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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 593 8 Date: Owner: Builder Address Address _ LOTION F BUILDING No. Street no, 'son F,_ )o rt of Lot Lot _ Block Addition or Sub -Division . Corner Lot _ L + Inside Lot Setback Sideyard Wr Sewer Elevation Foundation Mevation DESCRIPTION OF BUILDING *., 0 T Used Front ' Depth Height Sq. Ft. Cu. Ft O ont Depth eight Sq. Ft Cu. Ft. Type of ction Est __ To 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 -q-,f ,J: �— , 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 an^y uponvi of any of the provisions of said ordinances. Building Inspector NOTICE This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be am to as the Building Inspector for separate permits for these hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owner's Name Builder I T Address LOCATION OF BUILDING No. Street P� Part of Lot Lot Block $ Addition or Subdivision Corner Lot -4 --inside Lot Setback Side -Yard SE14HR ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of -Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front YO DepthHeight o Sq. Ft. � �L� Cu. Ft.. Front ,9 Depth 3 2 Height Sq. FtCu. Ft. Type of Construction Estimated Cost 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 - ( (Schedule of Fee Costs can be found on the Reverse Side).E L VC. 4�� �JALBEB�IL� 6V 441gS Sipe' W City of Fridley Application for Plumbing and Gcm Fitting Perm Dept. of Bldgs. Phone SII 4-1 DESCRIPTION OF WORK Number, Kind and Location of Fixtures m y� Number Fixtures .......... x $1.50 Future Fixture Opening ................ Z z iQT3 _ y W �jO ,SZ� J W c� U0' z z O F r N WATER HTR. GAS ELEC Base x 3.25 $ GAS FITTING FEES: Or 1st 3 Fixtures ..........................� x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st I 2nd _ 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Ej Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .......... x $1.50 Future Fixture Opening ................ x 1.20 $ oZ • Q New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $� a d New Ground Run Old Bldg. ............ x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code . Description ................................................ TOTAL FEE $f/�(i� City of Fridley: r The undersigned hereby makes application for a permit for the work here, 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 applicatio aretrue and correct. n ]**Y, Minn /' "4 , 19 �- Kind of Building -- k- `�-/� _�- 3 Used as To be completed about Estimated Cost, $ Old ew. uilding Permit No Perm' o. Signe By Business Phone No _ 7 7 ROUGH 2 -16 -62 -- FINAL -1G-62-- FINAL 42 2M r Application for Power Plants and Healing, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE NO RATE TOTAL 1st 3 Fixtures ...................... Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Location�— Furnace Shell & Duct Work ........................... 8.00 $ $ Replacement of Furnace ............................. 5.00 $ City of Fridley: Repairs &Alterations—up to $500.00 ............. .... 5.00 $ 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 Repairs & Alterations each add. $500.00 ............... 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. MECH. WARM AIR Fridley, Minn -'a G °��19 , Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Owner Replacement of Furnace ............................. 5.00 $ Kind of Building /1 A Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ Used as STEAM or HOT WATER SYSTEM To be completed about Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Estimated Cost, $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 Old ew. uilding Permit No. Permit No. O Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ......... ........ 2.50 $ DESCRIPTION OF WORK 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 $_TT �=6 Additional Fixtures ................ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL HEATING or PO R PLA team of Water, arm Air—No Trade Nam No Capacity. a Sq. Ft. E.D.R BTU P. Fu Total Connected Load Kind of BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe (REMARKS -OVER) By 42 2M Business Phone No MINNEGASSO 53-81,-s-915.51 City. ®f Fridley App9aceikan fw Vvrmend Gm F.'alr -t Dept, of Bldga. Phone SM -3490 DESCRIPTION OF WORT Location— 71 61 N. E. Lyric Lane Number, Kind and Location of Fixtures W C cn I3 � ` .f i►°1• Cr U� < U (7!p I k WATER "U. GAS ELEC. Base 1st In st,!11 Gad G ' 11 2nd 3rd 4th • future CounwAon Openings * Fixture, Old Openings Connectexi lath ❑ SewerNew Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $2.00 $ Future Fixture Opening ............ x $1.50 $ _. New Fixture Old Opening .......... . x $1.50 $_-. Catch Basin .................... x $3.25 $ Water Heater '.Up to 99,000 BTU) . • • • x $3.00 $ New Ground Run Old Bldg...... x $3.25 $ Electric Water Heater........... a $2.00 $ SAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures .................—x$.75 $ Gas Range to 119,000 BTU x $5.00 $ 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 tact and representations stated in this application are true and correct 8-16-74 19e Fridley, Minn Owner Dorothy Wieklund - Kind of Building Frame Used as Res. To be completed about 8-23-74 Estimated Cost, $ 10.00 Old --NW. Building Permit No. Permit o. 13 7dP;; By MINNEGASCQ _ Business Phune No ROUGH REPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge XMM Install Gas C`rill 5.00 Description ... • ......... • •. • • • • • 1 .• • • •. • ..•• .... • •� TOTAL FEE 5.50 Class 1°AP aur_charV .509 SUBJECT ITLNCity of Fridley PI-15"M AT THE TOP OF THE TWINS BUILDING PERMIT_ r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ~ ______ PROTECTIVE INSPECTION SEC. r q� 190 1 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/20/86 JOB ADDRESS 7461 Lyric Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 5 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Wicklund 7461 Lyric Lane N.E. 786-1677 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Patio Enclosures Inc. 6219 Cambridge Street, St. Louis Park 920-1575 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 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 Enclose 36` x 161 Deck for Three Season Porch 9 CHANGEOFUSEFROM TO STIPULATIONS Existing deck must be inspected prior to construction of patio enclosure. krPERMITS REQ PG o" ATE �;3D SIGI� SEPAR EATING, PLUM�iiI�G WIRING, HQu o qSe/r s 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 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 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 $3.85 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,700 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER ATE OR LOCAL LAW REGULATING CON- STR TIO OR T E PERF ANCE OF CONSTRUCTION. $68.50 z PLAN CHECK FEE TOTAL FEE 17.13 $89.48 IGNA URE OF CONTRACTOR OR AUTHORIZED AGENT lOATEI WHEN P(ROPERL VALIDA�TE[/DJ THIS IS YOUR PERMIT! BLDG INSP DATIF SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) NEWS City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: %� P Legal Description: Owner Npme & Address: � " �. 6 ` ` - Tel. # 7ZU �L217 Contractor: AV ...... ��'��C aneZl Tel. # Address: ��l� �vl�,P<`d;�� i�rQS zv 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. Q v(o Corner Lot I] Inside Lot ] Ft. Yd. Setback _ Type of Construction: Approx. Completion Date: _ Side Yard Setback Estimated Cost: $�- r?o god Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: .� of ]Za APPLICANT: i Tel. �Q � CITY USE ONLY Permit Fee $ V v " Fee Schedule on Reverse Side Plan Check $ 19_1 3 25% of Building Permit Fee State Surcharge $ �"0� $.50/$1,000 Valuation SAC Charge $ -----7 $475 per SAC Unit Park Fee $ —' Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary L ] Not Necessary [ ] TOTAL $ STIPULATIONS: • -�- 0, -0 a 00&- SUBJECT City of Fridley2- 41 2 7 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'' 612-571-3450 910-F15 3/22/96 10B ADDRESS 7461 L ric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 MelodyManor 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Wicklund 7461 Lyric Lane NE786-1677 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Anderson 1410-7955 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 windows 9 CHANGE OF USE FROM TO STIPULATIONS Sleeping area replacement windows must meet the State Egress Code. Provide smoke detectors as per SBC 310.9. 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 MOT. 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 $4,029 @ $2.01 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99.75 Fire SC $4.03 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEEFEE C 0License $5 I;r;110.79 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI W ROP VALID T HIS IS YOUR PERMIT - BLD )NSP �+ FIA TE S)GNATURE OF OWNERIIF OWNER BUILDER) IDATEI CITY OF FRIDLEY NEW [ I ADDN [ ] ALTER TEL: 612-571-1287 Mar 20.96 9:48 No.001 P.01/02 Effective 3/1/96 CITY OF FRIDI EY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: I -T 6' Legal Description. 514 -32 - Owner Name & Address: _ %NAU L& Y G A � L� 1'1la Tel. p 16-7-? _ Contractor: V ( �11 1�1/ L' all _ MN LICTNSE # ��Q 63Q Address: 1700 Lkl W 41P P,PaV- UL 5,5110 Tel. # —IIX— 7255 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF iQdPROVEMEr1T LIVING AREA: Length Width Height Sq. Ft. GARAGE, AREA: Length � Width Height Sq. Ft. - DECK AREA: Length Width _ _ Hgt/Ground Sq. Ft. OTHER: Corner I.ot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: „(RrnIo,^'e 0t(&Q-5 _ Estimated Cost: $_ Approx. Completion Date: q- 26-% (Cost: on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: P`.rinit Fc:. Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Tee Sewer Main Charge TOTAL STIPULATIONS: $ LO1, � USE ONLY A—rem 6w-' 4� �5/ Fee Schedule on Reverse Side �& 310. y .001 of Pennit Valuation (1/10th%) Svn'e� $.50/$1,0()0 Valuation 310, % $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Rcvicw Fee Determined by Engineering Agreement Necessary [ I Not Necessary [ ] a SUBJECT City of Fridley =R�M AT THE TOP OF THE TWINS BUILDING PERMIT Ir? L. ` COMMUNITY DEVELOPMENT DIV. - ______ r PROTECTIVE INSPECTION SEC. 11 , CITY HALL FRIDLEY 55432 NUMBER DATE PAGE OF APPROVED BY 612-571-3450 910-F15 r 1/2/97 JOB ADDRESS 7461 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 5 1 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dorothy Wicklund 7461 Lyric Lane NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Phalen Siding & Trim Inc 1821 University Ave St Paul MN 55104 731-2092 6216 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 1 STALLS I 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 $7,500 $3.75 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- Fire SC $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $137.25 PLAN CHECK FE TOTAL FEE Lic n SC . 00 $153.50 S TURE OF CON TRACT R AUTHORIZED AGENT IDATEI P .71 RLY VAL ATED THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI DG IN P F)A E a NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress:. Legal Description: 4u*por-�YY uK liCc.u/VQ) 7-/0-/ Z_VR -_✓// Z)?6 /6-7-7 Owner Name & Address: : !mss )gjel. # �= � Contractor: , 71V � � � S, DI A16' ¢ TR o m IA.) c MN LICENSE # Address: /Fa I UAL v152sl a -Y Xa , Sr Ra u z- ss/o Tel. # 73/ - a p-9 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ;5r v , ,o �_ Estimated Cost: $ Approx. Completion Date: /- O - 9 Z (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: - - S -7 APPLICANT: Tel. # I CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ ~%. S� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ 5 CV $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 o STIPULATIONS: _ ° ' oil SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 29071 r R r`-REQ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. PROTECTIVE NUMBER REV DATE PAGE OF APPROVED BY �'� CITY HALL FRIDLEY 55432 1 „ 612-571-3450 3/25/99 JOB ADDRESS 7461 L ric Lane NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 5 Melodv Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADORE" ZIP PHONE Dorothy Wicklund 7461 Lyric Lane NE 786-1677 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Town & Country Roof 854-9365 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20091282 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Reroof House & Garage 24 S Tear -off 9 CHANGE OF USE FROM 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 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 $1.03 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,056 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. $74.75 Fir Sli $2.06 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT EE 3 bs7Aq Lic a SC $5 041 $82.84 SIGNATURE OF CON'RACTOR OR AUTHOR ED AGENT IDAT M E PR +B G INS VALID E IS1 OUR PERMIT bz.5 -yy QATE S-GNATURE OF OWNEROF OWNER BUILDER, IDATE, oil Mar -19-99 11:25A NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Lx -gal Description: Owner IS Contract Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION / 11y. 17; f- rte- raclf P_17 trttecttve l/inns rel. # QrZ - A 7 Z ENSE # .60cZ?0z, Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. , 40 Construction Type:Te— — Estimated Cost: $ Q (Fee' Schedule gn Back) Driveway Curb Cut Width Needed: Ft, + 6 Ft = Ft x $ = $ DATE: 31 JCj APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] Not Necessary [ ] $ 7 i COIL, IL J �I� CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2001 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 JOB ADDRESS -1/69, l �l Z Z -yl �•✓ �!� RATE SCHEDULE OWNER �b2��� y l�rii�eL;.t,� Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not re lacerrment) Gas Range 9; T-iV 5 �/V_- Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1°Jo of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 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. TOTAL BUILDING USED AS leis' $ f, ESTIMATED COST 2600 - PERMIT N0. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name fig- a✓ 6" 2 Size No. BTU HP EDR $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 So representations stated in this application are true and correct. DATE L l (- " U l Approved By Rough -In Date TEL# &Sl -77)' 7�16�1- 141 Final Date 1-19-0( IAND COMBUSTIONBACK SIDE MUST �ER FILLEIN VERIDFICA�IONVENT SIZE, VENT CONNECTORS I COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing futance, 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. Yes () No ( ) When installing a new ventina system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central 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 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 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** Gas Range** NO. RATE TOTAL JOB ADDRESS 7 Ll o f Z y ic1 c Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $ .50 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 _ /)6 KA -14 -/ 6t9 el�L�•,�cL Building Used As 5/,&/-e Owe ff� Estimated Cost 6—rol o-0 PERMIT NO. PLUMBING COMPANY /� /'r✓��r�-n� �/ �� SIGNED BY �- _ TEL N3/ -7P 3a/ Approved By Rough—In Date Final Date 46 / MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 $ PLUS THE $.50 STATE. SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. "ITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 A31 University Ave NE -ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, CODLING, VENTILATION, � 763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES c Job ADDRESS71YLg� ��-� V' 1 N R TE SCHEDULE OWNER tesidential Rate TOTAL N Furnace Shelf and Duct Work, Burner - BUILDING USED A$ N) Also Replacement Furnace $ 30.00 $ 1442 (Side Vent - Fill Out Back) ESTIMATED COST PERMIT N�. CG' Gas Piping (Needed with new furnace, $ 10.00 $ R but not replacemer. t) DESCRIPT#QQF FURNACE AND OR ®URNER Gas Range $ 10.00 $ 0 No. of Heating Units Circle One (Steam) (Not Water) (Warm Air) � Gas Dryer $ 10100 $ Trade Name_—.---- Size No,_ IR *Air Conditioning - All Sizes $ 25.00 $Q� BTU HP EDR Fuel _ Total Connected Load _ __ o d F All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name_ Size No. '1%, of Value of Appliance or Work $ _ BTU _ HP EDR ;ommercial/Industrial 1.25% of Value of Appliance or Work State Surchargo TOTAL. FEE EINSPECTION FEL: $47.00/Hr Air Conditioners can not be placed in a side yard without rritten permission from adjoining property owner. $� The undersigned hereby snakes application for a permit for the work here! n specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that alf the facts and � _ representations stated in this application are true and correct. O DATE --- --- _ -- H EAT I L.J _ - Pn c Ia Q---- Sign TEL N OD Approved BRough-In Date Final Date `d )UT BACK SLDE OR STACKY-ERI-FICATION ON REPLACEMENT FURNACE m H m N zJ'd -"101 COMMON VENT. VENT CONNECTOR STION AIR VERIFICATION When replacing an existing fMrance, the undersigned hereby ven'fies that the venting has been examined and Is free from rust, deterioration, obstructons, 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 ACOA -LAMA 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 manufacturer's specifications. Yes( ) No( ) When required to install g [jevrr,pomlbustion air, it will be sized and installed To meet the current codes and manufacturer's 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 manufacturer's specifications. This does Include AGA -LAMA 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 =rnmon vent and vented separately as per current codes. Yes( ) No ( ) Aacrliance Type and Sk9ffiarnmon Vent and Veen C_*nneetor Information Appliance 91 Type P 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 Stu input Common Vent Type _ . Vent Height _. Diameter.__ -r____ inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length rt Diameter jn Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: Mescribe) �. HEATING O�,, P0120, d S0986M Dl KTIa I dA =10 h110 W08=1 85 : Zt 0002 -TZ -ADN CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 200( 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 JOB ADDRESS. RATE SCHEDULE OWNER c,Z Residential Rate TOTAL Furnace Shell and Duct Work, Burner -BUILDING USED A$_ Also Replacement Furnace $ 30.00 $®- 00 .. (Side Vent - Fill Out Back) _ ESTIMATED COST bio PERMIT NO. � Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) ` of Water (Warm Air) Gas Dryer $ 10.00 $ Trade Name_ Size No. BTU lawc7 e kq%HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel 6x' Total Connected Load q, %31 All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1 jo 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 ar State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE $fib representations stated in this application are true and correct. DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO l #-) Ace c, 7A)l eA L REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed _ TEL # 612 REINSPECTION FEE $47:00/Hr - *Air Conditioners can not be placed in a side yard without Approved B Rough -In Date Final Date 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 ()o No ( ) The venting system is plastictPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No (x) 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 (y) No( ) The existina combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes (y.) No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes (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 (x) 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. 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Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS_ & PORCHES SUBMIT. ❑ Vial E3 Aluminum ❑� 13 Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and propos project Z. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: ®' SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ -17 ? )� See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 7�� Z 19 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1 M / IV Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building 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 on site; that the work will be in accordance with the approved plan in the case of all work which reggires review and approval of plans. SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK I From: unknown Page: 1/2 Date: 1/13/2010 9:19:13 AM From: City at Fridley I o: 617M W91 Page: 712 Date: 1/12!2010 2:OZ:31 IJM Building Inspections 763-572-3504 763-502-4977 FAX SITE ADDRESS THIS APPLICANT IS: OWNER/ TENANT SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE. OF INSURANCE PERMIT TYPE TYPE OF WORK: PLUMBING Pertnit No.: - 11G�i , }-(,UU 24 RESIDENTIAL APPLICATION Received By, CI'T'Y OF FRIDLEY DMOdJA � -N EMCTIVE 1-1-2010 U YOUR E-MAIL ADDRESS /274 f ?'e 0OWNER ADDRESS:_T'y(.s'I �YklG 1l� 4"9/ 44 CITY PHONE: 'fv;� —796 -lep 7 7 NAMES 1FJ/J. STAT: I-ICHNSE 1l STATE BOND N _ L�RESS•�(O J SINCI.h FAMILY In NEW DETA[LED DESCRII'rioN Cl`!~ WORK &C VAX C3 TWO IIAMILY © TOWNHOUSE OREPLACEMEiNT 7"iW 13 tt EXP DATE: EXP DATE: i STATE 1221VZIP ,6& PHONE: �O�al -'7-2 ��/� .. WHERE NOTED- FIX'rUReS: (IND1CATK TOTAL NUMBER OF EACH BELOW). MINIMUM FEU FEES ARE BASED ON $10,00 PER FIXTURE, EXCuPT $35,50, SINKAAv FLOOR DRAINS — SHOWER POOL _ WATER PIPING WATERSOFTNE'R035) _HATH BATHTUB _{"FAS PIPING (NEED CITY L1C) —SWIMMING WATERCLOSL�T HACKnow PREV. WS) _ CLOTHES WASHER KITCHEN SINK HEATER ($951 FO R iRR1AAT10N DISHWASHER LAUNDRY TRAY _WATER WATER Mh7ER — OTHER THIS IS AN AVPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for it plumbing permit and 1 acknowledge that the information above is complete and accurate: that the Welk will be in conformance with tho ordinancam and codos of the City of Fridley and with the Minnesota constru Codes; t at L be in act�*dancc mtand not a permit but only an application for a permit and work isnot to start without a pit am silo; that with the approved pian in thee�ca+so of all work which requires rcviow and approval of plans. q SIGNATUREOF APPLICANT �//f�L�'kt c/Y6' •frrG •L.� PRINT NAMts/27, J2& / �1�Gt%Tfl ' 17ATEi i 1.. ..;:..ri,. City of Fridley Building Iuspectio>ns Department 6431 Uuiversity Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977