PRE 2010 DOCSCity of Fridley, Minn. N9 9655
BUILDING PERMIT 'Va' -71
Date: — April 5, 1968
Owner: _ Romedale Blders . Builder
Address 5217 Wayzata Address
LOCATION OF BUILDING
Same
Same
No. 7509 Street _ _ Uric Land— part of Lot
Lot_ 20 Block 3 Addition or Sub.Division ____ Melody Manor 4th
Corner Lot —_ Inside Lot — x Setback 35' Sideyard __ 81
Sewer Elevation ____ 872.59 87.5.59
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front 37' Depth 24' Height 20' Sq. Ft, 888 Cu. Ft. 17,760
Garage Front 20' Depth 24' Height 10' Sq. f, 480 Cu. Ft. 4800
Type of Construction Frame Est. Cost _ $20, 000 To be Completed _
SEWER LOCATION - 52' East of Manhole
WATER LOCATION - 62' East of Manhole
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 forthand in com ance with all ovisions of
ordinances of the city of Fridley. y ., / —.1G, --V /F _
ion
In consideration of the payment of a fee of $ 34.00 permit is hereby granted to Homedale Blders .
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 anworkmen, 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 aad moving of buildings
within the dty limits and this permit may be revoked at any time upon violation of aqy of tl�e provisions of d
ordinances. _ �1
CLARENCE BELISL
NOTICE:
'This permit does not corer the construction, hntafladon for whing, plumbing, gas hoaftg, ower or wafer. Be core to me
the Building Inspector for separate parmita for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY„ MINNESOTA
ADDRESS ADDRE8
LOCATION OF BUILDING
v
NO y % '� SIWET, PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION2
CORNER LOT INSIDE LOT SETBACK �� SIDE -YARD
SEWER ELEVATION_ F7,? ,f2 FOUNDATION ELEVATIONIV
87�•
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;
r
Front Depth .2 Height :;*�®
Sq. Ft._ � Cu. Ft.77C
' Front p� DepthVHeight.��
Sq. Ft._� Cu. Ft.
Type of Construction Estimated Cost -0 al�
�T
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.
DAT--�*E SIGNATURE
IZ
(Schedule of Fee Costs can be found on the Reverse
�J3qj 6C)
Side).
Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices Y�
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... $10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $�
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour ........................
6.00
$
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) .......................
5.00
$
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE
TOTAL
1st 3 Fixtures ......................
x$ 2.00
$
Additional Fixtures ................
x .75
$
Gas Range to 199,000 ..........
x$ 5.00
$
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE
Dept. of Bldge. Phone 560-3450
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,
Owner
Kind of Building
Used as
To be completed about —C�l�� V
Estimated Cost, $
Olduilding Permit No. Permit No.ZeA44
DESCRIPTION OF WORK
HEATING or POWER am, Hot Water,arm Air No f
Trade Name - Size No
Capacity Sq. Ft. E.D.R.® 'A� BTU H.P.
Total Connected Loa Rind of Fue�
BURNER — Trade Name �o�Size No.,
Capacity Sq. Ft. E.D.R BTU H.P.
le
(REMARK
�S e
By— 637 cHir-AGO AVE-
�Mone � o -
6E B�� rilOIIC 1V O
City of Fridley
Application for Plumbing and Cas Ming Perndt
Dept. of Bldgs. Phone 560-3430
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
i
fTO. RATE
Number Fixtures ....... ..............
�j x $2.00
'TOTAL
$
ii
x $1.50
Z
O�
New Fixture Old Opening ..............
8 Z
8�
a� =
5
O x
,
WU'
Z
�p
•
F
M
N
WATER HTR.
GAS
ELEC.
Base
a $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $2.00
$
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
1st
I
J
2nd
3rd
4th
• Future Connection Openings
1Sewer
New Fixture, Old Openings l
Connected with
Cj
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
fTO. RATE
Number Fixtures ....... ..............
�j x $2.00
'TOTAL
$
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.50
$
Catch Basin ...... .....................
x $3.25
$
Water Heater (Up to 99,000 BTL) ......
x $3.00
$
New Ground Run Old Bldg . ............
x $3.25
$
Electric Water Heater
a $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $2.00
$
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE
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 faci
and representations stated in this applicatiop are true and correct.
.
Owner
Kind of
Used as
19� F
To be completed about A 11, 4 C9 U
Estimated Cost, $ y t`� �� ►► 7 -
Old—New. Building Permit No �0� Permit No. '1714 16—
Signed
By
Business Phone
ROUGH
FINAL
SUBJECT
PERMIT -
City of Fridley
®13193
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIP
16 ....... COMMUNITY DEVELOPMENT DIV.
INSPECTION
19? 19
r PROTECTIVE SEC.
1 �
I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
9/11/75
PAGE OF
APPROVED BY
812-580-3450
910-F15
JOB ADDRESS 7509 Lyric Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
20
3
Melody Manor 4th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Nienow 7509 Lyric Lane N.E.
3 CONTRACTOR MAILADDRESS 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
❑ NEW IN ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
brick fireplace
9 CHANGE OF USE FROM TO
STIPULATIONS
see specifications
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
brick
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
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2500
1.25
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-
15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
16.25
baONTRACTOR OR AUTHORIZED AGENT (DA
E)WH
N PROPER Y LID THI YMRPMIT% r
SIGNATURE
OF OWNER IIF OWNER BUILDER) 1 A
E1
DG. )NSP DATE
APPLICATION FOR RESIDENTIAL., ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S. NAME: � `��-a-�-c./� $UILDER:
ADDRESS: -2,J- ADDRESS:
NO: --7 S-0 % STREET:
U
LOT: '_� D BLOCK: _ ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
i
Applicant attach to this form Two Certificates of Su 'e.Y_ of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
41� Front:
Depth: Height:
Square Feet: Cubic Feet:
Front:
Depth:
Height:
Square,Feet; Cubic Feet:
Type of Construction:Estimated Cost:
To Be Completed:
The -undersigned hereby makes applicatian,for a permit for the work herein
specified, agreeing to do all work in'sttict 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: / Z SIGNATURE:
(See Reverse Side Fot Additional Information.)
PERMIT NO. ,
SUBJECT
City of Fridley
3 n 4 o 0
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
REC IPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
156 4�e1
1
NUMBER
REV
DATE
PAGE OF
APPROVED B.
CITY HALL FRIDLEY 55432
L J ` 612-571-3450
910415
9/7/99
JOB ADDRESS 7509 Lyric Lane
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACH90
DESCR.
20
3
Melod Manor 4th
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Michael Gibson
784-4166
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ®X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside house and ara e
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1200
$.60
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$44.85
Fl SC 1.20
PLAN CHECK FE
TOVTL. EE
65
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT RDATEi
EN R
BL INS
VALID THIS IS PERMIT
RATE
$,GNATURE OF OW NEA dF OWNER BUILDERR (DATER
PERMIT NO. ,
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATIONgo
Construction Address:
Legal Description: 1
Owner Name &Address: 1 C p Tel. # 7 9 1/
Contractor: MN LICENSE #
Address:
Attach to this application, a Certificate of. Survey of the
lot, with the proposed construction drawn on ,it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
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: 5/A!— , Estimated Cost: $ / )a�%LC/t</� �� /200, e=�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:JW f 7 r APPLICANT: ��y�j-�_ 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
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
Permit No.:W",
Building
MECHANICAL
Inspections
RESIDENTIAL APPLICATION
Received B
7.63-572-3604
FRIDLEY
Date Rec'd:
CITY OF
YOUR E-MAIL ADDRESS g f2
DATE -11112:222i
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY
OWNER/ADDRESS:
NAME: AnIt
CITY
STATEZIP ���d
TENANT
—
PHONE: 7b-7
COMPANY NAME: '
CONTRACTOR
SUBMIT COPY OF
CONTACT PERSON: ,�/�°
DATE
YOUR STATE
WITH
STATE LICENSE # A�
/��✓ CITY %
9/ZP1TATE?`ZIP D�6
LICENSE
APPLICATION
ADDRESS:'/Il�
PHONE �7 —yT FAX e-�;L 7y —172
PERMT TYPE P161GLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK: 0 NEW PLACEMENT 0 ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: ('NDICATE TOTAL
NUMBER OF EACH BELOW)MODEL: vl % �7 SIZE/BTU 00
Equipment Installed MFG: �'°�� — � SIZE/BTU
MFG: MODEL:
MFG: MODEL: SIZE/BTU
A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
_AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 EFURNACE $35.00 _GAS UNIT HTR $10.00
—DUCT
LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $1500
Permit Fee $ -1*6 Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ -_!522 Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
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; that the work will be in accordance with the
approved plan in the case of all wor which re view and approval of planes. �
SIGNATURE OF APPLICANT �' PRINT NAME /�, /Af7 d t?/�DATE /�
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977