PRE 2010 DOCS30'�-37
City ®f Fridley, Minn.. N° 8491
BUILDING PERMIT
-.cu.c : •.
.ilder�� .�
AddressColumbia- • Blvd -
LOCATION OF BUILDING
No. 7300 Street Holody Drive N.E. -`-- Part of Lot
Lot 1�_ Block - 4 Addition or Sub -Division J(elody Manor - 2nd Addi tion
Corner Lot — X_ _ _ _ Inside Lot Setback 351 —. sideyard 171 &101
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Single -Wallin Front _ 401 Depth 251 _ Height 201 Sq. Ft. 1j00-0 Cu. Ft 2Qj0
Att. Garage Front ?pt Depth 231 Freight —8' _ sq. Ft _60_ Cu. Ft 42600
Type of Construction Frame Est. Cost 19s500,01L..__ To be Completed h months
rn consideration of the issuance to me of a permit to c ct ,tlie building 'bed a to do
the proposed work In accordance with the description abo set Yprth and in ep th ons of
ordinanoes oY the city of Fridley. �
In consideration of the payment of a fee of 1 2 00 , permit is hereby granted to Clemron-, Inc.
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.
NOTICE
Uls permit don net eorer the eonshueHon, hutallation for wbhm plumbing, gn heating, nvnr or water. Be sure to m
the Building Inspector for separate permlu for thew home.
� ti
OWNER'S
ADDRESS
APPLICATION FOR :BUILDING PERMIT
CITY OF F1(IDLEY, MINNESOTA
LOCATION OF BUILDING
of Lot_
.LOT �'� ,�LOCKADDITION OR
Corner Lot Inside LOT Setback Side -Yard
SEWER ELEVATT011T FOUNDATION ELEVATI0k� -
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be u ad as •
Front L Dept c� He
Sq. Ft. Cu.
Front _-::�-e:f7 Depth LHeight-I6)
Sq. Ft. Cu. Ft. -
Type of Construction Estimated Cost ,
o
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 tht/ all the facts
and representations stated in this application are true and correc
DATA_SIGNATURE I�
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT P
City of Fridley
181
AT THE TOP OF THE TWINS
BUILDING PERMIT
ECEIPT
ty _ ____ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/10/85
JOB ADDRESS 7300 Melody Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
14
4
Melody Manor 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Muth Hedlund 7300 Melody Drive N.E. 784-7481
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
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
construct a 28' x 14' Deck and install patio door
9 CHANGE OF USE FROM TO
STIPULATIONS
NOWLV
SEPARATE PERMITS REQUIRED FOR def°►e drgg��� ealF
F .
WIRING, HEATING, PLUMBING AND SIGNS, TELEPyCNE- f � i`i'i,
ELECTRIC
- GAS Etc,
REQUIREp
BY LAW
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
$1.22
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,457
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-
$38.50
TRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLA CHECK FEE
TOTALFEE
$39.72
SI NA UREOFnRO-�f�'.RAUTH ZED ENT (DAT �'
HEN PROPERLY V4tjDATED THIS IS YOUR PERMIT
eo /d eS 1
BLDG INSP DA'
OF OWNE OW ER-----RI (DA I
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address:
Legal Description: I
Owner Name & Address:
Contractor:
Address •
City of Fridley
�R-1 AND R-2
Building Permit Application
bU
Effective 4/1/84
roY DnC N�1\10'_ 11
Tel. # I
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.
r �
DECK AREA: Length_ Width Hgt/Ground Sq. Ft.�
OTHER: Ste) 2,nr��n �` ' � 0` (crA � 0 0 �o
Corner Lot [A Inside Lot ]
T e of Construction:
oo c�
yp
Approx. Completion Date:
Ft. Yd. Setback Side Yard Setback
Proposed Driveway Width If New Opening Is Desired:
Estimated Cost: $
?- a�S7 8V
Alt. A Alt B
$ $
See Back Page for Explanation
DATE: �D - D —<6 APPLICANT: Tel. # ( b
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ ��'i- S� Fee Schedule on Reverse Side
$ 25% of Building Permit Fee
$ / $.50/$1,000 Valuation
$ $425 per SAC Unit
$ Fee Determined by Engineering
$
Agreement Necessary [ ] Not Necessary [ ]
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
512-3604
Ii.IXN i..
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner —
Aiso Replacement Furnace $ 20.00 $ 0,
Gas Piping (Needed new furnace) $10.00 $
Gas Range � $10.00 $
Effective On January 1, 1993
JOB ADDRESS % 3 o e)
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.
1932
OWNER
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
Signed By., c Tel No.
Approved By i Hough—in Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
BUILDING USED AS
Gas Dryer $ 10.00
$
�ISLG',,)
ESTIMATED COST
PERMIT NO.
*Air Conditioning — Ah Sizes $10,00
'
$
All Others/Repairs & Alterations (LIST ON BACK
1% of Value of Appliance or Work
$
DESCRIPTION OF FURNACE
No, of Heating Units Circle One
R_ _
AND OR BURNER
(Steam) (Hot Water)arm Air)
Trade Name `1-
Size No. /t%'6S' _ J
Commercial/Industrial
BTU 7 u HP
EDR
1% of Value of Appliance or Work
$
Fuel G' Total Connected Load
State Surcharge
$ .50
Burner Trade Name
Size No.
BTU HP
EDR
TOTAL FEE
"5--6
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
Signed By., c Tel No.
Approved By i Hough—in Date Final Date
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 60 No ( )
2. Is free from rust or deterioration Yes No ( )
3. Has no foreign objects lodged within Yes (y) No ( )
4. Is securely supported Yes �y No ( )
5. Meets all current Code requirements for
size and total BTU's connected Yes ( No ( )
6. Has total heating BTU's of %&:d C>
All other BTU's�)%
TOTAL BTU's �%, �, U � C/
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
J
01
SUBJEdT
P
City of Fraley
30823
AT THE TOP OF THE TWINS
BUILDING
PERMIT
�
RECEIPT NO.
• .......COMMUNITY DEVELOPMENT DIV.
L'�J6j
PROTECTIVE INSPECTION SEC.
.da
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
4/13/00
JOB ADDRESS 7300 Melody Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
4
1 Melody Manor 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Steve/Kerry Johnston 7300 Melody Drive NE
792-2085
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
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION O REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Install basement egress window
9 CHANGE OF USE FROM TO
STIPULATIONS
Window 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
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
@
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$250
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire SC $.25
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$23.50
PLAN CHECK FEE
TOTAL FEE
$24.25
Si ATURE D ON'AACTOR OR AUTHORIZED AGENT (DATE,
H PROPERLY VALIDATED THIS IS YOUR PERMIT
_a �
S-GNAWRE OF OWNERaF OWNER BUILDER, iDATEi
g
GATE
J
01
NEW I l Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
n
Construction Address:?3E)o m e/ dJ 7 09r --
Legal Description:
Owner Name & Address:
S Tel. # 2%2 -4 0 t S—
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:
.y"c.Qu
State Surcharge
$
Construction Type: LA --3 0 j �� V&? t_ Estimated Cost: $ 02 50 _ C -;v
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: co APPLICANT:
Tel. #
CITY USE ONLY -
Call (763) 572-3604 for Permit Fees if mailing In application
Permit Fee
Fee Schedule on Reverse Side
Fire Surcharge
$ a ��^ .001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1100 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. T" Above
Erosion Control
$
$450.00 Conservation Plan Review"
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ c2lzr
STIPULATIONS: