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AF - 47459� � � � �� ` Gi.ty of Fridley, inn N° 8 2� 8 BUILDING PERMIT ��: duly 30, 1965 �: �� Homedale Builders Ad� ?515 Jackson St. N.E. A� 301? �.�'ndale bvenue South Fridle�r� Niirmesot� p�linn,ea olis, Minnesota LOCATION OF BUILDING 1vo. 75i5 Street J�.CSSON ��,�'EZ' N. E. Part of Lot Lot - 13 Bi�k 1 Addition or 5ub-Divieian Melod� Manor �.th Coraer Lot _ Inside Lot g Setback 35 � Sideyard 15 SeWer IIevattan Foundation IIevation DESCRIPTION OP BUILDING To be vsed as: lh�ellin� �t 37 ��, �4 xeigt►t �� sq. �. 888 �� 17, 760 Gara.�e r,ront u ne�tn 2� xes�t �� sq. Ft. 330 cw. Ft. 3,300 Type of Construct�t� Frame F�t. Cost _�17 � 000, QO To be Completed Qct . l�, 1965 New House a.rsd �ara.�e In c,�sideratlon of the 9�uanoe to me of a permit to conslruct the building descrlbed above I agr�e to do the proposed work fn accrordance with the drescript3on above set �orth and in coQnplianc�e with afl provlsions oY ordlnencea of the city oP Fridley. i �l � . i�� e Ia ca�deratioa of the paqmeat of a Pee oP $ 22�� , Permit ie herel�9 granted tn HQ1�l�ASL Bi7I1.,Ei�S to construct the bufldin� or addition as descrYbed above. This� t fs granted upon the exPress condition that the persoa to whom it is grented aad his ageuts, ea�ployeea an� worl�en, in aII work done 9n, around and upon said building, or anypa� thereof, shall oenform in aIl respects to the ordinancee of FrldleY. Minnesota g lacatfon, cronstruction, alteration, maintenance, repair aad mwing of buildiage oraiaaa� dty limii�� a�thia permft may be revoked at any time upon violat3on of a�► of the proviaions oP said A.S,LEN G. JEN�tG Building' Ins�ector �� NOTIC� TW pene@ doa ��wer t6s eoestruedo�e, (mtall� ter vrielee. P�+�e. o+� 6+�Y, sswa or �ratsr. B� su» to a� tM BoUdtng i�eter [ar a� � fa fh�a t�ns. ., • OWNER'S NAME ADDRESS � � . �r:. f` � �, ; ; � i ' `�'' F 1 .� , � � - APP�,iGATION; FOI� SUaLDIN6 rPERMIT � ,., � , ., . CI'�CY . 01� Y�RIDL�X. � MINNESOTA , .� � � . . • LOCATION/ �� O� No.r ./ cJ :/. � ,: S�reeC z ��art�. of Lot ., . . _ _ , Lot� Block; -<Addi or.Subdivisi Cornes Lot��Inside�Lot Setback Side-Ya /�jV - - � '�� SLWER EI,EVA�ION FOUND�ITION ELEVATION Applicant. attach..�o Cbis, form.Two_Certificatee of Surveq of Lot,aa� propoaed build- �ing.]ocation.drawa on these Certif�.ca�es.`. � �• DESCRIPTION OF BUILDING To be used a�: � . P Frout, :.. c� /� Depth . Height , j� � -.T . .. Sq. L�t.. � . Cu . F.t . , � �",%, "/' �,�� C� � .Front Depth , Aeight . � . f � • . ' rSq• Ft,,. �: �� _ . Cu. Ft ._ ��°�'? .� �� _ , ; :�� Type of. ConsCructioa ��►,�., � Estimated Cos.t �• ��_ �� ,� To be Completed_ _ K� /.// /�`�� , . . The undersigned tiereby makes application �or:a permit for the.work hereim_specified, agreeiag to do all work in strict accordaace with the City of Fridley Ordinances and rulinga of the Department,.of Buildings, and hereby decl�rea that all Che facte and representations stated in this applicatioa are true and..correct, � DATE C� � SIGNATURE L�2'��✓G'� -�/ � �(Schedule of Fee Coste caa.be fouad on t�e R rse Side). C�N/� � � �,, � � � n � e BVII.DING P'ERMIT FEE SCHEUULE Section 2. The Inspector�of Buildin�a shall, before iaeuiag any pert�it for the erection of any buildiag or structure, or for aay addition to any exiet- iag building or atructure, or for any alteraeioas or repaizs to any existing building or structure, upon application therefor, require the gayment by Che applicant for such permit of fees to the amaunt herein below set forth and in the mannes herein provided to-wit: 2.1. For any such permit for the erection o.f any fire-proof building, other than a garage� warehouse, factory or grain elevatar,. or for the erection of aay fire-proof addition, for similar occupaacy, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For aay such permit for the erection of any fire-proof garage, wa.rehouse,� factory or grain elevator, or for the erection of aay fire-proof addition, for similar acc�tpancy,�to any'existi� bu3lding shall be at the rate of $1.25 for each one thousand cubic feet, claseified as "fireproof" by Section 502 of the Minneapo�.is Building C.aie. � HOUSES � � . 2.3.- For aaq such permit for the erectian of aay non-Hreproof buildiaE cthex � than a garage, warehouse, factory or grain elevator, or any noa-fireproof addit�.an, for similar occupancy, to any esistiag buiiding - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. For aay such permit for the erection of any aon-fireproof garage, warehouse, factory or..gr$in alevator, or for the erection of any noa-fire�roaf addit3.ou, €or-�simiiar occupancy, to any existing build3ng or for each euch __-- -bni].ding or additioa - aiaety centa ($0.90) for each oae thouaand cubic feet or traetiou thereof, in the cubical cont�nts thereof with a minimum of $4.OQ.- For the purpose of camngutiag fees for building permits, the cu6ical corrtents of aay building or addition to a uaiform height throughout by multiplying the ground area covered fram a point six (6) inches below the flaor line of the basement or cel�.ar to the average height of the upper surface or to the �.verege height of the r�of surface of the main gable of a p�.tched roaf. 2.5. For repairs or alteratioas to an existing structure, the fee ahall be at the rate of $3.00 per each Five fluadred DaLlara ($500.00) or fraction thereof in the cost�of all progosed work. ' � 2.6. In no case shall the �ee..char�ed, .for.auq'-permi�, as set forth in Section 2 be less. thaa $4,00. ' �'� F y �, «�. �. ` G s _ s� � � :�� -- �..,- . , � � c��,� 1cr�! S�»x� Sa,ls �itr,r� fivrl6 �t�i.v�aapal �,�►�� C` I � � �•rs-�a��y �ct �� ,pvk��. E�IG t I�1�ER1 �1�►, I N C. �� I�1 � _ � S�rf 4-�f:+o& ,� . --- En�ir��r,� �' Surve�or� .�-�-- cet�ti�a�cate of m � .. a � �� . �. .� � � \ �. � s�st�� 'o: HaN!£OA►1.� t�tlll.'�it� � . r�oarM � � . . �. w� � �- �. dL�ENQTES IRON�'-T =�=t�NOi�S L�RA4NAGE AND U7lL{TY EASEM�NT 1..0`f �3� �L�CK �■ I'�j1�1.f�C�Y I�°� AW C)R Q�� i�ODt T 1{?N AN6KA C41fN1Y � �li��+ �i�i� �iut fhi� tx a fi°a�e and aarrt�� fo�F�rr o�'a szrwstf �flae l�avnd�'�s �'�r � d�w+►l�sd lmrd,m�d -- ey�'fle lou�i o�'�l! dudda�s ,/�ean , a�d dl hs�drr �hmarh , i{`ar�: �i or a►ts�id laad As sru��ed 6t� rr�e ft��_ r�tj '�y ��''�� A.��. .ill�tll�tBAN ENGlNEEQlI�IC'i. 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F�°` ,. .'sj i�y �' E (r� • .� . .. .. �.,x:� �'� �'�r: :.�--�� , �y� -y� m��'..�� . . . � -� � � , � ti.;:: .._ _ r : e;y� � - . - ti1 � — - e, - ',�,��'. .-� f� S/ '�.� r .. ' � ^ "�� . J �. .F � - '.. . . . . _ ' � _ � e , . ' sa a' . i` =::: �' �. . ,.;. � t 9 �•�' � @ ' :S- '��;� � , � �� , _ , � 3�i '�� ,� �: �f � f-- ' � °� ^� i :�a �' .1 � _, .�.. - ,;, ,y :'a° .. a� �r � %... � ...,., f*? �^f .. t`a > ;� w_ �,- ':_� , �` � �—�y , . �� . , City of Fridley, inn 6431 Univeraity Ave. N. E., Muineapolis, Minn. 55432 BUILDING PERMIT ��: September 21, 1972 �� Terry Shea Same Buiider 7515 Jackson Street N.E. Same ��e Address � �3o D , - ��116� LOCATIOIV OF BUILDING No �515 s,�t Jackson Street N.E, p� o� �t � 13 g�� 1 Addition or Sub-Div3sios. Melody Manor 4th Ca�aer Lot Ins�tde Lot X Setback _._._ Sideyard 6ewer IIevai3an Foundation Elevation DESCRIPTION OF BUILDING To be vsed as: Gar�3ge_ addition �nt 10' �p� 30' H�� 10' Sq. � 300' �� 3, 000 Front Depth Hei�ht Sq. Ft _ G�. F't. � op.C�� Wood frame �� $ 600.00 To be Completed June 1, 1973 Inspection ��21068 9%18/72 Iroas are in. Told owner neighbors approval to build without survey he can add without new survey. (see attached letter� ' � l�-'� sv�-w �-^-� � l. ��73 if he gets his 10' to garage C�l� ` �� . In consideral3on of the i�uance to me of a permit to consixuct tf�e building described above, gree to dp '�he pro�sed work in accorda.nce with the descript3on above set forth and 3n compliance with ��!�ovisione oE Ordinances oP the dty of Fridley, �� „ In consideration of the payment of a fee of $ 6. 00 ��t is hereby granted to �erry Shea to construct the building or addition as described above. This permit is granted upo7t the express condition that the person to whom it is granted and his agents, employees and worlunett, in all work done in, around and upon said building, or any part thereoF, shall conform. in all respects •to the ordinances oi 1�`ridley, M3nnesota regarding locatton, construction, altera.tion, main e, repair and moving of builcliIIgB �� dty limits and this permit may be revoked a time upon o ti any of the provisions oP 88id � Building Inspector D L CLARK NOTICE: This permif do� not eove� the eonsfruction, insfallaHon for wiring, plumbFng, 8as heating, aewer o� wefer, Be sore to s� t6s Building Inapeeta� for aeparate permits for ihese ifems. .; � p /~ � ��-. _ �� .�..�_ � � ,�- , a � :* { � �:�%�-�� ' ��-% � ..� ��' � : ��u� � . �� , ,F �,�� :i� �L��,�e:��-r,,�-, � �� ,.. � � _ ,�� "r�� _ ��y`3:� �,. �.�,�� _� �,. Y y�,: e�� : ��. j�� ,�� ,,,,�.6-=�� d .�L�z,? .: ��:�� ' .,Q�e�!'�ri'P..' , i�k� r : % , � `,Yl�-''' ��2"_ _ _ j j�� _ ,$,. y ' � � •`��..aG�� "' ^" ` - _f, , .� Q.�:�� -� � �: � �-�-, z.�^�-, ,� " � � —r �� '- --�� - y'� ,� a � �, -r, z - y � �, �� t, _ } F �� 3 �'` /�� : •�� , '' `�'' �;" as �..r � �� .�: z� . a a+' �,. � � ;�t :� ` � _ � = � j ^�"��y ;r,: A J R.�. : � - . � . - , � ..: . �, � � �".�,,.. �a`, �°%"" • � . � : �� - � �� 4{ -. �� , —°� R 'f � � � �� 1^ ��. � p�V °� . s" . � � ' � �, `-} _ � t, � AP.PLICATIO� FOR RESIDENTIAL, A��RATION, OR Allll�TjO� BUILD�NG p��j�� CITY OF FR�pLEY, MINNESOTA Qnb�l•K!' S �a��aaY+3 / : ` _ -�s, r BUILDER i � L f'✓ u� " `'�.%?,s,/ � ' • • b`+.�+wrweer..� ♦T1��y� �— '"'r' �iILi�G55 : e r''7 f� f"'� n/�Lf.N t�'� � 01fi/LiLCn75 i �j"� �� C� .�%�C� .5�.. G�s.�v w�/ . LI�V i��-' SiL�1'aGi � cJ 97 /� .�<` J �° (/ C� �- • � �01': � � BLOCK: �% ADDITIONt %>L <J��1 ��C'�/? �;�,��f%/�� CO�tNER LOT: INSIDE LOT:�SETBACR: SIDEY,A,Rpg� �►��],�.�ant attach to thi+� �o�a Two Certificatea o� 8u��r of Lot aud �xogv��e�d bui�,di.a$ locatipn dr�twa on tha�e Certificatea. HESCRIPTION OF BUILDING To Be Ueed As: ��/�'��,�ront : , �' �'? " Depth : � /J � He3,ght :_ . ` e. Square Feet :�� 7 Cubic Feet : `-S � � C� .�..��.., ' Froat: Depth: Height: Square Feet; Cubic Feet: �pe of Conatruction: c.c� �� s7 Eatimated Coet: $ co (i � ��. ws �rsqRf� �O $8 Ci0IDpi8t8t�: e1 �/ /i%' � �� ✓y %�� The undereigaed hereby malcea applicativn for a pes�nit �or ti�e .wp7ck '��c�� speci�ied, agreeing to do all work ia attict accordance with the Ci�i q� F�ridley Osdinances and rulinge of the Depart�ment of Buildiuga, aad ��c�b, d�cla�es that all the facte aad repreeentations stated ia tbie appli��R�,oA aze tzue and correct. L • r—�� f `"s� SIGNATURL� : /'� / #�T�; �° � (Sep Renrerse Side For Additioaal Information.) �� , ( 7�� , a ��I .�� .�i'�� . (O '� " - ' ' .� R � $UILDI�G PERM�� FE� SCHEDULE S�CT�ON 2. The Inspector of Buildings shall, before issuing permits for the exection of any building or structure, or for any addition �o any existi,t� building or structure, or for any alteration or repairs to any e�cisting bui,ldin� ox structure, upon application therefore, require the paymex�t by t,Y�� applicant for auch permit of fees to the amoua�t herein below set farth +a�id �.t� the manner herein prwided to-wit: � 1,JDTIFORM BUILDING CODE: Type 1, 2� 4-$2.15 for each one thousand cub�c ��, ox fraction thereof, in euch cubical contenta. 1j►pe 3� 5-��.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose af computing fees for building permite, the cubical contenta of any building or additiaa, ie determined by multiplying the ground area covered fro� 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. �or repaire or alterations to aa existing structure, the fee ahall be at ttae rate of $3.00 per each five huadred dollars ($500.00) or fraction thereof in the cost of all proposed work. Ia ao case shall the fee charged for any permit as set forth ia Sectio� 2 be lese thasi $5.00. V�RIFICATION OF FOUNDATION �jpTE; Permits for eonatruction will be isaued a mini�um of 24 hours from �he� �i,�e of applicatioa, to allow for proper review of the proposed atructuze aad of the construction site. A Cestifisd Survey of the lot, showiag the location of the foundat�,A��, V�� haa been constructed, will be required befo�e proceedin� with the fs��amin�� CERTIFICATE OF OCCUPANCY Applicatioa for a Certificate.of Occupancy shall be made ten (10) days �►�Ci�7C �c� the use or occupaacy of any structure for which a buildiag permit has �� iseued; and said atructure shall not be used or occup�ed until a CertifiGats o� Occupancy has beea issued. . ' - / � , ,. + � �.' ' i ` . � , � . � . , � � .r . . ' � ' . . � ' ,� . • , � 4 . - . • • ' , � °� . G: � . ' � i � i . . , . 4 � .. • . k , , ; ' • � ' . � ' . . • . , .. - ' - ♦ - � _ . _ . . . � - : • ' ' • � . , � �' � ' • , . , � , . - , �..� . r �r° 21068 � . � _ : i Building Job Repo� - ADDRESS ��- "�� ' I �WNER . p - � ' �I BUILDER - 1 DATE y � u . PERMIT NO. iDESCRIPTION , , r. i � � I ' � � • � �N � CTIO f pq-rE � ECORD " � REPORT ' j � , �> � � � � C, ., "':. �r ' � � �t �� _ ' ,"�p, � - r'� ', a �� '� �v', . � . � -�` _ Rl � � . . ''' ' `�4 ..l� z , ;` � � �. r .� . �, �-.$� '' '� � � ' �" � . � '-��o ;%^a, .1s �� ..' / . . ' � .� -� a h S _� �Y• � ' �i 1°�Fa � I ' '� OWNER - REP. - . , �, . ��° i�'�� .sINSPECTpR � - � - , . . . _ . .. . , _ � � . . , ,p ' . ' , , � � _ � - . • i ' • ' a � . . sue�ecr PE IT N ' City of Fridley o 20283 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � RECEIPT NO. i Ly ��_, COMMUNITY DEVELOPMENT DIV. r � � PfiOTECTIVE INSPECTION SEC. �� ; i , � /�"1 � CITY HALL FRIDLEY 55032 NUMBER REV. DATE PAGE OF APPROVED BY �"'"'� � �� 612-571-34b0 910-F15 4/6/i0 � � JOB ADDRESS '7515 �'ackss�n S:txeet N,E., 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. �.3 1 Mel�dy Manor 4th. Addition SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Frank Goclon 7515 J'ackson Street N.E. 786--0892 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sa,�e 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO. 8 USE OF BUILDING k�es.ident i:al 7 CLASS OF WORK ❑ NEW ❑ ADDITION [� ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Add brick to three. �ides o� dwelli�ng 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED 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 �- STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $�-�200 $.F)O 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 PERFORMANCE OF CONSTRUCTION. tiS`Z�.00 LAN CHECK FEE TOTAL FEE $29.60 SIGN TUiiE OF CO TRACTOR OR AUTHO 12ED AGENT DATEI �..�� WHEN PROPERLY VA D ED THIS IS YOUR PER IT �� i �-ri .�XJG��Y� � ��. a � SiGNATUREOF ERiIFOWNERBUILDER� IDATEI BLDG iNSP p7E � [l � [ l �'� [ l constructia� Addres.s: I�1 AND R-2 ' Building Permit Appiication �� c�a � �/ �5��/ /�! �� EffeCtiVe 1/1/90 Legal De�.�cription: � �� ° J%��✓D �T � ,o V cr � Z�/G'�% � d �7d�0Y" �t� owner rT�ne & s�-?�: ��%// rl ' �'C� � �' �/1% Te1.. #�� C��/� Contractor: � �/l�i�° �' Z�1. # 1lddres.s: Attach to this application, a Certificate of SuYVey of the lot, with the propo�.ed vo�nstzuction drawn on it to scale. L�SG'dtIPPI�i �' Il�VII�TP LIVII�IG ARF�►: Letigth Width Height Sq. Ft. �AR�GE ARF�% Length Width Height Sq. Ft. D�iCR AREA: Length Width Hgt/Gra�u�d Sq. Ft. OTl�it: __ �ic� �}'ic�j ��Dv'%i ./`� ��`Lry'e� Sio P S .B�G�� Corner IAt [] Inside Lot [ J 0 Ft. Yd Setback Side YaYd Setbacks 'I�pe of Construction: %�1^I c%T Est�mated Cost: $ ��Gr'O Approx. Ccanpletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ � � � ��idth + 6' See Back Page n�: � /�� c�rrr: �.� �- � �-., �. # �� C - D �� Permit Fee $ � l�. �� State Surcharge $ C�� SAC C�arge $ Driveway F.sc,�w $ Park Fee $ sewer Main criarge $ • v� S'1'IPUI.ATIONS : $ �9 � �.� CITY USE �d�II,Y Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by �gineerincJ Agreement Necessaty [ ] Not Neoe.ssaYy [ ] , yl :vl � � � '�:�I'� � " :�V" : �.:17i� 1 'Ihe Qiief Building Official shall, before issuing permits for the ex�ectio� of ariy �,;�dir�g or sttucture, or for atly addition t� any existing building or structure, or for ariy alt�exation or repair to ariy existing building or structur�, upon application therefore, require the paym�nt by the applicant for such permit of fees to the ataotuit herein belcxa set forth and in the manner herein pmvided to wit: Z10►rAL VAIIJE $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 ��. $15 (Minitmmi Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fraction thereof, to arid includirig $2, 000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction ther�of, to and including $25,000 $252 for first $25,000 plus $6.50 for each acklitional $1,000 or fraction thereof, to and iticluding $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and i.tzcluding $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and includitig $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each ackiitional $1,000 or fraction thereof, to and includirig $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVE�IY DEPRESSI�1 ESC�W (Concrete Curb Streets On1Y) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Remaval arid replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VER�'IQiITI�T OF �IA�IDATI�T Piermits for oonstruction will be issued a minim�nn of 24 haurs frcan the time of application to alldw for prope.r review of the proposed structure and of the construction site. A Ceztificate of Survey of the lot, shc�wing the location of the fo�u�dation once it has it has been o�nstructed will be requ.ired before proceedirig with the framing. 'I � � �' °� ;t �j �• �I i I.+f�° �' (`� ° .� ---�r� � � ,� � _ J � �F ¢ y , t`, '� �: � ' - . �y : v��,� 3s�r�t,,��fj s " � v�.`* �' _ , � ,.W!" ` • /f �� 7 � ' ` � ' ,Tl�� . . :��ti . . . . . . ' ;�y=. F . _ _ u�'�'�n . . . t'� .. ��,. ' , `6 . . � f _ q _ �.. �.� rsar- -____-� _ . .��e� �. tl � � � � � ,. I ' � � S � � � � -. F +�`.� � f � �� . � �4 � ,� �- �� -� � � � : � ,: � ��° . t� � ;, �� ,�, �' �`�°r � � ,i� j� �t:3* � f` � �Y,�„ � � �'`' � s� W� � � , �� : �,'� � � h �* . . � � � , � � �� ;� ;�� ` c; ;� �� .a P� P � .+ .•� � r ' � P f � i �«.; �..a �; I'. i I � I- �� z , . , , � .___ a � � � � ` �, = _ � _ �,� � .��.�� .�_ � — _ � ' < � �_ .� � - �- - � �' q) , �,tt ' r� _;� � � " ; .• � �k ,�^ � f� :� � F�� r ,r �1�� .� � '`� �`� '. � � �� _, �, � . _�� x^_ , =_ � - � - � � � o �- �. v-_ �� - - � q� � �� . �� . � a �� t � � � v .� a 4 , v �s � ; � �4 •y � ; . � �°`'� � .,.__�� _. ��,K.,_.m_ �+ � t. ..._r. �, B 9 � � a. �\. � � � '�o � ` -. 1� w� � a.:: � � � � y 4 � r. � � � '� '� � ,�, ,�� b . £ � ,� ; � � �� i�`� � LL � �?�. , � �� 4 � 1 , 0� � �� 1�a � �` `„ '��C, '� � � . �. °- ��.: „ �„�� ,,� sue�ecT PER .-° City of Fridley ` 2 2 315 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � ; ` T NO. � • COMMUNITY DEVELOPMENT DIV. �� LV �� r � � PROTECTIVE INSPECTION SEC. � _ � � /'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF AVVROVED BV �"'"� � ,'� 612-571-3460 910-F15 3/2/94 / / JOB ADDRESS '7515 Jackson Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 Melody Manor 4th Addi.tion SHEET 2 PROPERTY OWNEH MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO. D& D Home Tmgrovement Ihc, 740.1 Central Ave NE, Fridley 55432 784-7543 4840 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER ' MAII ADORESS 21P PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW � ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re�oo� Hquse & Garage (:18 Squares� 2nd Layer 9 CHANOE OF USE FROM TO STIPULATIONS �o,�inc� can be the 2nd la�er }�u.t n4t the.3rd, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTIiICAL, PLUMBING, HEATING, VENTII.ATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WOHK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. N0. 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 ��QO $ t SQ 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 PRO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $••Z3.OQ Fa,re SC $a�O ST CTIO OR THE P ORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE ! � Li.cens.e .�C � �� 2� e 4� GNATUREOFCONTRACTORORAUT AGENT IDATEI �WHEN P R Y ALIDATED THIS IS YOUR PERMIT ,:�'�` � �-�-9� SiGNATURE OF OWNEF iiF OWNER BU�LOERI �OATEI BLDG �N P f1qTE NEW ADDN ALT'FR [l [l Il CITY 4F FRIDLEY SINGLE FAMII.Y AND �DUPLEXES R-1 AND R 2 Building Pecmit Application Consbruction Address: ��.�' �'�'�..SQ� -�,,�'% /�'� Legal DESCription: Effective 5/26/93 �� Uvvner Name di Address: Te1, # Co�ctar: p& D Home Improvement, Inc. MN LICF.IriSE # 4840 Address: 7401 Central Avenue N. E� Fri dl e_v, MN 55432 Tel- # 78� 7543 Attach to this application, a Certific�te of Survey of the 1�, with the proposed constivction drawn on it to scaie. DESCRIPTION OF IMPROVEA�EENT IdVING AREA: Le,ngth Width Heig�. Sq. F� (iARAGE AR�A: Length Width He�ght Sq. Ft. DECK AREA: I.ea�gth � Width Hgt/Gr�d �1- F�. OTHER: Gorner Lat [ I Iaside I.ot [] Ft. Yd Sefback Side Yard S�tbacks Type of Construction: �� Ij�,�� Estimated Cos�: $ �DG� , Approx, Co�letion Date: �'` C"d� /��' {Cost on Back) . Driveway C�nfi (:ut Width Need�l: F�. + b Ft = Ft x$ _$ DA1'E: APPLTCANT: Tel. # ��;��'% Pexmit F� F'ue Surcharge S�te Surcharge 5AC Charge License Swcharge Driveevvva.y Escrow Erosion Ccmtrol P�rk Fee Sewer Maua Charge TOTAL $ ��.��' $ � �C' $ ,� +!. _�. ' � �1 _ Fee Schaiuie on Reverse Side .ODI of Permit Valuation (lJll�h�) �.50/$1,000 Valuation $ $750 pex SAC Unit $ �• � Q $5.00 (State Licensed Recidential Contractois) � $ $ Alk °A" or Alt. "B" Abov� Conseivation Plan Review $45Q.00 Fee �►�ermined by Engineeaing $ Agreem�ent N�► [ ] Not N�r}► [ ] $�� - - -- -; STIPI7LATIONS: } �� : ,,.,_•_:- _ . BUII,DIN(i PERMIT FE� SCHEDULE The Chief Building Official shall, before issuing permitx for the erection of any building or structure, or for any addition to any existing bnilding or struct�re, or for any alterdtion or repair to any existing building or structure, upon applicatiion therefore, reqaire the pay�nent by the a�plicant for such permit of fees to the amourn herein below s� forth and in the manner herein provided to-wi� TOTAL VALUE $1 to $500 $501 to $2,OQ0 $2,001 to $25,0� $25;001 to $50,000 ' $50,001 to $100,000 � $1�,001 to $5(JO,OW $500,�1 to $1,000,0� $1,OOU,001 and up �� $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 pins $2 for e,ach additional $100 or fraction thereof, to and including $2,000 $45 for first $2,000 pins $9 for �ch additional $1;000 or fraction thereof, to and including $25,000 $252 �for first $25,0� pl�s $6.50 for each additional $1,000 or fracbion thereof, to. and iacluding $50,000 - $414.50 for first $SO,OOU plus $4.50 for each addit;onal $1,000 or fraction theaeof, to aad including $100,000 �39.50 for first $1�,000 plus $3.50 for each addidonal $1,U00 or fiaction thereof, to and including $St10,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fracbion thereof, to and including $1,IXi0,000 $3539.50 for the first �1,000,000 plus $2 for e�ch additional $1,000 or fraction �th�eof - DRIVEWAY DEPRESSION ESCROW (Concrete Curb Sire�ts On1Y) Alternaie "A" : Removal and replacemem of c�n�b and gutter only - Driveway width plus 6 fcet times $13.50. Altemate °B": Removal and replacement of curb and gutxer aad install a 3 foot wide. approach arith 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for constructioa will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certifica.te of Survey of the lot, showiag the iocation of the foundation once it has it has been construct�i will be required l�fore proceeding with the framing. �- _ _ � r SUBJECT P , c�ty of Fridley �� P� � 2 � AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. � / ' j L '��-, / � r � � PROTECTIVE INSPECTION SEC. 1 . � � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE VAGE OF APPROVED BV �""� � ,'' 612-571-3450 9t0-F15 9/17/96 / / JOB ADDRESS 7515 Jackson Street NE t IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ],3 1 Melody Manor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Judy/Richard Rotzien 7515 Jackson Street NE 783-2121 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO Same a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO 8 USE OF BUILDING Residential l CLASS OF WORK �J NEW C] ADDITION ❑ ALTERATION ❑ REPAIFi O MOVE O REMOVE 1i 8 DESCRIBE WORK Construct a 10' x 10` Deck 9 CHANGE OF USE FROM TO STIPULATION$ See notations on plan. �� Before digging call for aii utility locations 454•0002 S�P�RATE PER��TS ��-n' �� REQUIRED BY LAIN . _9 FOR� 1I�O�RfNG, hI�AATINC, ��;►r'��ivG AND SIGNS. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORI2ED 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. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GAFiAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OFOINANCES GOVEFiNING THIS TYPE OF WORK WIL� BE COMPLIEO WITH WHETHER SPECIPIED HEREIN OR NOT. THE GRANTING OF A PERMIT �887 �.SO DOES NOT PRESUME TO GIVE AUTNORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PqOVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PEiiFORMANCE OF CONSTRUCTION. �3L.00 Fire SC �.82 PLAN CHECK FEE T AL FEE $33.32 SIGNATUAEO�CON'RACTOAOAAUTHOAIZEDAGENT IDATEi , PA Y VALIDA ED THIS IS R PERMIT ► ib � Q ' � SiGNATUAEOfOWNEAiIFOWNEABUILDERi iDATE� �psp - ppTE NEW j ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY , ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R- � r � l�`� � �o�� . � � Building Permit Application � � `� ; ',,� . �. �� ConstructionAddress: t � � -� ` � �j _ �_�ca t' 1L�tS�'� �f � Legal Description: Owner Name & Address: � � � � � � �,� � �(,` � �� Q� Tel. # -1 ��- Z1Zl Contractor: � �,,,> � .�' MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECg AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the progosed construction drawn on it to scale. DESCRIPTiON OF IMPROVEMENT Length Width • Height Sq. Ft. Length Width Height Sq. Ft. I.angth �� Width ([�r Hg�tiGround �! Sq. Ft. �� . � Corner Lot [ ] Inside Lot [ ] , Ft. Yd Setback :Side Y�d Se�backs � • - • Type of Construction� `�rC�J�^� �rY`�c�e �. ' Estimated Cost:' $ ��, � Approx. Compledan Date: � . ' ° (Cos t on Back) . . Driveway G�rb Cut Width Needed: '��- � Ft. + 6 Ft = x$ _$' nA�• �-11s�t � aPP�carrr: . Tel. #.�g�-- Z� 2�1 • .. CITY USE OloTLY �`_.�� S�� Permit Fee $��.- OU '; F� Schedule on Reverse Side '�1 G /�� ,�� Fire Surcharge ��$ � .�1 of Permit Valuation (1/lOth%) �'�- 5tate S�rcharge �� $.50/$1,000 Valuaxion �,° `'��°f SAC Charge $ $900 per SAC Unit License Surcharge $ $5. (� (State Licensed Residential Contract r Driveway Escrow $ Alt. "A° or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [] Not Necessary [] TO'I'AL $ ��-��. STIPULATIONS: , . 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 $500,0� $5�,001 to $1,000,000 $1,Ot10,001 and �ip FEES $21 (Minimum Fee is $2i plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,OQ0 $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,OOD or fraction thereof, to and including $1(�,�0 $887.25 for first $100,000 plus $5.00 for each additional $1,D00 or fraction thereof,.to and including $SOO,Q00 $2887.25 for the first $SQO,ODO plus $4.25 for each additional $1,OU0 or fraction thereof, to and including $1,0OO,OUO $5012.25 for the first $1,(�0,000 plus $2.75 for each additional $1,000 or'fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternaxe "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�. 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 Pernuts 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. 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I :' G I '__ _ � , I / ?_—___ _ � J _ `: . � /.4 _—'..._ �--- �7-� �--------- -� � o � -o�� o � -o�� SGAL�: I/2" = I'—D,� .� .. '�. — ! - ,�4�ccq _ _ _ ._,�,... j��;�' :- a.�,•s FRAM�NG P��N EasY�RA�sE� n�cK sue�ecr RTNIT-iN'O�� City of Fridley 2 7 5 2 4 AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T r ; � RECEIPT NO � `� _ COMMUNITY DEVELOPMENT DIV. � � f � � � PROTECTIVE INSPECTION SEC. 1 . � � ` /'�'1 � CITY HALL FRIDLEV $5432 NUMBER NEV DATE PAGE OF AVPROVED B1' �•---� • •�� 612-571-3450 910-F15 / / 9 2/98 JOB ADDRESS �515 Jackson Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 13 1 Melod Manor 4th Addition sHeer 2 PROPERTY OWNER MAIL ADDRESS IIP PHONE .7udy & Rick Rotzien 783-2121 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. Owner 4 ARCNITECT OR DESIGNER MAIL ADDRESS IIP PHONE LICENSE NO. 5 ENGINEER MAtI ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � FiEPA1R ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � Reroof house , ara e and la house 24 S Tear-off 9 CHANOE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE FiE�UIREO FOFi ELECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OW IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEFiIOD OF 120 DAYS AT ANY TIME AFTEF WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yqLUATION SURTAX AN� ORDINANCES GOVEFiNING THIS TYPE Of WORK WILL BE COMPLIEO WITH WHETHEFi SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT $2056 �I.O3 OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �]�{. ]S Fire SC �Z.00) PLAN CHECK FEE TOTAL FEE 7 .84 1(aWATUii OFCONTRA TO RA R12EDAGENT IDATEI N P PER LIDAT IS IS R P RMIT i � OFOW EAUF RBURDER� iDATE� BLD �NSP qaTE .. NEW � [ ] ADDN [ ] ALTER [ ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1198 �� q� � � ConstructionAddress: _"S 1 S ��c I�se n�� h�C �r t c� I e��, Legal Description: Owner Name & Address: ��r➢� � l2� c��c�+-z i e►-� Tel. #-� � 3• zi zf Contractor: � Y � �cQ,p � �A �,�� MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Width Height Sq. Ft. Length Width HgdGround Sq. Ft. Construction Type: Estimated Cost: $ v( �� % (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: q-a-�� APPLICANT: Tel. # g3-1 �Z�3 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ ' `�.�-� $ 07- � � $ /�d $ $ $ $ $ $ $ ,£�y CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (Sta.te Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J , .� 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 $1,000,001 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 location of the foundation once it has it has been constructed will be required before proceeding with the framing. SuB�EGT c;ty of Fr�a�ey AT TNE TOP OF THE TWINS gU I L D I N G P E R M I T i � � � ; `v �_��_ COMMUNITY DEVELOPMENT DIV. r j � PROTECTIVE INSPECTION SEC. � ` � � �"'1 � CITY NA�� FRIOLEr SSI$2 NUMBHi1 �.__.11.' �•� 612-571-3450 910-Ft 5 JOB ADDRESS �515 Jackson Street NE t LEGAL �OT NO. BLOCK TqACT OR ADOITION DESCR. 13 1 Melody Mano: 2 PROPERTY OWNER MAIL ADDRES$ Jud.v Rotzien 3 GONTRACTOF MAIL ADDRESS AAA Handyman Box 725 St Fra� a AqCMITECT OR DESIGNER MAIL ADORESS 5 ENGINEER MAIL AODRESS 8 USE OF BUILDING Residential 7 CLASS OF WORK REV 9/20/99 ZIP ZIP ZIP vAGE Oa � � PHONE L24 PFIONE PMONE PERM��NB �� RECEIPT� AVpqOVED B1I SEE ATTACMED SNEET LICENSE NO �2066 LICENSE NO LICENSE NO � NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOVE 8 OESCRIBE WORK 8 CHANGE OF USE FROM STIPULATIONS TO Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIRED FOR ELECTii1CAl, PLUMBING, MEATING, TYPE OF CONST. VENTI�ATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK pq CONSTRUCTION 20NING AU7HORIZED IS NOT COMMENCED WITNIN 80 OAYS, OF IF CONSTRUCTION OF WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CEFTIfV THAT I MAVE FEAD AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS Of LAWS yq�UAT10N AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIED WITM WME7MER SPECIFIED HEREIN OH NOT. THE GRAN7ING OF A PERMIT $SOOO DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLA7E OR CANCEL TNE pERMITfEE PROVISIONS Of ANY OTNER STA7E R LOCAL LAW REGULATING CON- STRUCTION OR 7ME MANCE F CONSTRUCTION ,�'1]_1.25 PLAN CNECK FEE Lice S $S S�GNATURE OF CON'aACTOp ON OUT R12E0 sGENi 1D�fE� E/P�� NG OCCUPA STALIS OCCUF CU FT. OFFSTREET PARKING IGARAGES .�2.5� SAC CMARGE Fire SG $5.00 5 �p � LOAO � rr�w �,,s . } ADDN [ ] �-T� Il Construction Ac�dress: Legal Description: _ Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 BUII..DING PERNIIT APPLICATION � �v '� r �,., � z 3 3 �ir�� l,P Owner Name & Address: � v�. � `� s°� �.1 Q. v� Tel. � ContractQr: � � � � � � �.� NIN LICENSE # �.e Q �o Address: \�J �s ,[ '�'�- � �c °� rav.c.� 5 � 1� Tel. # �% �� i��'}�� ` Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMEAiT ` LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTI�R: Sq. Ft. Sq. Ft. Sq. Ft. � Construction Type: �`� �°� Estimated Cost: $ 3� O C� � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . DATE: ( A►PPLICA1�jT: � Tel. # � / � — �] �3 — a I �-� CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPiJI,ATIONS: $ l/l �.� $_ �'6T� $ �.. v� $ f_ $ ��6 a $ $ $ $ $ �3. �s Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,0� Valuation $1050 per SAC Unit $5.00 (State Licensed.Residential Contcactors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J BUII..DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing germits 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 $i to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,(�1 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional$lU0 or fraction thereof, to and including� �2;�U. $69.25 for first $2,Q0(} plus $14:00 for each additional$1,�J0 or fraction thereof, to and including $25,0� $391.25 for first $25,000 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 $10U,000 $993.75 for first $100,000 plus $5.60 for each adciitional $1,000 or fra.ction thereof, to and including $500,000 $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 C�rb Streets Only) Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15 .50. Alternate "B" : Removal and replacement of curb and gutte�:and- instiall a 3 foot wide _ approach with 6 inch depth - Driveway width plus 6 feet times $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 ha's it has been constructed will be required before proceeding with the framing.