AF - 47386�, �
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BUILDING PERMIT
Village of Fridley, Minn.
Date . . . . . . . . . � �. i.��l.� . . . . . . . . . . . . .
Owner .1!1a-."�.V!r...�c51r.�s� ..................
Address .CQ.���.. .. ...... . ............
N°
-�.., , _,.
2�,7fi
Builder . . .�,? �.Nh .� . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . �.lp: U. . . . . �!
LOCATION OF BUILDING
No. . .4RJ � �. . . . . Street . . . . . . . . . . . . . . . . . . . . . . . . . Part of ot �D.�S� � .5.�. � . . ;'?�", ��0
Lot ................ Block .............. Addition or Sub-Division .
.�1. . . . . . . . ...,.,_ . ��4!-r�r . . .
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Corner Lot . . . .. . . . . . . . Inside Lot . . . . . . . . . . . . Setback . . .3�. . . . . . Sideyard . .�� . . , ./t1u.�. . . . . . . . . . .
DES�CRIPTtON OP BUILDING
To be Used as:
•�''�, ' � i� �( )+�
,,1C�u e.� �.l Va�. Front � : �. Depth .�'!.l . . . T3eight � . . Sq. Ft. . � J.9�.� Cu. F't. . . . . . . . .
/n /
.�.�-!�:�`:9:�...... Front ��...... Depth c�S1p... Height L ... Sq. F't. .�. .. Cu. F't. ........
Type of Construction ,��.� !r! !��- . Est Cost�.�9 y �� � . . . . . . . . . . . . . To be Completed . . . �/.�h'lC� .. . . . . .
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In consideration af 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 set forth and in compliance with all provisions of
Ordinances of the village of Fridley.
,�t� �
Tn consideration of the payment of a fee of $. �ia. .r!.d pJ
. . . . . . . . . . . . . . . . . . . . . . . to construct the building or ad dit5
the express condition that the person to whom it is granted
done in, around and upon said building, or any part thereo
Fridley, Minnesot� regarding location, construction, alte tic
in the village limits and this permit may be revoked at any
ordinances. _�
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i�ll�it is hereby granted to ��i�io1, ..4f.-C`t!�
on as described above. This permit is granted upon
and his agents, employees and worlanen, in all work
s al conform in all respects to the ordinances of
�n, m nte c pair and moving of buildin�s with-
time p la o�bf a� of the prnvisions of said
�.l�.�s��F( . .�"�'Building Inspector
NOTICE: =�
This permit does not cover the Construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water, Be sure to see the Building Inspector for separate permits for these items.
Application �or Power Plants and Heerting. Cooling, Yentilation. Refrigeration and
� Air Conditioning Systems and Devices
PARTIAL RATE S�HEDULE
GAAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 �
Replacement of Furnace ............................. 6.00 �
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . g,pp $
Aepairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTiT . . . . . . . . . . . . $10.00 $
each add. 60,Q00 BTtT .... ................ ... 3.00 �
Repiacement of Furnace . . . . .. . . . . . .. ... .. . .. .. ... . . . 6.00 $�
Repairs & ?,lterations—up to $500.00 . . . . . . . . . . . . . . . . . 6.00 $
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 3.00 $
3TEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR 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 BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . 6.00 $
over 3 gal, per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
lst 3 FSxtures ...................... x$ 200 $
Additional Fixtures ................. x .76 $
Gas Range to 199,000 . . . . . . . . . x$ b.00 $
Dept. of Bldgs. Phone 56Q-345D
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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.
Fridley, Minn. � =� , 19��
Owner «�
Kind of Building ����� �-�—
Used as
To be completed about �G2
O C�
Estimated Cost, $ .�
Old ew. Building Permit No. —
Permit No. �y! `��
DEBCRIPTION OF WORB 1
/
HEATING or POWE NTS�team, Hot Water, Warm Air—No.
Trade Nam Q?!y�- Size No. �.�
Capacity Sq. Ft. E.D.ft. BTLT � � H.P.
Total Connected Load Kind of Fue
BUftNER — Trade Name Size No.
Capacity.
Sq. E`t. E.D.R BTU H.P.
AIR CONDITIONIMG ¢
FAN HEATING $YSTEM See Fee Schedule � SUBU� �
VENTILATING SYSTEM �'�� I�.
__ _ _ _ -
_ _ __
ALTERATIONS & REPAIR$ _ TOTAL FEE a _s ��_ __ . . _ _ __ Signed _ �
MfMb
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ROU(3H
� �4E Business Phone No
FINAL (
(REMARKS-OVER)
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sue�ecT PER
City of Fridley _ 15 6 8 5
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
;,
, � CEIPT
• COMMUNITY DEVELOPMEN7 DIV. p
� � �: ----- 9/ ��j%
r � � PROTECTIVE INSPECTION SEC.
1 � �
� � /'�'L � CITY HALL FRIDI.EV SS432 NUMBER REV. DATE �PAGE OF APPHOVED BV
` ���'�i �.J
612-571-3450 9t0-F15 4/29/80 � �
JOB ADDRESS 6351 Jackson Street N.E.
LOT NO. BLOCK TRACT OR ADDITION
1 LEGAL SEE ATTACHED
oescR. 25, 26 5 Florence Park Addn. SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Frank Rodgers 6351 Jacksnn Street N.E. 571-9054
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Professional Roofing Serv. 7257 Yucca La.ne 425-8233
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residnetial
7 CLASS OF WORK
❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof Honse
9 CHANGEOFUSEfROM TO
STI PULATIONS
Rpo.� can lae 2nd hut not 3rc1 roof . Install ri,dged galvanized
valleys..
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AP1D VOID {F WORK OR CANSTRUCTION ZONING SO. fT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]_ STAILS 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 COMP�IED
WITH WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A PERMIT I, SOO y5. �IS
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-
STRUCTION OR THE PERFO NCE OF CONST CTION. 9.0�
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PLAN CHECK FEE TOTAL FEE
:z� $9.75
NATUREOFCON�RACTORORAUTHORI AGENT ion7E� . WHEN PROPERLV ALIDATED�THIS IS YOUR PERMIT �
�-�� �
SiGNATURE OF OWNER iIF OWNER BUILOERI IDATEI BLDG iNSP �ATE �
CI'rY OF Fiti(7L�Y •
l�i?{'f_l,�Cll�('If7�J i=0ft ft(�SIi)E�Pd�1�Il1L f3U1L.i)I(�G f'ERi�1ITS
. �(�et��, /�lter��tic�ns, Ac1cJil:io��s, or� 12e�iairs)
UbJtdER: �
ADDRCSS: � ��/ ���s�'.v
'I�EL rd0: ,� %/ ��� `f
�UILDEft: �e.�'S� (
ADDRCSS: '
TEL I�O; ���2�`'—=��3 �
Consi:ruction Loca�;ion
• STR3�T I�Ib : �p 3SI S 17',LET: c,l�_G�S O� ,
L07': � �j � BLO�: _.�� ADD�TION : F� �l�'� NC t �il�r� /��E��,
�
Carner Lot: Insi�e Lot: SetbacY: Si.deyards:
lippla_cant attach to this forni two Certificates oi Suxvey of lot and
proposed bu�_lding location dralan on certifa.cates to scale.
GESCRIP7IOId OF CONSTRUCTION
I'ront: Depth :
Scyua�e I'eet� C`ubic Fce�.:
Front:
Square� F'eet:
Depth:
Cubic Feet:
Height:
Height:
Type �f Construction: �����1�p�— Estimated Cost: $ ���(�y�
Zb Be Cbmp_�eted.- � .
� Alt. A Alt. B
Proposed Driveway Wid�h If New Opening Ts Desirecl: _ _�� .$ �$
SEL RF,VER.�� SIDE OF SHEET
The unde:�_ signed hcreby mal:es app3.ication for a percni.t f.c� the F:�rk h�s'ein specified,
agreei.nc� to cia all work in stra.ct accor��nce o�itll the Ci.fiy o� I'ridley Ordinances and
rulings oi: tli� Departnient oi Buil���ngs, and 1lereby c2ec�ares t}iat a].1 the iacts and
rep� e, en�-�ta.ons stated ui i�t:is applicatioi� are true and correc
D111'I�: �'' p�/'"'/J ( � . SIGNA'.�Ci'.I:: -�
Stipulations:
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SUBJECT
c�ty of Fridley
AT THE TOP OF THE TWINS g U i L D I N G P E R M I T
r
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� • COMMUNITY OEVELOPMENT DIV.
f � v • � PROTECTIVE INSPECTION SEC.
� �
� _ �"'1 � CITY HALL FRIOLE� 55432 NuMBEF pE�
�""'�" ,�� 612-571-3450 910-F15
J08 ADDRESS 6351 Jackson Street NE
1 LEGAL �OT NO. P t� 2 BLOCK TRAGT OR AOOITION
OESCR. 2( , Pt . 27 5 Florence Park Add�
2 PROPERTY OWNER MAII AOORESS
Frank Rodgers
3 CONTRACTOR MAILADDRESS
Town & Countrv Roofing 9403 Minnesota Ln N M.��
d AFCHITECT OR DESIGNER MAIL ADOFiESS
5 ENGINEER MA�L ADDRESS
6 USE OF BUfLDING
r�.alryJi-+'i�v• �
�27515
RECEIPT NO.
OATE PAGE O: ACPi:OVEO BY
9/1198 / /
SEE ATTACNED
Fridlev SHEET
ZIP PHONE
571-9054
ZIP PHONE LICENSE NO.
'�rns�P 55369 545-42�3 20091282
ZIP PMONE LICENSE NO.
ZIP PHONE LICENSE NO.
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and t?araQe (24 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PEFMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL. AND VOID IF WORK OR CONSTRUGTION ZONING
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AfTEH WORK IS COMMENCED. NO. DWLG. UI
I HEREBY CERTIFV TNAT 1 HAVE READ ANO EXAMINED THIS APPLICATION
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION
AND ORDINANCES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED
WI�H WHETHER SPECIFIEO HEi;E1N OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANC THE pEpMITfEE
PROVISIONS OF ANY OTHER STATE OR CAL L REGULA IN CON-
STR CTION OR THE PERFORMAN F STRU ION. %/{. %S
Q � � PIAN CHECK f
_i Lice
S�GNAT FCO � TOAOAAUTHO AGENT D EI N
SiGNATUREOfOWNEF�iGOWNEABURDEA� iDATEi oi e
PANCY LOA
SO
OFFSTREET PARKING
STALLS IGARAGES
�T SUFTAX
-/ -
q6TE
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AUG-13-1998
. .... .. � �
ADDN [ ]
�-T� ( 1
08�42 FROM CITY OF FRIDLEY TO
CITY OF F'RIDLEY
SINGLE FAMYY,Y AND DUPLEXES R-1 AND R-2
BUTLDYNG PERMIT AppLICATION
8589320 P.01i02
rri`wuvC !i uya
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ConsttuctionAddress: '�� � �fA �t,�� �_� �
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Legal Dcscription:
Own�r Nama & Address � �l. ��� — GM�, O�; Z.�
Contraccor: MN LIG�TSE � �,--� � ? , � 2
Address: ' Tel. +� '-`�
�luach w this application, a Cemficate of Survey of the
Ioz, with the proposed constructioa drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER;
DESCRIP7'YON 4F IDrg'RO��NT'
Ltngth ,�_ Width Height � Scl. Ft. _
�n8th Width Height Sq. Ft.
�$'� Widih HgVGround Sq. Ft.
�/ SQ�
Consauction Type: o� � c� Escimaud Cost: $ � � S" 6�
(Fee Schedule on Back)
Driveway Gurb Cut Width Needed: _ Ft. + 6 Ft = Ft x$ = s
DATE: 1 d APPLICANT: Te1. ��'yS —�
��--��
Permit Fee
Fire Surcbarge
State Seucharge
SAC Charge-
License Surcl�arge
Driveway Fscrow
Erosion Control
ParY Fee
Sewer Main Charge
roTa�,
• STIPUL.ATIONS:
y_y.�_ � � �
a�� %y %� Fc� Schcduk on Rcvcrsc Sidc
$�o_� .001 of Pernut Valuation (1/IOth96)
$ �. c5 � $.SO/51,000 Valuation
$ $1000 per SAC Unit
$ • � 55.00 (Statz Luensod R�csidcntial Contr�ctors)
$ Alt. "A" ar Alt. "B" Above
$ 5450.00 Conservation Plan Revi�w
$ Fee Det�ermined bY En8�8
$ A�ocmcnt Noccssary [ ] Not Necessary ( ]
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W
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
..._ . '.. :" .�.. .. . �. � �.: .- �
. �..'� . Y.. ... . . . � ... ... ... :.�. i .. .. . ..
.._ . . � . ,....a'��a.:.. .. x- . : 'i
- - . � . . � - .� . � 4
� � . R � y�j� a
EffectiveOnJanuary1,1997 ��0
APPUCATION FOR POWER PLANTS AND HEATING, COQL(NG, VENTILATION, �
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �/
JOB ADDRESS �j.�SI �'� ,,ya,,,� � � �,�
Residential
Furnace Sheil and Duct Work, Burner -
Also Replac2ment Furnace
(Side Vent - FillOut Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Afterations (LIST ON BACI�
1% of Value of Appliance or Work
Commercial/I ndustrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $ 3�, o0
$ � o.00 $
$10.00 $
$ 10.00 $
$ 25.00 $
State Surcharge
TOTAL FEE
The undersigned hereby makes application for a permit forthe work herein
specified agreeing to do all work in. strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that al! the facts and
representations stated in this application are true and correct.
b — `1 ,, ss9
OWNER� ��/���
BUILDING USED AS
ESTIMATEO COST � I$ d c� ,�� � �.� `
PERMIT N0._ ���. „�
DESCRIPTIO OF FURNACE AND OR BURNER
$ No. of Heating Units � Gircle One (Steam) (Hot Water) (Warm Air)
Trade Name (o �l�raK �z3 � i�tl3 �7 3 Size No. 7'S �}120
B� �s�m HP EDR
� Fuel ,/1/',q*� Total Connected Load_ 3), o��
.50
,�.3�►
MINIMUM FEE FOR ANY HEATING/COOLINGNENTIIATION ,
REFRf GERATION/AIR CONDITIONING PERMIT IS $25 00
PLUS THE $.50 S�ATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner 7rade Name Size No.
g� HP EDR
HEATING COMPANY I��� � }��� � /�t�? (,�,,/,A,
Signed By ���� Tel No. S3(, -7��vfo'�
. ; / G� �
Approved By Rough-In Date Final Date.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
. CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that tl� existing chiwney or stack:
1. . Has lieen carefiilly examined Yes (,�1 No i)
2. Is &ee from nist or deterioration Yes (� No ()
3. Has no foreign objects lodged within Yes (� No O
4. Is securely supported Yes (�J No O
5. Meets all current Code requirements for size
and total BTt3's connected Yes (��To ()
6 Has total heating BTU's of `%6icl��
All other BTU's �01 dv o
TOTAL BTU's � II S�Gb�
7. Has a liner been provided for water hea.ter Yes (� No ()
8. Has combustion air been provided for water heater Yes (�J No ()
Remarks: .
� � �
List ALTERATIONS Bein� Done:
HEATING CO:
Signed By:
Date_
�s�h
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ADDRESS: 6 3S '� �C � So� � APT: FLOOR: CITY: ; DATE: l!5 / 9
OCCUPANT: o� � OWNER: ��� G4
HEAT LOSS: ci r5� � HEATING INSTALLED BY: c�,
ELECTRICAL WORK BY; S L; GAS LINE BY: Ma. f5
TYPE OF HEAT: GA FA ROOFTOP SPACE HTR UNIT HTR OTHER
GAS DESIGN
MANUFACTURER: n
MODEL: G,. � - � ' %S � (o
SERIAL: 58q 8 � 320�
INPUT: 5
CONTROLS
THERMOSTAT: 5.� � L( VENT SIZE: ���
VALVE: W. KIND OF LINER: s� NotrE
LIMIT: iUS � DRAFT HOOD: I REGULATOR:
LIMIT SETTING: � FI�TERS - iSIZE: 6x�S� �S �� NUMBER:
FAN SETTING: 1�w.ccl I CHIMNEY - INSIDE OUTSIDE
PILOT TYPE: 54 Ce �CHIMNEY CONSTRUCTION: s�� � S B
PILOT MAKE:
PILOT MODEL: ' SMOKE BOMB: I WIRING: s srk
PILOT TIMING: S�v,n�5 � DRAFT: ' TEST TAG: 31�
I
L.W. CUT OFF: DOOR PRESSURE: LIGHTING INST:
PRESSURE: 3, S�� W.C, I% COz g,3 � I DATE TESTED:
INPUT CFH: ?�000 i� Oz �. �� I COMPANY TESTING: !rI C, is� � /�.� rca�-"� �
STACK TEMP: 3 3I �' !% CO � I NAME OF TESTER: i�'Z4�
• , -
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�t� OF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDL.EY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
August 9, 2000
Frank Rodgers �
6351 Jackson St NE
Fridley, MN 55432
Re: Final Inspection at 6351 Jackson St NE
Contractor: Marsh Heating & Air Conditioning
Dear Mr. Rodgers:
A mechanical permit was issued on June 9, 1999 for the property located at
6351 Jackson St NE for a furnace. According to Section 305(a) of the 1991
Uniform Mechanical Code a final inspection shall be performed on the
mechanical system. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
DA E J SEN
Buildin Inspector