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PRE 2010 DOCSCity of Fridley, NHnn. BUR DING PERMIT Date: .. Y. Owner: VP Address Builder Address LOGATIW OF BUILDING No. Street _ _ __- P of Lot Lot _ Block Addition or Sub Divisio . 4 Corner Lot _ Inside Lot Setback1,7J --- Sideyard Sewer Elevation __ Foundation Elevation DESCRIPTION OF BUILDING T 'USL ;r ,Pr • " Front Depth Height .9 AQSq. FFL` 1 Fro ++ t Depth _Height Sq. Ft. Cu. Ft. el" 3�v Type o Construction °° Est. ,,,,� `�'_"_ o be Completed 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 rth and in compliance with allprovisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $'_""'� , permit is hereby granted to 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 Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _. -' A 4 ,`'` '► Building Inspector NOTICE: This permit does not corer the Construction, installation for wiring, plumbing, gag beating, sewer or water. Be aura to see the Building inspector for separate permits for thews items. Owner's Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA LOCATION OF BUILDING No. Street 0, Part of Lot `— AJ Lot 3 $],mak Addition or Subdivision c d Corner Lot Inside Lot Setback I S I O Side -Yard SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: Type of To be Completed DESCRIPTION OF BUILDING J Sq. Ft. I Cu. Ft. Front_�_3Z�epth Height �A Sq. Ft. Cu. Ft. _Estimated Cost � The undersigned hereby makes appliation 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, and hereby declares that all the facts and representations stated in this l,r on a plare true and correct. DATE SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) r City of Fridley Application for Plumbing and C= Fitting Pennit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK —;7 3 Number, Kind and Location of Fixtures Location q 7Fj �^ Z Fz 'a,� Z z p �j , 0 NU' Z • • WATER HTR. ELEc 3 �. ?� cS 8o S� <3 (�9•d �� �0 R N GAS � � Base 1st 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ........................... NO. RATE TOTALL,, x $1.50 $ x 1.20 $ — x 1.00 $ — x 3.25 $ Water Heater (Up to 200,000 BTU) ......Z x 2.00 $ New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU ............. City of Fridley: 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, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, AUnn DEC, 4 1961 f 19____ Owner /11 /L L c/ T/' 13 4 OR S. - Kind of Building /Z Used as J�) 64/' To be completed about 1;,*,— / G 1 - Estimated Estimated Cost, $ Old—New. Building Permit No Permit No. signe�OND'N PLUM"N' UD. By Business Phone No ROUGH / '�" 19 - FINAL NO. RATE TOTAL — x $1.50 $ x .50 $ 4) x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code TOTAL FEE $- 6 %Sb 4 z 2M 7-59 Application for Power Plants and. Heating, Cooling, Ventilation, .Refrigeration and Air Conditioning Systems 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 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. 8.00 $� Dept. of Bldgs. Phone SII 4-7470 City of Fridley: 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, and hereby declares that all the facts and representations stated in this application are true and correct. 2.00 Owner 5.00 $ Kind of 5.00 $ Used w 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—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 1st 3 Fixtures x $1.50 $ Additional Fixtures ................. x .50 $ It Gas Range to 200,000 BTU x 2.00 $ AIR CONDITIONING $ 4FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL To be c _ Estimated Cost, $ 7 ' ew. ding Permit No. Permit No. l ld 4 DESCRIPTION OF WORK HEATING or -P' Fete%r, Warm Air—No�� Trade Name Size No - Capacity Sq. Ft. E.D.R- BTU H.P. Total Connected Load, Kind of Fuel BURNER — Trade N A Size No "5 11 `® Capacity. Sq. Ft. E.D. "BTU H.P. GAO. SCDGW CK HTG. & AIR-COND. CO 9l0 1001 Xenia fay. S. Signed Minneapolis 16, Minn. By -.q,E,,j-42 2M 7-59 Business Phone No (REMARKS—OVER) HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide witmkows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied No I No 19_ Fl.l & Room I Lenath t -A Width /,.1,® Height II m Room I Lenath of Width 5'-- Height. "'Windows and Doors—Crackage and Area 3y it 3 NXidth Height No. of Lineal f . Area No. o pane of pane oyf crack eq. ft. Aliights r r l�Dl� l -60 Exp. wall Y Coef. Btu Net exp. wall Coef Btu Infiltration ;'b a Ceiling V0 Y/(p Glass Floor in s-6 i—is--� Exp. wall ZLL L F1.1 Room I Length Y Height Ar Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area a lights of crack sq. ft. No. of pane of p;&_O— ?moo O Y- Lo • Net exp. wall Windows and Doors—Crackage and Area Width I Height No.of Lineal ft. Area No. of Dane ofpane lights of crack eq. tt. S, 9 j Int. wall Glass 'z Cc Ceiling Net exp. wall L.<166 Floo Int. wall Ceiling Total ME Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 Room I Length Width ' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.l Btu Infiltration 3y it 3 Glass Exp. wall -60 Exp. wall Y Coef. Btu Net exp. wall % Y CJ' 7 b )f" Int. wall ;'b a Ceiling V0 Y/(p 71 - Floor v y % Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area S F1.1 Room I Length Width 9- Height Ar Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area a lights of crack sq. ft. No. of pane of p;&_O— ?moo O Y- Lo • j Windows and Doors—Crackage and Area Width I Height No.of Lineal ft. Area No. of Dane ofpane lights of crack eq. tt. Coef.1 Btu Infiltration Glass 'z Cc Exp. wall 10 Net exp. wall Int. wall Ceiling / / Floor CJ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .�- Windows and Doors—Crackage and Area �p 16 Width Height No. of Lineal ft. Area No. of pane of pa a lightsof crack eq. ft. Glass Exp. wall /YO o Exp. wall ;XV) Y Coef. Btu Infiltration l 3 Glass ;'b a Exp. wall IA. -1 Ar Net exp. wall v y % Int. wall Ceiling ;S a `v x S %Z Floor FIX Room I Length Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.16Room I Length /? Width I Windows and Doors—Crackage and Area Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack I eq. ft. 53 () Infiltration �p 16 )` o k Glass Exp. wall /YO o Exp. wall ;XV) Y Int. wall Net exp. wall C, IY Int. wall Total Btu. Ceiling j 3 / lV3 IA. -1 Ar Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIX Room I Length Width `! —Height Windows and Doors—Crackage and Area Width I Height No.of Lineal ft. Area No. of Dane ofpane lights of crack eq. tt. Btu Infiltration �p 16 Glass yd Exp. wall Net exp. wall Int. wall Ceiling? / aC t Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader are 1011, I_Oe IYS6 79 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor—No Yes—No I Yes19— Fl Room I Leng th Width j® Height II FLI Total Btu. (10 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.lv i v Room ( Length /'� Width /3 Height Windows Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light. of crack sq. ft. )/ -0 1 / 1-71 Cbflo?T 1 inn Infiltration Glass Exp. wall `ajLX- Net exp. wall / C "i j/ Int. wall Ceiling 1,9 jc & 3Y Floor Total Btu.'Polo 3/Y Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area Width Height No. of Lineal fl, Area No. of pane of pape lights of crac sq. ft. Infiltration Glass Exp. wall Coef Btu Infiltration Int. wall Ceiling Glass pv (ry ®D Exp. wall Net exp. wall Int. wall Ceiling / L of f) V6 Floor Total Btu. (10 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.lv i v Room ( Length /'� Width /3 Height Windows Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light. of crack sq. ft. )/ -0 1 / 1-71 Cbflo?T 1 inn Infiltration Glass Exp. wall `ajLX- Net exp. wall / C "i j/ Int. wall Ceiling 1,9 jc & 3Y Floor Total Btu.'Polo 3/Y Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area •3 MINNEAPOLIS. MINN. Insulation Kind How. Applied d� Room I Length Width Height. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No* of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FI.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area l+l I 1 VP rniLiLC1 is -4o Cli IMV ulv. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 R PLUMBING FIXTURE RATES Urinal tneczive un January i, i vbw APPLICATION FOR PLUMBING AND GAS FINING PERMIT L4,11 lz� MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR , i~purtt;...........FIorWash .``........Aut o ......Gas �water Heate Washer nge Drain ower.8r Gas Elec Pk LC1t�S � NO. RATE 4-Vl� TOTAL New Fixtures $ 7.00 Old Opening, New Fixture. $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin '$7.00 Catch Basin $ 7.00 Rain Water Leader $.7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric .$7.00 Water Heater - Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required (kYes ( ) No Type —Cj— .$5.00 lotz Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance (SIS State Surcharge $ .50 TOTAL FEE $ M JOB ADDRESS-7�� / -is] kIC- L O—A-lb 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. 1l—L3 ,199... Owner V. Building Used As :5FA Estimated Cost CR -7D PERMIT NO. 1 �� PLUMBING COMPANY SIGNED BY L No. 4o`Wr\'%65 J Approved B VARough-In Date Final Date 471 �� 9 MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT IS dli06 PLUS THE $.50 STATE SURCHARGE SUBJECT . City of Fridley . n c� $ AT THE TOP OF THE TWINS BUILDING PERMIT f -WT NO. Ir � • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r : CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910 -Ft 5 111/16/94 JOB ADDRESS 7380 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vera Schmidt 7380 Lyric Lane NE 780-7146 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Merchants Maintenance & Const 12020 Radisson Rd NE Blaine 55449 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 4359 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Miscellaneous repairs - See attached list 9 CHANGE OF USE FROM TO STIPULATIONS See notations on attached list. SEPARATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND 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 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED*THIS APPLICATION ] I 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 $103000 $5.00 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORM NCE OF CONSTRUCTION. O' PLAN CHECK FEE TOTAL FEE fv License SC $5.00 $137.00 SIGNATURE OF CONT TOR OR AUT AGENT IDATE) WHEN PROPER VALIDATED THIS IS YOUR PERMIT 5D BCOG INSP MATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) •' NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application A67q ConstructionAddress: `7 �&® l" At C_ L Aot-cz Legal Description: ,�± Owner Name & Address: %, T' Its Tel. # %9®_/ei Contractor:�� !� a MN LICENSE # to qS�Si' Address: a 1>, `lam .� � �o N�-cz >> Tel. # 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: W ism Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: Approx. Completion Date: Side Yard Setbacks Estimated Cost: $ /.0, Cot) (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x = $ DATE: // _ -;F!' APPLICANT: Tel. # nS -6gtrdC CITY ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ fin, .401 of Permit Valuation (1/10th%a) State Surcharge $ 15, $.501$1,(00 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ �, $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: Vera Schmidt 7380 Lyric Lane Fridley, MN 55432 PHONE: 780-7146 Living Room: 1. Install new steel insulated exterior door, prehung unit, 6 panel or 9 lite '` glass of owner's choice, new threshold, weatherstripping, locking device.-- and evice. and hardware. Castlegate or equal. Reuse trim. Key alike to other door�� and supply owner with 2 keys. Install new hardwood sill horn with painter's finish of owner's choice. 2. Reputty glazing of bay windows. Where putty is damaged or missing, install new. Apply painter's finish to exterior side of window sashes. Adjust storm inserts for proper fit. Install new bay window storm panel. )i erf+�j'L Exterior: iv 1. Tear off shingles on house and garage, down to bare wood.) Haul away debris. Replace rotten boards. Install ice and water shield/starter. Replace plumbing jacs. Check flashing and roof vents and if damaged replace. Install new 240# 3- tab asphalt shingles, laid over one layer nonperforated Type 15 felt. Ridge shall -be laid "Boston" style. Owner's choice of color. 2. Install new gutters and downspouts along roof edge of house and garage, baked enamel prefinished aluminum. Gutters shall be 5" seamless, secured to the roof edge 36" or less on center and pitched. Downspouts shall be 211x3" corrugated, minimum 610" out from downspouts. Owner's choice of color-----__ 3. Redo overhang aluminum (problem is lack of soffit vents). ,-IRgtr� all additio r/� gfit vent and apply new aerated material to blend with Burr-o'unain-g work a "close as possible. (Present color unavailable.) 4. Cover entire trim around windows and doors with .019 baked enamel prefinished aluminum. Replace rotten boards. Owner's choice of color. Work shall include garage overhead door and not basement windows. Confirm bay window work with owner. 5. •Install new storn/screen combination windows for slider units, aluminum framed, 2 -track, with self -storing inserts, hardware and locking device. Benada or equal. Owner's choice of color. (5) 6. Install new storm/screen door for east entry (off living room), solid core, baked enamel prefinished aluminum, with -weatherstripping, self -storing inserts, hardware and locking device.. Benada or equal. Owner's choice of color. �n 7. Remove basement windows on west side of house and fill openings with glass block. Make watertight. Total of 2 windows. 8. Insulate, full capacity and install*.new exterior grade sheathing for flooring base of bay window. Make area impermeable to moisture. Z,Z��u 9. Weatherstrip bottom of garage overhead door. 5af l 10. Install new steel door (not insulated -Y for west service door off garage:A -o't, Sill work is N.A. W. ,,.. ao ��a r 11. Install drainage rockfill to base of basement )areawells. Total of 3. Heating and lumbing: 1. Instal draftstoppin around flue at ceiling penetration in basement. 2. Correct lea szu -off valve on water line to water closet. 3. Install new faucet fixture at kitchen sink, chrome, one or two handle of owner's choice. 4. Install back flow preventers to exterior fuacets, self -draining and laundry faucet. 5. Install shut -offs to washing machine hose bibs. "'W-...usm+asnrx�+x)iTe K t 7i22 < 1 , 2dih t�jj �2<a t 7p•,. < <K�2ep< � t>. ... ..;.faslssi..�>t5s23Ft>u'2fUav)dim.s'3 uuN' 'r. Vera Schmidt - Page 2 66. eral �r 1. Install self -closure to fire door separating house and rage. 2 Install air chutes for soffit.;:yentinq g tlt 5i?alJ.:kr".:i` +'7v,i .. _ ,.. y.,. ... Insulate' rim`' joist where Missing, -R-19 � g, R�19 fiberglas batts, friction fit. 4• Duct bathroom exhaust fart -through roJof. Insulate -to code. Electrical:,�f`� 1. Protect wall receptacles within 6101, of kitchen sink with GFI. 2. Protect garage wall receptacles with GFI. (2) 3• Install accessible wall receptacle for water softener. 4. 20 amp circuit to microwave. 5. 10 plugs with grounds. 4zl 5UBJECT PERMIT NO. City of Fraley 27499 AT THE TOP OF THE TWINS BUILDING PERMIT RE IPT NO. COMMUNITY DEVELOPMENT DIV. _ rr PROTECTIVE INSPECTION SEC. I , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 9 /1/98 JOB ADDRESS 7380 L ric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 IMelodyManor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing Inc. 289 Liberty SIT NE Fridley MN 95412 790-3561 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 ❑ NEW ❑ ADDITION ❑ ALTERATION 3a REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 18 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING. 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 $1542 $.77 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTH ATE OR LOCAL LAW REGULATING COW Fire $1.54 STRUCTION OR FORMANCE OF CONSTRUCTION. $51.25 fC PLAN CHECK FEE TOTAL E _ icense $ .00 58 6 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN P P IDAT IS 1 UR P RM SLOG JWSP s OATS SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI NEW. I ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 02 ConstructionAddress:���' Legal Description: Owner Name & Address: Contractor: -59/'-C"e Tel. # MN LICENSE # Address:eL"o f, y Tel. # 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: Construction Type: Driveway Curb Cut Width Needed: DATE: 7/ x Aty- APPLICANT: Estimated Cost: $ / sem`'/ 2 (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ Tel. # CITY USE ONLY Permit Fee $ S� 75 Fee Schedule on Reverse Side Fire Surcharge $ /. S' -/ .001 of Permit Valuation (1/10th%) State Surcharge $ • 71 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ Ste, Od $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: SPA IDD CITY OF FRIDLEY INSPECTION DIViSION ' `�}�✓ 6431 University Ave NE , Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE 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 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 2000 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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. $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and $ representations stated in this application are true and correct. / DATE % _ �= HEATING CO t/1 Sign D TEL # Approved By Rough -In Date Final Dat&_�_ JOB ADDRESS d' C o c', OWNERF�c Rate TOTAL BUILDING USED AS $ 30.00 $ ESTIMATED COST % % 6= e �.- PERMIT NO.— O.$10.00 $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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. $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and $ representations stated in this application are true and correct. / DATE % _ �= HEATING CO t/1 Sign D TEL # Approved By Rough -In Date Final Dat&_�_ 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturers specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat 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 ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : UIYOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11,. 2002 Steve Schmidt 7380 Lyric Lane NE Fridley, MN 55432 Re: Final Inspection at 7380 Lyric Lane NE Contractor: Lakeland North Heating Dear Mr. Schmidt: A mechanical permit was issued on July 10, 2000, to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. 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 permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/ls SuB.,ECT P T NO. City of Fridley 3 3 AT THE TOP OF THE TWINS BUILDING DING PERMIT r F D ' COMMUNITY DEVELOPMENT DIV. I VV _____ r � PROTECTIVE INSPECTION SEC. 651.1, NUMBER REV DATE PAGE OF APPROVED BY i A �r���,'� CITY HALL FRIDLEY 55432 _--• L J` 763-571-3450 910-F15 10/4/02 JOB ADDRESS 7380 Lyric Lane NE I LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vera Schmidt 7380 Lyric Lane NE 763-780-7146 J CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sun Valley Construction 7351 Lyric Lane NE, Fridley, MN 55432 612-685-5471 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20243517 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 26' x 14' Dwelling Addition and a 9' x 15' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS WARNING REQUIRED FOR: WIRING HEATING Before digging call for PLUMBING AND SIGNO all utility locations 4540002 REQUIRE® BY LAW 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 60 DAYS. OR IF CONSTRUCTION R-1 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 499 ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $23,424 $11.71 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION W PLAN CHECK TOTALFEE Licen S7 $5 0, 417.38 SG ATURE OF COONN-A OO.Q�RppAurHg�e%IZE�A GENT IDATI, HE P -Y VAL1,QVED THIS IS YOUR PE IT Ix Ir SIGNATURE OF OVVNER,IF OWNER BUILDERI IDATEI _ BLZ6 INS" DATE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 7380 �Lrk- - /(Jc Legal Description: Lor 3Q/oci yIF lgel 4 /&A®r Owner Name & Address:y�� �� ►� ��{' Tel. # ,763 - M- 71V4 Contractor. SSI 61I . 6654 a -40—MN LICENSE # 2®2 435/*7 Address: r13 671 l-Llrl v AJC— )5;h N%N - Tel. # 5y 11 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length 2(o Width I q Height 5 Sq. Ftp; Length qWidth _ 15 Height / 5 Sq. Ft / 3S Length Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ ,,,�i�Driveway II DATE: I 1 /0 Z APPLICANT: VQ/l� ' 1 < /6� !d 192 -OIZo Tel. # 7&-6 78® VZ f w) b � Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. r< , T CITY USE ONLY - 0 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 37 7, 05 Fee Schedule on Reverse Side $ a .001 of Permit Valuation (1/10th%) $ //,7/ $.50/$1,000 Valuation $ $1200 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 [ ] $ L . E STIPULATIONS: MNcheck COMPLIANCE REPORT Minnesota Energy Code MNcheck Software Version 3.0 COUNTY: Anoka STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 8-19-2002 COMPLIANCE: PASSES Permit # Checked by/Date Required UA Yo ome = 29 2.2% Better Than Co.e Area or Cavity Cont. Glazing/Door Perimeter R -Value R -Value U -Value --------------------------------------------------------------------------- CEILINGS 46 38.0 38.0 CEILINGS: Raised Truss 64 38.0 38.0 WALLS: Wood Frame, 16" O.C. 80 19.0 19.0 GLAZING: Windows or Doors, Above Grade 40 0.350 DOORS 18 0.350 FLOORS: Over Unconditioned Space 80 30.0 30.0 CRAWL: Concrete 42" ht/ 24" 1 1. 80 25.0 HVAC EQUIPMENT: Furnace, � 92 0 AFUE --------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Minnesota Energy Code. Builder/Designer J Date r EGAN, FIELD & NOWAK r SURVEYORS �- v b 129 WEST LAKE STREET ':,-I E , ; - MINNEAPOLIS 8, MINN. `a4. -EgTAB `18)1 6P MOR%A3E LCAN SURVkY A;. CERTIFICATE OF SURVEY ti.. For EBERHARJT COMPANY c " OOJ V/ / 4! J °T cow ` 6,0 UESCR I FF T I ON: roffr }i �i r 1 OZ.S �\, �• Cj 1 � i ru 2 zz ! j c ^ J00 i f SCALE: LOT 3. BLOCK 4, MELODY MANOR. OWNER: FRANK F. LAVALLEY, JR. We hereby certify that this is a true and correct representation of:a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed no monuments have been placed for the purpose of establishing lot lines or boundary corners. Dated this 26T4 day of FES I"UARY I°62 EGAN, FIELD & NOWAK Surveyors F i I e No. 2,366 u Book No. 1586 - 43 EGAN, FIELD & NOWAK SURVEYORS 129 WEST LAKE STREET 'TG r i !'.1 MINNEAPOLIS 8, MINN. MCRT.;AGE LOAN SURVEY CERTIFICATE OF SURVEY / For EdERHARJT COMPANY �� `• ®p 1 ti 16 04 tg a i 6,0 / rn ]► D i ! SCALES I u 3O t OESCR I P T I ON: LOT 3, BLOCK 4, MELODY MANOR. OWNER; FRANK F. LAVALLEY, JR. We hereby certify that this is a true and correct representation of,a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed no monuments have been placed for the purpose of establishing lot lines or boundary corners. Dated this 2674 day of rEE1RwRv 1962. EGAN, FIELD b NOWAK Surveyors F i le No. 2366 Book No. 1586 - 43 by ! DESCRIPTION; EGAN, FIELD & NOWAK SURVEYORS 129 WEST LAKE STREET MINNEAPOLIS 8, MINN. MORTGAGE LC V4 SURVEY CERTIFICATE OF SURVEY a� For EBERHAUT COMPANY b a, \G LOT 3, [BLOCK 4, MELODY MANOR. OWNER; FRANK F. LAVALLEY, JR. .SCALE: I" — 301 We hereby certify that this is a true and correct representation of=a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agreed no monuments have been placed for the purpose of establishing lot lines or boundary corners. Dated this 2bT`1 day of FEsFPuARY 0 1962. EGAN, FIELD b NOWAK Surveyors F i I e No. 2.366 0 Book No. 1586 - 43 . su9JEcr E City of Fridley 33500 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. _ ------ r V PROTECTIVE INSPECTION SEC. ;Q 41 �� NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910415 5/8/03 JOB ADDRESS 7380 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vera Schmidt 7380 Lyric Lane NE 763-323-5363 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 Q ❑ NEW X ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 31' x 11' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for SEPI►RATE PERMITS all Utility location REQUIRED FOR: 40002 PLuM ING HUNG, Dn iG, UI BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCYLOAD 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $4,968 $2.48 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- SIC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $118.70 SIGNA URE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, WHENPROPERLY VALIDATED THIS IS Y UR P RMIT ", .P 5/110 3 1 SLOG INSo r)A E SIGNATURE OF OW NERiiF OWNER BU4DE RjDATE, NEW ADDN ALTER Construction Address: Legal Description: Owner Name & Address: CITY OF FRIDLEY Effective 1/1/2003 6431 University Ave NE, Fridley, MN 55432 (763) 672-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION 1� 738® Z-Llrl`c 4,a -m e- Lo 7 - QX'CZ, Tel. # W&" F- ?d3 - X32.3-6363 Contractor: MN LICENSE # Address: Tel. # 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 31 Width / / Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: a APPLICANT: Tel. # '7ry 3 P 3�— 5363 Z-6 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ • 0 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ] Gi I Y Or rKiUo_t_Y INoHLU PION Uiv. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Lttective Un Jan 1, 2002 PLUMBING FIXTURE RATES: 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** NO. RATE TOTAL I" Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00- $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE $� JOB ADDRESS 23186 Ly- e c Z. oi, 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 1Z eazt' sc'L e-,. A-�- Building Used Estimated Cost PERMIT NO. 46ES PLUMBING COMPANY �3 n' A_ Ptc..� 61 SIGNED BY L,�-At.,AL FAX # 7/6':?1 /1Rq 1 — Approved By Rough -In Date inal COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFN� VENT nQNNFCTQR AND COMR1IRTION AIR VFRIFICATIM When re In acing an Pias rng gran - , 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 (i 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 ax�ting rnmhustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a n _w enmhuggfign air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When g 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 #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat 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 ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES go RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not eplacement) Gas ReRge " Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr Effective On January 1, 2002 State Surcharge TOTAL FEE *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO MW# IAW7__P46 / � Com►®+f e"a�`rl Signed 9 p 7w*,A—. FAX # 76.3 52�6 --oU(- Approved By " Rough -In Date TEL # 763 -<.�b-V66 7 4)� Final Date JOB ADDRESS 7360 4—y.9:eC Ln! OWNER ��� Sef► M;d Rate TOTAL BUILDING USED AS $ 30.00 $ ESTIMATED COST PERMIT NO. S-4�C $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO MW# IAW7__P46 / � Com►®+f e"a�`rl Signed 9 p 7w*,A—. FAX # 76.3 52�6 --oU(- Approved By " Rough -In Date TEL # 763 -<.�b-V66 7 4)� Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFIIT VENT CONNECTOR AND COMR1 JSTION AIR VIFIRIFICATION When re 1p a__ing an existingf� ranr_p, 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 existing comb is ion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new comhuctron air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new vantingayStgm, 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 Tyne and Size/Common Vent and Vent onn ctor Inform., ion Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat 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 ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date : 111-µ865/F SUBJECT City of Fridley 7 � 44 007; 5 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. / _ r PROTECTIVE INSPECTION SEC. �� NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ' 763-571-3450 910-F15 11/20/03 lOB ADDRESS 7380 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Vera Schmidt 7380 Lyric Lane NE 763-780-7146 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rum River Lumber Co 10141 Woodcrest Dr Coon Rapids, MN 55433 763-862-7320 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20036086 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK o O NEW 0 ADDITION 0 ALTERATION X REPAIR 0 MOVE 0 REMOVE X B DESCRIBE WORK Replace three windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. Gard Will Be Mailed No Homeowner To PA) 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 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 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 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 $3,710 $1 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .85 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE ice a SC $5.00 $107.81 SIGNATURE OF CON-RACTOa OR AUTHORIZED AGENT iDATE, NIV EN PROPERLY VALIDATED THIS IS YOUP PERMIT G ,NSP gA ff S-GNATUQE Of OW NEA OF OWNER BUILDER. DATE, NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER j' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION O%� Construction Address: / f L �, Legal Description: Owner Name & Address: &6-3(h� '1� (� Lao(✓ Ln la Tel. #-10- )90-%[4b Contractor. - m,\LLQ W Gi (`0&A" MN LICENSE# W03 (oA Address: I NJ UtI f�r'+t� ,Coop. i��.td� ��� 55433 Tel. # V-8(Pz —73 2-= 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 IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width Hgt/Ground Sq. Ft Construction Type:lr lrfhi CL -0 uJi(00A Estimated Cost: $ -) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: APPLICANT:hLUjjLJJ Tel. #V 27132.E - Ea6�n Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ CITY USE ONLY - Fee Schedule on Reverse Side cij� .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] TOTAL $ 1 b '). 8 l STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS 7380 LYRIC LN NE PIN 113024240052 LEGAL DESC MELODY MANOR LOT 3 BLOCK 4 PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 004-00032 DATE ISSUED: 01/13/2004 VALUATION : $ 500.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER SECTION 310.9.1.2 OF THE 1997 UNIFORM BUILDING CODE WHEN ADDITIONS, ALTERATIONS OR REPAIRS IN EXCESS OF $1,000 ARE MADE TO RESIDENTIAL DWELLINGS. REMOVE SOFFITS & WALL - RESHEETROCK APPLICANT BUILDING PERMIT FEE SCHMIDT VERA M FIRE SURCHARGE 7380 LYRIC LN NE STATE SURCHARGE, VALUE FRIDLEY, MN 55432 TOTAL OWNER SCHMIDT VERA M 7380 LYRIC LN 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 wort 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 constructs n or the performance of construction. Annlican�� Date Bldg Insp i V'QDate L� I t3 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 23.50 0.50 0.50 24.50 (4-5> CC NEW [ ] CITY OF FRIDLEY Effective 1/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION AAA-- -7 :9 e 0 LY f i ,G LGIAA-R Pe Legal Description: Owner Name & Address: w - '5C'k w`'+ S-* Tel. # 16 3 �S� I �(� C �3 Contractor: MN LICENSE # g23„ Address: Tel. # 5-363 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 Hnngtnn/Ground Sq. Ft.. n' OTHER: r Q *&D -J . S o� k 5 LJ &kQ — fAz Sy"-t('rxf. Construction Type: Estimated Cost: $ Driveway Curb Cut, jWidth Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: j / i3 ®`t APPLICANT: LLLt 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 Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side .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 [ ] STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 6 I 111L'!710.1MWDLIWA af4a[i ADDRESS : 7380 LYRIC LN NE PIN : 113024240052 LEGAL DESC : MELODY MANOR : LOT 3 BLOCK 4 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION n PERMIT NO.: 2004-00195 �q DATE ISSUED: 02/11/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. KITCHEN REMODEL # 0-100 AMP CIRCUITS APPLICANT LAKESTATE ELECTRIC INC 24477 RIVERBANK LN NW ISANTI, MN 55040 OWNER SCHMIDT VERA M 7380 LYRIC IN NE FRIDLEY, MN 55432 8 STATE SURCHARGE, ELEC FLAT ELEC CIRCUIT FEE (0-100 AMPS) TOTAL PAID WITH CHECK # 2198 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 work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp. Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. lc�' 0.50 56.00 56.50 City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit tz-V�--Z 7j3-7 Residential Application City of Fridley See Back Side For Reauired Information Date /OF Site Address: -7360 Z- Y A e` r- L ^/ Theapplicant is: (cirice one) Owner Contracto Property Owner: VP -A.4 Sc howeetl- Address: -73kr® f- L City: Elzed leu State: MV Zip: 55 Y3 Z Phone: 763 - ZY4- 7/ 7-6 Cell: Fax: Contractor Information Company Name: 1444SH kirT,w Atb Aft Contact Person: a !` Address: 6Z VS he sun City: 6 adff�.'o Ph AX State: qd Zip: SrS�I✓L Phone:7� 3 m S-cr� Cell: Fax: 7b3 - X36 - ®Ptd Email: MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work: Equipment Installed: MFG:_ Le,44a c Model: 6711 i®;aac� MFG: i®garA Model: )CC/y` 0360 Size/BTU: 3o,c4 MFG: Model: Size/BTU: PI ase check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ Minimum fee $15 or 5% of cost of improvement Surcharge�^ 0.50 whichever is greater + surcharge Total Due $ [�� Make check payable to City of Fridley This is an application for a permit- not valla unttt processed I hereby apply for a mechanical 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Approval Ins Date: Date: t�� Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a- IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling, load per room a. Required on new construction IMC 1346.0312 5. Ventilation a_ Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations A Date: 06/09/2008 Revision Date: 06/09/2008 Site Information Address 1: 7380 Lyric Ln Address 2: City: Fridley County: Hennipen Application Information Business Name: Marsh Heating and Air Conditioning Contact Person: Kelly Marsh Office Ph: 763-536-0667 Fax: 763-536-0226 Address 1: 6248 Lakeland Ave no Existing Construction: Pre 1994. Project #: Lot: Block: Subdivision: MN Contractor License #: Cell Ph: City: Brooklyn Park State: MN Zip Code: 55428 Minimum Mechanical Code Requirements Met Will you be replacing or adding a water heater, furnace, or boiler? NO Will you be installing a decorative solid -fuel appliance? NO Will you be installing an exhaust fan 300 CFM or greater? NO You have met the minimum requirements for make-up air and combustion air as required by the international mechanical code, as adopted by the state of Minnesota with amendments. Applicant Name (print): Signature/Date: Code Official (print): Signature/Date: © 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1 From: 7634344933 Page: 213 Date: 10/30/2009 8:10:55 AM AUG -22-2M 10;45 CITY OF FR t DLEY Building BUILDL'gG Pamir 1Vo.: Inspections RESIDENTIAL, AppLICATXON$ 'O—WA--. 763-572-3604 CM OF �DLEY' Date"Ra: 0 BATE l.%" lo YOUR E-MAm ADDF.ESS u 1M.0 N tc • AAM s s ADMIRE&$ �ry � /G.14 & i Vetl$ APPLICANT IS: ❑ OWNER K-'ONTRACrOR I PROPERTY OV#NEP/ NAME: !9 � ►J.N '� yf—ar—t7 Cat P1 I A -r- TENANT ADDk=: Z Clri Fikh STAT„ S Z PHONE _ k ��,.. CONTRACTOR NAt WA St, m T A COPY OF STATE LiCI?1GS"E s "� 0 Exs DATE 1 YOUR STATE LICENSE AIDM=: AV3 W 1STq adymols �' WITH APPLICATION HC*M 'Z- 7- z z f,,, fo3 1J 17 1?ItOY'ER1CY TYPE OFTWAbMYINE �T UCoN STORIES !PERMIT TYn Q ADDITIGN o GARAWSMI)w5 O 13ASFM INT Fn�119H C ROOF 0 D W- 7'0x8 SIANG o Oz D DECK 0 � POO1. TTr'Ply OF WORK:a mw A ON ,� p M01 - DESCRIBE WORK RM4017C)I3E s �pltJ 'S SIZE OF Ilv, XQV iT' LENGTH WMTH NIGHT S FL HOUSE ONLY VtJly= OF SQUARES _ Q HOUSE & GARAGE g 7ABAGES GAITACHMOAXA0E I, Ex+sdagFleurPaas 3ROPOSED SIZB: I] DETAC!w GARAGE 23.. au �sn 'ROPMED tiEit�id' t List uottuatieten+b�s to be used h V�YI FOR NEW CON MUCTION INCLUDM DEM, ? Aluminuro 7 Odicw 117oSit Q Thm I. site PIMMUveySo= © Fink and proposed pmjmt #174DOWS N MCSiWG OP GS Yes GNo LOCATION OF WINDOWS Z. 3 Twa sets of r easavc6cm plans aR FOR NEW OPE gING&DESGRI,9B 5121+ OF )?M4Ja0 CHANGES & !YPE OF VMDOW TO SE IldS'1' NUmsmt OP WLtIDOWS • T T nVvx. rza� eaaec is�+7�le+ viv v,elr.VA11VV, UNULUVING TFLG COST OF LABOR AND MATERIA -U: (i3'S>I Q THE W7U.8.0 F'EE SCHEDULE) TAM•r Vl "VF•V TV MT Ate\- %- , 9, / --..-.-_-.---.--_ 'leu review surcharge : ire Srmhazge ,icease Surohatge ,AC C barna :urb Cut Escrow ;rosion Control 'ark Fee ower Mair CW$e $ee Badc Page for Fee Schedule -- S 65% of Ulding Permit Fee S (.0005) times the total job valuation - MWmum. S.50 5 .001 x P81MIt Yalua404 (1/10%) S $5.00 (State Licensed Residiotial Contractors) S $1450 per SAC Unit (Plans to MWCC for determination) $ R+6ftel Rx$20=$ $ $450 Conservation Plan Review $ Fee Datft ined by Engineeritlg $ Agreement necessary ( ) Non Nemsoly ( ) rrW 19 AN APPLICATION FOR A PER.�O-NOT VALID tiN M PROCESSED hereby apply fof A building permit and I acknowledge that the informe4on above is complete and aeanrate; that the Work will be iu ontbrrnance with the ordinancea and codes Ofthe City of Fridley and with the Mirutesota CoustruCdOn Codes; that: I understand this is not a Ianbut only an application fo a permit and is is not to start without a permit; that the work will be in accordance wi% the approved len in the of all r �d approval of plans. ry / CONATURE OF APPLIGWT—�� ..._,PFJNT NAM019t� �I_i/ __ rtes . DATS 10---3d'-J9