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AF - 47470,� i''1 r"', City of Fridley, Minn. BUILDING PEI�MIT Date: � 27, 1966 0 p�; B��, HOMEDALE BUILDERS ��/� N° 8903 Ad� A� 7000 HUNIBOLDT AVENOE 1VORTH MZNNEAPOLIS, MIlVNESOTA LOCATION OP BUILDING No. 7569 g�t JACRSON' STREET N'. E. Part of Lot Lot �� _ Slock 1 Addition or Sub-Div�sion �DY MANOR, 4T13 ADDITION co�er r.ot rnsqae i.ot x Setback 35 � siaeyara 10 and 17 �� g�� — Foimdatioa IIevation DESCRIPTION OF BUILDING To be Used as: DWELLING �t 37 DeP� 24 ��t 20 �. � 888 �� 17, 760 GARAGE �t 24 �p� 20 ��t 10 �. � 480 �� 4, 800 Type oP Construct[on FRAME �, �_ 18 000 To be Completed In consfderatlon oP the iesuaac+e to me of Q permit to ct building described above I agree to do � P�P� work in acc�r+dance with the d�scriptlon abov set orth and in compliance with a'11 provisfona oP ordinancea oP the dtq oP Fridley. Ia co�deration of the payment of a fee of � 23 . 00 ,�t fa here HOMEDALE bY graated to _BII DERS, INC. to �� e buildfag or additfon as described above. Thispe rmft ia granted upon t�he exPress conditlon that the�person to whom it fs granted and hia agente, employees and worl�en, fn a11 work done fq aroimd end upon said huilding, or anY part thereo� si�all conform in all respecte to the orrlinanc� oE withinythe d��mita�an�� , construct[on, alt �on, mauin� ola'tion o�f aad moving of bufl�fn� ordinanoes. � Permit ma be revoked at �dme any of the P�visions of se�d CLARENCE B�IS"LE �� NOflCEs i6b puneh doa not eeru t6s eseshoaH�, Ie�talWloe �or �ririn�, pimebtn9► 6a 6�8, terwr or walsr. 8� atn to a� Nn Botidtn8 laqnete� tor aPa+�+ �rm6� Po� th�a It�. � `� � � APPLICATIOA FOR BUILDING PERMIT .. :':CTTX OF FRI�EY, MINRESOTA. � i� : i r � �• =��.__ _.� ��_ � � i� � .��. ,��, , ��, � , i � � �. ii.e6�� // LO TTON OF BUILDING NO., , L( STREET PART OF LQT �� BLOCR ADDITION bR SIIBDIVISION � . �/�� CORNER LOT INSiDE LOT�SETBACR ��' SIDE-YARD_��'-� /� S EWER ELEVATION �� FOUNDATION ELE VATIt�ft Applicaat attach to this form Two Certificatiea of Survey of Lot and propoaed building location drawn on these Certificates. DESCRIPTIOft OF BDILDII�G ' To be used as; � Front��Depth�Height li � _ Sq. Ft. 4�� Cu. Ft. ��1 � Front _ �� Depth �� Hei�ht /� . ��. Sq. Ft.— �� Cu. F�. !- - .. �? � � Type of Conetruction ��jf�ps►,� �_ Eetimated Cost�� `� To be completed The undersigned hereby makes appXication�for a permit for tlie work herein apecified, agreeing to do all work in strict accordance with the City of Fridley Ordina�ces and ru].ings of the Departmeat of Buildinge,.and hereby declares that a11 the facts and repreaentations stated ia this application , are true and correct. � DATE � � SIGNATURE � (Schedule of Fee Casts can be found on the Reverse Side). G � . _. :. � ' �� . � (,� � � _ . � � � � .�. � . _ -�: __ a � s BIIZLDAQG PERMIT FEE SG�DUI,E SECTIOR 2. The Inspector of Buildinga shall, before issuing any permit for the erection of any building o`r structure, or for any addition to any existing building or etructure, or for any alterations or repairs to any euisting build3ng or structure, upon applicatioa therefore, require the paymeat by the applicant for su�h germi.t of f�e�'to�ttie amount..herein below s.et forth and in the mauner herein provided to•wit;, . 2�.1.._ For any such permit for the erection of any fire-proof building, othei than a garage, warehouse, factorq or grain elevator, or for the erection of any fire-proof addition, for sim3lar occupancy, ta any esiating buflding, sha11 be at:.the r�te�of $1.44_for eacb one thousand cubic feet,.or frsction thereof, in such cubical contents. 2.2 For any auch permit for the erectioa of any fire-proof garage, warehouse, faeto�y flr grain elavator, or for-the ereetion of any fire-proof addition, for.similar oc.cupancy, to any egieting build3ng ahall be at the rate of $3..�25 for-each"one thoueand cubia feet,�classified se "fireprvof" by Section 502 of the Mitnneapolis Building Code. 80IISES 2.3. For any such permit.for the erectioa of any noa-fireproof�• buildiag,.other than a gara�e, warehouse, fac.tory or grain elevator, or anq noa-fireproof addition, for s3milar occupancy, to aay existing buildiag � permit $1.00 for each one Chousand cubic feet. GARAGES.. . _ . ` � . .. . _ � __ .. _ . _ 2.4. For any such pezmit for tho erection of aaq nan-fireproof garage, warehouse, factory:or grain alevator, or for the erection of any non-fire-proof addition, £or similar occupancq, to sny�ezisting buildiag or for�each auch buildin� or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereflf, in the cnlri�al-contents thereof with the minimum of $4.00. For th� purpose of computing,fees for 6uilding permits, the cub�ical contenta of any building or addition��to a uaiform height tliroughout by muitiplying the ground area cavered from a point six �6)-iaches below the floor line of the basement or cellar to the average he�ght of the upper surface or to the average height of the roof surface o� the,m�in,g�ble of a pitched raof. 2,5. For repaira or,al'terations_to an es�Lsting atructure, the fee shp3,1 . be at the rate 'df $3�.00 per each Fi�ve Sund�red Dollars ($500.00) or� fractivn , thereof in the�cost,of 811 proposed work. � 2.6. . Zn no case shall the fee charged��for any per�it as set forth in Section 2 be less. than $4.00. � . � . . _. STORM REPAIR DAMAGE FEES: Resfdential: Eatimated Cost of work up to $500.�D�.- S�.!?0 Estimated Coat of�work over 54�::_�°="' �° ��.=,`'0 � __ .s.�. .�, . ,_° -, Commercial; Eseimated,�°'Qst of wagk t!�.� �� ` :':�; :��) A� :;? l/� Estimated .,st of wox?c u��::� y..�i;�.�U�' � 4d(?. J ^.. . � - �. ��'' � � , s_ - . .� :: t�►��rq 6�-H,�r *�' u� �� . , A�r'r�s�� . EN �i l l�t�E R i h�i G, i�t �. �� t�� . �� --- ��i�;e�r.5 L �ur��r�vr�5 --- �err��c�te o,� �s�,s�*e �e� NaM�D�►lE BUlI.D��tS � - �� ` ' ��. � � 0 � a � � � � � � � � �� _� � � � ni 1 I tar i � . O N �� .. _ . I I. ��ENOTES (R4N `�`�'DENOTES D�AINAG� AND UTitiTY EASEMEtdT � �..4"� ��---�LbCk;" 1' f?.��,�1�Y �IIANCR �TN QODITLON , Af�44�KA CS�J1�17Y ` q�� adr,e ��►d ��,,�xJ l''btnsby r�r�y. llt� 11►i5 fs o frrxr � aorntr�. ��.�'ot�n �'o �'� �'�t �rues � ; �"lil�tlor,��nn �'dJ �r�1�`r�s , �reor� , �d ar�.rsiblt �ieirfs . �t�'ay, �vrrir ar �n�l !� As sra��d f� rn� fdr��.,.,.- d� �' Seo��+un3eer �1,�l�. 5Ul�tlR8Al�1 ��VG/NE�!!�ll�f�, 1MG. . � �� r s� r�ow-� �, r ->- . _.. _ � -. _-_ V -�-,� �+i�i , ' , ,r. ' ---'-t.-'---- - - -- --- ��x ,�� %� ,�..° .�. `� "='�,-� =� ..�=�� , _ _ -- � - � �Y � � � N � ro O � � �\ t �. � \ 0 �i x � � 3 Z � �, a � x � � y r � o .y, H 'b x x x � ��c�o � � � Z �� ~. �n � � o � �0 � fA {I➢ 1D \ � � � m �I m � z c� ❑ � � M c�ay y � � � � � W 4�'� � � � � m °•: � L*1 o � ; N N�� 0 0 O y � O � � . �:: � � � x p� k � O N � °c o a � fi� iil Wi � W \ O r b � ° b w � � � o � I � � � � � z � � :� � � :� � \ r� � � � c � � � � a bi � M. Gd ��;�, o � � � � b b m N a � � � � s � 0 0 0 0 O v � 0 O � 1 0 r a� � �0 � < � � I w � W �� M � � y O r� � O ��'! � � . � �o . �: $. � � � � � � � � � � � ti n � � o i►� (� S� � I 0 �. � � � � � 0 O t!a � � Ia x M O � w w � � a a o °o � � � � � � x� �� ►�i • � � � m� � � O � 'i G � c� y �� P � 0 O J� ',� � � � � n� n� w ao 0 0 °o °o i� fA V! {i! . _„ �� 0 � n � m � :rt z y � a A Vl"' � � 0 � � � S 1 � O '�d � � r �.�.� � R° R° p � � � � � � � � � � �� 00 � � �o� � �' '° � g vr a�� o �y � . F.+ sa °v : • -� g $ : : o .° � : : � w en cn w po o °o °o °o o° � � � � n+ Gy w o td y € I \ �• G � M . � b b b � S �y. � m � N y � � � � � r� y � a � � � � � o "�� 0 0 ?� �I � ir b � ° � s� : � � � . . � . . w ° : : °a $ : : $ : : . � � a � y O O O p C� {� � � c. a� � �� o ,� � �s W � � . �°�t�� o�"'�. !� y � aa � �� °� p�� d p G�4Q a �`�E � y �� b oy�� a��,x �a�p .'7" M ►e y ry p�p W w� �� a� �.� , �� 1' � y � 'C'! �r � � �� o � �. re� � � �. �\. w �+ �, ��5' D � r � —1 m H _ m v n�n b� M m � x � � � � �o. � � O � � �� 0• ' �O �� 3 � y �� 0.� S. � � f�� O. � vs � � � .i Or � �� sue�ecr PERM City of Fridley 2�. 2 61 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � � � � � • � `v _ _ COMMUNITY DEVELOPMENT DIV. �� `� � f � � PROTECTIVE INSPECTION SEC. j� i = � � /'��1 � CITY HALL FRIOLE� 55432 NUMBER HEV DATE PAGE OF APPHOVED BY �----� � •�� 612-571-3450 910-F15 4/6/92 / / JOB ADDRESS 7569 Jackson Street NE 1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. �.O 1 Melody Manox 4th Add�.tion SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Don/Fay McComb.er. 7569 Jackson Stx'eet NE 784--1917 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sazne 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZtP PHONE LICENSE NO. 8 USE OF BUILDINCi Residenti�,l 7 CLASS OF WORK � NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a, 14 � x 13'"9�' detach�d �creeti. hQUSe 9 CHANOE pF USE FROM TO STIPULATIONS $lab. .'i.s. ��ozri exi�ti�ng buildiz�ga SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �PE OF CONST. OCCUPANCY (3ROUP OCCUPANCV 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY 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 THUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX WN H WHETHER SPECIF ED HEREINIOR NOT.OTHE GRANTING OF AOPERMIT $1'r 2Q0 $a GQ DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S29aOO F1I?2 SC $Z.ZO PLAN CHECKFEE TOTALFEE $3�.8�. S�GNATURE OF CONTR C10R ON AUTH � R12ED AGENT IDATEI .�fi� %� i / �j 1 HEN PRO R Y VAl DATED THIS IS V UR PERMIT ,.,` i r°.. � . �` / � t—�"' �.dFs,A -/, v 4(� � �'A� � � � iGNAT � OF OW Eii ili OWNER BUILDEiii IDATEI LDG INSP 4ATE NEW [ ] ADDN [ ] ALTER [ ] Construction Addr�: I.egal Description: .. .... . .. .......... . .,....,,... . ,. .,... .... ,.. . ......... ...................,.......,,. ......<> Effective 3/1/92 CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Bnilding Permit Application � � O�vner Name & , Ac Contractor: ✓� Addres.s: J �'-�N LI�ING AREA: GARAGE AREA: DBCg AREA: OTHER: Attach to this applicatioa, a Ceitificate of Sun►ey of the lot, with the proposed construction drawn on it to scale. �� Len,gth I�ength Coitie,�' Lot [ J Inside Lot I) Type of Construction: Q Approx. Completion Date: DBSCRTPTION OF IIVIPROYEMENT 1�Vidth Width Wi�ith T�. � �'%�"� � l � / �' ENSE � �. � '�� --1 �I / 7 . Height Sq. Fk Height Sq. F� Sq. F� �_�Q�� Est�mated Cost: $�� C� C1 (Cost on Back) Driveway Curb Cut Width Ne�ded: F� + 6 Ft = Ft x$ _$ � . � - DATE: -- — APPLICANT: � �� (D �� r Telr_ # �� . /�� , : - CITY USE ONLY Permit Fee $�� Fee Schedule on Reverse Side Fire Surcharge $ -� A�� .(JOl of Peimit Valuation (1/lOth°!o) State Surcharge $ $.SO!$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ � $5.00 (State Licensed Residential Contractors) Driveway Escrow $ � Alt. "A" or Alt. "B" Above Park Fee $ °�'� Fee Determined by Enginearing Sewer Main Charge $ ---� Agreeme,nt Nac�sary [] Not Neces�ary (] TOTAL STIPULATIONS: $_ r�'�- R� ��. ,!� BUII,DINQr PERMIT FEE SCHEDULE The C6ief Building Official shall, before issuing peamits for the eae�tion of siry bniiding or stivc�re, or for any addition to auy existing bnilding or shvcture, or for atqr alteration or repair to a�ry existing building or sbructure, upon aPPlication therefore, reqaire die payment by the a�plic�nt for such permit of fees to the amowrt herein below set forth and in tl�e manner her�ein provided- to-wit: TOTAL VALUE $i to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $1�,001 to $500,000 $500,�1 to $1,000,� $1,OIX},001 and up FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 pins $Z for each additional $100 or fraction thereof, to . and including $2,OOU $45 for first $2,000 plas $9 for each additional $1,000 or fraction. thereof, to and. including $25,000 $�.52 for first $25,000 plus �.50 for each additional $1,000 or fiaction thereof, to and iacluding $50,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,IXI0 $639.50 for first $100,000 plus $3.50 for each additionat $1,000 or fraction thear�f, to and including $500,000 $2039.50 for the first $500,�0 plus $3 for �ch additional $1,000 or fraction thereof, to and including $1,�0,000 $:i539.50 €or-the -i� s��;�,-� pluis S2 for �ch additional $1,000 or fracti.on �thereof DRIVER/AY DEPRESSION ESCROW (Concrete C�irb S�ets 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 f�t tim� $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed stivcdue and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding .with the framing. � La� Plann�n� Larui Surve�/��iJ .Sn,�s lesfMy Civi! b A�k�arrxipo! E�U�� ';t �` ' 68TS Hgfir�r KS M�: ,yrnrneotvu332, ENGtNEERING, lNC. '�`° SUnsei Q-6066 ` --- En ineers � Surve�ors --- .� cests�scaie o�' su�r�'e ��t NoM�DALE BUttDE�S . T . �� r ►�2 —_t— � � t-� �y.�.�-. �� ,.�.�° � � -- � � Z '� � � � � � Q • � � � ii2 '� I � � � ti � � lpT I ��. 10 � N � I� Q � � `� I � i �, �5 , A o�ENOTES IRON l--�DENOTES DRAlNAGE ,AND UTI�ITY EASEMENT LOZ ��! _�L��CK _v.!�P`,��ELOOY MANOR 4TH ADDITION ANOKA COl1NTY l hv�by cerfr�'i .� 1h�s K o fi-ue avr� oarr�c� �e� r�enfol'�an o�'o si,rrey �i'11x buuna�ories q�'�r �NS aFsuY6�d /m�d, end qC'1Vi� laca�vri o/°aU b�rtd�rr9s . l4crear , and d�ll ns�b/t ��ar/r�nen�s ,�� •�► �'' � sad /a�d. As sin'vecJ�d b[� m� (I�S r' � �' SeQi emoer _ A O/9�L4.. SUBU28Al�1 EIVG/NEERING . ING. f:,�'adrrus " ffr Su��ru�rs ; J . _ � r - - • �� -• -... • �.. r.....,�w...,,� , h �awR . 0 ;, `.-.' :. � �� , :: � �S .zano x,zoM �o �so� pa�am��s� CG'SS � GG'005$ o� dn �aoM�3o �so� Pa�sm��s�. .TB�aaa p�sag � � `�7i� � � � �. _ ;'.� �� , -�i ��. � � � , �4 � � � Summer H ouse �. .. , . 4...>�::... ,, . L:.,:t...� .:.,;a..„„�,{... . . .. - - -- .��m�:y��:u:C: .u..ruu�C �cui . .i... • ; ..........■.. ;7'} ��:��. ,' � _ _ _ �n°°iiiu�ii: :iiii I� ; •°:::.;:''C..s �� ,� oi�i �.� �u , „°nl � �� 11U11111lIWIOIIlIIU� iii;!; s��y+ iUWlnu� jll�I '� . ` �� - , � � � � �. , � �� . �, � �, 1 . �� ti �� . � �� here's no more "civilized" way to enjoy the great outdoors than from the inside of a screen house. Forget assaults from � insects, sudde� summer showers, and an overdose of sun- shine. A screen house is a perfect structure from which to enjoy an unobstructed view of nature every day of the warm-weather season— come rain or shine. This 12' x 16' summer house is set on a concrete pad. The concrete is impervious to water, and helps keep the structure cool during hot weather. The walls are framed, but covered with screen to give you a panoramic view in all directions. The gabled roof over- hangs the walls by a foot in all directions to help keep the structure � dry, even during a summer storm. Cover the roof with traditional roofing materials, as shown here, or use corrugated fiberglass panels. ° GAZEBOS AND SUMMER SPACES iz -syz Ma9 Fran the r stoc] ends ing� i cove: sure seal� and wire nail: SUM: i- �m n— �els. the ridgeboard from a 2 x 8. You'll also need some 'one-b}i (3/a" thiek) stock to make the facing strips, and wood siding to cover the gable ends. 1b cover the roof, you'll need 1/z" CDX (exterior) plywood for sheath- ing, as well as tarpaper, drip edge, and roofing nails. If you'd rather cover the roof with fiberglass panels, then you'll need redwood `clo- sure' and 'caps', aluminum nails with neoprene washers, silicone sealant, and corrugated aluminum ridgecap. Zb pour the concrete pad, you'u need concrete (of coursel, 2 x 8's and some �crap lumber to make the form, sand, gravel, reinforcing wire mesh, and anchor bolts. You'll also need a supply of galvani�ed nails, staples, hinges, a door latch, and screen. � s FRONT ELEVATION �� SUM1l�tER HOUSE , 147 SUBJECT c�ty of Fr�a�ey AT THE TOP OF THE TWINS g U I L D I N G P E R M I T i � � � � ' v � � COMMUNITY DEVELOPMENT OIV. r � � PROTECTIVE INSPECTION SEC. � � �"'1 � CITY HALL FRIDLE� SSC32 NUMBER �""'� � ,'� 612-571-3460 g10-F15 J08 ADDRESS 7569 Jackson St t LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. lO 1 Melody Manc 2 PROPERTY OWNER MAIL ADDRES$ Don McComber 3 CONTRACTOR MAILADDRESS _Eagleview Const Inc. 2937 174 Ln Andove� 4 AFCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAIL ADDRESS onre 7/30/98 21P PAGE OF � � PMONE i9 PHONE PMONE 2690� RECEIPT . �/7� / APPROVED BY SEE ATTACHED SNEET LICENSE NO. 076043 LICENSE NO. LICENSE NO. 8 USE OF BUILDINti Residential 7 CLASS OF WORK O NEW D ADDITION ❑ ALTERATION � REPAIR p MOVE O REMOVE 8 DESCRIBE WORK Reroof house and 9 CHANOE OF USE FROM STIPULATIONS 24 Sq) Tear-off TO Underlayment must comply with�State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBINCi, HEATINd, rrPE OF CONST. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION 019 WORK IS SUSPENDED OR ABANDONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTEi; WORK IS COMMENCED. NO. OWLG. UNITS I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINEO THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UATION AND OFDINANCES GOVEHNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN OR NOT. THE GRANTING OF A PERMIT �ZOOO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANV OTHER STATE OH IOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $62.25 PLAN CFIECK FEE SiGNATURE�� R OR AUTHOniZED aGENT �D TE�� License . P SiGNATUREOFOWNEii�iiOWNERBUILDER� �OATE� .. er..� .�s ��rry�.i un�ur VGGUPANCV LOAD SQ. FT. CU. FT. OFFSTREET PARKING STALLS GARAGES SURTAX 1.0� SAC CHARGE Fire SC $2.00 TOTALFEE ).00 70. RL�j/A ATED THI S YOUR PERMIT % r � �IATE N� [ ] ADDN [ ] �-T� [ ] CITY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 Effective 1/1/98 BUILDING PERNIIT APPLICATION D� i ConstructionAddress: �5�� a-�� -�� a- •`y� � Legal Description: Owner Name & Address: �i 6-�n (/�e ��,, (� � Tel. # %��- /l� / 7 Contractor: � �-� �� MN LICENSE # �� 7 (`o a �f 3 Address: Tel. # %�3 r �1�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRII'TION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: - Length w�acn Height Sq. Ft. DECK AREA: Length w�acn Hgt/Ground Sq. Ft. OTHER: . � r��,��'� �!� ' '� o2�d o� ' Construction Type: � Estimated Cost: $ �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ � �� DATE: 3� `7� APPLICANT: Tel. � �Sr3 � � `!� � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL ST'IPULATIONS: $ G��.n�.� $ c�— $ l ov $ / $ S. t�a � $ $ $ $ � .��' CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuadon $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 1 U __ e 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 . $SO,OU1 t�o..$11J0,000 � $100,001 to $5�,0� $5(?0,001 to $1,000,000 FEES $21 (Minimum Fee is $21 plus surcharge) $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,OOQ � $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 $1D0,000 ° $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,Q00,000 $1,0�,001 and up $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. Altemate "B" : Removal and replacement of curb and gutter and install a 3%ot vfiide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once iC has it has been constructed will be required before praceeding with the framing. __, - f, SuBJECT c;ty of Fr�a�ey AT TME TOP OF TME TWINS g U I L D I N G P E R M I T i • � � � �y _____ COMMUNITY OEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. � � S , � /"'1 � CITY MALL FRIOLEV SS�32 NuMeEn nEV OATE �"""� � �� 612-571-3460 s�aF�s 11/3/00 J08 ADDRESS 7569 JACKSON ST NE t LEGAL �OT NO. BIOCK TRACT OR ADDITION oesca. 10 1 Melody Manor 4th Addition 2 PiiOPERTY OWNER MAIL ADORES$ ZIp Don McComber Z569 Jackson St NE 3 CONTRACTOR MAIL ADDRESS ZIP Master Remodeling Inc 32 Tenth Ave S, Hopkins, MN 55343 4 ARCHITECT OR DESIGNEi; MAIL ADORESS ZIP 5 ENGINEER MAIL ADDRESS B USE OF BUILOING Residential 7 CLASS OF WORK O NEW ❑ ADOITION O ALTERATION �] REPAIR 8 DESCRIBE WORK Replace windows within existing openings 9 CHANQE OF USE FROM lZ•7 PAGE OF / / ERMIT N� . 3i54 NO ( �� `% AVPqOVED 8Y SEE ATTACNED SNEET 763-784-1617 PHONE LICENSE NO 612-932-9311 PHONE LICENSE NO. 20012916 PFiONE LICENSE NO ❑ MOVE O REMOVE STIPULATIONS Provide smoke detectors in ail sleeping rooms �.n.d on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, NEATING, TMPE OF CON; VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK Ofi CONSTqUCTION 20NING AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOfi A PERIOD OF 120 DAVS AT ANY TIME AF7Eq WORK IS COMMENCED. NO DWLG. U I MEREBY CEWTIFY TMAT 1 HAVE FiEAO ANO EXAMINED THIS APPLICATION 1 AND KNOW TNE SAME TO BE TRUE AND CORFiECT. ALL PqOVIS10NS OF LAW$ VALUATION ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMP�IED @ WITH WNE7MER SPECIFIED MEREIN OF NOT. TNE GiiANTING OF A PERMIT `P6aSOO DOES NOT PRESUME TO GIVE AUTMOqITY TO VIOLATE OFi CANCEL THE pEfiMl7fEE PROVISIONS OF ANY 07HER STATE OR LOCAI LAW REGUlA71NG CON- STqUCTIpN OR TME PERfOFiMANCE OF CONSTFUCTION $139.ZS Lic S�GN4TUpE OF CON'AACTOii Oii AUTMOA�2ED eGENT IOAiE1 �o•re� Y �ermi$ Insp�ction Car�� Will �e Maio�d T� H�r��r T� P�� SO. FT S7ALLS SC $ iROUP OCCUPANCY�OAD CU fT OffSTFEET PARKING IGARAGES SURTAX $3.25 SAC CMARGE Fir� SC $6 .50 TOT/ L FEE /,�,� 154 . 00 �, �O T �Ulv-lb-177o ll�.iy M-KUI'I l,l I T UF' I-FC11JLtT �U �� ,.�.`��lb r.�J1��7� NEW ( j s'�7/ ADDN [ ] CITY OF FRIDI,EY ��D��E��iv� /1/98 ��F 31 � �-T� � l SINGLE FAMILY AND DUPLEXES R-x ,�1VD R-2 BUILDTNG PERMIT APPLICATION ConstructionAddress: � �(� �,J�vp�sn5ov� � 72' /V�. Lega! Description: � Owner Name & Address: Dr�% /i�%�.�0.�.1 {/L ,�i•2 Tel. �t '%�i,3 7 �?� /(�,O �' Contractor: �� G9 Il�TC, MTI L,ICENSE f{ z cr-o / 2 e'i /� Address: ��pkins, A��n�so�a �534�� Tel. � _ � qa �n LIVING A�'.A: GARAGE AREA: DECK AREA: OTI�R: A�ath fG`�h�a`�plication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIP�'ION OF IMPROVEMENT Length Width Height Sq. Ft. ��g� Width Height Sq. Ft. �� Width Hgt/Ground Sq. Ft. � Cons cti n T e: ��.,...,i l�.r %� � yP r ✓�Lo�N°�.� ESL1IIl3LCd COSI. $ Q,(/ 7 V v� � '- .- JS lFee Schedule on Back) Driveway Curb C�t Width Needed: Ft. + F�t Ft x$ _$ DATE: � I —Uz� APPZYCANT: �`�� ' 3 z -��s Permit Fee Fire S�rcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Maiu Charge $ /39. 2$' $ �• r' � $ �. 2. �" $ $ � . a-� $ $ $ $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.54/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Concractors) Alt. °A" or Alt. "B" Abvve $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ j TOTAL $ . �� STTPULATIONS: ��1i/�� .�� /v C� �i�C��!�� L��i-J� �-�� d.v r� 1�r/��l- o� ��' .�/ � .�� c-.. .�io, 9 � 2 l�?G��.�. i 3uilding :nspections �63-572-3604 �ArE d-- —O ITE ADDRESS �� 'HIS APPLICANT IS: PROPERTY OR'NER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE BUILDING RE5IDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER YOUR E-MAIL ADDRESS � PHONEt�6�=� �"I �l � NAME� ' Bs� ca e u r r�+>�' � STATE LICENSE FAX Permit No.: Recei�ea. sy: Date Rec'd: �A��.� � £XP DATE °�- �� CITY G�t STAT�!�� ❑ ADD1Ti0AT ❑ GARAGE/SF�D ❑ WAiDOWS ❑ BASEMENT FWISH �ROOF � DRAIN TILE ❑ DECK �'L�i�.SIDING .O OTI�R ❑ SWIMtvIWG P�L TYPE OF WORK: � �' �ESCRIBE WORK BEING 3IZE OF Il��PROVEMENT �OOFIIVG �1iJIvIBER OF SQUARES. ;�ARAGES ?ROPOSED SIZE: ?ROPOSED HEIGHT: 3IDIIVG � Vinyl � Aluminurn � Other ❑ HOUSE & GAR.AGE ❑ ATTACI�D GAR.AGE CI DETACHED GARAGE OSoffrt 0 Trim � Fascia wnvnows N E3QSTIAiG OPEMNGS DY� ❑No LOCATION OF �V✓S �R FOR NEW OPININGS-DESCRIBE SIZE OF �PENING CHANGES & Is��M�i BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed 800r plan 3. List of structural members to be used Ft FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: 1. Site Plen/Survey showing the existing structures and proposed project 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USIN THE 1997 B.0 FEE SCHEDULE} TOTAL JOB VALUATION $ D� OCCUPANCY � TYPE Perm.it Fee Plan Review Surcharge Fire Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Dne $ $ $ ! � . �U $ $�_ • p[� $ $ $ $ $ - — - See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineeri�g - 1�,greement necessary ( ) Non Necessary ( ) Make c6ecks payable to: City of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building pemut and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whic r uires rev' w and approval of plans. SIGNATURE OF APPLIC PRINT NAMEJO �i fa l/OS`�� d'ti � DATE_� �^ ",�/ � Page 2- Building Residential Applica.tion BUII.DIlVG PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any add.ition to any existing building or struciure, or for any altera.tion or repaar to any existing building or structure, upon application therefore, reqU.ire the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided. to-wit: VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the ti.me of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing founda.tion will be required before proceeding with the framing. New Houses Onlv City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 Building Inspections 763-572-3604 D�.� � - �� SITE ADDRESS � THIS APPLICANT IS: PROPERTY O�VNER/ TENANT CONTBACTOR PLUMBING RESIDEl�TTIAL APPLICATION CITY OF FRIDLEY � 1 U' YOUR E-MAII, ADDRESS �� G.G4C,56 h �-fi N � O OWNER �CON112ACTOR NAME: annx�ss: ��tJm? � „n„�..,_ �1 2r �- `�Q L1 _ I ► _ 1'"I Permit No. Received By��i D�C��AN SUBM[T A COPY OF STATE LICENSE # EXP DATE YOUR STATE Annx�ss: 3670 Dadd Rc9. crr�r s1'a� z� LICENSE WTIT3 rao� Eagan, MIV 551 � . PERMIT TYPE TYPE OF WORK: � orrEw FAMILY ❑ TWO FAMII Y O TOWNHOUSE DETAII..ID DESCRIl'TION OF WORK ~� .�i xErLac�mvT PER MS 16B.665 the permit f� is a mmimnm of S15 00 or 5% of the total cost np to $500.00, whichever is greater, for impr�veme�, inshallarion or replaceme� of a residential f�m�ne, excluding the fixdu�es. (This shonld ieflect oniy the cflst i Labor cost under $300 =$15.Q0. I.abor cost between $300 to $500 = cost of labor x.OS = FOR PROJECT3 WHERE LABOR EXCEEDS $500, FEE� ARE BASED ON $10.00 PER FIXTIJRE, EXCEPT WHERE NOTED. FD�TIJRE3: (INDI( NUMBER OF EACH BELOV� , BATH SINK2AV ' F7AOR DRAINS S1iOWER � WATER PIPING BATHTUB GAS PIPIN(� (t� car�) SWIlI�IIV�TC� POOL WATER SOFTNE CLOTEIES WASHEIt KITCI�IIT SINK WATER CLOSET BACKFLOW PRl _ DI3HWA3HER _ LAUNDRY TRAY =WATER HEATIIt ($3� FOR IItRIGA1TC _ WATER ME'i�R _ OTfiER PIItMTT FEE PROJE(,°TS FOR i1NDER $5� ' PERNII,T FEE FOR PRUfE�TS Pemrit Fee $ ' Number of fixtures @$1,0.00 x$10.00 = Su�bar e .50 Nnmber of fixdues @$15.00 x$15.00 = TOTAL DIJE $ , Number of fixtures @$35.00 x$35.00 = State Surchazge = Tota1= TFIIS IS AN APPLICATIOAT FOR A PERMIT-NOT VALID UNTIL PRt?EE3SED �!}� ) TOTAL ($35) . ($15) I heneby applp for a building permit and I acl�owledge that the i�om�ation above is complete and accnrate; that the wo will be in co�ormance with the ordinaaces and codes of the City of Fridley and with the 1Vrnnesota Construction Codes; that I this is not a permit but only an application for a pemiit and work is not to sta�t without a permi� that the work will be in acco with the approv� plan in the case of all wo��vlrich�ui��eview and appmval of glans. SIGNATURE OF APPLICAIVT PT�ACE NOTE: � _ City of Fridley ' � Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 L' A V. '7<'! CArf A!1^!^/ � �JDO �.�i