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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: NOVEMBER 3, 1966 Owner: Address Builder _ __ Address LOCATION OF BUILDING 3 6-71-;' G, N9 907'7 HOMEDALE . BUILDERS _INC. 7000 HUMBOLDT AVENUE NORTH N3NNEAPOLIS, MINNESOTA No. 7567 Street _._.. LYRIC LANE N. E. --- Part of Lot Lot — 7 Block 3 — Addition or Sub -Division ._ ,ODSMANOR, 4TH A,pp,mm Corner Lot — Inside Lot — X Setback 35' _ Sideyard Sewer Elevation _ 881.10 _IRUFAM Elevation 884.10 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: DWELLING Front 46 Depth 24/28 Height 20 Sq. Ft. 1,152 Cu. Ft. _L3,040 Front Depth _ _ Height — Sq. Ft. Cu. Ft Type of Construction FRAME Est. Cost __$l 8 L 000.00 _ To be Completed SEWER LOCATION - 47' West of Manhole WATER LOCATION - 37' West of Manhole In consideration of the issuance to me of a permit o co ct the building described above, I agree to do the proposed work in accordance with the description ove t forth and in ince with all provisions of ordinances of the city of Fridley. _ ri ;(('' In consideration of the payment of a fee of $ 2-42-W , permit is hereby granted to HOMEDALE BUILDERS 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 innd and upon said building, or any part thereof, shall c�ffiorm in all respects to the ordinances of FdlY4gnestaeregaringhin citymitsand thisinan CLARENCE BELISLE Building Inspector NOTICE This permit does not Cover the Construction, Installation for wiring, plumbing, gas hoofing, sewer or water. Be ams to no the Building Inspector for separate permits for these Rena. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA E BUILDER ADDRESS ADDRESS LOCATION OF BUILDING NO. ,�� .. STREET ��¢� f PART OF LOT 1.0T BLOCK ADDITION OR SUBDIVISIONi� CORNER LOT INSIDE LOT ✓ SETBACK SIDE YARD SEWER ELEVATION /, /0 Q,Pt1%0N ELEVATION `Z' Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certific tes. DESCRI ON) OF BUILDING To be used as: / Front (p Depthg4;� Height Sq. Ft. Cu. Ft. Front Dept ��Height Sq. Ft. Cu. Ft. Type of Cons tructig,q�--,/ X50--- 'i Estimated Cost�ziU 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% !v S (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Healing. Cooling. Ventilation. ReMgeratlon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations --up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ..... ................. 5.00 $ c1___ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bldga. Phone W-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. S�4Fridley, Owner 14 Kind of Building tie, Used as To be cc Estimated Cost, $ t Old New. uilding Permit No. 1 0 191616 L'177 7 7 Permit No. %& DESCRIPTION OF WORK HEATING or PO R PLANZS-ate , Hot WateCWarm o Trade Nam �'Size No A �� 0 Capacity Sq. Ft. E.D.R �dJ^ BTU H.P. Total Connected Load �i Kind of Fue BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING C®, Signed 4637 CHICAGO AVE MINNEAPOLIS 7, MINNESOTA By � <z Business Phone No 6 F'6 Z City of Fridley, Mie.. N9 9258 BUILDING PERMIT Date: May 19, 1967 Owner: Homedale Blders Builder — A.B.C. Blacktop Co. Address _ 7677 Jackson St. N.E . Address — 1308 Main St. N. E. LOCATION OF BUILDING No. 7567 Street — Lyric Lane _ Part of Lot Lot .___7r.__ Block 3 _ Addition or Sub -Division .._.__ Melody Manor 4th Addn. Corner Lot ---- Inside Lot Setback — _ _ Sideyard -- Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front — Depth .— Front Depth -- Type Type of Construction Asphalt DrivewayE;st. Cost Height Sq. Ft. Height _ Sq. Ft. _ $116.00 _ To be Completed Cu. Ft Cu. Ft. June 1, 1967 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 eget fg�th�a d� compliance with all provisions of ordinances of the city of Fridley. 7 �_ S.OQ AB.C. Blacktop In consideration of the payment of a fee of $ , permit is hereby granted to . to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: itis permit does not cover the construction, installation for wiring, plumbing, gas boating, sewer or water. Be sure to see the Building Inspector for separate permits for these hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNERS NAME go m E C --"BUILDER � , C� • %& G,4C/T / OV � 6 ADDRESS t7 6 17 - J 19 c.A- S o nL) S %'. 1q) ADDRE S Ste% 3 /4 / A) s 7~ /0, E ' LOCATION OF BUILDING NO. TREET )- VR/C L)9,ye PART OF LOT LOT 7 BLOCK j ADDITION OR SUBDIVISION A. moi. '/-,;!;t CORNER LOT INSIDE LOT SETBACK SEWER ELEVATION TOP OF FOOTING SIDE -YARD Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. To be Used as: DESCIPTION OF BUILDING -- Front Sq. Ft. Front Depth Height Cu. Ft. Depth Height_ Sq. Ft. Cu. Ft. Type of Constructions y C �L�stimated Cost To Be Completed ji1 TC4 "V C/ sT 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 ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 1 SIGNATURE �J • ,ECJ d o�,,� }' (Schedule of Fee Costs can be found on a Reverse Sicre). a City of Fridley, Minn. BUILDING PERMIT Date: April $, 1969 Owner: Robert Ross Builder Address 7567 Lyric Lane Address Sussel Co. 1850 Como AVe. N° 10172 LOCATION OF BUILDING No. 7567 Street Lyric Lane _____, part of Lot Lot ._._.7 —__ Block 3 Addition or Sub -Division . Melad y Manor 4th Add. Corner Lot , Inside Lot — Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Db&e Garagepront 24' Depth 22' Height 10, Sq. Ft 528 Cu. Ft 5280 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est, Cost .,_,,._$2.,2000.00 __ To be Completed — In consideration of the issuance to me of a permit to construct the b ' g described above I agree to do the proposed work in accordance with the description abovf��ce with a'll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 8.00 , permit is hereby granted toAssel 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 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 buildin— within the city limits andel this permit may be revoked at any time upon violation of any of the provisions of esaad�d ordinances. Official' Building r F. Muhich NOTICE: Tbis permit does not corer the construction, Installation for whine, plumbing, gas boding, sewer or water. Be sure to see the Building Inspector for separate permits for these ham APPLICATION FOR BUILDING PEMT LOCATION OF BUILDING NO. STREET �P e LOT .3_BLOCK ADDITION OR SUBDIVISION COMER LOT INSIDE LOT 0— SETBACK SIDEYARD SEER ELEVATION TOP OF FOOTING Applicant attach to this form Two 0'ertificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be ed As� Front Depth 7, Height Square feet 2 Cubic Feet Front Depth Height Square feet Cubic Feet 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 Lam. resertations stated i this application are true and correct. % ll (Schedule of Fee Costs can be found on the Reverse Side.) 4 Arm CINOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 May 8, 1989 Janice Carroll 7567 Lyric Lane NE. Fridley, MN 55432 RE: First Notice of Noncompliance at 7567 Lyric Lane N.E. Dear Ms. Carroll: 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 7567 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. Observed inoperable brown car with tires on it beside driveway. Fridley City Code requires that all vehicles must be currently licensed/street operable and kept on a hard surface parking area, or stored in an enclosed structure, or removed from the property. 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-89-242 CINOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 June 20, 1989 Janice Carroll 7567 Lyric Lane Fridley, MN 55432 RE: Final Notice of Noncompliance of the Fridley City Code at 7567 Lyric Lane N.E. Dear Ms. Carroll: On June 19, 1989, a final inspection of the property at 7567 Lyric Lane N.E. confirmed that the following item still does not comply with City Code: 1. Observed inoperable brown car with tires on it beside driveway. Fridley City Code requires that all vehicles must be currently licensed/street operable and kept on a hard surface parking area, or stored in an enclosed structure, or removed from the property. An inspection to determine compliance will be conducted on or about July 10, 1989. You should arrange to complete an approved plan for compliance before that date. Should this inspection confirm that this deficiency still exits, legal action will be approved. If corrective action cannot be completed by this time, contact me to coordinate a schedule to complete this requirement. If you have any questions regarding this matter, please contact me at the Fridley Civic Center, 572-3595. Sincerely, Steven Barg Code Enforcement Officer SB:ls C-89-380 W 01 sueJEcr PE T NO. City of Fridley �_11 154 P, AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. I ��------, r � � PROTECTIVE INSPECTION SEC. 1 `� /'--1 CITY HALL FRIDLEY 55432 j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/13/89 JOB ADDRESS 7567 Lyric Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 3 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Janice Carroll 7567 Lyric Lane N.E. 784-2769 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Steven Lee Roofing 9465 Irving, Brooklyn Park, MN 424-1198 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 l REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Structure C26 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the 2nd layer but not the XXXX 3rd. Install ridged tjalvanized valleys. On all new roofs or ar off' and State Code requires that replacement roofs, mopped together� , be installed�to� of 15 lb. t►p from felt, exterior wall line, or thea point 24 inches approved underlayment membrane. use o, other SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 $1 300 $.65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT p 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- $31.00. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �+ P N CHECK FEE TOTAL FEE $31.65 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI HEN PROPERLY VALI TED THIS IS YOUR PERMIT CJ SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI BLDG )NSP JOATE 01 NEW [ ] AD [ ) ALTER [ ) Construction Address: Legal Description: R-1 AND R-2 Building Permit Application fa 7 L v/cj*c Lckptc pal Effective 5/1/88 IN MIWA I'M Owner Name & Address: (-c,,_ vt I' C -q, contractor: �' T �� -2 Tel. d y- // C Address: 915/6 S- zM O/C Attach to this application, a Certificate of Survey of the lot, with the proposed cons ructicn drawn on it to scale. DffiCRIPTIQrT cr Il E1��tP LI` IM AREA: Iength Width Height Sq. Ft. CARUM AREA: Tpngth _ Width Height Sq. Ft. DECK AMM: Length Width Hgt/Ground Sq. Ft. oma: Co Ste. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: ke. X10 ICAjEstimated Cost: $ % J Cl a , — Approx. Ompletion Date: /Q - / 6 - 9 Proposed Driveway Width If NeW Opening Is Desired: Width + 6' See Back Page DATE: ,/ Q -47 - Xcj' APPIMM: Tel. #_ id % // Permit Fee $ 3/. o d State Surcharge $S✓ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Qharge $ $_ /- 6--r S'�IPUTAMCNSS : CITY USE OAII,Y Fee Schedule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Necessary [ ] Not Necessary [ ] City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMIT NO. 5 r � • _____ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. I � CITY HALL FRIDLEY 55432 612-571-3450 CEIPT _ �G NUMBER 910-F15 REV DATE PAGE OF VED av JOB ADDRESS 7567 LYRIC IN 1 LEGAL DESCR. LOT NO. 7 BLOCK 3 TRACT OR ADDITION MELODY MANOR 4th ADDITION SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE JANICE CARROLL 7567 LYRIC IN FRIDLEY MN 55432 784-2769 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. PINE RIDGE CONSTRUCTION 2735 196th AVE CEDAR MN 55011 434-5888 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 ❑ X REPAIR XX ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK SIDING AND SOFFITS TO HOUSE AND GARAGE 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 11,000.00 5.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE P RF NCE OF CONSTRUCTION. `+JJL /'?� 174.75 FIRE SC 11.00 PLAN CHECK FEE TOTAL FEE 196.25 SIGNATURE OF CONTRACTOR O UTRORIZED AGENT iDATEi WHEN PAOPERLY/V.ALIDATVD THIS IS YO BLDG iNSP fURRp_PEg//®R�M%�IfT /'7�P / '�� DATE _� SIGNATURE OF OWNER OF OWNER BUILDER) (DATEi NEW - ( ] ADDN [ ] ALTER [ ] Effective 8/1/95 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: l S� �C_ r -,C_ Legal Description: Owner Name & Address: Contractor: P,<,,, P 2�-i�•/ MN LICENSE # 5^ / Address: 7 "3 5-- (°l (1 111�t � u -e l'�L� Tel. # —5- 5"k 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: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Sv-t- do, 4q jEsfimated Cost: $ ! / . UW, a -V Approx. Completion Date: �e (Cost on Back) Driveway Cyrb Cpt Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: `% D APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 5Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $850 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 [ ] $I Ci,2 SUBJECT City of Fridley 29679 AT THE TOP OF THE TWINS BUILDING PERMIT f i LCOMMUNITY DEVELOPMENT DIV. fr ....._ INSPECTION SEC. r � PROTECTIVE 1 � = 1 1 CITY HALL FRIDLEY 55432 NUMBERREV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/14/99 JOB ADDRESS 7567 L ri c Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 7 3 Melody Manor. 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Janice Carroll 784-2769 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const. 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 O ALTERATION WC REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (24 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2098 $1.05 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 $83.25 j Fire SC4$2.10 � PLAN CHECK FE TOTAL F Li cen C 5.0 91 .OAaTURE bFCON'aIT ENP OP LIGATEiS Y RPE MIT S-UNATURE OF OWNEA.1F OWNER BUILOERi iDATEo BLD iNST) of— E . . NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: c Cf/+.e� Lt Tel. # ?YL - D-74, % Contractor: cs MN LICENSE # -2o 0 & 7 v Y3 Address: 2-23-2 17 `e '�L4 Z,,ajl x �-f/ &c/ Tel. # `2s -3-5-Y6`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: Zaa4&P e0 tLod^ZkLc Q -estimated Cost: $ . a X098 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 3 APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 83-2S Fee Schedule on Reverse Side Fire Surcharge $ / 6 .001 of Permit Valuation (1/10th%) State Surcharge $ /0S.7 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ S v Q $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.: 2004-02288 - r 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 12/15/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS 7567 LYRIC LN NE PIN 113024120006 LEGAL DESC MELODY MANOR 4TH ADD LOT 7 BLOCK 3 PERMIT TYPE PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS I # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 300 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 CARROLL JANICE M 7567 LYRIC LN NE PLBG FIXTURES (EXIST OPENINGS) 0.00 FRIDLEY, MN 55432 WATER TREATMENT APPLIANCE 0.00 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 35.00 GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS 0.00 0.00 0.00 OWNER CARROLL JANICE M STATE SURCHARGE, PLBG FLAT 0.50 7567 LYRIC LN NE FRIDLEY, MN 55432 TOTAL 35.50 PAID WITH CHECK # 5693 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 pe ormance of construction. Applicant Date Bldg Insp JZ/�, Dat/ SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 7 5 /0 7 Ce—,5 S 13 2— New Fixtures $10.00 Old Opening, New Fixture $10.00 Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 Water Heater -Electric $35.00 Water Heater - Gas"' X $35.00 Gas Range" $10.00 Gas Dryer"" $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ 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. DATE: 20 d 7" OWNER BUILDING USED AS Ho �►� ESTIMATED COST PLUMBING COMPANY SIGNED BY Approved By Rough -In Date f'IcF�- �1�=1 PERMIT NO TEL N0. Final Date 2 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "*PROVIDE COMMON VENT INFO ON BACK SIDE i FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 Appliance #2 Type specifications including sizing, length, number of elbows and terminatidn. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly BTU Input and meets the current codes and manufacturer's specifications. This does Total Appliances 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 Appliance #1 Vent Connector Height and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed ft Length 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 Fumoce Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: `e Date :