AF - 47316Gity of Fridley, Minn.
6431 University Ave. N. E., Miinneapolis, Minn�. 55432
BUILDING PERMIT
Date: _ July 8, 1971
5 �/� 7
�079
pwaear; . Gera�.d Londroche B�� Tri-Co Build�rs znc .
Address __ Address 7555 Van Buren
LOCATIOiV OF BUILDING
No. - 7361. Street .—Jackson Part of Lot
Lot .� Block 1 Addition or Sub-Division Melody Ma.nor 3rd
Corner Lot .._. .____.. Inside Lot Setback Sideyard
� IIevation 873 • 07 �� IIevation 876 . 07
Wye Top of Footing �
DESCRIPTION OF BUILDING
To be Used as:
�o�e. ___ Front 26 �p� 40 H�g�t 1'�-, stor}�q �, 1094 �, � 21�880
-arag�_ Front �._ Depth Z2 Hei�ht 1 story gq, �-t, 544 �, �, 5440
�se of Consi7vetion F�'a�onne �, ��$ 23 , 000 . To be Completed
No walkout without engineering approval.
T3ard surface driveway.
Verification survey required.
Elevation minimum 18" above centerline of street
Sewer - 144' North of sanitary manhole
Water - 154' North of Sanitary manhole
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
th� proposed work in accordance with the description above set forth and ia compliance with aII provistons �
Or�linanoea oE the city of Fridley.
1� �i�r'✓,� � ii�e �. �� r/J/�s�f /d��
In consideration of the payment of a fee oP $ 51. 00 , permit is hereby granted to Tri-Co Bldrs . Inc .
to construct the building or addition as described above. This permit 3s granted upon
the express condition that the person to whom it is granted and his agents, employees and worl�nen, 3n aII WoYk
done in, around and upon said building, or any part thereof, shall conform ia ali res�cts •to the ordiaRnC� Of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repafr and moving of buildiIIgB
vYithin the city limita and this permit may be revoked at any time upon violation of any of the provisions of said
ordiaances. �
n
���-"S..�liuilding 7nspector
HANK MiJHICH
NOTICE:
This permit does aot eover the eonatruetion, insfallatioa fo� wirL�g, plumbin8r 8� be�9, �+e�' or water. Be snre to sas
t6s Building laspector fo� aeparate psrmlts for these items.
�
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APPLICflTION FOR BUILDING PERMIT
CITY OF �'EIDLEY, MINNESOT�
owrr� �s� N� �a�g �,�� � ���� �-�� ���. �B�zz�n� Ti � �,�.����� =���
_ � .
AD�RE�s a ,� J ;' , ; � ,'�'��,� ADDRESS �� ��� ���' �?�r'rc
, ��� ��, _ �,._
� � .� , � ^✓
LOCATION OF BUILDING
N0. �� �t STRF�m S�' � ��`` .a � �
; LOT � BZOC� '� AUDITION OR SUBDIVISION '����-���° ��--� ���f
,
CORNER LOT INSII�E LOT SETBACK SIDEYARD
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SEWEft ELEV'gTION TOP OF FOOTING
.Applicant atta�h to this form Two Certificates of Survey of Lot and
proposed building location drawn on these Ce�tificates.
DESCRIPTION OF BUTLDING
To Be IIs�d As:
� �7 � � � �-° Frox�t �� o Depth � � � Height - ! � -- S�
f E
, �quare feet /�0 ���� Cubic Feet ,� / ���4'
i I
���� �� k'ront �� Depth �ji y Hei�ht �t.� '' J�•�,
�.,,�, � ,
�----�=,----�
Square feet �� Cubic Feet � Cr� �% � � � � �S � �
�•° �p p,.� s-! "a
Type of Construction ���.cu�� Eatima.ted Cost'' �� ���:�°�" `°� %�'-�
�� � `.�-%1 ° j J � �
To Be Complete8
The unde�si�ned hereby m�akes application for a permit for the work �
here�n. epQqifi,ed, agxeei,n� to do all work in strict accord�.ce.with �hq
City of Fridley Ordinax�ces and rulings of the Depar�ment of Buildi�n.g�s,
and hereby declases that all the facts as�,d repreaentations atated in
this appliGation are true and correcte
D9TE��� � � �� SiGNgTURE �"� =�` " `T-�=�"�
� _
.{Schedule of Fee Costs can be fousid on the Rever�e Sidee )�� � , F!- - x, �: s,�
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BIIILDING PERMIT�FEE SCFlEDULE
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SECTION 2o The Iaspector of Buildinge sh.all, before issuin� permits
�or the erection of any building or atx°ucturea o� for any addition to any
�xi�t�.ng �tructure or buildingy or .for a:n.y alteration or repairs to any
ezisting building os° at�ucturey upox� application therefore, require the
payment by the applicant for such peronit Df fee� to the amount here%.
below eet iorth and in the mas�.r�.er here� provided to-wit:
IIniform Buildi�a.g Code: Type 19 29 & 4-$1075 for each one thousand
eubic ieet9 or fraction thereof, in such cubical c.as�.tents. Type 3& 5-
$1050 for each one thousand cubic feeto
For the puxpoae of computi�xg fees for building permits, the cubical
ez�n'tenta of any"b�.il7lin��r' addition t�� a uni�'orm hei�t � th�ou�Yiout "by '
multiplying the ground area covered from a point aix (6) inches below
the iloor line of the basement or the cellar to the average height of
the upper surface or to the avera.ge height of the roof eur�ace of the
main ga,ble of a pitched roof.
For repairs or alteratiox�� to an existing structure, the fee ahall be
at the rate of $3.00 per each five hundred dollars ($500.00) or
iraction thereof in the cost of all proposed worke
�,
�. ' In no ease ahall the fee charged for a:ra.y pe�mit aa set forth in Section
� 2 be lesa than $50000
NSSSD Connection Cha.rgea based on lo�ation - Area 'I or 2.
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ENGINEERING, INC. ���°'°
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LoT g� ��oc�_ �� M��ooY MA�oa 3RO Aoo�T�ow
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I hrreGy �r�y Mr� Nris rs o�a a►�d io�rzcf repras�ohior� �('o suwey �'fb� b��s �der ade,� o�f�rd 4�, �J
c�lYt laurfa�n o%'oU b,s�s , fl�u�wn , ad dl rr��6�i axra�rfim�fs ,��'my, riorri gr er� �atid �id. As sr�r°re�ad f� r� /6¢�.,�.._ a6y
g(' �,�s� A.e r�. SUBURBAN EM�JMEERIltIl3�. 1P;IC.
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Soils Tes�ing /G��//ZGV�v�) �/nu+ Minn. 55434
Clvil Engia�ering � Talephane f84-4066
Muniefpol 6+�inwri�tg Eagineers & Burveyors a'e" c°de 6i�
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ihis is o iree rmd correct represonioticn of a su�vey of Ihe bpundaries of fhe land abaro dessrt6ed oMd af the
loeation of o{I twildirtgy if pny� thereon+ onsl all-ris�6le ensroaclunenta� if any� Irom or on said 'Mhd. Tkis survmr is
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SUBLIRBAN �NGINEPcRiPt�i, INC.
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W'eathustrips `_f IA•�•H.V.E. IC Construction No. � �� _ �;: 1nsLlation /�
Guidt .�.�.___-. ---T- -- -- -� �) y� Now Applied
U;ndows ' org I'� f��fe�ence �(?u:. iTi�'all Int_Wall Ceiling + E�o�( F7uor �I� Kdnd _
� - -- ----�- - t .
�'es No : Xe �_;I 14-_- �� -- - _7 _ : - - '' ___
�==- -_ -_ �,_"_.__ - , � F i � ���^Z�oom � L.ength� !Tb`�c�'h� Height
Fl.� J � ` �toom � Len�l�� '�� idth ' i-�e�ghi �i� �� ,t ____-- -- �-°- '
�Xiindo�; ara U�ors--Cracka�e and A►ra
Windows an oors --C�a<kage and A<<• �3 s`��,_ _.__ -� -�/�g�'� r
�:-�-� � I _.T_. 9idth r- T.e�g�i�,. T>', ot � e:.l lt. area � , I ._
.--- �YfAth � 3teight t7n � t I :neai :- � .�r ��a { 1 ) !i ,,1� � pa� o! aU ' hl � . �c a e0 !�- �� �
NO. ot�ane vtPflne IiK�-�'9 .tcra,Y. � . t� ' ) L�� , � �i _ � �►:�.1-- ��..�"• '�' ,-`'� � ._.� � I�'
� [`� r1 j � . / _ _ , �.., , k�L�'. I r� � �' � 1 •' .
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ynfiltration � � �_ �s�--+- � � � ! / � �� +�ifi�trateon __.. �_�_'.�.. ,�a dd � .
_ _ _ _— - - _ _ _. _ --. . _ . - ---- - -- —
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f �y � ' �� / � a° 1 PI � � - /
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Requ�re . { �. `.�t � � � -- •-_ ___.}_ ! �� � cf. F.[3.P cr ,.;_ ins. `.V�.A. L.eedFr are�
cr -q, tns J�/..� 1 eader area i �� f(e �����j} i,; -
_� -- --- L -__ -- _ - . . S f��-� __ �1c7,3ch �
�1. co:n � Laeu�tf� %�` Width _� f-leighe =� I�f.� v�e� l�`Cw�► � l�e.igtn -
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Fleight
�{iindo�+s and �ora-Crack�ge and Area / �� i� inc� �ws and oote-- -rac o� . _� , _ f �
--� �trldth �tBb� ��_No. ot L1rea1 il - P.�ra
Wldti. H¢I�nt Na. ot 1.'.n9a1 P A.ea ` ��+�� �1 ' �1th'y- �-. ; �k + �p [t. '' '
r$p. ot 94ne of ir llghta oC craek ep. tt. . ,. ! 01 Da �^.+ � of P? ^ .-�
� = 9 � �� � � I � ; � � .- - ____
` { 1��9 , � � �
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e
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--- - Co� B►°� ' --
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9ca61¢�dlti�a� � __�.�, i � � -- � - - - -�. .__ _ �� ----- - ` �. , L
� '-�'- I� I.,IaSS / ..
Glasa �' � � � �`�'�.�! ! � _ . _ _ __ . -- . - - - �'�--- --i - ,� .
,
° --9-�-- - --�- - �- --- -- r _ . _ -
- - --
-, -' ��� '; p.xp. w�11 �1`���-� tf --
va�fli -� : ._ �--- :-,--- , - ._ _.�__._ _ ------- -- ----_.....
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��• � � .__ __ _ _ _ - -
eva9l � �f � -���`? � !''.et exp. s� aI� -- ---- - -- Y
I�8 e$p. . _�_ --��� -� - j - ------- ---
Int. wal9 - -f--- - - --�-�-7 - � I _ lnt. wai� .__. - ----- � ,
� — --� —�:— � ��, � �
Ceiling � � i_�„_ / P _ Cei�mB � '- _.__.__._.__ --
Floor � . _ �-� r.Floor_ -- - ----:- _�._.._L --
Z'ot�l ��d. _ - -- ___ _ -� T��tal @3cu. _ _
Requir�l . fte ~.FS. or sq, ene. 'i�.�:. [. ader area --- -�.�- I i�equ;re�? sq. t. :FtJer s�::�ins. �'.�. l.,eader ar�ea
R m j Length �� Height �. '�, �r Fl.�, �m i Length %� v6'idth i
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i f
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r � �=�
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Fl. � _ -- --
4 i�� �';n�ova�s and Uoors--Crackage and Are� �
V61iea��rs �and �rs---Crackage a�d r'�rea � II ---.,.. -- --P-----, ----T a�e.
',,,1 ' � ` �1'Idih Hefeht No. oP � � Llneal rt.
VYtdth. pie16�� No. of i.�lnea• �tt. Arra� �y�;, t:t pene e� ��Rh.e o�ceock ea. tt.
NO. otDan� at x 'iNAt� o[.rcek 1 eQ.(t. S —� ����
i 7��
�5�. _� � � , !I �' ��' �'� " _L._� ' �' � -�--� f /
_ ��
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��e. �+�9�
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`T�t�l ���>
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i�ae �.�o d�eader �aea
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--- -� �---__ __ --
In6ltcaei�t� �
--- -_---- �
�,i��a �
�cp evall� �,%.� �_
1Vet exp. w� xl - -- - .�
Int. wall �
Ceiling �p--'
Floor
Totai �eu.
it� �D� �r a� e�a 9U�
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0
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� - � - � - ' . ."r�: � i..� 91 '�IL..A.�� ;�:'�L:VItl.
_ __ .�_..____ . , ... ..
.__'___. ._ _ . . ._.. .. �.��_ ' ' __ '_ � �a. .' __=_.___..:_- a - __ ' '_._.._._. __.___
Weat6�istrips I� f�, . }i ;' F:. �� •:.onstructiv.y " ., - . 1;_-••- ---- ------ �.
�„� �, ; " i� �nsulat�an ,
- � - � - ---i�- ._------
�%indows s ReEere:;cc �^i,:. � 3!i Int. �V;11 C�ii r., � ilovf � lu�r � �ind _� Edow Applied
es ."•�� `' � ea t���� i� 19. - --- - { - -- � - - � - - �-
- � - -� - _° - t �
�_—" -. _ ..�- - ..---. � � . _ �
.-. � T . � _ �,jr _.'. _rrJ .'_ a ta :_ —__ • r�..�.,_' — _'�
� � �� � ... _ . _ . � �— - _.__—__
i�l.�;�r ' ' F'a�m 1 P� th I � idtii � { i Lt � �� �• /� � r " �,'(�,
. � 3 ' � � �_._ " < < - �� .- -- fC F.r ,� � �; �• .1 � (.� �oin�l er L_t,`__ 1� idt�-� ' -- �Ieight ' _.
f- �>. - � _ - ( -- - --- �,, �
�vii�?c,��s a � s �':. K� a�:u .��e j � l' ��G'�J3 dn:; «'c�ors �'i� ki�e an� t�,t��,s �_/ ,
1ii 1,� 1� �.' �. ( ��. f � � e�a 1 �' �' , j �t�i I 7��e�t No . � Lic�ea, tt� acea� f � /{
--� `� n` � �P-b -' Si l '`� � . :�f� '...� . . I . ane� c t..:. ,. � _,5 . _ � ciu^k � E"v. ft. � � e ' ' �
7'� �, �� �� � � T _ � . . �r ,i
_ _�. � 6_�_. � ' 6 ��'�� •'' _l :'�' L-� � F �'� , , ° i f' �' � �`'7C� l ' -f. — . �� _., �_ Fp "�� r �
1 �
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t � ! � ' i" i �' _-_"- ,'
_ , .-
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- ---j --- { - -- � -_ .. �_..� `�;� i�: .+ � i� -,I - - ,. . _ . .- - --s _ __.� _.._ _ �
1 I
---__-�.._----- -- -- - ---- �'- ,-... _ ..._. -, - -; _----�-- ___� __-- - �- p
---.1_._ _�.. . ,(�G: i. Eii�Y j i I Oil�
_..__ __ _� . _. _.
�- �j i____ Coef.
Inhltration _.."---�r� �--'---�E,T I; _--:�:-_ i_=-_:.-�.�-�, -__ ---
— ---- ----1-- - � � �L.�� � �_' ,, InFiltration -� '1- •
� __L_ >. _ _
�
Exp swa1l ti _ ---- � � � -- j � � f`_ 'j ^ Glass - -- -- - _ _-- �'`,
)�-. ._ ;� ------- � -.� --
_.�__. .._L_...__..�-�--- — .,. .�._ �� Exp_w,�all �t _��_ �-' Y ��
Net exp. vr.�11 � L � � I -- -- --- -- '_. --
_ �_----------•- ----- ,�__. � ��..._ Net exp. wall � _ ° - '
Int. wall �� . �. - -- ----- - -- - --- -- -- - - �,�---;�
�
-- —_ _ �/_ ,_ _ _ _ _ -- � �,r -
-- _ ��t wall
Ceiling � - =�� � ` � -- ---- -- I - ' � �� _ � : _ _ _ - -. _ _ - --- - -�--- . — --
_ .,
_ � � �_ __---� ( �i�uK
� � � � � � ��•
Floar _� .. _ _ _ _�� =*`� _�� �� F�l��-: _�� �- .1�.. _� '`-- t- -`----�� ,� J �' •'
j---- -
Total Btu. 1 -"_� .�-- ' r � r� �_ ! � ;<,, ;�cu. �
- � --- _
- --- ------ ---- - _ ... __ _. - _ ' ,
_ . . - - - �. _�. __ _ _ ----- - -
Require ��t F.1),Ft. o, sq ina. `J' � Leader area ' �-',,,,,��;,�c • l�, ti.C� E�, oa sy ia �'.A. Leaatr ar�a
__ _._ �._.� _ �. - -� - --
, ------ - - - - �! ��,sr
_. _
�.I �1�� L��_�Rl��..�l�ii!_/�....�`Vldlfl �� f._Iy�il . �_- ,I i':,! 7 �"/r i fi.t� j�'' ���iI �I �. . � C7�lg�l�
_.� ._ .00m t I en Pl� /��'�ri ic]ti�
� .� .. . _ v. ._. _ __�C _._. _.__ . ..._
Windows ��.ncl Dc,urs-Crackage and =irea _ j�� ',����, ��ws ane� �anrc- t;�ac4aqe an�� Area
Widih He!gh�T Ko. of Lineal f: Arcu f� � . � '—'..- � �r `-',— f` �. --- . . . �_ - � ' !
I �� ti4ldth Sntti t ��•. ot �L.n� e ft� .a
NO. � t F�ane uf F�a P�g�te � o[ ciac� eq. it � I .� j ;- 1: -. at pane 1_�,�r � I!a_e �.i c� k i �'G. (-� �
�Zt' � � - J �- r ► -?� � � � -°; � i. !! �;� - i-`'- r `:� �`- -% - �-�-- i �-�- -- - ', � .
_ �- ; � � - r- � , � �
--�-----r----�_ _ l� ! - -----�----- ---- ----� --- i "'� .'�
__ ._ _ ___ __ _------ ,; _. �_ ..- ° -
, ---_ -____� _ _- ---� -----�—
i � � t'o Beu � � _._. _- 1--- - - Coe' �ce� �
Infiltration �` - - -- --i _-�'.,' - - -- _� ? 'T � _ - - - _. - �. .- - - --- .- � ,> fi _._ "" �y�
' / ' Rn6ltratiun ; �� t ' %'' �^
-- � _-- ---.v • -- - - -- --- - - --. __ _- - --- - --- -
Gl�sa � �� �? C�i s4 �, .
' � �--- � _ - - - - - - - ---- - � �.r-%-�
_____ - - -- -. � _ . ._ F � � `�- t
a
Exp. wall ._��C' �_ Z � � �� ,� - -
;i c_�.�,. wdll � ,a �, `� 'L•� ,,.- I �.
� � �
�Net exp. wa11 -- -- -•- � � � �� i� �:e� e�p .ee�l . - --•-- -----__. ,t�, � � !r; ] /`°�[-'
.. - --- --- --- - -��-- � � -- - - � --- _ _ _ _ - - - - - - — - - �-- --
Int. wall ' lnt. wal� �
-- ------ � - --- - ---- -- - ---- --- ---- -- ._ _ . - r - -
-- ' --- _- - --- -
Ceiling 1. �� ('Niiinu �
- t� - ' i - - - -- _ _ _. t. .-�,�---,� -- ��
�=1oor `I' _�� _---` __ � �. --- -+--�- � 1 -. `_ - � 7 �----�--�----�- ! :� _ ��
Total Btu. - �' ' oc;i nc�� ��i --
j��'�'�` �� �--�.
Required +. fe. E.I R or eq i,.s �'.A. Leader area �� ��; r , EZe�i�<<ed. � D.R. or sq. �ns. 'W.A. C.eader aeea %
._� �a�% ,
� oom I! en h r�� W;dth � Fiei h¢ ' '_- �_.�--.+—�— �
' S� 1._ _ _ 8 - F1.� -CG.�:^- �' t���m i Length// - _ Width .,��-leight _
, - . - _
Windowa and Deora-Cracka e and Are� � �� '�` t
8 ./} i Vdu� o�� a�� �oc�s-- rackuge and Area � �'
-. r__.� y:�
R'tdth Hetgnt No. ot Liceal . � Area /'� " � "' '"T ' �T � ��
Pl:�t�� e�gh� Ve. n[ Linae� (c. are9
No. o[ pane ot an IlgAte nt crack eq. ft / �,r �; ` i ! � 1 ;
. .-- —_ No. , of �e �:a �t �+�ne I:ghta vuf crack rtiq. tt. .
�--"- - - --- • --- — -
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lnhltration i ��3'
Glass _ �
+E"P'--�li_ -,:� � --__,.�
Net ezp. w�ll `
� --- -- ._._. —..
Int. wall
Ceumg �
F►oor �� k � / _^�
� Total Btu.
Reyuir�d p. ft. E.D.R or p, w�. WA L.eader area
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SuBJECT rCnMl .
City of Fridley 2 2 0 21
, , AT THE TOP Of THE TWINS g � I L D I N G P E R M I T RE .
f
� � COMMUNITY OEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC. ����
i _
� � "�
r � ' ";
� _ ,
� /'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�""""� � ,�� 612-571-3450 910-F15 8/9/�3 � �
JOB ADDRESS '7361 Jackson Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. 9 1 Melody Manor 3rd Additi,on
2 PROPERTYOWNER MAILADDRESS Z�P
Paul/Carmelita Larsari 7361 Jackson Street NE
3 CONTRACTOR MAIL ADDRESS Z�P
Same
4 ARCHITECT OH DESIGNER MAIL ADDRESS ZIP
5 ENGINEER MAILADDRESS Z�P
8 USE OF BUILDING
Res.idential
SEE ATTACHED
SHEET
PHONE
780-9094
PHONE LICENSE NO.
PHONE LICENSE NO.
PHONE LICENSE NO
7 CLASS OF WORK
O NEW ❑ ADDITION �1 ALTERATION 0 REPAtFi ❑ MOVE O REMOVE
8 DESCRIBE WORK
Basement alterations �qr beauty salon _
9 CHANaEOFUSEFROM
STI PU LATION S
See notati,ons on plan,
TO
TYPE OF CONST
SEPARATE PERMITS ARE REQUIRED FOR ELECTHICAL, PLUMBING, HEATIN(i,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN
�
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STALLS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2 �QQ
WITH WHE7HEH SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $4SaOQ
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF CONTRA TOR OR AUTNORIZED AGENT IDATEI
� � � � �� .
::rnierucc nc nwtiFa�iF oWNEP BWLDERI 1DATEI
GROUP
CU. FT.
OFFSTREET PARKING
IGARAGES
SUFiTAX
$ �., Q�
SAC CHARGE
F'ire SC $2 � OQ
TOTALFEE
$48.Q0
PER/u11T
rTEW
ADDN
AL'fER
Il
[l
[l
CITY OF FRIDLEY
SINtiLE FAMILY AND �DUPLEXES R-1 AND R-2
Building Permit Application
, Constivction Address: � 3 � (
�� . N�,� F � i�l .e.�., , �
Effe�tive 5/26/93
����9
; s �-3�
Legal l�scriprion:
�' Owner Name & Address: �c..�. �" �, v�.e1t;,-�. (re�r; �M �-� � � 0.VJ D � e i Tel. # � � -� 0 � �
r ���or; MN LICENSE #
�. Addres.s• Tel. �`
Attach to this application, a Certific�te of Suivey of t6e
lot, with the proposed c�astruction drawn on it to scale.
DESCRIPTION OF IMPRCIVEMENT
�vnvG �: ��n w�ac�
GARAGE AREA: I.ength Wi�6
DECK AREA: T.�gth � Width
,�� OTHER: � r'� s� ��� �„� J �t.�(-�-c tz� �r� L
x�;get sq. F�.
He�ght Sq. Ft.
�IgtlGrmmd �. Ft.
Corne,r Lat [ I Inside Lot {] F� Yd Seiback Side Yard S�bxks
Type of Construction' G r— o(� � Estimat� Cost: �, �� �D
Approx. Co�letion Date:
{Cost on Back)
Driveway Gurb C�ut Wi�h Neoded: Ft. + 6 Ft = Ft x$
_ $� .
DATE: � � �APPLTCANT: �w�.(�,; }q `� . � vw `cTel. # �G� " l � � �
Pe�mit F�
Fire Surcharge
State Surcharge
5AC Charge
License Surcharge
nriveway Escfow
Erosion Control
Park Fee
Sewer Maia Charge
�lIIM. � �Z_��
$ �� �' U�ee Schedute on Reverse Side
$ �. 0 0.001 of Permit Valuation {lllth�l►%)
g, /. O C� $,50/$1,000 Valuation
$ $750 p�r SAC Unit
$ $5.0� (State Licensed Residential Contsactors)
$ Alt. °A" or Alt. "B° Above
$ Conservation Plan Review $45U.00
$ Fee D�teimined by Engineering
$ �►greement Nec�► [ 1 Not Nacessar�► I �
� �.�, --- --,
TUTAL � � $ � � STIPULA'i'IONS: �
a
.► �,"�� _
�
BUII,DIN(i PERMIT FEE SCIiEDULE
The Chief Building Official shall, before issuing pern�its for the erection of any building or structure,
or for any add.ifion to any existing bnilding or stiucture, or for any alte�ra�ion or repair to any existing
building or strueture, upon application therefore, require the pay3nem by the applicant for such permit
of fee.s to the amount herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to �$2,000
$2,001 to $25,000
$25;001 to $50,000
$50,001 to $1�,000
$10(},001 to $500,000
$500,001 to $1,000,000
$1,(100,001 and up
FEES
$15 (Minimum Fee is $15 plus surcharge)
$15 for first $500 plus $2 for each additional $1(� or
fiaction thereof, to and including $2,000
.$45 for fust $2,000 plus $9 for each additional $1;000
or fiaction thereof, to and including $25,Q00
$252 �for first $25,U00 p�ias $6.50 for each additional $1,000
or fraction thereof, to and inclnding $50,000 -
$414.50 for first $SO,OQU plus $4.50 for each additional
$1,000 or fraction thereof, t,o and including $100,000
$639.50 for frst $100,00U plus $3.50 for each additional
$1,a10 or fiaction tl�eof, to aad including $500,000
$2039.50 for the first $500,000 plus $3 for each additronal
$1,000 or fraction thereof, to and including $1,000,000
$3539.50 for the fu°st $1,0�,000 plus $Z for each additional
$1,000 or fraction �thereof �
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Stre�ts Only)
Alterna% "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50.
Alternate °B": Removal and replacement of curb and gutter aad install a 3 faot wide.
approach with b inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for constructioa will be issued a minimum of 24 hours €rom. the time of application to allow
for proper review of the proposed structure and of the const�uction site.
A Certificate of Survey of the lot, showing the l�on of the foundation once it has it has been
const�ucted will t� required before proce�ding with the framing.
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' � " SU8J8CT �.
c�ty of Fridley
AT THE TOP OF TME TW1NS g u I L D I N G P E R M I T
;,
� �
� ; v _���� COMMUNITY OEVELOPM�NT OIV.
r � � PROTECTIVE INSPECTION SEC.
� . ,
i-__-�� �"' �,� CITY MALL PRIOLE� 531�2 NUMBEiI AEv
t 612-571-345p 91p-F15
JOB ADDRESS �361 Jackson Street NE
t IEGAL LOT NO. BLOCK TRACT OR ADDITION
oescA. 9 1 Melody Manor 3rd
2 PROPERTY OWNER MAII AOOR�S$
3 CONTpACTOR MAIL ADDRESS
Hables Construction 1050 Hvacinth St Paul 55
4 ARCNITECT OR DESIGNER MAIL AOORESS
5 ENGINEER MIAIL ADORESS
8 USE OF BUILDING
Residential
7 CIASS OF WOfiK
IATE I P�GE OF
10/15/98 � �
ZIP
PHONE
PMONE
PHONE
/28270
RE O.
6 ���
APVROVED BY
SEE ATTACMED
SMEET
LICENSE NO
6330
LICENSE NO.
IICENSE NO
O NEW ❑ ADDITION O ALTERATIpN � REPAIR ❑ MOVE O REMOVE
9 DESCFiIBE WORK
Reroof � house and gara�e (20 Sq) Tear-off
9 CHANGE OF USE FqOM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARA7E PERMITS ARE REOUIfiED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WQRK OR CONSTRUCTION ;ONING
AUTMORIZED IS NOT COMMENCED V�IITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANQONEO POR A PERIOD OF 120 DAYS A7 �
ANV TIME AF7ER WORK IS COMMENCED ' NO DW
1 HEREBV CERTIFY THAT I MAVE READ AND EXAMIN�O THIS APPLICATION
AND KNOW THE SAME TO BE TqUE AND C04iRECT. ALL PROVISIONS OF LAW$ yqLUATI
AND ORDINANCES GOVERNING THIS TVPE Of WOpK WILI �E CpMPLIE�
WITH WME7HER SPEGFIEO HEREIN OR NOT. TNE GRANTING OF A PERMIT 1]1�'
DOES NOT PR ME TO GIVE AUTMOqITY TO VIOIATE OR CAMCEL THE pERMIT I
PROVISION ANY OTMER STATE OR LOCAL LAW REGUTATING CON-
STRUCTI TME P ANCE Of TRUCTION 56 /
�
o PLAN Cf
l V
S�GNGTUpE O� CON'AACTOp Op AUTHOp�2ED OGENT �AT
�
UNITS
SQ. FT
STALlS
�IS IS
LOAO
CU fT.
' PARKING
GARAGES
�/S .•
�
NEW
ADDN
m t
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[J
CITY OF FRIDLEY
ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 ��
BUILDING PERMIT APPLICATION ��, ���^
ConstructionAddress: 3 � � �50rn � �
�7 �T�c ��-�
Legal Description: �T� �- � r�;-�
Owner Name & Address: — Tel. #_ � �f � � �-/��
Contractor: ��� ��a�S��'�G7`�c�,� MN LICENSE # 6 , �,-3 �
Address:�C�SC� /r7�u r..'�,a�� S-� /�%,%l� S:�'/ C� G Tel. ���-,� 3�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Effective 1/1/98
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
��1' � %� r`c�c) � % C� �-�> ��
Sq. Ft.
Sq. Ft.
Sq. Ft.
._ _� _ ✓/�/� _
Construction Type: Estimated Cost: $, � �
�—
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: 6
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surchazge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
S1'IPULATIONS:
APPLICANT: �`L- �� � c.._� Tel. # -� G,�
- 7 7/
$ S�- 7.5�
$ l %�
$ � lo
$
$ ��Da
$
$
$
$
$ ��3
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.SO/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [' ] Not Necessary [ ]
� , d
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $SOU,000
$500,001 to $1,000,000
$1,040,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,Ot}0 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "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 construction will be issued a minunum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site. �
A Certificate of Survey of the lot, showing the location of the foundation once it has it has b�en constructed
will be required before proceeding with the framing.
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COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When realacina an existin4 furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes �) No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes �) No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existina combustion air is sized and installed to meet the current codes
and manufacturers specfications.
When required to install a new combustion air. it will be sized and installed
To meet the current codes and manufacturers speciflcations.
Ye� No ( )
Ye�) No ( )
Yes�No(
When installina a new ventina svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. • Yes'�) No ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes�!� No ()
11�
Appliance Tvpe and Size/Common Vent and Vent Connector Infonr�ation
Appliance #1 Type BTW Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Verit Canne�tor Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Ve,nt Conne�tor Height ft Length ft Diameter in Type
ALTERATIONS• (Describel
HEATING CO:
Signed By:
s���!
�
_
CIIYOF
FR[DL�.Y
FRIDLEY NIUNICIPAL CENTER • 6431 LJIVIVERSTTY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
February 11, 2002
Chad Vang
7361 Jackson Street NE
Fridley, MN 55432
Re: Final Inspection at 7361 Jackson Street NE
Contractor: Residential Heating & Air Conditioning
Dear Mr. Vang:
A mechanical permit was issued on March 7, 2(�0, to install a furnace at your address.
According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the
work authorized by this permit. As of this date, no inspection has been called for.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do not hear
from you within this time to set up the inspection, we will mark the permit "no inspection called
for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/ls
Buildi�g PLUMBING Permit No.: ��-� ' � '�-;�
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date xec'd: � l'� -G �
DATE �;,1—/�� O 6 YOUR E-MAIL ADDRESS � 2/6I , c f� s o�, s T. iVF ��2ia�/Pv
SITE ADDRESS
THIS APPLICANT IS: �OWNER OCONTRACTOR
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOURSTATE
LICENSE WITH
APPLICATION
PERMTT TYPE
�rYrE oF woRx:
ADDRESS: C K O CITY.
PHOAIE: 7Gs� 7r % – ��O
STATE LICENSE #
EXP DATE
��zrn �5�3�
ADDRESS: CITY STATE ZIP
PHONE
�SINGLE FAMILY
0 NEW
DETAILED DESCRIPTION OF WORK
FAX
❑ TWO FAMILY
�REPL,ACEMENT
❑ TOWNHOUSE
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00; whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This shaulcireflect �nly the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
.F4R�'ROJECTS �RE LRBOIL EXCEED��'$SUO;-FEES ARE BASED ON $10.00 PER FD�TURE, EXCEP'f:�V3�RE�T£H�:�s�.(AFDICATE TOTAL
NUMBER OF EACH BELOVI�
BATH SII�IK/LAV _FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (rv�o crrrucEtusE) SWARMING P�L WATER SOFTNER ($35)
CLOTI�S WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15)
_ DISHWASHER _ LAUNDRY TRAY �WATER HEATER ($35) FOR IRRIGATION
_ WATER METER _ OTI�R
Permit Fee $ Number of fixtures @$10.00 x$10.00 =$
Surchar e .50 Number of fixtures @$15.00 x$15.00 =$
TOTAL DUE $ Number of fixtures @$35.00 � x$35.00 =$ 3 S.o (�
� State Surcharge = $ .50
Tota1= $ 3S . SZ�
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conforma.nce 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 applicaxion for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plazt in the case of all work w ich requires review and approval of plans.
SIGNATURE OF APPLICANT �iO� � PRINT NAME Z//V� JG� N/ C DATE __/'�— /�-- G' 6
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977