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AF - 47533• City of Fridley, Minn. BUILDING PERMIT � yk�5 N° 8190 nate: !��ilt, 196�_ Owner: �_ Builder g�DAI�i; BIIIL17fERS .`.__..._ Address _._..._�.._.._.__.__ _.,.._.._..____. Addrees _...�.�.�.Z.�S�...�.�4�.'�_._.._ ...._ Minaeapolis, Kinnesota LOCATION O� BUILDING Na ..�..�0.��.. Stceet ��0� ST. �.L. ._.__._..___._.._ Part o! Lot Lot �..�.........._.__ siocic 2 ...._...:. A�t�� or Sub-�vts�� . Melcd9 Max�or �th Adc�n�, Corner Lot ____._....._...__ Ina�ide Lot ...._..._.._& Setback ._.._..__35_...___ Sideyard ..__ 10 Sewer Elevatioai .,....__..__...._. �._.�.__ Foundatia� IIevation DESCRIPTION OF BUILDING To be Uaed as: � DFT611iIIg Froait _._..�� Depth 30�2� Height .�..2� $4. Ft 1.t�52 �, �y 21s0�10 ......_________....... Front ._._..__.._._.. Depth ....._ Fieight :..._.. Sq. F't. ____ C�. F`t. Type og Construction __. Fra�e Es� Cost ��.s.�.:_40 ..__.. To be Cosnpleted ...�..Sept. �j� l�i� � �✓ _ G�' � g� �w xousE � � � a� • In consid�eration of the issuance to me of a permit to construct the buildin8 descrlbed abave, I ag�e to do th8 propo�ed work in accordance with the d�scription above set�orth and in compliance with all pravlaiona o! cncdinances o! the dty of Frldley. / � n .�, �/% In ca�sideration of the pa3►meat ot a fee o! � 22•0� ., perndt is herelbY Branted to HONiLDAZE BI.ffi�S. to c�onstruM the building or addition as described above. This permit is- gra�ted tipton -_ the express conditiari that the person to whom it is granted and his agents, employees and workmen, itt all work do�e in, around and upa� safd building, or any part thereof, shall conform fn all respecta to the ordinancea of FridleY, Minttesota re8�8 location, constructfon, alteration, maiatenance, repair snd movin8 of buil within the dty linaits and this permit may► be revoked at ar�y time upam violation of any of the l�visians of�d ordinaacea ALI,E�T G. JIIdSEN B��S � I NOTICE: �� 1hk pamtt dea net eewr NN wnuroe�iee, Gdad�Hen fer wlrt�� pluad�W W hwNnW »ww er wa�e. d� suh to sN ' 1M dnildiao �s�eler for � P�ifs for f6a� tbnu. s s ' � � ,. ..- ' � . • � . .. . - -� , �% � ♦ a ) _ � �� _ G�� / . „�/ ��c� c2i / / / i � A.PP'.LICATION FOR BUILDING PERMIT , : � � CITY OF FRIDLEY, MINNESOTA. � OWNER' S. NAME BUILDER 1'/�L ADDRESS � , ADDRESS - s� LOCATION BUILDII� . No. � ' [P � Street '�a�of .LQt � . Lot � "Block �• r� Addit n or Subdivision Corner Lot�Inside Lot ✓ Setback � Side:Yard , r d y SEWER ELEVATION FOUNDATION ffi.EVATION Appli�ant attach,to tkia form Tao;Car�ifi,cates of Survey of Lot and prop��d:build- ing location drawn�on th�ae Cer�ificates. • ; DESCRIPTION OF BUILDIIQG To be used as : � ' _�!�� .. :.. , . . . , , � ,,,,,, ___w_ Front �� Depth 8 8aight: ' y'� ��z i� : ' • . - , Sq, �t. `_ ��,'�j�� Cu. �t. : �� % � Froat Dspth Height � � Sq. Ft.. Cu..Ft. Type of Constructioa � � Estimated Coot I�� `�� — � , To be Compl�ted -- „�fl . The undersigned hereby makes application for a permit for the wotk hsrein epecified, agreeiag to do all work in strict accordaace witii•the City of Fridley Ordinances and rulings af the Depart�ment of:Buildiags,�and hereby declares ti�at sll the facta and representatioua stated in this applicetion are true and correct. . • � � �� Appli�ion �Or Power PIaMs dnd Heating, Cooling. Ventilation, R�rigerafiion and Air Conditioning Systetns 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 120,000 BTIJ . . . . . . . . . . . . each add. 60,000 BTCT . . ......... ........ . .. . Replacement o4 Ftirnace ............................. Aepairs & Alterations—up to $500.00 .. ... . .. . . . . . . . . . Repairs & Alterations each add. $500.00 .. ... . . .. . . . . . s.00 $ '� 2.00 ; 5.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WATER SYSTEM Furnace Shell & Lines—ta 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR iiot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURIvER—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 $ "� Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . , x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM 3ee Fee Schedule VENTILATING SYBTEM ALTERATIONS & REPAIRS TOTAL FEE � ROUGH FINAL Dept. of Bldgs. Phone 560-3450 � \ 11 ,' r r � �yl/ A.ir i �y,. �.d� fi� _ � � � �� a �' , ti �°��°� o '.> �l� � �� .l. n. ..�..�`, w_.er .. ., .. City of Fridley: c j/ �( t�� "�. %` 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, attd hereby declares that all the facts and representations stated in this application are true and correct. Owner FYidley, /' t �� Kind of Building F°'Si -'Lcr�� 0 + Used as 19(C L- To be completed about �1� � G� �� G� Estimated Cost, $ �� Old ew Building Permit No. ��~� Permit No. �-� �'2 � DESCRIPTION OF WOAK HEATING or WER PI.AN7'S-�team, Hot Wate , Warm �No. � �-y2�� G`� �o -ti.�C. � �'� � . Trade NamP�, � Size No. � � Capacity Sq. Fk E.D.R f�..� �� BTIJ H,p, Total Connected Load �� ,� � Kind of F�e ��' - C`'��' BURNER — Trade NamP Size No. CaPacity Sq. Ft. E.D.R BTCT H.P. (REMARKS—OVER) ��c 4 2 RAY N. WELTER HEATING CO. S�� i'rGTitG7iTs - � B�rUMNEAPOLIB 7. MINNE��T.� Business Phone No- � �� ' (O � 6 "� ( / �L� -A C .(�[�� _ — _ _ _ _ _ _ _ _ _ ! (,J , � � City of Fridley .� Applica#ion for Pfumbing ond Gas Fitting Permtt Dept. of Bldgs. P,ho� .3450 DESCRIPTION OF WORK � ` Number, Kind and Locatioa of Fixiures Locatio �� Z N W w Z • ` WATER HTR. �r F� F N � 1� 2} Z Z �i p V Z O I � U' Z a �< � m Z��y y p �a� ~� S� <d �ZZ �a F N GAS ELEC. � 3c� �� 3� o� � LL c Sm <3 c�°1 t��u t�o Base % 3 � ist , 2nd � _ 3rd 4th • Future Coaasctfon Openiisgs Conneated with � Sewe: � � New Fixture, Old Opeaiags ��p�l � PARTIAL RATE SCHEDULE PLUMBING FIXTIIRE RATES: NO. RA'!"E OTAL Number Fixiures . . . . . . . . . . . . . . . . . . . . . . �.� x $1.50 $ �� `°� � Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basin . . . . . . . . . . . . . . . . . . . . . . . . . . x 3.25 $ Water Heater (Up to 200,000 BT[T) . . . . . . � x 2.00 $ °� � New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: *� NO. RATE TO�'AL / lst 3 Fixtures .......................... J x$1.50 $� Additional Fixtures .................... x .50 � Gas Range to 200,000 BTU . .. . . . .. .. ... . x 2.00 $ REPAIRS & ALTEAATIONS—Refor to Code Description ................................................� • TOTAL FEE $� i \ itr ' �'.\ > -! = ��,�E �' � y�\- � � ,�., ��,., � . r'4; : < �, ,c r , SFA y` °< `� - �� a�19" �j ,'� �^� - :�� `� �r �y`'�,.. .� City of Fridley: ��,,` 1 1° � ,� -, *.._ 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 Chat all the fact and representations stated in this applicatio are true and correct. . Fridley, Minn. �', / � , 19 �� Owner Kind of Building Used as �J To be completed about � � — Estimated Cost, $ � �� /<� Old—ATew. Building Permit No. G' V Permit N % r � J � Signe � By Business �nune �vo. �?o`� � ' J'� 33 ROUC3H FINAL d2 ! �ity of Fridley, Minn.. BUILDING PERMIT �: r. Y" r. "�4v� a �� szs Owner: ..� ..._...._...._._....___, Builder _. 1�i�se C13.niC :..St�!!�..._..._...._..._.._.._...._..._.._..._._ Address _�.�►.1r_.0._.eTi±6�� g1i:t._�!eE�.____..._..___..___._ Addt�ess _.��....�..��'e�...._.._..._.._. LOCATION OF BUILDING rro. _��_..�._. st�eet __.,I.ac�lcs.m._,�.t.....]�.8.....___---._.._..._.__.._._._. p�t or t.ot ..._....._ ..� Lot ---__�....__.�.._.__ Block ._�_._�_._..._.._---.._.._._. Addition or Sub-Divisi� .----�,�_.� .�eh— Corner Lot .____...._.._.___ Inside Lot _.._.__*_..._._.._._. Setback _____.__._..__.__._ Sideyard __._..r.._... Sewer Elevatian .__......_�.._._..._.._.._�_.�_.__�_...._.__..___ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: �'�.��._..�'�� Front ��.� Depth ...��— Height .._._._� �. Sq. F� �._ Cu. Ft ..�i�_ a8 �di�lll�.._�.�.�._ Front .._.___..___ Depth _.__._...__ Height ._._.�____ Sq. F� _._ G�1. Ft i'0� P+��tol��ction _.__Pa�is Ra f._..----- �. Es� Cost _-----.�'2��1�'l....._........ To be Completed .....�_�„�].�$ • In consideration of the issuance to me of a permit to construct the building deecribed above, I agree to do th� proposed work in accordance with the description above set forth and in compliance wlth all pro!viaions ot ordinances of the city of FridleY• f7 i , e In ca�sfderation of the payment of a fee of �._.._� _..___.., permit is hereby gr�iited to �� to construct the building or addition as described above. Thiape rinit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances o� Fridley, Minnesota regarding locaiaon, constructaon, alteration, main , re d moving of buildin�e within the city ]imits and this permit may be revoked at.�time u��Ce��l�the Provisians of sa�d ordinances. � �i�.C�i�. Bt�ilding �c • NOTICE: ihis p�emit doa not eowr tiu eonsfeueNon, imhll�Non for wirin�, plumWno. oas h�aNn�, s�w�e er wM�r. M sun to a� th� Bufldiee lasp�eb� for a�p�raN p�nehs fo� fha� N�ms. �. AFPLICATION FOR BiJILDII�� PERMIT . -CITY OB FRIDLEY,�MINNESOTA � QWNBB' S 3�A1��,l�t� s � •.��' /�7c�� -� . , s 'BT']S DE�- ��` - ��_*-+�.c f' . . �4- ADDRESS�__��,o _ Gc%s_�L.� �L� _ �►DARESS�. �'/ _.��z S�'. . T . � /hi�n � �s . . . � . LOCA�TION OF BUiLDI�IG� � � , � . `N0._�l��O ,� ST�EET VG�%�`��1 �/ • /U r �___��_____ _ . LOT_� SLO�CR,_,_ 2 ' ADDZTI�iT OR SiJBDIVI3I� ��'/ ` �f� COR1�E8 LOT •. ,IhSIDE LOT w� SETBACK'` SIDBYA�D : v _.___._� �...,_ _..._._.- SEWFB ELEVATION .��OP OI� ::FOOTII�jG . . . �;Applicant attgch-'�to this €orm Two Certificat� of'�bzvey.of Lot_add propcsed buildiag� locaCioq drawn� an �these Certificatea. . ' �; " DB3G�IR��ON OF BUILDIArG . . . � - - � � . � � � - ' . . . � � � . � , ' � ' . . . - � � , � . . .. . . . . � � . To Be Used Ass . .- � � �"��%'o Froat`^r� ` _ Depth�; . Reigb�.+ � � ' Square feet � ,C� � Cubic Feet D�Q . • . . , ^,� Front Depth Seight �� 53 Square feet Cubic Feet Type of Constructiaa cr�°%o �o Estimated Cost 7'Z� cro --�--- To Be C�pleted �( � � h • �..� � The undersigned hereby 16akea application ior a peranit for the �k herein specified, agreeing to da all work in strfct accordaace with the City of Fridley Ordiaances and rulings of the Department of Buildiags, aad herebq declares thaC all the facts and repreaeatatioas stated in this applicatiaa are true ead correct. DATL : _ � _6��c'� _ SIGNATURS c�/ ✓. ii�i�_ _„�� i?�� (Schedule o# Fee Coets can be found an the Beverse Sic�. � ,� �. ' i � , � � a� �� • r • sua�ECr P City of Fridley _ 16 8 4 8 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � � � � • � • COMMUNITY DEVELOPMENT DIV. o ' j ti �"'�-� �/(9 � f + � PROTECTIVE INSPECTION SEC. � � � � � �"'1 � CITY HALL FRIDLEV SS432 NUMBER REV. DATE PAGE OF APPROVED 8V �"""� � ,�� 612-571-3450 910-F15 11/10/82 / / JOB ADDiiESS 7650 Jacks:on Street N.E. t LEGAL L07 NO. BLOCK TRACT OH ADDI710N SEE A7TACHED DESCR. 4 2 Melody Manor 4th Addition SHEET 2 PROPERTYOWNER MAILADDRESS 21P PHONE Brian Kpcher 7650 Jackson Street N.E. 786-0944 3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO. Martinson Builders 413I - 6th Street N.E. 786-1599 4 ARCHITECT OR DESIGNER MAIL ADDFiESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE Q. 6 USE OF BUILDIMG �I Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 27'8" x 16' Addition to DHZelling 9 CHANGE QF USE FROM TO STIPULATIONS SEp�RA r� PER NEATIN�, pL��g �T�S REQ(I!lq�D F � ��'�.�� G AIVD � �i,.,`,...�1 ut�C��c SiG�� R �1/If?lli�(i , ee{oFe d�gg�c,� �� y;s� �:� � C?,� ' ZE�EQN��' �°{ LAw �� TYPE OF COMST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PI.UMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR �F CONSTRUCTION 442 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 READ AND EXAMINEO THIS APPLICATION 1 S7ALLS 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 $19,350 $9.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE OV SIONS OF ANY OT ER STATE OR LOCAI LAW REGULATING C �S`].[�0.50 NONE S TION OR P ORMANCE OF CO STRUCTION. RLAN CHECK FEE TOTAL FEE $ 35.13 $185.31 �SIGNATUREOFCONiRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VAUDATED THIS IS YOUR PERMIT ..) � % � GZ� SiGNATUREOFOWNERUFOWNERBUILDERI IDATEI • BLDG iNSP � PTE CITY OF FRIOLCY Effective Aug. 1, 1981 APPLICATIOE�! FOti RESIDENTINi. 6UILQIi�G PCRf�iITS (t�e►�, A1 terations, Addi Lions, or Repa i rs ) _---, � ��S �� OWNER: L�cz��-. �f �G�-��3 0<�� BUILOER: � � � � � ADDRESS: _ 7�5�� f� t��-�. �Y �/� AODRGSS: �'/}i l�.r�` ��i = TEL N0: - ��y�9`�y � TEL t10: �'�� / S`"9'�____-- Construction Location • STR1�T NO : ��5� STREET: .,� � L� Sr� +.� � i � LOT: � BLOCK: o� ]1DAITION : � �0 �iCi O `� D�ll T ""'�'��"'� Corner I,ot: Inside Lotz Setback: Sideyards: 1►p�lica�t attach to this forn !� Certificaties of S1�zvey of lot and propcsed building location drawn on certificates to scale. OESCRiPTiOi�! OF COF�STRUCTiON �-. �� — r I , Front: Depth: Height: �4 -.-------- Square �•eet. � Aibic Feet: . Front: Depth: Nefghts Square FePt: A�bic Feet: 4ype of Cor,struction: ��G/ ..��Y( Rb Be Q�r.�pleted: . ��, 3,,-v Est3unated Costs $ 7►lt. A Alt. 8 propesed Drivc�aay kiath If New Openinq Is Des3red: $' $ , , SE� Rr^.VER�E SIDE OF SHEET � 'liie ur�dersigned hereby make� application for a permft feY the woxk herein specified, agreeiag to cb ,all Werk ir, strict accordanee aith the City of Fridley Ordinances end tuliaigs af tl�e Departmrnt of Duildings, and hereby declares that all tl�e facts and : xcprese�t�tiens stated 3s� this application are true�d correct. , ��Tl:: �%��' �..�Q�� SIGNATUI�: Stipulatior�s : � •� / / t�►a, aZ+ 3�►'; 13 '1je . G�r � � �S' 3 � ,� ��S � . - S . . � ,�d.�/ - --.. . ... - � - --� SUBJECT �,, c�cy of Fridley . 27 0 0 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T r � ` RE O. � • COMMUNITY DEVELOPMENT DIV. r � V � PROTECTIVE INSPECTION SEC. � �� t � /'��1 � CITY NALL FRIOLE� 55432 NUMBER pEV OATE PAGE OF APPROVED BV �'""'�" �'' 612-571-3450 9�0-F15 8/3/98 � � IOB ADDRESS 7650 Jackson St 1 LEGAL �OT NO. BLOCK TRACT OR AOOITION SEE ATTACHED DESCFi. L� 2 Melod Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL AOORESS ZIP PMONE Mickey Blue Dorn - 3 CONTRACTOR MAIL ADDRESS ZIP PNONE LICENSE NO. Midwest Roofin , Sidin & Windows 18979 Gladstone Blvd Ma le Grove I 4 ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO. 416-4804 20010277 5 ENGINEER MAIL ADDRESS Z�P PMONE IICENSE NO. 6 USE OF BUILOING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION �$ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (27 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THtS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO OAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFfSTREET PARKING I HEREBY CERTIFV THAT 1 HAVE REAO AND EXAMINEO THIS APPIICAT10N 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 WITH WHETHEF SPECIFIED HEREIN OR NOT. TME GRANTING Of A PERMIT ZZSL I.. 12 DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqM1T FEE SAC CMAFGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE Of CONSTRUCTION. %�}.7S Fire SC L.2 PLAN CHECKfEE TOTA�FEE Lice se SC 5.00 8.12 S�GNATUAEOFCON'RACTOAOAAUTHOAl2EDAGENT IDATE� WHEN PROPERIV IOATEO THIS IS VOUR PERMIT �l/� ' �' � SiGNATUREOFOWNEAUfOWNEABU�LDEA� iDATE� BIDG tiSP �+u E �.=P-�5--15'3'7 1�� 05 �� ADQl�� j � �cx�ct [ � �ructianAddrr�:,_„� I�g�i pescaciption: � Ur�vnat AI�e at Add�: C�om�ct,or. %ni�,l 1 �°/� ��"`s �: GA►�i+C� ��1: E3S�K �; 'i�I�; � c[rr � �xiv��e �i� �ri i�r r.rain� . . . . . ..... . C�`'!f OF �pY,�y C��uivc 1l�197 s�r��,s� �,a�u,Y .u� �u�.� R x �t� � � p� BUt�DII+�G i'ER�� AFPIG�CATt��i � d n� i „ n „ .. �. � _ c� � r . _..� � _ � � x�. � ��n " ��i�i��'�'��_1��'I�l/i.f/��•',:��L�i.�tiLR .� �+�`' '�: . �,.� � _ r .�. ][ � � �., . �r�:� ! � � � � �1 � ` � t�]... :v li + .+'% l,a � *� n��r t- �� S "�� r�.' Y- lt� i! " 1��`r;ar> r�:tti'1 t� 1 f1 ; � �' f �.�.� t �� * �_ l. � �F,� L`�' _..__.._..` '�'� —�.� � � . �'� ��, i�ei�t _,,,�� S9• F�. �.� Sq. Ft. __-___�_ S�. � __-.______ r I 1 ��VV� _ �ctxaaf► �jrpe: �o�od t� .� aD� � � � � � , tPee �2a ,� �ae�T�} . �ag +�ub 4'�tt �'',tt�ti p�ic�d; '"-� • � 6 Pt � � `u $ : :±= . : - .�,. • . � : ,. . _ . . - - . � �.� ��3�� r�a�r: c � ��. � `�C � � �g� �{' �.��...�._. cm�tc �e n 5a�ge t�e Sn�r�r�s C �g� d� Su� �'a�' F�t+ow �t Ga�,eo�i !c F�s �e iULain CF�ar� �o�� 'Utr�',•1��s: M.T.7t �n� � fl_�l_^ � �, Z �i- 75 �e � aa �a �e $ . S .Od� � 3�t V� ��l�Q�h�) s._,.. -...�_ �•�,exx� v� � _ 5: no �so ,per sa�� c . . - � � $.5.� �tae � ' C�y � _ A��. "A" or A�t, "H" Above $ . •$+�'.�,.�0 �t�rxxE+io� � � � � 1Fee i�eran�%� by � A� M�Y � 3 �1'vt Aieccs�ry j} � �3, �� m _,�t � � • City of Fridley, Minn. BUILDING PERMIT Date: �Y 24,_1966 N° 8853 �'� ��..��"�/ Owner: _. Builder _ HOMEDAGE BUILDERS ...._. _ Addn►ss _._ .�.._._ _ ._____._ Address ..._._ 3017uLYNDALE AVEftUE SOUTH MINNEAPOLIS, NIIRNESOTA LOCATION OF BUILDING No. ....._ �65 0 s�t � JACKSON STREET ft.E •�.�.___.._..___. Part o! Lot ...._. ._._ Lot _.._.._ 4..._.__ Block _..M �__.._...� Adciitioai or Sub-Divisiaa ._._..__ MELODY MANOR, 4TH ADDITIOA Corner Lot �__..._._..._.._ Inaide Lot _._..__?� ._._. Setback 35' _._._ Sideyard ___ 15 and 13 Sewer IIevatiaai _.._..... 886.�5 � __._..___ Elevation _..�_..�.$.2 - 5 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: DWF�LLING�_ Front _32 .... Depth ___24 Height . 28_._. Sq. F't. 768 GARAGE�.�.__ Fro�t 2�__...... Depth _._? 2_ Height .__ 1�.__ Sq. Ft. 440 Type oP Constructiaa _ F�ME.�..._..._... Ea� Coat _._a�.21 000._.....___.._ To be Ca�npleted � � 21,504 � � 4,400 SEWER 69' ftorth of Manhole WATER 79' North of Manhole In ccs�sideratlon o! the issuanoe to me of a permit to c�q� t�i building described abowe I agrae to � tiia propaed work in accordance with the descriPt3an abav set nd in c�m wtth a�l pravWons o! az�dinances o! the dty o! Fridley. /.. In candderatian o! the payment o! a!ee o!; 26 • 00 , permit ie hereby �anted to._..��T�...� E C to c�onstsuet the building or additi� aa descrlbed above. This permit is 8ranted upoa� the exPnees ounditioa that thepereon to wh�n it is granted and hia agenta, emPloyees and worlmzen. in all wark. do�e in, around and up� said building, or anyp� thereoY, shall conform in all resPects to the ordinanoea o� Fridley, Minneeota reg g locatto�, constructio� alterati�, maintenance, repair and mavin8 of buildiaSs wio�� dty limits and�this permit may be revoked at ar�y time upan violation of ar�,y oi the provisioa�s o! sa�d W7I,LIAM H. SAftDIft B�� .4 • NOTICE: 1N� p�ewil doa net s� fM eonqeualioy t�ahllMiee ior vr�. Plw�bdiW Yas MNtp, s�ww x waM. e. a�. a n. 1M WiW�p I��e1sr hr s�pu�» p�rwiM fer 1Ma �s. _, , 0 OWNER' S NA1� APPLICAfiION FOR BUILDING PERNIIT CITY OF 1�RID�.�Y, MINNBSOTA , u. i✓- � , .o ADDRESS ADDRI:SS�,� . � � LOCA1�''IO�T QF BU�T.I)i1�GG . � , � . � : � N0. � G� L� � STREET PART OF L4T . � LOT � BLOCR_�� ADDIITON OR SUBDIVISION�/�� . ` � CORNER LOT �N3IDE LOT ✓ _�ETBACR �S� SIDE-Y. � �� -3 - _ SEWER ELEVATION - FOUNDATiON i,EVATIOA ' Applicant attach to this form Two Certificates of Survey of Lot-and propoeed- building location drawn on these Certificates. DESCRIPTION�OF BUILDIPG • To be used as: . � � � Front �„� Depth �Height -y�-- ; . _.s '/ Sq. Ft, �Ga � Cu. Ft. °Z ��i� �• Front_'�� _ Depth �y. Aeight /�`i., �. ' Sq. Ft. � �,_Cu. Ft. . , �,. ��. d . , � Type of Construction . Estimated Cost. 2%�%�,p,�_� � , . ,. _ _ To be completed -� �p � . � � , The undersigned hereby makes application for g permit far the`'work herein " specified, agreeing to do all work in strict accordanae.,with fhe City of . Fridley Ordinances and rulings of the Depsrtment-of Buildi�ags,:and hereb� � declares that all the fact$ arid representationa stated i� thia app�.ication are true and correct. � � DATE '��SIGNAT[TRE (Schedule of Fee Costs can be found on the Reverse Side). r Y ,\ J � 0 �.. � 4 � �� ' �' . �(/'V✓ v .. ��- q . . ' . . _ , . : +. . y.. . .. � . � G' � . _. . F _ .'. . �r � . tI �\ �� \�,+ '� � �°�9 Zb �C �Q �� `� � �� 9 � fNwrna-� l�cdd�s � c�Q �; 1� �'�M1�v ,� �. `�.111^�� ijyd .� . '`� _ 0� \� � J � . I � / �� / ^ / / / / i.� �, , � r � � . 0� \��` 1� � �1_,/ � � � _ � k ATTENTION OF: To __ �• __�VIIi ��UNSELL, PIIIAHCE DIxSCPf� 1�3. NARRiET BUL�CH�t � SUBJECT � � B�� T #8190 - 7/14/6S DATE �Y �► �� 1C�R.Y ftSF[)� BOILDiI� FE2NIT 1►EE !Ot A�E CAlTIQBD TO: _,�_. HtIl�DALE DUTLDEBS - 3017 L�nd�aie Avt�mt! Sottt�s Mianespeils, 1rli�tn�otat THB StJM OF : $19 . S �- reta ining $2 . S 0 f a� bootkespiag expensp . RBASON: TH�Y ti�E �iILDI� A DIltERtNT � Et�i THIS LErT WHICH i3 LAffi�lt AHD CtriiSTITDTBS A LA�GLR !BE THAN THE ElHI6I�AL 0lfL� . . 51GNATURE Il�S1BCTIi�i DElAti'!�i REPL Y: , . . � DATE . � • . � SIGNATURE ORIGINATOR — DETACH AND RETAIN � s. sue�ccT PERMIT NO. _ c�ty of Fr�a�ey ..� - _�_ - AT THE TOP OF THE TWINS 6 U I L D 1� G P E R M I T �� r ; � RECEIPT NO. � `L��_��_ COMMUNITY DEVELOPMENT DIV. � / f � � PR07ECTIVE INSPECTION SEC. � . � �.--- A,��,'� CITY MALI FR101.E� SS�3i NUMBER REV D�TE VAGE OF APiROVEO B� �� 612-571-3450 910-F15 1/25/99 � � JOB ADDRESS �650 Jackson Street NE t LEGAL �07 NO. BIOCK TRACT OR AOOITION SEE ATTACMEO OESCR. !{ 2 Melody Manor 4th Addition SNEET 2 PROPERTY OWNER MAIL AOpR�S$ Z�P PMONE Micky Bluedorn 7650 Jackson Street NE 786-8884 J CONTRACTOR MAIL AO�RESS ZIP PMONE LICENSE NO Twin City Exteriors Co 9060 Zachary Ln N�16108, Maple Grove, MN 55369 2595 � ARCNITECT OR OESIGNER MAIL AODRESS ZIP PMONE LICENSE NO. 612-425-�+737 5 ENGINEER MAII AOOFiESS ZIP PHONE UCENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION � AEPAIR O MOVE O REMOVE 9 OESCRIBE WOfiK Reside House & Gara�e 9 CHANGE Of USE FROM STIPULATIONS Call for buiZding wrap before covering. trP� oF coNST. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING Oi; AIR CONOITIONING. TNIS PERMIT BECOMES NUIL ANO VO�O IF WOFK OR CONSTRUCTION ZONING AUTMORIZEO IS NOT COMMENCEO NfITHIN 60 OAVS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO fOR A PERIOD OF 120 OAYS A7 ANV TIME AFTEF WORK IS COMMENCEO. NO OW4G. UNI7S I HEREBV CERTIfV 7HA7 I MAVE REAO ANO EXAMIN�O TMIS APPLICATION ]. AN� KNOW TME SAME TO BE TAUE AND CORRECT. ALL PqOVISIONS O� UWS VALUATION AND OROINANCES GOVERNING iMIS TVPE OF WpRK WI�L QE COMPUED WITM WME7MER SPECIFIED MEREIN OR NOT. TME GRANTING Of A PERMIT �H�OOO DOES NOT PRESUME TO GIVE AUTHOqITY TO VIOLATE OR CAMCEL TME pEf1MIT fEE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGUTATING CON- STRUCTION OR THE VERfORMANCE Of CONSTRUCTION $].3].ZS S�GN�TUQE OF CON'aACTOA pR �U��OAi2E01GENT IO�TE� 57A��S S.--C� CU FFSTREET PARKING IGARAGES URTAX $4.00 AC CMARGE Fire/'SC $8.00 1 4.25 S I$ VjiU� / �i S�GN�TU�7E O� OWNEAi�f QWNEpBU�IDEQ� �OATE� � I � ' � .. i . �e.SO : /ii f IOAD NE�'�� ADDN ALTER [l �� [l ConstructionAddress: I.egal Descrip[ion: Owner Name & Address: Contractor: � r �� Address: 9i�� L Effective 1/1/97 CI'I'Y OI�' rRIDL�Y � SINGLE FAMII.Y AND DUPL�XES R-1 AND R-2 �'1p BUILDING PERMIT APPLICATION ,1� �� /v=,%'� � �� _ _� /_' �i!// % � % � = I�% � / � I � v � �/� , � . r . �! i i � � � - Attach to this application, a Certificate of Survey of the iot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: � Length Width Height GA1tAGE AREA: Length Width Height DECK AREA: Length Width HgdGround OTIiER: Sq. Ft. Sq. Ft. Sq. Ft. ,.�- Construction Type: ��j/ (�,� Fstimated Cost: $ � QO� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: - A,PPLICANT: � Tel. # y�� -�{%3 � Permit Fee Fire Surchazge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE Ol�II;Y $ Fee Schedule on Reverse Side $ �� Q� .001 of Permit Valuation (1/lOth%) $ $.50/$1,000 Valuation $ $950 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: ,g� �,� �,�,� 1 g CITY OF FRIDLEY INSPECTION DIViSiON 6431 University Ave NE Effective On May 10, 1999 Fridley, MN 55432 APPLICATlON FOR POWER PLANTS AND HEATING, COOLING, VENTiLATION, • 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DCVICES RATE SCHEDULE Residentiaf Furnace She(i.and Duct Work, Burner - Also Replacement Furnace (Side Vent • Fill Out Back) Gas Piping (Needed with new furnace, ' but not replacement) Gas Range Gas Dryer *Air Conditioning - AI! Sizes All Others/Repairs & Alterations (LIST ON BACK) lqo of Value of Appliance or Work Commercial/Industrial 1.25 J of Value of Appliance or Work Rate TOTAL $ 30.00 $ 0-fla $ 10.00 $ $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTALFEE MINtMUM FEE FOR ANY HEATING/COOLING/VENTlLATlON A 1 /AtR CONDITIONING PERMtT i S25 00 PLUS THE $ 50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without writfen permission from adjoining property owner. � JOB ADDRESS / � � v �/�Sb +� d� • OWN v BUILDING USED AS_��Si��2�5-P ESTIMATED COST �;r7��O. °� PERMIT N0. r� `' `--� DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units � ' Circle One (Steam) (Hot Wate (Warm Air $ Trade Name �A�;-�w l Size No. BTU_�oO�ofl� � HP EDR $ Fuel_vl /� C�.4-s ' Total Connected Load $ $ $ .50 � p ,�d Burner Trade 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 rulings of the Building Division, and hereby declares that all the facts�and representations stated in this application are�true artd correct. DATE _ l �.S~ �! 9 Rough•In Date Final Date� _� �h � G CITY OF FRtDLEY f.NSPECT.ION DIViSION Q� p� ��, �r' � S 6431 University Ave NE�: c� L I � Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION� 763•572•3604 - REfRfiGERATION AND AIR CONDITIONING tYSrFnns eNn nFVir_Fc ` JOB AI RATE SCHEDULE Residential Furnace Shelf and Duct Work, Burner - Also Replacement Furnace (Side Vent • Fill dut Back) Gas Piping (Needed with-new furnace, but not replacement) Gas Range . _ . Gas Dryer � *Air Conditioning - All -.Sizes All Others/Repairs &�,Alterations (UST ON BACK� 1% of Value'of Applianee or.Work Commercial/Industrial . �. 1.25% of Value of Ap�pliance or Work Rate TOTAL $ 30.00 $ $ 10.00 $ $ 10.00 $�- ' $ 10.00 $ ' $ 25.00 $ Z �- �� State Surcharge TOTAL FEE MINIMUM FEE FOR ANY�HEATING/COOLING/VENTILATION REFRIGERATION/AIR CO�VDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE �SURCHARGE II REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ . $ $ .50 $ 2S. Sc� OWNE Effe�tive On`January 1, 2001 BUILDIN� USED AS �� """`'��-� ESTiMATED COST � � �"�S PERMIT.NO. ( �' //D DESCRIPTION OF FURNACE AND OR BURN�R No.;of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size N8. BTU HP EQR 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true:and corr ct: DATE d - sra�D�RO ME�ra�� ;t��f � rr�� e. HEATING CO 4101NE87 �.AKE STREET � NEAP�LIS, MN 65408-2998 Si d 612-824-265�� # ��ml'�-�---�� ' I Approved B�j�-� Rough•In Date Final D ACK StDE MUST/BE FILLED IN ON VENT ND COMBUSTIO#1'AIR VERIFICATION 11 Z) s RS _ _ UIYOF FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3430 • FAX (763) 571-1287 February 14, 2003 Ms. Susan Bluedorn 7650 Jackson Street NE Fridley, MN 55432 Re: Final Inspection at 7650 Jackson Street NE Contractor: Standard Heating & Air Conditioning Co. Dear Ms. Bluedorn: A mechanical pernut was issued on August 3, 2001 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a fnal inspection shall be conducted on the work authorized by this pernnit. 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 inspection, 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 conta.ct the Building Inspection Division at (763) 572-3604. DJ/mh SuBJECT �� . � �. � P IT Nf�r-�-+� City of Fridley 32547 AT THE TOP OF TNE TWINS g U I L D i N G P E R M I T r � � � � � • COMMUNITV DEVELOPMENT DIV. ( ' j V��'�� , . `7��J/ � � � PqpTECTIVE INSPECTION SEC. O(�'� ' � � , � � �"'1 � CITY HALL FRIOLE� SS�J2 NUMBEN pEV O�TE P�GE OF �VPROVEO Sv �'""�' �'' 61�-571-3450 9t0-Ft5 4/29/02 / / r JOB ADDRESS 7650 Jackson Street NE 1 LEGAL �OT NO. BLOCK TfiACT OR AOOfT10N SEE ATTACMED DESCii. LF 2 Melody Manor 4th Addition s►+eET 2 PROPERTY OWNER MAIL ADORES$ tIP PMONE Mickey & Susan Bluedorn 7650 Jackson Street NE 763-786-8884 3 CONTRACTOR MAIL AOORESS ZIP PMONE LICENSE NO Quarve Contracting inc 8427 Center Dr NE, Spring Lake Park, MN 55432 6016 1 ARCMITECT OR DESIGNER MAII AOORESS ZIP PMONE UCENSE NO. 763-785-1472 5 ENGINEEii MAiI ADDRE$S 21P pHONE LICENSE NO 6 USE Of BUILDING Residentia3 . 7 CUSS OF WOfiK O NEW D ADDITION O ALTERATION � REPAIR p MOVE O REMOVE 8 DESCRIBE WOfiK Replace wizdow witihin existing opening in bathroom and dining room 9 CHANGEOFUSEfROM TO STIPULATIONS Provide smake detectors in a11 sleeping rooms and on all levels of the dwelling per Sectiorr 310.9.1.2 of the 1997 Uniform Building Code. TYP�OPGONST. OCCUPANCYGROUP OCCUPANCYLOAO SEPARATE PERMITS AqE REOUIREO fOq EIECTi;ICAL, PLUMBING. NEATING. VENTILATING OR AIR CONOITIONING THIS PEfiM1T BECOMES NULL ANO VOIO If WORK Oit CONS7ftUC710N 20NING SO. FT CU fT. AUTHOR12ED IS NOT COMMENCEO VyITHtN 60 DAVS. OR IF CONSTRUCTION OR WORK IS SUSPENOEO OR ABANQONED fOR A PERIOD OF 120 OAVS A7 ' ANV TIME AfTER WORK IS COMMENCED. ` NO DWLG. UNITS OFfSTREET PARKING I MEREBY CEi±TIFV THAT I HAVE REAO ANO EXAMIN�O THIS APP�ICATION � STAtLS GARAGES AND KNOW THE SAME TO BE TFIUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SURTAX AND ORDlNANCES GOVERNING 7HIS TYPE OF WQRK WILI QE CpMP�lEO � 1� 20� @. 60 WITH WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING OF A PERMIT �' DOES NOT pRESUME TO GIVE AUTMORITY TO VIOLATE OR CAMCEI THE pEWMIT FEE SAC CMARGE PROVI N OF ANV pTHE S T OR LOCAI LAW FEGUTATING coN- ,$44.85 F� e SC �p 1. ZO S�TRU TI R?H& PERfO N OF CONSTRUCTION �� PLAN CMECK FE TO l FEE /� �icens S $S. 51.65 S�GN4TUQE OF C 'pA .TOp Op AUTMOp�ZEO �GENT �OATEi EN fi0� Y VAUDATE TMIS �S VO PEpMIT r � S�GN4tUAE O� OWNEA��F OWNEA BU�IDEA� �D�TE� . ' ' � BIDG� �h5� ' ' � i��E NEW [] ADDN [] ALTER [ ] Effective 1/1/2001 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMlT APPUCATION Construction Address: �� (k.E'�—'�f1f1 � ' Legal Description; , . Owner Name & Address: mi C�,►� y�,t,.r�,� 8(U.p,�n� Tel. # ' g Contractor: Q,�,��„��,;,�,,,�. MN LICENSE # B�i �2�� aaz� cem�r oriVe r� Add�P.SS. SprirgLakePark MN55432 Tel. #'7�03� 7R�J"�� 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 Sq. Ft GARAGE AREA: Length Width Height • Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: �fDUi[�P,�1 � rP.�(1P�.mv.A�" �� ;Yl�l'te ) in nL,'�f;cf !1Q (�it�Pfli [XL� e, ih i n f n� Construction Type: Estimated Cost: $ j,�� `� Driveway Curb Cut �dth Needed: Ft. + 6 Ft = Ft x$ =$ DATE: ,=.ZJ � APPLICANT: ` � Tel. #`�J� �v��/ / v' CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Call (763) 572-3604 for Permit Fees ff mailing in application � $ .► Fee Schedule on Reverse Side $ 1,2-D .001 of Permit Valwation (1/9Oth%) $ �d�3 $.50/$1,000 Valuation . $ $1150 per SAC Unit $_ 5' � � $5:00 (State Licensed �Residential Contractorsj $ Alt.'"A" or AI#. ��B,� Above ' : - : $ ` $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary� ��0 � STIPULATIONS: _.__ _. . .. _.. __ . _.._. ._.._. � . Building Inspections 763-572-3604 DATE � 2 SITE ADDRESS G THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR � PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL _ �- O OWNER �NTRACTOR ADDRESS: C1TY PHONE: Permit No.:_� Received By: /� Date Rec'd: �?� TE ZIP SUBMIT A COPY OF STATE LICENSE # 3�Q�i��' EXP DATE ��it �� YOUR STATE ADDRESS: Y� � �"��-- C[TY G'r�e''� 4tG�d � STAT %LZIP � LICENSE WITH pHONE � F.4X �Ll 78Y` %�Y7 • TTi il� � Til11T PERMTT TYPE TYPE OF WORK: DETAILED�D, �CRJ r_ ! FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ rrEw OF WORK ►_. __ PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500:00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. .(This .shouldreflect only the cost of labor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FORPROJEGTS WHERE LABOI2 EXCEEDS'�i00;�?EES ARE BASED ON $10.00 PER FIXTURE, EXCEPf �V3-IERE P'QT£i3.-':RI�£S;-..(WDICATE TOTAL NUMBER OF EACH BELOV� �BATH SINK/LAV FLAOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING ��o ci�rlrc�) SWIMMING POOL _ WA'i'ER SOFTNER ($35) CLOTFIES WASHER KITCHEN SINK L WATER CLASET BACKFLOW PREV. ($15) � DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION � _ WATER METER _ OTHER Permit Fee $ Number of fixtures @$10.00 Surchar e .50 Number of fixtures (a; $15.00 TOTAL DUE $ Number of fiactures Q$35.00 THIS IS AN APPLICATION FOR A PERMTf NOT VALID UNTIL PROCESSED �x$10.00=$ 30�Q`' x$15.00=$ x$35.00=$ State Swcharge = $ 50 Tota1= $ o . `� I hereby apply for a building permit and I acknowledge that the information above is complete and accwate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a rmit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all w re ires review and approval of pl s. SIGNATURE OF APPLICANT PRINT N�S ��""� DATE � Z CO City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 DATE ��U�tid O-1 SITE ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY � 7� Permit No.: Received By: YOUR E-MAIL ADDRESS _�jSQ�Q� ►� �Q(,Z�[.QC • C.CJY1r'1 � 1_ n 1 Ci \ � � ❑ OWNER ❑CONTRACTOR �� ADDRESS: � � CITY STATE ZIP PFiONE:��r- NAME: STATE I.ICENSE f! ADDRESS: 0 TWO FAMILY/NEW ❑ ADDLTION ❑ BASEMENT FINISH 0 DECK DESCRIBE WORK BEING IMPROVEMENT NUMBER OF SQUARES .ARA .FS PROPOSED SIZE: PROPOSED HEIGHT: SIDING O Vinyl ❑ Aluminum O Other NE W Renewal By Andersen 1920 County Road "C" West Roseville, MN 55113 License #20130983 651-264-4777 ❑ GARAGE/SHED ❑ ROOF ❑ SIDING ❑ SWIMMING POOL O ADDITION ❑ REMODELING ,�v�1G��S �: ❑ HOUSE ONLY O HOUSE &, GARAGE ❑ A'TTACHED GARAGE ❑ DETACHED GARAGE OSoffit O Trim � Fascia WINDOWS IN EXISTING OPENINGS ❑Yes ❑No LOCATLON OF WINDOWS OR FOR NEW OPENINGS-DESCRiBE SIZE OF OPENING CHAN{GES & t STATE ZIP, ❑ DRAIN T[LE O OTHER W IDTH HEIGHT BASEMFNT RFMODELING SUBMIT: 1. Existing F{oor Plan 2. Proposed floor plan 3. List of structural membcrs to be used F� FOR NEW CONSTRUCTION INCLUDING DECKS, ADDIT[ONS. & PORCHES SUBMiT: 1. Site PlanlSurvey showing the existing structure and ProPosed Project• 2. Two sets of construction plans 3. Energy Calculadons • w �rvww I V tfb 1NS I ALL�ll NUMBER OF W[NDOWS � ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USII�TG�I 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ s �1� — OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Chazge $ $ S. $ . Lo(� $ .6c'� $ $ $ $ $ _ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach TNIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be 'v conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not s permit but only an applicatia r a permit an rk is not to start without a permit; that the work will be in accordance with the approvec plan in the case of all work w' 6 requires red � la . �� /i� SIGNATURE OF APPLICANT PRINT NAME._pyt� � pp'1'g v Building PLUMI3ING Pennit No.:___ � ' � _-- - - Inspections RESIDENTIAL APPLICATION Re�ei`'e� �y:� � - 763-572-3604 CITY OF FRIDL�Y Dale��: AUG 9 DATE YOUR [-MAfL A ESS _�, t _ ___ SITE ADDRESS � LQ � �_ ��'� � `�- � —__ THIS APPLICANT IS: ❑ OWNER �ON'TRACTOR PROPERTY NAME: r� OWNER/ ADDRESS:��Q Z� ��TY_��U' STAT��IP ,J TENANT PHONE� � � �- CONTRACTOR NAME: �� SUBMIT A COPY OF STATE LICENSE t! � Q�� L.(� EXP DATE 1 � I � YOUR STATE ADDRESS: O CITY STAT�t ZIP �� lp LICENSE WITH pH0 FNt �, APPLICATION PERMIT TYPE �MGLE FAMILY ❑ TWO FAMILY ❑ TOWNIiOUSE TYPE OF WORK: � NEW � REPLACEMENT DETAILED DESCRIPTION OF WORK � � lJ� l�l�,� ��\ PER MS 16B.665 the permit fee is a minimum of $15.00 or 5"/0 of the total cost up to $500.00, wl�ichever is greater, for the improvement, installation or ceplacement, of a residential fixture, excluding the fixtures. (This should reflect only tlie.cost of labor ) Labor cost under $300 =$15.00: Labor cost between $300 to $500 = cost of labor x.OS = - FOR PRO.TECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE T�UTAL NUMBER OF EACH BELOW) BATH SINK/LAV FLUOR DRAMS SHOWER WATER PIPING BATHTUB GAS PIPING (n�cr_[� cnrucF.,vsr_) SWIMMMG POOL � WATER SOF'FNER ($35) CLOTHES WASHER KITCHENSWK WATER CLOSET . DACKFLOW PREV. ($IS) DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER OTHER '!�.. ..•...... 1�1�K�A�� y...��.. ��...�_�:TT.t_ .�..... �. �V�f�,� . :��^b�"' ;S.,.DA�.��Y a ... �S 3�'�� f Tc�4��5 � '1 L... . : �:1��1 �.1 �`�1;:. �, .�:':�l.T�. �. t�d�L1� �SVO;: Pennit Fee $ . Number of fixtures @$10.00 x$10.00 =$ Surchar e .50 Nurnber of fixtures c�i $ I 5.00 x$15.00 =$ 'I'OTAL DUE $ �`�. Number of fixtures @ $35.00 ; x $35.00 = $ State Surcharge = $ .50 lbtal = $ THIS IS AN APPUCATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that l understand this is not a permit but only an application for a permit and work is not to start without a pennit; that the work will be in accordance with the approved plan in the case of w rk which requires review and approval of plans. - : SIGNATURE OF APPCICAN =- ` �/ PRINT NA �Q �DATE I LL�_ "�. r y:�. ��:�A��+T ._..,��:.��_ �1.�.'�',��?ETf1Vil'I'S.AI�:;.R:��IJIR�D,ItO, ,�il1l� �1 °.;"�'E�'�`RTGA: AT�IIS::��I�t��IO�L°W'+�.. '.'�':`'�``; City of Fri�ley : Building Inspections Department 6431 University Avenue NE, Pridley, MN 55432 763-572-3604 Pi1X: 763-502-4977 Bu11d111g BUILDING Permit No.:� �),: `j �� I`; '� Z Ir�spections RESIDENTIAL APPLICATION R� ��'� � 763-572-3604 � 763-502-4977 FAX CITY OF FRIDLEY Date Rec'd: EFFECTIVE 1-1-09 DATE q! � r/� � � g YOUR E-MAIL ADDRESS S• L. Gn Y� O x @ 1.-G+�r Ox p � 1 �� t,!$ • C.O �"i'1 SITE ADDRESS 7 4 c'O �TaLk s o r� 5 t �1 E' THIS APPLICANT IS: ❑ OWNER Ql�ON'CRACTOR PROPERTY OWNER/ NAME: i`� i t, (c cN �- $ v��n B/�a�o�'n TENANT �D�ss: �4ra Tac.�son S�-. NE CITY Fric�lw sTn�YV:h z� "Ssy32 PHONE: ��%G 3 � % 8'�i " ��i y CONTRACTOR NAME: �///10 K�t�/� d�/•S .��7 L. SUBMIT A COPY OF STATE LICENSE # 2 O(i 3� 3�i 7 E7� DATE 3/ 31 1 Z d( O YOUR STATE LICENSE �1 AND CERT'IFICATE OF ADDRESS: .?�%X� ��LA /✓� G� AVG CTi'1' �/o�M� V%L4i STATE�ZIP 5S✓/L INSURANCE PHONE " I Z� ��'I - 2'13 `9� FAX PROPERTY TYPE Q! SINGLE FAMILY/NEW CONSTRUCTION SIZE � TWO FAMILY/NEW CONSTRUCtION STORIFS PERMIT TYPE ❑�DTPION 0 GARAGFISHED � WINDOWS G'�BASEMENT FIPIISH ❑ ROOF ❑ DRAIN TILE ❑ DECK O SIDING O OTI�R ❑ SWIMbQNG POOL TYPE OF WORK: ❑ NEW HOME CONSTRi�T[ON ❑ ADDTI'ION ❑ MAINTENANCFJREPAIR A REMODELIIJG DESCRIBE WORK BIING DONE: F P1 i S� �O ��' i O✓1 O� ��.SC.n� 61nr ��1h s� , C.4ftSS � i�O � SIZE OF IMPROVEMII�T LENGTH WIDTH HEIGHT FI' �� % ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE B��r REMODII.ING SUBMff: 1. F�dstin� Floo�r Pian GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DEfACHED GARAGE 3. List of shnxhrtai membas io be u9ed PROPOSED HEIGHT: SiDING FOR NEW CONSTRUCITON INCLUDING DECKS, � Vinyl OSotiit ADDTfIONS_ dc PORCHES SUBMIT: C7 Aluminum I7 Trim 1. Site PI�'Siavey showioog fhe e�r�g strucdues ❑ Other O Fascia � P�P� � 2. Two sels of coasUmction plaas wu+mows 3. E.neigy Cakulationg 1N EXISTING OPENINGS ❑Yes QNo LOCATION OF WINDOWS - OR FOR NEW OPENINGSDESCWBE SIZE OF OPfiNING CHANGES & TYPE OF VJINDOW TO BE INSTALLED NUMBER OF WINllOWS ALL FEES ARE BASEll OiV VALUATION, lNCLUDING 1"HE (,'(?�"1' UP' LA13UK A1Vll MA'1'�KIAI.a: ,� SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S� I y, UOO.O d OCCUPANCY TYPE Permit F� Flan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewe.r Main Charge � '' See Back Page for Fee Schedule $ r 65% of $uilding Permit Fee $ .001 times the total,yob valuation � .0005 x Permit Vatuation Minimum SSO $ �5.00 (State Licensed Resideq►tial Conhactors) $ $2000 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftxS21=S $ $450 Conservation Plan Review $ Fee neterminea by F�,gine�u►g S ' Age�nent necessary () Non Necessary () S .� D Make cha.ks uavabk to: Citv of Fridkv Attac TFIIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNT[L PROCFSSED I hereby apply for a building permit and I acknowledge that the information above is complete and aocwate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Conswdion Codes; that I und�tand ttus is not a permit but only an application for a pennit and work is not to start without a permit on site; that the work will be in acoor�nce with the approved plan in the c�se of all ork whi uu�es rev�ew and approval of plans. SIGNATURE OF APPLICANT �� PRINT NAME S�a� �n � DATE '1 � � S� Z. V O g PLEASE NOTE: SEPARATE PF,RMIT'S ARE REQUIRFA FOR V ---" S �:� ��UtR ��- �► � Mickey & Susan Bluedorn 7650 Jackson St. Ne Fridley, MN 55432 � Al/ bath frxl �w x�w ��. . �u �J. t`'t�.�.. • .� � . s,�` � o� w��i • ' 3-2' � �2 VNc1£�� s t� c�c.�- �, �� '+- � � i:�� . Access door understa � iv ��C� �� Po � Rails to be adderl to stai ��Ra Wall f+Q k rails (�/�,� �i�,rr �Ci�� ' �— 4'-4" -� 1'-B'� 4 ; ? � 18'-5' WaHs are 3/4" fall faced foam on ti►e walls 4;; , Walls ar+s 2x4 16" o.c. p�p �y��y �� to wrap ducts 4''� R13 insula6on in d�e wal/s oailing drup M back door J 1/7 8;; w in this aiea /or headroom height '' N . — 9-0°- _.,, � mace Room � undry Area xisting finished area RtOa,�� m v� � N _ I a � Double door to match the new doors �� Opening to be made in the existing welf.. . Door is held as closed to flu chase as pe�s�ibl�e ,�=- ---- 6'-6' -- ----� --- _ 6=8' -- � . 9-0' f3=3' � -� '��.. �1� �C: s�� i� � �4N � � � o� �� l�v�.� �--Fh� �.a��' _ � �� _ �,. ��t� ,� � .. � Mickey & Susan Bluedorn 7650 Ja ckson St. Ne Fridle , MN 55432 Y All bath fixtures supplied by homeowners ,,�—_--- 22 =0• � . `� , N I Aw f �b -- ��_ Access door under stairs Rails to be added to stairway Rail Wall for oak rails -4 § ; `r� 3-2' -�� ha�N t5 4 N ��z�. S��` �o � �!� �� 4 =4' � 1=8'� 3'-0' --�I' ; ^� �� Walls are 3/4" foill faced foam on the walls ': Walls aie 2x4 16" o.c. q'��k w R13 insulation in the walls � 8 � N � 9-0� ___-7L Drop ceiling here to wrap ducts ceiling diop to back aloor 1 1/2 in this area fi�r headioom heigM ;�------- s.�• . ,� � �_ + a� ri V J 1� � � � b : 4 � a�� a�s _ � Doub/e door to match Nie new doors Opening b be made in Uie existingr wall Door is he/d as dosed M flu chase as possib/e � � � `^ -+ t"i ��. S �J s'�' _--_� 'S� �,�. S . �� L'�Co 1Z� , �� a�1 Cc�r.�c��l - Building Inspections 763-572-3604 763-502-4977 FAX PLUMBING RESIDENTIAL APPLICATION CITY OF FRIDLEY �� Permit No.: �� —f0t��j� Received By: Date Rec'd: o�� DATE /"� ZS ��O8 � YOUR E-MAIL ADDRESS D�/ .�. �'L 7,�r� ci AA c�Np� SITE ADDRESS � ' GK�aJ ST /V % THIS APPLICANT IS: ❑ OWNER L�ONTRACTOR PROPERTY NAME:_ /niGKE`� �"� .�JS� IjGU�do2,� OWNER/ ADDRESS: ��o� T7Q-GKSe�r.,! ST N� CITY �-rQ,/�C�� STATE/�'tNLIP �t� TENANT pyONE: �(s 3`%f 6-£$SS Y CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: NA ,uG STATE LICENSE # �pO %�f °� Q/�'� EXP DATE /Z � 3/^ Zeso � STATE BOND #_ (.� G N�p 7�+G �f EXP DATE ADDRESS: Z.Sy`1S GA2LFf S7 Nw CITY ! S��'l.� STATE /N'� ZIP S�� PHONE � 3� 2$�v �« q[ FAX 7�i 3- SiySi �%7 B'�INGLE FAMILY �E W DETAILED DESCRIPTION OF WORK ❑ TWO FAMILY ❑ TOWNHOUSE ❑ REPLACEMENT FEES ARE BASED ON S(0.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (1NDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. � � , /BATH SINK/LAV FLOOR DRAINS '. ✓SHOWER �ATER PIPING _ BATHTUB � GAS PIPING (NEED C1TY LIC) SWIMMING POOL WATER SOFTNER (S _ CLOTHES WASHER _ KITCHEN SINK �/ATER CLOSET BACKFLOW PREV. SI ) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER (E35) FOR IRRIGATION _ WATER METER _OTHER THIS IS AN APPLICATION fOR A PERMIT-NOT VAL1D UNT(L PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinan s and codes of the City of Fridley and with the Minnesota Construction Codes; that 1 understand this is not a permit but only an app ic tion for a errcti and work is not to start without a permit on site; that the work will be in accordance with the approved plan in e o II rk ich requires review and approval of plans. SIGNATURE OF APPLICANT PR1NT NAME ��,1n � t'�� DATE !� Z'3 � ZAi��j' City of Fridtey Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL PermitNo.: ;,��;� 1�`1 - IriS eCt10riS Received B : � P RESIDENTIAL APPLICATION Y� ^ �-�. 763-572-3604 CITY OF FRIDLEY Date R��M � 2009 763-502-4977 FAX EFFECT[VE2-19-09 DATE v YOUR E-MAIL ADDRESS VY� � S , C G)M✓L SIT'E ADDRESS %(Q S'� - J`-'a % S THIS APPLICANT IS: ❑ OWNER �ONTRACTOR PROPERTY N�: OWNER/ ,�DRESS: CTTY STATE ZIP TENANT PHONE: CONTRACTOR �oMI,�N,4,,,�: c� IM ; e ,,,�c�- SUBMIT A COPY OF CONTACT PERSON: �,`i�1�0.�� ✓ YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ,q�DRESS: �, bt,l- i-V lv � CITY 2 APPLICATION `'� a•�9- STATE�LIP S 3 PHONE �,P(a'.3I� FAX %(O�j�7�s� �SS� PERNIIT TYPE SINGLE FAMII.Y ❑ TWO FAMII,Y ❑ TOWNHOUSE TYPE OF WORK• � N�' ��P�CEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �. S(,�pD jl C C "� I RP�u,r.�-- FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPI' WHERE NOTED. FIXTURES; (INDICATE TOTAL NUMBER OF EACH BELOV� Equipment Instalied MFG: MODEL: SIZEJBTU MFG: MODEL: SIZFBTU MFG: MODEL: S1ZFlBTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGElOVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRII.L $10.00 BOILER $35.00 F[7RNACE $35.00 _GAS ITNIT HTR $10.00 CHIIvIlVEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.0� VE23TiLATOR $15.00 Number of fixtures @ $10.00 � x $10.00 = $ � • � Number of fiactures @ $15.04 x $15.00 = $ Number of fixtures @ $25.00 x $25.00 = $ Number of fu�tures Q$35.00 x$35.00 =$ State Surcharge = $ .50 INIMUM FEE $35.50 Total = $ ��' � THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances codes of the City of Fridley and with the Minnesota Consiruction Codes; that I understand this is not a permit but only an ap ' ti a permit an ork is not to start without a permit; that the work will be in accordance with tlie approved plan in the case ' s revie and a roval of plan . SIGNATURE OF APPLIC + NAME� .��DATE � PLEASE NOTE: SEPARATE PERMI RE UIRED FOR BUILDING, ELECTRICAL AND MECNANICAL� WCIRK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-49'77