The URL can be used to link to this page

AF - 47545�� C� City of Fridley, Minn. BUILDING PERMIT Na 963� -� �i s �9 Date: _._....__.. �?rch 18� 1968 _��___.�, Owner: _ M Hamedale Blders Builder Address _._:?217.Wayzata Blvd..._....._.__._._�_.._._ Address Same Same LOCATION OF BUILDING No. __...._7699__ Street ._._.._ Jackson St. . part of Lot _..�._.._. ---._..._.___..._.___.._....._.._._._. _._._ ___- 1 1 � Melody Manor 4th Lot ._._..........._.._.___ Block ._...._.___._.___.__.._..._.._._. Addition or Sub-Divfsion ._._..___.�__......... _ _ • 35' 19' 12' Corner Lot _---.._�._..�.._ Inside Lot ._.._.._.._..__.__.._.._.._ Setback ._�_._..__.....__._._ Sideyard __._�� _. 887 .78 . �_�.�..890�„78 Sewer Elevatia� ..._._..�.._.._._....__..._..___._.._..._.___..---------- -- • Top of Footing DESCRIPTION OF BUILDING To be Used as: __._..1tta�].7�,��....__r_ F'ront _.� 32 �_ Depth _24 � Height �$ �..._...._. Sq. F�. _768 _ Cu. Ft 21, 404 .._.__..G�x..r�g,g.�._.___..� �ont _�_�2_�_ Depth __22�.__ Height ...10�__..__ Sq. Ft. _.._484 �, F•t, 4840 Type of Construction _...��a�e_._._ ............._.___. Es� Cost _. �21,_000__._...._......._ To be Co�npleted _..._.. Jun.e 1968 SEWER LOGAoTION - 4� South of Manhole WATER LOCATION - 6' ftorth of Manhole In consideration of the issuance to me of a permit to conatruct the building described above, I agi+ee to do th� proposed work in accordance with the description above set fQrth and in compliance with all provisions o! ordinanoea of the city of Fridley. / S100.00 Sewer Connection Charge /ai In ca�sfderation o! the payment of a fee of �._ 39�00 .., perrnit is hereby granted to...._..� — Homedal� Blders . to construct the building or addition as described above. Thispe rmit is granted upo�t the �express condition that the person to whom it is granted and his agents, employees and workmen. in all arork. done in, around and upon said building, or any part thereof, shall conform fn all res to the ordinaaces a� Fridley, Minnesota regaz�ding location, construction, alteration, mauite�na�c air moving of buildinga within the dty littrits and this permit may be revoked at any time u��'�iol tion any the provisio�a satd ordinances. [II Official` Building I� � NOTICE: 'Ihis p�nnit doa no� �ow� fM eonsfrueHon. inslallNten fer wirin�, pWmbiny. oas h�N��, s�w�r or wN�r. M wn ts s» 1h� BuiWino le�eloe for ap�rah p�noils for fMw fbnu. e r , � - . � � � >} "55 / � i'\) l�T�.:•�.�-r �.��.,?_c.��t.c;.:.� ;�c;_? ;�iT��,i�.��:G .___�_�.r � 1�1.S�S Jz l.'i�.�.:✓`1T�.�� 1"!FL\ii;'.SV?Il ot��r?rr,�s i�� .....�...._�w.��A__....._._,�..._.._ r_�_..._._.o.o._.�__.,F�`:��,��:��.�,��__._. __--__-�._.�_..� /� � . . , . . l_ AUDI:ESS � A��..LSS ..._.._.....�....._._.��...._.._ ��._r�...,�..._._._.�....�._...._.._..�._... � . LOCA ��.c�t o� BU?�:I)i.;{G. _ � � . .. NQ...._.�......_.��..-f-�----�....____STR�'L'i.' ' 9��"'.�z---_-_,��_ 1'�fiT 0� LOT_____.,..,v......._._.._____ �. LOT _....____� .��.....Bi,OCt � ' � , ' � - �,�,� AD_�7'L'� Oi� 0�. SU:�i)'�VxS7:0iv .. • CO?Zl`1F'I'. I,OT.�� iNS (D � 1'�Os' y�.�,...SE:C?3AC?: v�� SXU��•X�`i �— � Z� . S��rER �:��EV.�1?'10� �•Q� � %� . �OD:dI?AI't0iy F1�k,V«�'70iJ �°l0 . 7� ��-Q-�c�-�f � ,5l � S . d� � . c�-' ---- ....._. _. . ..._`" Apglican� ateach to thi.s fui-cil Two Certif?cates of"Survey af Lot �nd �r4posed �11�.�.C11T1°� l.a�•ation drawr� on these Cer.�i.ficaies. , ��1�-�-�.� -.-- � �' �✓? � � �17� � `� � � � .-_. _ . DESCRT��'�C�� 0? EU7�,D]:IiG; � . To �e Uscd As : . . _ .. • • - __ .. .. .- - � � �� _ � W�� .. . - . . , .. __ _.- . . _ � �ront � � _ Depth �.� ileight .'� ��w&�� • ' S q . F t . _� �v '! ,_,_...�.w. Ctt . F t ._,,,_ ,a� /�, ''C ,C� .� r��F-� - �,�� : Front - � ��Deptii ��Fteight /�% . - �� . . .. � . � .._ . _ . _ Sq. Ft. � Cu. Ft .______� �� -. _ t,p; Type of Construction��.��- - Estima�ed Cost �, % O�� ` To Be Cpv�l.eted � . . . The «ndersignad hereby makes atoiication far a pern�ir for the work her�:in specified, sgreein4 to do alI �aork ir_ stric� sccardance �•�ith th2 Ci�y o£ Frid?ey Ordir.�nces and rulings of the Degzrt��nt of Eui;.c?in�s, �nd heYeby declares th�t aIl the facts and regresenta�ions st2ted in this appii�ation are true arid correct. : DATE � / � �� SIGr;ATi1R.E � , ��t:-,�-..�� !��-� —��/ � � (ScY:e�u?e e� F2e Costs caa be €a�1� d o� the Raverse Side}. �� • , , f�' � � ' ' . � �` ', - � �� _ _ . ., F . ._ , , _. . i' � . . �, ....,. < ,�.. , � . _ �,� ;, � �. _ . � . 1 � �%' �:�a,� �:�� :� ; ,.� . ; � .� .f . � �-,� . : `� w �� , . . � � , � . - . . . . .. . . . . .. . L . - .. . . .� .. w� - .. Application �or Power Plants and Heciting, Cooling. Ventitation. Refrigerafion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOT11L Furnace Shell & Duct Work . : . . . . . . . . . . . . . .. . . . . . . . . . . $10.00 � Replacement of Furnace ............................. 6.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 6.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 3.00 $ MECH. WARM AIR /' Furnace Shell & Duct Work to 120,Q00 BT[J . . . . . . . . . . . . $10.00 $ ' each add. 60,000 BT[T ............ . .. ... .. .. . 3.00 � Fteplacement oP Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . 6.00 $ R.epairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDft Steam .... .$10.00 $ Furnace Shell & Line—to 640 sq, ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 3.00 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . : . . 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ f , over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTA1. lst 3 Fixtures ...................... x$ 2.00 $ � Additional Fixtures ................. x .75 $ Gas Range to 199,000 . . . . . . . . . x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH � See Fee Schedule �S ��j TOTAL FEE Dept. of Bldga. Phone 560-3450 /'- , f� � ~ � ,f Location_��1� , � � _i� !�("i`; :•r. /_ ->,�'- � /� � � � � City of F�idley: The undersigned hereby makes application for a permit for the work hereii. specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares ihat all the fact� and representations stated in this application are true and correct. ,� . � /, Fridley, Minn. �� 1,/ 1 f �.� /r , 19� -> Owner _�/�i%i� /- :/'.S t %lf�i .'�� ;� ' / ; , Kind of Building �%��l'�,�� ' /. Used as .�°,. G' � � <• � / _ To be completed about � ` � /� -� { ' �� Estimated Cost, $ l'-�'�4 ` � Old�}�r.'Buiiding Permit No. 1�� Permit No. 'y % I� DESCRIPTION OF WORK HEATING or POWER PI.ANTS--Steam, Hot Water Warm Air—No./�� %� . �' __ _ Trade N ame _ ; «�C C./;ir :'' c ".�lc � '`^.ff 'i f � `Size No. �� Y Capacity Sq. Ft. E.D.R.� �-- F �� BTtT H.P. �. Total Connected Load ��-°, ��''� Kind o! Fue ! BURNER — Trade Name �`� G/;J�ri �,c`�!_` Size No. -li- �� E.�': Capacity Sq. Ft. E.D.R ,�C �T_ BTU H,p, �.z FINAL (REMARKS��Rj �� W.WELTER HEOT�Nr; c❑ By 4637 CHICAGO AVE. MINNEA►POLI9 �7,+MIWN A Business Phone No =�''� °" ` �� o ��► . . � , City of Fridley �( Application for Plumbing and Gas Fitting Permit .{ Dept. of Bldgs. one 560-3� DESCRIPTION OF WORK � NumL�r, Kini ani Location of Fix3ures L°�ah° �' �FC� z i � x> ii o'2 � z uz ox � i� z � 3c� ? �� uZ—i 3� o� � go t�� <'3 �°� �Sn �O Base lst � , % 2nd � 3rd 4th • Future Conneci€oa Openings * New Fixture, Old Openiaga Connected with PARTIAL RATE SCHEDULE WATER HTR. • • F N GAS ELEC. J Sewer � Cesspool j–j PLIIMBING FIXTURE RATES: RATE TOTAi. Number FYxtures ...................... . x $2.00 $ / 6 � Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening . . . . . . . . . . . . . . x $1.50 $ Catch Basin ..... .................. x $3.25 $ Water Heater (Up to 99,000 BT[J) . . .. . .—� x $3.00 $�'! New Ground Run Old Bldg. . . . . . . . . . . . . x $3.25 $ Electric Water Hsater a$2.00 s GAS FITTING FEEB: . NO. AATE TOTAL ist 3 Fixtures .......................... x $2.00 $� Additional Fixtures .................... x $ .75 � Gas ftange to 199,000 BTU . . . . . . . . . . . . . . x $5.00 $ . REPAIRS & ALTERATION�Refes !o Code Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL FEE $ ie --� ,._ 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 t ue nd correct. F�dleyh Minn- �/ ' 9 , 13� Owner Kind of Used as Tobea Estimate Old—Ne ROUC3H r7 � � � r (n � FINAL �42 Business Phune � HOUSE HEATING TEST RECORD .s�RESS ,�'�g9�Q, -+ -� �-- �.�' APT. F OOR C SUBURB c OCCUPANT OWNER �b.,o.�� — HEAT LO55 DATE HTG. INST. GAS CO, METER BAD # SOLD BY INSTALLED BY ,A.a�. � - / " -:b Electrj�",ol Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER � firy4_�GN� CQNYER310N MAKE � f� �,�,_. :.G,�a MAKE OF BURNER Model .�' !J( U°l�_S''1�� Model SetFol t'S��-�/�� l� Max. BTU Ratinq INPUT �.�.�J MAKE OF FURNACE Model CONTROL5 st . �ERMOSTAT eat p�„g Vent Size Ive ��'a- �Q KIND OF LINER IZE NONE Limit ��..L��1�LS� Draft Hood Reyulamr Ltmet Setting -�� Filtsrs Size Number Fan Setting „%� d' f�+`S Chimney Loeotion Inside �''�� Outside 'Pilot Type � Chimney Cons�ruetion Pilot Make Pilot Model ��-�� Smoke Bomb Wiring �� Pilot Timing ��-,G� Draft �� Test Tap v� L.W, Cut Off �+ Dow Pressuro� Lightin9 Inst. ✓� Pressure �m � Psree�i� �Q�`� ��Q�� a�D�e Tested �"' ` � Input CFH �Q� Peresrft"'�027`2 :l��impany Testing $toek Temp. � Percent CO � �� Name of Tester Form 235 52-8l�-S915.51 City of Fridley Applic�rrioe for Plumbing cmd Gas �itting Pennit Dept. of Bldqs. Phone 560-3450 DE3CRIPTIOid OF WORK Number, Kiad and Locatioa of Fixiures LocaYion. 7699 � E Jackson S'fr � IW� a �� }<�pl;lgZl<�IOSI °I ZI =I •I �IWAT� � ; � VI 3 1- C LL M LL O V <�'i U�' °� (79 �� p f N GAS ELEC. � Base lst 2nd 3rd 4th _ • Future Connectfoa Openiags * New Fixtuse, Old Opesiiags 1 PARTIAL RATE SCHEDULE 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 Chat all the fact and representations stated in this applicatian are true and correct. 6-28-68 Fridley, Minn 19� Owner Homedale Bldrs Kind of Building fr8� Sewer � Used as Cesspool j'� PLUMBING FIXTURE RATES: NO. RA1"E 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 Iieater (Up to 99,000 BTLT) . . . . . . x $3.00 $ New Ground Run Old Bldg . . . . . . . . . . . . . x $3.25 $ IIectric Water Heater a $2,pp $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $2.00 � Additional Fixtures . . . . . . . . . . . . . . . . . . . . x $ .75 � Gas Range to 199,000 BTU . .. . .. . . .. . . .. 1 x �0 � 3.00 REPAIRS 8t ALTERATIONS—Refer to Code Description ................................................� TOTAL 1+'EE � 3 � � �ii► res To be completed about ��3�8 Estimated Cost, $ 1.0• 00 Old—New. Building Permit No. ermit No. I loS � Si By MINNEAPDUS GAS C0. Busin une No ROUC3H FINAL �%�'- , 42 City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Minn. 5543. BUILDING PERMIT Date: _.._..__..August 10, 1972 James E. Kelly Ga Owner: _--------___:_..�...__.>..__.._. __._.._.. Builder .._._.�. iaQ 7699 3ackson St, N.E, Same Address----------_...._.._...._.__••-------.._.._.�_ ._..__._._.�. __.� Address ...—_ LOCATION OF BUILDING No. ..__7699_.V.._.._ Street ------------Jackson 3t� N.E. ..,..._ Part of Lot Lot .__-----1-----._..____ Block .----•----------1-.••---•----------------•--.. Addition or Sub-Division -------- Me1 o Manor Corner Lot _.._._._x.._..._..__._ Inside Lot �_.__.___....,.._�... Setback __ `.�_ Sideyard Sewer Elevation .....-------------•-----_--_.__�.---___._.__.__.__..._..w_ Foundation IIevation .-•- _..---------- DESCRIPTION OF BUILDING To be Used as: Basement Alteration�nt De th fiei ht ._._..__�----•----__----•-•---- _. _ _.__.___.._ g ____ 'g _ St�. Ft. CU. F� ....._.__.------_._.._..._._...-------- Front ..._._ Depth Height .�. Sq. F� C�1. Fk Type of Construction _..:__..__.___._...��__._._.._. Est. Cost .�_200.00 _:._...._..._.. To be Completed 8/10/72 In consideraiion of the issuance to me of a permit to construct the building described above, I agree tQ c� #he proposed work in accordance with the description above set forth and in compliance with all provisiont3 0! prdinances of the city of Fridley. A In consideration of the payment of a fee of $__._5 . 00 _� �� hereby granted to James E. Ke11y .._._...._•_..�.....__.____._..._ ............._._._.,:_ to construct the building or addition as described above. This permit fs granted upoai the express condition that the person to whom it is granted and his agents, employees and worl�nen, 3a all WOTk done in, around and upon said building, or any part thereof, shall conform in all respects •to the orc]in�DCeB O� Ir'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bttildiII�s pyithin the city limits and this permit may be revoked at any time upon violation of any of th�provisions of Said ordinanc:es. . , CLARENCE BELISL NOTICE: This permit does nof eover the constroefion, installafion fo� wiring, plumbeng, gas heafing, s�wK ot wahr, d� sun to sN ths Building InspecFO� for separate parmits for thess kems. � z i � APPLICATION FOR R�SIDENTIA�, ��T�RATION, QR AllllITION BUILD�NG p��IT CITY OF FRIALEY, MINNESOTA OWNE� � S NAME a��/� �-S L�� /�,EG L Y BUILDER : Anrn�SS : �� 9 9 0/� ��Sa� /t/, �, an�sS : NO.,.� STREET • �OT;�; / BLOCK: r ADDITIONs .c9 E�GGd �/ .� �,�j�rJ� � , .��.� ...�� CORNER LOT : INS IDE LOT : S ETBA�CR : S I DEXAR,p t,�,�,,,�„�„�. Applicant attach to this form T�vo Certificates of Survey of Lot a�d p7coposad building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Ueed As : �. d�� S�/��,/� r � � f��.,,,�'ii ��/4/V s Front : Depth : I%ight : Square Feet: Cubic Feet: ' Front: Depth: Height: Square Feet; Cubic Feet: '.�►pe of Construction: Estimsted Coat: $,t'da. oa �..� ,.��.��. Ta �e Caopleted : %%,c� / a � 19 ,7 3 The undersigned hereby makea application for a per�nit for ti�s .wpxl� '��,A speci�i.ed, agreeing to do all work ia attict accordancs with the ��ty q� F�r�.dley Osdinaaces and rulings of the Department of Buildinge, and he�byr d��la�Ces that all the facte and representationa stated in thls appl�,al��pp a�e tsve and correct. �#ATF. ; - , L�o(,c-.r / V � / �'l 7 � S IGNAT[1RE : � (See Reverse Side For Additioaal Infos�oat n.) . S.� S'� G , , , S� 5 d , c� 3 , � ,� r� (� .� -� 5�� h �� . ,, � SUBJECT PER . --�-. City of Fridley . 14'763 AT THE TOP OF THE TWINS g � I L D I N G P E R M I T f ; � RECEIPT NO. � • COMMUiJITY DFVELOPMENT DIV. r � v � PROTECTIVE INSPECTION SEC. 9�Q��C.f i � i-__- � ��'��;'� CITY HALL FRIOIEV 55432 NUMBER REV. � DATE PAGE OF APPROVED BY i •�� 612-560-3450 910-F15 � JOB ADDRESS �699 Jackson Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 ]_ Melody Manor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ' ZIP PHONE James E. Ke11y 7699 Jackson Street N.E. 3 CONTRACTOR MAIL ADDRESS 21P PHONE LICENSE NO. illard Berqman Siding 9066 Fillmpre 5treet N.E. 784--0388 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. SAME 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING re si dential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION [� REPAIR -❑ MOVE ❑ REMOVE S DESCRIBE WORK � New soffitt, £acia and win.dow trim 9 CHANGE QF USE FROM TO STIPULATIONS /;� TYPE OF OONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE fiEQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SQ: FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 OAYS AT ANY TIME AFTER WOi;K IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 900.00 .�JO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PER ANCE OF CONSTRUCTION. � %.SO PLAN CHECK FEE TOTAL FEE .��/9� 7 � s. o0 S1GNA7URE0 iRA .RO 7HOR12EDAGENT IDATEI PROPER Y VALI THIS I YOI�Fi RM r� �/ 7� SiGNATUREOFOWNERUFOWNERBUILDERI IDATEI � BLDG WSP �ATE � n CITY 01� �IZIllLEY . f�r��.zcn�trorl r-ori �z�sr��r_r��r�n�_ r,�zi_nl��l� r>r-.izr�ITs ti�J�:w, IIL.1�LR�TiC�(�s, IIDllIT10(JS, oc� (�cr�i�l�7s) Oh'12�R: G[/�.�-o G. . �aar�s c : �,� .. � � }3UILUI:12: ,/ I, ��° � �� .,�.�. � � /( d , Address: , � .__ Tel. l�o.:��/� O��'� . No,; Street: . LoT: � xr,ocr,: � nnDxTZOra : ;�Jv��-� i��,�-�r S � ' � CO}2IQLR LO�': INSID� 7AT: SLTI311CY.: SIDI:YIIRDS: Ap�licai�t attach to this f-.orn� '1\vo Cert:ificates of Survey af Lot and proposed bui.lding location dra�m on these Cextificates. . DES�RI PTi Of�d OF BUI LDI I�G To T3e Us�a As : s • . c,s-c.c�. Front: Depth: � Height: ---�--- _ �� Square Feut: Cubic Feet: I'ront: � Depth: � Height: � Square I'eet: Typ� of Construction: Rb B� Completed: �' z- S�'� %� GUbic Feet: _ � • �- —_ EstimaLed Cost: $ �� Alt. A Alt. B Proposed Driveway �ti'idth If 2�ew Opening Is Desired $ $ (S�� I2�VERSE SIDE OF SHEET) The under�ig;�ed l�e�-ek�y makes application for a permit for the work ]ierein specified, agreeing to de a11 c�ork in strict accordance wifih the City oE Fxidley Ord_inunces ai�d iulinus of the Dc��arLment oi }�uildings, and hereby declares that all thc facts aT�d represcntat-ions stated in i:his applicaL-ion are true and correct. See reverse side for aclditiona �n�ozmation, �. D21T�: � / �'l ^' % � SIGNI�TUI:E: Stipulations: � � �,� �� v �� .� � � .�� . � .' sue�ecT MIT NO. City of Fridley ' 2 2 7 6 6 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ' i , RECEIPT NO. � �• COMMUNITY DEVELOPMENT DIV. � � � � ; V�� r � � PROTECTIVE INSPECTION SEC. 1 . � ( � ��"1 � CITY HALL fqIDLE� 55432 NUMBER NEV. DATE PAGE OF APPROVED 8V �""� � ,'� 612-571-3450 910-F15 8/2/94 � � JOB ADDRESS 7699 Jackson Street NE 1 LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED SHEET DESCR. 1 1 Melod 2 PROPERTY OWNER MAII ADDRESS ZIP PHONE Jim Kell 7699 Jackson S r 784-4044 3 CONTRACTOfi MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 AFCHITECT OR DESIGNEH MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW �1 ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 OESCRIBE WORK Construct a detached screen porch (12' x 11') 9 CHANGE OF USE FROM TO STIPULAT�ONS See notations on plan. Provide smoke detectors adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTIIATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOIq IF WORK OR CONSTRUCTION zONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2s 1SI.C)O �I.OS DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF CANCEL TH� pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGUTATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �S�F.00 Fire SC �Z. LS . PLAN CHECKFEE TOTALFEE $57.23 � SIGNATUREOFCON'RACTORORAUTMOHIZEDAGENT IDATEI WHEN PE Y VALIDATED THIS IS YOUR PERMIT �: . �5��-�`� rGNaTUAEO OWNEAiIFOWNERB LDEAI ��ATEi BIDG �NSP �°TE NCW �rDDN ALTER !1 Ll rt CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-t AND R-2 Building Permit Application Construction Address: ) 6 9` 9� Ac/{s o.�li 5 i, �IJ, �', Legal Descripti<m: � � � � Effective 1 / 3 /94 Owner Name 8i Address: ,� �,� �� y � Tel. #?� y- yo y�/ Contractor: - � � � - � MN LICENSE #� � . Address . ..Tel.#. . �. . Attach to this apptication, a Certificate �of �Survey of the iot, with the proposed constructian drawn on it to scale. DESCRIPTION O�� IMPROVEMENT � LIVING AREA: Length Width Height Sq. �t. GARAGE AREA: Length Width Height � Sq. Ft. DECK AREA: Length /�' Width f/, Hgt/Ground 8�L'' Sq. Ft. � 3� OTHER: Corner Lot [�1.]� Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Construction: � a o b Estimated Cost: $'� ,l 6 s, o o p`� l� I. L p Approx. Completion Date: ,q u� 3� (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x$ _$ DATE: 8 APPLICANT: �, Tel. # 78� �- %�/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Controt Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ �'�f � O� $ a�ls' $ l ,bg $ $ $ $ $ $ $ s>� �3 � Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth%) $.50/$1,000 Valuation $$00 per SAC Unit $S.OQ (State Licenseci Residential Contractors) Alt. "A" or Alt. "B" Abave $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary j] Not Necessary (] � �� ', �� j � � . �1 . . , , _ _ -.____.__ _.._ .___ _. .- -.-- ,__ . _ _- � -- -- --- - ---- - __ _ - -_.._._._ ___ , _ . _,_ . . : ., � ._ __... _ . _ _ . _ _. - --- --- - _ ---_ - - - -- -_. _ _. , E- � , Z _. _ _ - -- -- --_ - - - , - - _.: _ -- --- _- - - .--- - - - - .- - , _ _ _ . :. _ . _ --- ! � � , , .. . , ' ; � � ' 1 . . . - . . ; 1 ... . ._ . ._._ . _ . .- 1 _ _ _ _ ,.._.._ .. ... _. ,._.... ._...._ .. ...._.._ ..__"___". ._. ..___..._. ._..._ _...�....." '____.... � . ._..._ �__._�_.:__ ' . r ; , ; _ _ _ -- - __ . _ _ .__ . - ._ _ _ _ ----- - - --- - - - --- � --- --- --- .-. - � - -- -- - -..- - -- -_. __ �`, � , . � -- , , , _ __ _ _ __ ___ .__._ _ --------- --- .---�--- --- : --- -� - _ __ • �� _ _ _ � , `� _ _ __ _ _ __--� _ _ _ : _ _. ._ _._�_ --- - - . �`�,�,\ � . _. _ _ _ \ �,�� i � __ _ _ _ _ __ _ ___ � � _ ____. - ___ _ - - , .�� _ � _ _ _ _ ___ - _ __ _ . � \'� .� . \ �� i h J `.\ � \\ � \. �. d sn° �� '�� ,� ,�' �� p1 �o�L'!� .� 7f�,.ss �rw � iCa'�>ur sr a 'y'�i�' 'ts nvos��b-� bi 9L � 71�� ✓/G� �rvoa � a��a��s �� noo-�,<�✓,�T "S1i�.ra-d �s�.�iYd s��.v+' d �i�s�-1d " �°°�r s.rso� ,,��i -� ,��,�y� �� Y�'1`,'y3n v .�'�ob� ,� ��'?��%�';J — .__.. ___.. �., .___ ___. —.� ___. ___, ,,_, — -,.. ,_,._, _ S �� , � � � � � ,�,. Y �- � 4�tlS � 0�.4 Q �l �/► - _ - � _ _. __. _ _ _. _ _ _ _ _ _ __ __ _ _ � � z N _ _ _ ___... -- -- _.. -------._ _ N -__ _____ _ _ ._ - --_ . -- --- - `' _ ___ �/G _ _ _ _- - _ __--° . _ ---_ .__ .._--_---_ _ _-- -- --__ _ _ _ Q r _ _ , /! ___ __ . ;. _ _ _ _ _ , .. -- - _ _ __ - ._ _. _ _ _ ---.: - _ __._ .___. _ __ _. ._ ___ -,------ ------ ..��-��y _ __ . _ _. _ _ _ _ � _ __ ___ _ �� 6 (_� _ . __-_._. _. ___. _ _ _. ._.._ - _ _ CITY OF FRIDLEY INSPECTION DIV. 643i Ut�iversity F.ve NE Fridley, MN 55432 572- 3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 APPLtCATtON FOR PLUMBt�G RNJ GAS FI�TIi�dG PERMdT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR B�h . Wash �r(tifk :°::; Floor C�t�� Auto. Urinal Tub ; Shower :�ii1k :: Tray �aunt ` Dram Basin Washer PLUMBING FIXTURE RATES: NO. 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 Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ()Yes () No Type RATE TOTAL $ 7.00 $ 4.00 $ 5,00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $ t 0.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5X of Value of Fixture or Appliance State Surcharge TOTAL FEE .50 �� Effective On March 1, 1996 r Nsr Q � U Gas M��c.. ..:i; Water H atei Rang Fixt . ;i Gas Elec KELLw JOB ADDRES: 7�� +�p��QN STRMMT� 4��HEAST FAIDLE�' . H 784-4Q44 W 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 representations stated in this application are true and correct. Owner � ' �� , � ss�' 7 � y - �/a y�5� Building Used As Estimated Cost _ PLUMBING M SIGNED BY Approved By�' PERMIT NO. ��C'� � TEL N0. ' Rough-In Date Final Date **COM8US110N AIR SHALL BE PR �VIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 S� INCHES. y � �o CyZ N� mU�>� �a�t �� amo � J�..aw ¢� nZ Z� °rn� � N m 0 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572- 3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 8ath i;. Wash brink :' Floor Gatch :; Auto. Urinal Tub ;<': Shower SErik I Tray �auni .:: Drain Basrn ;: Washer NO. RATE TOTAL New Fixtures Otd Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric � Water 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 $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.596 of Value of Fixture or Appliance 1�'� State Surcharge TOTAL FEE Effedive On January 1, 1997 Gas M�s� <:: Water Heater Ranqe !�ixt >? Ga�Elec JOB ADDRESS �7d� � ` �lae�,SUy,/ ,� �l /!/�i� The undersigned hereby makes application for a perm it 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 representations stated in this application are true and correct. Owner +3 � � , 1998 - �p tj/� Building Used As ,.,�i��G-'�v��,l��r/� Estimated Cost �12• �� PERMIT NO._ ;'�o� ! cG� �/` -,-- PLUMBING COMPANY ��H'1 �i-.,� '� SIGNED BY - L N0. �� Approved By ��_ Rough-In Date Final Date .50 �� MINIMUM FEE F R ANY PLUMBING/ $ 6�'� PLUS THE 5.50 STATE SURCHARGE **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. sue�ecT P NO. City of Fridley � AT THE TdP OF THE TWINS g � I L D I N G P E R M I T �� r i � � � • COMMUNITY DEVELOPMENT DIV. �� ; V'�'�» , . f � � PROTECTIVE INSPECTION SEC. � � , �----�; �"'�.� CITY MALL fFIDLE� SS132 NUMBEA pEV D�TE P�GE Oi �VVqOvEDBr 612-571-3450 9to-Fts 3/4/99 / / �oe Aooaess 7699 Jackson Street NE 1 LEGAL L07 N0. 9lOCK TfiACT OR AODITION SEE ATTACMED oesca. 1 1 Melody Manor 4th Addition SHEET 2 PiiOPERTY OWNER MAIL AOORES$ 21P PMONE Jim/Elaine Kelly 7699 Jackson Street NE 3 CON7RACTOR MAII ADDRESS ZIP VHONE UCENSE NO Advance Aluminum Supply Inc 7701 Main St NE, Fridley, MN 55432 571-3440 7983 � ARCHITECT OR DESIGNER MAII. ADORESS 21P PMONE IICENSE NO. 5 ENGINEER MAII ADDRE$S ZIP PNONE IICENSE NO 6 USE OF BUIIDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION �7 REPAIR O MOVE O REMOVE 8 DESCRI9E WORK Reside and trim south and west sides (storm damage) 9 CHANGE Of USE FROM TO STIPULAT�ONS Call for building wrap inspection before covering. TYP� OF CONST. OCCUPANCV GROUP OCCUPANCY �OAD SEPARA7E PE:iMITS ARE REOUIRED FOR ELECTRICAL, PIUMBING. NEATING. VENTILATING OR AIR CONDITIONING. TMIS PERMIT BECOMES NULL ANO V010 If WQRK OR CONSTRUCTION ZONING SO. fT CU fT. AUTMORIZED IS NOT COMMENCEO WITMIN 60 OAYS. OF IF CONSTRUCTION OR WOFK IS SUSPENDED OR ABANDONEO fOR A PER100 Of 120 DAVS A7 ' ANY TIME AfTER WOFK IS COMMENCEO. NO DWLG. UNITS OfFSTqEET PARKING I HEiiEBY CERTIfV THAT I MAVE REAd AND EXAMINEO THIS APPLICATION 1 STA�LS GARAGES AND KNOW TME SAME TO 8E 7AUE AN0 CORAECi. ALL PROVISIONS Of LAWS VALUATION SURTAX ANO OROINANCES GOVERNING TMIS TVPE OF WO, RK WI�� E COMP�IED @ WITH WHETMER SPECIFIED MEREIN OA NOT. THE GRANTING Of A PERMIT �4�000 �y2.00 DOES NOT PRESUME TO GIVE AUTNORITV TO VIOLATE OR CAMCEI TME pEqMIT fEE SAC CNARGE PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING CON• $87.25 Fire SC ��F.00 STRUCTION OR THE PERfOfiMANCE Of CONSTRUCTION PLAN CNECK fEE TOTAL FEE License SC $5 00 $98.25 S�GN4TUAE OF CON'AA(;TOQOp �UTMOAIzEO AGENi iO�iE� WMEN PROPE VALIDATEO THIS IS VOUR PEQMIT S�GNn�UQE O� OwaEa�ic OwHEpBU40EA� � id�iE� � � � ��t B G �NSo � � � �� rE iv � l J �D N [ ) AI.T R ( j Cons ructionAdd a 612 571 2260 RDURNCE ALUMINUM EftFective 1/1/98 01 CYTY OF FRIDL�X �` � � v SINGLE FAMIi'Y AND DUPLEXE� R-1 AND R-2 � BUILDTNG PERMIT APPLICATION � � 1.�,� � �� ,��\ ��z��J�!��hSuti 5 i �'� �� . . Lega Description: Own r Name & Address: �`A i•v,4 /!!�G y Tel. # • � Con ctor. _�q,0�/}�►,�,,ry ,q`�o.v�,�v,,� S do,a�Y �-�L MN LICENSE #� �Q$ � Addr ss: � �Lj �� T ti,ri 1'el. � S�'f —' 3`1yD � G Dri Attach to this application, a Certifica[e of Survey of the lot, with the pmposed construction drawn on it to scale. DESCR�TION OF MPRO ��' �' s AREA: I.ength VJidth Height Sq. Ft. �_ GE ;AREA: Length _____� Width I3eight Sg. �t. r� A��A: %ength Widrh Hgt/Ground Sg. Ft. � � t: ' tion T e: Rv�'`°(�K*°�.'T� .��' �:�• . YP _ ... ._ �..�l, �,o/u�` S.o� Fstimated Cost: $ �ovv '— -- r (Fee Schedu.I e on Back) � � Curb �t Width Needed: Ft. + 6 Ft = Ft x$� =$ D�iTF: APPLICANT• Tel. � �,�� ' ?fy fj � —. C�'Y USE ONLY . Perrnit Fire �Su State St SAC Cl Lice�lse nr;vew� Erosion Park Fe sewer r Escrow � 7 � s_ N� $ 2. � $ $�� (J $ � Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth�a) $.SO/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Ait. "A" or Alt. "B" Above $450.00 Cflt�servation Plan Review $ Fee Determintd by En�ineering Chargc � Agreement Necessary [] Nnt Necessary (] $ �,�� .TIONS: � �� , t �� Q � �,t� �l� e'/r 7 �- � �. Q� y /`� �j ...��'/ � ��2 sue�ec* PER City of Fridley AT THE TOP OF THE TWINS g U I L D I N G P E R M i T 2 9 2 6 6 i � � � • � `� �__�_ COMMUNITV DEVELOPMENT OIV. r � � PROTEC7IVE INSPECTION SEC. �� i•.--�,��"' �'% CITY NA�� fRIOLE� SS�32 NUMBER pEV O�TE P�GE Oc �vvitOVEO 6v t 612-571-3450 910-F15 4/21/99 � � J08 AODRESS 7699 Jackson Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACMEO OESCR. j, 1 Melody Manor 4th Addition SNEET 2 PROPERTY OWNER MAIL ADDRESS Z�P PMONE James Kelly 7699 Jackson Street NE 784-4444 3 CONTRACTOfi MAIL ADDRESS ZIP PHONE LICENSE NO Rightway Roofing 1200 E 79 Ave, Bloomington, MN 55425 853-0049 3999 • AiiCMITECT OR DESIGNER MAIL ADD:iESS ZIP PMONE LICENSE NO. 5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroo� House & Garage (23 Sq) Tear-off 9 CHANGEOFUSEfROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAO SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PIUMBING. HEA7ING. VENTI�ATING OR AIR CONOITIONING. TMIS PEpM1T BECOMES NUIL ANO VOID If WORK OR CONSTRUCTION ZpNING SO. fT CU iT. AUTMORIZED IS NOT COMMENCED WITMIN 60 DAYS. OR If CONSTpUCTION OR WORK IS SUSPENOEO OR ABANDONEO FOR A PER100 OF 120 OAYS AT ANV TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OffSTREET PARKING I MEREBV CERTIfV THAT I MAVE READ AND EXAMINEO TMIS APPLICATION 1 S7ALlS GAFAGES ANO KNOW TME SAME TO BE TRUE AND CORqECT. ALl PFOVISIONS OF �AWS VALUATION SURTA% AND OROINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPlIEO � 1� 9 � 1 �. 9H WITN WHETMER SPECIFIED MEREIN OFi TNE GRAN7ING OF A PERMIT OOES NOT PRESUME TO GIVE ORITY TO VIOLATE OR CANCEI TME pEqM�t fEE SAC CMARGE PROVISIO ANY OTME TATE O:i CAL LAW REGULATING CON• $62 � 25 Fire SC �p 1.97 TRU ON OR E PERf MAN ONSTRUCTION PLAN CMECK FEE TOTA� FEE License SC $5.00 $70.20 5� NAtUAE Of CON' (;TQA •u E Nr io�rE� WHEN PRO�ERL AU TED THIS IS VOUp PERMIT �. y-Zl-�� S�GN4�UAE O� OWNEp�� OWNEpBU��DEAi i�Aif� � B G�h$� �1iTE NEW ADDN ALTER [l [l �) CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ?(p �� _�►� eKSo+� S'?'• N� � Legal Description: Effective 1/1/98 Owner Name & Address: J Ww� �' S �'�( ��/ Tel. # 78�Q—Qo41% Contractor: �� N�rc�,�� vo F ��►G- MN LICENSE # �5c�3 9 �9 Address: /200 � � %9 � ��e � �.�o�.� TeL # ��3 ooQ 9 LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. . DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height DECK AREA: Length OTHER: Width Sq. Ft. Sq. Ft. Sq. Ft. �.._ U � ' Construction Type: �oc� � r N � Estimated Cost: $ • � � �% T (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: — �'`I�i Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: � �?�s-- $ � % $ � $ $ �D $ $ $ $ $ �l� -�C� � Tel. # FS'�v�4' � 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 DIViSION Effective On January 1, 2050 6431 University Ave NE X� Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, �j� 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �' JOB ADDRESS �� -\� . � �G'�S 0� �} (�j � RATE SCHEDULE \J 1 ' OWNER � �'nle _� `I�� I 1 � .1 Residential Furnace Shell 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 - All Sizes Col L oI1 �I,L. Q All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25�jo of Value of Appliance or Work Rate TOTAL $ 30.00 $ 30. o 0 $ 10.00 $ BUILDING USED A ESTIMATED COST ��'jD�C:9 • Dd PERMIT NO.� b DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) ( arm A' $ 10.00 $ Trade Name ��,;t.F�� Size No. �l � v � BTU SO A�a c� HP EDR $ 25.00 $�S • Qd Fuei A'1'. o S Total Connected Load Burner Trade Name Size No. $ BTU ' " • ' HP EDR �, State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VfNTILATION REFRIGERATION/AIR CONDITIONING PERMIT iS $25 00 PLUS THE $.50 STATE SURCHARGE . REINSPECTION FEE $47.00/Hr �Air Conditioners can not`be placed in a side yard without written permission from adjoining property owner. $ $ .50 $�.s�� . 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 correct. DATE �� OC� River City Sheet Metsl, Inc. HEATING C09928 Bluebird St N.W Coon Rapids, MN 55433 Signed_ ��,99 TEL # COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacinq an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstnactions, and is securety suppo�ted and firestopped where required. Yes (� No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No (� The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. The existin combus ir is sized and installed to meet the current codes and manufacturer's sp cations. When required to install a new combustion air it will be sized and installed To meet the current codes and manufacturer's specifications. Yes (�g, No ( ) Yes � No ( ) Yes � No ( ) When installina a new ventina system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes (� No () is the common vent and vent connectors sized and instalied coRectly after an appliance has been removed from the common vent and vented separately as per current codes. Yes (�( No () Appliance Tvae and Size/Common Vent and Vent Connector Information Appliance #1 Type �.s�t,�u�_ BTU Input Fan Assisted or Nat �vl Appliance #2 Type �v �_ BTU Input �' Fan Assisted or Nat �� Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type � 11'�i/_ �"Vent Height � Diameter _�� inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describel HEATING CO: � Signed By: - ` Date : �r,�LZ —t�� CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 �631572-3604 FAX: (7631571-1287 ADDRESS : 7699 JACKSON ST NE PIN : 113024110007 LEGAL DESC : MELODY MANOR 4TH ADD PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE : LOT 1 BLOCK 1 : BUILDING : RESIDENTIAL : WINDOW/DOOR REPL . ;,.�_.4,«.` -�, PERMIT �j0.�2004-00555 � DATE ISSUED: 04/21/2004 VALUATION : $ 3,500.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF TI� DWELLING PER R31'7 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENII�TGS. INSTALL SIX REPLACEMENT WINDOWS WITHIN EXISTING OPENINGS AND WINDOW WRAPS STATE LICENSED CONTRACTOR 1 APPLICANT CUSTOM REMODELERS INC (1748) 474 APOLLO DR LINO LAKES, MN 55014 (651) 784-2646 OWNER KELLY JAMES E 7699 JACKSON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wor� will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Annlicanr"� / Date Bldg Insp 1� l f Date�y BUILDING PERMIT FEE FIRE SURCHARGE STATESURCHARGE,VALUE LICENSE SURCHARGE TOTAL PAID WITH CHECK # 45354 Permit inspection Cards Will Be Maiied �'a Homeowner To Post � �� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 97.25 3.50 1.75 5.00 107.50 NEW ' [ ] ADDN [] ALTER [ j Construction Address: �6 Legal Description: Owner Name & Address: Contractor: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � �� ,3 � �r�3sY Effective 4/1 /2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax / y � ��S �� lv� Te�. # 7(0 3'7S �f— �o ��-f A� . Q,vIP � MN LICENSE # I 7�E � �� J Tel. # �r�l' ? $' `�'a b `� �o Attach to this application, a Certificate of Sunrey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT � Length Width Height Sq. Ft. Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type: ' W�X� Estimated Cost: $ J.�� .(9 � '� I o?. 5� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x� _$ D�ATE: � � '� � � APPLICANT: Tel. # � " `� � � � Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � �S. $ �—�. So $ /- %�' $ $ -OC� $ � $ $ CITY USE ONLY - Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [] Not Necessary [ J TOTAL $ t �?.� STIPULATIONS: �� v r :�