PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N°5 6 0 2
Date: .a
r •
Owner: � �"''' Builder
Address Address —
'07 LOCr�►TIO F BUILDING
:f No. '.Street ` P of Lot
Lot _— Block - `{ s Addition or Sub-Divisi —
Corner Lot — Inside Lot +"" Setback �.. Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To Used ,,, ,,�✓�
Front Depth Height Sq. Ft. D Cu. Ft.
Depth Height Sq. Ft. Cu. Ft.
Type Construction Est. C "' ""'�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 set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of 't , 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 o any of the provisions of said
ordinances. '00"1 A
Building Inspector
NOTIM
This permit does not cover the construction, histallatlon for wiring, plumbing, gas beating, serener or water. Be sere to see
the Building Inspector for separate permits for these Kenn.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
CLEmRoR jg INC.
Owner's Name /i%�D�/� /%�%���� Builder
_d _Mi
1111 22nd Ave. 11T. E.
Address � Address
Minn.
LOCATION OF BUILDING
No.. Street!i'i� L ii(//� Part of Lot
Lot, 1 Block Addition or Subdivision.,�ruaz d0a�
Corner Lot Inside Lot -Setback ,S � Side -Yard /,&
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
FrontDepth Height
Sq. Ft. ,Z40�® Cu. Ft.
� Depth �,� Height
Sq. Ft. Cu. Ft
Type of Construction !��09,o�J Estimated Cos s
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 Ordinances and ruling of
the Department of Buildings, and hereby declares that the facts and representsAions
stated in this applica.tiopF are trine and correct.
DATE g�P / SIGNAT
(A Schedule of Fee Costs can be found on the Re4erse Side.)
Application for Power Phts and. Heating. Cooling, Ventilation. ,Reirigeralion and
Air Conditioning Systems and Devices e
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 ............ 8.00 $
each add. 60,000 BTU ........................ 2.00 $
Replacement of Furnace ............................. §.00 $
Repairs & Alterations—up to $500.00 ... . ............ 5.00 $
Repairs & Alterations each add. $500.00 ............... 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 $ L__�
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x $1.50 $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM 8
ALTERATIONS & REPAIRS TOTAL FEE At
ROUGH
FINAL
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 tme and correct.
FridleyMinn- / I 19
Owner
Kind of Building
Used as
To be completed about
FMI
C-/.
Estimated Cost, $ o
Old— Tew ,Building Permit No.y �pezmit
DESCRIPTION OF WORK
HEATING or PPWER PLANTS—Steam," Hot
tWWa-' , Warm Air—No
Trade Names � �fC.fsf.� Size No �C
Capacity Sq. Ft. E.D.R,� BTU H.P.
Total Connected Load �� Rind of Fue
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Signe JPAY N ,WELTER HEATING CO
4637 CHICAGO AVE.
By—To INPtEAR961S 7, MINNESAT-Al
42 zM 7_5e Business Phone No-
D•56
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS `,3 0 ,.4 MINNEAPOLIS. MIM.
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows Doors Reyferelice Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
No 19—
Fl.l SEWidth 1e `Height Pm II / Fl.l s .d`hl- Room ILength JP`Width/.' 44Height 2'
Windows and. Doors—Crackage and Area
" #P 1%0UM axngtn l y d-
w lain
WidthHeight No. of Lineal ft, Area
No. of pane of Dane lights of cracky sq. ft.
y
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft: Area
No. of pane of pane lights o�fp crack ' eq. ft.
Coef.
Coef.
Btu
Infiltration
f
6:3
le
1178
Glass•
/
Exp. wall L .!5- V
,e 1
fJ
Exp. wall 9
Net exp. wall
4
/0
9&7 0 .
Net exp. wall
42
/V
16-70
Int. wall
C
Floor / �O je ,�d „�°'
4LO
Ceiling XO .K 10
�',,,° Y 4
!}
�
Al 76
Floor' / «- so f &/
I vo
'�
7v(d
Total Btu.i ,i
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ FI.1 / Room I Length ftr F Width/- Height . ,r
Windows .and Doors--Crackage and Area
" #P 1%0UM axngtn l y d-
w lain
Width Height No. of Lineal ft. Area
No. of pane of pane .. lights of crack sq. ft.
,P°
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft: Area
No. of pane of pane lights o�fp crack ' eq. ft.
Coef.
Btu
Infiltration
Infiltration
I T
6:3
Glass
7
Infiltration
/
Exp. wall L .!5- V
,e 1
7.,2
Glass
Net exp. wall
Vie'
/0
9&7 0 .
Int. wall
"'I
Net exp. wall
Ceiling "7� Ar (�,
,/
C
Floor / �O je ,�d „�°'
4LO
Int. wall
�',,,° Y 4
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�14
r L f ..
" #P 1%0UM axngtn l y d-
w lain
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
nelgnt
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft: Area
No. of pane of pane lights o�fp crack ' eq. ft.
Coef.
Coef.
Coef.1 Btu
Infiltration
ICoef.1
Btu
Infiltration
/
Exp. wall �lid.
,e 1
7.,2
Glass
Net exp. wall
Vie'
/0
9&7 0 .
Exp. will
"'I
Net exp. wall
- 0 4" di
Net exp. wall
t--'
LP
4LO
Int. wall
IfIk
15 -
Ceiling /
� �►
'�
� 2
Floor /
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
i Z e 1, "1
Coef.
Coef.
Coef.1 Btu
Infiltration
Glass
0 0
F
Glass
Exp. wall �lid.
I
Exp. wall x
Net exp. wall
Exp. wall
/0
!T e -
Net exp. wall,
"'I
Net exp. wall
- 0 4" di
:Int. wall
t--'
Floor /
Int. wall
Ceiling ,/2 X
IfIk
15 -
Ceiling
� �►
'�
� 2
Floor
Total Btu. 1&3 22.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l /eJ,r6-2cv Room I Length y' Width/,-? Height
Windows anddoors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
i Z e 1, "1
Coef.
Coef.
Btu
Infiltration
Glass
0 0
Glass
Exp. wall �lid.
I
Exp. wall x
Net exp. wall
4' G
/0
!T e -
Net exp. wall,
"'I
Ito
- 0 4" di
:Int. wall
t--'
Floor /
Ceiling ,/2 X
IfIk
15 -
Floor Ito � 0?.
� �►
'�
� 2
Total Btu. 0
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
A1.1 Room I Length /-9Width Tv Height
Windows and Doors—Crackage and Area
Width Height No: of Lineal ft. Area
No. of pane of pane lights o/f crack sq. ft.
Coef.
Btu
Infiltration
Glass
Exp. wall �lid.
I
Net exp. wall
d:
/0
!T e -
Int. wall
Ceiling, /6
t--'
Floor /
IfIk
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
53-84.-s-915.51
PARTIAL RATE SCHEDULE
VLVMM=Cm rIXTUM MAYM W "TZ Tar"
womalm 1x ................
...:......
g Sim S
Nm OnSwe Od 09mift ..........
_IM $
Catch Boolm ............. i ......
W&W Mwwr .,Up to WAO H4V1....
: map �
New 'Gnmfi Ihm OW BW ........ •
ar Sim S
untrie water ..............
a am t
C" FtrfUiG FEM-
1a R&Tz TMAL
14 i 11attasss ................. ♦
: fZO�
...............
!�___�
=s
an Rm" to M.tao vm ..........
1 ::sm 5000
State Surcharge
$ .50
�./�� ....... s .......... ...............
4-
7GrALMM 6 5.50
Cat,
The uadwaimmed hervAby nukes oppUmuon fow a pwmt for th&- vwh nend
specified. agredus to do MU wwk its striLt MeWdomme with the City e'
seed naaling of the Departmoit of Bua&mM and hereby dedwes Haat &M to &d.-
and
ast:and reprewntatkos stated is tae applimodw we ta°aae mW coaert
Fridley. mim 6-19-73 >s
ckwoer Donna Marcucci
Kwd of Building Fgame
CIM up®'surchaija .5010
D•S6 9
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A•S.H.V.E, Construction No. —�
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor II Kind How.
Yes— o Yes—No 19_
I PI -1 _., _i Rmm I Lonath / A Width t B P Neivht it 05 >Fl Ir a Room Length Width
P--
A ..y
MINNEAPOLIS, MILAN.
Insulation
Windows and Doors—Crackage and Area
1
Coef.
Width Height No. of Lineal f . Area
No. of Dane of pane lights ofycrack sq. ft..
j qB
a
Width
Coef. Btu
Infiltration
v
Glass
45
Exp. wall
seq. ft.
Net exp. wall
Int. wall
pofQpane
�
Ceiling
Floor
Ceiling
otal Btu. !Z
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room I Length ;!RWidth Width Height
Windows and Doors--Crackage and Area
Width Height No. of Lineal tt. Area
No. of pane of pane lights of crack eq. ft. +OJ
Coef. Btu
Infiltration P / t-
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling A, . d V „�,
Floor
Total Btu.
Coef.
Btu
Infiltration
Windows and Doors—Crackage and Area
Width
Height
No. of Lineal ft.
Area
of pane
45
light. of crack
seq. ft.
II q
pofQpane
�
Int. wall
Ot
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ir 11
01 Fl.l APm.,1 Room I Lenixth a Z'r Width ,/ , - Heiuht ,K` -`
Windows and Doors—Crackage and Area
Coef.
Btu
Infiltration
�•�
Glass;
,
Exp. wall
45
Coef.
Net exp. walla
Infiltration'
Int. wall
Ceiling
Glass `,>,
Floor
Total Btu.
Exp. wall
i 7
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ir 11
01 Fl.l APm.,1 Room I Lenixth a Z'r Width ,/ , - Heiuht ,K` -`
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 `,>,
az 0
Exp. wall
Net exp. wall
"
a
Int. wall
Ceiling Me g 4- 4
vig
'�
Floor
Total Btu. E I. -M
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
P
o
, - 2 ° 9
r
• COMMUNITY DEVELOPMENT DIV.
�ti: ------
f � � PROTECTIVE INSPECTION SEC.
1 = �
CITY HALL FRIDLEY 55432
612-571-3450
RE
1 (j�
NUMBER
910-F15
REV.
DATE
10/30/89
PAGE OF
APPROVED BY
JOB ADDRESS 7441 Lyric Lane N.E.
1 LEGAL
DESCR.
LOT NO.
29
BLOCK
3
TRACT OR ADDITION SEE ATTACHED
Melody Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David Siwek 7441 Lyric Lane N.E. , 784-1937
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Interior Alterations_; reroof dwelling; construct 10' x 16' Shed
9 CHANGE OF USE FROM TO
STIPULATIONS See notations on plan.
SEPARATE PERMITS REQUIRED FOR
.WIRING, HEATING, PLUMBING AND SIGNS.'
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
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
1
STALLS GARAGES
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
VALUATION
$6,000
SURTAX
$3.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE O LOCAL LAW REGULATING CON-
STRUCTION THE P FO M CONSTRUCTION.
$81.00
PLAN CHECK FEE
TOTALFEE
$84.00
SI NA RE OFC N. OR AUTHORIZED AGENT (DATE)
HEN P P V D ED THIS IS YOUR PERMIT
,{ : "3L
BLDG INS; DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE( I
01
NEW [ ] Effective 5/1/88
ADDN [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address:
Legal Description:DfP�o.�
Owner dame & s't'ress: �� �G� .�%� ✓��t Tet.
Contractor:
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed constriction drawn on it to scale.
ftI orw
LTVIM AMM: Length O
GARAGE AREA: Length
1' 0• w o I jP 1 I' '.• • s Iii
Width �, Y Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
f.
.4eW770 ; T A- C'-
Corner Lot [ ] Inside Lot Ft. Yd Setback Side Yard
Type of C onstniction: bio0� Fra,,nC' Estinated Cost: $ �JO
Approx. Ccupletion Date*)
44
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
Width + 61 See Hack Page
DATE: APPLSCAM: --Z'lel. # 7C-1-3-5'32
CZ'PY USE ONLY
Permit Fee $ ®. O v
State Surcharge $ ��
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
sTZPULATIC NS:
Fee Schedule on Reverse Side
$.50/$1,000 valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Emjirheering
y YJNecessary [ ] Not Necessary [ ]
.. -
6,060 &
;L 00
YDS r d �
fond Plan/nny 6875 -Hi hway OC'S AT
I oli i Surveylny MJl)J�o�lo�s 21,
Soils Iesl,;lq ENGINEERING, INC. M"'fw5°ia
Clv/l f Alurl/ontpol SUnsei460&&
Eny�� riny En9lneers Sur ve on,
cemptif-1c ate of suisve for E & M DEVELOPMENT CO.
rk-� eaa.i
esa ¢
7
G2aufJD E. L. EV, 6t
IT,
5L.89q o
9.61
O 0ENO'TE.S i
SUBJECT
4WFUT NQ.--
City of Fridley
24761
AT THE TOP OF THE TWINS
BUILDING
PERM
T NO.
Ir?
� • _____ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r � �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j 612-571-3450
910-F15
11/8/96
JOB ADDRESS 7441 Lyric Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
29
3 I
Melody Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Laurel/Brian Jones 7441 Lyric Lane NE
780-7269
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Renewal by Andersen 1700 Buerkle, White Bear Lake,
MN 55110 430-7255
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20040630
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 15 windows which includes 9 bedroom windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Replacement bedroom windows must meet the State Egress Code.
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
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 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
$2.96
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,924
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-
$112.25
Fire SC $5.92
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
License SC
$5.00
$126.13
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT
BLDCj INSP
Qom'
f_
DATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
ITY OF FRIDLEY TEL: 612-571-1287 Mar 20.96 9:48 No.001 P.%0102
Mc.W [ ] Effective 3/1/96
ADIaN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY. AND DUPLEXES R-1 AND R-2
Q�
Building. Permit. Application
ConstructionAddress: 711Y( 4y`rc-, L", -
Legal Description.
Owner Name & Address: L0,wr-el q - 6r, -,u, 7_7Vq1 LY; -,•c Zx,4, -e— Tel. # 7,?o — 7a 69 _
Contactor:_ %0_ VLeAA_0. 1 MN LICENSE # o?M 1/c (o,3 o
Address: 1lo0 t"T__, 5s/Po Tel.# g30 -7a -S -S—.
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIMON OF RdPROVEMENT
LIVING AREA: Length ` Width Height Sq. Ft.
GARAGE, AREA: Length Width Height Sq. R.
DECK AREA: Length— Width _ _ Hgt/Ground S7-A
Ft.
OTHER: -HCl I -r i D �i®cJ/)n�11 t - / G) 'O "vim
Corner Lot (] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: _ Estimated Cost: $--"5�j� �/,. 00
Approx. Completion Date:
(Cost. on .Back)
Driveway Curb Cut Width Needed: Ft. + t= Ft x' $ _ $
DATE: 1(. y ,7` APPLICANT: Tel. # L,4'
_
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge .
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE O1VLY
$_ 1 l a, a Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$_ '2, $.50/$1,000 Valuation
$-. $900 per SAC Unit
$ S. $5.00 (State Licensed Residential .Contractors)
$_ Alt.. "A" or Alt. 013" Above
$ $450.00 Conservation, Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ J Not Necessary [ ]
ELDER -JONES PERMIT SERVICE
ELDER -JONES PERMIT SERVICE
1120 EAST 80TH STREET " p,
BLOOMINGTON, MN 55420
(612)854-2854 phone
(612) 854--2703 fax
We at Elder -Jones are acting as a agent for Renewal by Anderson. If there are any questions, or
permit has to be picked up in person, please give us a call at the number above. ,If permit can be
mailed back to us, I have enclosed a self addressed envelope.
Thank you
Tim Schenk ext. 140
Jolene Connors ext. 134
SUBJECT
PERMIT
City of Fridley
2 9070
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
e /� (/
1 1
� tr
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
_
/-�J/
1 . �
NUMBER
REVGATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEV 55432
I.J
612-571-3450
910-F15
3/25/99
JOB ADDRESS 7441 Lyric Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
29
3
I Melgdy &anor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Brian Jones 7441 Lyric Lane NE
780-7269
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Town & Country Roofing 7910 12 Ave S Bloomington,
MN 55425 854-9365
a ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20091282
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
B DESCRIBE WORK
Reroof House & Garage 21 S ear -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.
SEPARATE PERMITS ARE REOUIRED 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
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
$1,799
$.90
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHA E
99
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
Fir C $1.80
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$56.75
PLAN CHECK
F
� e=:A— ak--�:g 5
4
e
e
$
,,Lice 64.45
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 10 EI
EN O
0 TE IS IS U� P RMIT
SIGNATURE OF OWNERIIF OWNER BUILDERL IOATEI
r �
Bl -NSP''
nATE
Mar -19-99 11:22A
NEW [ ]
ADDN [ ]
ALTER [ ]
Const uctionAddi
U. -gal Description
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
P_05
Effective 1/1/98
Ao
Owner Name & Address: Fjne— S-0rnAF Tel. # a
Contractor: , t) el MN LICENSE #o C
Address: /O / v2 ' Tel. # �S� " 93 &5—
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. j
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER;
�. i_ z
17o9
Construction Type: rd n-� Estimated Cost: $
IZE
(Fee Schedule od Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: lY"" APPLICANT: Tei. !I_
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$'-'5z.;7 -s—
$1,80
s—
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.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 [ l Not Necessary [