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AF - 47467� City of Fridley, Minn.. BUILDING PER.M�T DB�: Mach 18, 1988 p�r; flomeda7 e Blders g�� Same �e,d� 5217 Wayzata Blvd. Ad� Same 1�T� 96�6 �/i s°r � LOCATION OF BUILDING No. ._..__._._Z�.�.. Street _.._ Ja.ckson St . N. Es .,_.__ Part of Lot Lot ._._42 ..._ Block 3 Addition or Sub-Divfsion ._.._ Mel ody Manor 4th Corner Lot _ X Inaide Lot ...._. Setback 35 � y._ Sideyard 24 � Sewer IIevatton ____ 883 . 6 0 _ 886 .6 0 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling �t 46' �p� 24/28 H��t � 20' �� 1152 ��,,t Front Depth � I�eight Sq. F� Cu. F't. �e of Construction - Fr�.m.e ��, �_„�,Z,�,.QQO _ To be Completed June 1968 SEWER LOCATION - 117' South of Manhole Water Location - 107' South of Manhole In cans�tderation oP the isauance to me of a permft to construct the building descrlbed the proposed work ffi acc;ordance with the description above set forth and in compliance � ordinances of the dty of Fridley id � , / 00.00 Sewer Connection Cha I agree to do prov3aions, oP In consideration oP the payment of a fee oP $_._3.�._QLL._.._.., permit is hereby granted to ��dale �lders . to construct the building or addition,as de�cribed above. Tt�isp�� t is granted upon the express condition that the pereon to whom it is graated and hia agent�, employees an� worlmaen, in all work done fn, around and upon eaid building, or any part thereof, shall conform 3a all respecta to the ordinanc�s oP wi��ty �hmits gand�t�ta ipe�rm�i�tn' y�re oked a�any � u� vio ��n c II ��pravi�ia s of sa�d I fl I Official Building Gasterland NOTICE: Thb psrmit d� net cevse ths coeatroeHoe, te�allatioe tor �rWee, plumbteg, en he�fteg, aw�e e� water. B� sun te ss� the Bnildiae Inspsetor for separat� psrmlfs br �has huw. 0 �� . � _ , , � � ,. _ t A:'r�_�?:Cl�'t'�.G`:3 ;tti;i ;3il��i�n''i't� t':.�" ?�.Z' .� _s• c�..�i o�� :�:�:a��:�, r;��r;�::s�t� ot �� r, r s�i��,��.�__w...�,_�..�....�.w._.e.....ti.w....e.o..�... fiz�f��.U��. �� i� �,�% . ADDP.ESS � � .�.,�._.,.,..�...1..�.._.._....�........�..�.�._��_.�_._......._.AT�S:;ESS�j...�.%.�� .fma� �� . . . . L,9� :'3.C•�i 0�� U�LAi;{G : � - r �`� h0 0.......�.�L� Sxx�;L' � � ART .��- L� .,..�._._.._....o-,....� . ...._�.-.-...._., ..._..,m�...,._ LOx --��..._..,.8%,O�Ii�� ADJI'1.'� OTd 4R SU�3)wVxS7:0i� %�� wi�/�� CO�Zl`�E�'. LO1— - -��iVS7DE Z,02 _..._�SE1?3ACK�� .,_.�-..,...R.SxUEa}.'A°.D � iL � SEWER �I,E�It��'70�I , �; �r� � � �C . r � •, •, , p�/ ` FOU 3D?��` � OL3 ��,EV�1 � 70�1 __ �1 r1 �G �-�CLLE-i �rLc'c��t--cLii � / /''% ' oS • !L ��p �% � I - Applicant att�ch to �his farra �.'wa Ce;,ti.fic� s af' S�xvey of Lot and propose3 building IacaCion ura��rn. on these Cert�.£icates. `2�/.e�-Z_�-i � � C� �� S c� �J� . %`�_ . : ' . .- . � � . . DESCF.�PT:EC;v Ot EUZLD]�ItiG . • � To �a Us ed As ; . ; � . . _ ." ' ' . � . • •. � . _ . . . _� _ . . . .. : .. . _ . �� ...a. Fx'ont ��i ^__Y__ Depth HeighC . • ��..�. � ..'�y°"�...'" .�� • v�� — . . Sq. �C .�/ �S '� Cu. Ft . .q... � � Front � Depti� Height - - . � . . Sq. Ft. • Ca. Ft . Type of Construction�,��e� Estimated Cost '�� _ c; . . . . �� . �� . . � - To Be Conapleted -� . . �he undersignad hereby makes a�plication for a permit £or the work h�rein specified, �greeing to do a11 work in strict accozdance z�ith the Ci�y oi Frid?ey Ordinances and rulings of the Degart��nt of Eui�dir_gs, an3 h2reby dnclares th�t aII [he facts and representations st2 ed in ti�is apgii�ation are tr�:e and correct. - . / �' �� T ' . -.. - )ATE �. � � SIGt1ATU�.E � �G`��` eSch2dule af F2e Costs can be four.d o:� the Reverse Side). �� - � . . .. . � j h� �:� ` �� r __ .� � � ` �; . . ,--� . �� ) �-� E � � � .,: , , . � _ �, n . �.. �+ . �. � � �� :� ,. .; ' r } � �y ,,, �' ~� �r�� , � � � . . . � �`+�` � �� `: '4 ��y � �' h+'9�f��T � � . .� ' s "t" �," �. , � � e �` �� .-: i i�.� �� ' m �'� � . .. . . .. . ' . . . J�'...• � �.�i° , `n` s � _' . Sh c �`4 �. w... �i :� . 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CuY O�f Doo Presaure— Lighting Ins't. � Preasuro �s �✓ P e�jt C�� te Tssted '� �r►put CFH �� P�c�ff"Q2 �'� o� —�Smpany Testing Stack Temp. -�� PercenT CO ��0 Name of Tester Form 235 � � R � �I � -: � E� ro � � � � �� "� � � � � y x z � � � x '0r�o � a xxx� � "�� ~ � � � � !� � � � � ° � t�g � � w y� c' ,� y.v�1i � o � o � q i�� M � • Q F+ � � � � : �� o�: �� : : H H : : p � : : : � : . . N . ID ; ' ; $, • � m: � � y � x : � m x k x o . � �� `� �� m � � 2 � Z � � � � �, � ��o� �� ' o � r d b � ;� � � �� .�^p, ��- � � � o w � �' � w �. � � I � � �r � b Z w � 1 �` � >� . � t��w f'F � � �� `b _A , "�'S � '�J �. � r � � �l � K �, o � � �� ., �s � � 1 n. tl ►�i b � � � �� O r a� � �i °e � K � w � `o PJ Qq l--� Fm-. � �'9 b K � o � � O � � y � A A • m: �: E: � � � z � � ti � �# � � '� � �>,� Z� � 0 � � � 0 � �;, � � � � � � � b x° M O � � e� � � �� 0� m n n N ,cG''. a `° `° x � � O o °o ,��.. 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Q . . . � � . . . w�� W o W�� o� o$oo$ 0000� .��,� �� 0 � R. p, � � p� ��'1 bd '� 5 , , � _;. � �? �. a ��' �a '� ... e r, ' � j � ,�,C -� :Y� �. _ `,:, q'e ��fl a.a� � b�� °� m � � � � p"�� O�p� � d00 `� .. �, c;b o ��o � � � ppG'C �� .�y ( O m td �' b �5•� ��'�� #�� p- �w �� aop `� � �, y �� a�� o ��* ��l�Dy � � '�' �i �� o � � � �' a' �� • D � � � � � rii � 2 m C r m � ►�is m � a F� o �y, , m _ � � �1 V � '0 �• O � � O � � ao o� �o d� o' � ;. � � � �� 3 � �, O � o. =° A � A� � � � �i O D � i• � � .7 � d �� _ 4•, 'F ..� City of Fridley, Mirm.. 6431 University Ave. N. E., MinneapoLis, Minn. 56432 BUILDIl�TG PERMIT Date: June 8� 1971 pwaer; Elwood Wade g�� T]estern Constxuction Address .._.8�._Z5�4 .Ta�trson Streat N F. AddTe3s 5919 W.bljL?�2.tc'l.- � �� 103-9� ,� LOCATIOiV OF BUILDING No. 7564 S�t Jackson Street N.E. part of Lot Lot 4�. Block �____�_._ __— Addition or Sub-Division .-Me�o s Manor 4th kddi ti on Coraer Lot_..X_._.._..____ Inside Lot �.. Setback 2� � Sideyard Sewer IIeval3on � Foundatlon IIevation DESCRIPTION OF BUILbING To t�e vsea as: Garag�� Front .�� Depth � Height �y Sq. Ft. � Cu. F#. _5.�$Q� �..� Front ._ Depth Hei�ht Sq. Ft Cu, Ffi. Type of Construction _ FaCare F�� Cost .� fi9 _ ti�� ()fl To be Completed 1 moat%�---- Stipulations: Provide a hard surface drive. Maintain garage elevation same as that of existing blacktop drive. In consideration of the issuance to me of a�rmit to construci the building descrlribed abave I agree to do fihe proposed work in accordance with the description above set forth and in compliance with a'll. provis�tons oP Ordhances of the city of Fridley. � �� In consideration of the payment of a fee of � i o_ on , permit is herebq granted to WpR Y P Y'T1 � r,n R r r, t c t on to construct the building or addition as described above. This permit 3s granted ngon the express condition that the person to whom it is granted and his agents, employees and worlflnen, 3n all Work done ui, around and upon said building, or any part thereof, shall conform 3n all res� •to the ordin�nCes oP I+Sridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buil8iags vYithin the city limits and this permit may be revoked at any time upon violation of any of the provis%ns oE 8aid a7rdii�ancea - A � _ �' � r� �.�.os' {� ��ilrii__n� � - Ol' HANK MUHICH ' NOTICE: This permh does no4 eove� the eonahueHon, installaHoa fo� wiring. plumbing. 8as heatiep� ssr►er ar wafer. Be mrs �o t6s t6e Buflding Inspeelo� fo� sepa�ate permits for t6eae Itema. �,, ►� , w APLICATION FOR RESIDENTIAL, ALTERATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME : J:��2'-�-c�r%' 7f�'� �' � BUILDER: Zi/i%E=�?�"r/.'�iL_- e�C��c�: ADDRES S • %' � � �.� ADDRES S : �- �� f �%��y'�� NO • .�.5 � STREET • � � LOT : BLOCK: c ADDITION : L�' %�j'� ,�� CORNER LOT: INSIDE LOT:� SETBACK: �� SIDEYARD: Appli�ant attach to this form �ao Certificates of Survey of Lot and proposed buildi.ng location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � �� / Front : DePth ' � Height • � Square Feet• � � Cubic Feet: � � �� Front; Depth: Height: Square Feet; Cubic Feet: Type of Construction: Z� Estimated Cost• � �(� To Be Completed; � /�/��,r��'f,,J The undersigned hezeby makes applicativn for a permit for the work herein specified, agreeing to do all work ia stiict accordance with the City of Fridley Ordina.nces and rulings of the Department �f Buildings, and hereby declares that all the facts and representationa stated ia this application are true aad correct. DATE : � _ � �(� � / � S IGNAT[TRE : �.2i%/ (See Reverse Side For Additional Information.) L7 C�- % Cl_� . 0 BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or atructure, or for any alteration or repairs to any exiating 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: tTNIFORM BUILDING CODE: �pe 1, 2� 4-$2.15 for each one thousand cubic feet, or fraction thereof, in such cubical conteats. 7.`ype 3� 5-$1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building peYmits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average.• height of the roof surface of the main gable of a pitched roof. For 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 cost of all proposed work. In no case shall the fee charged for any permit as set forth ia Section 2 be lesa than $5.00. VERIFICATION OF FOUNDATION NO�E: Permits for construction will be issued a miai�m of 24 hours from the time of application, to allow for proper review of the proposed structure aad of the coastruction aite. A Certified Survey of the lot,.showing the location of the foundation, once it has been constructed, will be required before proceediat� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building pezmit has been issued; and said structure shall not be used or occup�ed until a Certificate of Occupaacy has been issued. • w' '- . , p , r � Lond Planning su�u%L�� 6875 Nighway No.64IV.f. lcnd Survayieg � • • Minneopolis� Soils Testing �n�z�ae�cin�j ��/2C� Minn. 55434 CivilEngineering Telephone 784-60f►6 Municipol Engineering EII��IIBeI'B & Surveyors A�@o tode 611 ltl�ort�age Loan Survey for �L�h,/OC>C� �f-�� w -�� -�.7 � -�.v- � � .� i. � �� f � i�\1 ` J ��I � � �� 22 j i � / 0 �d °'' , s `� � � o'A �N . .Z � /" � �� $ ; 22 � b 1t�.co3 .� � d ,Z4.1 � v N � LL � � ` � r � � � � ti�.� --3�' g �— O � � O O �9 4 � A �� 9a�o3 �� P� �%��.�� .. �� ,�� 4� �� 1 V � - � � � V f! � 1� �� r � c��, � �o��+ , Y �� ,�.��.� fhie is a true and torrect represenfafion of a surver•of the 6oundaries of the land above described aad of the loca►ion o/ all buildinga� ii anr� thereon� nnd all visible encroachmants, if ony� from or on said land. This survey is made enly ia conneNion with o morfgoge Ioon now being ploeed on tFee property and eo liabilitr is assumed eacept io �ha holder of such mortgage or any other interest ocquired by the reason ef euch morfgoge. If is undarsrood arai ogreed no monu�nts have been placed for the purpose oi estoblisbing lot lines or boundarr �� corners. Dated this��day of hy�:� A.D. 19�; SUBURBAN ENGINEERING, 1 C. J� . �� Engineen S rveyo s � C t� f°� o t f14�') �� ---�- b � y . �f.�l/.i � �� . r ��o � =;, s _ C� i l Vl FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIOLEY, MINNESOTA 55432 • PHONE (612) 571-3450 April 9, 1984 Mr. William B. Roeske 7564 Jackson Street N.E. Fridley, MN 55432 Re: Concrete Obstruction In The Gutter Dear Mr. Roeske: It has been confirmed by recent inspections that you have placed concrete in the gutter immediately in front of your driveWay. This practice obstructs the Water f1oW in the gutter and can eause damage to City vehicles when clearing snoW from the streets. Therefore the City must require that any material be removed from the gutter. To insure that all the concrete is removed and that there is no damage to the curb� a City street maintenance cre� will be removing the concrete. Any initial costs Will be absorbed by the City� but if at a later date, it is found that a neW obstruction exists, any ner� removal expenses will be the property oWner�s responsibility. If you feel that a problem exists xhen trying to enter your drivexay from the street, please contact the City Engineering Department about acceptable solutions, e.g. constructing a neW driveway depression. It should be noted that only the City or its authorized eontractor ean do eurb and autter eement ]e141"_k._ The City is eoafident in your cooperation on this matter and again, if any questions or problems arise, please feel free to call on me at 571-3450. Sinaerelq, STEVEN J. OLSON, R.S. Environmental Officer SJO/mh CC: Mr. Ralph Voll�an Supt. of Public Works �� . ��: ' :.�,r`��.�� .�c;. s �`:v��.'—� 34'y '�a � . .:�:� . J'. �, ::,T, � CITY O� FRIDLEY d�37 UNIVERSITY AVENUE N.E.. FRIDLEY. MINNESOTA 6b�3� ,. � �i ; ' . October 26 , 1983 � ..,, ,; : _ ��; �.�• -e:� ,;.��'y�4�' s�. ��:l�� , �t-� �'Y�:�,��;.� . Nr. William B. Roeske �''.;v �_-,� ?564 Jacksoa Street N.E. �,•. Fridley, !�1 55432 � Re: Concrete Obstructioa In The Gutter Dear Mr. Roeske: TELEPHONE ( 612)571-3�60 It has beea conPirmed by recent inspections that you have placed concrete in the gutter immediately in froat of your drivexaq. This practice obstructs the �ater flow in the guttier and can cause damage to City vehicles When elearing snox from ihe street�. Therefore the City aust require that anq material be removed from the gutter. To insure that all the concrete is removed and that there is no damage to the curb, a City street maintenance crex will be removing the concrete Within the next veek. Any initial costs xill be absorbed by the City, but if at a later date� it is found that a aew obstruction exists� any new removal expenses will be the property owner's responsibility. If you feel that a problem exists when trying to enter your driveway from the street, please contacti the City Engineering Department about acceptable solutions� e.g. constructing a new drive�ay depressio n. j�, should be noted t at only the CitY or its authorized contractor can do curb and gutter cement vork. The City is confident ia your eooperation oa tbis matter and again� if any questions or problems arise, please feel free to call on me at 571-3450. Sincerely� i STEVEN J. OLSON� R.S. Environmental OPfieer S.TO/mh / � SUBJECT P IT . City of Fridley o 18391 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T CEIPT . r � `L ____ COMMUNITY DEVELOPMENT DIV. r � •� PROTECTIVE INSPECTION SEC. �10 �/�� ` � O� l_-•-� ��,,, CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY i� 612-571-3450 910-F15 4/21/86 / / JOB ADDRESS 7564 Jackson 5treet N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. t�2 3 Melody Manor 4th Additi.on SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Roeske 7564 Jackson Street N.E. 786-3874 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D& D Home Improvement 7401 Central Avenue N.E. 784-7543 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENOINEER MAII ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION C� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 UESCRIBE WORK Ins.tall aliunirnun soffit & Facia 9 CHANGE OF USE FROM TO STI PU LATION S SEPARATE PERMITS ARE REQUIRED 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 SQ. 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 WOHK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEFEIN OF NOT. THE GRANTING OF A PERMIT $�-1220 5.6�- DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMfT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU I N OR THE PERFORMANCE OF CONSTRUCTION. $22.00 � PLAN CHECKFEE TOTALFEE �% G`'" $22.61 GNATUREOFCONiRACTORORAUTNORIZEDAGENT �Da E� �`� WHEN PROPERLY A IDATED THIS IS YOUR P RMIT � �'` ��1,�/P1z �Y� �' c�t � � SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP npT G N�,' I ] ADDt;. I � pLTER. [ ] City of Fridley rR-1 AAD R-2 � Building Permit Applieation Effective 4/1/8u Construction Address: �� 7 �� `�7�- %�� - Legal Description: � Owner Name & Address : �" ��`/f%"� �� %� Tel . # � �� Contractor: L / � ,,��/J'OrG �J�1�2�d✓,F�o'/��`/,, �✓r' T�el . # �� %�� Address: �Z�� /�� /Q✓� �/°G� - --- LIVING AREA: GARAGE AREA: DECH AREA: OTHER: Attach to this application, a Certificate of Survey of the lot� �+ith the proposed construction draxn on it to scale. DESCRIPTIOA OF INPROVEMENT Length Width Height Sq. Ft. Length width Height Sq. Ft. Length Width Hgt/Ground . Sq. Ft. Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback � ir/ � �7�� -r�- � � ' �� o Type of Construction: /�4 Estimated Cost: a Approx. Completion Date: ��D /! � Alt. A Alt B Proposed Driveway Width If NeW Opening Is Desired: � $ See Back Page for Explanation DATE: � �l _ � � APPLICAh'T : Tel . # ��___s.� Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge ft�r�. STIPULATIONS: CITY IISE ONLY $ ��-C`a� � a �Q � $ � $ �?�.(�/ Fee Schedule on Reverse Side 25`� of Building Permit Fee �.50/�1,000 Valuation 5425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] I�it1 [] � CITY OF FRZDLEY Eff��V+2 1/1/90 �[ j � R-1 AND i�2 AL'i'IIt [ ] Builcl3rg Permit Applicatic�► ooa�stzuctiar, Ad�e_SS: - `�.� �" ��'�S�rt�' �� `. Legal D�fP'tia� � � � , c � �J c, �1 �l �0 �2. �' `� �J a1 . own�r rtmee & Aaar�s: �f �� .��J e5�� e1. # � ,�fr�� C�rrtraetor: ._,1.��..� 1`-;l�//I� ��e�/��fl�P/��ia�� T+e1. � �� —�� ,� J4�s: � � �� Attach to this applic�ation, a Oertificate of S�uvey of the lvt, with t1Te gronosed canstruct3on drawn a� 3t to scale. �IPTI�T C�' II�II�Tr _ :.. I.�va� l�,: tPr,gth _. �. _ - wicltt►�`� _.�._ . . peight � _ sq. Ft. . e_, � c� 1�►: Iength width � iieic�t Sq. Ft. � �G'�R 1�: Length Wid�h � iigt/Grotu�d Sq. Ft. 0►1'l�R: Cl�rr�r ldt [] iriside [ Ft. Yd setback side Yard seti�acks Zype of �ction: -S�� C'� � E.stimated oest: S l l�C� Approx. Cbnq�letian batei � �,�. � Pro�o�ed Drive�ray Width If New Openi�g Ia Desired:. Ft. S $ - W dth + 6' See Back Page T1ATE: � � � APPLICANT: �1., Tpl. # P�ernit Fee $ � %- C`� C� state �arge $ �� SAC Cl�aYge $ DriveGray ��vw $ Park Fee $ sewer Main alarge S � ��MM�. 1 s_� !,�� S �`%•..�� 0 w � �: �yi_ � Fee Schedule on Reverse Side $.50/$1,o00�valuation $600 per SAC Lfiit Alt. "A" Or Alt. "B" Above Fee Det�.rmined bY �1�'e'r�9 � N�-�Y L l � N��iY [ ] \ � , :�� c • �•. � � �+' _ •:i�� ' Tt�e Qiief Building Official shall, before iasuinq pe�nits for the erectiaa� of any building or stn�cture, or for any additio� to any existing buildirg or sttucture, or for any alteration or repair to any 0cisting buildinq or struc4ire. � ePPlication therefore, require the payment by the applic�nt for s�x3i permit of fees to the amount i�ez�ein belvw set fozth and in the mant�er herein pYrnrided to-wit: TCITAL VAIIJE S1 � to 5500 $501 to $2,000 S2,001 t�o $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 � �. $15 (Miniman Ft�e is S15 plus sur�a�ge) $15 for first S500 plus $2 for each �]diticasal $100 or fraction ti�ereof, to arrd iricludit�g $2, 000 $45 for fitst 52,000 plus S9 for each additional S1,o00 or fraction thereof, to at�d includ3ng S25, 000 $252 for first $25,000 plus $6.50 for each additio�nal 51,000 or fraction thereof, to and irrcludirg SSO, 000 $414.50 for first $50,000 plus $4.50 for each additional Si, 000 or fraction thereof, to arr] includir�g $100, o00 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to 51,000,000 $2039.5b for the first $500,000 plus $3 for each additional $1, 000 or fraction thereof, to ar�d iricludirg Si, 000, 000 $1,000,001 and up $3539.50 for the first 51,000,000 plus $2 for each aclditional $1,000 or fraction theteof �tTVE�►Y �P'RE48I�T �R (O�ncr+ete C1�rb Stt�eets Only) Alternate ��A�� : Renoval and replaoe�s►t of curb ar�d gutter only - Drivearay width plus 6 feet times 513.50. Alternate "B" : Reznoval atid replacanent of curb arid gutter ar�d install a 3 foat wide • appraach with 6 inch depth - Dx�iveway width plus 6 feet tin�es $15.75. ►�r� � �� •; . .�� . - .; Piermits for ocnstniction will be issued a miniimnn of 24 haus frcen the time of application to allow for prdper review of the proposed s�tn�cture arid of the co�tion site. A Certificate of Stiirvey of the lot, showing the lomtion of the fau�dation orioe it has it has been constructed will be required before prooeeding with the fr�isg. �� a �� STATE OF MINNESOTA DEPARTMENT OF NEAL.TN ABANDONED NELL RECORD ��I�/, , �� / / / / � t. �ouTton oF wEU MINNESOTA UNIQUE WELL N0. H22�12 (leave blank it not known) county Nama ANOKA To`mship Naaro Township Number Range Number Section Na. Fraction 4. 41ELL DEPTH (coaryleted) Date seeled N FRIDLEY 30N a� 24W u� 11 � NE NE 15' P°• 07/27/92 s Numerical Street Address and C1ty of Well Location or Distance from Road 5. DRILLING METH00 (iP known) Intersection 1�] Cable tool 40 Reverse 7� D�iven 100 Dug , 7564 JACKSON STREET NE � FRIDLEY � MN 55432 zp Ho��rn+ aoa 5[� Air 8[j Bored ��p �.._.T . 30 Rotary 60 Jetted 9� Poxer Auqer Show exact loeatlon of rell (tn seetton grid rtth 'X') Sketch map of rall latatton 6. OBSTRUCTIOMS N i �� Meil obstructed Q Pes � No _ �__ � '� Obstructlons remored 0 Yes ❑ No If obstructions cannot be � . � � , ,� removed, contact MOH i , � -I- � � I- � before sealtng, M ----• -• �- E `� , . . � X , , , , �. use - . - • . . - -; y �. � � �^ � 1� Oomestic 40 MonitoHng 8� Heat Loop � 1 . -�- .. . _ ' . _.. . I � � 2� Irrigation 50 Public 9� Industry 1 � �-� ,.� 30 Test Mell 60 Nunielpal 1C�] Coomercial 1 , S � ' 7[] Air Candlt/oMng 1][J ►� 1 .ri L --� 2. PIiOPERTY 04tNER'S NAME Mailing Address if dtfferent than 8. CASING(5) JASON ROESKE Property address indlcated above IQ Black 4Q Threeded 7Q 2j� caiv, s[] uetaea SAME 30 Plaatic ep sr��ies: steei HARONE55 Of 1-1 /4"�,,, �, 15' ft. 3. FOItNATIOM LOG COLOR FORMATION FROM TO if not known, indlcate tormatton log from new well or nearby rell, in. to ft. 9. SCREEM �jSereened wall from _ ft. to _ ft. (IF knayon) ❑ O�n Hale from _ ft, to _ ft. 10. STATIC WITER LEYEL d i Y tt. ❑ belor [] ebove land surfaee Date Measured 11. YELINEAD COMPLETION 10 Pitless Adapte� � Found Buried • 20 Basea�nt offset 5(�I � Yell P1t 16. REMARKS, EIEYATION, SOURCE OF OATA - CASINGS REMOVED. CASINGS PERFORATEO, ETC. 12. GAOUTING IBFORMATI08 1� Neat Le�nt 2� 8entonite � Grout material from _to_ ft. cu. yds NRAT ('.FMF'NT .1� .� .9 GA 13. N�aREST SWRCES_QFOj�Q{�qNINATION 15 reec 1v x'1'�i a,��t�,,, SEWER t,,� liell dlsinfected before seeling? Q Yes 14. PUMP � Removed � Not Present DISTRIBUTION OF COPIES: Type: 1[I Submenlble 3p �.s. Turb9ne � Reciproeating STATE OF MINNESOTA LOCAL CITY � �et 4� Cent�ifugal eQ MALENKE WATER SERVICES 15. E%ISTING WELLS (Please sketeh iaeattons of abandoned and CUSTOMER COPY acLive wells tn remarks sectlon or on back.) Other unused orall(s) an propa�ty7 � Yes � No CUSTOMER FIL� Abandoned: � Permanent � Temporary [] qot sealea OTHER 17. WATER YELL COGTRACTORS CERTIFICATION , Th1s well was sealed under my jurisdiction and th9s report is true to the best of my knowledge and belief. MALENKE WATER SERVICES 27600 105��e�L�al��eI��D 81 — 5�� "�06 Addresa MAPLE— 5lgnee �? -= v-- Hu <<-�z_-_ onte �7 2%�92 PID# 11-030-24 11 0038 Jesse palenke Date 07 2� 2 9FFICiAL ABpDt�pED YELL ItECORD (May � ueed for Proparty Trsnafer) ' p�Q °} �»�� IlllPQR1'A81't PILB WITB D� , c�ty of Fridley AT THE TOP OF TNE TWINS i • � � � `V �_�� COMMUNITY OEVELOPMENT OIV. r � � PIiOTECTIVE INSPECTION SEC. � . � � j �"'f � CITY MALL fRIOLE� SS�J2 �""� � �'' 612-571-3450 SuB�Ett �U IIDING PERMIT NUMBER REV DATE PAGE Oi 910-F15 3/12/99 / / lOB ADDRESS 7564 Jackson Street NE t LEGAL �OT N0. BLOCK TFACT Oii ADOITION oescR. 42 3 Melody Ma.nor 4th Addition 2 PROPERTY OWNER MAIL ADDRES$ Frank Jordan 7564 Jackson Street NE � CONTqACTOR MAII ADORESS Twin City Exteriors Co 9060 Zachary Ln N��'108, Maple 1 ARCHITECT OR �ESI(3NER MAIL AODRESS S ENGINEER 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 8 OESCRIBE WORK Reside House 9 CHANdE OF USE FROM MAIL ADDfiESS O ADDITION O ALTERATION TO �RMIT NO. 28998 /�� APPAOVEO 8� SEE ATTACNED SNEET 784-6836 ZIP PHONE LICENSE NO Grove MN 55369 ZIP PMONE LICENSE NO. 425-4737 2595 21P PHONE LICENSE NO � REPAIR p MOVE O REMOVE STIPULATIONS Call for building wrap inspection before covering. TYPE OF CONST. SEPARATE PERMITS ARE RE�UIREO FOR ELECTRICAL. PLUMBING, MEATING. VENTILATING OR AIR CONDITIONING TMIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING AUTHORIZED IS NOT COMMENCED WITHIN 80 OAYS. OR IF CONSTiiUCT10N OR WOHK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNI 1 MEREBY CERTIfV THAT I MAVE READ AND EXAMINED THIS APPLICA710N 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION AND OiiOINANCES GOVERNING TMIS TYPE OF WORK WILL BE COMPLIED WITH WHETMER SPECIFIEO MEREIN Oii NOT. TME GRANTING OF A PERMIT ��F � OOO OOES NOT PRESUME TO GIVE AUTHORITV TO VIOLA7E OR CANCEL TME pERMtT FEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULA7ING CON- STRUCTION OR TNE PERFORMANCE Of CONSTRUCTION �8].ZS S�GNATUpE OF CON'AACTOp Op AUTHOp�ZED oGENi iDeTE� j i,y s �O�iE� � Permit Inspection Cards T � Will Be Mailetl o Ho�neowner To Post OCCUPANCY GROUP OCCUPANCV�OAD STALLS CU OFFSTREET PARKING IGnRAGES �2.�0 SAC CHARGE �Fire SC $4.00 OTALfEE $98.25 D TMIS IS YOUR PERMI.' � NEW ADDN ALTER [] [l �l ConstructionAddress: L'egal Description: Owner Name & Address: Contractor: Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R 1 AND R-2 BUILDING PERMIT APPLICATION �vi/� Effective 1/1/97 ct�� a� � �Ib Tel. # �8�-�8 3� MN LICENSE # p�� Tel. # �/a �� 7 ,� J Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: � Length Width Height G�GE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. Construction Type:��S//�� Estimated Cost: $ Q� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ _ DATE: � - /b- Cj APPLICANT: �S ' Tel. # �/�-�f�.��73� CI'I'Y USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � � $_ y� �� $ � $ $ �O(� $ $ $ $ /� i � _ Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $950 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 [ ] � �-5 U - � � sue.,ec* PERMI City of Fridley 331 � � AT THE TOP OF TME TWINS g U I L D I N G P E R M I T r RECEIPT NO. ; � �� 3� • COMMUNITY OEVELOPMENT DIV. � LV � r � � PqOTECTIVE INSPECTION SEC. � . � l--•. A ��'�',.j CITY NALL FRIDLE� SSI32 NUMBEN pEV DATE PAGE OF APPROVEO BY L " 763-571-3450 910-F15 10/18/02 / / JOB ADDRESS 7564 Jackson Street NE 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACNEO oescR. 42 3 Melody Manor 4th Addition SFIEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PMONE Frank Jordon 7564 Jackson Street NE 763-784-6836 3 CONTHACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window I.ite Home Improvements 8400 89 Ave i�, Brooklyn Park, MN 55445 4 ARCMITECT OR OESIGNER MAIL ADORESS ZIP PMONE LICENSE NO. 763-391-8334 20039258 5 ENGINEER MAIL ADDRESS ZIP PNONE LICENSE NO 8 USE OF BUILDING Residentiai 7 CIASS OF WORK O NEW O ADDITION O ALTERATION � f1EPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Replace 9 windows within existin openin s 9 CHANGEOFUSEFROM TO STIPULATIONS 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. Cau�'k and fiash al'1 exterior openiaags . SEPARATE PERMITS ARE RE�UIRED FOfi ELECTRICAL, PLUMBING, MEATING, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD VENTILATING OR AIR CONOITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING SO. FT CU FT AUTMORIZED IS NOT COMMENCED WITHIN 60 DAYS. Op IF CONSTiiUCTION OR WORK IS SUSPENDED OR ABANOONED fOR A PERIOD OF 120 pAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I MEREBY CERTIfY TMAT I MAVE FiEAD ANO EXAMINE� THIS APPLICA710N 1 S7ALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITM WMETHER SPECIFIEO MEREIN OF NOT. TNE GRANTING OF A PERMIT �8�662 ��}.33 OOES NOT PRESUME TO GIVE AUTMORI7V TO VIOIATE OR CANCEL TME pEqMIT FEE SAC CMAfiGE PROVISI OF ANY OTHER TE OR LOCAL LAW REGUTATING CON- �167.25 Fire SC �H.E)E) ST 10 OR TME PE M OF CONSTRUCTION PIAN CNECK FEE TOTAL FEE �°�/' .�� Lice e SC $5.00 $185.24 S�GNATUNEO�CON'iiACTOpOpAUTMOpIjEOAGENT �D�TE� yy N P EFL� VALI TED TMtS IS VOUFi P MIT � /� S�GN47UqE O� OWNEA��f OWNEpBU�IDEA� iDATE� LOG �NS� /!Lf �"y�� O� � `*..,_-, -,;� ; � NEW [] CITY OF FRtDLEY Eifective 1/1R002 ADDN (] 6431 Universily Ave NE, Fridley, MN 55432 (763) 572�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R 2 -� � BUILDING PERMIT APPLICATION p�,1� � � ,� � Construction Address: �J��lJ y �J�,t C �SO r� �T� • /� � � • Legal Description: Owner Name 8 Address: �d'��,C _��,�c�0� Te�. #%�I7�N—la�� Contractor.�,v� ��dbcc� - , ; �P Xl[�� r �r�a'1D� MN UCENSE # �h(�� Address: _�`�b0 - �'�'/� c.G � � • �,�lu� �ca-l� �-f. � • 557/�. # %La�/�/ - �33 / LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Wdth Height Sq. Ft Length Wdth Height Sq. Ft Length wdth HgUGround Sq. Ft Construction Type` f i Estimated Cost: $ �, (.O�Oa7 •�� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: APPUCANT: (,[ )� /1r'/�►�l� - � i 1�a �Q.Li�lu �Tel. #� / `�'�3.3� Cail (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Drnreway Escrow Erosion Control Park Fee Sewer Main Charge $ ��'%, ��, � $ - LQ(o $ � -3 $ $ - l%� $ $ $ $ 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 [ ] Not Neeessary [ ] TOTAL $ _ / �� STIPULATIONS: BUII.DING PERMIT FEE SCHEDULE The Chief Building Off'icial 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,�1 to $25,000 $25,�1 to $50,000 $50,001 to $100,000 $100,001 to $5�,000 $500,001 to $1,00O,OOQ 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 $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,� plus $10.10 for each additional $1,(�l0 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.(m for each additional $1,OQ0 or fraction thereof, to and including $100,000 $993.75 for first $100,Q00 plus $5.60 for each additional $1,000 or fraction 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 $1,�0,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION_ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - Driveway width 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 construction site. � VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required. before proceeding with the framing. New Houses Onlv , . :, CITY OF FRIDLEY 6431 iJN1VERSITY AVENUE NE I+'RIDLEY, MN 55432 57"1-36U4 1+'AX: ADDRESS : 7564 JACKSON ST NE PIN : 113024110038 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 42 BLOCK 3 5 % 1-1Lif % PERNIIT NO.: 2004-01693 �F� � ` `, .�- DATE ISSUED: 09/29/2004 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION . NOTE: ELECTRICAL PERNIIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. CHANGE SERVICE. 0;0 APPLICANT WESSEL ELECTRIC 46 6 AVE S SAiJK RAPIDS, MN 56379 OWNER JORDAN MARY KAY & FRANK W III 7564 JACKSON ST NE FRIDLEY, MN 55432 ELEC AMI' SERVICE FEE STATE SURCHARGE, ELEC FLAT TOTAL PAID WITH CHECK # 1195 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lmow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of constructioa. Applicant Date Bldg Insp Date Sr;YAKA1'� YERMI'1'S tZ�(2UlKr;ll NUR WOKK U"1'ti�K "1'HAN ll�5CR1BED ABOVE. 30.00 0.50 30.50 � O n� a O � o�a v a '� c� � � � N � 0 � O � a a < a `,a' � 0 o=a � � v r�+ CD � � v v � � � � $ � N �p 3 N r; c m � rn � � � < N � N 0 0 O 3 c � a � O � a °o r o m � m � �` � � �� 8 � � �'\° � `�} Gl o � �' C p � � - �v � � � � N 3 N � � � c o 3 -h c�"o v � c cD � �+ O � o -o o m o � � o �� O1 � � � a � � � o�i' m � � � � H � � � � � � �� a � c =i � fl. � � oa °, m � � m � W � �o Qa �° oa � _v, o � � > > � a� � � �. a � � � CD n fD o � � a� A Q � � � s � � �� m � -,, � y 3 N D � 3 � O O � � � � �< m � -. m � � N rt � o � �- Et' a cn . I� � �' � ° � � d D � o `�' n . � �o � � o a � N. � � ID Q. O N m � � � ,� � � °1 0 0 3 o � � � ° � � o -,, r. ° �� n� � � o {fl� �"' � O O 0 0 � �W � m � � N a m z n� � rn x -� v� � � o �I D N -. tn o ,� � ❑. � � 0 � � 0�4 D � m � L� ?►. G� N N ��A � � � 3 n =• m� � � o0 � � � � � rn rn a n� � � m � � � � O ' � 3 N � � a .a �p �D � � � m °� � � Q v � � m g 0 � c � W Q'° n m v � � o o�o � O O O O O O t�D 0 0 0 0 0 0 � � �� °. �W-�� c Q o m = z� v � fD QR c � � � � o m v = o o -� � 7 � m � �. O '+ m � � � Ia o m � � � � � o � � � � � � � � � m v c� � � rv � .� � � m z 3 � Z O � o'a N Q. i� � � � 0 W D v v � � � � �� w � � N i,u rn 0 .P � � rn W C37 � N N N � � � 7 7 � e e � 7 C e C C � e � G � G Z t C n < c � Q � � z � A W N �a �� D � � � Z s 0 a � 7 � � �m � ) -� � s 7 � i � '_ Z �v �_ � �� i Z '1 � � �o i O j r � Z ] � �m � � � O Z � � W �F� C O � m T � � �v r z �m C r v � � 'G m � 0 Z � i V � � `m � 0 0 .p ( ) oN : a�ea :�(g pau6ig �O� JN111d3H aqi��sap :SNOIl'dtl3llt/ ad�l w aa�aweia }� y�6ua� � �y6iaH �o��auuo� �uan £# a�uei�ddy ad�(1 ui �a�awe� � y�6ua� }} �yBiaH �o��auuo� �uan Z# a�ue��ddy adi(1 ui �a�aweiQ �} y�6ua� u �y6iaH �o�auuo� �uan �# a�uei�ddy say�w �a}aweia �y6iaH �uan ad�(1 �uan uowwo� �ndul n�8 I��1 sa�uei�ddy le�ol �eN �o pa�sissy ue� �ndul f119 ad�l £# �uei�ddy �eN �o pa;sissy ue� �ndu� �19 ad�tl Z# �uei�ddy �eN �o pa}sissy ue� �ndu � �18 ad�(1 �# a�uei�ddy uoi�euuo�u� �o;�auuo� �uan pue �uan uowwo�Jaz�g pue a 1 a�uei� y ( ) sa� •sapo� �ua�n� �ad se �(�a}e�edas pa}uan pue �uan uowwo� ay� wa� panowa� uaaq sey a�uei�dd� ue �a�e �(��a��o� pa��e�sui pue pazis s�o}�auuo� �uan pue �uan uowwa� ay� s� () oN () sa� �sa�uei�dde }}e�p �e�n�eu pue pa�sisse ue� ao� sa�qel 6w�uan a�eu�n� �e��ua� � tio6a�e� yWy�-y�y apn��w saop siyJ„ �suoi}e��ads s,�a�n��e�nuew pue sapo� �uaLrr� ay} s�aaw pue �(�qwasse pa�si� e si �i }ey� sa�uan �(qa�ay pau6is�apun ay� 'wa�s s ui�uan nnau e ui��e;sui uayM ( )�N ( )Sa,l ( ) oN ( ) SaJI ( ) oN ( ) oN •suoi�e��i�ads s,�a�n��e}nuew pue sapo� }ua��n� at�} �aaw o� pa��e�sw pue pazis aq ��w► �i aie uoi;snqwo� nnau e ��e�sui o� pa�mba� uayM •suoi�e��i�ads s,�a�n�e�nuew pue sapo� }ua�n� ay� �aaw o� pa��e�sw pue pazis s� �ie uo�;snqwoa ui;s�xa at�„ ( ) sa� � •sa�uei�dde �}e�p �e�n�eu pue pa}sisse ue� �o� sa�qel 6w�uan a�ewn� �e�;ua� � tio6a�e� ywy�-y�y apn��ui saop siyl �suoi�e��i�ads s,�a�n��e�nuew pue sapo� }ua�n� ay} s�aaw pue �(�qwasse pa3si� e si �iun �uawa�e�da� ay};ey� sa�uan os�e pau6is�apun at�, () sa� �uoi�euiw�a� pue snnoq�a �o �aqwnu 'y�6ua� '6uiz�s 6uipn��w suoi�e��ads �a�n��e�nuew pue sapo� �ua��n� ��e s�aaw pue �ndpi�se�d si wa}s�(s 6w}uan ay,j, () oN () sa� �pa�mba� a�ayM paddolsa�� pue pa}�oddns �S�a�n�as si pue 'suoi��rulsqo 'uoi�e�oua�ap '�sru wa� aa�� si pue pauiwexa uaaq sey 6w�uan ay� �ey� sa�i�an �(qa�ay pau6is�apun ay� 'a�eu�n� ui;sixa ue w�e� a� uayM N011t/�1�1�13A 2�Id NOIlS(18W0� aNd b01�3NN0� 1N3A 1N3A N WWO� SlIW2l3d 3�Ndllddt/ JNINbf18 �3f1� 1N3W3��d'1d321210� J1�313�dW0� NI ��I� ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57Z-36U4 FAX: (763) 571-1287 REPRINTED ON 4/6/2005 : 7564 JACKSON ST NE : 113024110038 : MELODY MANOR 4TH ADD : LOT 42 BLOCK 3 : BUII,DING : RESIDENTIAL � : ADDITION VALUATION : $ 30,000.00 STATE LICENSED CONTRACTOR APPLICANT NEW SPACES 2105 W. 143RD ST BURNSVII.LE, MN 55337 (612) 388-1168 OWNER JORDAN MARY KAY & FRANK W III 7564 JACKSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lrnow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. 1'he granting of a permit does not preswne to give authority to violate or cancel the provisions of any other state or local law regulating c ction or the performa.nce of constru tion. Applicant ,.r/� . Date_��a/'��y- �� Bldg Insp Date 1 PERMIT NO.: 200�00426 DATE ISSUED: 04/06/2005 �� BUILDING PERMIT FEE PLAN CHECK FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 19712 SRPARATR PRRNtrrc uFni rin�r� nnn ��,nnv nmTmn �rt� ��r ..,-.�...,.�.�..,� . �----- — "__ ...�.�.� ......,_... �.a.-.a� a�LiJl.l�iDi'iL t1DV VL'. 441.75 287.14 30.00 15.00 S.OQ 778.89 NEW ADDN ALTER [l Il [l ��_ �� CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION (76S) 572-3604 Bldg 1' �`� (763) 571-1287 � �1 �� / �� Construction Address: ,�'� � Cf J�-�- K�r'd.� =s%% /l.�r Legal Description: Owner Name & Address: � /lia,�.� e �-c � �n� Tel. # Contractor. � � v��O e� .r MN LICENSE # /,� � � Address:�/ v-� � /�� e � � ��s �,s/c Tel. # 9�"�- £��t�- S�3vo LMNG AREA: Attach to this application, a Cert�cate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT , Length � Width /�� Height �' S,. Ft. v� ��o� �� GARAGE AREA: Length DECK AREA: OTHER: Width Width Height Hgt/Ground Sq. Ft Sq. Ft '/ �/`7.a� Construction Type: Estimated Cost: $ ��° �� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: � v? � � � APPLICANT: � � �� Tel. # (�.2 -�1�8 - l/� i3 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � -� //� 7 � ��7or� $ �. � � /5-00 $ $ .�.�� $ $ $ $ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ � � STIPULATIONS: BUII.DING PERMIT FEE SCHEDULE The Cluef 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,QQ0 $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 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 $2,000 plus $14.00 for each additional$1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,0(� plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $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 $1,000,001 and up $5,608.75 for the first $1,OQ0,000 plus $3.15 for each additional $1,Q00 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�trb Streets Only) Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00. 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. A Certificate of Sbrvey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv ' � � m � c O �' v � m � m m � � � � ° D � a < m n � O C � � _ v � c� -n 9' w � m �rD-m N r � � °�m 2 c� °,m=� m c�n � -n � z cfDu �, v � 'n O o ��o m m= o � � �D a � a � �z �v D � m � z � � � z m v � �� c u�i n�i W m� m ��- �n v, m m m�� °s� � Q' i a .n v � � -, -, � c� � � 0 $ � � � °� __-�� ao��; m � -U � � N N � � � � N � N � � -, � � <; � �. � `-� N � � � m � a� � Z m cc � a�i � v -� m � � ��a °' � -n � � � � � � � � c c � � m n � m � � I�I I I I I I I I I I I I � �� w w w � � � � � � � �, o o cn cn cn o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o c o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C c c m r z 0 �' � � W � � w 3 � 00 3 � m � v O n � o � � z � � � � �^ �jR ` \ 1` � .� �� -o � � � � ) � z O �I� C � � z v z � � c � � m v � � � � � � � � � � � � � � � � � D � • .�,,� N 0 � 1 Q � s m � � c � � °- m � � � o, � cfl m � � � � cQ � c� o � o- Q- a- cc d � v, � n�, < � N. � N 7 � � �� Q �� . 3�0 � � � � � o� a c�'i � � � m � g � N � � � � � � o �. 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CALL GOPHER STATE ONE AT 651-4540002 FOR UTILITY LOCATIONS. CONSTRUCT A 14' X 1 T AND AN 8' X T DECK APPLICANT JORDAN MARY KAY & FRANK W III 7564 JACKSON ST NE FRIDLEY, MN 55432 OWNER JORDAN MARY KAY & FRANK W III 7564 JACKSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lrnow the same to be true and conect. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date BUILDING PERMIT FEE PLAN CHECK FEE FIRE SURCHARGE STATESURCHARGE,VALUE TOTAL PAID WITH CHECK # 9583 RECEIPT NiJMBER: 7415 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 97.25 63.21 3.87 1.94 166.27 � �Q��- C�)a/S" �� CITY OF FRIDLEY ,DDN [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp �LTER [] SINGLE FAMILY AND DUPLDCES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: / J 0 7 Legal Description: S��I C�►� Ovdner Name & Address: � A r� C ei��E� /�%iv �. Tel. # /C�� r, (� / Contractor. MN LICENSE # Address: Tel. # Attach to this application, a Certiflcate of Survey of the lot, with the proposed construction drawn on it to'scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length �dth Height Sq. Ft :�,2. � GARAGE AREA: Length ' s� �dth Height Sq. Ft DECK AREA: Len� � �� d1fi Hgt/Ground�� Sq. Ft � s OTHER: /y x/� + ♦ g x'� ,�-.s�lAp� .1��cK �t��f,��r� 2�I�s�t �� " � �� P /� Construction Type: Estimated Cost: $ �2�� . � ��8 I I ° � � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x� _� DATE: �=� � � � S APPLIGANT: Tel. # / � � �� ^ � o �� Call (763) 572-3604 for Permit Fees if maiting in app icatio . F o 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee � Plan Review � Fire Surcharge ! State Surcharge i SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL � � 7 �� I $ � �o q $ $ $ $ � $ $ $ � �7 _ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 per SAC Un� $5.00 (State Licensed Residential Contra�tors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: BUII.DING PIItMIT FEE SCHEDULE The Chief Buildi.ng 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 applic,a.tion therefore, requare 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,�1 to $25,� , $25,�1 to $50,� $50,001 to $100,�Q $1�,�1 to $SOQ,000 $50(3,�1 to $1,000,000 $1,0�,�1 and up FEES $23.50 $23 .50 for first $500 plus $3.05 for each ad.ditional $100 or fraction thereflf, to and including $2,�0 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,0� plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,0� plus $7.� for each add.itional $1,Ot30 or fra.ction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,0� or fraction thereaf, to and including $SOO,Q� $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,OU0 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�rb Streets Only) Removal and replacement of eurb and gutter only - driveway width plus 6 feet times $20.00. 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 existing foundation will be require� before proce�ing with the framing. New Houses Only G�� --��. �3,1 � lV � � ��1 �? � � P '� l� .. __ _ __ _ __ � _ __ _______. �-si. � �� / � �� b � �, �� .� �� , b�► � � �� o � �� .✓ �� , '�� - � � fhe Home Depot # 2802 i650 MAIN ST, NE, FRIDLEY, MN 55432 763) 571-9600 1Ved Jun 22 16:27:29 2005 fhe materials for this project will cost $2252.55 =RANK & MARY KAY JORDAN (#145) �ECK DESIGN 1 162517 3D View ; #� , . � / � � �;�==u � � � � � �'�` �� tS �1l�ti��:�C� �`� �� .- � � �-- . �' 1�� = _.`�� :��i.: 4� � �� e[" � �� '�`��{* �0 `c�t�� ,� '� ��`� � F�- �. � � '--°�°�--� � `'--, _ �� - � - �� l.Y � �� °��' '�� G � � � c'� _�- „ � � � `--�, �E W� �� L.� �- �� 1 �� c�� . w �. �C � � l � � �� --� , � ��.t ��1j� ��, �6�5 �1�d�;.� �� ,� .� > ;� -- � .� - y-c� �� , ��--� � �� . v �Q�� -� p � �.4 � .:� � �� 1i'1 �� :/V' �'`��C'�► ��' �,�' �� , �Y :s = �= � �� . The Home Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 6/22/2005 FRANK 8� MARY KAY JORDAN (#145) DECK DESIGN 1 162517 Materials for Deck: ��' � �_ �, � � °�,_ � �� Qty UOM SKU Use � Description 2 EA 155961 Beam - 2X12-16 #�P _�---------�` 5 EA 255988 Beam �`�12�C10 PRES�URE TREATED>' 3 EA 631848 Decking VERANDA 5/4X6-8 COMPOSITE TEXT SLATE 40 EA 633193 Decking VERANDA 5/4X6-12 COMPOSITE TXTD SLAT 9 EA 633577 Decking ��, VERANDA 5/4X6-16 COMPOSITE TXTD � SLAT 21 EA 124884 Joist 2X6-10 NO 2 PRIME PT 6 EA 125597 Joist � 2X6-16 NO 2 PRIME PT 2 EA 168335 Joist =� � 2X6-8FT. N0.2 PRIME PT SYP 1 EA 168335 Ledger ,� 2X6-8FT. N0.2 PRIME PT SYP 1 EA 125597 Ledger 2X6-16 NO 2 PRIME PT 1 EA 256276 Post 4X48 #2 PT 1 EA 125597 Rim Joist 2X6-16 NO 2 PRIME PT 4 EA 168335 Rim Joist � 2X6-8FT. N0.2 PRIME PT SYP 1 EA 168746 Rim Joist 2X6-12FT. N0.2 PRIME PT SYP 2 EA 255988 Stair Stringer 2X12X10 PRESSURE TREATED 1 EA 631848 Step Tread VERANDA 5/4X6-8 COMPOSITE TEXT SLATE 3 EA 633193 Step Tread - VERANDA 5/4X6-12 COMPOSITE TXTD - SLAT Standard Deck Materials 23 EA 865827 8 EA 209715 8 EA 206450 40 EA 169765 2 EA 258132 1 EA 454141 4 EA 439432 2 PK 462810 1 EA 454141 25 EA 538981 25 EA 928607 Decking: Slate Veranda Decking 18 EA 232484 2x6 Joist Hanger � 4x4 Post Foot Brkt "' AnchorBoltw/N�C ConcPierin-Ground DiagBrac Joist DiagBrac Joist Nail Flashing Hanger Nails 2x6 Joist Framing Nails Lag Bolt Washer Ledger-Bolt �. _�: � ZMAX 2X6 JOIST HANGER-JLQ 300PCS POST BASE 4X4 Z-MAX �*' 1/21NX81N ANCHOR BOLT,NUT W/WASHER 80L6. CONCRETE MIX 4X4-12 #2 PT - 16D 3-1/2" HOT GALV BOX 5 LB DECK LEDGER FLASHIIVG BRN GALV 8FT 10D JOIST HANGER NAILS 16D 3-1 /2" HOT GALV BOX 5 LB FLAT CUT WASHER GALV 1/2 � LAG SCREW GALV 1/2 X 6 Deck Screws 5/4x • GRAY 3" COMPOSITE DECK SCREW 75PC �: The total cost of in stock materials is $2252.55 plus ta�c. This estimate was created on 6/22/2005 and is valid for 3 business days. Parameters from UBC.cod parameter file. Parameters used for Deck 1: 40 psf live load, 48 inch footing depth. �. WARNING: THIS IS NOT A FINAL DESIGN PLAN. VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE FOR THE FINAL STRUCTURE, CODE VERIFICATION, MATERIAL USAGE, AND STRUCTURAL SAFETY OF THIS DESIGN. BE SURE TO CHECK AND VERIFY THE DESIGN WITH YOUR LOCAL ARCHITECT AND BUILDING INSPECTOR. rhe Home Depot # 2802 i650 MAIN ST, NE, FRIDLEY, MN 55432 763)571-9600 Ned Jun 22 16:27:29 2005 fhe materiais for this project will cost $2252.55 =RANK & MARY KAY JORDAN (#145) �ECK DESIGN 1 162517 �eck Dimensions for Deck 1 � � � , ., � � � �� ,� � � .�� . � � - -� � ��` �U�� i �� Joist Sp;acing = 12 in. o.c. Baluster;Spacing = 3 3/4" Toe Spac;ing = 3 3/4" Railing Height = 36" �� v. �. � � � � � �_ r � � :; � ti� �K��91 ��Q � \�� j��S,� �:��5 � � �`�� 1 ��ar �� .,�� 1�'� „ � ��,:�-�;�� f�� -� r�' fhe Home Depot # 2802 i650 MAIN ST, NE, FRIDLEY, MN 55432 '763) 571-9600 Ned Jun 22 16:27:29 2005 rhe materials for this project will cost $2252.55 =RANK & MARY KAY JORDAN (#145) �ECK DESIGN 1 162517 �eck Layout � � �: �; - � � � � � � � � � � ��. � � r �` .�—�~��ii� 5 �� ( � t�Y� ��` � �� , � , � -�—�� t`�P "t,��c��/ � �� 'a^� i t� �1� �:' � � �, f -�. �.�C�.� ;�� l Q�` �`� � _ � � �} , .� .y �, [�� ' . - '� `� ��-�� i �`� C��,`�� C � , � ,,� � _�. ��y. i < � �� c3�`�, �� - f � ��, i"he Home Depot # 2802 �650 MAIN ST, NE, FRIDLEY, MN 55432 ;763} 571-9600 JVed Jun 22 16:27:29 2005 The materials for this project will cost $2252.55 FRANK & MARY KAY JORDAN (#145) DECK DESIGN 1 162517 Post Layout for Deck 1 a c �V N �-I N N � � . . . �,. � ,-� � �` �_ �, ^ � �. �. � � � _ `� � �. ,� � � _ £,� o �' � { ��ev �i N �--I � �i � � �� 0 � � N � ri � �� ' � � � � � � �� . . , f � �. ��'Q � 4�' The Home Depot # 2802 - 5650 MAIN ST, NE, FRIDLEY, MN 55432 � ;� (763) 571-9600 - Wed Jun 22 16:27:53 2005 �> �, FRANK & MARY KAY JORDAN (#145) �. ,� DECK DESIGN 1 � 162517 k ,-,s� Construction Spec�cations � � = deck 1: Construction Method = Beam on Top of Post Footing Type = Pier In-Ground - Live Load = 40 Dead Load = 10 Decking Spacing = 0 1/4" Joist Spacing = 12" Beam Spacing = 90° - _ Post Spacing = 120" � Decking =,�4X6 Slate Veranda Decking � Beams = 2X12 Trea ed outhem Pine o. 2 - �: Joists = ZX6 Treated Southem Pine No. 2 � Posts = 4X4 Treated Southem Pine No. 2 � Deck Height = 22° �- �. Diagonal Bracing = Yes � Deck Skirt = No ` Joist Overhang = 12" �- Beam Overhang = 12" Decking Deflection Factor = 360 Joist Deflection Factor = 360 Beam Deflection Factor = 360 Pref Decking Size = ML5/4x6 � Pref Joist Size = NONE � ` Pref Beam Size = NONE � " Pref Post Size = NONE � � Diag Brace Height 1= 24" in �� Diag Brace Height 2= 24" in ,� �, Stair 1: Step Width = 47" a Step Height = 14 5/8" Step Rise = 7 5/16" Step Run = 11" Stringers = 2X12 Treated Southem Pine No. 2 Risers = 5/4X6 Thompsonized Southem Pine No. 2 Treads = 5/4X6 Slate Veranda Decking � " �: Stair 3: � °� Step Width = 50 1/2° :� `� Step Height = 14 5/8" � Step Rise = 7 5/16" `� �' Step Run = 11" - Stringers = 2X12 Treated Southem Pine No. 2 �, Risers = 5/4X6 Thompsonized Southem Pine No. 2 Treads = 5/4X6 Slate Veranda Decking � �>-. � . r L�: �,. � _ F�.