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PRE 2010 DOCSLaity of Fridley, Minn. �To 96 5 3 l6 -71BUILDING PERMIT Date: —April 5* 5, 1968 Owner: Homedale Blders . Builder Same Address 5217 Wayzata Blvd. Address Same LOCATION OF BUILDING No. 7583 Sit Lyric Lane _ part of Lot Lot _ 4 ^.__ Block 3 Addition or Sub -Division __ Melody Manor 4th Corner Lot __ Inside Lot — X__. _ ..._..... Setback _ _ 35 --- Sideyard .__ 10' Sewer Elevation — 882.90 _ 90 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 3 2 Depth 24' Height 28' Sq. FL 768 Cu, Ft. 21,5 04 Garage _ Front 2Q' _ Depth 22' Height 10' Sq. Ft. 440 Cu. Ft. 440 Type of Construction Frame Est. Cost _ 20 000_____ To be Completed SEWER LOCATION - 170' West of Manhole WATER LOCATION - 160' Wast of Manhole In consideration of the issuance to me of a permit to construct the building described above I the proposed work in accordance with the description above set forth, and in compliance with afl i ordinances of the city of Fridley. .i / W `> _'o5l , tion to do ns of In consideration of the payment of a fee of $ 39.00 , permit is hereby granted to Homedale Blders . thto construct the building or addition as described above. This permit is granted upon e 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 Bart thereof, shall conform is all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked a t any time upon violation of any of the provisions of said ordinances. / V/'/ "" /l _ CLARENCE BEL17SLE NOTICE: This permit does not cover the construction, InstaQation for wiring, plumbing, gas hosting, wwer or water. Be sore to we the Building Inspector for separate permNs for thew hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S ADDRESS_ ADDRESS LOCATION OF BUILDING _x 3 Street Part of Lot LOT OCR ADDITION OR DIVISIOWI:� , Corner Lot, Inside LOT Setback �5 Side -Yard i !� SEWER ELEVATION ��% . 9O FOUNDATION ELEVATIOt Applican 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; Front Depth,.— -�- Height 2-9 Sq. Ft.� '9�' Cu. Ft. 50 7' Frontes Depth ,24 Height Sq. Ft._ Cu. Ft. / / ®® 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. 01/ V DA SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). d® M S C C P 1 Application for Power Plants and Healing. Cooling, Ventilation. ReFrigeration and Ay-, Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 5.00 $� over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE ` Dept. of Bldgs. Phone 560-3430 City of Fridley: 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 and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minns —y IAT Owner Kind of Building') Used ash'>�� To be completed about Cy Estimated Cost, $��- Old: Building Permit No.'71,11 Permit No. '4101 DESCRIPTION OF WORK HEATING or PO NTS—Steam, Hot Water, Warm No Trade Name— Size Size No.��i� Capacity Sq. Ft. E.D.R � ,A� BTU H.P. G' Total Connected Loa Kind of Fuel BURNER — Trade Nam �t�0 �� Size No Capacity Sq. Ft. EM BTU H.P. (REMARK RAY TING C®- By j &:g!7Q�G,HIr_.0 O AVE. P he No as B 18 7 ✓ " L�. City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 360-3, ' DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TP A 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 ee <q� New Ground Run Old Bldg . ............ x $3.25 Z_ 1I`� � Z 2 � �� Y F z Z �� o C Z 8� z Z lJ O °uf w Z F • N WATER HTR. GAS ELEC. �� 0 IA 3 F O LL LL C < U' (�9Sa �O Base ,at 8 2nd 3rd 4th • Future Connection Openings Connected with I Sewer El e New Fixture, Old Openings Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TP A 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 ................................................$ 600 TOTAL FEE $ Locatio 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 190 Owner Kind of Building Used as d, To be completed about /d Estimated Cost, $ / Old—New. Building Permit No (o�� Permit No Signe By Business Phone No QA i ,!;�i? 3 ROUGH FINAL City of Fridley 879•01 Appcation for Plumbing and C= Ruing Permit li Dept. of Bldgs. Phone 560-34M DESCRIPTION OF WORK '7583 Lyric Ln Number, Kind and Location of Fixtures Location —7583 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 $ Gas Range to 199,000 BTU .............. x WS60 $ 3. 00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FFA 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 3 Jul. 68 19_ Kind of Building Used as To be completed about J Estimated Cost, $. UU 1—New. Building Permit No Permit Si - By-40KEAPQ119 NO _ _ Business Phone No ROUGH FINAL ° 42 M IL � WU' �� Z �0 • • N WATER HTR. GAS ELEC. Base 1st C 01 LT11 2nd 3rd 4th -- • Future Connection Openings New Fixture, Old Openings I Connected with Sewer E] 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 $ Gas Range to 199,000 BTU .............. x WS60 $ 3. 00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FFA 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 3 Jul. 68 19_ Kind of Building Used as To be completed about J Estimated Cost, $. UU 1—New. Building Permit No Permit Si - By-40KEAPQ119 NO _ _ Business Phone No ROUGH FINAL ° 42 M MINNEGASCO 53-84-s-915.51 City ®f Fridley Appiicei.a fw V11=bbg and g Ponzb Dept. of Bldgs. Phony 550-3450 DESCRIPTION OF WORK 7583 N. I.�.� E. Lyric Lane Number, Kind and Location of Fixtures - I3 cn S s7 i� O- 8 �.G t y U�3 S < O gN (75 G1 / N WATER "TR. GAS [LEC. Base tat Install Ga6 G it 2nd 3rd 4th -Future Connection Openings * Now Fixture, Old Openings Concocted with Sewer � Co"pool El 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 $1.60 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........... z $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ................. x $2.00 $ Additional Fixtures ................. x $ .75 $ Gas Range to 199.000 BTU ............. x $5.00 $ City of Fridley: The .undersigned hereby makes application for a permit for thr 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 7-31-74 19' Owner Thomas E. Nielson - Kind of Building Frame. Used as Res. To be completed about 8-7-74 Estimated Cost, $ 10.00 Old --IN= Building Permit No. F9l�it N1d z5w Signed 4.00 WAVOW0-6.• ROUGH REPAIRS Ar ALTERATIONS—Rotor to Code .50 State Surcharge Install 'Gas Grill 5.00 Description ............. , ............................... $ TOTAL FzEj 5.50 Class - 'pr Surcharge, .50¢ By Business Phune No CITY OF FRIDLEY 97 -8b -h16051 ' • APPLICATION FOR PLUMBING AND GAS FITTING PCRMIT PARTIAL RATE SCHEDULE PLUMING FIXTURE RATES: NO. RATE TOTAL N•,=ber Fixtures X $3.00 u.Aj Future Fixture Opening x b+ $ ' Water x ani .ai C ►� $5.00 $ Nater Neater - to 99,000 BTU x �" $ 100,000 BTU to 199,000 BTU Neater $10.00 u Water Softener x K $ flew Ground Run Old Building ,1C( +� $5.00 N W tro3 O $5.00 ci d lec J 01 S • w i1 n N �'/1 n rl 'a u e Q O .4 YI to n F 1J 1A d 1 U c (% ui w U OG •C r 17 V 0 as 17 a ,R) � 'Future Connection Opening Connected with Sewer CO) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMING FIXTURE RATES: NO. RATE TOTAL N•,=ber Fixtures X $3.00 $ Future Fixture Opening x $2.00 $ ' flew Fixture, Old Opening x $2.00 S Catch Basin X $5.00 $ Nater Neater - to 99,000 BTU x 45.00 $ 100,000 BTU to 199,000 BTU x $10.00 S Water Softener x $7.00 $ flew Ground Run Old Building x $5.00 $ Electric Water.Heater x $5.00 "AS FITTING FEES: 1st 3 fixtures x' '$3.00 $ Additional Fixtures x $1.00 $ Gas Psnge to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction State Surcharge TOTAL FEE REINSPECTION FEF $5.00 $ Job Address 7583 Lyric Lane NE ' • • .• Department of Buildings ' City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 3-7-79 , 19 OWNER NTELSON KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 3-1h-79 ESTIMATED COST 30.00 OLD - NEW BUILDING PERMIT N0. PERMIT NONO.• ! q Company Signed By Tel. No. ROUGH INSP. ' Date FINAL INSP. J. Date APPROVAL FOR PERMIT $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUs $.50 STATE SVRCWLR= S .50 S 8.00 , ' n { CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1,A 999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ; 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 Tel No. 6(2 - 7e0 -3gom Rough—In Date Final Date I :RI 1CATION ON REPLACEMENT FURNACE Approved By JOB ADDRESS_ ' S 83 /i�i�P c L'y N RATE SCHEDULE 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 $ 30.00 $ representations stated in this application are true and correct. (Side Vent —Fill Out Back) Gas Piping (Needed with new furnace, $10.00 $ 3�� but not replacement) OWNER 2 /,AAJ a Gas Range $10.00 $ BUILDING USED AS P Pr✓ E ^e Gas Dryer $10.00 $ ESTIMATED COST a 9 PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ �, o DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP OR TOTAL FEE $ Z S, .5-0 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 Tel No. 6(2 - 7e0 -3gom Rough—In Date Final Date I :RI 1CATION ON REPLACEMENT FURNACE Approved By Remarks: List ALTERATIONS Being Done: a HEATING CO: Signed By: Date: (� AMERICAN HEATING & AIR SUPPL -- 83.47U SITY AVE. N, E. Iry lie PSi D CEDINEY AND STACK VERIFICATION The undersigned. hereby verifies that the existing chimney or stack: L 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 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: a HEATING CO: Signed By: Date: (� AMERICAN HEATING & AIR SUPPL -- 83.47U SITY AVE. N, E. Iry lie PSi D SUBJECT P7;3T_ City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r E 06' i COMMUNITY DEVELOPMENT DIV. v ------ PROTECTIVE INSPECTION SEC. r :; CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED OV 763-571-3450 910415 7/18/03 JOB ADDRESS 7583 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 3 Melody Manor 4th Addition - SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Phil Kitze 7583 Lyric Lane NE 763-780-3486 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Cedar Valley Exteriors Inc 1700 93 Lane NE, Blaine, MN 55449 763-755-2221 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20177285 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK a ❑ NEW ❑ ADDITION ❑ ALTERATION R REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in'their application guidelines. Call for inspection of wrap before covering or take pictures. Caulk and flash all exterior openings. � rG9- 9 ectlon Cards Will Be Mall®id -TO Homeowner To; Post 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 OWLG. 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 $3.93 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,856 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 PLA CHECKFEE TOTALFEE i nse SC $5.00 $170.04 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi WHEN PROPERLY VALIDATED THIS IS YOUR PER IT -)� MA 800G -NSP TE S-GNATURE OF OWNERS 1 O.NER BUALDERI tDATEi 6 ql(o NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: -75-8S L Lf c,L1n e— Legal Description: Owner Name & Address: r` 14 2..� Tel. #7(,.,3 - 7 _3 L/Sro Contractor. Cedes Valley Exteriors, Inc. MN LICENSE # :Z-7a?815 Address-170U ddress:Tel. # ___ �asIlReset —5446 ..._ 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: 2(24" ):�a -09-Q- _ _ Estimated Cost: $ I (bd ( 3 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # 7637 ZSS- Q20 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ 153,5 $ $ 3. q3 TOTAL $ 1-7, 0 a 0 l'I CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ J CITY OF FRIDLEY PERMIT NO.: 2004-01474 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 571-36U4 YAX: ( 763) 571-1257 ADDRESS : 7583 LYRIC LN NE PIN : 113024110032 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 4 BLOCK 3 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER KITZE PHILIP L & BARBARA J 7583 LYRIC LN NE FRIDLEY, MN 55432 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 worl 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. Applicant Date Bldg Insp ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 00& Construction Address: Legal Description: Owner Name & Address: �� i + l� L`�`Z1� Tel. # -763 -� 10` 3 Contractor: �� C� , TX1C MN LICENSE # Address: Li `7 A) Co [1 �1Ttr �v��Y1��JiY Tel. Attach to this application,. a. Certificate of Survey of the lot, with the proposedconstructiondrawn on it to scale.. LIVING AREA: GARAGE AREA: DECK AREA: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ftp Length Width Height Sq. Ft. Length Width _Hgt/Ground Sq. Ft. f Construction up — 2 � 21 1 Estimated Cost: $ 51 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: I `Z f &15- APPLICANT: Tel. #qz=� �� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIP TIONS: CITY USE ONLY $ Fee Schedule on Reverse Side $ 97,,33 .001 of Permit Valuation (1/loth%) $ . J-9 $.501'$1,000 Valuation $ $1050 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] 5 Building PLUMBING Permit No : 'o W Inspections RESIDENTIAL APPLICATION Received By:- A�l 8 763-572-3604 CITY OF FRIDLEY DAEMPL 763-502�-49177 FAX EFFECTIVE 1-1-08 a/ DATE "! I `- U// YOUR E-MAIL ADDRESS SITE ADDRESS 5 L- 1 C e alkq M N THIS APPLICANT IS: G -OWNER OCONTRACTOR PROPERTY NAME: ADDRESS!7� �/il6C LJW CITY to 8� STAT IC ZIP S OWNER/ TENANT PHONE: 7(01�- 790- >>gC& CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDS: CITY STATE ZIP INSURANCE . PHONE FAX PERMIT TYPE 0 SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW 0 REPLACEMENT DETAILED DESCRIPTION OF WORK __& ye- S LVt` d (4 t�rt�lZ PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINKILAV DRAINS _ SHOWER _ WATER PIPING _FLOOR — BATHTUB GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION — WATER METER —OTHER p, ff Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 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 plumbing 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT Abyr (PRINT NAME�i r7 I z� DATE 7"I t -®U APPROVED BY DATE 10 .:+ase City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977