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AF - 47525• � u City of Fridley, Minn. BUILDING PERMIT Date: _._... '�E 27, 1966 Ovvuer: _ _ Builder Adaress ...._.._...�.._.....�. Address HOMEDALE BUTLDERS � �� N° 8902 7000 HUNIBOLDT AVET�UE NORTH MIRNEAPOLIS, MIPNESOTA LOCATION OF BUILDING No. __�7618.�� s�t �..JACKSON STREET ft.E. . Part o! Lot Lot ...._._6 .__.,....__ Block __?._.._�__..—. Additiari or Sub-Diviei� ...._..MELODY MANOR. 4TH ADDITION Corner Lot ____.___� InsiSe Lot _._. X ._....___. Sztback ._._. �5 �_._.___.._ Sideyard __ 1.� �.__ .� Sewer Flewatiaai __________ ._._.._.. _..___�. Foundatio� IIevation DESCRIPTION OF BUI4DING To be Used as: DWELLING __� �t 40 �p� 24/30 Height ..?�._.. • Sq. F`t. ,1, 032 �, �,20�640 � DET. «GARAGE ._._ F�ont ?� _�_ Depth 24..._..._ T-Teight ....10 ._ Sq. F� ._._ �� Cu. F� 4, $00 1�pe of Construction ___._� __._....__.. Es� Cost �20 000.._...._......_....� To be Completed _..�. In co�sideration of the issuance to me of a permit to the building described above I agree to do th� proposed work in accrordance wlth the d�scriptian abov set and comp wlth a'11 Pro!visions ot cudinances of the dty o! Fridley. In co�sideratioa► o! the paymet►t of a fee oi � 26 . 00_._..__., pertnit is hereby granted to HONjEDALE BULLDERS�_. INC • to co�struct the building or addition as descrlbed above. Thispe rmit is grauted up� the express conditi� that the _ to whom it ia granted and his agents, employees and: workmen, fn all wark done in, around and upon sat building, or anyp� thereof, shall conforra in all respects to the ordit►ance� ot Fridley, Minnesota regarding lacattan, constructfa�, alteration, maintenance, reP� ��►S of buil . withiu the dty limits and tids permit may be revoked at any ti�ne upon violation of any of the P�� an�dinanc�ea. �'LAREDTCE BELISLE 8�� . NOTICE: 'Ihb p�rmN doa not aewr fiw eomteoelion, IeMdltlieA � vririnY. P�Y. Y�s hNNn�, wwK or waNr. M wN fo sN fh� dvildinY �e�pMor h► s�Pnalr P�nWs fer f6a� 11��. n / � ' APPZ.2CA'1'��. :�i� :BUILDING ; PERMIT , } ,;.; _.. . C�T� :Oi� �`l�.BY� MINNESOTA OWNLR'S NAME BU�iDER ADDRESS �:�ADDRESS � � ` LOCATION OF BOILDIIaG . N0, � � I PART OF LOT LOT,� BLIDCK �_,., Ai��ITION OR SUBDIVISION ' �.,�j GORNER LOT iNSfDE LOT �'� SETBACR �'� SIDE-YARD ��"/ C� SEWER E�,EVATION�� . FaUNDATION ELBDATIQN : Applicant attach to this form Two Certificatea of Survey of Lot and proposed building location drawn on these Certificates.. , � , .DBSCRIPTION OF BUiLDING To be used as; � Front �� Dept . Height y� , ...`..��1,=,'— ' , � 5q. Ft. • �� Cu. Ft. �--d �U � �� ront � 4 Depth , z� Height �0 � , Sq. Ft. i�c�C� Cu. Ft.. (j d Type of Construc'ti To be compl � Estimated� .Cost �' �� ca ct The undersigned hereby makea applic$tion for a permit for,the work herein specified, agreeing to do all work fn strict accordance with the City of Fridley Ordinances and rulings of ehe Depar.tment of Buildings., and hereby declares that al! the facts and representationa stated in this agplfcation are true and correct. DATE � '' y/ `' �,� (Schedule of Fee Costs can be found on the'Reverse S3de). � � �� +� � • � �E�� . - ,. ;%��$ ��`�i - � � ft��E��Eo � 12 �g66 --� R�G � ; , � .�� . � .:C � / �ior Power Plants and Heal�ing. Cooling. Yentilation, Refrigeratioh and Air Conditioning Systems and Devices AL RATE SCHEDULE Work........................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . �u►� Torrii. 8.00 � 5.00 � 5.00 $ . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 1�0,000 BTU . . . . . . . . . . . . each add. 60,000 BT[J .......... ... ....... .. . Replacement of Furnace ...................,......... Repairs & Alt,erations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 8.00 $ ✓ 2.00 � 5.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WA1'ER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Sheli & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ �� GAS FITTING FEES: NO RATE TOTAL lst 3 Fixtures ......... x$1.5d $ L� Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SY3TEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedula TOTAL FEE a � J'`a �.-1� Dept. of Bldgs. Phone 560-3450 .�han ?� l��'�I�-��' ��- � , City of Fridiey: `� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn �� / , 19 �� r Owner -�-�h- Kind of Building � Used as ��'�-��-�-�.,,� To be completed about l cl'� Estimated Cost, $ d \ Old New. �uilding Permit No. --�5� Permit No� �� DESCRIPTION OF WORK ii�ATING or PO PLAN75—Ste Hot Wa r, Warm No. � Trade NamP ��-Q!�-��(... �5�-�-Cr� Size No. ��I �o Capacity Sq. Ft. E.D.R�� BTLT H.P. Total Connected Load !��Q 7 Kind oi E��e -%' �'- "% BURNER — Trade Name Size No. Capacity 5q. Ft. E.D.R BTU g,p, (REMARKS—OVER) . ��42 RAY N. WELTER HEATING CO. Signe� `� �'� r'- 4-+ I CA G CI 4 V E, By MIWNFAPOLIB 7. MIN Q ,�A�� Business Phone No- ��r�� a '% \ �. 53-�-9915051 Application fo� Powar Plants dnd Heating. Coofing, Yentilntion. Refrigerration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL � Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . 8.00 $ Replacement of Furnace ............................. 5.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,0�0 BTU . . . . . . . . . . , . each add. 60,000 BTU ............>.......... Replacement of Flunace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . ... .. . .. . . 8.00 $ 2.00 � 5.00 $ 5.00 $ 2.50 $ STEAM or iIOT WATER $YSTEM Furnace Shell & Lines—to 400 sq. it. EDR. Steam ...... 8.00 $ Furnace Shell & Lin�-to 640 sq. ft. EDR iIot Water ... 8.00 $ Each add. 200 sq. it. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURPiER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . : . . . . . . . . . . . . . . . 5.00 $ 00 GAS FITTING FEES: ist 3 Fixtures ...................... Additional Fixtures ................. Gas Range to 200,000 BTU . . . . . . . . . . . AIA CONDITIONINd FAN HEATING 3YSTEM VENTILATING SYSTEM ALTERATIONS 8c REPAIRS ROUC3H FINAL NO RATE TOTpiL _ x $1.50 $ 1_�0 _ x .50 $ _ x 2.00 $ See Fee Schedule TOTAL FEE � Depi. of Bldgs. Phone $U 4-7470 Location 7618 Jackson NE City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to da all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. 3-12 —7 6 , 19 — C?wner Vernon Buchli Kind of Building f rame Used as res, To be completed about 3-19-76 Estimated Cost, $ 10.00 Xffild—�4�k. Building Permit No. Pesmit No. �� _� DESCRIPTION OF WORK HEATING or POWEft PI.ANTS—,Steam, Hot Water, Warm Air—No. Trade 1Name T�mpCO Firepl�CG Size No. FP 2�3 � Capacity 2� � �00 Sq. Ft. E.D.R. BTII H.P. Total Connected Load Kind of �et �35 BURNER — Trade Name Temnco Size No. Capacity Sq. Ft. E.D.R BTI7 H.P. $ 6. 50 $ C9ass "q„ Surc:har�,E .5G¢ 7, .00 (REMARKS-OVER) �<z sM Signe By . Business Phone No HOUSE HEATING TEST RECORD - ADDRESS �(�18 NF+,' �_�qC�-q.C1T] �'I� � APT. FLOOR OCCUPANT Vern�n Bucbli owNeR CITY SUBURB Fridla y HEAT LO55 DATE HTG. INST. � SOLD BY �1rineBaS�'m INSTALLED BY ��-� Elsetrieal Work By Gas Line By " TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER Fire�]a ce GAS DESIGN CON V E RSION MAKE TemcA MAKE OF BURNER Model w ` Model Serial � — S� Max. BTU Rating (NPUT 3�M MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plug Vent Size � µ Vclve � -KIND OF LINER �'� SIZE�NONE LimiT Droft Hood Rsgulator Limit Sstfing Filters Size ui � Fan Setting Chimney Loeation InssdeA. Outside Pilot Type , Chimney Construction �l Pilot Make Pilot Model � Smoke Bomb Wiring Pilot Timing � Draft Test Tag L.W. Cut Off Door Pressure Lighting Inst. Prossure ��5 Percent CO2 Date Teated �� r input CFH ��-�d� Percent 02 Company Testing Staek Temp. Percent CO Name of Tester �� Form 235 sue�ecT P . City of Fridley 1985� 1 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T -" r ; � RECEIPT NO. � ; L _ COMMUNITY DEVELOPMENT DIV. r � • � PROTECTIVE INSPECTION SEC. 3�/33 I � `---- �;��,,� CITY HALL FHIDLE� 55432 NUMBER REV. DATE - PAGE OF APPROVEU BV s� �� 612-571-3450 910-F15 4/25/89 � � JOB ADDRESS �618 Jackson Street N.E. 1 LEGAL �OT NO. BLOCK TRACT OR ADDIT�ON DESCR. 6 2 Melody Manor 4th Addition SHEETTACHED 2 PFiOPERTY OWNER MAtL ADDRESS ZIP PHONE Vernon Buchli 7618 Jackson Street N.E. 784-4515 3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO. D& D Home Improvement Inc. 7401 Central Avenue N.E. 784-7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 8 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PEiiMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OFi CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ 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 WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT $2 � 9�� $1.45 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI. LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $S4.00 PLAN CHECKfEE TOTA�FEE $55. 45 . SIGNATUREOFCON'RACTORORAUTHORIZEDAGENT iD.4TEi yyH� ROPER�Y ALIDATED THI$ IS YOUR PERMIT ✓ SiGNATURE OF OWNERUF OWNER BU�LDEFi IDATE� BIOG WSP ppT 4 1�+1 [� City of Fridley EEfective 5/L88 �fI�N [ l R-1 AND R-2 ALZER � Building Permit Appl ication t- ; �nstruction Address: �� -l�-Sd� � 1�'' /f1�% '°...�%� Legal Description: � Owr�er Na�ne & A�ddress :�� " n o� Q�t C.h � I Tel. � - 5/� �ritractor: � �-n �d�YI��Z"�i�lY�l/2�I7+��'i �1`- �C� Tel. # %8�- 7S�f.�' Address : %�D � �,p�i � � >t-1.�,P� I%�� Attach to this appl ication, a Certif icate � Sluvey of the lat, with the proposoed vonstruction drawn on it to scale. L1ESQtIPPIGY�i C1F' IM�'ROVEi�TP LIVil� AREA: Length Width Height �. Ft. c�RAGE ARE'A: Length Width Height St�. I�t. nEQt �: Length width Hgt/Gro�na St�. Ft. .�:. Gbrner Lot [] Inside Lat pQ Ft. Yd Setback Side Yard Setbacks 7j�pe of Constructicn: I�e 5i c� r� �euSe �hcl a�j�'��e F�timated Cost: 8 �: %��o� Approx. c7wnple�tion Da�e: � �c -- 3o--�q Alt. A Alt. B Prop�sed Driva�ray wic�h If New Opening Is Desired: S S Width + 6' See Back Page .. �' . v. � � � �I' I/� Permit F1ee State Surcharge SAC Charge Driveway Escraw Park F�ee Sewer !lai.n Charge TO�L 31."tYOL�I�1.S: CLTY OS73 C�Y Tel. # ��— 75��' ��.` S .�' �� I��ee Schedule on R�verse Side S__ / '��,�' � S.50/S1,000 Valuation � 5550 per SAC Unit $ Aa.t �l' or Alt. '�' Abave $ P�e Determired by Ehgineering $ Agreeaent Neoessary [ ] Nvt Neaessary [ ] � �_� � � .. - . � � sue�ecT PER . City of Fridley 20291 ATTHETOPOFTHETWINS gUILDING PERMIT f ; � RECEI O. � i L__..� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 3 5�0� 1 � , � � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. OATE PAGE OF APPROVED BY �.---�; ,.� 612-571-3450 910-F15 4/10/�0 � � JOB ADDRESS '7618 Jackson Street N. E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED �esca. (, 2 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Vernon B.uchli 76.18 Jackson Street N�E� 784^4515 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D& D Home Improvement Tnc. 7401 Central Avenue N.E, 0 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE IICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof oSrer 1 Layer (�22 S�uares�� 9 CHANGEQFUSEfROM TO STIPULATIONS SEPARATE PERMITS AfiE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TVPE OF CONST. OCCUPANCY GROUP OCCIlPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE FiEAD AND EXAMINED THIS APPLICATION 1 STALLS GAFAGES 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 $1r1OO yS,SS WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEI THE PERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2'] � OO STRUC O OR THE PERfOFMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE � $27.55 SIGNATUAE OF CON'RACTOR OR AUTHOAIZED AGENT IDATEI . W10EN PROPERLY V ATED THI IS YOUR PERMI7 � � SIGNATUREOfOWNERiIFOWNERBUILDERi IDATEI �BIDG �NSP aTE E� a `� i �- � � � 1 � ) CITY OF FRIDLEY R-1 AND R-2 Huild.ing PeYmit Application Oo�nst,zuctiaci Address: � /�� .�i�%�Sc %Z� � f - �'�� Effeckive 1/1/90 7�ega1 D�saiptio�: o� rr� & �a�are.�: 1�t��aiv' ;Br�c%/' �t. � �7g1- s— oontYactor: - 9�-� D/�'1 �� ^ Te1. # 78�� 7S'S<3 Aaa�: `7��/ �'G/r1`T"/c�� /'� - �� Attach to thi.s application, a Certificate of S�vey of the lot, with the prq�osed oonstnicti� drawn an it to scale. �CRIPTI�T �' LIVII�; 11�: L�2TK�'th Wldt1'1 H21GJtlt SQ. Ft. C� �: Length Width Height Sq. Ft. D�C Al�: Length Width Hqt/Grc�und Sq. Ft. d1i�R: Corner Lot (] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks zype of cbnstxvction: �P �Pf�97� e�� 1 G44�,e Estimated cost: �$ I l GL� Approx. C7onq�letion Date: �-/��o qp �j �� Proposed Driveway Width If New Is Desir+ed: Ft. $ $ � Width + 6' See BacJc Page L1ATE: `O �i APPLICANT: � Te1. # Aermit Fee S o�-'7, DD State Surrharge $ .S;g-°'' SAC Ct�arge $ Driveway �scrow $ Park Fee $ Sewer Mair� Charge $ • v� S'!'IP[JIA'TI�1S: $ �%. �S- CITY DSE �II,Y Fee Sc�edule on Reverse Side S.SO/Sl,000 valuation $E00 Der SAC Unit Alt. "A" or Alt. "B" Above Fee Determined bY F�gi.r�eruxJ Agree,�nent N�s.sazy [ ] I�To�t Neoessary [ ] , . � sue�ecT MI NO. City of Fridley 2629 2 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T � � NO. � � � • COMMUNITY OEVELOPMENT OIV. � � ;V ��' r � � PROTECTIVE INSPECTION SEC. � . � � 1 � �'�'1 � CITY�HALL FRIDLE� 55�32 NUMBER REV DATE PAGE OF APPqOVEO BY �'""'�' �'J 612-571-3450 9t0-Ft5 6l19/98 � � JOB ADDRESS 7618 Jackson Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO DESCR. 6 2 Melody Manor 4th Addition SHEET 2 PqOPERTY OWNEFi MAIL AODRESS ZIP PFIONE 3 CONTRACTOR MAII AODRESS Z!P PHONE IICET{SE NO. Eagleview Construction Inc 2937 174 Lane NW, Andover, MN 55304 753-5469 e ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PMONE IICENSE NO. 20076043 5 ENGINEER MAIL ADDRESS ZIP PNONE LICENSE NO. 6 USE OF BUILDING Residenital 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reroof House & Gara e(26 S) Tear-off 9 CHANGE OF USE FROM TO STIPUTATIONS Underlayment must comply with the State Building Code, SEPARATE PERMITS ARE REQUIRE� FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NUII AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTqEET PARKING I HEREBY CERTIFV THAT I HAYE READ ANQ EXAMINEO THIS APPLICATION 1 $TALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUpTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN Oi; NOT. THE GRANTING Of A PERMIT �2 � 168 � 1. O$ DOES NOT PRESUME TO GIVE AUTHOHITV TO VIOLATE OR CANCEL THE pEqMIT FEE SAC CHAFGE PROVISIONS OF ANY OTHER STATE OR IOGAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �74.75 Fire SC �L.16 - PLAN CMECKFEE TpT LFEE • �- � i 't� License $5. $82.99 �GNATUREOFCON�AACTOAORAUTMOA�2EDAGEN� f0ATE1 N R P VALI T THIS IS YOUR PERMIT � y r S�GNATUREO�OWNER�iFOWNEABUILDEA� IOATEI rg� iNSD qtiTE NEW ADDN ALTER [J [l [� CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �� l g .�a.e�s� �. Legal Description: . Owner Name & Address�� Contractor: - Effective 1/1/98 �a� � � � 3�� %� �� Tel. # 9�' �� MN LICENSE # Address: i`�g % f i�%r' (�4�.0 Tel. # '%.S3 —�`lLs 9 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 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �� 1�� ,.� ��rL- Z�o S� %�M- � Construction Type: �2.�a-� Is�.n-q(� Estunated Cost: $��'' ,�C�/n �� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ , DATE: � t� $� APPLICANT: Tel. #`�� r�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ � �_ $ � l� $ �� $ $ 5.�. ��c� $ $ $ $ � ��r � CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1000 per SAC Unit $5�.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _. . sue�etr -P City of Fridley 27935 AT THE TOP OF TNE TWINS B U� L D I N G P E R M� T f 1 1 � L ' � • COMMUNITV OEVEIOPMENT OIV. � j 4 �"�� , r � � PROTECTIVE INSPECTION SEC. �j�� / i . , �(i � `_•--�; �'-' �'� CITV FIALL FRIDIE� 55�32 NUMBEf� REV O�TE PAGE O� •PVpOVEO Br i 612--571-3450 9t0-F15 9/23/98 � � J08 AODRESS 7618 Jackson S t LEGAL �OT NO. BLOCK TfiACT OR ADOITION SEE ATTACNED oesca. 6 2 Mel SFIEET 2 PROPER7Y OWNER MAIL ADDRESS 21P PMONE Vernon Buchli 784-4515 3 CON7AACTOR MAIL ADORESS ZIP PHONE LICENSE NO D& D Home Improvement 11773 Magnolia St NW Coon Ra ids 55448 757-7780 4840 � ARCHITECT OR DEStGNER MAII ADDFESS ZtP PHONE LICENSE NO. 5 ENGINEEN MAtI AODRESS ZIV PMpNE LICENSE NO B USE OF 6UILOING Residential 7 CIASS OF WORK O NEW ❑ ADDITION � ALTERATION � REPAIR O MOVE O REMOVE 8 OESCRIBE WORK Reside 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE RE�UIRED FOR EIECTRICAL. PIUMBING, MEATING. VENTI�ATING OR AIR CONOITIONING THIS PEFMIT BECOMES NULL AND VOIO IF WONK Oii CONSTRUCTION ZpNING SQ. fT CU FT. AUTHOR12E0 IS NOT COMMENCEO NJITMIN 60 OAYS. Oii IF CONSTRUCTION OR WORK !S SUSPENDEO OA ABANDONED FOA A PERI00 OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OfFSTREET PARKtNG 1 MEREBY CER7IFV THA7 1 HAVE i:EAO ANO EXAMINEO TMIS APPLICA7lON STA�LS GARAGES AND KNOW THE SAME TO BE TFiUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING 7MIS TVPE OF WORK WI�� BE COMP�IED �SOO.00 �. SO WITH WHETHER SPECIFIEO HEpEIN Ofi N07. TME GRAN7fNG OF A PERMf7 DOES NOT PFESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL TME pEqMIT fEE SAC CNARGE PROVI NS f ANV OTNER STATE OR LOCA� lAW REGUTATING GON• $21.00 F1Y' SC �.SO STR TION THE PERfp ANCE OF CONSTRUCTION � PLAN CMECK fEE TOTAI f Licens $5.00 $27.00 S�GN4IUQE OF CON" ,TOp OA �UTNOAiZEO �GENT iD�tE� N PR EQl IDATE �S IS /� / � SiGNGTUFE O� OWNEQi�c OWNEpBU�LDER� �•TE� o�. r�iTE �• ce NEW [ ] Effective 1 / 1 /98 ADDN [ ] CITY OF FRIDLEY � ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � BUILDING PERMIT APPLICATION �Q� `1 �. �� ConstructionAddress: %� ��5�'rt� .�7�� /�� Legal Description: Owner Name & Address: 1��/1i%1G/ ,��/c%j � Tel. #�r3Y—�`/S Contractor: �1�-� �f�� :��, MN LICENSE # ��D Address: �/77 3 i��.1/�B�/f�- �i�� Z� ��0�(/ �/PD/c�S' Tel. # 7•�`� 778'Z) Attach to this application, a Certi�cate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length DESCRIPTION OF IMPROVEMENT Width Width Width Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. OTHER: ' �� _ Construction Type: �� C�j�� — 1//�ll � c��,tf� Estimated Cost: $ /��1� (Fee ScheduZe on Back) 4 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: � $� APPLICANT: �G�� Tel. # 7�l��TSfl Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ��- �� Fee Schedule on Reverse Side $ 5-� .001 of Permit Valuation (1/lOth%) $ s� $.50/$1,000 Valuation $ $1000 per SAC Unit $ . .S � C�v $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 [ ) $ � . _