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PRE 2010 DOCSCity of Fridley, Mian.. BUILDING PERMIT Date: December 1, 1969 Owner: James Valenta Builder Western Cons truction -/-f J& N° 10517 Address 75,23 Lyric Lane N.E. Adm 3017 Lyndale Avenue South LOCATION OF BUILDING No. 7523 Street Lyric Lane N.E. Part of Lot Lot _-1 7 --- Block Addition or Sub -Division melody Manor 4th Corner Lot .__ Inside Lot _ Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 22 Depth __22' Height in Sq. Ft —484' Cu. Ft. _48.401 Front Depth Height — Sq. Ft. Cu. Ft. Type of Construction FraM Est. Cost r 2 076 . AO To be Completed Done This permit does not excuse the violation of locating the garage 2 feet and 2feet- 6 inches on the drainage and utility easement nor does it excuse building without a building permit or slab inspection. 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. Double Fee For Building Without A Permit In consideration of the payment of a fee of $-16. 00 , permit is hereby granted to Western C nG - to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and. moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of d ordinances. NOTICE: This permit doss not cover the construction, installation for wiring, plumbing, on boating, sawr or water. Be sura to see the Building Inspector for separate pormhs for these Mena. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER 'S NAMEF_NT� BUILDER L4,15 -J r/-Ttt/✓ COV -Jr ADDRESS hl - ADDRESS 3017- L tHD.bcr' So LOCATION OF BUILDING NO. 7 STREET i- 7X i G L- -/Yr N• l-. LOT BLOCK 3 ADDITION OR SUBDIVISION M j� Lo 0 Ir CORNER LOT INSIDE LOT 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: &,#/L (3A- xA 6 r Front 2 z Depth 7-Z Height l c7 Square feet �IdN Cubic Feet 'Y'l0 Front Depth Height Square feet Cubic Feet Type of Construction F- N A -/m f Estimated Cost g0-7 to 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. v DATE SIGNATURE .(Schedule of Fee Costs can be found on the Reverse Side.) NOTE: A Certiied Surve,of the lot;=showing th location cif the foundation, once it has been onstructwill be regixed befo roceed, with4he framing. r R1 1 City of Fridley, Minn.° 9437 BUILDING PERMIT Date: Sept. 7,. 1967 Owner: Homedale Builders Builder XK Same Address 5217 Wayzata Blvd . , Address Same LOCATION OF BUILDING No. 7523 Street Lyric Lane _ part of Lot Lot 17 Block 3 Addition or Sub-Divisdon . Melody Manor 4th Addn. Corner Lot Inside Lot Setback — Sideyard Sewer Elevation 873.82 _1 SUAGIZ MQUM 876.82 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 40' Depth 24/28 Height 20 Sq. rt. 1032 (t. Ft. 20,640 Front Depth Height Sq. FL __ _ Cu. Ft. Type of Construction Frame Est. Cost ! $18, 000 __ To be Completed Dec. 1, 1967 SEWER LOCATION - 17' East of Manhole WATER LOCATION - 10'East of Sewer 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 aborth and in compli with of l provisions of ordinances of the city of Fridley. , .00 Sewer C In consideration of the payment of a fee of It 31.00 , 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 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, constru on, 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 d ordinances. CLARENCE BELISLE Building motor NOTICE: This penall does not cover the construction, hutagatien for wWag, plumbing, gas heating, sewer or water. Be sen to no the Building kqm for for separate permits for these heats. OWNER'S NAME ADDRESS APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA BUILDER� � - ADDRESS !/% LOCATION OF BUILDING NO.��,02 STREET PART OF LOT _ LOT BLOCK ADDITION OR SUBDIVISIO CORNER LOT INSIDE LOT ✓ SETBACK aJ SIDE -YARD / a SEWER ELEVATION — TOP OF FOOTING Applicant attach to this form Iwo certificates of survey of lot and proposed building locationd awn o these two certificates. a ,ct Lo /0L� DESCRIPTION OF BUILDING To be Used as: vZ Front %® Depth Aeight Sq. Ft. ® 24— Cu. Ft. :2 G . L y 6 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction_/���1 Estimated Cost To Be Completed / 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. FA DATE ZZ 0 / SIGNATURE10, 11 S (Schedule of Fee Costs can be found on the Reverse Side). _ � c- o S j 6-6. ov / AL e 0 i4W PlOnlJ/Ry 0875 -,Yowy *tS &E. carad "I;ry mann pn/W z . .osTntny ENGINEERING, INC. ml "mwta aril Fr "#�icipal sy"t'W" byfwr�rty — Enyineers f Survecrrs -- certificate of siumveT to& HOMEDALE IB1111.t3 OS m ODENOTES IRON-'-�'dENOTES, DRAINAGE AND UTILITY EASEMENT LOT I', kor-K 3, VELODY MANOR 4'" ADOITION ANOKA COUNTY JAW* WWy fYrvtf *15.15 a bW and mrMd rrpMsaAhO7 Ofd sWay grlk hWw� e& abm Awm d I& d, mnd #Ph/acaiiron g%u dairlda�s , fArrean , and d/ rrsib/S awmAwmis, if a , f rn or w awd.l gd- As jwveged 6 l nay► flay duj �I: en�camber .Qli .. .7 C�UP&W EA161NEE211va, /MC: tl & 5 'J R � A i Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 GRAVITY WARM AIR: RATE TOTAL Locaiio Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herein. Repairs & Alterations—up to $500.00 .................. 6.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances Repairs & Alterations each add. 500.00 3.00 $ and ruling of the Department of Buildings, and hereby declares that all the facts p $ " " " " " " " ' and representations stated in this application are true and correct. MECH. WARM AIR Fridley, Ininn ® 1 Furnace Shell & Duct Mork to 120,000 BTU ............ $10.00 < each add. 60,000 BTU. . 3.00 $ Owner Replacement of Furnace ............................ 6.00 $ Kind of Buildingy Repairs & Alterations—up to $500.00 ................. 6.00 $ / Used as Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM To be completed about 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 7 '7 Old Building Permit No. Permit 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 HEATING or POPLAN4—S�—& TSteam, Hot Water, —No GAS BURNER (up to 199,000 BTU) ........................ 5.00 $ Trade Nam7e Size No - GAS over 199,000 BTU See Fee Schedule Capacity Sq. Ft. E.D.Rl BTU H.P. GAS FITTING FEES: NO RATE /OTAL 1st 3 Fixtures ...................... x$ 2.00 $ Total Connected Load � Rind of Fu IV - Additional Fixtures ................. xjf .75 $ BURNER —Trade Nam �� � =r gip`- Size No:—fie �"1ie Gas Range to 199,000 ........... x$ 5.00 $ ' Capacity Sq. Ft. RDA � � � BTU H.P. AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ PP, SeRAY N .WELTER HEATING C O . ALTERATIONS & REPAIRS TOTAL FEE $ 4637 CHICAGO AVE. By ROUGH .e Business Phone No-- k� FINAL (REMAsus—OVER) 1 HS l City of Fridley I , ' Application for Plumbing and Gas Ming Permit Dept. of Bldgs. Phone 560-3450 . DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location yr eN Cn y� W yy<�� ZmU�' N ,Sj� Z 2r�� C Z < Z uhf d w (�9 e� aa' ? 0 O • F • N WATER FITR. GAS ELEC. Base 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 $ 1st 2nd 3rd 4th _ • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. 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 $ 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 fact and representations stated in this application are true and correct. Fridley, Minn 19_ Owner Kind of Building Used as To be completed about Estimated Cost, $ %0-- Old—New. Building Permit No / Permit No. FINAL WION- ROUGH "ffPsOmm""5"r _WM1 53-84-s-915.51 City of Fridley Applin fu Mwtmd G= Pons -It- Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORN tlan 7523 N. E. Lyric Lane Number, Kind and Location of Fixtures t m O I3• in „ 3F G� �cis � i� �Z V a V $ / N WATER MTR. GAS EIEC. Base 1st 1 2nd 3rd 4-1 4th 1 -. Futuro Connection Openings • New Fixture. Old Op•nirsgs Conneet•d with sewer 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 .............. : $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures x $2.00 $ Additional Fixtures ................. x $ .75 $ Gas Range to 199,000 BTU ... ,.......... 1 x $5.00 $ 5. 00 REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the stork 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 19_ Owner James M. Bridley Kind of Building Frame Used as Res. To be completed about 7-22-74 Estimated Cost, $ 10.00 Old—?W. Building Permit No. Permit No. Cha 83 4a`Ay �' t9titlYl.. Signed .� By MINNEGASC© - Business Phone No ROUGH .50 State Surcharge Description ................. ,.......................... TOTAL FEE $ 5 50 C-]a5s 12A7' Surcharge .h(_ SUBJECT PE City of Fridley aN .AT THE TOP OF THE TWINS BUILDING PERMIT REC Ir • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. �PdP57 r PROTECTIVE .."'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'j 612-571-3450 910-F15 5/30/86 JOB ADDRESS 7523 Lyric Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 3 Melody Marr 4th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Daniel Pilarski 7523 Lyric Lane N.E. 786-7895 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK a ❑ NEW X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 101 Deck Addition 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 31=9 $800 $.50 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $ 3.75 $19.25 OF ONT CT O UTMORIZED AGENT IDATEI WHEN PROPERLY VA ATED THIS IS YOUR PERMIT �IGNATURE S- 3`' - a6a (Qc BLDG INSP A .� , S dad cs ATE SIGNATURE OF OWNER IIF OWNER ILDERI (DATE) NEW [ ] City of Fridley Effective 4/1/86 ADDN. j~R-1 AND R-2 j ALTER. [ ] Building Permit Application Construction Address:_ _ 7593 LYRIC LANE Ale. Legal Description: 0-1r 1-7OCKt 3 6 " M 0 " Ab Owner Name & Address:NKn �r �- J Tel. 0 Contractor: �f\ 141E P I L A S K ) _Tel. # Address: 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 1101-011 Width 101-01%Hgt/Ground (A1% Sq. Ft. 1�0 I�O)((P.'0 -Z 1oat Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Se►tbbaacck,.�,� Type of Construction: / Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $, $ _ See Back Page for Explanation pi"- DATE: S' ' 0`P APPLICANT:A Tel . 4 '� �57 -%.1V4A Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ _1S100 Fee Schedule on Reverse Side $ 3-7 25% of Building Permit Fee $ is -0 $.50/$1,000 Valuation $ $475 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] f p LbndPlonniny to875-H� SCS AIE. lakfScrvcy�rly 'i' Minraeofrnlrs37 ENGINEERING INC: - Sals Testmy • Mmiiesolo civ, it A�uniripvl a Sl/nsd 4--6066 En�irxerinsi # ---. EnyIneErs Sur verrs --- .4t,ertalicato oUsuww4v7r *a We,,4-rn Ccx-14rb-�0±6n � Q ✓ 0,.� ,.�� • 'v, rye, • _. � -'moi � o note �+"c�tt.i^noi�c.�'1eh .,,� +�' rs` �s a lrl�e :aid eo�cf pnp �' se+rvatf �'16e dan„dor�es �'� o�bo� desrn►b�d 1 ` e� ` �'.�.° ! e�'qg biwlds, ffrerea� �dll risibl8 oea'rmcnfj , ��� � � a4�d daind j1s s��et/ �! � 1` , . SMI M8, EIVUINFERING . INC. ! �' Mrs :`7 G� {�..' �i`g�'J` l j � , d� !� • �'""1��-L�s����i�►•'i/ �,y.�r.-.t,� r i,r - CIiYOF FRIDLEY CMC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 8, 1989 Daniel Pilarski 7523 Lyric Lane N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 7523 Lyric Lane N.E. Dear Mr. Pilarski: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 7523 Lyric Lane N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Remove old TV at front of garage. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about May 22, 1989, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-89-246 CITY OF FRIDLEY INSPECTION DIV, Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE JOB ADDRESS .5c2 3 L-466 C � The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work In strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ Zai OU representations stated in this application are true and correct. Gas Piping (Needed with new furnace) $10.00 $ OWNER 1_—.d✓11 tJ Gas Range $ 10.00 $ BUILDING USED ASeS Gas Dryer *Air $ 10.00 $ ESTIMATED COST. PERMIT N0. -� � � Conditioning — All Sizes $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs.& Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heatin Units Circle One (Steam) (Hot Water) Air Trade Namerir i f B4V --Z O Size No. Commerciai(Industdal BTU `ITj.mn HP EDR 1% of Value of Appliance or Work $ Fuel -_ Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. U . 9)BTU HP EDR TOTAL FEE$ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS 115.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY Sig Approved BY4 DEMIDABLE INDOOR AIR QUALITY. INC. - 130ON PipS. MN 55433 el No. :5]- 5�� Rough—In Date Final Date4P-1Y FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE .. . . ... ..... . ... ... CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: I. Has been carefully examined yes NO 2.. Is free from rust or deterioration Yes NO 3. Has no foreign objects lodged within Yes No 4. Is securely supported Yes No 5. Meets all current Code requirements for size and total BTU's' connected Yes No 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks R List Alterations Being Done: OLKNOW MDOOR AIR QUALI I • ING, Lrr e19 COON RAPIDS BOULEVARD HEATXNG COMPANY ON RAPIWq RIM rGFA-Z3 Signed By Date 03 SUBJECT PER725�7 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT R O. Ir � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ®� 1 � CITY HALL FRIDLEY 55432 ''' NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 3/31/95 JOB ADDRESS 7523 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 3 1 Melody Manor 4 Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel Pilarski 7523 Lyric Lane NE786-7895 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (23 Squares) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING - THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,725 $.86 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 $41.00 Fire SC $1.73 PLAN CHECK FEE TOTAL FEE $43.59 MATUREO,FCO TRACT AUTHORIZED AGENT IDATEI W N GPEIi BLDG IN VAYPATED THIS IS YOU PERMIT DATE SIGNATURE OF OWNER OF O ER BUILDERS IDATEI 03 [ ] Effective 1/ 1/95 NEW NEW[) CITY OF FRIDLEY ADDN ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 OGBuilding Permit Application Construction Address: 5 Ly JZ IC- L-lff u1 Legal Description: Owner Name & Address: tJ c� L Tel. Contractor: --L)f),y � R MN LICENSE # Address: --2 5-:;'3 LY /2 [C Tel. # Attach to this application, a Certificate of Survey of the C['� lot, with the proposed construction drawn on it to scale. c DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: LengthWidth Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: RE' `�OGF C� I��ILC�1E [��`�t= O �-t4W - OFF Corner Lot [ ] Inside Lot [ j Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ 17 Driveway Curb Cut Width Needed: DATE: APPLICANT: (Cost on Back) Ft. + 6 Ft = Ft x $ J3 - Tel. # TOTAL $ STIPULATIONS: CITY USE ONLY Permit Fee $ 10 0 Fee Schedule on Reverse Side Fire Surcharge $__j-,_7 .001 of Permit Valuation (1 / 10th %) State Surcharge $ 6 $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY PERMIT NO.: 2004-00305 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 03/08/2004 572-36U4 kAX: (763)571-1287 ADDRESS : 7523 LYRIC LN NE PIN : 113024120016 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 17 BLOCK 3 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A INSTALL GAS WATER HEATER # ELEC WATER HEATERS # NEW FIXTURES (EXIST OPENINGS) # GAS DRYERS # OF NEW FIXTURES APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S MINNEAPOLIS, MN 55408-2173 (612) 827-4033 GUSTAVO, NOCHEZ 7523 LYRIC LN NE FRIDLEY, MN 55432 0 VALUE OF FIXTURE/APPLIANCE 400 0 # GAS WATER HEATERS 1 0 # GAS RANGES 0 0 # WATER TRMT APPLIANCES 0 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Bldg PLBG PERMIT MINIMUM FEE 20.00 PLBG FIXTURES (NEW OPENINGS) 0.00 PLBG FIXTURES (EXIST OPENINGS) 0.00 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 PLBG REPAIR/ALTERATIONS 0.00 STATE SURCHARGE, PLBG FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 27895 OV'n ADA= DUDXATr0 DUnTTTD L' T% LVID T17r%DV / rr=D TLT A RT TWCODTDDTI ADl1[7D V CITY OF FRIDLEY INSPECTION DIV. 5431 Urfiversity 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 Jan 1, 2000 Stories Urinal Shower .........Wash _ ..oo Tray :::: r u ' DrainWasherRange #:::::: as aerHea r _:: Gas c em t Basen Floor 1 Floor Floor 3 Floor 4 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 Beater -Electric Water Heater - Gas"" NO. RATE Cas Range" _ Gas Dryer" Back Flout+ 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 $47.00/Hr ALL OTHERS AS:D/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS IE te- lSWOt✓"V_ 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 Suilding Division, and hereby declares that all the facts and representations stated in this aoolication are true and correct. State Surcharge $ .50 TOTAL FEE $20-50 NOCHEZ, GUSTAVO 7523 LYRIC LANE NORTHEAST FRIDLEY, MN 55432 (763)780-0625 Owner _ 2-121 , 2001 Building Used As�� t Dili Com, 00 Estimated Cost PERiaiIT NO.1 PLUMBING COMPANY SIGNED BY - — TEL N0. Z" 7 ' 03_� Approved By Rough -In Date Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON TENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting: system is plastic/PVC and meets all current codes and manufacturer . specifications.including sizing, length, number of elbows and termination. Yes O No (. ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing 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 venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan. assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliancefias been removed from the common vent and vented separately asper 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 : Building MECHANICAL Permit No.• - c�ogq4i Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 r=eAPR 3 2=06 CITY OF FRIDLEY - `©- 0-1 DATE YOUR E-MAIL ADDRESS SITE ADDRESS �l S a3 `-u r C a n e N E THIS APPLICANT IS: ❑ OWNER fflCONTRACTOR PROPERTY NAME:C'VC NC)O-\KEms OWNER/ n!_ ADDRESS: 1 a 3 1, !Ar; n- 4 o-ne_ NE CITY STATEANzIP5 43a TENANT PHONE: X03 ' a O'87— Sq 3 CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN 7INREN STATE LICENSE # EXP DATE YOUR STATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE EITY ''COOK -RAPIDS sTATEMN ZIPS 5433 APPLICATION PHONE 763 - 757 -- 6202 FAX 763--757--6701 PERMIT TYPE >1UINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ',�EPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK C �C� e 1 r i l o n Eb — PER MS 1613.665 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: (INDICATE TOTAL NUMBER OF EACH BELOW) � Equipment Installed MFG: l//►►it Y r e r- MODEL: Q 2 Qq SIZEBTU Q- to Nj MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU _�_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 _FURNACE $35.00 GAS UNIT HTR $10.00 _POOL CHR4NEY LINER $10.00 _GAS DRYER $10.00 _ HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ 5_.,5-D Number of fixtures @ $251.00 x $25.00 = $ a s, cA Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ a5,60 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 review and approval of plans. eA. �' SIGNATURE OF APPLICANT NAME ROGER HOFFHEIN DATE `1 1!� PLE O`E City of Fridley Building Inspections' Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977