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PRE 2010 DOCS• • • City of Fridley, Mian.. BUILDING PERMIT Date: June 5, 1969 Owner: Harold E. Julien Builder Address 2526 Bunker Lake Blvd. Address Same Same LOCATION OF BUILDING No. 1359 Street_ 76th Ave. N. E. --- part of Lot Lot _ 18 __ Block 3 Addition or Sub -Division . Meadowmoor Terrace Corner Lot , Inside Lot ____ x Setback 351 _ Sideyard 10' Sewer Elevation ___ —In Manhole _,___,,,,_ Foundation Elevation DESCRIPTION OF BUILDING -1-7 V8'o N° 10264 To be Used as: Dwelling Front 44' Depth 24' Height —20' Sq. Ft. 1056 Cu. Ft. 11,120 Garage Front 20' Depth 22' Height _ _10' Sq. Ft. cu. Ft. Type of Construction Frame Est. Cost _ $24,000.00 To be Completed SEWER LOCATION - 49' Directly West of Manhole WATER LOCATION 10' North of Sewer Service DRIVEWAY INCLUDED In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above�e forth and pli ce with all ons of ordinances of the city of Fridley. / �� �0 In consideration of the payment of a fee of $ 36.00 ., permit is hereby gr ted to Harold Julien to construct the building or addition as described above. This permit 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 of Fridlewithiny, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building thes ordinances city t permit may be revoked at any time upon violation of any of the provisions of said NOTICE This permit doss not cover the construction, Installation for wiring, Plumbing, gas heating, swot or water. Be sun to no the Building Inspector for separate permits for these Items. o APPLICATION FOR BUILDING PERMIT LOCATION OF BUILDING NO. cl J STREET z� O 7, Y LOT BLOCK ADDITION OR SUBDIVIS J CORNER LOT INSIDE LOT SETBACK A-� SIDEYARD�, SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be TJsed AA: DESCRIPTION OF BUILDING Depth Height- P-1 eight Square feet Cubic Feet Front Depth Height 14 w; Pill Square feet Cubic Feet Type of Construction�1 _ Estimated Cost -1Z/' ---- To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings., and hereby declares that all the facts and representations stated in this application are true and correct. DATE� �i SIGNA (Schedule of Fee Costs can be 4 /_5- s � found on the Reveref se ,id6�3' 14-� /vv.°" •� �i�,C 13.E =. N° 5019 Origing Permit for'PLUMBING AND GAS FnTING �� 0 -�//7�5� N.B. When work covered by this permit is reedy, the Plumbing Ordinance requires that request forPermit inspection 71 shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., ®-tJ DESCREMON OF WORK Number, Sind and Location of F=turt es City of Fridley / i ,19.4 W m a Z m I m Y Z C Z I z $ Stories ►' O z € m m Y m Q r Z o O O FFa -m zQQ K m m y W WATER HTR. m oz 3 V 7 m F 0 tll 3 F Ir O a N LL O U m M1 J f 4 O Q O C 6A6 ELEC. Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for 3 Openings Permission is hereby granted �L, a ° 7/� to do the plumbing and gas fitting in the building described in the statement hereto 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. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. az 1M—."g-V Kind of Building. o *�� Used as To be Completed ,19_ Estimated Cost $ Old -New. Building Permit No. L Q- a 6 L--/ Date Inspector of Buildings. City of Fridley Applieotion for PkmMnq and Cv= RM&M Pwn* Dept. of Bldgs. Phone 980-3480 J DESCRIPTION OF WORK -35 9 Number, Kind and Location of Fixtures Lova io. / ^ C� PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ...... ... .. 6d x $200 $ �2 ' d Future FixtureOpening ......... ....... ...... �{ 3. d o $ New Fixture Old Opening ...... . .. Q H $ Catch Basin ... ............... x $3.25 $ Water Heater (Up to 98,000 BTU) ...... e • WATER i/TR. x $3.28 $ IIectric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures .......................... x $2.00 $_ Additional Fixtures . .................. —x$.75 $ Lias Range to 199,000 BTU .............. x $5.00 $ ! W GAS ELEC. Base s l Z lot - 2nd 3rd -- 4th _ ° Firs Connection Openings Connected wlth * New Fixture, Old Openings I Sewn ❑ Cetspeel ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ...... ... .. 6d x $200 $ �2 ' d Future FixtureOpening ......... ....... ...... x $ 1.50 3. d o $ New Fixture Old Opening ...... . .. x $1.50 $ Catch Basin ... ............... x $3.25 $ Water Heater (Up to 98,000 BTU) ...... x $3.00 $ 0 c New Ground Run Old Bldg. . ... .... x $3.28 $ IIectric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures .......................... x $2.00 $_ Additional Fixtures . .................. —x$.75 $ Lias Range to 199,000 BTU .............. x $5.00 $ REPAIRS R ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE 2 U �'� 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 fact and representations stated in this anDlication-'are true and correct? Owner Kind of Building. Used as To be completed about Estimated Cost, Old—New. Building Permit No is 10 Permit Mo. ®0 ,LA-_ 1 Signe Business Phone No_ x �`— ROUGH FINAL �7f 9 City of Fridley Application for Plumbing and C7= Fitting Permit 52-64-S915.51 Dept. of Bldgs. Phone 560-3490 DESCRIPTION OF WORE 1359 NE. 76 Ave. Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ... .. .................... Water Heater (Up to 99,000 BTI) ...... New Ground Run Old Bldg. ............ Electric water Heater GAS FITTING FEES: NO. 1st 3 Fixtures .......................... 1 Additional Fixtures .................... Gas Range to 199,000 BTU .............. install (1) gas lite REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ x $1.50 $ x $1.50 12 x $3.25 $ x $3.00 OE'O�O x $3.25 $ a $2.00 $ 0U' z F N WATER HTR. GAS ELEC. Base 3.00 1st 2nd 3rd EF 4th • Future Coanec34oa Openings e New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ... .. .................... Water Heater (Up to 99,000 BTI) ...... New Ground Run Old Bldg. ............ Electric water Heater GAS FITTING FEES: NO. 1st 3 Fixtures .......................... 1 Additional Fixtures .................... Gas Range to 199,000 BTU .............. install (1) gas lite REPAIRS & ALTERATIONS—Refer to Code x $2.00 $ x $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ a $2.00 $ RATE TOTAL x $2.00 $ 2.00 x$.75 $ X $5.00 $ 3.00 City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do alll 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. Fridley, Minn May 10a 1971 19— Owner Roabert Sawada Kind of Building frame Used as residence To be completed about May 14, 1971 Estimated Cost, $10.00 OlcF New. Building Permit No Permit No. –5-2 k3 ROUGH FINAL I/ L Z -'7 1 Description ...............................$ TOTAL FEE $– 5.00 ea Signe EAPOLIS OAS Co. BY siness onego C SUBJECT City of Fridley3 �18 0 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ^� r PROTECTIVE INSPECTION SEC. (/// I . r NUMBER REV DATE PAGE OF F/ APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/30/99 / JOB ADDRESS 1359 76th Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 18 3 Meadowmoor Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Jensen 785-1616 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION x7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 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 CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 $1748 $.87 DOES I T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CNA E PROVISIO S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION $63.15 Fir C $1.75 A67 PLAN TOTZAVIF E CH:E:C�K�F S ATuRE OF ON'R TOA OR AUTHORIZED AGENT e�IDIATEI . �%J ✓J`-IDDDATEI EMNR ALIDAT S IS `R ErieR M,IT -1-30-99 S-GNATURE OF O NE SIF OWNER BUILDER, B G NSP pArk C NEW[ ] ADDN [ ] ALTER [ ] Construction Address:1 Legal Description: 6 Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 5/10/99 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Tel. # MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVENWM Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width -— Hgt/Ground Sq. Ft. 5 C -/O) /4 r Y Construction Type: Estimated Cost: $ �g Driveway Curb Cut Width Needed: Ft. Ft = Ft x = $ Q / DATE: -- / APPLICANT: Tel. # %gS��'�ll CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: S Z7 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.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 Necessary [ ] CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Effective On January 1, 2000 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 17 01 JOB ADDRESS1�� RATE SCHEDULE _ OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED ASI/1P�� L Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas ESTIMATED COST ��f�� PERMIT N0. S Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ Gas Dryer $ 10.00 $ No. of Heatingits Circle One (Steam) (Hot Water) (Warm Air) Trade Name ��il'r��� Size No. *Air Conditioning - All Sizes $ 25.00 $�� BTU-' C,V HP EDR Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE _0 representations stated in this application are true and correct. $ Shar h eating and Air lConditioning DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 4854 CentrVl�lve. NE HEATING'' mbia eig 55429 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 c 2, 5 -0459 PLUS THE $.50 STATE SURCHARGE Signed TEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final D A0 100 written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported 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 Furnace Venting Tables for fan assisted and natural draft appliances. Yes/No ( ) The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yess,,y No ( ) When installing a new venting 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 Furnace Venting Tables for fan assisted and natural draft appliances. Yes/ No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes/ No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type1/6//. BTU Input Fan Assisted or Nat rx:;Al Appliance #2 Type h/ -! BTU Input 3yo6e,- Fan Assisted or Nat Aj Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height �ft Length _eft Diameter �_in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) Shcip (-;Latin and ,`air Conditioning 4 4 Central Ave. NE HEATING CO: Colu bia Heights, MN 55/1'') Signed By: 'l Date