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AF - 47335City of Fridley�, in�n 6431 Univeraity Ave. 1�.E., Mianeapolie, Minn. 55432 BUILDING PERM[T ��; _ July 1, 1971 ��� Peter Schalwid �d� Tri-Co Builders Inc. Adc7r�s Address 7561 Van Buren � 11072 , , LOCATIOIV OF BUILDING Nq 7401 g{�t Jackson Street _ Part of Lot y� 5 Block 1 Addition or Sub-Division MP1 nr1� Manor ��,� �ear Lot Inside Lot x Setback . 3 �� .—... Sideyard � 5.�._'�? 7' � ae��� 875 .60 878 .60 Top of Footing DESCRIPTION OF BUILbING To 1� Uaed as: _ Dwelling ��ti 53 �� 40 g��,t 17 sq, �, 1112 �, �-t, Front Depth Hei�ht Sq. Ft Cu. F't. •l+ype of Consiructqon Frame �.� ��23, 000: To be Completed 10/1/71 � Reep garage slab 18" above center line of street. In conslderai3on of the issuance to me of a�r�mit to construct the building described above, I agree to do �he prapose3 work in accordance with the deserYptlon abq�e se�forth and in compliance with all prcfvis�tons oE Ord�sncea oE the dty of Fridley. �(� n �. o/ $10.31 S In consideral3on of the paymeni of a fee of $ 5� ,�rmit is hereby granted to Tri-Go B].drs • Inc . to construct the building or addition as descxibed above. This permit is granted upon, �the express condition that the person to whom it 3s granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of FrYcIIey, Minnesota, regarding location, construcizon, altera.tion, maintenance, repair and moviug of buildiag� �th�e� dty li.mits and this permit ma.y be revoked a t any time upon viola.tion of any of the provisions oE 8aid ,5.. i �/�-�'_.Q, �/ ��fl Ruildiag Inspector CLARENCE BEL�SLE N0710E: '1'his permit does not eove� the construetion, imtallaHon for wirfng, plum6ing, gas �ieatfeg, sewer oe water. Be wre to �e t6e Bvilding Inspeeto� fo� aeparate permhs fo� theae hems. �� APPLIC�TION FOR BIIILDING PERMIT CzTY OF F$IDLEY, MINNESOTA .. � � � � OWNER'S NAME,����- �S^�, r;Ed � G✓ ! t� BUILDER �B`' l`°� ��',�e�'+��' `�"�^C� �Dx�s ` �n�x�ss � S'���' ��'� ,��°�-�,� LOC9TION OF BiTILDING No. ? � / s� ,�,�� �L' �� � �o�. � � �� �� �'�� ` � LOT `")� BLOCK ADDITION OR SUBDIVISION � � A E ��' �%' � �`° � . � COR1�lER LOT INSIDE LOT � SE�L'BACK ��� SIDEY9RD ���- i` � �� ELEV'ATZON ��� .(e, C� TOP OF FOOTING S%�. � O Applicant attach �o thi,a �orm Two Certificatea of Survey of Lot and proposed bua.ldin� location drawn on these Certificates, DESCRIP'I'ION 0� BITIJ�DING To Be IIsed ge: � �� ����,,�%�� �'' �,,���� j F'ront � � Depth �� Height Square feet � � � �� Cubic Feet �,(pD� Front Depth Hei�ht Square feet Cubic Feet� Type of Cons�truction � 6` Q�. °� Eatima.ted Cost ��� a'-�%' �' � To Be Completed ,�'� C� � `° � �' �,� The undereigned hereby ma.kes application for a permit for the work herein specified, agree��,g to do all work in strict accordat�ce with the City of Fridley Ordi.nances and rulin�;a of the Department o#' $ui7.dings, and hereby dec�.axes that all the facta and rep�esentations stated in this appliaatios� are true a.nd correcte �'�- D9TE � � �� L�''�'� SiGN.ATDRE :.���--�'�-�' � . , L; .(.Schedule of Fee Costs can be foutid on the Rever�e Sideo) ��E �� ,�- , �C1 �,� � ` , ,°. � ,�=- �-_--_ � _ _ �� ►I,� � �i �' � ,� h� � �°. _ � ', �_ :. , � � ,� � �''—` �� ,�`�` 0 ;� ;' ,�`, - � � -� - � �,���'.,� �;,�� �.� .�. � p� � � � � � � . ;� � w BUILDING PERMIT�FEE SC�IILE SECTION 2a The Inspector of Buildi.nga ahall, before is�uing permits ior the erection of any buildi:n.g or �tructure9 0� for any addition to any existing structure or building9 or.for any alteration or repa,irs to any ezisting building or at�ucture9 upon applYCation therefo�e, require the p�,yment by'the appliea,nt for �ueh permit of fee� to the amount herein below eet iorth a.nd i.n the manner herein p�ovided to-wit: IIniform Build' Code: Type 1, 29 & 4-$1075 for each one thousand cubic feet, or fraction thereof9 in such cubical c.nntents. Type 3& 5- $1050 for each one thoueand cubic feeto For the purpose of computiug feea for building permite, the cubical c°on'tenta of a:ny�b�ilding"��addition �o` a uni�orm het�:t9th��iugYiout `'by `� � multiplying the ground area covered from a point aix (6) inches below the floor line of the basement or the cellar to the average height of the upper surface or to the avera.ge height of the roof eurface of the main gable of a pitched roof. For repairs or alterationa to an eacietin� atructure, the fee ahall be at the �ate of $3.00 per each iive hundred dollara ($500.00) or fraction thereof i:n the coet of all proposed worke In no cas� shall the fee chax ged for axay permit ae set forth in Section 2 b� less thar�, $50000 NSSSD Connectio� Chargea based on location - 9rea 1 or 2. , �, � ;� f '�' �� ��; '_ � F, � (" b f� M � ' � 'rk ..+'—�- F - g� �.` �' +,,,, , y �,; _ � .w..'°°a'°`°.�.�� _ "_ -. .- .�.: � " j . 4a.� �� �P�' _ , _ ,� � i` -= F - � � ..— � 4f, .��..--•__—� —__ .�_ � -- _ - = - . � �� � � G, �b . K a . � e. . , .�-. c�►a ar�,T,�, i0/n1 SurvetyP/tt� St►�IS les�+i►q Civ�l tr tifwr�r��val En�rneerm� dy s' �� � ������ �s�� �rt��� �� �� }�L1iY°JfY1�ti )Z,. Ehl G I NEER I NG, ! N C. R���'� S(h,�l �f�0a� — Er��ineers � ,Sc�r►�ec�vrs --- ce�ti�i�at�� o� su�ve �o: ��'YYl DEV£I.OPI'Y1�C� i � NO�a1 �- � W C�e � 1 � � � p. 6� ]C � Q � � � � � - ii2- � ��, � ��' w �s � � � � , �Q ��, y�` � � s�� � �� �-�r `OT t J. yo� s �� 8� � ��� , -�--- — � I -112 - 6 � — —�� — � I 1 S�t Elna�i.tm E�Q.O sll oor�ners of houss tcp o�' ]3s�olc ledgs 8g0•S � �ENOTES IRON----OENOTES ORAtNAGE ANp UTILtTY EASEMENT LOl' 5� BLOCK�MELODY MANOR 3RD AODiTICN At+l01tA Ct,�UNT�I / 6�"'+e� c�rf� j'� /hr►t lh�s �s o frue anJ tori�cf rrp,�sen�ofQain o�'o survey �'fl �t f�ovrrderi�s qf �' aibo�er cfescrYbsd �, orxl ��� n o,l'all bu►Adm9s , fihrr� � d/ ns�bi� dxrovflrmtnft .�!'ony ,�n or �n s�rri la�rd. As surr�eyad fx�r m� f�s "' _�/ SU6Ut@6�V1! ENG/NEERIIVG, INC. F:r►�nerrs Fr Sur-reyors 5 1 1��44 � ��v'� �f' " 3�"'�', ` r. Co e: by t _ , a � �4c � �_�S . � Lond Plnnnirt.g s���/�� d879 Nighwoy No.65 N.E. Lami 9urv�ying • ��y� � �j M{inneapoUa� Soils Testing �����GI1G%��J lJ��'i� Minn. 5343� CPYiI Bnglneering �� Tele�horie 78�-6066 Mvnicipal Hegfaeari�g E.IIg.��@�j=.g 8y �uTOe�OT9 Area Code 611 Mo�rtgage Loe.n Survey Yor_�� � � �C� �Ull.L���'-r,�- ,1 {�1C _ �-----�. . � � � � � � � � � � � � � � � 0 0 �rainac�e � U�i�i� ' ii2.00 ' �� 2.33 , a,, � * � i�ti � r� a` � ' , �, I b' S � � � Q . COhfCRET� ` N � � p Lilv�K ; °. � .� I N Fau�or�-r�o�► ��! 31.t* onl . , . -� � �" 39'� '� `'`� � � .o q � � --- -- — — �, — — — --- .� —•— -- — — � . 1►2,00 . SCO�e ; �inch_ 30 t�e� _ ��� � �C7t�� � �� � � a -���..,Q�� fY'1���� �� �� ��� �� � � ANcJ�CA COUN"'t"1�' , TMis is o true and correcf represent�tien of a sur�ey of �he boundories of fhe land obove described and � the �ocation of o1l builtlings� if au�y� thereon� :add aH. viaible encroachments� if any� from or on said land. This survey is fnode oalr in eonRectien wifh o mortgoge Ipan eow baing p�aced on fhe property aad no liabllitr ls oanvmed e�cept to the holder o1 sueh mortgage w enr ofher i»teresf aaqvlred by the ►eason oi such martgage. It is �trdssstood and ograed no mo�ra+�nts have baen placed for �he purpose oi establishing Io! linea or boondory corirers. Dated tMis,�,'%� dar oi JuTq, D. 19,� SNBUR�AN ENGINEERING, INC. (� 7�'�� . Fngi�toero �a Surv� ts � _ � 4� � d9 �� � a.�i'`'`T �°::�'� �.�7,���, _ (o� . 1 i � M � � � b � Q r � � : o . � . y q . � . � , � : � � � • : .\ � � � �` � � � � � � � � � �� � m � � � cxi � eo 7S � 8 °1 � E c � � N � n y� ~ � � A � �, � � � � A � � ".2 ~ o � •°•° P, °' '° � f° � � � , � � : � c : � �° � �e �+ � b y � � � O . . ." O � . � � . � � � G. `� �' �A � ' : : � �QQ ' � � : . . . . � v . � . � . � . . � . . . . o \ �o 9f il 10 ~ % % k X il k ,�i � ,a�u � � ,�a w �i d: d+ � � g a 8,;,� 8� S�i �' � g;.� �ei M � M b+ fR d► fA fR M M V� 0..7 � � i i� �� � � � � 1 I� � r � O � � � � � � � � � � � � � z m � L1. � � b � D � � � � � �p� lI ri7 C r m � o � � a � n ti � "'� � � l� g � � = .■.�� � " ..■.' , � ...�, ' ����.► � � ���Q� - ■���� ����� ro � C Q y � T c. a � Vi M ~ ieories WATtR � uau�t MrM � .� SINKS w,� rw►K DRIH�. fWWT. 51RY0.S. DRA1N5 GTCM lAS1N5 AUTO WASMa � � � � OPENINGS . • i • � > n � � � �o.� �� �� M � C � L°. � ��� b � oR �'��� � ~ O � � � b � � � � � � � � � m p ���' ��o 1 � � M m V � � � V�� ��. ���" ��� �� �� .. � � � ��� 3 � �• � M � � � � � vi � � � a � AP � R � p �i M � � � � � � � �. � � � � � � � � .°� V � � � Q g � � � �- � � � � � � r � � � � • O . � ' a ` O . � : , �y : � ' � • : � . S � � � C ,_ m m � � 0 � � �.� � � �� M p � � d � � � c�i w ti! � 8 A � � -Ci � � � � � � � �o A � � � � � � S � ��� � � � � � ., � � � C • O � f�D '.d � t! 'O �' 0 �' '�+ C . . . O � . � � . � O � M m : : : pp � , 2. � rn � � . . Q � : . . a a � . . 00 � . . . . � . � . � . . . . . . ~ o 0 fl C! 11 M 11 k k % it i! .�' p � � �3 � �3 � � � $ � 8 �8 � 8 � � $ 8 � a « �� « a �• a H I o o � ' � o I r � � � � t � � � � � � A! i q E a � � � D � r I� � � �p� � / i17 C r 177 ...., � ' .■.■1 � i ...■1 : : ����� ■ ■. ■, � �■.■' ����� � �❑ � � � � � � �. � i�i � i' '� � �' ff � 0 0 o � 0 � � � m � . � � M ~ � o. � w��u �� u�11l1ALS � � SINIB WASM T�/1Y4 oai�uc. :OUNT. SMMILS. F100� DAAINS GTCM li151N5 w� ctis �. � OPENINGS .. :. �� . � � � � �. a � a ��� � � � � » � P� �� � � ��s� a� c � � a �� �� �� � �' .. � ��; � m � b��'m � � � $. � � O � � �, � N 7' � � �� m � .� . �. � �� ���� ���R s � m � � I 3�� � ,� � ti � � � � A �p � P �' �w � � � w �. �' � � �. � � p d m � �� M � 1 �� N � ��. ��. � � � � � c � m � � w � � � � � �, �J'l r City of Fridley AT THE TOP OF THE TWINS i � � � � • COMMUNITY DEVELOPMENT DIV. f � �r------� � � PROTECTIVE INSPECTION SEC. 1 S � � �"'1 � CITY HALL FRIDLEV 55432 1��_.� � �•� g12_�0-3450 SUBJECT BU ILDING PERMIT NUMBER REV. DATE PAGE OF 910-F15 4/3/78 � � JOB ADDRESS �401 Jackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 5 1 elody Manor 3rd Addition 2 PROPERTY OWNER MAIL ADDRESS Peter Scha.lvzig 7401 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS Velner Constxuction 4633 Maryland Anenue North 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER 8 USE OF BUILDING Residential 7 CLASSOFWORK ❑ NEW 8 DESCRIBE WORK Fire Re� 9 CHANGE OP USE FROM MAIL ADDRESS ZIP 21P ZI P ❑ ADDITION ❑ ALTERATION �1 REPAIR TO PE ° 14615 IECEIPT NO. / APPROVED BV SEE ATTACHED SHEET PHONE LICENSE NO. 537-0714 PHONE UCENSE NO. PHONE LICENSE NO. ❑ MOVE ❑ REMOVE PULATIONS Ca,ll fo.r rough-in inspection befoxe covering. Obtain a11 electrical, pliunbing, mechanical permits necessary. Install approved partical of combustion detector. Submit any structural change detailed drawings for approval before instaTlation. aE��RATE PER�AITS REQUIRED FOR WiRI�G, MEA�'1�iC� PL.UIO�BlNG AND StGI� TYPE OF CONST. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. y�`l�j � OOO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISI NS OF ANY OTHER ST E OR LOCAL LAW REGULATING coN- $45.00 STRU ION OR THE PERFOR A CE F CONSTRUCTION. � PLAN CHECK FEE SIGNATUR F CO AC OR OR AUTHORIZED AGENT TE� W H EN �' _ � mnwinriiocncnwniCOntl1WNFGRIIIIOFRI IDATEI . - �B�DG WSP _. �CCUPANCY GROUP OCCUPANI SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX $7.50 SAC CHARGE ITOTAIFEE $52.50 LY VALIDATED THIS IS YOUR PERMIT /C.iC�.�'`-� ___Q� ' AATE� A C I TY 0f= FIZ I llLCY ' APPLIC/1TIOt� FOf2 ftL'SIUf:NTI/1L IIUILDI�JG PERMITS ' ' (I�L"W, �LTL'Rl1T10PJS, IIDll17I0(JS, OR REi'A1RS) , ,� . F, . OWI��R: r L��Z �(a � e f � , T3UILllL•'R: �— L�`��� � Ci"�-� S� a � w �-- — Address: ���e �,��lc��� 1V � Address: `�k�r�,�d"�,/�rZ� /1���,"'Fi��,�fC, . Tel. No. : �� % — 0� l � No.: Street: LOT: ALOCY.: ADDITIOP7 : COI2NER LOT: INSID� LOT: SLTBACY.: SIDL•'Y71RDS: Applica'r,t attach 'to i:his fozm �ao Certiiicates of Survey of Lot and proposed bui.lding locatian drawn on these Certificates. . DESCRI PTI01'd OF BUI LDI HG 3 To I3e Use1 1�s: . � •�' • _ f��'�'� � /2. Front: Depth: � ' Height: ' r Square reet: Cubic Feet: Front: � Depth: � Height: � Square Feet: Cubic Feet: ' Type of Construction: • Estimai:ed Cost: $�� •��, 7.b Be Completed: c�� �f.>j� (� /�r%�� , Proposed Driveway Width If I�1ew Opening Is Desired Alt. A Alt. B $ $ (ST� 12�VERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all ���ork in strict accordance with the City of Fxidley Ordinances and rulings of the DeoarL-ment of Buildings, and hereby decJ.ares L-hat all the facts and representatians stated in this application are true and corrcct. See xeverse side i acldition i fozmation. �"� D11TE: � � � � SIGNATURE: . St.�pul ations : 9� �.� �- �� � � ���:.�� �;� ��Q/� �� � .� , 3Z � ' P�G,�c�-► • �.P.� -E=������' ���,�''�-�;, ��`��"`-�°�'� �� . � , � `��� �� , �'.�.�.-�' ���.� c�'�� • � 3, �',�'.�.� � , ` 1� y ��„�- ..�C�°��.��-P ��� �o ��:�i ���� �� ���� �� v���� o .� �° `�` ��j` , BUILDI�JG PERI�IIT FE� SCHEDULE SECTION 2. The Inspector of Buildings shall, befoge issuing permits for the erection of any building or structure, or for any addition to any existing building or stxucture, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permi� of fees to the amount herein below set forth and in the manner herein provided to-wit: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$14.50 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x$17-20 �1DDITTONAL INFORMATION For the purpose 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 below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repai.rs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars {$500.00) or fraction thereof in the cost of all proposed work. In�no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. _yERiFICATION OF FOUNDATION NOTE: Permits for construction will be issued a minimimm of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certi.ficate of Suzvey of the lot, showing the location of the founda.tion once it has been constructed will be required before proc�eding with the framing. _CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 4 � � w � � H � z r N o �0 ra o � O �..� v z � c� H Di � � m LnT7 H � w � m � 9 � r �° ►�- 'd � � ' � �' '� � a w � � � � c �- m ►}'-• �' �' `� •� o � � W � n � � 6a � rr � 2? � W y � M M O M � rM� fD M �tn � O M 1'� O N O�7 b0 X 't z � 0 r � w y r � n� o W w��� � 9 � N rxr- n w p' � °o m � � rr ►-� o � M � � � � ►�t � M H 1 p � � C�n °o � �° �S vi m °r rr o o°' � t-.� o ''j °o m ' n p' °�o Rf � ►t 0 0 �o m r�o m r � N, z ta � � � o �- � � � � N `� � oo °o w cn .-. o `� o � • � � C � -i m N c� . _ m I I •° rn x x x x x x x ec x x k x N fA A tn Y N iA i/i iq i/1 N V/ N t/1 ib N � . 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Fist � � Gas Panqe w �i Othar � a r�r �r � n � � m g o � � d � � � r�� � C M � 4: � � � � � � k � � c W n '3 Q (A � • . � �' � � o � � �"r � F-' � � � � � � ro F � �-� y � � 6 � � � � 1 iD c � � �� � m am rKro °� W M � a O ��L Q� h+� � lJ� M� W �a aa ���° io � ��G 0 dsa0 � a M� W O W M M m � �t � � W � � m `Q a� a � � � °� � w r°� �KO�e m w � w 8� � m r�► ~ fXD � Ef�� � M � M�,� � . o � a ►�•. 5 f~'' � � 'J F�+� ft � G'F M � �i � ���g � N � o CI- r � � � a L�J � � � � � � � k m � � p G t ~ h Fn+ � M � h� N � {D . fD R W $ T �{ � � R `C %Mi' 8 �w� � � � rr O� W 1 � � t~T O � a � � r ... n a � 0 z � 0 � � E �' 3 � W � o T a z d T � G� � a ty v� r m T -< � � Z � � m � -i �D m I �• � Z � O � � m � � � p � Z o � rn 3 � Q Q N o� 33 'p � � � -o �� m � � � � � a � ? � m �" �o � -v � D -p_ . � � Q' �� � �v gm �o m� -yi � 7AC C � � s -n 3 n � � � � Z O z � cQ � � a � _ D _i Z � ,� � `� O � � m m n � � 3 � o '� O � � � O � � �. m � � C = � � � � a -�r� �N � �, � �� �►� � t�� '"� '� � � s� �,� � �'�a,�o � ���` ��`;'� � 4� ; •t + �3��,�� ' AlA' A � � m o � � � � O .� � �� � O � Z � D c n � � � cn � � N O En tfl a► 0 . . � �W � � � m m ��' m v �o N. � z 0 -� � c� � m n 0 O 3 � o ,. . a � � o � 3 °-vo' 70 = W °+ � � 3= � � 3 a d � � m � � ' m � m 1 m � ������ ��I � J J O ! o O � O � �� , � � �I ,D • � v gl 8 � I� a� � � � �� 1 - Q �i � I, '� m � � z 0 � � i�, 0 �� � � c � 0 � N � � �a��� m''° �'z� .-� � � �p � .�. � A� �. 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S I.L'k�2I . � � /J �i °� 01. w i �� J)'�15 y �' � ! . .rema •r � •�i 2I i) ori ��A la3�Q �EM .IO� PaPIAOId II� liE IIOqSi1�0� SEFj •g � ) ol�t � �x �i�i{ .I�jBM 10� �IAOi� B�Q .IaUij E SEj; •� � .. . .� . � � . - . . . . a� ol_I � S�nig �ioi � . �— S� '��° II1� � �� -- - . �_ -���_� �, 3o s�f1.Lfl $ I�to� seH 9 ( ) oN � �A k pa��auoo� � - �o� pue az[s io3 s�aawannbai apo� �ua.im _ s�aay� ' S ( ) ol�i � �� pa� �` , 9 � m�as sI •� . - � � �� �H �� �� IIIl[jiM �33$�IO[ SjJAC��J OU SB�-j '£ () oN G�) �� uoq�oua�ap io �co.g aa.r3 sI 'Z ��s ( ) oN �) �� ` pauiwexa �CJ��� uaaci �H ' i �-s'` :x��s io �amuTq� 3upsixa a� �Ey� sayuan ��.taq pav�islapun aq� I.LN�I�RI�A �I d.L Ql�id A� WIH � � ���� "Ea�n"G FIOIJSE IiEATBPlG T'EST RE AIR COPdDITI�PdIBVa `AfdD EL.ECTo�lC, WC. ADDRESS ����/ � ��G /(�'_C4�� � �, OCCiJPANT ���� �� HEAT LOSS DATE WTS�. IlV�Y. �' A/' SOLD BY � �' IFd�TALLED BY Electrical Work �y � C jn,�. �� p��� �� TYPE OF HEAT GA FA Z FIW STEA11eq � SPACE FRl�. � iJW94 I$�ii.� O " �0 SUBURB is� �9 CCAS DE31�� � ii �ONVE4iSIOM MAKE ��' - - - _ ��FaICE OF 86JFiPEER I �I Model - C ��� Serlal �c. DYtJ R891rtp INPUT � (.�. c c�; -���, �a •.► � &IDB�ICE OF FIJRWA�E W1ode1 ������ / e THERMOSTAT ��ivtrjt�.ne�... Nead PBug bm�t SIa�O � Valve 161WD OF LINER /,,,r c�ae wno�e Lfmit �ra� 6dood WeguYeoe�r ••—••— Ltmit Seriing �IB4�� �tzo f/�i!' �3 x__ / Rluenber Fan Setttng �Bal�rto� La�9Bon Insdd� p�o�e PIlo4 Type �h8���y �onetntetlon Pllot Make Pilot Model ��� �en� 1Mring ✓ R(lot Ttming Dr�iH T�a3 Teg / L. W. Cut Oft n DCOP Pfoseur� 6lghtlng Irist. Pressure P�rcenQ �, D�to To�t�d - � • �p � InpuQ CFH � O- a�>, c' J Pare�nt Oo ��ropany Tastle�� > StaekTemp. /[,l" i�e►c�ngC� __ � tUr�otToatar Foem 235 � � � � SuB�ECT � , c;ty of Frid�ey y 2 8 6 6 7 ;`���:���� TME TWINS gU ILDING PERMIT COMMUNITV DEVELOPMENT OIV. NO. i �V - ��( D r � � PROTECTIVE INSPECTION SEC. 1 = � � /��'1 � CITY NALI FRIDLE� SS�32 NUMBEN REV DATE PAGE Oi APVqOVEO B� �""� � �'� 612-571-3450 910-Ft 5 11/30/98 � � 108 ADORESS 7401 Jackson Street NE t LEGAL �OT N0. BLOCK TiiACT OR ADDITION SEE ATTACMED oescR. 5 1 Melod Manor 3rd Addition SNEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PMONE Pete Schalwi -21 7 CONTRACTOR MAII ADDRESS tIP PMONE LICENSE NO Ea leview Const. Inc. 2 - 4 ApCHITECT OR DESIGNER MAIL ADDRESS 21P PMONE LICENSE NO 5 ENGINEER MAII ADDRESS ZIP PFIONE LICENSE NO 8 USE Of BUILDING Residential 7 CLASS Of WORK � REPAIR O MOVE O REMOVE ❑ NEW O AODITION ❑ ALTERATION 8 OESCRIBE WORK Reroof house and ara e 22 S Tear-off 9 CHANQE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS AqE REOUIREO fOR ELECTiiICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GHOUP OCCUPANCV LOAp VENTILATING OR AIR CONDITIONING. THIS PEiiM1T BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZEO IS NOT COMMENCED W.ITMIN 80 OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED fOR A PERIOD OF 1� DAYS AT ANV TtME AFTER WORK IS COMMENCED. NO. DW�G. UNITS OfFSTREET PARKING I MEREBY CEFTIFY TMAT I HAVE READ AND EXAMINED THIS APP�ICATION STALIS GARAGES AND KNOW TME SAME TO BE TFUE AND CORRECT. ALL PROVISIONS OF LAW$ yp�UATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED W17M WHE7MER SPECIFIEO MEREIN OR NOT. TME GRANTING Of A PERMIT $1885 �.��F DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OF CANCEL THE pEqMIT fEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OFi LOCAL LAW REGULATING CON- STRUCTION OR 7NE PERFOFMANCE OF CONSTRUCTION 59.SO Fire SC �1.8$ P�AN C►1ECK FEE TOTA� FEE j� �� License SC 5.00 67.32 �:� �GNATUP OFCON'AACTOAOp0UT�10p�2E00GENT ATE� WMEN PROPERIY VALIDATED TMIS IS VOUR PERMIT S�GN4TUAE O� OWNEAi�� OWNEABURDEpi �DATEi BIDG �NSD � pptE �. , 4� NEW ADDN ALTER �� [l [l ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 0 Effective 1/1/98 �1`� `p �V �� �� Owner Name & Address: ,___ ��g ��q�a✓iaj Tel. # 7�� � a-1 �(,p Contractor: C� . MN LICENSE �# �� '�� p'�3 _ Address: �°l 3 `� /ly � L�� Tel. # �7��— S�YG % Attach to this application, a Certificate of Survey. of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. � �� /p �� _ Construction Type: ��u�� .Q i1a� -���-e' Estimated Cost: $ l C��S �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ -�.- DATE: i 3� �' � APPLICANT: y�-- Tel. # 75�3--�� 9 CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � . S'"v $ � c��� $�� $ $ � �o $ $ $ $ $ • �� Fee Schedule on Reverse Side 001 of Permit Valuation (1/lOth%) $.50/$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 [ ] a ' BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant. for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100, 001 to $500, 000 $500,001 to $1,000,000 $1,000,001 and up FEES $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 $100,000 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. 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 $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the locatiori of the foundation once it has it has been constructed will be required before proceeding with the framing. • sue�eci IT NO. c�ty of Fridle� 32018 AT THE TOP OF TNE TWINS g� � L D I N G P E R M I T r IPT NO.. , � � �� � `v _ COMMUNITY DEVEIOP�ENT OIV. r � � PqOTEC7IVE INSPECTION SEC ���� '��0 1 . i i.-_- w;����,,� CITY HALL FRIOLE`1 SS13Z NUMBEii pEV DATfi PAGE Of AViROVEO Y t �� 612-571-3450 910-F15 7/20/O1 / / JOB ADDRESS 7401 Jackson Street NL t LEGAL LOT NO. BLOCK TfiACT OR ADOITION SEE ATTACHED oesca. 5 1 Melody Manor 3rd Addition SMEET 2 PROPERTY OWNER MAIL ADpR�S$ 21P PHONE Pete Schalwig 7401 Jackson Street NE 763-786-2196 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO Lake State Remodelers 6248 Lakeland Ave N, Brookl Park, MN 55428 a ARCHITECT OR DESIGNER MAIL AOORESS 21P PMONE LICENSE NO 763-533-1544 20047296 5 ENGINEER MAIL AODFiESS 21P PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WOFiK O NEW �1 ADDITION O ALTERATION ❑ REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Construct a 12' x 10' Deck; Remove existing 12' x 10' Deck 9 CHAN(3E OF USE FROM TO STIPULATIONS See notations on plan. ' � �fore diggi'�� ���� �°e all utili�y I��:�tions q,�q.�d02 R��vi���► �Y �aw TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO SEPARA7E PEIiMITS ARE REGUIqED FOR ELECTNICAL. PIUMBING, HEATIN(i, VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NING SO. FT CU FT. AUTMORIZED IS NOT COMMENCED VyITHIN 80 OAYS. OR IF CONSTRUCTION , OR WORK IS SUSPENOED OF ABANQON�O FOR A PERIQO OF 120 DAYS AT '` ANY TIME AFTER WORK IS COMMENCED. " NO DWLG. UNITS OffSTREET PARKING I HEREBV CERTIFV THAT I HAVE READ AND �XAMINED TFIIS APPUCATIQN 1 STALIS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS bF LAWS yALUATION SURTAX AND OFDINANCES GOVERNING THIS TVPE Of WORK WILL B� CpMPL1E0 @ 1 32O �.66 WITH WMETHER SPECIFIED MEREIN Ofi NOT. TME GRANTING OF A PERMIT �' � OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CAMCEL TME pEqMIT FEE SAC CMARGE PROVISIONS OF ANY OTHEp STATE OR LOCAI LAW REGULATING CON- SO.95 F e SC �1.32 STRUCTIO THE PERFORMANCE OF CONSTRUCTION � PLAN CNECK FEE O L FEE Licens C $5. 0 �$57.93 GNATUAEOFCON'AACTQFOpAUTMOA�ZEDOGENT iDATE� HE P O Y VA TED THIS VOUR PERMIT �-�o �/ S�GNOTUAE O� OWNEA ��� OWNEp BU�LOEp� �DA�E� . �� � G�N$P � OLTE a 0 tvEw [ l ADDN [] ALTER [ j Construction Address: Legal Description: Owner Name 8� Address: Contractor: Address: LNING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION ��� � �--, r ��', �l � Effective 1 /1 /2001 (763) 572-3604 Bldg Insp �5�3�. ����m �� Tel.# ��� �Z�C� ` �l �lf� +t� �.� � S MN UCENSE # `�i��' � � �ei C� � � � � �`= .� S �� � �� Tel. # `�� � �- eS.3.� ° 1.�� � � 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 Length f � � Width � � ` Height Sq. Ft Hgt/Ground °7 � l� Sq. Ft / Zl� .� f= /� �y,p � /��� Construction Type: ��� ���-� fi��1,���� ��e��titnated Cost: $ Driveway Curb Cut Width Needed:��Ft. + 6 Ft = Ft x� _$ DATE: l �f� �� d APPUCANT: ,�� L��� � �° �a�`��+t L' lzvaCG ' � � � ��' � � '�° ` �� �'el. # `7� � - .a .i � - l S CITY USE ONLY - Permit_Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ ��• ��� Fee Schedule on Reverse Side $ � � � .001 of Permit Valuation (1/10th%) $ . (�r � $.50/$1,000 Valuation $ $1150 per SAC Unit $ �, c�C� $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 [ ] $ °�� � 9 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 $500,000 $500,001 to $1,000,(M'i0 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,0(� $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,� plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $SOO,Q00 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. 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 tunes $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed vc�ill be required before proceeding with the framing. New Houses Onlv ��tG �t�w �,`� � 4-c7 ! 5���23 a� 5 �, �. SS¢3 Z � . � p� 763' �86-Z1 �� I l l La�� S� ��e�l�,S �j� � 2ou9-72°1 ( ��lac� Ex%s�.`� �c��C W�J�tw I n� Set r►t/ �...p Ca.�'70 N 3a•S� �}a ��S ,,�� , �� � �'Ii �� � , r I I I , I , ;, , ,,, ,, � � ���������„-� I �, � � i,�/ ' , � t� i� „ ��iZ z �'��s�:.� OJtr �;M /G�1 � 1C $ islrehrtn.� (.e�4�i- �'lQ� 'fC� $�0.�. � _ _ — V " � z x g G.��., r��! 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"�fbi� is a trw oad eorr�ct r�prosenfetien of a �urver of the boundarie� of th� {and above d�acribed and ot !h� � .'�tecoHsh oi'all boildi++g's� if any� 1M�roen� and oll visibl• encreacMwents� if any� from or on said laed. �h{s s�rver is •- afoda w+1p in eoneeetiee wri�h a rrrorfgog• toan now b�ing placed en �he preper�y aad no liabil(tp is 0f6YM1�{� " ��e�pt to fM holdsr o/ s�eh nrw�gay� w onr other interest osqdirod by ths ►eason o/ such nrortyaQe. It it �de�btood a+d agrNd no n�onuw�ents heve bsen plocsd /or th� p�rpose of as�ablishinq Iot lip�s or bonndorr eonrrs. Oafed thit Ti� dar of JuTA. D. 19,� SUBURBAN EN�i1NEERING, INC. L 32� , Engin�s►� � Eurv�r s,� � g 1 ' b� �kr ,/' ;,�� ": • L' r..�, �. _ ...-, �: J O -► rD- � C \ O y. � � �, _ � O � � � Z � D �rt D o Z c� tn X O � D � � b � cn �o m i 0] C1 � � � m � DD � c �• � O� '_'� � � Z � d �Cv O � � � o ,� m m m � m � -� � O (� � � m n � O z �, � 0 � D� v+ v, o D ,�I Z V O � D � r c�°i � � � � � � � n co (� p z � �'I n. 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'�`..9fi�.. 4^�„�>�_"' '1. � .L " a m N � � 1 \ � C � � 1 f/1 --{ L � � � �� C . � � � � a 1/� � � (0• F �. � � � � � � . o � � Q•Q � � 01 3 � o 'r � � N � g• � � � �`�� � � g o' -+ -, � d d � 3 � � � � � �_ � � ��? ��� � �0 r C � � z � � � C � m � m u� z O � � O D r L � D v v � m � � �� �I� � � THE BELOW MUST BE FILLED IN WHEIV REpLqCING FUEL BURNING APPLIANCES OR THE ,� APPLICATION WILL BE RETURNED � , When ' ' , the undersigned hereby verifies that the venting has been examined and is f�ee from rust, deterioration, obstructions, and is securely supported and firestopped where required. The venting system is plastiGPVC and meets all current codes and manufacturer specifications inGuding sizing, length, number of elbows and termination, The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specificabons. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The '' is sized and installed to meet the current codes and manufacturers specifications. When required to iasta�� a►,pw �emhu tie� t� it will be sized and installed to meet the current codes and manufacturer's specifications. When ' ' , the undersigned hereby verifies that it is a Iisted assembly and meets the cuRent codes and manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. 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 ( ) Yes ( ) No ( ) Yes ( ) No ( ) Yes( ) No( ) Yes ( ) No ( ) Yes ( ) No ( ) _ � �.. .. - .- ... .����.. - -. ... -. ...-«. . ..��. .. Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type _ BT� lr�; u; �an qsst�ied or Nat � Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances TotaB Btu Input Common Vent Type Vent Height Diameter .__ inches . Appliance #1 Vent Connector Height ft Length ,_ft Diameter __.__.in Type Appliance #2 Vent Connector Height ft Length ft Diameter_in Type Appliance #3 Vent Connector Height ft Length ft Diameter_in Type HEATING CO: Signed By: Date : � _ C[lYOE FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 May 4, 2004 Mr. Peter Schalwig 7401 Jackson St NE Fridley, MN 55432 Re: Fina1 Inspection at 7401 Jackson St NE, Fridley Contractor: Northwoods Mechanical Dear Mr. Schalwig: A plumbing permit was issued on October 22, 2003 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this pernut. As of this date the inspection has not been requested. 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 da.ys 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 by homeowner after notification" and take no fiuther action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh 3uilding BUILDING Pernut No.: v���� ��,. D�s _nsper$�ns RESIDENTIAL APPLICATION R�'�� By: 763-572-3604 CITY OF FRIDLEY nate Rec'a.: il� -% ���"� 3ITE ADDRESS iNLS APPLICANT IS: O OWNER PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATTOId PROPERTY TYPE YOUR E-MAIL ADDRESS �CONTRACTOR � �-a- � m NAIv�: STATE LICENSE �! EE7CP DATE ADDRESS: CITY STATE Z1P PHONE FAX o �rwo F,v�cn. PERNIIT TYPE o a�nDrno�a o G�G�s►�v o wnaDOws � BASEMENT FWISH ❑ ROOF ❑ DRAIN TILE 0 DECK 0 SIDING 0 OTHER O SWIIvBvIIIdG POOL TYPE OF WORK: � O DESCRIBE �ORK BE1NG DONE: SIZE OF NUNBER OF SQUARES GARAGFS PROPOSID STZE: PROPOSID HEIGHT: �9Vuly1 O Ahuninwn ❑ Other WINDOR'S IId EXISTTNG OPEMNGS �Yes ONo OR FOR NEW OPEMNGS-DESCRIBE STZE OF OPENING CHANGES & TYPE OF WWDOW TO BE IIdSTALLID 0 REMODELII�iG � HOUSE & GARAGE �'ATTACHED GARAGE ❑ DETACI�D GARAGE �Soffrt ❑ Trim ❑ Fascia LOCATION OF WINBOWS WIDTH HEIGHT �ASEIvl�NT REMODELING SUBMIT: 1. Existing Floor Plan 2. . Proposed floor plan 3. List of structural membeTS to lre Used Ft� FOR NEW CONSTRUCTION INCLUDING DECKS, faDDITIONS. & PORCHES SUBMTf: 1. Site Plan/Survey showing the existing sTruc4ues and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCI�DULE) TOTAL JOS VALUATION S/`% C�' ��•� OCCUPANCY TYPE � Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Emsion Control Park Fee Sewer Main Charge Total Dne $ ,� �°) _��' See Back Page for Fee Schedule $ 65% of Building Permit Fee $ 1��C�, .001 tunes the total job valuation $ � _ � .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLIC /,,�L�'..� e PR1NT NAME /��� ��c/!�� %�!��.DATE � C �� Page 2- Building Residential Application . 4, -� � BUII..DING PERNIIT FEE SCHEDULE The Chief Builda.ng Official shall, before issuing permits for the erection of any building or structure, or for any ad.dition 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: VERIFICATION OF FOUNDATION Permits for construction will be issued. a minimum of 24 hours from the time of applica.tion to allow for proper review of proposed stru.cture and of the construction site. A Certificate of Survey of the lot, showi.ng the location of the existi.ng foundation will be required before proceeding with the framing. New Houses Onlv City of Fridley 8uilding Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 � �� _ CIZYOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-128'1 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, !��% �. ��✓�,��. �-%�understand that the State of Minnesota requires that ail residential building contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at ���„���� ����l .� T� , Fridley, I am exempt from the state licensing requirement only if I am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that t am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable buifding codes and city ordinances in connection with the work being perFormed on this property. :��y,' �� /`, �y "� �. - /' �