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AF - 47521r� � ��/ City of Fridley, Minn. N•° 8752 BUILDING PERMIT Date: _._..�..��'� 6, 1966 `� Ovvner: ___. _._� Builder _._._._..._ HOM6DAL8 BUILDERS Address _._.._.__._..� ._.. __._._.._._._._ Address �_ ._.3017 �dale Avenue South Minneapolis, Minnesota LOCATION OF BUILDING No. ____76 Ol___.. Street .__._ JACKSOft STItSET N..,,B..,,..__......_.__.._..�_. Part o! Lot _.__._...__ ...._ Lot _......._�.__..__..._ Block _.._._.__......_1_._..__._..._ Addition or Sub-Divisdo� __._�Y._M1�14(�iR., 4'� AnDTTT(1R Corner Lot ___..__._..._.._ Inside Lot _._.._....x ._.._ Setback __35_.___._....._ Sideyard �_._.._. 12 Sewer Elgvatiaz� .._._..___885.O1._._._._.____._...________ Elevation .._....__... 888 0� 1� TOP OF FOOTING DESCRIPTION OF BUILDING To be vsed sa: _.��^1�.�._._......._ F'rout _._.!+6 ..... Depth ?!+� Height .._.? Q._. Sq. Ft 115.2_.._ C�. P't. .23.,.Q4A ._....._.....:.�...... _._....._. Froa�t _.__. Depth _.___._.__ H'eight ...._...._....._ 3q. Fk _.._._____ G�. F't. Type o! Construction __._� ._...._...._.___.. Es� Coet _.... $17 , 000_...._...__._ To be Completed _..�.. SEWER — 164' North of Manhole WATER - 174' North of Manhole In coaidderatioa o! the iasuaaoe to me of a permit to ct . building deecribed abowe I agree to �o tha propoeed work ffi acxordance with the descriptian above f and in compliance with afl provisibne a[ ordiaanc�s o! the dty o! Fridley. In co�sideratio� o! the paymeat oP a fee o! �4.s00 ._._., perrmit is hereby granted to .�QM$ILA?��'� RiTlLERS, IA�......_......._._.� to c�struct the building or addition as described above. Thispe rmit is granted upom the express cariditiari that thepe raon to whom it is granted and his agents, employeea and workmen, ia ell woTlc done in, around and upoz� said building, or anyp� thereof, ahall conlorm in all reapecta to the. ordinances a� Fridley, Minaesota regar�n� locatio�, constructfon, alteration, maintenaace, repair and mo�vin8 of buildings wio�� dty limits and th�s per�nit may be revoked at any ti�ne upan violatioa of aqy of the provisioa�s o� eaid ALLL�N �. JBNSSN B� �Pe� • NOTICE: '�hb p�neif dea nef aew� fb� eondroaMon, tn��IlMipn ter �rtrMY. P�+�Y. Ya IaNI�, aw�r or wMa. M wn to s� fln Wlldiao in�aler Me ap�rat� pMnhs hr rha� NMn. � � APP'LICATION FOR BUILDING PERMIT CITY OF FRID�EY, MINNESOTA � OWNER'S NAME $UILDER � � ADDRESS ADDRESS .�I 61-Q TTON OF BUILDING � : N0, � � STREBT. �`. PART OF LOT L4T BLOCK � ADDITION OR SUBDZVISION�,��s� �y1� i�.•� CORNER LOT INSIDE L+�i�SETBACR J� SIDE-Y�4RD /��,_,,,,_ SEWER ELEVATION FOUNDATIUN E�E9ATION �_ _ ApplicariC attach to this form Two Ce�tificates of Survey of Lot and proposed` building location drawn on tliese Certificates. bESCRIPTION OF BUZLDIftG \ �--- To be usec� as; . . � Front�, � _Depth��ieight_ �'ri .._ . Sq. Ft. ��.��" Cu. Ft. Front . � Depth ' : $eight �� Sq. Ft. Cu. Ft. Tqpe of Construction � v a � Estimatea Cost �%QQ To be completed_ ; �� The undersigned hereby makes application for a pera►it for the work herein specified, agreeing to do all work in strict accordance with the City of Fridl,ey Ordinances and ru2iaga of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and orrect. DATE � STGNATURE " � (Schedule of Fee Costs can be found on the Reverse Side). ' ,- . • � ' • a,� � `� � � �. • • • City of Fridley, Minn. BUILDING PERMIT Date: _._.._.APRIL 21, 1966 Owner: _ Bu3lder _.._ HOMEDAT,E BUILDERS �o �j�� / Address __.�_.__._._. ____._.._._._.._ Address _._.._ 30�,7_�ndale.�y_enue outh Minneapolis, Minnesota . . . LOCATION OF BUILDING No. _. 7601.�. Street __..._JACKSON STL2EET.N•E� :..._.._..._..__.._---.... Part o! Lot ..__._..�. 7 1 MEZODY MANOR, 4TH ADDITIOlef Lot _.._.....__._..y..__ Block ._.._..___._.__.._._�._.__ Addition or Sub-Divisiar► __._.___.�._� _ Corner Lot ___..�..______ L�aide I.ot Sewer Elevatian � � ._.._ S.etback ___35._.._..___._ S4deyard ._._ 8 .....__._.._._ Foundation IIevation ._.._...._ DESCRIPTlON OF BUILDING To i� v�a as: ATT.� GARAGE � F�t 20 �p� � 24 Height ._10 � w �. � 480 �� 4, 800 ._._.__.._._... ....._.___...._. Front _..._ Depth _....._._..__ I�eight ._.__..._ Sq. F't. _.._.. Cu. F� Type of Construction _._.._. Frame .____.. Es� C�t _.._.�1t�'0_........._......_ To be Ca�pleted _, In cansideration of the isstiance to me of a permit to truct e uildin8 de�cribed abave I agree to do th� ProPosed work in accordance with the d�scription abav s n� in com� wlth a'll pravisions � ordinanoea o! the city oP Fridley. In co�sfderation oi fhe payment oP a fee o! �. 5. 00 , P�t is here1�Y 8ranted to—HiOMEDALE BUILDERS to c�struct the bufiding or addition as d�cribed above. Thispe rmit is granted up� the expre�s oariditlon that the to whom it is granted and his agenta, employees and workmen, in all wark re peraon doz�e in, around and upon said building, or anypart thereof, shall oonform in all respects to the ordinaaces oR Fridley, Minnesota reg g locatiom, constructioa, alteration, matntenance, repair and mavin8 of buildin�s within the dty limits and�tt�is permit may be revoked at any time upar� violation of aqy of the pa'ovisians o� said oi+dinan�e. ALLEN G. JENSEft � � NOTICl: 1fiN p�te dea �af eewr IM ee�walloe. I�qMlen hr wki�� P1�b6�W �a MNi�, s�ww a wN�r. N� f� sN fh� Wildiso brp�alor hr �raN p�raiiM /or NNa �wR � APPLICATZON FOR BUILDING PERMIT CITY _,OF FRII?LEY, MINNSSOTA OWNER'S NAME ' � BUILDLR . � ADDRESS ADDRESS L0 OAT OF BUiLDING . N0. �(� � STREET � PART OF LOT IAT BLOCR ADDIITON OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK �� SIDS•YARD,�� SEWER ELEVATION F{)UNDATION EiEVATION. Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING � To be used as: _ Front_��Dep th_..E�Heigh��b Sq. Ft. Cu. Ft. � Front Dept � Height Sq. Ft. Cu. Ft. : "� Type of Construction � �_Estimated Cos To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do a2]. work in �trict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereb.y _ declares that a11 the facts and representations stated in this application are true and correct. DATE �-^ —^ �ySIGNATiTRE (Schedule of Fee Costs can be found on the Reverse Side). Q � 1 , r� � � � � 4 I . , . . f - ` •-�+ _. Application tor Power Plants and Heating. Cooling, Yenh'totion. Re�frigeration and Air Conditioning Srste�ns ond Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . 8.OQ � 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 120,000 BTU . . . . . . . . . . . each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations--up to $500.00 ................. Repairs & Alterations each add. $500.00 .. .. . . .. . . .. .. r 8.00 � � 2.00 ; 5.00 � 5.00 $ 2.50 $ STEAM or HOT WATEA SYSTEM Furnace Shell & Lines--to 400 sq. ft. EDR Steam ...... 8.00 $ Fumace 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 BUR1vER—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 $1.50 $ �f Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.OU $ AIR CONDITIONIMG � FAN HEATING SY$TEM 3ee Fee Schedule VENTILATIPiG SYSTEM �T � ALTEAATIONS & REPAIRS TOTAL FEE � U ROUGH FINAL Dept, of Bldgs. Phone 560-3450 Localien �G. �% � �r`%�� ir'�/r:' 1V: � _� � City of �idley: 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___� `� !A/ �'� � �/�� 19:_� � " ' Owner � � �"/L /�1�� 0.��/.C%�%l � Kind of Building �/j1�/y/� Used as j�u�L �L� �i �%t/ C� To be completed about � �%1 v / 7 6 G Estimated Cost, $— ��/'�-� ' � � � �� Old New. uiiding Permit No. $ 7 � 02 Permit No. ;-��'�--,� DESCRIPTION OF WORK HEATING or POV�ER PZ.ANTS—Steam, Hot Water, Warm Air—No.—�_ � Trade Name �� !-1� � - Size No. �lr'/�J �, Capacity �� Sq. Fi. E.D.R,�� BTfI � �' Ii.P. f�/ C/ /z Total Connected Load l� y,t_,�G- � Kind of F�et � f i'� i C�l.�r _`� BURNER — Trade Nam�- Size No. Capacitq Sq. F't. E.D.R BT[T H,p, (REMARKS--OVER) �« RAY N. WELTER HEATING CD Signecl 4637 CHICAGO AVE. B�—�}�il{ii�rAROL18--� MlMNESO�A Business Phone No :� � .�� s .� City of Fridley, Minn. N° 8 92 9 BUILDING PERMIT Date: ._._.._.._. J�?� 19, 1966 �r. HOMEDALE BUILDERS�TNC. g��r A.B.C. BLACI�OP COMPANY _.___....._.. ._.___ _._�___._._....._..__�.._._ .._ 7000 HLTMBOLDT AVENUE NORTH 130$ MAIN STREET N.E. Address___..._.w..._._._..._._._____ _.._........__.._..__.._..�._.._ Address _�__._._._......________.___._._.._._..._.. ._._ MINNEAPOLIS, MtNNESOTA MINNEAPOLIS, MiNNESOTA LOCATiON O� BUILDING 7601 JACKSON STRSET N.E. . p� o! Lot _..�._.__._..-_ No. _______..._..w__. Street _._.._.._..__.._..��_._.._.._._...�. _...___....._..._. __._._. Lot _._.....__7.._...._..__ Block �_._ 1.._._.._....._ Additiun or Sub-Division ._._-•-_�xQDY..�O�..s-.- 4TH A�DITION Corner Lot _.___.._.._..._ Inaide Lot _..._.._.�._..__._.._.... Setback ____...---_.......__._._ Sideyard Sewer Elevatioa ..._.___�_.._..__...._.._.._..._._. _..._.____ Foundatioai Elevation _—__.. DESCRIPTION OF BUILDING To be Used as: ASPHALT DRIVEWAY Fro�t _____.._.. Depth _�_____ Height _._..__.__ Sq. E'� __ (�. Ft �__..�_.. .�,.._.._...._...__ �ont _�__..r_ Depth _.._...____.. H`eight _..__..._..__ Sq. Ft. _.—..._....._.. G�1. k'k Type of Construction _._.__._..._ .._..__.. Es� Cost _._._..�.17 2. 05 ,..._._.._._ To be ComPleted _.�._.._. In co�sideration of the issuauce to me of a permit to canstruct the building described ab�e I agree to do th� proposed work in accordance with the d�scriptfon above �et fqrth� complianoe with a'll pravlsions at oz�dinanoes M the citv of Fridley. /� .� In ca�sideration o! tihe payment of a fee o! �. 4�00 v___, permit is hereby Srauted to A,BsC. BLACRPOP �S�.A1V�..__._.... to construct the building or addition as described above. Thiape rmit is granted upoa� the exprees candition that theperson to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or anypart thereof, shall c:onform in all reapects to the ordineaces oa Fridley, Minnesota regarding locatiou, constructfoar►, alteration, maintenance, repair and mavin8 of buildings wfthitt the dty limits and this permit may be revoked at any tirne upou violation of aqy of the proviaions said ordinanc�es. CLARENCE BELISLE �� • NOTICls 1hb p�rmir doa nef aewr fh� eenmuoNos, hahllNien �er rr1eMY. P�+�Y. Ya hwNuo, aMnr er w+Ma. !� �un to a� fh� �uiWino Is�p�elee Mr ��N p�nntM fa 1hw� Uw. APPLICAIZON FOR BUILDING PERM�T CITY OF.FRIDLEY, MINNESOTA �am��aLE /�uiZbERs OWNER' S NAME BUT'��F,R N D�I? !4A ,f3 A� C. �A Z. �/'� ADDRESS ADDRESS '% DD �"" ��l /h �l3p Ld T /UO' LOCATiON OF BUILDING .. N0, �fo D/- STREET �RcKS OrJ ST, j�, E. PAItT OF LOT LOT BLOCK _�_ADDITION OR SUBDIVISION �-�- � GORNER LOT INSIbE LOT SETBACR .SIDE-YARD � SEWER ELEVATION P'QUNDATIO�N ELEVATION AppLicant attach to this form Two Certificatea of Survey of Lot and groposed � building location drawn on these Certificates. D�SCRtPTION OF BUILD�NG To be used ast Front Depth Heigh� Sq, Ft. Cu. Ft. � Froat Depth� eight Sq. Ft. Cu. Ft. : Type of Constructiou �$ /� n 17' Estimated Cost_ `�/ 7,s1 • O S`� To be campleted � � The undereigned hereby makea application for a permit fbr ttie work herein specified, agreeing to du all work in strict accordance with the City of Fridley Ordinanaes �nd rulings of the Department of Buildings, and hereby deci,ares that all the fa.cts and representations stated in this appiication are true and correct. " i L Fee Coats can be found ~ / � � � t.�-��r�orij�c � � � � - .- � r � i-� , �,�- ,. �- � � s _ A .,, _ C� ! I VI� FRtDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E.. FRIDLEY, MINNESOTA 55432 • PHONE (612i 571-3450 April 9, 1984 Ms. Irene Bjorkman 7601 Jackson Street N.E. Fridley, lrII+1 55432 Re: Asphalt Obstruction In The Gutter Dear Ms. Bjorlffian: It has been confirmed by recent inspections that you have placed asphalt in the gutter immediately in front of your driveWay. This practice obstructs the r►ater flow in the gutter and can cause damage to City vehicles When clearing snow from the streets. Therefore the City must require that any material be removed from the gutter. To insure that all the asphalt is removed and that there is no damage to the curb, a City street maintenanee crex Will be removing the asphalt. Any initial costs Wi1Z be absorbed by the City, but if at a later date, it is found that a neW obstruction exists, any new removal expenses Will be the property owner's responsibility. If you feel that a problem exists When trying to enter your drivexay from the street, please contact the City Engineering Department about acceptable solutions, e.g. constructing a new driveWay depression. � should be not�� xt�at onl,y the Citv or its authorizesi �^ntrant0l' ean do eurb and Q»++pr asnhalt vork• The City is eonfident in your cooperation on this matter and again, if any Questions or problems arise, please feel free to call on me at 571-3�50. Sineerely, STEV N J. OLSON, R.S. Environmental Officer SJO/mh CC: Mr. Ralph Volkmaa Supt. of Public Works itr�•`��t`°i ` ' . , ; �-�' f �.. ! a' ,,;.$' �p k� �.' �' CITY OF FRIDLEY d131 UNIVERSiTY AVENUE N.E.. FRIDLEY. MINNESOTA SS��2 .�� October 26. 1983 . -� ,�,�;:: , ` A � � � . -�`Y+� , �1y� ,,,w� �i ��:,„;��'.�k' . "�� Ns. Irene 8jorl�an .;:� � 7601 Jackson Street N.E. Fridley, !�i 55432 Re: Aaphalti Obstruction In The Gutter Dear Hs. Bjorlaoan: TELEPMONE (612�571-3�50 IL has been confirmed by recenL inspections that you have placed aaphalt _ in the gutter immediately in front ot your driveway. This practice obstrucL� the water flow in the gutter and can cause damage to City vehicle� vhen clearing anorr from the streeta. Therefore the City must require that any material De removed from the gutter. To insure that all the asphalt is removed and that there is no damage to the curb� a City atreet maintenance crew xill be removing the asphalt within the next Week. Any initial eosts vill be aDsorbed by the City, but if at a later date, it is found that a new obstruction exists, any new removal expenses will be the property owner's responsibility. I!' you feel that a problem exista when trying to enter your driveway from the atreet� please contact the City Engineering Department aDout acceptable solutions, e.g. con�tructing a new drivexay depression. � �hould be noted that only the Citv or its authorized centrac��r can d4 surb and aut�ter cement work. The City is confident in your cooperation on Lhis matter and again� if any questions or problema arise, please Peel iree to call on me at 571-3450. Sineerely, STEVEN J. OLSON� R.S. Environmental Officer SJO/mh sue�ecr P City of Fridley 6 29 3� AT THE TOP OF TNE TWINS g U I L D I N G P E R M I T � ; � RECEIPT NO. COMMUNITY DEVELOPMENT OIV. �� ` / r � V � PFiOTECTIVE INSPECTION SEC. �� _ � � �"'1 � CITV HALL FRIDLE� 55432 NUMBER REV OA�E PAGE Oi APPROVED BV �""�' �'' 612-57t-3450 9�0-F15 6/19/98 / / J08 ADDRESS 7601 Jackson Street NE 1 IEGAI ��T NO. BLOCK TRACT OF ADDITION SEE ATTACHED DESCR. ] 1 Melody Manor 4th Addition SMEET 2 PROPERTV OWNER MAIL ADDRESS ZIP PMONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Eagleview Construction Inc 2937 174 Ln NW, Andover, MN 55304 753-5469 d ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE IICENSE NO. 20076043 5 ENGINEER MAILADDRESS ZIp PMONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WOF;K Reroof House & Garage (28 Sq) Tear-off 8 CHANGE Of USE FROM TO STIPULATIONS t3nderlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI AND VOID IF WORK OR CONSTRUCTION ZONING SQ. F7. CU. FT. AUTHORIZED IS NOT COMMENCEO WITHIN 60 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OF± ABANDONED FOR A PERIOD OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNIrS OfFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPLICATION 1 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 COMPLIEO WITH WHETHEH SPECIFIED HEREIN OR NOT. THE GiiANTING Of A PERMIT �2,335 �1.17 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOIATE OR CANCEL TNE pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �7�F.7S Fl.r SC �L.33 . PLAN CHECK FEE TO FEE /°� �-� Licen $5 0 83.25 GNATUF OFCON�AACTOAOAAUTMOAIIEDAGENT IDAT N RO VALI T THIS IS UR /P MIT � / � $iGNATUREOFOWNERi�FpWNERBUILDERi IDATE� g� iNSP �iFTE NEW [ ] Effective 1 / 1 /98 ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 n BUILDING PERMIT APPLICATION (p�_i � � � �� r--- � ConstructionAddress: �-71,�0 I .� �� So-H �_ Legal Description: Owner Name & Address: ��`�� .si �; �� Tel. # ��3 — d-�a` Contractor: � �P.�e.u� ��rsn5�� c . MN LICENSE # �O� � � Address: �� 3 ] �7`i�' `� �l!% _ �� C�(�� .��.3l� �'el. # '7S3 - S�,/�� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length � Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: /�� `�e�.s�- .s� G�xa�C- 28' Sq. Ft. Sq. Ft. Sq. Ft. � � Construction Type: f e� Estimated Cost: $,.-`�� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: � � 9�'� APPLICANT: � Tel. � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL . STIPULATIONS: � $ �1 �/, s" $ � $ % �% $ $ �" OC� $ $ $ $ $ �,�5 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 [ J � CITY OF FRIDLEY � 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE 57Z-36U4 l+'AX: : 7601 JACKSON ST NE : 113024110013 : MELODY MANOR 4TH ADD : LOT 7 BLOCK 1 : HEATING : RESIDENTIAL : ADDITION/ALTERATION 5�/1-1Lif / PERMIT NO.: 2004-00017 DATE ISSUED: O1/08/2004 VALUATION . NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A REPLACE FURNACE (WARM AIR, RUUD, 75,000 BTUS) AND AIR CONDITIONING # A/C UNITS 1 # FURNACES # GAS DRYERS ENTER VALUATION APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- (763)757-6202 OWNER PATRICK LUCAS 7601 JACKSON ST NE FRIDLEY, MN 55432 0 # GAS RANGES 4800 HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK GAS RANGE FEE GAS DRYER FEE AIR CONDITIONING FEE STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 5245 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worN will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating con�struction or the performance of construction. l` t � SEPARATE PERMITS REQ�.JIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 0 0.00 30.00 0.00 0.00 25.00 0.50 55.50 �� sa �s G�TY OF FRIDLEY INSPECTION DIViSiON 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Repiacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - Afl Sizes All Others/Repairs & Alterations (LIST ON BACKI 1�'/0 of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATlON/AlR CONDlTIONING PERM! !S $25 00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. � �.00 . $ $ $ $ ,00 Effective January 1, 2003 JOB ADDRESS �'�e0 � �o.ci,��,�„ S�i �� OWNER Yc�,�r�C�.�- LuCo._S BUILDING USED AS �eS��-�' +ne-� II ESTIMATED COST ��OO ��v PERMIT N0. �'� � �'�'C` l' J �" � �� DESCRIPTION OF FURNACE AND OR BURNER _ ..... _ .�� No. of Heating Units� Circle One (Steam) (Hot Water (Warm Air) ) Trade Name �.v��_�t��d�o� Size No. -.__.._._......- -- BTU lu �6 � �R-HP EDR Fuel N'•�c� Total Connected Load - Burner Trade Name Size No. $ BTU HP EDR �I� —`�,.�,:� � �, �L va� �cR-�-- � �� $ $ .50 $ �� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes ar rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE /-5�� CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed 63-757=6202 � 1 � R FAX # 763-757-6701 � �� Approved By Rough•In Date Final Date °� -�° `�" �� zf� FiLL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE h THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE qpPLICATION WILL BE RETURNED r� wn�� .t. -� .rr n��IC^T�1R ntin rnhegl ISTIDN AIR VFRIFICAT1.�l �� • , the undersigned hereby verifies that the ven�ng has been examined and is free from rust, deterioration, obstructions, Yes (�� No () and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes XI No () speaflcations including sizing, length, numbec of eibows and termination. ( The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes ai C n�l F inace V nt ngcTtabl s fohl fanoes indude AGA-GAMA Category Yes (� ) No () assisted and natural draft appliances. The ' is sized and installed to meet the current codes Yes �) No () and manufacturers specifications. When required to ' ' ' it will be sized and installed to meet the current codes and manufacturer's specifications. Yes�) No( ) �n � � the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Yes �) No () Ven�ng Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors size �ond nt alnd entedtly after an appliance has been removed from the com YeS (x) No () separately as per current codes. ,.e .„n„ n Q'� / em nn �!pnt an Vent C ��iance #1 Type , f�-�.1 �� — BTU Input 7 5_ G, � L� Fan Assist or Nat f��l ! APP.) � y Fan�ssisted or Nat � Ap�� T� _��,�� ,,�i�{„� BTU Input �1�.�.—_ Fan Assisted or Nat,. Appliance #3 TY�e _ BTU Input Total Appliances �_ Total Btu Input ' -� �� inches Common Vent Type .��,�, �,_._._ Vent Height .� v Diameter _` � ft Len th 5� ft Diameter `� �� in Type �'� Appliance #1 Vent Connector Height �_ 9.--. ., . Appliance #2 Vent Connector Height i ft Length 3, ft Diameter _Lin Type �� Appliance #3 Vent Connector Height _ft Length ,ft Diameter in Type � r �� r•► �.- �•- HEATING CO: CenterPo'nt ��„ *�' R 13562 Central Ave NE, Anoka, MN 55304 Signed By: _ Date : '" 5 ' �'`� • ��►�r� � � �� Minnegasco ADDRESS 7b �� L�� S� rU� OCCUPANT C.9� HEAj LOSS Yes DATE HTG. INST. SOLO BY CenterPant Eneryy NNnneaa�co i Elelctrical Work By i � �� TYPE OF HEAT FAIt SPACE HTR. ---T-- CjAS DESIGN MAKE u Model F / Serial � c� 2 o v NPUT _ �S� ,� o � COM'ROLS Pressure i . Percent COZ nput CFH � C2 U ii p�rcent OZ �_ Stack TemP� , Percent QO_� HOUSE HEATING TEST RECORD APT. FLOOR CITY OWNER INSTALLED BY CenterPoint Eneryv Minnegasco Gas Line By � � � � UNIT HTR. OTHER CONVERSION '` �i Vent Size �f K{ND OF LINER /hiv�v/h S17F , �' NONE r,�- Draft Hood Regulator '�% �,d� �- Filters Size % J� X Number � Chimney Location Insi e j�' Outside Chimney Construction �g�� Wiring ✓ Test Tag +i Lighting inst. +/ Date Tested __ / -� G � � Company Testing r in Name of Tester o� 3 ' ADDRESS PIN LEGAL DESC PERMTT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 s�i-36u4 r�aa�: : 7601 JACKSON ST NE : 113024110013 : MELODY MANOR 4TH ADD : LOT 7 BLOCK 1 : ELECTRICAL : RESIDENTIAL : ADDITION/ALTERATION s�ii-ii��i PERMIT NO.: 2004-00018 DATE ISSUED: O1/08/2004 VALUATION . ' NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MUNTHS AFTER PERMIT ISSUE DATE. ' REPLACE FURNACE AND AIR CONDITIONER � # INSPECTIONS APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- (763) 757-6202 OWNER PATRICK LUCAS 7601 JACKSON ST NE FRIDLEY, MN SS432 1 STATE SURCHARGE, ELEC FLAT ELEC PERMIT FEE - MIN (RESI) TOTAL PAID WITH CHECK # 5245 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and lrnow the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construc�ion. Bldg � SEPARATE PERMITS REC�UIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0.50 20.00 20.50 ADDRESS PIN LEGAL DESC PERMIT TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 [.�rr�cj,'iil � �G�� : 7601 JACKSON ST NE : 113024110013 : MELODY MANOR 4TH ADD : LOT 7 BLOCK 1 : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING 571-1Ztf7 ---_ PERMIT N 2004-00635 � �___.._.___---`". DATE ISSUED: OS/04/2004 VALUATION : $ 800.00 NOTE: PER SECTION 1402, 1997 LTNIFORM BUILDING CODE, REQUIRES THAT A WEATI�R RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN ' APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE ' MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE ' COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE; SOFFIT & FASCIA APPLICANT PATRICK LUCAS 7601 JACKSON ST NE FRIDLEY, MN 55432 OWNER PATRICK LUCAS 7601 JACKSON ST NE FRIDLEY, MN 55432 \ � AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons ction or the performance of construction. App 'can Date Bldg Insp _ Date • � BUILDING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE TOTAL PAID WITH CHECK # 4237 32.65 0.80 0.50 33.95 NEW ADDN ALTER Il CITY OF FRIDLEY �� 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-Z BUILDING PERMIT APPLICATION Effective 4/1/2004 (763j 572-3604 Bidg Insp (763) 571-1287 Fax � � � � �� G� � Construction Address: �J C�� 1 ��`'�`►� S�� (� •�. .�(Z�t�.�"�'� , Mt� S S�3 i— Legal Description: Owner Name & Address: � 1 c.�- � t� 5 Tel. # � (��3 -5� � � Z� � — Contractor. U`� Ow�.4�� MN LlCENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT � � � q �1 0 `� LIVING �AREA: Length �� Width Z-____ �__ Height � S. Ft GARAGE AREA: Length �� Width Z� � Height �� Sq. Ft g� DECK AREA: Length t-� � Width �� HgUGround t� /'� Sq. F� — OTHER: �,(,� � Construction Type: �P�� N � �"" " +� �Est�� Cost: $ � 0� NIA Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _ _$ DATE: � 3 a `� APPLICANT: �R�C�Z-\G,L ��S Tel. # � �O3 �� Z�`1 Call (763) 572-3604 for PeRnit Fees ff mailing in application. Fax to 763-571-1287 if using credit card and we wiU call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge $.�o'- (�`�� $ �y c�$ .�� -�' - - $ License Surcharge .$ Curb Cut Escrow $ Erosion Contro! $ Park Fee $ Sewer Main Charge $ TOTAL � $ �_� ,�� Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/�Oth%) $.50/$1,000 Valuation $1350 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 [ ] STIPULATIONS: �