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AF - 47417City of Fridley, Miun.. BUILDING PERMIT D$�; October 28, 1970 p�r• Tri-Co Builders B�� Same Address 7561 �an Buren Street N.E. Ad� Saffie .s-��o .� fn 11�° �10876 ` t LOCATION OF BUILDING No. 7421 s�t -T9[`kCOIl �trPP'F N_�. � Part of Lot Lot 4 __ Block 1 Addition or Sub-Divisian Melodv Manor 37cd Addition Coraer Lot Inside Lot X Setback Sideyard Sewer IIeval3on � Foundation IIevation DESCRIPTION OF BUILDING To be Used as: 11' 22' (�ao Levels ) .Drae> > iTg Front ��_ Depth ,2$ �.._ Height � Sq. Ft �.38f�.� au. Ft —22.�.00 � G��e Front 22 � Depth 2Z � T-Teight 10 � Sq. Ft Cu. FL Type of Construction Wood Frame ��, �_ 29 000 To be Completed �rch l. 19,,11 Tiard Surface Driveway Required. Location of Building Varification Required. Garage Slab EleQation: Minimum 18" above centerline of street. SEWER LOCATION: 163' North of Manhole at Memory Lane. WATER LOCATION: 173' North of Ma.nhole at Memory Lane. In con�tderation oP the issuance to me of a permft to construct the building descri�d above I agree to do th� proposed work in accordance with the descrip�lon above�t forth and �comp�ce with qll provisions of ordinancea of the dty of FridleY. .. � In consfderation of the payment of a fee of � 59 .00 I��qt is hereby granted to Tri-Co Builders to construct the buflding or addition as described above. Thfspe rmit fs gr�nted upon the express condition that the person to whom it ia granted and his agents, employees and worl�en, in all work done in, arouad and u�n eafd buildiug, or any part thereo� shall conform in all respects to the orrlinaaces oP Fridley� Minnesota regardi�g lacation, conatruction, alteration, maintenance, repair and movin� of bafldings within the dty ]imits and thia permit may be r�voked at any time u�n violation of any of the provisiona of eaid orananc�s. /� y �y� D. BAGSTAD �r NOTICE: 'li�is psemh d�s aet eovar fhs eemtweHon, leslaU�loe /e� wirieg, plombtne, ea 6�Nie�, aMrn� o� wahr. B� sun w ss� th� Bufiding le:p�cto� for �p�ra» pormHs Por t6�ss tt�ms. -.' - � �� 1 � ��i x�r C' � • . � �Q<Ydt-f� G�/f'. � �.J �� `�`-�-""I�r*'r�f�`._ _.. APFLIC�.TION FOR BIIILDING PERMIT ✓ ~ . � � cz�r oF �xz��, r�soT� /�� ' ��' - _�� =� ``� `�% �� oia� �s � . ' �� ,�-� B�zr�nn� ��s s�� / �� _P' �n�x�ss ��L �. � LpCATION OF BITILD G NO o ST.�EE1' � � � � - ; LOT��BLOCR / ADDITION OR SIIBDIVISIQIV ` �^ 3=`�� CORNER LO'�.' INSIDE LpT // SE°I'BACK�STDEY$l�D ^!�^ e� f0 SEW.�t ELEVATION TOP OF FOOTING • gpplicant attaoh to this form Two Certificates of Survey of Lot ax�.d propoaed bui�.din� location drawn on these Certi�icatea . ��%@�.rs�' DFpSCRIPTION OF BIIILDI G ��.�.-°��°� � e �. � a ��'-� _ To Be U'sed �s : G�� ' � � � �1.2�,w,P� . --� � Front �� Depth ? �� Height �� Square feet �'v'� `°! Cubic Feet� L�% �. .//' Front � 2 Depth a, !� Height ��, '� Squaxe feet��Cubic Feet C� ',,�/ (i r Type of Construction �� Estima.ted Cost ��'�'e� I To Be Completed �i,��'��/'L� , � � � f The underei�q.ed hereby ma,kes application for a permit for the work herein apecified, a�ceein� to do all work in strict accordance wi�h the City of Fridley Ordinances and rulings of the Department of Buildinga, and hereby declaxes that all the facts ar�.d rep�ei�ati�s�ta�e in �� this applicat�on are true and correcte �-� .,�r , DATE � `�Y � � �7� SiGNA {ScheduJ.e of Fee Costs can be four�d on the everse Sideo) 1�� s U��,� �� i U�� ti3 � � �� / � �i � �� C/�-T� ��ev C� i= %�� D � ��'�i �=�c�� il� �� r�i `�� %� �%� / /l�'� � �' C' /��= C /� � �� 's._= �S � e�� j ,��,� �'G' �'c`' 1aSS le �/�/' � ,. � " ,,�+�►� � ,�'.� ��,- L !�. �+ '� � r ,�r'/ ,l 1— ��,. -, -�__ = ---= -� - -_, . , °'� � ��/��C d= 5.�� ,� �.� � ��T,�U �1�'�... ��-� / lL'0 �� '%%'— l � K � ��,G, G� ,� � � � ,�,�j�/� /; %`�%' � � 1 �_ ., � � � 4 BIIILDING PERMIT�FEE SCHEDUl,E SECTION�2e The Inepector of Buildings ahall, before issuing permita for the erection bf any building or structure9 0� for any addit�on to any �xiating etructure or building9 or.for any alteration or repairs to an�r exi�ti.n.� building or staucture, upon application therefore, require the payment by the applieant for such permit of fees to the amount herein below set forth and in the mas�ner hereia. provided to-wit: IIniform Build' Codee Type 1, 2y & 4-$1075 for each one thousand cubic feet, or fraction thereof, i.r_ such cubical c.nntents. Type 3& 5- $1a50 for each one thousand cubic feeto For the purpoae of computing feea for buildin�.permits, the cubical contents of any `buildi.ng�or � addition to a uni�'orm hei�it `thrbu�hout by multiplying the ground area covered from a poi.nt six (6) inches below the floor line of the basement or the cellar to the average height of the upper �urface or to the avera.ge hei�ht of the roof eur�ace of the ma.in gable of a pitched roof. For repaira or alterationa to an existing structure, the fee aha,ll 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 axay permit as set forth in Section 2 be leas than $S.00o NSSSD Coxin.ection Cha,rgea based on location - Area 1 or 2. � � ^ n � � y. .. � �� Lan�d � La�d Su�ix� �� Ci►a16 �/ �� .. _ : .�«;; '"` � " °`"��?"`�'��'��"•�' ,:.. . „�.,f� ;- " �;,t�;: . . . . � . � .r ..i 5:.�. 3 IR :.. . : ' ' . . ' � . ,. � M1�_ � * p�-l�r� "p� ,� ' , : � : �- �i�Ai�n�oaft+r�t, ,. ENG I NE.ERI NC�3, 1 NC. ,"�°� � �.� i . -- En ineers � Surve�/ors --- � .% ' � �� ce��t�`�tt� �� i�r►�► W W OL N z 0 � Y ¢ � v . e �OF : �� O �'�� s � i� !� 1 '[ � �� C�T ' 4 � � I� �� I I I� I I � .a , �� . .�, -. ;: �. ,� . �, . '.. ?: FT '. � pEN4TEt IRON �=OENOT�S DRAINA4E AltD UTtIITY tAfEMElit LoT 4�:�.��ocK!�....�.._Mc�oaY M�►Naa 3ao� `� � t �irrMi�r �ri �s �s . �r •�I w�►rsc! ir�r�r�.ohtiiw �('e �.� �'�Ir M�re� ��r �r �rr+ii� ii�.+�od =� IM�i ,�"�,ir�i�'�II� , ' ,�fiers,w►,.drlrrsrd�lr a�.��y,}��r.�wwli�d. As sMr�c�lf Ii��R�....+�t ; �(' wu�,.� ,_ �.D. �. 3UdUQf;�1 fNGilll�El�'�i. 1�. -�� , s � .,, ,� x. - � ,�f�` Stals: ifj�44 �y �", � � �. F .. m �. . � � « .. :y� � i . � „ , � -, . ��,y, '�s 4 ' � , . - . � 9 � - . ., •':��'��s'� ;t, a t��"'' .A_..-- .. r , ; .. � � �' " . ❑�' ? 'y� �� xa.- X +�. � � �:. + . ., r 4 , . . . ' < .`,Kf'f� y`� h'}t "�" 5.� � � �y � � . . :yo i . o . � ... � , . . . .. � ��. . ,. : .. ' . . � ,:.,. . ,. x ». �, , S.�?� 1�� a .7�r � �.�C � :., ,.. - , � rdal a._. .. .: ,� �. uf � • � ��yy ��?F �. �� Rc� ,� i.k ;�. � .* �' _�,�. � lond Planning s��ulG�� 0875 Mtghway Nm65 N.E. Land Survering • ,��y�y �• �/ Aqin'neapolis� Soils Teefing �ZQ�f'ZGG`I/G��i�� J%Z�� Minn. 35832 Civil Enginesriog �I Telephon+e 784-606b 1Vlunicipal Frtgirreering Engineers & Surveyors Areo Code 612 Mortgage Loan Survey for �t2.� -�v ��t�t��.�-�� 1tUC^, �5 � � � � �. � f �� t� �;� � _�° �� - �"`� ,�"� �.• �� ...� � � � � � � � � V' � �\ � � � � � � L3 � 2d '� ! � 0 � � d►n_.c� � �e��.� — i 6 � �.� a�1P� %�� • Ca�aN-�r oF �RCC�t� a ��ncl,_ ��t�e�' 1�t��' � � �ti� This is a trua and correct reprasenfation cf o survey of tFe boundories of the land a6ove des�tribed and of the locotion of olf buildings� if any� thereon� and aH visible encroachmenls� if any� from o� an said tartd. TAis survey is made onlr in conneetion with a mortgage loon now being ploced on the property and na liabilitp is ossumed e:cept fo ti+e t+older of such morigage or ony other inte�ast ocquired by the reawn of sueh morfgage. If is understood and aaread�o moeoments have been ploced for the purpose pf estab��shing lot lines or boundary eornera. Dated thia � doy of o r'A. D. 19'�,�. SUBURBAN ENGINEERING, INC. Enginear �^S` rve s p b � = �-�"" �. � r �'- s � 0 A 3 V 6 � � � �, � �, � � � y�°o ��:�cCo � g �a��t�o� � �o� � �• o �. � s� C o��. ��,��' a � �o�� m �,'��„ a. F'n' A � 'bti O �, � � �bMP. � o �.a.�' °• � a � ��.� �� ,�y° b p b A � '� �• L"• 0 . v �O � n. ti. . � � h. � ij� C `�' �, � �' ��'� j � �' � �� K `' a �'�' �� o a w��,r. -,, � � '�y�.� ✓�.��ti �' p �, fy , � ��. ti �b� � i o �►�r► �' o � f° �. � � � ��y��, �o r A�Qti o fi �' ts' ��°o� ��,��. A� ��'�� , a�n�'�° �o �� o ��'�. , � a3+� �p• y �t�+' }�n' `C a�" (0 � � 0 � � � � ca `� �, z 0 � b � O A � �' o �p' �. � co �" iZ' t�. n � � `. 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FIOOR cw�iNs GTCFi e�siNs AUTO WASHBR GAS APPL � RANGE GAS OPENINGS . • :. � � > m F r � n �. a � � � � � � � � � � M � o� � � �� b � � �� n'MO � i�o � � ��b � b � � �m p�p�o � � � ��" � � �� . � � �. a�� o � r � � � � M A 33� � ;. � �� ao �x q � �II �i1 M � �`. � m I � m �, � � � � � �, � � 1 � � "s � � �� . � �. -P _ � S - - k � w. T � t • y �}, � +�,., x� +�rr� ��s+'1 � „�0 � -� � "� '�.! 4-f �.�; � T -- � �, ' � _ � <,L �; � � _ � ,.� � 7 � �.,,, �,�� - `; 1'hanz G1te¢nu�od. 3�8352: � � . � � " . 4 _ C c � L 6�, r�'`-t ,�� - - ��,�I�� . ��'�i� �, _ � .F : �� k ,# . .� � q , . _ ' ''4. ' t . _ � R+�gistered Frofessioual EngineQr and. Laind Sucueyor _ . ., . 2Q3t� �a,st 1�aj�zata $oulQVa.rd '1�t7ay�Zata; �l'ttit�t4'.�4ta �°�, - ' .. ..- ,. � . : . , � . . _ �. _ . , _ _ ;, _ . .:,, ,_ . ; .:. = tr _, P1.AT i1F 5U"�YE��, � ' � �-� u: . y� � � -��° - . . � �;,:, ,. � � _ , ` , C�F PROPERTY AF � �,. � � ,, . {y� �, 3"s� � . �.''� � / G % l�11 =, :.: ;�. � ; , .; . .S.T. P�t��.s: ��.�t� }-; .� _�descnkied as ib�laws � �.' °��' � �- �' G ��°,. '�° � � ��„� �" � � �' �.° F-s -- t� � � _ s _ - -- e - -- , � - """°' T � �— � � . - ; r ,� q$y tl �� .�.:�.� ��.��1 � � �:� t� � � �--- -� . , - ►S�E: 1 lllfi}l��_�,�_� f�at, * . _ r -, ,; . •,� � �" ��,Qr'. � -- - , .� . - . -. � „ , " . " _ � _-. � �� > � "_ . ` _ ., � ;� �� . ` � _ _. . _ � �{�. ry.:'. �' 14 - .. , � � "' � :'p� '4 P ,; '�O �. � ,. �� , - � . �'�' � �� . � � - �� ,. . �' ':1 ; e _, ` - � •: _. � �� - " _ ' �T. „ ':r.. � --', '. �. '' : ' :: , ,., . - - � ` �� .,'� ~ �r^- � - � � � • 8 � , - � - ' - � ' � �-"l A � t ' - >r � � � ' , � . � � ', �_ � _ � � � .. �. - ___� .. � . � r . ixi x- r �-"°"''�t«T- - .7 s7 � B '. � � '� - — _...�---� ' t i �- i �. ' � _ , ` F� , � ' s° i j .� �� ' s. � .� . . . 3� � � . ` t �' . +_ � � _ � � . . .'s'� + ' �. � � `� N , � i � _ � � j' `° �- .' ;• _ '' ' � � /D•� � fo.o � x :¢ � y�„ �' � - - , - -. ry� .'-° -�--- -- ,_. _ i `� tlU '' �Q.O , : r _ � : � . t � � �� : _ _ >i _ , z � ' . a Z�`� .r _ ` ;� ,�� `� �� , � �A = - . . k, .. �i �, �� e� ='��' -A_ I �� r ' �J t�-�-� � �: � - Y f-� ,,•,r _ -, r� �; i ? 0.., � � r '� �r r _�, s, ; r- �_,,..�.,�, �>4 e.'--�.r-��—.-,.____-�..,_mc3,� S 1 � " - " K � - _ ' -: � �. � � ' . ,. J __. . �, y � _, X '�'_ . _. _ � a _�` r ..a . . ,�+�'' +� :. _ . , _ . � �? 5 �'+, � 'rb� . . ... .. . y �� ! } �y{ x��' , r a � _ ,� . x � � � � , .�c _ � � ,. , , . '. _ _'.. ' . . . . ; �.. . � y ::. q .. .. . .: . �,Y i � �.:.j� :l i . .. `M`ai ♦.. �'" �` l,, * ' , � . ' ,. VLili+ii\IAtFt '4i� iK/�131i+� Oi- �V�1# ."_ . � . , .�� i�iL �f/i. OVff-i+Ti/i ,�,' . �.t .. M1 ±.: ._ 1._ . - _ "� . --� : � .: ,Y . � I heret� cerfiify tk�aE :� :"� �3 ` 19:� I �_ :,I her�b,� �fy thai o�, �,9.,�.'_Y � made a survey.of the Ic►c�tiaal t�f t�te bu�l ' ": su�e ' � � � aa din� 3+�et1 � t�ie praperty� descr�l�ed '�i�oye . anti : th�! tl�ie : `: pm the,above desCribed prop�r�� aad_that the location ° abor�e p1at--is a icorrecE represe�tation°o:C s�c�: s�rv�Y �� f'said i�uildingis carrectly shawn cin the abave pla� ` - '� .� .� J i.-, ,r .�. 1'� �a:. _ . . . 1�.' k . .. _ . . ' �.' � � f � � r }�- . �. , _ ' ' ' •, - � _ .� � ,A�. `, . � � �'�� '} .� �'� � a,:-��,v'�` $ 'ft 4 _ T.' �_b _ �8 - '_� a��l . .. , ,. , ' ., . „ Y . . . -. � , , . __ . . . n�_ 4` - L, { ... -. .. .. .. ._._.r 1. s . _ , ,. _.. , _ .�`T^_ .. � ,."f ._ . � .. t _ � . . <. �,. .'3 , .d n Permit No. � y2 � �C ,U �j � �'C � � DoNo T Lath or Cover the interior of this Building tu►til the following inspectors have made their inspec- tion and signed this card. '�'t� ��c�s anspectora comments: � d� � � �v � � l��"/� C r� � ,z S -p � d � ^ � S r�� c � v Electrical Insp• Htg., Vent., Air Cond. Insp. ,�� Bidg.Insp. .� S / � Footinga Rough In — Final CITY OF FRIDLEY 560-3450 suaaecT PERMI ' City of Fridley . 15086 AT THE TOP OF THE TWINS g U I L D I N G� P E R M I � � � ECEIPT NO. � ; L ____� COMMUNITY DEVELOPMENT DIV. r �' ; PROTECTIVE INSPECTION SEC. � (� 'l � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV- DATE PAGE OF APPROVED BY L""� � ,'� 812-5803450 910-F15 3/22/79 � � JOB ADDRESS 7421 Jackson Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. L� 1 Melody Manor 3rd SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Dona.ld Foreman 7421 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. D. F. Vizec Contractors 2659 Du nt Avenue 825-6616 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK 9 CHANOE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TMPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SQ. FT. CU. FT. AUTHOHIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2►5QO $�-.25 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFOR ANCE OF CONSTRUCTION. � S�-S.00 � . PLAN CHECK FEE TOTAL PEE � �,<��- �� $16.25 SIGNATURE FCONTRACTOHORAUTHORIZEDAGENT IDATEI V,�,HEN PROPERLY VALIDATED THIS IS YOUR PERMIT -�� ^�`��--e--�. �. , ` "Y�l� �-� � SIGNATURE OF OWNER UF OWNER BUILOERI IDATE) BLDG- iNSP DAT • • CITY OF FftIll�EY . � ' APPLICATIOf� FOR RESIDCNTIAL BUII_DING PERf�1ITS . ' (�VEW, �LTCR/1TIONS, I�DDiTIONS, OR REPAIRS) . . ,• • . . . OWtiER: �6f�1 °i !' �. ��i�1� BUILDER: � � �� ' � . . , Address : � r �+'� , Ac3dress : �� Tei. No. ��'.�—�, �'�'„�� No.: ��/ Street: I,OT: °� BLOCY.: �_ ADDITION: ��c�'�-C�?��/ G�1,i'%dUQ ,r2 _� � � e� T COIiNER LOT: INSIDE LOT: SLTBACK: SIDEYARLS: Applica'r�t attach 'ta this form �ao Certiiicates of Survey of Lot and propose3 building location drawn on these Certificates. . � DESCRIPTION OF BUILDING � ." To Be Used As: � � Front: Depth: � � Height: ' Square Feet: C�ibic Fe�t: Front: � Depth: � Height: Square Feet: Cubic Feet: ' ' � Type o€ Construction: � � ; � � �- Estimated Cost: $ �2,��• � a �b Be Completed: ��,� �� Alt. A Alt. B Proposed Drivec�ay Width If New Opening Is Desired $ $ • . (SEE REVERSE SIDE OF SHEET) � The undersigned hereby makes application for a permit for the work herei.n specified, aqreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Ruildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. � - . DATE: _ � —�� — �� SIGNATURE: Stipulations: t�- d�'� . � � �,� . _ . ,�� J _ . . � . 0 � � . � _ . .. ._ . ,. . . _ .. .. .� BUILDI��G PER��IIT FEE SCHEDULE SECTION 2. The Inspector of Buildinqs shall, before issuing peYmits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs 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: NEW GONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: ZS percent of building permit fee. , DRIV�WAY D�PRESSIOI�: (Concrete Curb Streets Only) • Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x$�5.75 Alternate B: Removal and replacement of concrete eurb and . gutter and install a 3 foot wide approach with ' 6 inch depth; Driveway width plus 6 feet x$17.85 � 11 � : ► �► : �► �'or the purpose of computing fees for building permits, the cubical contents of any building or addition, is detennined by multiplying the ground area covered from a point six (6) inches belaw 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 repairs 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 �ost 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. � � � � � � � ��: �� NOTE: Penuits for construction will be issued a au.nimtua of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction sitee � A CQxtificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. _i ' � � ��1 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. � � � G4� e • SUBJECT City of Fridley � � � � 2- AT THE TOP OF THE TWINS g U I L D I N G P E R M I r � . � � RECEIPT NO � • COMMUNITY DEVELOPMENT DIV. i iV ��, l � � PROTECTIVE INSPECTION SEC. i�� 1 � i � �/ � 1 � � /��1 � CITY HALL FRIDIE� 55432 NUMBER REV DATE PAGE OF APPqOVED BV �"""'� � �'� 612-571-3450 910-Ft5 4/28/95 / / JOB ADDRESS 7421 Jackson Street NE 1 LEGAL �OT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. /{ 1 Melody Manor 3 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill/;loria Hagstrom 7421 Jackson Street NE 783-0431 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO Same d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE � REMOVE 8 DESCRIBE WORK Reroaf House & Garage (22 Sq) Te.ar-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must cumply with the State Bui�ding Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTHICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD VENTILATING OR AIR CONDITIONING THIS PEFMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTHUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTEFi WORK IS COMMENCED NO. OWLG. UNITS OFFSTREET PARKING I HEFEBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING T S TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HE IN O NOT. THE GRANTING OF A PERMIT $1,650 �.83 OOES NOT PRESUME TO GIV AU RITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHE S T OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERF N OF CONSTRUCTION �39. �� Fire S�.' � 1. 65 PLAN CHECK FEE TOTAL FEE $41.48 siGN oFC � ncTO UTM0�71ZEDAGENT �DATE� WHEN PqOPERLV ALIOATED THIS IS YOUR PERMIT O OWNE �FOWNERBU�LDER� � jh G iNSP qqT� NEW ,,: ( ] ADD�1 �� `,( ] ALTER � [ ] �CITY OF FRi�DLEY � .. � . . S�NGLE FAMILY AND �DUPLEXES R-� AND.R-2 �Buil.ding Permit App�ication � - Effective 1 / 1195 ConstructionAddress:: �. . �? �.' � /� : . � /V`�z . -_��k�cv(C� � � . . T.egaX°Description: � � . Owner Name 8i Addi�ess: t �. � : �. .!s � � 2� � . (-�� Tel. .#� � �� cs`f 3 �... _ � . Contractor: � � ---- MN LiGENSE # . Address: � � Tel. # . Attach to this application, a�Certificate of 5urvey . of the . lot, with the propased construction dFawa on.it to scale. � . LIVING AREA: GARAGE AREA: DECg AREA: � OTHER: � DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Leagth Width � Height Sq. Ft. Length ' � " ��Width � . . Hgt/Ground� � � Sq. Ft. � �� . � � � . �� 'r �r1J�°e � (��1 � 22 J� a -�e°"`°� Comer I..ot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Ty� of Construction: Estimated Cost: $��C� � Approx. Completion Date: _ Driveway Curb Cut Width Needed: DATE: �,rZ��g� APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL (Cost Back) � Ft /"' Ft x $ CITY USE UNLY _$ = Tel. /� y� �D �f �� $ ,� (�� Fee Schedule on Reverse Side $ � (fl �� .001 of Permit Valuation (1 / lOth %) $ � �� $.50/$1,(�0 Valuation $ $850 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreeme� Necessaty [ ] Not Necessary [ ) $ �7 /. `�O STIPULATIONS: .� . : ��uu_��vc. i>�;�:n�t�r rcc sc��F��uLr I'hc Chi�t .13uilding (�t�ticiai shatl; ix:lore issuing Permits for.the�erection of any bu.i(ding c�r struclure, c>r li�r any. a�lcliticm tc� any cxisting bui(diag� <�r struc(urc,. or :for any altcration or rcpl�ir tO any cxistin};. (�ui��iir�g <,�- s�-ucture,..u�n aj�plicatiUn therefc�re;, req�ire .the payment by tf�e al��licant foc .such Permi( .�� . i�C teeti tc> the :�tiu�unt-hcrcin t�clow set �<►rth a[id in th+c �manneF �1�cr�ii� 'providc:c;1 to-�vi[_ � . '1'O"1'AL VALUI: .. � 1 cc� $500 � . �501 � � �to . .$2;040 �2,001 to �25,OQ0 $25,001 to �50,000 $50,001 to �1Q0,000 $100,001 to $500,000 ', 1'1 1'1 �, 111 1 i i $i,Q04,001 and up Alternate "A": Alternate "B": . � - . � rrc�s . $15 (Mini��am .Fce. is $15 plus surcharge) $15. for first �$S00 p�u's $2 �.for. each �additional $I00� oc fiaction thereof, to and including $2;000 � � $45 fo� �irst $Z,Q00 plus $9 for each additional $1;000 or Crdiction thereof, to and including $25,000 � $252 for fust� $25,000 plus $6_50 for each addirional $1;000 or fraction th�oof, to. and including �50,000 $41450 for first $50,000 plus $4S0 for each additional $1,000 or fra.ction thareof, to and including $100,000 $63950 for f�rst -$lOQ,000 plus� $3_SO for each additional- ' $1,IX10 or fradion thereof, to and including -$SOO,OQO � $2039.50 for ii�e fust $SU0,000 pins $3 for each addifion.al $1,000 or fradion thereof, to and including $1,000,000 $3539_50 for the fyrst $1,IX)0,000 plus $2 for each addilional $1,OUQ or fractiton �thereof - m DRtVEWAY DEPRESSIOM ESCROW . (Concrete Ctiri� Streets Only) { , Remova! and replacement of curb and gutter only - Dmveway width plus 6 feet times �13_SO_ °' Removal and replacement of curb and gutter and instalt a 3 foot wide appcoach with 6 inch depth - Driveway width plus 6 feet times $15_75. VLRiF[CATtON OF FOUNDAT(OIY ['ermits for cor�suuction witl be issued a minimum of 24 hours from the time of application to allow fvr proper review of the proposul stracture and of the constnuction site_ A Ccrtitic;ste oC Sucvcy of die lot, showing the iocation of the fou�clation once it hac it t�as t�een conslrucic�i �vill bc rc;yuirui (�cfore procoediag with lhe framing_ � � � * � D � _. (D � 7 Q �� : o u�i m o' u, � � O � � o a � o m � 'Q � A� cQ � � Q o �' � � c� � � � `� � � � � :-• Q � � 0 � � zi rn � � �o n c m --� � � � � C � � � z r" � m �. -�-� n � m � � D -_t O z O Z � m Z � � m n � O Z � m rn � A N 0 O _ � � O � D � rn � � Z � pz n � � Z 2 � D -_-1 � Z iZ ,� Z In � j0 � �O m� • r � z � �I �" ' z �� N O I� �Z O � -� �' D � r � „ � m �- � �n � ,� �1 � � tn � o � � � C° � c W � o Q -_-� � � � ci ; � � � � Q c� Z � .-< I� � 0 � tQ S i � � � m -_rt � � 0 A� (D � t � � � V �I r� = i "� � N m �3 � . �++ z oZ .. � � o � n� m N � D Q '° � � V N � ,a � � 3 �o � � ;. �• � n O N � o � � A � � � N � o a c � � � �. �- 7 n tD O 0 �- � O 0 O � � N m m O � � D N � fIo � � � � � � N p� p o. G = � 0 � r � � O z D n � � � -� oo � z � � �Qo � Z = � � N �' a«' Q � � �c � � 2 o � � � � � � o no � � m � m � � (D Q (n N � � � � � o = � ' o � � � D � � D n O � n. 0 7 �' � � D � N� tD � � � �, °o � � V O � � SU N � � cD G� W � �J m � c� m � L7 D �rt � A� � � N � O � a � � �7 n tD � � � � � m Z c° m � � � o.. I 7 � .-. a Q � � o � _ � � • � � � � � � � CD � O � (�j ?c c v �0 --. � � � m � � � � � � 0 0 0 0 � °o °o °o o ¢' (D c� � � c� � O � ➢ � � � o � o � fTl Z � p � � C r � m �f 0 � � �� ° � � � Z � 0 � O ,� � Z 0o p C � Z m �o ''�- ��.°, 4 �l.) � Ir 0 a�� m m N � � � � � � Q � O p, � . �- � u� o m�c�' � ��_m v, s• � n. n� � . � � a� ° m n. � � � � �;v; f"3 N O A> > O c�D � � �' Q 7 "t7 �' ? � � � m ° .A�'.. �' `� c�i � fD n -� c�p O O c o � � m p, � � � � c�i m � a � � � \i o �' . �: �At � O � '.n" �- (�D �' <p � (D f� � � � � o v, o �- \ A' Q' � (D (p Q � � (O � �' V � a � D m � n _ m � C r m � � � n V � f � N Q I � W `< C � � - � � �'z� -n � � � � � W D N � z Z m �' � m C7 -=1 � Z � < rn � � � m n � � � o oz z �, � � D � � � n O � Z � � � � Z O .� z �„ z D � o �o m �n S� � � -D-1 � � Z m D � Q L� � o O � S � � n Z � cmn G� C m z -=i �j � ^ O � z � � � � � � m � m � <' m 0 L � � c m � D v / C:HIlViN�Y AND STACB VERIFICATION The undersigned hereby verifies that the .existing chimney or stack: 1. Has been c,ar+efully examined � Yes () No () � ,_ 2. Is free &om n�st or d�erioration Yes () No () 3. Has no foreign objects lodged within Yes () No () 4. Is securely supported Yes () No () 5. Meets all current Code reqnirements for size and total BTLT's conn� Yes () No () 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No () 8. Has combustion air been provided for water heater Yes () No () Remarks: - List ALT�'RATIONS Bein� Done: � - . HEATING CO: Signed By: ^ ^ � Date: . -� sue�ecT IT NO. •. City of Fridley 27674 AT THE TOP OF THE NVINS g � I L D i N G P E R M I T r ; � RE IPT NO. � ; y �_�__ COMMUNITY DEVELOPMENT DIV. r � � PqOTECTIVE INSPECTION SEC. � � � 1 . � i---. A��"" ,'� CITY FIALL FRIDLE� SS432 NUMBER REV DATE PAGE OF AGPqOVEO BV t �� b12-571--3450 910-F15 9/9/98 / / JOB ADORESS �421 Jackson S� NE t LEGAL �OT N0. BLOCK TRACT OR ADDITION SEE ATTACNED DESCR. /+ 1 Melod Manor 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRES$ 21P PMONE Bill Hagstrom Same 55432 783-0431 3 CONTqACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner � Same a ARCHITECT OR DESIGNEH MAIL ADDRESS ZIP PMONE LICENSE NO. 5 ENGtNEER MAIL ADDRESS ZIP PFIONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADOITION ❑ ALTERATION C� REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house & ara e 20S Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Un.derlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION 20NIN0 SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION OH WORK IS SUSPENDED OR ABANDONED fOli A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPL�CATION STALIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1�71/a,.00 �.$() WITFI WHETHER SPE IFIED MEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF AN OTH STATE OR LOCAL LAW REGULATING CON- $ �56. %S Fire SC �I.. 7I. STRUCTION O PERF MANCE OF CONSTRUCTION. - PLAN CNECKFEE TOTAL $59.32 i R Oc CT RaUT i2EDaGENT iD TEi N P PER IDATE IS IS R MI � �� (�• - '�� AEOFOWN Fi�:OWNERBU1LDEii� ATEi BLOG NSp �IdTE c . ^� NEw ADDN ALTER [] [l [l �onstructionAddress : Legal Description: CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � f _ Effective 1/1/98 �� g a1 Owner Name & Address: � l ��- {�-�C� i f2 v-v�'L Tel. #�� - 4�3/ Contractor: �� d� MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 2� �� I��S `�- �-- crd� �� 2D � �� aF � i ' Construction Type: Estunated Cost: $ � 7/ �'� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + = Ft x$ _$ DATE: � 9 �� APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ l i,. ��Fee Schedule on Reverse Side $ , / .001 of Permit Valuation (1/lOth%) $ v $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5. QO (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ � . .3vZ 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 $1,000,000 $1,OQ0,001 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) Altemate "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 minimum of 24 hours from the tnne 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 will be required before proceeding with the framing. City of Fridle� AT TME TOP Of TME TWINS i� � � � ; v �� COMMUNITY DEVEIOP�MENT DIV. r � � PROTECTIVE INSPECTION SEC. � _ � � �"'f � CITY MALL FRIOLE� SS�J2 �""�� ' 612-571-3450 �U ILDING PERMIT NUMBEN NEV DAT6 PAGE Of 910-F15 12/03/O1 � � PE��° '323�3 APPROVED 8Y J08 ADDRESS 7421 JACKSON ST NE , 1 LEGAL LOT NO. 9LOCK TRACT OR ADDITION SEE ATTACMED DESCfi. 4 1 Melody Manor 3rd Addition SNEET 2 PROPERTY OWNER MAIL ADpR�$$ 21P PMONE Joyce Ramsey, 7421 Jackson St, Fridley, MN 55432 763-795-9306 3 CONTRACTOR MAIL ADORESS ZIP PHONE IICENSE NO Window Lite Home Improvements, 8400 89th Ave N, Brooklyn Park, Mlv 55445 763-391-8313 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PNONE UCENSE NO. 20039258 S ENGINEER MAIL AOORESS 21P pNONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK � NEW O ADOITION ❑ ALTERATIpN O REPAIR O MOVE O REMOVE B DESCRIBE WORK 9 CHANGE OF USE FROM STIPULATIONS Per Section 1402, 1997 Uniform Building Code requi�es that a weather- D� resistive barrier be placed ove� exterior sheathing to protect �he interio� raall coveri g. E: his prov3.sion would be if sheatlting is an approved weatherproof panel or when the sid g is � weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in the application gu�idelines. Call for inspection of wrap before covering. Provide smoke detectors in all sleeping rooms and on all levels of the dweliing per Section 310.9.1.2 of the 1997 Uniform Building Code. Cauiking and �lashing for all exterior openings. SEPARATE PERMITS AqE REOUIRED FOR ELECTfiICAL, PIUMBING, MEATIN(i, VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL ANp VOID IF WQRK OR CONSTRUCTION AUTHORI2ED IS NOT COMMENCED VjIITHIN 80 OAYS. OR IF CON$TpUCTION OR WORK IS SUSPENDED OR ABANQONEO FOii A PERIOD OF /20 DAYS A7 ANV TIME AFTER WORK IS COMMENCED " I MEREBY CERTIfV THAT I MAVE FlEAD AND EXAMIN�D TNIS APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT. A�L PAOVISION$ Oi lAW$ ANO ORDINANCES GOVERNING THIS TYPE Of WORK WILI �E COMPLIEO WITN WMETHER SPECIFIED MEREIN Oti NOT. TNE GRANTING Of A PERMIT DOES N T PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME PROVIS S OF ANY OTMEF STATE OR LOCAL LAW REGULATING CON- STRUC O OR THE PE R NCE CONSTRUCTION � 3 r� / S�GNATUpE OF CON, F TOp OR AUTMON�2ED OGENT I ATEi O�OWNEp�iFOWNEpBU�LDE�7i iDAiE� � � I NING I SO. ). DWLG. UNITS �LUATtON �12�810.0� RM17 fEE $223.25 AN CMECK F Y,ic�se 5 GROUP �OCCUPANCVIOAD CU FT OFFSTqEET PARNING STALLS GARAGES SUR7AX $6.40 SAC CMARGE / Fir�'SC $12 . 81 TOT I.FEE .0 247.46 VALID T TMIS IS VOUR PERMI/ U /�'°� -� qcfE rrEw ADDN AL'TER [ l �%�`�j �,�a-3�6� Effective 1/1/99 � [ l CTTY OF FRIDLEY [] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 �� - �,� _� BUII.DING PERMIT APPiICATION � � �3 � , I `t ConstructionAddress: Legal Description: " O�vner Name & Address: �(� C - S� �� Tel. #�%(m3 )��l r�'I.�O � concractor: WINDO LI ome mprovement ��cErrsE # c��i� �a � Address: Suite 460-8400-89th Ave. North Tel. # (r�3,�,d3� /- ��/3 ��o0klyr��cri'to �this apprcation, a Certificate of Survey of the �{-F � lot, with the proposed construcrion drawn on it to scale. �� LNING AREA: GARAGE AREA: DECK AREA: OTI�R: DESCRIPTION OF IlVIPROVEMENT Length Width Height I.ength Width Height Length Width HgtlGround Sq. Ft. Sq. Ft. Sq. Ft. ti �,..�,Ce.rL � . a� �eQ S ►'� a �r�J�u. s .�` / f��.�`� � �� Construction Type: ` Es unated Cost: $� /� . (Fee�Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ��-� �- o I APPLICANT: Tel. # 3 /- 3/C) Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Coatrol Park Fee Sewer Main Char�e TOTAL STIPULATIONS: $ o�a3 • o� $ o • L $ ,'f� $ $ ,�� $ $ $ $ '� �- I.� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.soi$i,000 v��c�on $1050 per SAC Unit $5.00 (State Licensed Residential Coatractors) Alt. °A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] ` 6 , sue�etr , PE . c�ty of Fridle� 236, AT TME TOP OF THE 7WINS g � I L D I�I G P E R M I T A r � . R � � • � • COMMUNITY DEVElOPN1ENT DIV. � ; V ��'�•'� r � � PROTECTIVE INSPECTION SEC. �� i . � � _ /"'1 � CITY MALL FRIOLE� SS132 NUMBEF pEV OATE PAGE OF AVPqOVED BY � �---.�: �.' 612-571-3450 910-F15 12/19/Ol / / 10B ADDRESS 7421 Jackson St NE t LEGAL ��T NO. BLpCK TRACT OR ADOITION SEE ATTACNED DESCR. 4 1 Melody Manor 3rd Addition SMEET 2 PiiOPEfiTY OWNEii MAIL AOOR�S$ Z�P PMONE Joyce Ramsey, 7421 Jackson St, Fridley, MN 55432 763-795-9306 3 CONTAACTOp MAIL ADORESS ZIP PHONE LICENSE NO Window Lite Home Improvement, 8400 89th Ave N, Brooklyn Park, MN 55445 20039258 s ARCNITECT OR DESIGNER MAIL AODRESS ' 21P PHONE IICENSE NO. 763-391-8314 5 ENGINEER AAAII ADDfiESS 21P PHONE LICENSE NO 8 USE OF BUILDINC3 Dwellin 7 CLASS OF WOFiK C� NEW O ADOITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE 6 DESCRIBE WORK Patio door & window r 9 CHANOE OF USE FqOM TO STIPULATIONS � Provide smoke detec�tors in all s�.eeping rooms and on ali levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulking and flashing for all exterior openia�gs. SEPARATE PERMI7S ARE REOUIRED FOR ELECTRICAL, PLUMBING. FIEATING. TYP� dF CONST. OCCUPANCr GROUP OCCUPANCV LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOIO If WORK OR COIyS7fiUCTION pONING SC. fT CU FT AUTHORIZED IS NOT COMMENCED V�IITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANQONE� fOF A PEQIQO OF 12Q OAYS A7 � ANY TIME AFTER WORK IS COMMENCED. ' NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY TNAT I HAVE READ ANO EXAMIN�O THIS APPLICATION STALLS GARAGES AND KNOW TME SAME TO BE TF1UE ANO CORRECT. ALL PROVISIONS Of LAW$ yALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE OF WORK WI�L Q� C(�MPLIEO @ WITH WHETHER SPECIFIEO MEREIN Oii NOT. TME GRANTING OF A PERMIT y�S� I.Z�F.00 $2.56 DOES NOT PRESUME TO GWE AUTHOFITY TO VIOLATE OF CANCEL THE pEF1MIT FEE SAC CMAqGE PROVISIONS OF ANV OTHEFi STATE Oii LOCAI LAW REGUlA71NG CON- @ STRUCTION OR 7ME PERfOFMANCE OF CONSTRUCTION �p,i2S.2S $5.12 ire SC P4AN CNECK FEE TOfAI. F E $5.00 c nse 1 .93 S�GN4TUAEOFCON'AACTOpOpAUTMOQ�ZEDAGEN� �DAiE� N P PEiil IDATE T IS IS VOUR PEFlMIT S�GNATUAE Oi OWNEAi�F OWNEpBU4DEA� �O�TE� '� ��`� BL S� r�arE �' c'W [] /Y�^ C��1 � i (°/�3 iJ�7o�-,3%C'� Effective 1/1/99 �DDN [ ] �.� CITX OF FRIDLEY ALTER [] '� 3INGLE FAMII..Y AND DUPLEXES R-1 AND R-2 �� 1 /i��- BUII.DING PERMIT APPLICATION � �3 � 0 -�- �� ConstructionAddress. � 4� � �L� (a�i e.�m ��i-- /� �� , �/7 I ��0� , VY� A 1 .-�� — Legal Description: `° Owaer Name & Address: �_ _ j�i /y�i,,c,1,e� Tel. # (% (�� ) 7c! J - �'/ � (� (� concr�ctor: WINDOW LITE Home Imornv�me�ts MN LICENSE #�� ,�9 �� rosstown North Business Ctr. # 4 Tel. #�� 3)��l /-��! `S Address: Erooklyn Parl�.t��ql�ig pplication, a Certificate of Survey of the �j��,� �ir ICL, lot, with the proposed construction drawn on it to scale. . DESCRIPTION OF IlVIPROVEMENT LIVING AREA: I.ength Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width HgtlGround Sq. Ft. OTHER: C�� D C�G'�� - �� ) Construction Type: (,�'��,��a /�,Q��p�,,� Estimated Cost: $�� Gi (Fee�Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: G, r-/ G) APPLICANT: '/ ' x-('� ��' TeL 7-3 3/-�.310 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ��. �� $ �. / �- $ �e.�� $ $ ,S� �� . $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 [ ] $ �. � ., � NEW ADDN ALTER ,�� i�� [] CITY OF FRIDLEY � Effective 1/1/2002 [ j 6431 University Ave NE, F�idley, MN 55432 (763) 572�3604 Bldg Insp (] SINGLE Fls11P11LY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION xCohstruction Address: � �%- � �u-U� Sr�, � � �r Legal Description: Owner Name 8 xContractor. � LNING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # MN LICENSE # Tel. # 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 wdth Height Sq. Ft Length Width HgUGround Sq. Ft Construction Type: Estimated Cost: $ / d OU Driveway Curb Cut Width Needed: ��°Ft + 6 Ft �� x$� _$ e DATE: �� I�' �Z APPUCANT:!" `' G- �2s Tel.# 7%S� �I��'Jlo Call (763) 572•3604 for Pertnit Fees if mailing In appltcation or Fax to 763 571-128T if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ $ $ $ $ $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1 �000 Valuation $1200 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 [ j Not Necessary [ TOTAL $ STIPULATIONS: 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,(�l0 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,OQ0,000 FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,�0 plus $14.00 for each additional $1,Q00 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $SO,Q00 $643.75 for first $50,000 plus $7.(� for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $1(�,000 plus $5.60 for each additional $1,0(� or fraction thereof, to and including $500,000 $3,233.75 for tlie first $500,000 plus $4.75 for each additional $1,000 or fraction tilereof, to and including $1,0�,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway widtli plus 6 feet times $17.�. 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 c�nstruction site. VERIFICATION OF FOUNDATION A Certificate of 5urvey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. 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N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 May 4, 2004 Ms. Joyce Ramsey 7421 Jackson St NE Fridley, MN 55432 Re: Final Inspection at 7421 Jackson St NE, Fridley Contractor: Northwoods Mechanical Dear Ms. Ramsey: A plumbing permit was issued on Apri130, 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 permit. As of this da.te the inspection has not been requested. � The permit fee that was paid covers fhe 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 heax 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 further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, �: �J � L`,!�. � � :�1 : � i i �- � DJ/mh �.