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PRE 2010 DOCSDate:M_ _ ay 17, 1968 Owner: City of Fridley, Minn. BUILDING PERMIT Homedale Blders. Builder Same Address 5 217 Wayzata Blvd, _____ Address Same _ LOCATION OF BUILDING M 4.�,36 0 9740 No. _7559 Street Lyric Lane ---- pmt of Lot Lot —9 _ Block 3 Addition or Sub -Division Melody Manor th 4th Corner Lot Inside Lot — X Setback 35' Sideyard ._ 7 - 10' Sewer Elevation 878- 879.60 _._._— 882.60 Top of Footing DESCRIPTION OF BUILDING To be Used as: Duelling Front 37 Depth 40' Height _20' Sq. FL 1210 Cu, Ft _24,220 GarageFront 20 1 Depth 24' geight 10' Sq. Ft. 480 Cu. Ft 4800 Type of Construction _ Frame Est. Cost _�i�''-�__ ___ To be Completed Oct. 1968 SEWER LOCATION - 161.5' East of Manhole WATER LOCATION - 171.5' 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 forth and inc�npliance with provisions of ordinances of the city of Fridley i i // 100.00 Sewer Connection In consideration of the payment of a fee of $ 49.00 , 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 regardinng 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 Belisl NOTICE: " permit does not cover the construction, Installation for whing, plumbing, gas heating, sewer or water. Be aun to we the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY*1,.NF*s0TA OWNER'S NAME,_„__„ -- BUILDEx ,y/ ADDRESS _ A1DDISS7�/°!�9 LOCATION; OF- BtYIItDii14 NO.— j' STREIE 1'=•.�4� Q LOT _ BLOCK _ _ ADD.TTION,OR SUBAIVIS10 CORFIER •LOT INSIDE' L' Ofi H '`'SETBACK $IDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form Two Certific tes of ,Survey of Lot and proposed building location drawn on these Cet`ificaes.: DESCRIPTION 6F•BUfi.6.00 To Be Used As: Front De�thd'J Height: Square feet Cubic'Yeet. Front DepthHeight % Square feet Cubic Feet`s r1 Type of Cons tructionLE_ rketimated Cost 20 tgzA To Be Completed " -J r' sr1 The undersigned hereby makes application for a permit for the work-4erein 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. OF DATE-- �� 46— _ _SIGNATURE 0=- x ewn d. (Schedule of Fee Costs can be found on the Reverse Side). 6 �% . _ + 1 Y /q_ 0 f_�- , Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3480 GRAVITY WARM AIR: RATE TOTAL Location ,�� / iC !/f /G ,n y/V4 Furnace Shell & Duct Work ........................... $10.00 $ .. 10.00 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 herein. specified, agreeing to do all work in strict accordance with the City Ordinances Repairs &Alterations each add. $500.00 3 $ and ruling of the Department of Buildings, and hereby declares that all the facts ...... , ....... .00 and representations stated in this application aret and correct. MECH. WARM AIR $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL Fridley, Minn %19�+; Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ x .75 each add. 60,000 BTU ....................:.. 3.00 $ OwnerL Replacement of Furnace .......................... 6.00 $ Kind of Building��%�� Repairs & Alterations—up to $500.00 ................. 6.00 $ Used as —_ ,��r��/�� Repairs & Alterations each add. $500.00 3.00 $ eg 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 $ f 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 $ To be co •_ter' Estimated Cost, $_ ��1 Old -d e . Building Permit No. 140 Permit No. 112-6 r DESCRIPTION OF WORK HEATING or POWg4 PLANTS- Steam, Hot Water, �A Noo Trade Name �� 460- Size No. Capacity Sq. Ft. E.D.R d:21' BTU H.P. Total Connected Load 77 Kind of Fuel BURNER — Trade Name eA� 4eZOP Size No. Capacity. Sq. Ft. E.D.R- BTU H.P. dN. ONES TER W EA,N-Eu.- 4637 CHICAGO AVE. RfINNEAMtib 7. MINNESOTA Cq�4P Business Phone No (REMARK4� City of Fridley Apphaatton for Plumbing and Cas RMng Penidt Dept. of Bldgs. Phone 560-3 DESCRIPTION OF WORK Number. Kind and Location of Fixtures Locatio y NN NO. RATE TOTAL Number Fixtures ...................... ` $ Future Fixture Opening ................ �6y` Y New Fixture Old Opening .............. KCZ N1SW� Catch Basin ............................ x $3.25 W Ute' u�? 0o' F f N WATER HTR. GAS ELEG Base x $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 Vi l I 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer ❑ Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... $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 $ 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 herel 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. idley, Minn- Owner inn Owner Kind of Used as To be completed about l I t / :;L l U? U Estimated Cost, $ I C-0 i Old—New. Building Permit No �14D Permit No. Signe B - Business Phone ROUGH FINAL /v - ter` 52-84--0915.51 City of Fridley Application for Plumbing and Cas fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 7559 Lyric Lane Number, Kind and Location of Fixtures Location q qG�l �y Number Fixtures ...... .............. x $2.00 $ (� Y ,S,S�� Y Z New Fixture Old Opening .............. Z R� Z y� W x $3.25 W �(Z z ? �d . P . 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 $ 1' 5.00 Gas Range to 199,000 BTU .............. x $5.00 $ 1st 1 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 ...... .............. 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 $ 1' 5.00 Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 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 fact and representations stated in this application are true and correct. Fridley, Nunn 9-13-68 19_ Owner homedale Bldrs Kind of Building Used as To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH FINAL—J/ L3 0 — 7 42 res 9-1M 8 10.00 e/ No Permi o. • Sign By Business Phone No SUBJECT City of Fridley o 18 6 8 2 AT THE TOP OF THE TWINS BUILDING PERMIT R E C COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. fid t � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 LO/6/86 � JOB ADDRESS 7559 Lyric Lane N.E. 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE • Harley Thureen 7559 Lyric Lane N.E. 786-4128 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of Minn. Inc. 3118 Snelling South, Mpls.. 55406 721--6628 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 Aluminum siding 9 CHANGEOFUSEFROM TO STIPULATIONS 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 $11600 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $•80 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 RF A O�C��OTRUCTION. $26.50 % PLAN CHECK FEE TOTALFEE $27.30 SIG U RE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) VtHEN PROPERLY ALIDATED THIS IS YOUR PERMIT "- � r BLDG INSP Ad 3t" QA/E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] ADDI.. [ ] ALTER Construction Address: Legal Description:_z Owner Name 6 A ress: Contractor: Address:_s�� City of Fridley �R-1 AND R-2 j Building Permit Application Effective 4/1/8( 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback __ Side Yard Setback CIO Type of Construction: �li'041'ea 16cC>u 9` .So �' Estimated Cost: $ Ze�eO Approx. Completion Date: J/ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE:APPLICANT: - Tel. 0 CITY USE ONLY Permit Fee $ a (11 Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ g 8 $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS • c;2 -7.,3 2 SUBJECT City of Fridley 21581 AT THE TOP OF THE TWINS B U I L D I N G P E R M I T Ir , RECEIPT NO. 1 I6 L'-____- COMMUNITY DEVELOPMENT DIV. i PROTECTIVE INSPECTION SEC. l � CITY HALL FRIDLEY 55432 NUMBER REV OATE PAGE OF APPROVED BY ----� L 612-571-3450 910-F15 9/30/92 JOB ADDRESS 7559 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harley Thureen 7559 Lyric Lane NE 786-4128 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Tmprovement Inc. 7401 Central Ave NE, Fridley 55432 784-7543 4840 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 O NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling (22 Squares) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Rowing can be the 2nd laxer but not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,166 $.58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 29.00 Fire SC $1.17 STRUCTIO O THE PERF MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE �j a, License SC $5.00 $35.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI �'y �WHE PR RL V u ID ED THIS IS YOUR PERMIT C 7 LDG SP DATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] ALTER [ ] Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: Effective 3/1/92 Contractor: D & D Home Improvement, Inc. MN LICENSE # Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # — Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground 4840 784-7543 Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: iee- -Z E 'mated Cost: $ A roxCompletion Date: �. m! (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee APPLICANT: Tel. # Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] _4 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 Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer JOB ADDRESS The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 20.00 $2 e representations stated in this application are true and correct. $10.00 $ — OWNER $ 10.00 $' BUILDING USED AS'�� $ 10.00 *Air Conditioning - All Sizes $10,00 All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercial/industrial 1% of Value of Appliance or Work State Surcharge TOTAL FEE ESTIMATED COST PERMIT NO. Z / DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units_Circle One (Steam) (Hot Water)arm Air Trade Name ee3,"al d BTU ® 0 E) HP EDR $ Fuel 11-IoO'' Total Connected Load $ .50 Burner Trade Name Size No. BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATIONIAIR CONDITIONING PERMIT IS 515.00 PLUS THE x.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 Signed By ��_��el No. Approved By i F - Rough -In Date Final Date 10 - 4'- 9 3 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ('c) No ( ) 2. Is free from rust or deterioration Yes No ( ) 3. Has no foreign objects lodged within Yes (Xj No ( ) 4. Is securely supported Yes y No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes V4 No ( ) 6. Has total heating BTU's of +�� n c!,6 All other BTU's TOTAL BTU's /°� ® p Remarks List Alterations Being Done:. HEATING COMPANY Signed By Date '�a—� Im - SUBJECT PE City of Fridley 28621 THE TWINS ? BUILDING PERMIT r ® ` RECEIPT COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY i ��"'�'j CITY HALL FRIDLEY 55432 .--.� L 612-571-3450 910415 $ 11/20/91 10B ADDRESS 7559 Lyric Lane I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Melody Manor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Patrick Thompson 717-4369 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 Sk ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE - ❑ REMOVE 8 DESCRIBE WORK Install a built-in Heat n Glo direct vent gas fireplace, 27,000 BTU -UL approved 9 CHANGE OF USE FROM TO STIPULATIONS Install per manufacturers specifications. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1500 $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $48.50 FLA SC $1.50 PLAN CHECK FEE715.75 FEE SIGN RE OF CONTRAC R AUT.IORIZED AGENT IDATEI EN R Y VALIDAT THIS IS YOUR PERMIT 0a mzoa a S,GNATURE OF OWNER.IF OWNER SUILDERI IDATEI -bL.OG INSP fIAtE NEW � � ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: L G 5 4 /Z ( Legal Description: Owner Name & A dress: f/L C a s ,v Tel. # Contractor: MN LICENSE # Address: Tel. # 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: 13 14' # e4 14e oq-4 o G 1 o U r e,21 12 e iA \3TL L d�143 , Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: l l APPLICANT: � ��--' Tel. #�% 7� V3 6 % o�d c �G CITY USE ONLY / Permit Fee $ 4e> S76 Fee Schedule on Reverse Side Fire Surcharge $ ED .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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 INSPECTION DIVISION+�� - Effective On January 1 !. , ss8 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS I ,j 9 L� !L-! G L! ,rJ IIIL-- RATE SCHEDULE Residential Rate Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 (Side Vent — Fill Out Back) Gas Piping (Needewith new furnace) 0 `$10.00 U1 Gas neq0tal $10.00 Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work TOTAL d $ $10.00 $ $ 25.00 $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Pq4�1- //-'ao T ,1998 OWNER c- k �kcrd 5 /) J rn p:5 & e`/ BUILDING USED AS ESTIMATED COST PERMITNO.JeV///�� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Trade Name BTU Circle One (Steam) (Hot Water) (Warm Air) Size No. _ EDR $ Fuel Total Connected Load State Surcharge $ .50 Bumer Trade Name /1 e ZA/U rZ, Size No. TOTAL FEE �J_�� BTU (o()� U Q HP /Ul EDR MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY Signed By cu' �-- Tel No. Lid V Approved By Rough—In Date Final DateL l� FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE C)EiIlVIVINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. 3. 4. 5. Is free from rust or deterioration Yes ( ) No ( ) Has no foreign objects lodged within Yes ( ) No ( ) Is securely supported . Yes ( ) No ( ) Meets all current Code requirements for size and total BTU's connected Yes () No ( ) Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Yes () No ( ) Yes No Building BUILDING Permit Fee Permit No.F'h 10-01 Inspections Plan Review RESIDENTIAL APPLICATION Received By-02��t 763-572-3604 $ CITY OF FRIDLEYi Surcharge eJ 763-502-4977 FAX License Surcharge $ �— $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-2010 Curb Cut Escrow $ DATE L�41 l ' YOUR E-MAIL ADDRESS W Cd ,(IOC • C flY SITE ADDRESS Li- Y-1 e UU, U � $ Fee Determined by Engineering Sewer Main Charge $ THIS APPLICANT IS:pWNER ❑CONTRACTOR $ PROPERTY OWNER/ NAME: VT r ` II L ADDRESS: (' i I ( (, r� i�Q� CITY 1(�vL� STATE ZIP!�6� A TENANT PHONE: c� CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE `�INGLE FAMILY/NEW CONSTRUCTION SIZE `❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH OOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION INTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: J SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING 2� -;HOUSE ONLY & GARAGE BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES IOUSE 1. Existing Floor Plan GARAGES "IXATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: [[3 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 7 YYE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ a, .0005 x Permit Valuation Minimum $.50 License Surcharge $ �— $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: Ci 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 applicationfor 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 k which requires ; ii'ew^^ and approval of plan . SIGNATURE OF APPLICANT �. rUUIr' NAME l nOu i I I%�a� i �c_,PATE /. (� PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK