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PRE 2010 DOCS (2)Date: _ May 24, 1967 Owner: Address City of Fridley, Minn. BUILDING PERMIT Builder Homedale Builders Address 5217 Wayzata Dj,yd LOCATION OF BUILDING N9 9271 No. 7513 Street Lyric LraIIe _ _ _ __ Part of Lot _ Lot — 19 —__ Block 3 Addition or Sub -Division _ Mel od1y Manor 4th Addn . Corner Lot __ _ .____ Inside Lot — x — Setback 35 ' — _ _ _ Sideyard -- 10' Sewer Elevation 873.00 1 66MON XMXVffW 87.E . 00 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 46 Depth 26-28 Height 20' Sq. Ft. 1224 CtL Ft, Front Depth Height Sq. Ft. Cu. Ft. Type of Construction _ _ Frame Est. Cost _ $18,5 00 �_ _ To be Completed , Aug. 1967 SEWER LOCATION - 148' West od Manhole WATER LOCATION - 10' East of Sewer In consideration of the issuance to me of a permit to c truct building des above, I agree to do the proposed work in accordance with the description abov set and in cum a with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 36.00 permit is hereby granted to Homedale Builders to construct the buil the express condition that the person to whom iiis tor addition as described above. This permit is granted upon 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. CLARENCE BELISLE NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gn heating, sewer or water. Be sun to see the Building Inspector for separate permits for these home. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS ADDRESS5'�Y 7 LOCATION OF BUILDING '*7 N0. / �� STREET e PART OF LOT Z LOT BLOCK ADDITION OR SUBDIVISI2&� j��( CORNER LOT INSIDE LOT /- SETBACK 5' SIDE -YARD T SEWER ELEVATION_ X73 - D --e FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building locatig n drawn n these Certificates. Xi DESCRIPTION OF BUILDING To be used as; FrontDept` Height Sq. Ft. li�=� Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction a�%iEstimated 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 2 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Si'd ;y/-� - 71 City of Fridley, Minn. N9 9369 BUILDING PERMIT Date: July 25, 1967 Owner: Homedale Blders Builder A.B.C. Blacktop Co. Address _._. - Addrgs 1308 Main S t . N, E, LOCATION OF BUILDING No......__.....1511 Street _ Lyric Tamp Part of Lot Lot 19 Block 3 Addition or Sub -Division _ Melody Manor 4th Corner Lot ---- Inside Lot Sewer Elevation To be Used as: Setback --- Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front Y Depth Height _ _ Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Awa t Drive Est. cost _,,,._�111,00 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 �,et f, orth �mpliance with all provisions of ordinances of the city of Fridley. (" In consideration of the payment of a fee of $ 5.00, permit is hereby granted to A.B. E . Blacktop Co, 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 skid building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardiig location, construction, alteration, maintenance, repair and moving of buildinSs within the city limits and this permit may be revoked a t any time upon violation of any of the provisions of ssaaiid O rdinances CLAUNCE BELTST.E Building Inspector NOTICE: This pore# does not cover the construction, instaMon for whbe, phnubine, sea heaft, ewer or water. Be errs to ses the BuMnq Inspector for separate permits for these items. z APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY$ MINNESOTA / X S OWNER'S NAME C- &6 4,1 6- �?_ BUILDER /4, _ C! C 1(76 �- b ADDRESS ADDRESS /3 O M4 ,;� r %V, 6 LOCATION OF BUILDING ., N0. STREET i G �R/Z/ PART OF LOT LOT ig BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. To be Used as: DESCRIPTION OF BUILDING __ Front Sq. Ft. Front Depth Height, Cu. Ft. Depth Height_ Sq. Ft. Cu. Ft. Type of Construction L,7- '7NO alewg 4 Estimated Cost/0'1/ °® To Be Completed L The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley 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. DATE �, SIGNATURE C (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas F'N#ing Penrdt Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures N 3� Number Fixtures ...... ....... .......-7 x $2.00 $ i2 x $1.50 Y z New Fixture Old Opening .............. C Z g_ of �= W ox x $3.25 w u Z z l�90 f • F N WATER HTR. GAS ELEG Base Electric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL f x $2.00 $ x^ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...... ....... .......-7 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 x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... x $2.00 $ x^ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ a/ TOTAL FEE City of Fridley: mv The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Owner Kind of Used as To be ci Estimated Cost, $ Old—New. Building Permit No Permit No. 5 , Signe By Business Phone ROUGH (P—I 5� -47 K I -TOC' FINAL P City of Fridley Application faw Plumbing and Gas Fitting Permit 879.01 Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 7513 Lurie LnNumber, Kind and Location of Fixtures Location e m $ — x 1.20 $ — x 1.00 12 — x 3.25 F c�U' ,zr�� 8 N G N O W (�9 a� Z (090 • F ` N WATER HTR. GAS ELEC. Base 1st 2nd _ 3rd _ 4th ' Future Connection Openings e New Fixture, Old Openings I Connected with Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin .... . ..................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ — x 2.00 $ — x •,3.25 $ NO. RATE TOTAL — x $1.50 $ x .50 $ 1 x 2.00 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 fact and representations stated in this application are true and correct. Fridley, Minn 10 thug 67 19_ Kind of Building Used as res To be completed about 16 Aim Estimated Cost, $ 5,00 9]X—New. Building Permit No Permit No. Signed N WL B Business Phone No ROUGH FINAL Description .... .. ....................................... TOTAL FEE I, O� az City of Fridley, 1.J.tme No 10464 BUILDING PERMIT Date: October, 22; 1969 Owner: Glen Byl Bomber Inter City Builders Address 7513 Lyric Lane N.E. Address 2500 Murray Avenue N.E. LOCATION OF BUILDING No. 751' Street 'FLM Lyri c,_ T. n - N?F. _ _— ,._._.... Part of Lot Lot 19 Block 3 Addition or Sub -Division . Melody Manor 4th Corner Lot _ Inside Lot _ _ X Setback -- Sideyard - Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Gazagre Front _221 _ Depth _ 22'._ Height . 10' __ Sq. Ft. Cu. Ft. 4$40' Front Depth Height _ Sq. Ft. Cu. Ft. Type of Construction Frame _Est. Cost __ `2 200.00 __ To be Completed Nov. 15, 1969 Provide Hardsurfaced Driveway. In consideration of the issuance to me of a permit to construct the buUjftg described above, I agree to do the proposed work in accordance with the description above sed forth and pliance with all provisions of ordinances of the city of Fridley. _' `q In consideration of the payment of a fee of $____&.00 __., permit is hereby granted to Inter City RU lders 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 reg location, construction, alteration, maintenance, repair and. moving of buildings within the city limits andthis permit may be revoked at any time upon violation of any of the provisions of said ordinance. t, 1 e' CLAItENCE BELISLE NOTICE: 'fids permit don not cover the construction, batelldlon for wiring, plumbing, on boding, sewer or wNer. Be sure to see the Building Inspector for separate permits for these Mena. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ADDRESS 7.0 ''2YR Ad 1, ADDRESS �[rS�� � � � � ,°�►�� �� ,-~' �! LOCATION OF BUILDING NO. /W STREET l 4 LOT BLOCK 13 ADDITION OR SUBDIVISION T Z®4�'&00r2 �+ CORNER LOT INSIDE LOT.4 SETBACK SIDEYARD� SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certificates of Survey of Lot and proposed.,building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 09 6,�� :9Front 1 Depth Height Square quare feet„a Cubic Feet Front Depth Height Square feet Cubic Feet r 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. DATE4LE` -' �¢2 � �r=� S3GNATURE .(Schedule of Fee Costs can be found on ip e Reverse Side.) A" Su Vic Y,"I,/ ENGINE ERING9 INC. tv, f"A i k)" Foricel...; Sur V";,/ 101 "S �-y 'HOMEOALE WILDE' S cc ? C Ll I i Ll ell or I Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 5.00 Dept. of Bldgs. Phone SM -3480 GRAVITY WARM AIR: RATE TOTAL','/Locstio� 40 Furnace Shell & Duct Work .......................... 1st 3 Fixtures ...................... $ $ Grp Replacement of Furnace ............................. 6.00 $ City of Fridley: Repairs &Alterations—up to $500.00 ............. ... 6.00 $ The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances Repairs &Alterations each add. 500.00 p $ .............. 3.00 ' $ and ruling of the Department of Buildings, and hereby declares that all the facts VENTILATING SYSTEM $� and representations stated in this application are true and correct. MECH. WARM AIR ALTERATIONS &REPAIRS Fridley, M1nn-- MIA I—Z-- -/ lg Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Owner Replacement of Furnace ............................. 6.00 $ Kind of Building Repairs & Alterations—up to $500.00 ................. 6.00 $����� Repairs & Alterations each add. $500.00 .............. 3.00 $ Used as A� e STEAM or HOT WATER SYSTEM To be completed about ------i // Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Estimated Cost, $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ 7� Ol —New "Building Permit No. eamit No. Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ DESCRIPTION OF WORK 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$ 200 $ Grp Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $� ALTERATIONS &REPAIRS TOTAL FEE ROUGH FINAL HEATING or POWJER PLANTS --Steam, Hot Water, No Trade Name �' Size No:_�� Capacity Sq. Ft. E D.R BTU H.P. Total Connected Load Kind of Fue BURNER — Trade Name S,e Size No� Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING Co Signed 4637 CHICAGO AVE. $y Rdjubis®nr, T�-- as Business Phone No-- r 1 SUBJECT PER City of Fridley 20189 AT THE TOP OF THE TWINS BUILDING PERM I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �� 1 i "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/2/89 JOB ADDRESS 7513 Lyric Lane N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 19 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Glen Byl 7513 Lyric Lane N,E, 786-6167 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Eden Construction 0150 E. 107th. St Circle, Bloomington, MN 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 888--3015 55420 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 Reroof/Reside/Replacement HTindows 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can he 2nd layer but not 3rd, install ridged Galvanized valleys, On all Pfl/r roofs or tear -offs artd eeplaeement roofs, State Code requires that 2 la:yeis of I5 Ib. felt, ntopined together, be installed to a point 24 Inches Up from exterior wall line, or the use of other approved underlayment membrane. 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 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 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 $12,860 $6.43 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$144,00, OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $150,43 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) «. WHEN/a PROPS LY I AT THIS IS YOUR PERMIT !. 1 4._4—� B�tOG�JJINSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI-- NFW [ ] Effective 5/1/88 ADDN "[ ] R-1 AND R-2 A'Z [ ] Building Permit Application Construction Address: I � �Q-< <— 1-1--n/ /V �- legal Description: owner dame & Address: (L 19-s t1loir2, �GG C� Tel. Contractor: L'r) Tel. Address : 17 Sr Attach to this application, a Certificate of Survey of the lot, with the prOPOsed cOnStrU tion drawn on it to scale. MVING AREA: lerrith Width Height Sq. Ft. GARAGE AREA: lexqth Width Height Sq. Ft. DECK AM: Iength Width Hgt/Grovrd Sq. Ft. 07HER: Corner Lot [ ] Inside Iat [ ] Ft. Yd Setback Side Yard �tbacks u -t Type of Constnion: � , t� ; N Estimated Cost: $ 12 LQ c� Approx. CmVletion Date: a' '� `'° ` J �° �� ®,,�; s Posed Driveway Width If NewIs Des 71Width + 6' See Back Page DATE: 12 APPrZaM: Tel. # � �•.� CMTS USE o�aar Permit Fee o o State Surcharge SAC Corge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL, Fee Schedule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Ewj; neer *+g Necessary [ ] Not wry [ ] w, jyq SUBJECT , City of Fridley 28340 AT THE TOP OF THE TWINS BUILDING P E R M IT , O `.� ! COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBERDATE REV PAGE OF APPROVED BY 612-571-3450 910415 10/21/98 JOB ADDRESS 7513 Lyric Lane N 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 19 3 IMelody Manor 4th &dditionSHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Glen B 1 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const Inc753-5469 20076043 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 B DESCRIBE WORK Reroof house and garage (25 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. e 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 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 2142 $1.07 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 $74.75 Fire S 2.14 PLAN CHECK FEETOTAL F /Dt e 82 6 IGNATURE OF CO •RACTOR OR AUTHORIZED AGENT IDATEI P PER BL TG NSP IDATED APYS is YOUR PERMIT FIa TE S,GNATURE OF OWNEROF OWNER BUILDER, IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress. Legal Description: Owner Name & Address: Tel. # L/o Contractor: MN LICENSE # 2-a & o 4 7 Address: 3 % 7 Y L"— L Tel. # -7 7 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: Estimated Cost: $ ��12' (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ ME DATE: /� Z' APPLICANT: Tel. # CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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 [ ] Building $ BUILDING Permit No.:_ C5 Inspections $ RESIDENTIAL APPLICATION Received BY. -Z- ( 763-572=3604 $ CITY OF FRIDLEY SEMAPR 112007 DATE `� —% ©7 YOUR E-MAIL ADDRESS Erosion Control SITE ADDRESS %✓ Park Fee $ THIS APPLICANT IS: �KQWNER ❑CONTRACTOR Total Due PROPERTY OWNER/ NAME: G LL TENANT ADDRESS: �_ /' �4 I �� f c� f4 e_ AI CITY �/' ��� L ���STATE ��SIZ PHONE:—ZL .3 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING R.OTHER ❑ SWIMMING POOL R i yvr� G TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: C ,. ti ?Pa r J r e9 ac- CO SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee. $ Plan Review $ Fire Surcharge $ Surcharge $ License Surcharge $ SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ 41L0 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) /tf ft+6 ft= Zy ftx$21=$ `-IZO 2v�— $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attac 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 work which requires revie{w� andd/ approval of plans. j SIGNATURE OF APPLICANT e k PRINT NAMEL d1 � G - �/ DATE �!//� Z67 ta IR V7 S o,! e0 + OVI T Building $ % o BUILDING Permit No.: Inspections $ RESIDENTIAL APPLICATION Received By: jA) - 763-572-3604 $ C� CITY OF FRIDLEY $ 763-502-4977 FAX $ Erosion Control $ Park Fee EFFECTIVE 1-1-08 Sewer Main Charge DATE at -os YOUR E-MAIL ADDRESS LIC-'= NC_z kk o e to dL : Cd IN SITE ADDRESS �z s-1 rs i N THIS APPLICANT IS: ElOWNER IONTRACTOR PROPERTY OWNER/ NAME: S MONtN'R 14 I ADDRESS: ISI v� t� dc4. � CITY i pois lL STATE �iJ ZIP TENANT PHONE: —7 --t — Gs l fe 7 NAME: ✓ ADDRESS: A I l0 I 0AW-Cft. O'R • CITY F..d STATEMaZIP 1;"7 CONTRACTOR SUBMIT A COPY OF PHONE 1(e3- ` Z-0 - A'(d C- FAX - - O S`? YOUR STATE LICENSE STATE LICENSE # dZ O (c� c(S 1P EXP DATE _iaLD 4 of PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH OOF ❑ DRAIN TILE ❑ DECK ❑ IDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION AINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: `l^• AQ— n 240 rr SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES MOUSE & GARAGE BASEMENT REMODELING SUBMIT: _ 1. 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 ONSTRUCTION INCLUDING DECKS, SIDING ❑ Vinyl ❑Soffit DITION & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. T o sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No 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 MA � NG THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ ' OCCUPANCY Permit Fee $ % o Plan Review $ Fire Surcharge $ Surcharge $ a License Surcharge $ C� SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ ), G TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC fordetermination) ft+6ft= ftx$21=$ $450 Conseryation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary Make checks payable to: City of Fridle THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL Attach I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will W in conformance with the ordinances and codes of the City of Fridley and with the Minnesota C fiction Co • at 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 accord a with ved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME &,;t^ 7N)OLA- DATE % O APPROVED BY DATE Building MECHANICAL Permit No.1-WHIN Y7 Inspections RESIDENTIAL APPLICATION Received By-06::� 763-572-3604 CITY OF FRIDLEY Dati fi 06 763-502-4977 FAX EFFECTIVE 1-1-08 ftV �� u DATE_1f ' S ` �% YOUR E-MAIL ADDRESS yS1�o SITE ADDRESS ✓ THIS APPLICANT IS: ❑ OWNE CONTRACTOR PROPERTY NAME: ADDRESS: % —CITY STA—LIP NNAN PHONE: CONTRACTOR COMPANY NAME: - CONTACT PERSON: SEPARATE CITY LICENSES ARE REQUIRED FOR GAS STATE LICENSE # / EXP DATE ���� �_CITY� AND HVAC. ADDRESS:4°i �I'� i SUBMIT COPY OF BOND PHONE 7� 7_��-ai- - S�%�i d FAX7 AND INSURANCE PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW XREPLACEMENT ❑ ALTERATION/REMODEL TYPE OF WORK: DETAIL.f DE RIPTION OF WORK PER MS 16)3.665 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 ) OR 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: (INDICATE TOTAL NUMBER OF EACH BELOW) MFG: MODEL: SIZEBTU Equipment Installed MFG: - MODEL: SIZE/BTU MFG • , MODEL: �®_ �J SIZE/BTUX v w �^ _GAS RANGE/OVEN $10.00 A/C $25.00 PLACE (GAS) $15.00 , _F _AIR TO AIR EXCHANGEER $15 EPL CE (WOOD) $35.00 NEW GAS GRILL $10.00 UNIT HTR $10.00 _BOILER $35.00 URNACE $35.00 _GAS LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures@$10.00 x $10.00 =$ Surcharge $ 5 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL 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 Min onstruction 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 actor c ith the approved plan in the case of all work which requires rev" d approval of plans. j r DATF,42' SIGNATURE OF APPLICAN PRINT NAME APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977