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AF - 47515• � I�J City of Fridley, Minn. BUILDING PERMIT Date: _.. June_15�__1967 �_______.��.^___.� Owner: Address .,.3�0 7'7 �T� 9315 Builder _._ H�edaleWBldersw ._..........._.. A�SS ____ 5217._.Way_zata_ Blvd._.._�.. �� LOCATION OF BUILDING No. _._.�596.._..._. Street __Jackson_St ._ N. E._..�__....._........_-----.._._._ Psrt of Lot _..�.__..._..—_._....._. g Melody Manor g 4th Addn. Lot .._1...._.......__..._..__ Block _...._.._...__....____----___._._.._._. Addition or Sub-Division ._._...__.__.......__.._.. ___�.______ � � _ � Corner Lot •---X......_.___ Inside Lot ....._..-•----•---•---_._------_ Setback .---.---35 --------- Sideyard __18 __..� 1� ___._.. Sewer Elevation .___.....��:.L�±�:._......__..._._.__�.._.._.__.._____ --.._.._._$$.Z._44._._.._..._______ TOP OF FOOTING DESCRIPTION OP BUILDING To be Used as: _D.TdEIda�_._.._._____ Front __32 �._ Depth _.24 �___ Height ._.��$ �._ Sq. F't 768 Cu. Ft _ __GA$AGE......_.....___.._... Front _.2�� _ Depth �??�.__ Height ..._10�.__ Sq. Ft. 4'4'� Cu. F'� _� Type of Construction _._...F.��zA.�.__.._.._...._.___ Es� Cost ._...��.s_000..........__.___ To be Co�npleted ....._ Sept . 1, 1967 SEWER LOCATION - 47' North of South Manhole WATER LOCATION- 10' North of Sewer In conaideration of the issuance to me of a permit to construct building described ab�rve, I agrEe to do �� `"�' �, :: th� proposed work in accordance with the descriptaon above set f d in complian th all pro�visions o� ordinanoes of the city of FYidley. �nn,nn RGG�n - In caa�aiideration of the payment of a fee of �._.�2.. 00._..__.., permit is hereby granted to_ H�edale , Blders .� .� _ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon sa.id building, or any part thereof, shall conform in all respects to the ordinances oi Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildinSa within the city limits and this permit may be revoited at ar�y time upon violation of an,y of the provisians of s��d ordinances. cLat��vcE B�ISLE B„� � NOTICE: �s p�rmit doa not eov�r th� eons�rueHoe, tndallMion for wtriny� PIu�aWno. Yaa h�atin�, awK � wN�r. M sun h a� th� BuiWieo Intp�eeo� fo� s�p�rah p�rmits for fh� ihms. OWNER' S NAMI; ADDRESS APPLYCAI'ION �'OR BVI�DING� PERMIT -. . . �: : CITY 0!� I�R7.DS►EY, � MINNBSOTA i/ `� . , .. . TI F BOtLD�I�GG. . , f. - _ .-� , . . F N0. � STREET � PART OF LOT �` �_ . LOT� BLOCI� AD�tTTON OR 6UBDIVZSIUN � �'� �, � CORNER LOT�YNSIDE LI3T � ,•� 6ETSACR �� SIDE-Y�RD � SE R ELEVATION . . 8��• �/� . � F'OUNDATION'ELLVATIQR : ��7 �� . ,��-P�/ - '`�� i. ��. e� "2'_ � � , d Y - Applicant attach to this form Two �erti- cates of Survey'of Lot and propoaed� bui,l �ing location drawn on thes Certificates.. �/a..t�-� � o � `fl . ` � k-�� _ , , : ; _ .� ' DBSCRIP�TION OF BUILDING � ' To be used as; . . � l . . .� . . Front ��.. D pth 3 �� ,. �Ieight � � .� Sq. Ft. �� Cu. F�.. . . - l._ ' � �' � � , , ;, ��''�"'�'"c.s Fr�+�nt �d Depth ��_HeightL� ' i Sq. Ft. � �� C�. Ft. Type of Construction � Estimated�' Cost �%�OD� � :� To be compl - �� l� � The undersigned hereby.makes appl,ication far a permit for the work herein speciffed, $greeing to'do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Baildings, and he�reby � declares that all. the facts and representationa stated in this application are true and cor�cecz. DATE !l�/ ` SiGNATU (Schedule of Fee Costs can be fouad on the.Reverse.Side). . �� - �* � �� ,� � �� C� , � � �� .� �", r� U 'j� _ �,' �--�� ' �� r��= . n U ; . - ,. _ :_. , .�,� , � ., Application �or Power Plants and Heating. Cooling. Ven#ildtion. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 $ Replacement of Furnace ............................. 6.pp � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 3.00 $ MECH. WARM AIR � Furnace SheII & Duct Work to 120,000 BT(T . . . . . . . . . . . . $10.00 $ each add. 60,000 BTU . . . .......... ..... .. .. . 3.00 $ Replacement of Furnace . . . . .. .. . .. . . . .. . . . .. .. . . ... . 6.00 $ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. E.DR Steam ......$10.00 $ Furnace Shell & Line—to 640 sq, ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $ OIL BURFER—to 3 gal, per hour . . : . . . . . . . . . . 6.00 $ over 3 gal. per hour--See Fee Schedule GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . b.00 $ � over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TO�'AL lst 3 Fixtures ...................... x$ 2.00 $ '� Additional Fixtures . ............... x .75 $ Gas Range to 199,000 . . . . . . . . . x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SY$TEM ALTERATIONS & REPAIRS ROUGH FINAL � See Fee Schedule � TOTAL FEE $� Dept. of Bldqs. Phone 560-3450 � �� City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance, and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. J / �idley, Minn. ��c��S,� / � � 1 g ��'•�-' Owner Kind of Building �717��/� Used as To be completed about —�,G[L� Estimated Cost, $ �� `� � 3�J� Permit No. �`��%` Old�uilding Permit Na — DESCRIPTION OF WORK HEATING or PO� R PI.ANTS�team, Hot Water, arm Air o. � Trade Name ��G�•'� a�lG�� Size No �+ C�1�� ., � Capacity—, ��- � Sq. F't. E.D.R y� BT[J H.P, Total Connected Load �% 7,�'/ Kind of Fuet BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R BTU H,p. (REMARK OV � �az RAY N. WELTER HEATING C� Signe,—+4v3�'�G �f I E;�46� AV �. B,, .�iwa�o��s �. MlNNE��fi� Business Phane No- �1�� ,�� N � �y K •F � � Z � 3 c'� � Base ist 2nd 3rd City of Fridley Application for Plumbing ctnd Gas Fitting Pennit Dept. of Bldgs. Phone 560-3 DESCRIPTION OF WORK Number, Kind and Lxaiion of Fixtures ��I � I Z I3�Ip O � 4th L_ i � I � � • Fulurs Conaectfon Opeaings * New Fixtuze, Old Openings N (9 K 3 pC Z=� W W Z O o t� �<� 3�°i � aS � O PARTIAL RATE SCHEDULE WATER HTR. � � f N GAS ELEC. $ewer � Cesspool j� PLIIMSING FI%TURE RATE3: NO. RATE TOTAL Number Fixtures . . . . . . . . . . . . . . . . . . . . . . �— x $2.00 $� Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x$1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTtT) . . . . . . � x $3.00 . $� New Ground Run Old Bldg . . . . . . . . . . . . . x $325 $ Electric Water H�ter a$2.00 S GAS FITTING FEEB: NO. RATE TOTAL lst 3 Fixtures ..........................� x 32.00 $�� Additional Fixtures .................... x $ .75 � Gas Range to 199,000 BTLT .............. x$5.00 � REPAIRS & ALTERATIONS—Refer io Cods Description ................................................$ TOTa4L FEE City of Fridley: '/ The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application re true and correct. Fridley, Minn , 19—/ Owner Kind of Building Used as To be completed about — Estimated Cost, $ Old—New. Building Permit No. - 1 � � � Permit No. ��G� � ROUGH ��I �� FINAL az Signe By Business Phune No. • r1, � � City of Fridley, Minn. BUILDING PERMIT Date: __10/4/67 ___._..._._.___.____._._.___.._._....._� Na 9�88 �3��1� Homedale Blders .. Builder _.._...A:._B.�.�.._.�a..�.�.�g.__�s�.._..._.._._.._.__._._ Owner: _.._......._._.__..�..._.._.._._�__._.___._..._. _.�.._.._..._._ 5216 Wayzata Blvd „ Ad�s _ 1308_Main_St.._.N._,E.__.____,�, Address...__._._...._._.._...___.._._..._...._.�.._.._.___...___.._...._.._..._. LOCATION OF BUILDING No. ._.._75_96....._.._. Street ._.._..._..__.�a��s_.QASt......_._.._.-----------...----.----....._._. Part of Lot .__ Lot _..._.._.._...__._.._..._ Block ._.._.----_....____._.----•._.__._. Addition or Sub-Division ....._..._.._..._.._.__ Corner Lot _..._...__...__.._ Inside Lot ....._ ..................----.-----. Setback ..__._..._...._.._.__.._._ Sideyard Sewer Elevation Foundation IIevation To be v�a �: DESCRIPTION OF BUILDING Front _.__.._.__..._. Depth .___.._.�__...._._......._.._....._. Frqnt _.___.__._ Depth ____._ Tyne of Constructiott _._Asphalt Drive �� C� Height Height $157. sq. �. _____ cu. �. Sq. Ft. ____.�.._. Cu. F� To be Completed _..�..._.._.._.�. In consideration of the issuance to me of a permit to construct the building described above, I agree to do " the proposed work in accordance with the description above s�t for� and in�ompliance wlth all pravisfons oP ordi�►ances of the dty of Fridley. �� In c�afdera.tion of the payment of a fee of �_. 5• �� _..__.., permit is hereby granted to_.._.._. A• B. C. � �. Blacktop .� _ to construct the building or addition as described above, Thia permit is granted upou the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding location, construction, altera.tion, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at a�y time upoz� violation of any of the provisions o� Ba�d ordinances. M �� . � ti � � • � .` Z'^�.�.'_'.,'� NOTICE: 'Ifiis p�rmit dws nof eowr flN eonMrueHon, tntlallNion fo� wir�y. plumbtn�, �u MNin�, s�w�r er wN�r. !� mn to sN fh� Buildiag Insp�cror fe� �rah p�rmils fw 16�a iMms. , APPLICATION FOR BUILDING PERMIT C.ITY OF FRIDLEY, MINNESOTA � OWNER' S NAME � � C- 1 A L �` �/GL� �J4 -� BUILD�'R �� . C - ,�Ll�. Gk7 (,t,t,P C�r (j _ ADDRESS S� /%- G� i� �'Lf4 j/4� f�v � l�.t�� AbDRESS�3 6� -�'1 �3 � rJ ST� rV� �� • . 7---- - � LOCATZON OF BUILDING NQ. ��q � STREET �/� C� K S 6 rV PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE-YARD SEWER ELEVATIQN TOP OF FOOTING Applicant attach to this form two certi£icates of survey of Iot and proposed building Iocation drawn on these two certificates. DESuRIPTION OF BUILDING To be Used as: - Front Depth � Height Sq. Ft. Cu. Ft. Front - Depth Height SS. Ft. Cu. Ft. _ Ty�e of Construction �'S �L ��,;� s'timated Cost �%` �'%. � 5� _ To Be Completed ��-y-� �( / �L � � �_ The undersigned hereby makes application for a permit for the wark herein specified, agreeing to do aIl work in strict accordance with the City of Fridley Qrdinances and ruling of the Department of Buildings, and hereby declares that all the faets and representations stated in this applicati�n are true and correct. DATE �� r// SIGNATURE�� ,� � . ` •�'^ � (Schedule of Fee Costs can be found on the Reverse Sicie). - . - :�. `; t; �. .- , HOUSE HEATING TEST RECORD ADDRESS �I-��~" ��'"C��''i��!//t � APT. F OOR CI BUR OCCUPANT OWNER HEAT LOSS DATE HTG. INST. GAS C0. METER B SOLD BY INSTALLED BY ''— - �� , ' -• Elechical Work By Gas Lfne By TYPE OF HEAT GA FA HW ' STEAM SPACE HTR. UNIT HTR. OTHER G DE �, CONVERSION MAKE �e�G�...-��.?�t� ��+' � MAKE OF BURNER Model �� L��.S�/�J�� -Z Mod•I Sxiol ��5�=-��""�/� "p Moz. BTU Rating INPUT ��`J��;7 MAKE OF FURNACE Mod•I ' CONTROLS /� /� THERMOSTAT �� Heat Plug V�nt Size b Valvs � � KIND OF LINER IZE�NONE Limit ��- � Droh Hood Regularor Limit Setting -Z-L"'� Fiiters Size Number Fan Setting �-��—"«--� Chimnsy LocatFon Inside 4-r'� Outside Pilot Type Chimney ConstrueTion Pilof Make - — — t y Pilot Model �"'�-�-9� Smoke Bomb ,/ Wiring 4�`` Pilof Timing �°�-tf Draft �/``--" Tsst Tap �� L.W. Cut Off �oor Pressure Liyh►in9 Inst. Prsssure --�• � _� y��jn� ��, �� .�� Dute 7ssted �°' '"" � loput CFH �� bfo3n"i�"'-�" ,��'-� �. i Company Testing t Staek Temp. �� Pereent CO � ��'� Name of Tester Form 235 �� , �. _ �, �%` y r 4} .- 1" .. . . � .K"- � � ��(/ �)� `'.��_l,. .I ,' ��::iX'. t� � L• �'�' �� p �� App�cafion I�or'ow�r MaiNs and H�g, Cooling, Yenh'latioe. R�rig�ra�ion aed Air Condifioning S�s aid Devic�s PARTIAL RATE SCHEDULE dAAY*TY WARM AIR: �� •r��, lLrnace 3hell & Duct Work . . . . . . . . . . . . . . . . a10.00 = Replacement oi P1�rnace . . . . . . . . 6.00 i Repairs & Alterations—up to ;500.00 6.pp a---- -. __— Repairs d� Alterations each add. s500.00 . 3.p� ____- - MECH. WARit AIA l+iunace SheU dt Duct Worh to 190,000 BTU ........ .. 510.00 i— each add. Q0�000 BTIT ............. ... .... .. 3.W i RepLcement oi F1�rnace . . . . . . . . 6.00 � Rrpairs dc Alterations—up to �500.00 6.00 ; Repairs & Alterations each add. :500.00 g,pp = STEAbi or HOT N/ATER SYSTEM F�rnace Shell 3� Lines—to 400 sq. Lt. l:Dit Steam �IQ.pp �- -- �Lrnace Shell & Line--to 640 sq. ft. EDR Hot Water I0.00 a_. Each add. 200 sq. ft. �DR Steam �.(K► _..-- --_+- Each add. 320 sq. it. EDR Hot Water 3.00 i OIL SIIRNER-to 3 gal. per hour g,pp ; _ • over 3 gal. per hour—See Fee Schedule GAS BORIfER (up to 199.000 BTU) . 6.0� : over 199,000 B1't7 Se� FN scladul� GAS FIITING FEES: li0 RATE TOT1►L n.Dt. o� aw9.. rh�►. � �1 1 City oi �idley: The undersigned hereby makes appllcation ior a permft for the work hereir specified, agreeing to do all work in strlct accordance with the City Orditiance: and ruling of the Department of Buildings, and hereby declares that ail the facts and representations stated in this application are true and correct. � F`ridley, � lg _ Owner _�� (.1 _ - � �'� 1 Kind oi Building .�_ �-��. Uset� as ..---- _ __;�x � _ � - -- � /� � � To be completed about __._..__ � L 7 2- d � Estimated Cost, a-_----�� -,�C� `"_ Otd—New. Butiding Permit Na P�rmit No.�� nESCAIPTtOIf OF WOR1[ HEATING or POWEA PI,ADTZg�team, got Water� Warm Air—No Trade Name g� Na Capacity— gq, g�, E.D,A gTU Ap Ist 3�xtures . xE Z00 ; Total Connected Load �� pr �� Additional Ffaturea .. x •7b i BURNEit — 1Yade Naaie Gas Range to 190,000� .. = b Op 3iu No i i ua co�nrno�a � - 3 /f �- � / v �= �vad�' sQ. �. �.n.x sTV � PAlt HFJ►?II�G sTSTEM SN P»a��. v�ia►tu�a svs� �i C� ��' t��'�f � �� a ALrE�u►rio�s � nEr�uas ro�r�►�. ras � l �— � si� -,� „ ____�� `--�> ROU(3H �u.,�- 3- �s°. (SURCHARGE $ _.50) (RfMARKt-OYER) rE �� v GU . - ,?� �" � p �5�� SUBJECT P E . � City of Fridley 13453 ' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T REC r � ' L ___.�_ COMMUNITY DEVELOPMENT DIV. � r � PROTECTIVE INSPECTION SEC. � � � 1 . � 'l 1 /"'1 � CITY HALL FRIDLEY SS4$2 NUMBER REV. DATE PAGE OF APPROVED BY L""'�'� ,'� 612-580-3450 910-F15 4 13 76 � � 108 ADDRESS 7596 Jackson Street N.E. 1 LEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Violet Hanych 7596 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 6331 Riverview Terrace N.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP pHONE LICENSE NO. 6 USE OF BUIIDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS SEP ERATE PERMITS REQUIRED FOR W�R�NG, HEATING, PLUMBING AND SIGNS� ,l.. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 7YPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO VENTILATING OR AIR CONDITIONING. A�.U1CL. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAY5, 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 REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED �S`900. OO .�JO WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GFiANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRU ON OR THE PERFORMANCE OF STRUCTION. S6.00 C�./� 'V PLAN CHECK FEE TOTAL FEE � $6.50 � SIGNATUREOFCONiRACTO OR� UTHORIZEDAGENT 10n7E� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ' N l ��...YVV �i � �, SIGMATUREOFOWNERIIFOWNERBUILDERI � IDATEI BLDG iNSP DATE �PPLICATION FOR RESI�DEN'T'IAI,, �L�I'L'R1�'I'ION, OR AllDITION l3UII,DI;VCa PERI�IIT CITY OF FRIDLEY, I�IINNESOTA � OWNER' S NAME : _� ,,,_BUILDER • � � C l � � � �( /7� I� S T/ r�� ADDRESS :'TS%� C�� ST- ADDRESS ;�,3/�� ,/'�t h% NO:. /�95� STREET:_�`� ai� � LOT : � BLOCK t � ADDITION : � �� _ CORNER LOT: INSIDE LOT: v/ SETBACK: DEYARI�: Applicant attach to this foxm Tcao �ertificates of Survey of Lot and pxoposed building location clrawn oxz these Certificates.' DESCRIPTION OF BUILDTNG To Be U�ed A.s: � � I� - � /l°_.�/►'1 Front : Depth : - -- Aeight : Square Feet: Cubic Feet: Fxont: Depth: Height: Square Feet; Cubic Feet: Z`ype of C�nstruction; ��3� G�� "',i2u�^� Estimated Cost: $ /� � To P,e C�mp"te.ted. � �- (J �- : The undersigned herek,y ma.kes application fox a pe�^cnit for the work herein - speciiied, agreeing to do a�l.worlc in �t"rict accordance with the City of r's:idley Or �.inances and rulings of the Department of Builclings, an�i hexeby deciaxes �h�t a11 tY►e €acts and'representations stated in this application - are t:•ri>>� and correct. � ��/ %�`, Y �/ , �C,�% D�TE: / / '" SIGI3AT[JR.�: .G�'�� `" ��%� R � (See l:everse Side F�ox Additional Znformatzon.) (p. cr� . s� � ,: . SUBJECT . PE City of Fridley 215 2 t , AT THE TOP OF THE TW INS B U I L D I N G P E R M 1 T pT NO. f i t � • GOMMUNITY DEVELOPMENT DIV. r � v + � PROTECTIVE INSPECTION SEC. � � � � � /'�'1 � GITY HALL FRIDLE� 55432 NUMBER REV. � DATE PAGE OF APPROVED BV �----�: `.� b12-571-3450 9t0-F15 9/2/92 � � 108 ADDRESS '7596 Jackson Street NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1. 3 MelQdy Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADORESS ZIP PHONE Violet Hanych. 7596 Jackson Stxeet NE 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. Richard Hastings Cantr. 6331 Riverview Terr NE, Fridley 55432 574-9966 4051 4 ARCHITECT OR DESIGNER MAIL ADOHESS ZIP PHONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE O REMOVE 6 DESCRIBE WORK Reroo� House (19 Sc�uares) 2nd Layex� 9 CHANGE Of USE FROM TO STIPULATIONS Roofi.ng can be the 2nd layer but not the 3rd. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTii1CAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZONING SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OF 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 CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION �' STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED $j � OO �J $. SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G�VE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $27 � oo �i,re SC $l. Oi STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE �� 2. % Z_ License S:C $5,00 $33.51 SIGNATUREOFCON�RACTOAORAUTMOf71Z AGENT IDATEI WHEN PR ERL ALI ATED THIS IS VOUR PERMIT 'Z -3��, SiGNATUF7E OF O�NNEA UF O�NNER BU�IDEF�1 iDATE� "' BLOG w P� Oa7E NEW [ ) ADDN [ ] ALTER [ � Construction Address: Lega1 Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Appli�ation ?S9G ; �GKsbn� Sf � �. E Etfective 3! I l92 �wner Name & Address: (��a L�?`� ��t � Y c G� Tel. # Contractor: !� t�� a� p �,457� % N6 s 1vIN LICENSE # 600 � o S/ Address: 6 33 / R� v�R v; a� �'7'.�� . Tet. #�S' 7 y� 9 9G�� Attach to this appiication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scaie. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length 1�Vidth Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DfiCK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �6v 0�-r�-y �t� � g-�� 2 f Comer Lot [] Inside Lot O Ft. Y@ Setback Side Yard Setbacks Type of Construction: �� t� a o F Estimat�i Cost: $ %O� � Approx. Completion Date: /n�/ �9 Z �`� ,S'�, (Cost on Backj Driveway Curb Cut Width Nceded: Ft. + 6 Ft = Ft x$ _$ DATE: �` � 9 Z APPLICANT: �-�-��c��'�c-�� Tel. # S� f� -�'l6 Pernut Fee $ � `� n � Fire Surcharge $ /, D � State Surcharge $ „ � SG� SAC Charge $ License Surcharge $ J � O � Driveway Escrow $ Park Fee $ Sewer Main Charge $ �. S � TOTAL $ STIPULATIONS: �� Fee Schedule on Reverse Side .001 of Permit Valuation (1 / lOth `�) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] "�" r ^ /" sue�ecT PER . , City of Fridley 2 8 � 6 AT THE TOP OF TME TWINS g � I L D I N G P E R�II i T � �.572-3604 RECEIPT NO. � ; y___�� COMMUNITY DEVELOPMENT DIV. �� / (7 r � � PFiOTECTIVE INSPECTION SEC. �) (% 1 � � , � �"'1 � CITY HAII FRIOLE� SS�3Z NUMBEF REV DATE PAGE OF APPROVED BY �.__.Jl.• •,� 612-571-3450 910-F15 � � 12 16 98 �oe nooaess 7596 Jackson Str t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACMED DESCR. 1 3 Mel SNEET 2 PiiOPERTY OWNER MAIL AODRESS 21P PMONE Violet Han ch 3 CON7RACTOR MAIL ADDRESS ZIP PHONE IICENSE NO Cit ide Home Im rov.In - a ARCHITECT OR DESIGNER MAIL AODR�SS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDFESS 21P PHONE UCENSE NO 6 USE OF BUILDING ' Residential 7 CIASS OF WORK � REPAIR O MOYE O REMOVE ❑ NEW ❑ ADDITION ❑ ALTERATION 8 DESCRIBE WORK Reroof house and garage (20 Sq) Tear-off 9 CHANGE OF USE FFiOM TO STIPULATIONS Underlayment must comply with the State Building Code. ?YP OfCONST. OCCUPANCVGROUP OCCUPANCV�OAO SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAI, PLUMBING, HEATIN(3, VENTILATING OR AIR CONDITIONING. � '� � THIS PEFMIT BECOMES NULI AND VOIO IF WORK Oii CONSTRUCTIO�I 20NING SO. fT CU FT. AUTHORIZED IS NOT COMMENCED WITMIN 60 DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED fOFi A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UN17S OfFSTREET PARKING I HEREBY CERTIFV THAT I HAVE FEAO ANO EXAMINEO THIS APPIICATION STA��S GAfiAGES AND KNOW TME SAME TO BE TRUE AND COiiRECT ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING TMIS TVPE OF WORK WILL BE COMPLIEp WITH WHETHEfi SPECIFIEO MEREIN Ofi NOT TNE GRANTING Of A PERM17 1]],L{ .H6 DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT fEE SAC CNARGE PROVISIOMS OF ANY OTHEA S7A7E OR LOCAL LAW REGULATING CON• STRUCTION OR TME PERFOFMANCE Of CONSTRUCTION S6. %S F�i S 1.%1 PLAN CHECK FEE TOT L EE S�GNATUAE OF CON'PACTOQ OQ 4UT�OA�IEO �GEH� io�*E� N P P A�IOA HIS IS OUii PER IT � �`s� ��"- 9� -- S�GN4TUQE O� OWNEQ �� OWHEQ Bu0.DEQ� �O�TEi . � B� �NSp ' � �1��E ��w .. ADDN ALTER [] [l [l CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: . Owner Name & Address: ' * Contractor: Address: � ��, �'�j '�J� �, LIVING AREA: GARAGE AREA: DECK AREA: OTHER: ►�� Effective 1/1/98 ��Q� '�j �� j� � Tel. # ��`� "/3�,b MN LICENSE # � f� �/J � S�L%l � Tel. # �� `2 "l � Attach to this applica"tion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Widtii Height Length Width Height Length Width Hgt/Ground _ Sq. Ft. Sq. Ft. Sq. Ft. � � �- �/��'�� Canstruction Type: stima d Cost: $_� ' (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft =' Ft x$ _$ DATE: � "t 0 APPLICANT: � Tel. # / CITY U$E ONLY Permit Fee $��. �� Fee Schedule on Reverse Side Fire Surcharge $ ,. � .001 of Permit Valuation (1/lOth%) State Surcharge $ r G $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ .�a $5.00 (State Licensed Residential Contractors) 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 [] 32- TOTAL $ ' STIPULATIONS: - ' �- SuB�ECT �. � City of Fridley � AT TNE TOP OF THE TWINS g U I L D 1 N G P E R � . � � � ; v __�__ COMMUNITY DEVELOPMENT DIV. r � � Pq07ECTIVE INSPECTION SEC. � . `---'��"' �'� CITY MAII FRiOLE� SS�32 NUMBER L 612--571-3450 9t0-Ft5 J08 ADORESS 7596 Jackson Street NE t LEGAI LOT NO. BLOCK TFiACT OR ADDITION oesca. 1 3 Melody Mano 2 PROPERTY OWNER MAIL A,QOR�S$ Hanych 7596 Jackson Street NE 3 CONTRACTOR MAIL ADDRESS Citywide Home Improvement 1005 West Br � ARCHITECT OR DESlGNEA MAtL AOORESS 5 ENGINEER MAIL ADDRESS 6 USE OF BUIIDING Residential 7 CLASS OF WORK O NEW 8 DESCRIBE WORK Reside House 9 CHANGE OF USE fROM STIPULATIONS nEV O�TE 3/31/99 4th Addition ls. ZIP ❑ ADDITtON ❑ A4TERATION � REPAIR TO Call for building wrap inspection before covering. ��= 2 912 0 RECEIPT NO. / PAGE Of AvvqOVED 8� � � SEE ATTACMED SNEET PHONE PHONE LICENSE NO 1 3013 LICENSE N0. tICENSE NO O MOVE O REMOVE Permit lnspection Cards Wil! Be Mailed '�o Homeowner To Post SEPARATE PERMITS ARE REQUIRED FOR ELECTiiICAI, PLUMBING, MEATING, ""c v. IiV�J� yVVrV�I��V VENTI�ATING OR AIR CONOI710NING THIS PERMIT BECOMES NULL ANO VOID If WORK OR GONSTpUCTIQN ZONING SO. fT AUTMORIZED IS MOT COMMENCED W17HIN 60 DAYS. OR li CONSTRUCTIpN OR WORK IS SUSPENOEO OR ABANOONEO fOR A PER100 Of 120 DAYS A7 ANY 71ME AFTER WORK IS COMMENCED. NO DWIG. UNI7S I MEREBY CERTIfY THAT I HAVE READ ANO �XAMIN�O TMIS APPUCA710N 1 STA�LS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIQNS Of UWS yALUATION AND ORDINANCES GOVERNING LHIS TVPE OF WpRK WI�L QE COMPI,IEO /�, � OOO WITH WHETHER SPECIFIED MERE�N OR NOT. TME GRANTtNG OF A PERMIT � DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEI THE pEi7M1T FEE PROVISIONS OF 4NY OTHER STATE OR LOCAL lAW REGUTATING coN- �174.SO IF. STRUCTION OR TNE PERfORMANCE Of CONSTFUCTION PLAN CNECK FEE Lice C $5. S�GNATURE O� CON'RA(;TOQ OA AUTHORi1ED �GENT �o�tE� . EN P OP IO -- S�GNeTUAE O� OWaEQ �� OwNEa Bu�tDEp� �O�iEi � � � �,g� ir�Sv � � � ROUP occuPaNCrtoao CU fT pFfSTREET PARKING IGARAGES SURTAX �2.0� SAC CMARGE Fire 4.00 TOTAI F $ .50 �� r�a tE NEW ADDN ALTER [l [l Ll Effective 1/1/98 CITY OF FRIDLEY SINGLE F�NiILY= ANI3`-`��i;E�ES R-� AND R�� '' BUILDING PERMIT APPLICATION � �, ��U�� ,; � I" `j,� I k .�r � ' . ' � ' \� � l/ ConstructionAddress: � � � � (o � •}i,� . . , ,. � ; Legal Deseription: _ �� . �; C3wner Name & Address: ' Te1. # � Contractor. N LICENSE # �pl3 Address: 1 C9�� LV ,'��t, �r„ � Tel. #.�„2� r�2-�$ q Attach to this application, a Certifi.cate of Sur�y of the lot, with the proposed construction c�rawn on it to scale. DESCRIPTION OF IMPROVEMENT , . , . _ _ LIVING AREA: Length Width Height Sq. Ft. G�ARAGE AREA: Length Width Height Sq. Ft. _. DECK AREA: Length Width �Igt/Ground Sq. Ft. ` OTHER: � t� . �,�y, Construction Type: Estimated Cost: $ j �-Y.�J . � . . . ,,. , ._ . (Fee Sch,edule on Back) .: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ � =$ DATE: �'�� I APPLICANT: � Tel. # CITY USE ONLY �� 'd � Permit Fee $ 1%y Fee Schedule on Reverse Side � Fire Surcharge $ g 4� .001 of Permit Valuation (1/lOth%) State Surcharge $_ �, d b $.50/$1,000 Valu�tion _ SAC Charge $ $1000 per SAC Unit License Sutcharge $�; 23 p $5.00 (State �,icensed Residential Contractors) Driveway Escrow $ Alt. "A" ;or Alt. t"B" Above Erosion Control $ $450.00 Conservation P1an Review Park Fee $ Fee betermined b j�' E#��ineeting , , _ Sewer Main Charge $ Agreement Necessary [] Not Necessary [] �. 9'. . . . . .... �� . . . .. . � . .. ... . ' .�._ � .. �' .� .... . . ' �. .. . .. . ' �p �� _ . . . TOTAL $ 0 S STIPULATIONS: .