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AF - 47543• • City of Fridley, Mi.n.n. BUILDING PERMIT Date: _..._.._ March �1.26�.. ._..__.____.� � ��('f � N° 10130 Owner: �_......F3.om.etlale....P�v.il � PrG _.—._..._.� Builder _._. � .mP ___.____.�.._____.__..... ..._. �.._....�.._..� Addx�ess ....._._..�2�7_Wayzata Boulevard ._..M.._._._ Address _._.. Same`_.__._.._.._..___.._.� LOCATION OF BUILDING No. __7_6.�8___.._. Street ._.._Jackson Street N�E. _ . p� of Lot Lot _.__:I..._..___._.__ Block w.....__.2._.�_._.._.._..._.__. Addition or Sub-Division ....Me7.�t'_.M8.71or� t17 9.� ; t; �� Corner Lot ._.X......__..�_ Inside Lot _.._----------...�_..---_ Setback _..3.�2.�_..---_W._._._ Sideyard _..._2�� ..�I.�_��Z� _� , Sewer Elevatiari ._.._...._.8.8..7_...�..__.�_._..__.______.._--•----•- _._-.B.$Q.,.$_.._. TPo� of � oot-� n� DESCRIPTION OP BUILDING To be Used as: ..1�kwe1li.ng...._.__..._...... Front _.1�._ DePth _..2.8�2L}. Height 2.L1..._.._.._ Sq. Ft. 1156 Cu. F't .2.�.,.].2J C�..a,ra...g.e _.........__.._.__ Front 20...__ Depth _ 2��._._ Height _�.� __._.. Sq. F't. �80_.._. Cu. F� 84 00 Type of Construction _.__.._..Fr�.__._._........__.. Es� Cost __.�.21_,.IIL1Q.._...__._....__ To be C�npleted .....�I11r1�__7 �.,--1� SEWEFi LOCATION: 1' South of Manhole , WgTER LOCATION: 9' North of Manhole In co�sideration of the issuance to me of a permit to construct the building described above, I agree to do th� prnposed work in accordance with the description above set forth�„and in compliance wi all pro�visiona o! ordinances of the city of Frfdley. ^ L� ,� _ _.__,,:.:_ ��f �100.00 Sewer Coruzection Ch�. In ca�ideration of the paymeut of a fee of �._.1}2.DII_._......._., permit is hereby granted to_.�TSLm..e.dale �ld�s . to construct the building or addition as described above. This permit is granted upori the �express condition that the person to whom it is granted and his agents, employees antl workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances oR FrYdley, Minnesota regarding location, construction, alteration, maintenaace, repair and. movfng of buildings within the city limits aud this permit may be revoked at aqy time upon violation of any of the provisioa�s o� said ordivancea , �-.�i"�.�-'�`'Y .t""""`'' ` ButldinS � upNK � MUHICH–Building Official • NOTICE: ihis p�emil doa net eowr tla eonsMueHoe, imhllNbn fo� wtriny. P��Y� 9as h�atin�, »wK or wabr. 6� sun to a» fh� BuiWing Irop�clor for s�puah p�em[ts for 1h� it�ms. .. _ • .:. _. _ . AP.P�I�ATION FCR. BUIL�IN� PERl�'TIT � _TTY OF �ftIDI,EY 9 MI?�]I1\�EE�O'I'A OWNEC P� NAl�'IE �0 j� C� d. �a I e �� c I�e�C S TiTJII.DEft OIriC�' p� �� ADDRESS ADDRESS �� % 7 �q�Z �/�t �3 /�/ � LOCATION OF BUII�I�TG IVO o � � �TREET �A C � .�' d �/ � �I. �, LOT � BLOCK a A�DITION OR SUBDIVISION D' d q/oK 7' ��"` • COR�'ER LOT 1°�S' I�SIDE I,OT SE�I'BAt;��-S / SI�EXARD_ �,eZ�O• �0 ��o . SE4�TER ELETTATIOI`tl TOP OF T_-0'OCfiING Applicant az}ach to this io.�m. T�io rertifi�ate,� oi Survey of Lot and pr�oposed buildi��g locatio:rd drawn on the�:; Cex°tificates� �ES �R L:�I' TON OF BUIL��NG To Be Js�*d As: v---e. �,J Fron+ Depth 2�- 2 YHeight �� / Square ieet Cubic Fe�t_� /� � C�Gc'Ya 5;�o Fr°ont � Dept�h Z� Heigh `� � t�' �� Square i'Eet� :;ubi� Feet ��`� Typ� of Construction �jf'q r„ � Estimated Cos �/. O O � �—T To Be Completed �(, y� t° � s `- ��`i � Tha undersign.ed hereby mak�s applicatio.n ior a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley OrdinarLce� and rulings oi th� Department oi Buildings, and heye�by dECla,res that alI th� facts and repre�e.r�tations stated i.n this applicat°on are true and correcto DATE ,� ia ° S��NATURE /�Y.�'t.�t.4Y G�� (Schedule of Fee Costs can be iou�.d on the Reverae Sideo��, 3 / �- �. � � o �� Z � �z� / �� ,-,� ,' � � P - '�2 � �� , � Si°WPa' l Gyl?q �`�d 3 S — � � ��,,� - l�z �� i � � L . .., Application �or Power Plants and Heafing. Cooling. Ventilation. Refrigerertion and Air Conditioning Systems ond Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 $ Replacement of Fvrnace ............................. 6.00 a Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. �500.04 ............... 3.00 $ MECH. WARM AIR Furnace SheIl & Duct Work to 120,OOQ BTIJ . . . . . . . . . . . . $10.00 $� each add. 60,000 BTIJ . .... ..... ......... . .. . 3.00 ; Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. $50Q.00 . . . . . . . . . . . . . . 3.00 $ STEAM or HOT WATER $YSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... .$10.00 $ Furnace Shell & Linc�to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $ OIL BURNER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . . 6.00 $ over 3 gal. per hour—See Fee Schedule _.� GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . b.00 $�_ over 199,000 BTIJ See Fee Schedule GAS FITTING FEES: NO RA'i'E TOTAL lst 3 Fixtures ...................... x$ 2.00 $ - ..�- AdditionaI Fixtures ................. x .76 $ Gas Range to 199,000 . . . . . . . . . x� 5.00 $ AIR CONDITIONING FAN HEATING $YSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL i See Fee Schedule TOTAL FEE �� Dept. of Bldgs. Phone 560-3450 (�� j �- G-'�d" � _/�fi�"S✓J.r'/ ��:%_ :�_ _ �� . �, � City of Fridley: � The undersigned hereby makes application #or a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that all the fact� and representations stated in this application are true and correct. Owner Kind of Building ��/�� Used as ,�,/�'-�/L�°��'O.L✓� To be completed about ��'�� /�G�� !`� �-- Estimated Cost, $--�,!_t��` Oid New Building Permit No. Permit No. 4�'% �� DESCRIPTION OF WORB -�—r. HEATING or PO PLANTS-�Steam, Hot Water, arm Air No. Trade Name %� �, �,z,S -�� Size No. �� % Capacity Sq. Ft. E.D.R.,%I��.� �� BTU H,p, Total Connected Loa C Kind of Fue /"`-:�-�� BURNEA — Trade Name ' r Size No. ��1� Capacity Sq. Ft. E.D.R r�� BTU H.P. (REMARKS-OYER) 4g RAY N. W,ELTER MEATIN� C�. Signe sy • OTr► Business Phone No � ��O � � �. , �� G'� . � � ,' ,) r ,l DESCIlIPTION OF WORlC lf�mi�t Kied and I.oeatba � F� �� t=��i��i��i$��s�i�� O� �Qy � �� d ia� Rl�: � a�c. � sw�.. M+o�. seo-3�eo �..� �. s w a+s a� � ni'�� i'i�=�iii�i''i�ii ' ■ ■ ■■ '. . . '■■- ■ ;�■. . ., . .. ■ ■ PARTtAL RATE SCHEDt!!E PT.QitBING iTZTQRE RATE3: It0. HJ►TB TO?1►L Number Fixtures ��_ z �00 � � t �% Future Fixture Opening . . . z � � New Fixture Old Opening . . . . . . . . z i1.'S@ � Catch Basin . . . z �.L � Water Heater (Up ta 99,000 BT[A . . . . . z #�,,ap � � �� New Grouad Run Old Btdg. ... _�,� : i�ctric Wat�s il�at�r s ��p : a�►s �n7xc r�s: �+o�. s►�e ro�rsc i.c s �xtu� . . . . . . . . . . . . . . . . : �a t� waaitional li�ctsn�s . . . . . . . . . . . . , . . . . . . z s �s � C�as Raa�e ta 198.000 BT[T . . . ... . . . . . . . . . z ��/! � REPJIIRS ! ALTEA�1ZOa1'�--A�t�s ts Cod� Dacslption.................................. ...--------.....# 'i�lALl� �� . �' �l ��! ��: �� - - The �mdd�ed hereby. makes application for a permit fo� the wori� herei spect8ed. a�reeln� to da: all: work fn strict accordance with the City Ordina�e and rnlin� o! the Departm�t oi Builditiga, attd hereby declares that all the tacl and :epre�tations stated in this aPDlicatioa true and correct Fridley Minn- _ �� l� -� i 9�! � Owner � � Kind of Building Used as To be c�ompleted about ��f � 9' �e�r�a co�c, a L! �-0 �i � / P.rmit o. ��D Old—New. Building Permit No.� _ Signe By� � �.�, Bustness Pt►uae No_ S��-�7 `�l =3 �_ ROUGH �rw 7— 7- 70 . �m � �� U) o� ��^ '� "1 � m � O � v' L 1}�i � � � N � � �— .= V _ � � O 4f � � � � � � � � 0 � � i � •.. t Q � = V = a �� a .�°-. o •1 L C a v+ a � �� H o' � E � � h . O � y � � � � a = �" a�i � — �>" °� o+ o � : � t� � � � 3 � 0 d � W 0 4 �� o� � m 1 � � � w 0 w U � .� � d � � .o 1 O 2 _ �I � � � � w o O � � � � � C .� .� � � � � � � � � � U � � 0 � �� o� � m � �� '� U .� R. � � � O "� 3 � � � � rn � � Z � •� a �o � � � � U � U � � o� .0 2 o " � F � o 0 °�' � ti � � � � � � �� A 0 "D a ,� a � � � � � � � w °' .� � � � � �� N �� 0 `��,° o U � � .� '� C� •� ° q��' � U � � :% ��o� ti h � � � R H Cf '.N� � .��o� � � a� �� w .� o� � � � °1 ,� '` �� ... , o� � �� ;� c g �w � �� o '� Ts" .,_ � � o � v � �ti � ��$ •N • � � v • 3 �'�c�` o � E � � � � '� � ' a�� Mz( � �N � � � .� a .� � '� � �, so� ��o � s .s �� . � �� K�oao o� �� .� •N � � � � � � �� .� � �� •��o� w �� ,•� �- �� ' d °q �� .aF��.�o � ��g, »� .� � � o�'°•� ' �� °� -- o �� r � � d �;�+ : W � O '�' ,� � ��a _ 52-sl�-s 9i5. 5� � City of Fridley �►PPliu�ion �or Plu�nbing and Gas Fiffinq P�nn�t D�pt. of Bldqs. Phoas 5�0-3430 DESCRIPTION OF WORB Numb�r, Kind aad Locatioa of Fixturss Locatinn 7698 N E Jacksn n St ; � � - (S 3 I � + � (� �'� �' �7f +� � +V �3 f < � +� � I(�9 � +� � � / I N GASTER HTEC. F Base �� 2nd 3rd 4th ' F�tur� Coan�c�los Op�aiaps '� N�w Fixlu�s. Old Op�aia�s 1 � PARTIAL RATE SCHEDULE S�w�s � c.��l n PLIIMBING FIRTURE AATES: NO. RATE TOTAL Number Fixtures . . . . . x $2.00 $ P1:ture F�xture Opening . . . . . . . . x $1.50 $ New Fixture Old Opening ...... .. x a1,50 ; Catch Basia ... ...... x �3.25 � Water Heater (Up to 99,000 BT[A . . . . . x $3.pp $ New Ground Run 02d B1dg. . ... x a3,25 a IIectric Wa,t�r H�at�r : a2.pp i GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixturea ....:. ................... x a2.00 ¢ Additional P'ixtures . . . . . . . . . . . , . . . . . . . x = .76 � Gas Range to 199,000 BTLJ . . . . . . . . . . . . . . 1 x �5.00 � 3 . �0 REPAIRS t� ALTERATIONS—R�f�s to Cod� DesCriPtion .... ...........................................t To�r�. � � �� nn Clty Oi '�"l�@y: The undersigned hereby makes applicatton for a permit ior the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling o! the Department oi Buildings� and hereby declares that all the faci and representetions stated in this applicat{on are true and correct. F`rid2ey, Minn b-3-69 �ss Owner Honedale Bldrs Kind of Building fY`alfle Used as -- - �e8 To be completed about - 6-8�9 Estimated Cost, � 10.00 Old—New. Building Permit o. �z� ,?_' l A O .-=� L�°',��-�' �` �- Signe ��_ . ROUGH Ftx1w I.- �t ' � � Business Phone sus�ecT P N : City of Fridley J � �, AT THE TOP OF THE TWINS g U I L D I N G P E R M I T f � +�! f � � , � RECEIPT NO. � COMMUNITY DEVELOPMENT OIV. , :�------ . �/ � r � � PROTECTIVE INSPECTION SEC. i � � � , , /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE VAGE OF APPROVED 8� �'"""�'� �'' 612-571-3450 910-F15 5/13/96 � � 108 ADDRESS t LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Melod Manor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE Conan Philbrook 7698 Jackson St NE - 3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO D& D Home Im rovement 74 n - 4 AFiCHITECT Ofi DESIGNER MAIL ADDRESS Z�P PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR � MOVE O REMOVE 8 DESCRIBE WOFiK Install deck xXxxxxxx� footin will require an additional permit 9 CHANGE OF USE FROM TO STIPULATIONS wA�Hrw� �� Before digging call for atl utitity locations 454•0002 REQUiRED BY LA1N TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE HEQUIRED FOR ELECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULI ANO VOID IF WORK OR CONSTHUCTION ZONING S�. FT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 �AYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNI'fS OFFSTFEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TfiUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A PERMIT `Y8OO �. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTI OR THE PERFOR ANCE OF CONSTRUCTION. �21 . OO 1Te SC �. HO PLAN CHECK FEE TOTAL FEE License SC $5 00 $35.55 SIGNA7URE OF CON'RAC70A OR AUTMORIZED AGENT IDATEI WHEN PfiOP V VALIDATED THIS IS VOUR PERMIT V / / SiGNnTUREOFOWNEAi�FOWNERBURDERi iDA�E� LOG �NS� �� E NEW ADDN ALTER [� L] [] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 7698 Jackson �treet; Fridley, MN 55432 Legal Description: Effective 3/1/96 �a��7 Owner Name & Address: conan Philbrook - Same Tel. # 785-9789 Contractor: D& D Home Improvement MN LICENSE# 4840 Address: 7Q�1 C'Pni-ra7 AvPnl�P NF; Fric�1P=��„rRN �5a3� Tel.# '7RQ_7�,q� 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: DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. e,vJ ��,� �U� �� ; c��;`� ,�� d Corner Lot � Inside Lot [] Ft. Yd Setb k Side Yard Setbacks Type of Construction: �K � t��nc�S ��r� �p�� Estimated Cost: $ �a(�. °� Approx. Completion Date: - % - (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ DATE: �-� 3 P q� APPLICANT: ��z�li Tel. # �S �/�%S"y„� ' CITY U5E ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � � �.�s $ � �� $ � � C� $. $ � - ��G $ $ $ $ � �� . SS�' Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,(�0 Valuation $900 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 [ ] �� ! m�,p�, � y'i�� Il � . . ' CITY QF FRIDE.EY INSPECTfON DIV. 6431 Uni+rers�y Ave-NE ` � � Fritiley, MEV 55432 ��=��':� � 572-3604 � �- Effedive On .�anuary 1, 18g7 APPLICATIO{1� FOR PLUMBING AND GAS FITTING P�RMIT MAAK NUFIIBER OF FIXi�UR�S TQ BE INSTALLED ON EpCH FE.Q{�A PIIFMBIi�lG Fixi'URE RATEB: Jw10. �iATE TOTAL Naw Fixtures Old Openir�� New Flxture � 8ear Dispenser Slow Off Basin Catch Basin i�ain Vlfater Leader SamAlAe�eiv€�g Tank Water Treatina.� li�ncs yvT'R, 5F1'NR`� Water Heater --Ele�tric water Heater - Qas** Gas Range�• Gas Oryer*• 8ack Flaw Preventer Requfred ( jYes ( y Na Type $ 7.00 � 4.oa $ 5.OQ $ 7.04 $ 7A0 $ 7.00 $ 7.00 �to.o� $ 7A� $10.00 $�a.00 $1 O.OQ $15.80 RelnspeGtlon Fea $42.o�1Hr A�L OTHEfi8 AIVp/pR REpAI�S AND ALTERATIONS 1.596 oi Value of Ffxture or App[�ance State 3urcharge TOTAL FEE JOB ADDi�ESS_ %(e C/ �' . 1 prC KSON ST, /Ir� The undersigned hereby ma�Ces appliceRion for s permit for the work herein spedffed agreeing to dc a� work in stcicE sccordance with the city codes and rulings of iha BuiJding �ivielon� and I�ereby declares tt�at aNthe tacts end represertatlons sGated In this application are true end ccrrrect. � '— �o , 1997 owner �IUA�N �4�K 7� S' ' 9 � g9 Bullcling Used Aa of�E�S/,�,cfl/�� r . £st)ma�ed Cost P�RNEIT NU. �/ � a °� :S RIUMB�NQ COMPANY �� •%�D(�T£ 1e 'P �g a f,4�0 K�I" �%y � - '- 51GNEf? BY O, 4�,N11N/vlA4U//4 �E approved ey .50 TEL Na. �7`c�I-� l� Rough-In Date� FinatDate ��D.S¢ PtU� THE �.50 STATE S�RCHARGE . *"COM18li8i1aN AIR 3HALL BE PR01111�Ep pER UA+IG SECTION SQ4(Aj Ai�lp TpB�E g-A, MINihAUJJI SI2E 9 SQ INCHES. � m � J�e- 41 I^"' 'J 4"� N° -- -4906 �ri� Permit for PLUMBING AND GAS FI ING ��° N.B. When work covered by this permit ia ready, the Plumbing Ordinance requires that requeat for I pernut /9 . � inspection ahall be phoned in to the plumbing Inspector, 560-3450 giving number of f,his permit., ,�� F� � DESCRIPTION OF WORg Number, Sind and Location of Fixturea Stories Basement lst 2nd 3rd 4th N N � W a .,. �....�._ Z � = tl/ Y 2 F- O Z F- m N Y �1 Q Z 7 3 u � m� m m 3 f o �°. � ) I a I Connected with Sewer-Cesspool O Z I U Z Z tll � U J I._ m X LL p U m C�J i 4. 'U a I (9 Gas Piping for 3 Openings WATER HTR. CLty Of FP�lBy �� T � 19..� GAS IELEC. Owner Permission is hereby granted ' to do the plumbing and gas fitting in the building described in the statement reto attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. Roughing in Inspection Final Inspection Date By Order Of The Inspector Of Buildings nspector. F /� � Location 7�v 9 g � Kind of Building ��''-,CJ Used as �C.� To be Completed � � 9 , 19� Estimated Cost $ �� • � Old-New. Building Permit No. �d i 3.0 Inspector. Inspector of Buildings. HOUSE HEATING TEST RECORD � � 9� � ADDRESS APT. F dR TY OCCUPANT OWNER HEAT LOSS DATE HTG. lNST. SOLD BY :AS CO3 METER BADG INSTALLED BY /7 Elettrieal Work By Gas Lins By �✓ TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. ' OTHER GAS D GN�� ,.,'L__„ MAK E �. -�-0� -� �° l��/�'' e MAKE Model � � � L/"/G'�.S%% � J Model Ssria l -�-��'%a — �� Max. INPUT ,Ls'd S"_G`� MAKE Model OF BURNER BTU Rating — OFFURNACE CONTROLS THERMOSTA7 t Plug Vent Siz Valve IND 0 Limit � Drah Ho �.imit Sstting �f'� Filters Fan SeNing �-3 d—�� S Chimney Pilot Type Chimney Pilot Make ' Pilot Model Smok Pilot Timing -�� Draft CON V E RSION .� e F LINER E tVONE od Regvlaros Size ►�umber Loeation lnsids �� Outside Construrfion e Bomb Wiring p � � '�- Tsst Tog �r L.W. Cut Off .� ` Z ,�� oor Pre � , Prosaure �� Z" . Psreant C_� �e Te Input GFIi � � P��fd 2 "' ` �ii�ipanY Stack Temp. ��r Pereent CO d� � Name oi Form 235 ssu sted Te Tes � � /•� _ / �ir�'1%/ �✓�� , /��/ SUBJECT P City of Fridley 27065 AT THE TOP OP THE TWINS g U I L D I N G P E R M I T � � � � � . � i y�� COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �j �) / / � � �./ v i--.. A;�'�';,; CITY MALL FRIDLE� 55432 NUMBER pEV DAtE PAGE Oi AVPROVEO 8v i �� 612-571-3450 970-F15 8/10/98 / / JOB ADDRESS 7698 Jackson St NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMED DESCR. 1 2 Melod Manor 4th Addition sHeer 2 PROPERTV OWNER MAII AODRESS ZIP PHONE Conon Philbrook 85-9789 3 CONTqACTOR MAIL ADDRESS ZIP PHONE . LICENSE NO. Knutson Roofin & Sidin 9 0 Hi 1' S61-4533 or 323-423 d ARCHITECT OR DESIGNEH MAIL ADDFESS ZIP PHONE LICENSE NO. 2501 5 ENGINEER MAIIADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residential 7 CLASS OF WOf;K ❑ NEW O AODITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 OESCFIBE WORK Reroof house and ara e(27 S)X.L��d�X 2nd La er 8 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd. TYPEOfCONST. OCCUPANCY GROUP OCCUPANCVIOAD SEPARATE PERMITS ARE REOUIREO FOR EIECTpICAL, PLUMBING, HEATING, VENTII,ATING OR AIR CONDITIONING. THtS PERMIT BECOMES NULL AND VOID IF WORK Ofi CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED W�THIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 �AYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT 1 HAVE fiEAD ANO EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TqUE AND CORRECT. ALL PROVISIONS Of LAWS VALUATION SUFTAX AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1691 $.8S OOES NOT PRESUME Tp GIVE AUTHORITV TO VIOLATE OF CANCEL THE pEqM1T FEE SAC CHARGE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S�F.00 F1L' SC �I.G9 ' PLAN CHECKFEE TOTA EE • Lice $5. $ .54 S� ATU E OF CON � RACTOR OA P.UTHOQ�ZED AGEN� iDATEf EN RO ALIDAT D �S IS Y R PERMIT r S�GNATU�7EOfOWNEAi1FQWNERBU�LDE�7� IDATEI BL �NSP f�ATE NEW ADDN ALTER L] [] [J CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 / ��'� � � ConstructionAddress: ��j � ,,1� �; S�, /%�� = Legal Description: S��i ql� �G�-i,'%� ,�� S _ Owner Name & Address: Contract� Address: Tel. # ��_- �? � � ENSE # Z.�6 � Te�. # 3Z3��3� �'�'1�G33 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length DESCRIPTION OF IlVIPROVEMENT Width Width Width �1�� °21 Height Height Hgt/Ground ,� Sq. Ft. Sq. Ft. Sq. Ft. _�c,��'G�facJ� ' ' � Construction Type: �� - Estimated Cost: $ � �lO � � (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$• DATE: � APPLICANT: �c,C1�,�'riur�s�r, Tel. # 3Z��TZ3� " Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ -�� $ �� 9 $ gS.. $ $ � f✓� $ $ $ $ $ � ,S 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 $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ] . . � �t� sue.,ecT PEAM City of Fridley 2 912 2 AT THE TOP OF TME TWINS g � I L D i� 1 G P E R M I T r ; � RECEIPT NO. � • COMMUNITV OfVELOPM�N7 DIV. ' j L — ( r � � PROTECTIVE INSPECTION SEC. � � . , � � �"'1 � CITY MALI fq10LE� 53�32 NUMBEP REV DA7E P�GE Oi �vvROVED 6v �'""�' �'' 612-571-3450 9t0-Ft5 3/31/99 / / �oe nooRess � 7698 Jackson Street NE t IEGAL �OT NO. BLOCK TfiACT OR ADOITION SEE ATTACMED oesca. 1 2 Melod Manor 4 Addition SFIEET 2 PROPERTY OWNER MAII ADORFS$ Z�P PHONE Conan Philbrook 7698 Ja kson Stree - 3 CONTRACTOR MAIL ADORESS Z�P PHONE IICENSE NO Metro Sidin Inc 27 - a ApCHITECT OR OESIGNER MAIL ADDRESS ZIP PNONE UCENSE NO. 5 ENGINEER MAIL ADORESS 21P PHONE LICENSE NO 6 USE Of BUILDING Residential 7 CLASS OF WORK � NEW ❑ ADOITION O ALTERATION p REPAIR ❑ MOVE O REMOVE X 8 DESCRIBE WORK Reside House & Gara e 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. tYPI Of CONST. OCCUPANCV GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE RE�UIRED FOR EIECTFICAL, PLUMBING, NEATING. VEN711ATING OA AIA CONOITIONING THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION ZpNING SO. FT CU fT AUTHOR12E0 tS NOT COMMENCEO Vy1THIN 60 OAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONE� POR A PERIQD OF 120 DAYS A7 ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTREET PARKING � HEREBY CERTIPV TMAT 1 MAVE READ ANO QXAMIN�O TH15 APPUCATIQN 1 STAlLS GARAGES AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS Of LAWS VA�UATION SURTAI( ANO ORDINANCES GOVERNING THIS TVPE OF WQRK WILL QE COMP�IED WITM WHETHER SPECIfIEO HEREIN OR NOT. TME GRANTING OF A PERMIT �6,000 $3. DOES NOT PRESUME TO GIVE AUTMOAITV TO VIOLATE Ofi CANCEL THE pEqMITfEE SACCM E PROVISIONS OF ANY OTMER STATE OR LOCAL LAW REGULATING CON- �112.25 Fl C�G.00 STRUCTIpN OR TME PERFORMANCE OF CONSTRUCTION I /�/[/�� /��I �LANCMECKfE TOT F E ` Lice S $5.0 26.25 S�GNOIUQEOFCON�RA.TQ OAAU�NOR�ZEDeGENT IDATE� MEN� R A�1� T HIS!$Y�OU� �11 � i � % ! S�GNe7UAE O� OriNEQ�� OwHEQ8w�0EA� � �D�tE� � � � B�D �NSo ' - �+itE NEW [ ) Effective 1/1/99 � w ADDN [ ] CITY OF FRIDLEY ALTER [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 a" BUILDING PERMIT APPLICATION �' � � . �l' �� : _ ._ . : _ . _ . _ _. Consti�zctionAddress: �(09$ . �iGk�'1 c�--. 'IU�. . _ ... . - - -- - . . . . _ . _ : , _ _ _._ _ -- �e a1 De cn ' -. � : _. _ :,__ _ .... .� . g s ption: - _ _ _ ..-__ . _ .:. _ �- _ Owner Name & Address: �n �j��jr�3k - �%(098 cTG,ck50Yj �. /(f�, Tel. # %g5- �'1 %$g Contractor: f�e�� („�np , T�� _ MN LICENSE #'S�S%I Address: c�r%501UxtAGl�, �C!'I ,�b _ f p1�mo � 1i./Il� - 65'�/'�/% Tel. # J`�J`% �$� LIVING AREA: _. GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. .. DESCRIPTION OF IlVIPitOVEMENT � �� - - , . . _ . _ _. Length Width Height Sq. Ft. Length � Width Height Sq. Ft. �n�n w�acn Hgt/Ground Sq. Ft. � Construction Type:_�Eb�j(� �;!'s'E'.-'� �X;6/'i`XL?+� -- Estimated Cost: $ �G�,�, � � _ _ , _- ::_ . - : _ _ - . � (Fee Schedule on Backj .. . Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ =$ _ _ . _. _ . __. ..... _ .._ __. ... . _ ) r . DATE: 3/� 1� g APPLICANT: Tel. # 6S ��'�� /%i ' Yt�g' CITY USE ONLY � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � � a. a5 $ �, e,o � 3.°d $ $ 5.ao $ $ $ $ �� - $ � Fee Schedule on Reverse Side .QOl of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 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 Ne�essary [ ] .. . • Building PLUMBING Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FA� EFFECTIVE 2-19-09 DATE � � � � � SITE ADDRESS � W ! THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE TYPE OF WORK: YOUR E-MAIL ADDRESS �) � L S � � �t � . - - ❑ OWNER ,�CONTRACTOR ADDRESS: NAME: FG SGN STATE LICENSE #� STATE BOND # ADDRESS: PHONE �.SINGLE FAMILY ❑ NEW DETAILED DESCRIPTION OF WORK (�LgG� lN�.. % 3'% �Y+� ❑ TWO FAMILY �iEPLACEMENT ` W e1�-h �cn.�. R,,. CITY Permit No.: � � �� Received By: � D�� r 5 200 CoY>.�'�S'7� • N F T STATE ZIP EXP DATE EXP DATE CITY _ FAX ❑ TOWNHOUSE STATE ZIP. FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (ITJDICATE TOTAL NUMBER� OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV FLOOR DRAINS SHOWER � WATER PIPING _ BATHTUB GAS PiPING (NEED CITY LIC) SWIMMING POOL � WATER SOFTNER (S _ CLOTHES WASHER KITCHEN SINK WATER CLOSET BACK-FLOW PREV. S1 ) _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) y FOR IRRIGATION WATER METER OTHER THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL 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 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 applicat' for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the c e f r hich requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME Q�� O LS" N DATE �^ �� / City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977