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AF - 47430� �'^, �1 City of Fridley, Minn_ BUILDING PERMIT Date: June 7, 1967 p�r: Robert Trautmau B�� Clemron Iac. Adciress Addrese �Ol Columbia Blvd. N� LOCATION OP BUILDING No. 74�� Street Jackson St . _ p� of Lot Lot _._.. 1 __ Biock 3 Addition or Sub-Division .� Melody Ma.nor 3rd Coraer Lot _____X.__ Ins�tde Lot Setback 35 �—._ Sideyard 17 � 6" Sewer IIevation 879.00 _ 882 00 To� of Footing � �� 9295 DESCRIPTION OF BUILDING To i� v�a �: Dwel ing Front 26 � Depth 42 � Height 20' Sq. � 1092 �� Garag.e Front 27 � Depth 38 � I�eight 10�� Sq. Ft 1026 Cu. Ft Type of Construction Fp�e �� 25 , 5 00 _ To be Completed Jan . 1968 SEWER LOCATION - 92' South of Ma.nhole WATER LOCATION' 82' South of Manhole (Ma.nhole is on the N'orth edge o£ Concerto) In con�deration of the isauaace to me of a permit to c building scri ab I agree to do the proposed work fn accordance with the descript3on above t f and in � w' proviafons of ortiinano� of the dty of Frfdley. �� $100.00 �SSSD In consideraiion of the payment of a fee of $ 41.00 ��t is hereby granted to Clemron, Ia.c to construct the buflding or addition as described above. Thiape rmit is granted upon the expresa c:ondition that theperson to whom it fa granted and hfs agents, employees and worl�en, in all work. done in, around and u�n satd building, or anypaz� thereo$ shall �nPorm in all reapecta to the ordinanceg of FridleY� M3nnesota regardin� location, constructton, alteration, ma3ntensnce, repair and moving oP buildings within the dty limits and ttus p�rmit may be revoked at any time upon violat3on of aay of the provisions of sa�d ordinaac�. CLAREN'CE BELISLE B�� NOTICE: 71ds permtt d�s em eeva �hs eoedroatio�, Ie�taWHan he �rhine, plumbtee, �a haNee, saw� e� wafse. B� w» to s» tim Butldiu8 I�or Poe �p�rat� p*rmhs foe t6�s t�ms. A�.'PLICATION FOR BUILD7NG PERMIT CITY OF PRIBLEY,_MII�SOTA ' �° OWNER S NAME !�'.�� ! . � �-+,� , �� . BUILDER_��r'�,, ��/ , _ . ADDRESS ADDRE3S . LOCATI OF BOII.DING N0. %"��Q, S�REL�'!.'• � PART OF LOT. LOT % BLOCA ��3 ADDIIZON OR SIIBDIVISION='�%� CORNER LOT l/ INSIDE L¢T SETBACR �� ,� SIDE-Y ,7 �% �/ �SE R ELE A ON ��' �) FOONDATION ELEVATIQI4 ��P�� G`�" ic.�i� �� _ . Applicant attac to�h s Two Certificatea of Survey of Lot aad propoaed bu$lding l�atior� dra ��se� rtificates. n_�� /vL/�� 4 � � � • � e-- .-� � l.:.J� DESCRI�.'TION OF BUiLDING � _� To b used as ; e�� / . / 1 Front � � •�Depth��Height �� Type of Construction To be completed , Sq. Ft. �,/,/.� %`7 Cu. Ft. s � �ront ,� � �j Dept�i�� Height �� - Sq. Ft. ,/�,� �• Cu. Ft. Estimated Co�t � � �%,/%,,,% � The undersigned hereby makes application for a permie for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinancea and ruZiags of the Department of Buildiags, and hereby deciares that a11 the facts and rep�esentations stated in this �pplicat3,on are true and correct. _ DATE (Schedul2 of Fee �osts can be found on the � - i� � � 3� � LrY� !� �f �; f � � � �; �--� ` � / 1 [iev''�e Side). �� i`, � �� :I I �' r d { '. B'C�tLDING PERMIT FBE SG93EDUi.E SECTTOP 2. The Inspector of'��ildings-shall, before iseuing any permit for the erection of an}r building or etructure.,.or for any addition to any existing building or structure, or for amy alterationa or repairs to any exiaCin� building or structure, upon application therefore, require tlie payment by the applicant for such �ermit of fees to the amount herein below Bet forth and in the manner herein provided to�wit: 2.1. For any euch permit for the erection of any fire�proof building, othei than a garage., warehouse, factory or grain elevatoY, or for the erection of any fire-proof addition, for similar occupancy, to any existiag building, sha11 be at the rate of $.1.40_for.each one thousand cubic feet, ot fractian thereof, in.such cubical contenta. � " 2.2 Eor any such permit for the erection of aay fire-proof garage, warehouee; factory�or grain elevator, or Eor the erection of any fire-prvof addition, for similar occupancy, to any exist.ing buildiag ahall be at the raee of $1.2S for each one thousancl cubic feet, classified as "fireproof" bq Sect3on 502 of the Minneapolis Buildiag Code. HOIISES 2.3. For any such permit for the erecCioa of any non-fireproof building, other than a garage, warehouse, factorq or �rain elevator, or any noa-fireproof addition, for similar occupancy, to any existing building � permit $1.00 for each one thousand cubi:c feet. GARAGE3 2.4. For any auch permit°for tha erection of anq non-fireproof garage, warehouse, tactory or grain elevator, or for the erection of a�ty ncra-f3re-proof addition, for similar occupancy, to any esisting building or for each such building or add3tion - ninety ceats ($0.90) for each one thoueand cubic feet or fraation thereof, in the cubical eonteats th�reof with the minimum of $4.00. For the�purpose of computing fees for buildiag permita, the cubical contenta of aay building or addition to a uniform heigk�t throughout by multiplying the ground area covered from a point six (6) inches below the f2oor litte af the basemeat or cellar to the average h��ght of the upper surface or to the average height of the roof aurface of the main gable of a pitched roof. -. 2,_5. For repaira or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Sundred Dollars�($Sd0.00) or frac�icn thereof in the cost of all proposecY work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. STORM REPAIR DAMAGE FEES: Residential; Estimated Cost of work up to �`�!�.L`� -$SaRa Estimated Coat of wor,k_o�p� ;::,_.._�::+ � �;;,.,;0 Commercial; Estimated Coat of ��-��. u.- tc ;��r�,.LE�? -� Y?.i-v^� Estimate�oat of wT>>-r�. ovs:r ;:.�+:�.Ua! - $�. ,v0 n .E � ...t► - �,� e�1 J � ,__. �T land fFJJar�n�nq CGYk� �l�il�'l�/!/kj � .��5 T�fNW CiviJ t< Afic�akr�/ Er�Trneerux� �� .�° ��Z a&fiS-H'i�h�f fy5 ut. �iiT�IdPJ�tAT!f.s �2. ENGINEEf2it�G, INC. ��'��° sr�� a:ov� En9i��e��s � ,�urve�C/vrs ---- ce��ts��cate �� su�r�e �o: � �'YY1 OLV�l.aP1�1�C1 i � � � _ �roa � r� CONCERTO C.UR`�E � � � � � � � � Z � � � v a � � DENOTE� ITtON"---OENOTES ORAINA6E ANp UTILITY EASEMEhtT LOT �� BLOC� 3� MELODY MANOR 3aD AD01TtON ANDItA C NT� l/�treby cerl�}�'y tt►fit Hus rs o h-ue av�d mr�e`f �tpr�senFatian o� o su�vey �(''ilae b.u�rdor�es ,�lJ,e abo�r aC�b�r� s'a�d, aor�v+ n�nf�lir /aca3�ri o�'oll brRkim�r s, fl,trean , Qnd af! rrs�b/t erx�rorrr�irnerr�f3 . r!',a,y, f',a� a,r a*�.tad larad. As survec je� fi1� mt flt�� - abr/ �°°��s� A.D �9.�' . SUBURBI�AI EN�i1NEE�I1Na . INCo ��rrcers E Su!`��or� �, � Scole:lp�0 �y .:.r� �`'�` ��' �..�;. N� .. �:�> � �c G 4 � � G � �. � r o � p � : ►ya : °x : � . � • M . O : a �7 : � . � � � � �:t �: �,:;;' � � � � � � a� � p� � w m� z ix] � " � � � y �' $ �+ � to .� � �,, � � � � 5' � � � �4 � m � o' � . � � � � ,.., . x �i � : O � � � � b � o � �o �. � � �: ��: � a ° �- � . rA G � : � $ : 6 � : � � . . . 00 0 . . . . : : : : � . : : : : : : : � : : : : \ o ` �o �a k�a " �a � �e �e �e k � � � � � � � � � � � � a�i °c�- � � �i � �i o o � y , � e9 tfl � r» � t�n vs t» va l �,s O `�' O � � � �` � � �y L" � Q x � � � � � � � —� D � r D � m � � _ m C r m � � � a � ~ � � ,' w � � Storles 8 � m. w�r�rt �m � � URINALS enn+ ' � � °' tuas � p � etisma � � I � �� . �� 8 M J ❑ a � ° m 6' � � � � `° � o ►tei o � � � a � G1 � y `� � � �. � � � � g � � V SINKS ,� W,� ranrs DRINK. FOUNT. SFRYRS. , FLOOR DRAINS �,T� BASINS Auro w�eR cns APPL GAS RAWGE GAS OPENINGS � • z • � � i A � � ��ro � o.a� y kA !� °� � �a� 1�,�j Vl OQ � �3• �o�� b � � � �� o � � � �' �. $ `� � �� . � b�� o�� p � w o � a o p �'�,o ti ��w � �� m w� �. � � ��o �ao�' � � � � m 3 `� �» G �' d 7� n � n�y p '� a Rx & �°n p � M� �� m � ,�a �e �� , I � � � � �� 1 � � b � :+ � �, � � � �. x � 0 m A � �w HOUSE HEATING TEST RECORD ADDRESS �� ' ,�� APT. —�JFJ�OR TY SUBUR OCCUPANT OWNER «�'� " - - HEAT LOSS DATE HTG. INST. GAS C0. METER BAD SOLD BY INSTALLED BY � f-°�-�� ,, Elsetrical Work By Gas Lins By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER S D N CONVERSION MAKE ---��— MAKE OF BURNER Mod�l 1'_/1{ !�!2 l� O yA �. Modsl Ssrfal '��7�� %/� Max. BTU Rating (NPUT f�� MAKE OF FURNACE Model CONTROLS � THERMOSTAT ��'� � Heat Plug V�nt Sfzs Valvs y�� KIND OF LINER IZE� `� NONF Limit ��/�'_ -�� Droff Hood ,� Rsgulator Limit S�Ming �� Filters Size Number Fan Setting l3� f�� Chfmnsy Location Inside �� Outaide Pilot Type � Chimney Gonstruetion Pilot Make 'e Pilot Modsl '�� Smoke Bomb Wiring � f'�' Pilot Timing ��'� Draft �� Tsst Tap e� L.W. Cut Off Q L��t �� Door Presaure Lighting Inst. �� Preasure -� � y ��jr,c`ent CO� �� - �� ote Tested °� « Input CFH 1–�H6fE3n't�`6'2 ° Company Testing Stack Temp. ��--� Perceht CO , �� Name of Tester Form 235 C I T Y 0 F F R I D L E Y 6431 University Ave. N. E. Fridley, Minnesota 55421 Williams Electric Co. 2312 Central Ave. N. E. Minneapolis, Minnesota Feb. 2, 1968 RE : P�tMIT SHORTAGE � 7440 Jackson St. N. E. Gentlemen: Your permit for the above captioned address was short the following: 1-10 Outets $3.00 Dryer � /C 3.00 $6.00 We would appreciate it if you would kindly give this matter your preferred attention. When sending in the above amount, kindly place it on a regular Minnesota State Affidavit so that we may properly process this permit. Thank you. � LE ;bks � Yours very truly, ��-� �.-� � �l � -�,/�, ��?��J LEONARD EICHMILLER Electrical Inspector City of Fridley .;r....R.,..�.-��._----.-.:r:-,.-:..�-...7. ., -.,_.._. �-. ,....__ .,_. . .._._ ._ ... _ _ _ _ � i �� i' � FIRE DEPARTMENT MEMO 'TOe �UILDING INSPECTION � ASSESSING SUBJECi: FIRE DAMAGED STRUCTURE �IRE HAS OCCURRED AT � DATE: Dec. 7, 1978 7440 NE Jackson St., Robert C. Troutman (786-3943) DORES . Dec. 6, 1978 DATE F FIRE FP8-6 S � � � . ' �� f ,� � . ��'�� , , � Q�C%��d,C/ ��a/� �S /Z-�Z-��' � SUBJECT P� 1505'� City of Fridley ' ` AT THE TOP OF THE TWINS g U I L D i N G P E R M I T CEIPT NO r � `L ______ COMMUNITY DEVELOPMENT DIV. �� r � � PROTECTIVE INSPECTION SEC. ' i ' � /�"1 � CITY HALL FRIDLEY SS4S2 NUMBER REV. DATE PAGE OF APPROVED BY �""'�'� ,�� 612-580-3450 910-F15 1-2-79 � � JOB ADDRESS �440 Jackson St. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j_ 3 Melody Ma�r 3rd Addn. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Robert Troutman 7440 Jackson St. N.E. Fri.dley 55432 786-3943 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Fasco 711 �ni. Lake St. Mpls. 55408 823-8297 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL ADDRESS Z�P PHONE • LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repaa.r a fire damaged garage. 9 CHANGE QF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, ��d Frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R 1 988 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $]_S� OOO $7. 5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $90.00 STRUCTION OFi THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE � -- -- � - $97. 50 SIGNATUREOFCONTRACTORORAUTHORI2EDAGENT (DA EI yy PROPE Y V ATED THIS IS YOUR PERMIT _� �`��c� SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BLDG I P �ATE czT� or- r-ir1U�cY . nrr�rcnT�or� rorz �z��sr»r_r��rin� �uri_v�rrc ��z��zTs (I�J�w, �LTL"R/1T1 �(ds, /IL��iTi a��a�, oR RCP/1I RS) . ,• . .. . � , OWtl�R: � o d e r� �ro �l�1tir Q h 13UILUT:1i: � SG D 'f . � 7t� r�/. 1 Ql�� S�`� /`��1s.' �s y�� . �aar�:ss :,�'S�yO � a � k's� � S 1`N. F. naar�::� : ,T-- . 2e�.. t�o . : �I'o1 3 - �i�? 9 % : �' No. : � �� oT: �' COl2iZL•"R LrJT: ______y Street: T�� o ��- . nrACr.: �_ �,nnzT7or� : / %�� o�� o� � �� ItdSID� LOT: � SLTi311CY.: �_ SiDL•'YARDS: _ ApPlica"r�i: attach 'L-o L-his form T�•ro CerL-ii'icatcs of 5urvey of Lot and proposed building locai:ion drawn on these Certificates. • . � DESCRI PTIOI•J OF BUI LDI I�G . To De Used 1�s: �� ' � � � G4 Ya �� _ Front: � 6 Depth : 3� � Height: � T Square Feet: �� Cubic Feet: '1`ront: � Depth: � Height: � � ' Square I'eet: _ G�.tbic Feet: � �,+pe of Construction: „�!° 4' �t [° . EstamaL-ed Cost: $ �si 4�0 • � 7�b 8e Completed: Fe,6• .Z�jl.�,% A].t. A Alt • B ,' a PXOposed Driveway Width If IQew Opcning Is Desired __ $ $ ' _ (ST]: 12�VERSE 5IDE OF SHEET) Thc undcrsigned hereb1► mal:es applica�ion for a pe�mit for the work herein� specified, agreeing to do all �.ork_ in strict accardance �aith the City of Fxidley Ordin�nces and rul.ings of the Ac��.�:i:ment ot Fuildings, and hcreby declares L-hat all the facts and representa�ions stated in this application are i:rue and correct. See xeverse si.de far acldii:iona�l inio=mation. � DAT�: / 9% SIGNA'PUP.E: � � Stigul atio�is : . �s,�� ' . i 0 ' S. . �e � �� ,�� . �, �� ;'F�' %��`�� ¢,��- �s . /3 �. � BUILDING PERMIT FEt SCHEDULE SI;C'PION 2. The Inspector of I3uildings 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 repairs to any existing builditig or structure, upon application therefore, require the payment by the applicant for such perniit oi fees to the amount herein below set forth and in the manner herein provided to-wit: NEW CONSTRUCTION: Single Fami].y Homes and Garages: $4.00/1,000 cubic fee�. PL�] 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 widtYi plus 6 feet x$14.50 Alternate B: Removal and replacement o£ concrete curb and gutter and install a 3 foot wide approach with � 6 inch depth; Driveway width plus 6 feet x$17.20 ; 1 1 � � ► � • � � For the purpose of computing fees for building perniits, 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 r�ain gable of a pitched roof . . ' Fox repairs or alterations to an existing structure, the fee shall be at the rate of $3 .00 �ier each five hundred dollars -($500.00) or fraction thereof in irhe cost of all proposed worlc. � In•na case shall the fee charged for any permit as set forth in Section 2 be less i:han $7.50 plus $.50 state surcharge. VERIFICATIO� OF FOUNDATION NOTE: Permits for construction will be issued a minimtun 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 Suxvey of the lot, showing the location of the foundation once it has been constructed will be required iiefore proceeding with the framing. ��:i��:�r. � ' : ► 'a Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occugancy 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. `..,., ,� � sue�ecr P City of Fridley 2 6 51 1 AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r � � RECEIPT NQ, COMMUNITY DEVEIOPMENT DIV. �� y r � L � PROTECTIVE INSPECTION SEC. Q � i 1 i � � /'�'1 � CITY HALL FRIDLE� 55432 NUAABER REV OATE PAGE OF AVPROVED BY �._..R•' '•� 612-571-3450 910-F15 7/9/98 / / JOB AODRESS 7440. Jackson Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Melody Ma.nor 3rd Addition SNEET 2 PROPEHTY OWNEF MAIL ADORESS ZIP PHONE Debra Troutman 7440 Jackson Street NE 786-3943 3 CONTRACTOR MAIL ADDRESS Z�P PNONE LICENSE NO. Four Season Roofing & Remodeling Inc 7930 University Ave NE, Fridley, NIN 55432 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 795-9410 20138780 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW � ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRtBE WORK Reroof House & Garage (31 Sq) Tear-off 9 CHAN(iE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCV G1i0UP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTFICAL, PLUMBING, MEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I NEREBY CERTIFV THAT I MAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE Of WOFiK WILL BE COMPLIED �2 � 585 $1 . 29 WITH WHETHER SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERM{T DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @74�7,r Fire SC �L..58 STRUCTI N OR THE PERFORMANCE OF CONSTRUCTION. � �"- PLAN CHECK FEE T AL FEE License SC $5. $8 .62 °� � IGNATURE OF CON'R F OR AUTMORI2ED AGENT IDATEI WHEN Pq Y A ED T I IS YO R PERMI - - ' -/�- � S�GNATU�iEOFpWNEAUFOWNE�7BU�LDEAi �DATE� BLDG iNSP piTE rrEw ADDN ALTER [] [] L] , . , :, . CITY _OF FRIDLEY . j SINGLE FAMII.Y �AND DUPLEXES R-1 AND R-2 � BUII,DING �PERNIIT APPLICATION Effective 1/1/98 ��l I . . ` ,�-r ��`� nscructionAdaress: � . ' � , �� ; �+- � � � - � � � � Co d � � � �1 �-�. S� � , Legal Description: � Owner Name & Address: ,1 ,,� � �1��)tJ-I-rr�cc i'1 Tel: #�: %,�� f � �, Contractor: � u r � �G 5 �� 5 �� o �i no� q`L ��' YI'� � � �r �c CI.C' ,MN LICENSE # �?� I � � �� Address: . ! �3C� ��N1 r V�� i'�N ��9� 1�,� i'/?_:�c� �F�i �')_ A Tel. # '7�� Attach to this applicadon, a Certificate of Survey of the s�.3a2- � lot, with the proposed construction drawn on it to scale. . . DESCRII''rION OF IlVIPROVEMENT � LIVING AREA: Length Width Height GARAGE AREA: Length � � Width Height DECK AREA: ngth Width �� Hgt/ t o�R: ��.�v� �- R � 1�� , � I � Construction � �. Driveway Curb G�t Width Needed; Ft:' +`6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. �_ �� ' � `" Estimated Cost: $ ,. a � �� . . (Fee Schedule, on Back).� , Ft x $ _ $ � � —� .�7 /�—/� DATE: � ��9 � APPLICANT: Te1. � ./ `7� ` %��C� CTI'I' USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge . License Surcharge s. Driveway Escrow Erosion Control Park Fee� Sewer Main Charge TOTAL STIPULATIONS: $� •�� Fee Schedule on Reverse Side $ , � �� ; .00I :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 Conservadon Plan Review $ Fee Deteraiined by Engineering � $ Agreement Necessary [ ] Not Necessary [ ] � ��.�. �� ,, �- , � . . BUII.DING PERMIT FEE SCHEDULE � . � The Chief Building Official shall, before issuing pernuts 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 pertnit of fees to the amount herein below set forth and in the manner herein provided to-wif: TOTAL VALUE $1 to $500 $501 to $2,�0 $2,001 to $25,000 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 addidonal $1,000 or fraction thereof, to and including $25,000 � $25,001 to $50,000 $349.75 for first $25,0� plus $9.� for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to �$1�,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,U00,001 and up $574.75 for °first $50,000 plus $6.25 for each additional $1 �000 or fracdon thereof, to and including $1�,000 :$887.25 for first $100,�0 plus $5.� 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 frac'on 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 wiU 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 will be required before proceeding with the framing. - _ �� 0 � a.' ro � C "i � D �° r � T m m � O � � '� 'O c a W � �tD'fD �r� � O� � �o � � � O� Z � O �O� ��°o o �� D� v � � � G1 7 �v rD- � m � 0 z � � �ii Z m v � � � � � G < < C � Q1 � W � � �c-1 � m �n m m� �� a� v � � � � O � o� � 2 2 � � � W � '71 c�D � cD cD tD � " p1 � '� �. � � fD .�.. .�► 01 � y W 7 � � � � �; � �' r � v�i, N � u�i � � � cc � � 5 c� Z m � � o�i � v -i m � � � $gj �� -n � � � � c m �. v N � .., Z o I I I I I�I I I I I I! � �t��r+ c�s�,r��s�a� CJ� O O O v O�;`� �� A V O O O O 0 O O O O O O O O � C � � Z � n O � D -ZC N � �: m a n 0 � � � m � � � Z O � � 0. � tG � � N � � O � � � � rn � n 3 ��aiz z o' �� N=J� m � z O � � x � -i \ V � J � � � '� r C W z � 'n � � m � � z 0 :� � R 11 -I O a r � � W v v � m � � � � �� aw� �� C � � z� � w � � g ,� v N � � co z� m� n � O Z C . ,�=-- � m � �' c� O � � n� �c ..d� � � � � � ; � �` - •�,: _ ; ;;_�_ Y.,�:; CIIYOF FRiDLE.Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 16, 2001 Debra Troutman 7440 Jackson Street NE Fridley, MN 55432 Re: Final Inspection at 7440 Jackson Street NE Contractor: Norblom Plumbing Dear Ms. Troutman: A plumbing permit was issued on December 1, 1999 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 plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee paid covers the inspector's time to make sure the appliance was installed conectly. We also check to make sure combustion air has been installed and that the vent and vent connectors have been sized properly. If you would like the installation inspected, please contact us within 30 days to anange the inspection. If we do not hear from you, we will expire the pernut and note that no inspections were called for. Any questions can be addressed to me at (763) 572-3603. Sincerely, I J_�� L/ �� , �.��- � .s - Building Inspections 763-572-3604 SITE ADDRESS ,�� THIS APPLICANT IS: PROPERTY OWNER/ TEN�ANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ❑ OWNER j�CONTRACTOR PHONE: %1'r�J��SF�SL�FS Permit No.: Received By: �_u-��" Date Rec'd: �� ° d`� "� � �I D�E V sTA��tr� NAME: �f I�.U�'�'�� STATE LICENSE # �C�i�O�� EXP DATE ADDRESS:�� I�=�f� �'iW�% CiTY ��U�IV� STATE�$IP'� >C� pun�.iF '%l ��rl i'I GI(�GJ�i� FAX %l �3�7�0 !' _ _ O TWO FAMIL' PERNIIT TYPE � �DITION ❑ GARAG ❑ BASEMENT FINISH ❑ ROOF ❑ DECK ❑ SID�IG ❑ SWAvIlvI TYPE OF WORK: DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT nvvr u.�a NUMBER OF SQUARES _g� GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum O Other WINDOWS W QQSTING OPENWGS �Y� ONo OR FOR NEW OPEMNGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WII�i�W TO BE INSTALLED � HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE OSoffit ❑ Trim ❑ F�ccia LOCATION OF WINDOWS NUNBER OF ❑ DRAIN TILE ❑ OTHER WIDTH HEIGHT Ft. BASEMENT REMOAELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plen 3. List of struchual members w bE used FOR NEW CONSTRUC7'ION MCLUDING DECKS, ADDITIONS. & PORCI�S SUBMIT: 1. Site Plan/Survey showing the existing strucwres and proposed project 2. Two setc of construction plans 3. Energy Calculalions ALL FEES ARE BASED ON VALUATION, INCLUDING TI� COST OF LABOR AND MATERIALS: (USING TH1 1�,9U'i B.0 FEE SOCCUPD ANCY TYPE TOTAL JOB VALUATION $ Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne $ $ 1 \ .'� � $ S_�i� $ S•�Q $ $ $ $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MVJCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks aavable 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 aclaiowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of e ity of Fridley and with the Minnesota Construction Codes; that I understa.nd this is not a permit but only an ap for a pe ' k is not to start without a permit; that the work will be in accordance with the approved plan in the case f all work whic qu' �' q�r approval of plans. SIGNATURE OF AP CANT / �PRINT NAME r�C �/ i Page 2- Building Residential Applica.tion 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: 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 proposed structure and of the construction site. A Certifica.te of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the frami.ng. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977