for water heater Remarks: 9 Yes �� No ( ) Yes (� No ( ) List AT_.TERATIO, SrBein_g one• n:' �a � • � �rt ar U�'� � � --. --- -- -- -- ------ - '�"�,' � ��` . � DEPENOABLE INDOORAIRGIlAUTY� INC. • ��. 2s�s cootr �wiDB eOtA.EVAIm � a COON RAPIDS. MN b5�33 •�_ � I HEATING CO: (6�2) 757-5040 i Signed By: � Date: 0 Building Inspections 763-572-3604 DATE� � SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YO�t, E-MAIL ADDRESS �� ❑ OWNER '�CONTRACTOR � � Permit No.. • - - - . : , ►�%�;�� . :'�; �'D. � ► ` � � I STATE LICENSE # ��1—��—� �� EXP DATE �� 1�' �' gUBMIT A COPY OF O . �y STATE ZIP YOUR STATE �D�S: _ . LICENSE WITH PHONE � F� PERNIIT 'I'YPE I`°�SINGLE FAIvIILY ❑ TWO FANIILY ❑ TOWNHOUSE TYPE OF WORK: ❑ r�w � xEPr.ACS�'r DETAILED DESCRIPTION OF VJORK �- ' �'r� �'�' `'�-� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixt�ues. (This should reflect only the cost of labor ) Labar cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.05= FOR PROJECfS WHERE IABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE. EXCEPT � NOTED. FiXTURES' (IN�ICATE TOTAL I•1[JMBER OF EACH BELOV� ��R DRAINS SHOWER WATER PIPING ,_ BATH SINK/1.p.V GAS PIPING R� �'��'� SWINIIvIING POOL ,� WATER SOFTNER i$35) BATHTUB —�.�,C� S� WATER CLOSET _ BACKFLOW PREV. ($15) _ CLOTI�S WASHER —��RY .�1, yyp� HEpTER ($35) FOR IitRIGATION _ DISHWASHER — _ WATER METER _ OTHER _ Permit Fee TOTt�L DUE :, �, �� b ��° � �r ,� yma ��:,� ,,, <<w�� ..� p� Number of fixtures @$10.00 x$10.00 =$ .50 Number of fixtures @ $15.00 x $15.00 = $ �A� Number of fxtures @ $35.00 x $35.00 = $ State Surcharge = $_`50 Tota1= $ THIS IS AN APPLICATION FOR A PERA�IIT-NOT VALID UNTIL PROCESSID I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; thax the work will be in accordance with the approved plan in the case of all work w�hyich r uires review and approval of plans. /:� J� �/��/�/�n /�'{��g��/�/�ATE p �--� L*�' .. . / /��.s�. . �_ nnTw1TLTAL/T. C 'N llil� II "i u% � \ .f� ° n)�i.- :...1�IC� � SIGNATURE OF APPLICANT City of Fridley Building Iaspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �� fit�1� Building BUILDING Permit No.: � ,� � Inspections RESIDENTIAL APPLICATION Received By��f 763-572-3604 CITY OF FRIDLEY �� 8 DATE 06/22/08 YOURE-MAILADDRESS estherd�probuiltam.com SITEADDRESS 7341 Jackson St NE THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ N,an�E: WendV Hanson TENANT ,�DRESS: S c1RtE 1 S S 1 t 2 CITY STATE ZIP rxorrE: 763 -785-4904 CONTRACTOR NAME: PY'OBUllt America SUBMIT A COPY OF STATE LICENSE # B C— 2 O 3 S 6 8 4 7 EXp DATE U.i / U y YOUR STATE LICENSE ADDRESS: �� 11 11Lri AVe � CITY North S� STATE ZIP �� l� WITHAPPLICATION pHONE 651-770-5570 F� 651-770-0495 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FIN[SH 0 ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: � �W ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBEWORKBEINGDONE: Replacinq 12 window,patio door, sidinq SIZE OF IlVIPROVEMENT LENGTH WIDTH HEIGHT S. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I• ��g �O°r pla° PROPOSED SIZE: ❑ DETACHED GARAGE Z• �A�sed floor plan PROPOSED HEIGHT: 3. List of stntct�ual members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, � Vinyl ❑Soffrt ADDITIONS. & PORCHES SUBMIT: �� T� 1. Site Plan/Survey showing the existing shuctures ❑ Other ❑ Fascia and sed PI'olp PI'�.lect. �Npp�,s 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ONo LOCAT[ON OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRBE SIZE OF OPENING CHANGES & 12 TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 14 0 4 5 OCCUPANCY TYPE Permit Fee $ ,` �/, ,�Z,� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .-� ,� J� .0005 x Permit Valuation Minimum $.50 License Surchazge $ �,�1 � $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft= ft x$21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary () Non Necessary () Total Due $ '� r Make checks ayable to: City of Fridley Attach Stioulations THIS IS AN APPLICAT[ON FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordina,nces and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which r�s {evie�v/ and approval of pl,� /,� SIGNATURE OF APPLICANT r Dahl ,,,T„ 06/22/08 LL6t�-ZOS-£9L ��3 fi09£-ZLS-£9L Z£t�SS l�IIi� `�aiP?�d gN anuand �issaniun i £b9 �uau.q redaQ suoi�oadsuI �utpjmg - ----�aiP?�3 3� �i� . 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