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AF - 47527• � � City of Fridley, Mi.nn. BUILDING PERMIT Date: ...._..�.�$ 2 1965 _._, N° Owner: __ Bu3lder _.� HONiSDALB_ BUILDERS _� Addreas .____._._...�. _____�._..._..�._ Addrese 3017 Lyndale ;A_venue outh Minneapolis, Minnesota 3i�7� . � .,, LOCATION OF BUILDING No. 7631 __.._. Street ._._..._.__JACKSON�STRSBT N.E. _.._...___ Part o! Lot ._._._._..._._ _ Lot __.. 5.__.........._ Block M..._...._.._.. Y...._._ Additiou or Sub-Divbiaa ....___ N�1'�ODY MAftOR, 4TH .ADDITION Corner Lot ___...__.. _ Ina3de Lot __..__X.___._ Setback ...._.._..�..._3i._..... 8ideyard ..... .._.....� S S �i �C� Sewer Elevatian ._..�s � %..�...�._.._._..—.__....._..___._ � IIevation . �._._��_...� � � � o� t=-�v Yi�c.1 � -- DESCRIPTION OF BUILDING To be Ueed aa: DWSLLIftG .....,.._._ F'x+o�t _..__32 �p� 24 Height ._ 28 __ Sq. I+'t. 768 �� 2�„504 GARAGS ____.._..._.� F��oz�t �.?� _ Depth � 22 Height _�� _ Sq. F't. 440 ��, 4,400 Type o! Construction _._._.� .,.__. Ee� Cost _..._. $20, 000_._..__.. To be Comnleted G�� c�,A `-C� �– .� � �i�� "v/ 1� CU�C� � � � � `�'�� In cas�sideration oi the iesuance to me of a permlt to co�s building described abowe I agree to do th� DroPo+ed work in acoorc3ance with the descriptian above set ! and in compliauce with afl pravfd�ns o� orainancea or the aq► or Frialey. __ Ia camsiderati� o! the payment of a fee o! � 26.00 _..� �{t � b�by �� Io�onedale Bui�.ders to caaistruct the building or addition as descrlbed above. This permit ia granted upaa� tlse expreas conditlon that theperson to whom it ia granted and hia agenta, employees and workmen, in all work done in, around and upon said building, or any��art thereof, shall conform in all respects to the ordinancee o� FridleY, Minnesota regarding 1P�t may � revoxedalat any�time upon�tion o! a�y o! �visioais o� sa�d wlo�� dty ]imits and tbis ALLBft G. JBNSSN � � NOTICE: 1Mt p�rmM deM net eov�r IIN ten�MwNo�, haNlldia� 1er wMN�. PIun�6�W W I�uMn�. Nw�r er wNK. /� wn 1s � fM WIWi� le�ew� for pPwh P�hs hr Nan N�nu. 0 � 0 APPLICATION FOR BVtLDING PERMIT CITY OF FRID�EY, MINNESOTA OWNER' S NAME BUILDER �,%�--�;,�� ;��'�+��J ADDRESS ADDRESS � LdCATII�I�T OF BUILDiNG N0. _�lO,�l � STREET 1 PART OF LOT La2 � BLOCK _ADDITION OR SUBDIVISION �f� �. -�-� CORNER LOT INSIDE LOT_�SETBACR ,� � SIDE-Y ��✓ SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this.foran Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDIflG -� To be used as: � Front4�� Depth____�Height �'y � * Sq. Ft. � 7 Cu. Ft. �� Front '' O Depth��/ Height %� Sq. Ft.,_ d Cu. Ft. �,(.{� � � p � Type of Construction �� Estimated Cost ? D '--�1 To be completed��'�j / _. The undereigned hereby makes application for a permit for the work here3n specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representatfons stated in this application are true and correct, DATE �/ FA �— SIGNATUR�' / � (Schedule of Fee Costs can be found on the Reverse Side). .�.�-- ' �� Ie �° . . ` � � . • ��. .f. r Y ." . City of Fridley ApPlication for P'�un�bing and Gas �itting Penr�it Dept. of Bldqs. Phone 560-3450 8? 9• �1 DESCRIPTION OF WORK 7631 NE Jackson Number, Kind and Locatiaa of Fix3ures L'�a�n - 3U� � I��I � I 1��1�� uSS+-�IS�'O`I�°I`Z��ZI i� NIGSTERNTEC. � ;� o�. �o <3 c�� c�� c�o Base lst � 2nd _ 3rd 4th . F�� Connected with * New Fixtu=e, Old Openiags � 3ewer � Cesspool � PARTIAL RATE SCHEDULE PLIIMBING FIXTURE RATES: 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 BTiJ) . . . . . . x $3.00 $ New Ground Run Old Bldg. . . . . . . . . . . . . x $3.25 $ Electric Water Heater : $2,Qp 3 GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $2.00 � Additional Fixtures . . . . . . . . . . . . . . . . . . . . x $ .75 � Gas Range to 199>000 BTU . . . . . . . . . . . . . . —� x $5.00 ��`i REPAIRS 8c ALTERATIONS—Refer 3o Coda Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL FEE � r��`✓ 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 facl and representations stated in this application are true and correct. Fridley, Minn 2!4 �Pr � , 19— Owner �OIHBf�@ BZC�I'3. Kind of Building �r Used as Y`�?g To be completed about 29 A�r _ � � Estimated Cost, $ � ' ° �,,/� Old—New. Building Permit N '�U� ` � I!`� E� � �r � �. Signe _ ROUGH r�xAt, 1�^ 1 b-? b �,Z By Business Phane No. sue�ECT PER City of Fridley 20076 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � i � � � • � `v .___�_ COMMUNITY DEVEIOPMENT DIV. r � � PqOTECTIVE INSPECTION SEC. � �� 1 � � i.--- A; '�'1,,� CITY HALL FRIDLE� SS432 NUMBER REV. DATE PAGE OF APPROVEO BV . L �� 612-571-3450 910-F15 8�23�g9 � � JOB ADDRESS 7631 Jackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHEO DESCR. 5 1 Melody Manor 4th Addition sHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Tom Gilson 7631 Jackson Street N.E. 786-1584 3 CONTRACTOR MAIL ADDRESS Z�P PHONE L,ICENSE NO. D& D Home I.mprovement Inc. 7401 Central Ave�ue N.E, 784--7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION C� REPAIR � MOVE O REMOVE 8 DESCRIBE WORK Install aluminum soffit & �acia 9 CHANGEQFUSEfROM TO STIPULATIONS SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAI., PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OF AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZON�NG SO. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOfi 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORiiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED $1�295 tiS.(S WITH WHETHEfi SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 31.00. STRUCTION OF THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECK FEE TOTAL FEE $31.G5 SIGNATUREOFCON'RAC70RORAUTHORIZEDAGENT iDnTEi WHEN PROPERLY V IDATED THIS IS YOUR PERMIT SiGNATURE OF OWNER i1F OWNEA BUILDER� iDATEi BIOG iNSP � f1pT I�1 [] City of Fridley Effeckive 5/U88 AI�N [ ] R-1 AND R-2 �� Building Permit Application Construction Adclress: _ ��' �,� /��.5�� /. /�'� -.: .- Owner NaQne b O�ritractor : Address: Attaci� to this appl ication, a Certif i:cate o� S�uvey of the lat, with the prc�osoed c�onstructi�► dra�m on it to scale. T�SCRIPPI(�1 0� IM�R+QJ�iP LIVII� ARF�A: Length Width Height �. Pt. r• ; ; et' ; ;+ - . Width Height 9q. Ft. DE�CK ARFA: Length width Bgt/Grotna SLI. I�.. � Cbrr�er Lot I l Inside Lat [] Ft. Setback Side Yard Setbacks �! 7.j�pe o� Gbnstruction: 1't�lU/%i .�'h�� .4 Estimated Cost: S Approx. Comgl e�tion Date : �'D%�- /� ,� Al� A Alt. B Proposed Driveway Width If Ne�w Opening Is Desired: S 8.i Width + 6' See Back Page �: -� �9 ��,z�: � Pe=mit l�e state surcharge SAC Qiarge Driveway Escrow Park Ppe Sewer !lain Q�arge � sr�io�.s: � �l.00 $ ��S � $ S � � �.�s CLTY OSE �Y �. � P�ee Schec�i].e on R�verse Side 5.50/51,000 Valuation 5550 per S1�C Unit Al� '�," or Ait. 'B" Above F� Determired by Engir�eering l�gre� Neoessary I l Nat Neaessary [] Ne e �� SuBJECT • ' City of Fridley 2 � 2 0 2 AT THE TOP OF TME TWINS g � I L D I N G P E R M I T i� � � R O. COMMUNITY DEVELOPMENT DIV. �r r � v � PROTECTIVE INSPECTION SEC. �ja I � � 1 � , � � j i'�'1 � CITY HALL .FRIDLE� 55032 NUMBER REV DATE PAGE OF APPROVEO BY �""'�' ,'' 612-571-3450 9�0-F15 8/17/98 � � JOB ADDRESS 7631.Jackson Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED oesca. 5 1 Melod Manor 4th � Addition SNEET 2 PROPERTY OWNER MAIL AODRESS 21P PMONE Tom Gilson 786-1584 3 CONTRACTOR MAIL ADORESS Z�P PMONE 'LICENSE NO. Ea leview Construction In 2 - A ARCMITECT OR DESIGNER MAIL ApORESS ZIP PHONE UCENSE NO. 5 ENGINEER MAII ADDRESS ZIP PMONE LICENSE NO. 6 USE OF BUILDING Residential ' 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOYE 8 DESCRIBE WORK Reroof house and ara e(20 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPEOFCONST. OCCUPANCY GROUP OCCUPANCVLOAD SEPARATE PERMITS ARE REOUIHED FOR ELECTIi1CAL, PLUMBING, MEATING. VENTIIATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OF CONSTRUCTION ZpNING SQ. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOF A PERIOD OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING I HEREBY CERTIfV tMAT I HAVE REAO AND EXAMINED THIS APPLICATION STALLS GAiiAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WOAK WVLL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT ],6GH .83 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. S�F.00 Fire SC �I..E)E) � L�� r'7 !� PLAN CNECK FEE TOTAL F d License 5.00 6 9 GNaTUREOFCON�RACTOAOAAUTM0�712EDAGEN� iD Ei P PERIY V IDATED 7 IS Y UR PERMIT /• ' � ..► -� S�GNnTURE OF OWNEF UF pWNER BUILDEfii IDATE� BLOG NSP q�TE I�EV�%° ' [ ] Effective 1/1/98 ADDN [ ] CITY �F FRIDLEY ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� BUILDING PERMIT APPLTCATION /1� 1', � �� ConstructionAddress: %�03/ �l��s� -�. Legal Description: Owner Name & Address: /b � �; /so� Tel. # ��' %�8� Contractor: ��de� � �..� MN LICENSE # �� ?!n�%`� Address: v�.37 I%{� �� e ��? Tel. # �753 ��`f!o � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Length Length DESCRIPTION OF IMPROVEMENT Width Width Width �' � �� ; Height Height Hgt/Ground � �� G Sq. Ft. Sq. Ft. Sq. Ft. . � Construction Type: /,Qad � .St ��Yt-�'f= Estimated Cost: $ %�p� � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ � DATE: g/' 7"�� A.PPLICANT: � Tel. # 9�-�' ��0 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �yDv $ l, � � $ �� $ $ .�UO $ $ $ $ $ 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 [ ) CITY OF FRIDLEY INSPECTION DIV. �, �: ,�` 6431 Uni3ersity Ave NE � ,� � � , Frid#�y, MN 55432 � APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 MARK�NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On May 10, 1999 PLUMBING FIXTURE RATES: NO. RATE New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Wate� Heater - Gas'� _,� Gas Range*� Gas Dryer'"" Back Flow Preventer Required ()Yes () No TYPe $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE TOTAL i' "i �D ''� �� $�Q, vre JOB ADDRESS �� I c�ACJ�C�cSOlv ST IU� 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 and rulings of the Building Division, and hereby declares that all the facts and rep�esentations stated in this application are true and correct. Owner � �� , 1999 Building Used As ` � J / Estimated Cost c�� PERMIT NO. /��" �(� PLUMBING COMPANY ��A�� SIGNED BY �'� � TEL N0. � � �' _� ;i Approved By Rough-In Date Final Dat '� 1 '�� **COMBUST{ON AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. � � _ CITYOF FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N:E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 16, 2001 Thomas Gibson 7631 Jackson Street NE Fridley, MN 55432 Re: Final Inspection at 7631 Jackson Street NE Contractor: Mr Rooter of Anoka County Dear Mr. Gibson: � A plumbing permit was issued on August 23, 1999 to install a water heater at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee paid covers the inspector's time to make sure the appliance was installed correctly. We also check to make sure combustion air has been installed and that the vent and vent connectors have been sized properly. If you would like the installation inspected, please contact us wit,hin 30 days to arrange the inspection. If we do not hear from you, we will expire the permit and note that no inspections were called for. Any questions can be addressed to me at (763) 572-3603. Sincerelv. :LIY �F FRIOLEY I�ECiIO�f DIV. i�3'f lJniv�#yAve NE d. 'ficidleY, MN 55432 � 763}5iZ-3604 � a N v N � � � � � EfPet�va Qn Jatt 1. �10a IMPPLICATfON FOR PLtJi�WG Al� 6AS FITTINti PERII�T ��,� 2 p2� �LUMBING PIXTURE RATES: NO. R�4TE TOTAL Jt}B ADDRESS 1� 3 I J F1+C�-�3IJ S�� '� G� �� SJd openi�g. IVew Fb�ure 9eer O�pen�er �c�v t�lF B�t :siCh Be�t } Za� Vlfa�' Leado� � �rr�alRec:eivhg Tank � Yat+arTreatingA�ITance ud Va�ar He+�ief -Be�c va�er tiea� - c,s�" I � � ��., U �as ory�eP' � �a�cfc Ruw P�er Required ( )Yes ( } IVo TYpe i 7.v0 $ 4-t�0 � 5.00 � 7.04 S �.fl0 $ l.Ot} $ 7.00 S1Q.00 � 7.Q0 s�o.00 $10.00 s�o.00 $i5.00 -"�M �ir�pection Fee S47.00/Hr � .LL OTHERS �4ND1�OR REPWRS A� Al.TERA1iONS � 1.956 of Varue af Fi�,� or Aaplianc� � S�� .�1' 1R'�1��6 . � TQTAL F� �'�. nv s •50 s 2�� 5� The u�darsig�ed hereby makes appticat6on for e pemrr� fa� Ihe wark herein sp� a�gre�r�g tv da � work in shict a000rc�inoe with the diy tmdes arid rulings of the Bulkli�g O�Sion, and hereby decl�r� tf�t al( the �Cts end �e�esentaiio� s�#ed in d�iS e�pp�n �8 tru� a�d crcrcec�. Jc�N�. 2(s�`� ,�QZ o�„� 10 �+^ i#, � \ so � �� aa� l�v s � O � C�t � 0 0 0' P9�T NQ. l 1� _�� _ �t.ur�ro� cvr��nr /Y�,A�X' /1'l e�,h N% c.� � s�n �r � T� No. �e �'�- Co 3 (� ° ��22 �ax� — - � _.._ _• �.r.:=.��, �ONIBUS110N AIR SHAEl BE PROVtDED PER UtY� SECTfQN 504{A) AND TABLE 8-A. CAMMON V811T INFO ON 6AE'•K 31DE �� , ,� . r CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE , i��\l�� N�� Frrdley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763•572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner • Atso Replacement Furnace (Side Vent • Fiil Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercialllndustrial - 1.25°jo of Value of Appliance or Work Rate TOTAL $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINtMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STA7E SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission trom adjoining property owner. $�� $ $ $ $ �j.6� $ $ $ .5Q $� •' OWN Effective On January 1, 2001 BUILDING USED AS �C�J D D�I�t �'1� ESTIMATED COST _ dSOZ� ��-� PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_� Circle One (Steam) (Not Water) (Wa m Air Trade Name_ (',r1 J1 J� a�l� Size No. 5�(�1 f-1vc BTU g� HP EDR Fuel_ Total Connected Load Burner firade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rukings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. R01�ALTON HEATIN�f & ��.""'� HEATING CO 4120 • 86tM AVENUE NORTH Signed � 763-4248333 TEL # �J I Approved By� Rough•In Date Final BACK SIDE MU$.T BE FILLED IN ON VENT SIZE, VENT CONN CTORS AND COMBUSTION AIR VERIFICATION � , , .. � - ' HOUSE HEAT{NG TEST RECORD 'ADORESS ��—.�—`� �`n �s`=�C''n �'t � %tJ� APT. FLOOR CITY�L�SUdURB OCCUPANT � i� (` /1'� � � � � % �C %1 01MNER HEAT LOSS DATE H7G. INST. SOLD BY INSTALLED BY El�ehicol Work' BY Gos Lin� Br � TYPf OF HEAT GA fA HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN CONYERSION MAKE � �� c� MAKE OF BURNER Mod�l � �� t5 � Mod�l Swial �� l� �� l0 oZ. Max. BTU Rotinp INPUT � -- , � ��' MAKE OF FURNACE Mod•I j" CONTROLS r, THERMOSTAT \ H•ar Pluy _' V•nt Siz• Valv KIND OF �INER S17F %. r ur�uc . ----�--........ Limit " Droh Hood Rpulswt Limit S�ttiny Filt�rs Siz• - X umb�t Fan $ettinp Chimn�y Locafion lesid� Oufsid� Pilot TYP� �-�'��'�' � �' Chimn�y Construetion � � �i -� �' � Pilot AAaks Pilot Mod�l Smok� Bomb Wi��9 Pilot Timiny D�aft ��. t i'_-G� C T�st To0 �-�*'�� L.W. Cut Off Doa Pr�ssur� Liyhtiny Inst. �""'�� _�' Prossu�� `> ' , P�rc�nt C01 .---6�-�-- Dat� T�st�d �" �'+ � �' � Input CFH � P�rc�nt OZ Company Testing � CJ � Ct-..� !, <� �{"' Swck T�mp. P�rc�nt CO �,�_ Nom� oi T�st�r � Form 235 _ _ Ct"IYOF FRIDLE.Y FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 14, 2003 Mr. Thornas Gilson 7631 Jackson Street NE Fridley, MN 55432 Re: Final Inspection at 7631 Jackson Street NE Contractor: Royalton Heating & Cooling Dear Mr. Gilson: A mechanical permit was issued on June 11, 2001 to install a furnace and air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this pernut. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspecdon, we will mark the pernut "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. �inrPrPlv DJ/mh ADDRESS PIN LEGAL DESC PERMTT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 163) 572-3604 FAX: (763) 571-1287 : 7631 JACKSON ST NE : 113024110011 : MELODY MANOR 4TH ADD : LOT 5 BLOCK 1 : BUILDING : RESIDENTIAL : RESIDING �. . .. .�--� ``�,, PERMIT O.: 2004-01371 DATE ISSUED: 08/18/2004 VALUATION : $ 8,300.00 NOTE: PER R703, 2000 INTERNATIONAL RESIDENTIAL 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 WEATI�RPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE. STATE LICENSED CONTRACTOR 1 APPLICANT NORTHSTAR HOME IMI'ROVEMENT INC (533 4972 LINCOLN DR EDINA, MN 55436-1071 (952)929-1888 OWNER GILSON THOMAS I & MARGARET 7631 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 lrnow the same to be true and correct. All provisions of laws and ordinances governing this type of work 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 re 1 truction or the erformance of cons ction. Applicant � „ p Date_�l ___L_ Bldg BUILDING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL Permit Inspection �ards Wili Be Mailed % Homeowner 1'o Post SEPARATE PERMITS REC?UIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 167.25 8.30 4.15 5.00 184.70 08/18/2004 11:52 rvew [ 1 ADDN [ J , ALTER [ ] 9529208992 NORTHSTAR HOME IMPRO CG ��'I"��GE 01 � -�:. �o0�',�1�� CI'TY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 {T63) 672-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: ��p��C�r1 �T' /�%� Legai Description: Owner Name & Address: M�rC �a��,-� Tel. # 7�- 7�'�- iSs�Y Contractor. �r�'�,�cl,°,Q�,�� v'G MN LICENSE # .�33G Address: �'1.Z ,Ci.✓�o�..J ��,�✓E Tel. # ��1 $�i� /$�3�5 LIVtNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this applicativn, a Certi�cate af Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF lMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. �t. Length Width Hgt/Ground Sq. fit. Construction Type: _�,��,./G Estimated Cost: $ 11300 Dnveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$ DATE: y�� 0 APPLICANT: � Tel. #�✓�l ' y�Q-/$�$" Caii (763) 572-3604 for PeRnit Fees ii m' in application, F�x to 763-671-1287 if using credit card and we wili call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Maln Charge TOTAL $_ f�� ty � � �� $ � �� $ $ , e� P $ $ $ $ � S �� d C1TY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th°/a) $,50!$1,000 Valuation $1275 per SAC Unit $5.Q0 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan �::view Fee Determined by Engineering Agreement Necessary [] Not Necessary ( j ��y� ��9� ��7� �� Ex, os�l �� - •► . .� ing PLUMBING ctions RESIDENTIAL APPLICATIQN �72-3604 CITY OF FRIDLEY srrE �nn�ss �g� i z�r.�G��e THIS sAPPLICANT IS: O OWNER �BOPEBTY NAME: `:OWNER/ ,�p�s: 7�3 �iN�T ounwra. 7i ? _ � I G � ,:� r A coPY oF 7R STATE N3E W11H G�cnnorr VIIT TYPE OF WORK: STATEIdCEN3E . •� � � DA'fE , Permit No. : � ' - �, /1 G � R��a By: D��a� ; 2 C'�, C,v� � STATF%�_�t 7rIF' SS 4.3, � srA��cz�r sso�� r� 7� �-7s3 :.� y Gs,/ ° Fax -7� � 7s 3- O% c� � �18IN(iI.E FAMII.Y tXrtEw [UN OF WORK D TWO F��.Y O TOWNHOLi3E . � . :� .�� 16B.665 tbe pe�[mit fee is a miaimgm of S15�00 or S';4 d t�e �utai c�t ap in S:i110.f1�, whicLeve,r is gieater, for the �, i�attabi� or repIaceme�t of a nesid�ential fvchue, exdadiug tLe fi�nes. (Th�► s�ould re�loct only die cost of labor ) c�st utdex S30U = S 15.U0. Labor c�ost beta+een 5300 to 5500 = oost of labor x.OS = fECTS WHTsitE I�AB(>R EXCEEDB SSOU. PEES ARE $ASED ON 510.00 PER F1X1iJ1tE, EXCEPf WHERE NOTED. FfXZiJRES: (IIQDICATE 1�OTAL OF EACH BEL(?R� � S�V F7.U08 DRAIIJS SHOWER WATER YIPINQ� UB GAS pIPIIJt3 p� cm�) fES WASHER ' K�1 SiNR ASI�R ,_ LAUNlHtY TRAY _ SW�lING POOL WAiER GIABEf WA1ER AEATER (S3� WA'l� METER Qf/ATER SOFT'NER (S33) i aa.c�i.ow rx�v. �a� s� FOR iRI�IOATlON _� S N�mnber of �mes � 510.00 x 510.00 =$ .50 Nwnber of fixbutes @ 515.00 x 515.00 = S ��' o0 S Nwnber af fixdnes (c� S3S.00 x 535.00 = S S�e Su�criar�e = S_,,,� T�.t - s 1 c c � 1i�3 IS AN AflPLICATION FOR A PERMIT NOrf VAI.m tJNTIL PROCE$SFA �Y a�p�j' far a� peanit �+d I admvwled�e tl� the in�o�n aboj+e is c�o�e and aoc�e; that the wo� will be in �rn�anoe w�ith the ord�ces md codes of tbe C�1j► a� Fnd�eq and with tlre Mi�mesofa Co�n Code� tt�t I un�d this is penmt but only an a�tlic�ion for a per�t a�ud wonic is not �u �mt witho�ut a�xmit; t� the woYk will be in acoordmnee with thc wed p�an in the c�sc wo review mo�d approoval af p�ans. ��rtmurureu�rrt�e*t�� L/ifi/��l�/re�R�lr"/4� PittiltTNAl1[F _�(/� U G/��Cif-�iiG/�ATE f��/Of CI�► Of �'+l"N�Cy $1111t1�Hg► IASj1CC[�OH� �C��CIIt 6431 University Avenue NE, Fridley, MN SS432 763-ST2-3644 L• A V- ^tiCZ CM AA7?