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City of Fridley, Minn. BUILDING PERMIT Date: " r Owner: BuilOF r Addressi, Address L TI. O UILDING No. Street P of Lot Lot __ 81ock A tion or Sub-DivisionI► 0op- df Corner Lot — Inside Lot Setback____ Sideyard Sewer Elevation _ _ -Foundation Elevation DESCRIPTION OF BUILDING T Used Front _ DepthHeight 42 Sq. Ft. Ft. rjo Depth eight . Ft. Cu. Ft. Type o ction Est. Completed -In consideration of the issuance to ins of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance .with ;il provisions of ordinances of the city of Fridley. 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 6n of any of a provisions of said ordinances. �. r� . ice' 0 .S.ai� d i. s , d r.7 NOTICE: Ub permb doss not cover the condructioe, hutaib8on icor vArb k phmmbby, gig be*&W sower or water. Be sun to an the WIdles bnpater for separate permits for than itnma. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder 'L L Q. tl`r Address jtri1i Address c? LOCATION OF BUILDING Street AA CUA Part of Lot Lot Block Addition or Subdivision Q o ,_ da&oyt Corner Lot Inside Lot Setback -I�10 Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as;0.�vt�_/� Y �� U� Front A -)� DepthHeight Sq. Ft. Cu. Ft. Q aA 0-0 Front 'mac Depth Height Sq. 'Ft. Cu. Ft. t L1010 Type of Construction Estimated 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 cor ect. DATE �Y SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). S v Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 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 $ MECH. 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 $ GAS FITTING FEES: NO RATE TO L lst 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE 0, 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 areEP v T91, Owner Kind of Building Used as 18 _ INZ To be completed about NO Y � Estimated Cost, $ e� New. uilding Permit No. Permit No. f;�/& 0 OF WORK BEATING mer, Warm Air—No� Trade Name Size N Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade N ' Size No 47 /?9 Capacity Sq. Ft. E.D.EV-4 TIJ H.P. A GEO.+SEVACK HTG. & AIR -GOND. CO � 1001 Xenia Av. S. Minneapolis 16, Minn. Signe54611 A2 2M Business Phone o (REMARKS -OVER) Int. wall Doors—Crackage and Area Ceiling 22 ')L m' ® [ el Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. � C/ Room I Length 1'3 Width �� Alef ` l�J HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Glass 1 Exp. wall mEr 0 Construction No. GGL Insulation '—( Guide a– Floor Ceiling Total Btu. exp. wall WindowsDoors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No I Yes— o 19— Floor Fl.� ��� Room I Length ®Width ` pOor Height Yr F1.1Room Length 10 Width Height Windows andboors—Crackage and Area Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane oof/pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Btu Coef Coef. Btu Infiltration % Infiltration Glass��® [ ® O Glass b cn- Exp. wall Exp. wall Net exp. wall Net exp. wall '� Q Int. wall Doors—Crackage and Area Ceiling 22 ')L m' ® [ el Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. � C/ Room I Length 1'3 Width �� Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pa a of pane lighta of crack sq. ft. G 1 Coef. Btu Infiltration 7 Glass 1 Exp. wall mEr 0 Net exp. wall GGL Int. wall '—( Ceiling f► X 1 j a– Floor Ceiling Total Btu. exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Room I Length / Width Height Windows ana Doors—Crackage and Area �- Width Height No. of Lineal ft. Area No. o[ pane of ane lights of crack sq, ft. 74 Ll O / 3 Coe Btu Infiltration Glass Exp, wall x}� Net exp. wall '—( Int. wall a– .01 Ceiling exp. wall oor ' al Btu. 1 00 tiired sq. ft. E.D.R. or sq. ins. W.A. Leader area i Int. wall Ceiling '� Q Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No.. of pane of pane lights of crack sq, ft,.. GlassExp. M�.BInfiltration wall a– CNet exp. wall Int. wan CeilingI Y:�b Floor Total Btu. %ILM Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. Y Room I Length I. Width lC� Height Windows and Doors—Crackage and Area Width Height I No. of Lineal ft. Area No. of pane of paneyl lights I of crack sq. ft. 2'7 `6 ( t Infiltration Glass Exp. wall (® Net exp. wall Int. wall Ceiling i l --K 10 •(j,< / -K Floor f Total Bitu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area AW 00jul4s Ddb' 9 1 42. •..o' HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS S.H.V.E. Weatherstrips A.Guide Construction No. ws I rs 11 Reference Out. Wall Int. Wall I Ceiling Roof Floor Kind s o e o 19— 4 F1.1dgede Room I Lensith tV Width / Height V II F1.1 Room I Lenatth Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 3 Coef.1 Btu lCoef.1 Btu Infiltration Glass Glass Q Exp. wall �( Net exp. wall Floor Int. wall Ceiling X fY 42 30 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I 1z F1.1 lJ jf Roo;j Length / , Width / 3 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Pa. of palLe lights of crack aq. ft. O� lCoef.1 Btu Infiltration I Y 3 fs X 1 `3 ( S --If Glass j 0 ? Exp. wall (o Net exp. wall Int. wall Ceiling /' Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,A MINNEAPOLIS. MINN. Insulation How. Applied Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK���� ,f � ®1 -DIZ Number. Kind and Location of Fixtures LocaRo� City of Fridley: '� 4'' I 1.20 6d� y� in 3� o� $ So 5 O W < , �°a "'U' Z �p • F N WATER HTR. GAS ELEC. C Base 1st / ` 2nd 3rd 4th • Future Connectfoa Openings I New Fixture, Old Openings Connected with Sewer n Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures G x $1.50 $ /' 0-d Future Fixture Opening x 1.20 New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ Z - e'-21 New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code 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 SEF 5 1962 19_ Owner Kind of Building /— /'C— Used t.Used as . D To be completed about Estimated Cost, $ Old—New. Building Permit No w a Permit No. _ Signed L©PLUM0,!NO3 i'0 By Business Phone No ROUGH FINAL RATE TOTAL x $1.50 $ I 'X7 x .50 $ x 2.00 Description ................................................$ cc,�� TOTAL FEE $ 2110 42 2M City of Fridley, Minn. N° 7740 BUILDING PERMIT Date: June 4, 1965 owner. Eggene Chouniard Builder Moen Builders, Inc. Address 733.1 Melody ve X. ', Address 79hO Avenue Ito, LOCATION OF BUILDING No. 7311 Street Melody Drive N. E. Part of Lot Lot - _ Block 3 Addition or Sub -Division ._ Mem Manor. 2nd, Add, Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: Front Front Type of Construction DESCRIPTION OF BUILDING Depth Height Sq. Ft. Cu. Ft. Depth Height Sq. Ft. Cu. Ft. ____ Est. Cost —02300#00 To be Completed Storm damage repair: Rebuild house from the existing cap to the original plans. 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 eve set forth and compliance with all provisions of ordinances of the city of Fridley. i r In cansideration of the payment of a fee of $ permit is hereby granted to Moen Builders _ Inc*' to construct the building or addition as cribed above. This permit is granted upon to construct the building or addition as 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 cenform in all respects to the ordinances of Fridley, Mirmesota g location, construction, alteration, maintenance, repair and moving of buildings city liaoits'� permit may be revoked at any time upon violation of any of the provisions of said Allen Jensen Building Inspector NOTICES This permit doss not cover the consheatten, humiladen for wine, phm"6. gas hoatt w sewer or water. Be sins to see the Bvddie hapeater for separate pmft for these Room APPLICATION FOR'BUiLDING-PERMIT CITY OF. FRIDLEY, knikft&A J. OWNER'9 NM Eugene Chouniard BUILDER 'Yloen' Builders Inc,.' ADDRESS 7311 Yelody Dr. ADDRESS 7940 59� Ave. lqo.' LOCATION OF BUILDING No._ 7311 Melody Dr 'Street Part of Lot LOT BLOCK ADDITION, OR.SUBDIVISION / Corner Lot rlas.i $e LOTSetback Side -Yard_` SEWER ELEVATION FOUkbATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. . D 'SCRIPT�ON.'tl�'��,DING To be used as -Single family dwelling Front Depth Height Sq. Ft. Cu. Ft. Front Depth-- Height Sq* Ft. Cu. Ft. Rebuild ouse from the 'gxisting cap to the original Type of Construction, pjan,s. ,storm damage ) Estimated Cost To be ccimpleted,o` dna=June 22965 The undersigned hereby makes application for a permit for the'work herein specified, agreeing to-do all work in strict accordance with the City of Fridley Ordinances and rulings of the Departmment of Buildings,, and'hereby declares that fill "�the,facts anis representations stated 'in this applicationare true •and correct. ]poen Builders Inc. DATE May 22, 1965,4 SIGNATURE �Z=/1 % �... Pres. (Schedule of Fee Costs can be found on the Reverse Side). ,. r F -m SUBJECT PE City of Fridley o �93 AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT N 1 ____ COMMUNITY DEVELOPMENT DIV. tr - r PROTECTIVE INSPECTION SEC. �� U 1 i 1 CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/6/88 JOB ADDRESS 7311 Melody Drive N. E. 1 rLEGAL LOT NO. I$LOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Giedlinski 7311 Melody Drive NE. 786-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Barthel Construction 21370 John Milless Drive, Rogers 55374 928-4381 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 27' x 27' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan %pilmlarkiG SEPARATE PERMITS REQU-1- F01f WIRING, HEATING, �PlW # utilities obte `cum ► TELEPMONE a G ip -GAS Etre 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 80 DAYS, ORIF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIG.ObF 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 Z ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX WORK WILL BEO MPLIED AND ORDINANCES GOVERNING TYPEWI $35,50Q $17.75 H WHETHER SPECIFIED HERINIOR NOTOTHE GRANTING OF AF ERM 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- CONSTRUCTION�/OftY- $220.00 S UC ION OR THE PERFORMANCE OF PLAN CHECK FEE TOTALFEE P $ 55.00 $292.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VA ATED THIS IS YOUR P MIT ' h 256 BLDG INSP raTE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI F -m NEW [ ] ADDN. [ ALTER. [ ] Construction Address: Legal Description Owner Name & Address: Contractor Address City of Fridley R-1 AND R-2 Building Permit Application '/h_ -5A," lot, with the proposed construction drawn on iz to scale. DESCRIPTION OF IMPROVEMENT Effective 4/1/86 Teel.. # _1222- # 22# u" -wsa( LIVING AREA: Length _27�') Width_.__ Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot D<1 Ft. Yd. Setback Side Yard Setback Type of Construction: 15U -1,134 U/ / Estimated Cost: $ — Approx. Completion Date: /- �- s Sbo Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation S_5'APPLICAN DATE: T : � � ��ZL '61K Tel. � 5 �_ CITY USE ONLY PermitFee $ -ziA.od Fee Schedule on Reverse Side Plan Check $ C! 25% of Building Permit Fee State Surcharge $ s $•50/$1,000 Valuation SAC Charge $ per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ TOTAL $ G Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: o v w,S 0. U .'Sd 6�� a SUBJECT P _. City of Fridley 203941 AT THE TOP OF THE TWINS BUILDING PERMIT( f 1� 1 _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. 36 y� CITY HALL FRIOLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/30/90 JOB ADDRESS 7311 Melody Drive N.E. I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John/Mary Giedlinski/Kish. 7311 Melody Drive N.E. 786-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. The Cities Home Improvement 5310 Cedar Lake Road' St, Louis Park 55416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 591-0332 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION [j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK $-of fit/Facia 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 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 $3 800. $1.90 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 PROVISIONS O NY OTHER STATE OR LOCAL LAW REGULATING CON- $63.00, T STRUCTI3 THE PERFORMANCZ:1� PLAN CHECK FEE TOTAL FEE $64.90 �e SIGNATUREOF 46NTkACT6R OR AUTHORIZED AGENT (DATEI WHEN PROPERLY V IDATED THIS IS YOUR PERMIT sA BLDG INSP DATE SiGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] Effective i/1/90 ADEN [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: %E// k z Legal Description: Owner Name & Address: .�® G� ,Cad /i �/ s /C, ' �i�c-y i , s � Tt • # Contractor: - 7 -Ke 4 A . f /44,e,/ Tel. # -L— Address: ss: -6-3 /tom 11w e Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: Iength Width Height Sq. Ft. DECK AREA: Iengt� - Width Hgt/Ground Sq. Ft. OTHER: Bch � �, r � C4� ".4 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $��00 Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: -5--?0- '?o APPLICAM:/-/Tel. # -L/y -y 79 Z CITY USE ONLY Permit Fee $ 60- 60 Fee Schedule on Reverse Side State Surcharge $ 4,90 $.50/$1,000 Valuation SAC Marge $ $600 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Ciarge $ Agreement Necessary [ ] Not Necessary [ ] STIRMATIMS : suBJEcr PERMIfi N�. City of Fridley 2 0�599 AT THE TOP OF THE TWINS BUILDING PERMIT i RECEIPT NO. ------ COMMUNITY DEVELOPMENT DIV. fr PROTECTIVE INSPECTION SEC. r �1 NUMBER REV DATE PAGE OF APPROVED BY r---� CITY HALL FRIDLEV 55432 k" �.j 612-571-3450 910-F15 9/26/90 JOB ADDRESS 7311 Melody Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Giedlinsky 7311 Melody Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lamere Construction 1912 Monroe Street N.E., Mpls. 788-7273 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 R3 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 18"' Screen Porch. Addition 9 CHANGE OF USE FROM TO STIPULATIONS Seenotations on plan, WARNING Before digging call for all utility locations SEPARATE PERMITS REQUIRED FOR 454-0002 WIRING, HEATING, PLUMBING AND SIGNS. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 $3,150 UX12 $1.57 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $63100 STRUCTION OR THE PE FORMANCE OF CONSTRUCTION. LAN CHECK FEE TOTAL FEE ' re SC �* $3.1-5 $67.72 PROPERLY VAL T D THIS S YOUR PERMIT t SIGNA URE OF_CbfiTPACTOR OR AUTHORIZED AGENT t IDA EI �EN SIGNATURE OF OWNER OF OWNER BUILDER$ (DATE) NSP/x(-, O TES—I/_lK�� NEW [ ] Effective 8/16/90 ADEN [ ] R-1 AND R-2 AMER [ ] Building Permit Application Construction Address: -73/) % // E�- 0 p � P L )\J, E-7 Legal Description: Owner Name & Address: l Oi::)C-/ NSK� Tel. # Contractor: Tel. # ?c906 --7Z73 Address: 16112 IJl D ►q pov, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVnrz AREA: Length GARAGE AREA: length DECK AREA: Length 00MR: Pole Corner Lot [ ] Inside lot Type of Construction: Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Grauxl Sq. Ft. H iZ` 16 ' o`� % �C 2 -St. Yd Setback �f Side Yard Setbacks 13 " Estimated Cost: $ Approx. Completion Date: 119 -1,0- 90 11 j n, O U Proposed Driveway Width If New Opening Is Desired: Ft. $ r — $ Width + 6' See Back Page DATE: 142 L2qp APPTM,rrr: "4 fp Tel. # 788 - 72 7S Permit Fee $ (0-S.06 Fine Surcharge 1, J State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main (urge $ TOTAL $� SPIPLUATIONS: CITY USE CNLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary .[ ] - 00 q J . V,v c. a •• 1i . Ek r JU d, if I fft d _ '�R '�R � VIi r zoo�• - N. f� a a � f W' �y^� r 3 • ,t { If y `N' M1 • .F Y 7 ,}-`W' ( y{"., ('f is Yip: coil 1>I ,J,$: 1 n i 1„��' „c.l 'S+{i . Jt y M i. � k fir; ta ' '�� �ry yn�! Yd7 i� Y 1�,T'Z. .Cy{�, area,11}j4 1 5 .i I � • I SC.A Le- I'1iW SUBJECT PERMIT City of Fridley2 ;63 AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. a: -----') r PROTECTIVE INSPECTION SEC. � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 9/21/92 JOB ADDRESS 7311 Melody Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Giedlinski 7311 Melody Drive NE 786-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 'Dain City Stone Sash Co 10825 Greenbrier Rd, Mtka MN 55343 546-8160 3090 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 Replace sashes & trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 $2,104 $1.05 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire SC $2.1Q STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $62.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MATE) HSN RO L V LID ED THIS IS YOUR PERMIT o -21- 92 LDG )NSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDA' S NEWEffective�? . - /,S� Effective 3/1/92 [ ] � _ 1 � ADDN CITY OF FRIDLEY ALTER [ j 5 _ �� o SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: 0 Tel. # Contractor: TWIN CITY S i Qr,",9 SASH Cn., !N� LICENSE # � (� 1082; Address: MaNNETONKA, LINe '4- 40Ta 63314,q 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 HgYGmund Sq. Ft. OTHER: Comer Lot [ ] Inside Lot j ] Ft. Yd Setback _ Type of Construction: d—��C47' Approx. Completion Date: Driveway. Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ / C� (Cost on Back) Ft x $ = $ DATE: 7 / % - APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ /,05- $ .05 $ 5 o C) Driveway Escrow $. Park Fee $ Sewer Main Charge $ TOTAL 0 $ / S - CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$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 [ STIPULATIONS: - - - " SUBJECT City of Fridley 721956 AT THE TOP OF THE TWINS BUILDING PERMIT i R TN 0. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. I �� r NUMBER REV PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 TATE 7/6/93 JOB ADDRESS 7311 Melody Lane NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kish/Giedunski 7311 Melody Lane NE 786--1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Design Images 2262 140 Ave NW, Andover MN 55304 754-0229 2059 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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel kitchen 9 CHANGE OF USE FROM TO STIPULATIONS See. notations. on plan, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. 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 $�9 000 $14, SO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 278e00 Fire SC $29.00 STRUCTION O PERFOR CEO C RUCTION. +� PLAN CHECK FEE TOTAL FEE ''71& Lq J. License SC $5.00 $326.50 SIGNATURE OF CONTRAC R OR AUTHORIZED AGENT (DATb WHEN P ER ALIDATED THIS IS YOUR PERMIT � i INS DATE SiGNATURE OF OWNER 0F OWNER BUILDER) IRATE)BL NEW [ ] Effective 5126/93 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R -I AND R-2�� Building Permit Application Construction Address: 7 � � \ LA r- F- _ Legal Description: L—T \S c i-AEL-oZ>'7 Owner Name & Address: Tel. # a(,� - i z �3 Contractor: —MN LICENSE # Z L 9 Address: ?Z c, -L - l ,� "-L A --LE- 7S4-t�zzc� Attach to this application, a Certificate of Survey of the e5? --5210 lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Type of Construction: �� rr c _ —t Pte-«f�-7t�> Approx. Completion Date: `Z / 17 3 Side Yard Setbacks Estimated Cost: $ -2-9. moo I (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: - Tei. # -754 Z q Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL h? Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ Conservation Plan Review $450.00 $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $a 6-5-0- STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On August 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURFS TO RF INSTAL t Fn nN F&C:i l pi nnR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures Old Opening, New Fixture_ Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work In strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated In this application are true and correct. $ 7.00 $ 7.00 oZ ,1995 $ 7.00 $10.00 Owner $ 7,00 / $10:00 Building Used As NO vett $10,00 C. $10.00 Estimated Cost b7B ° ° `' PERMIT NO. �� I $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or. Appliance 00 PLUMBING COMPANY _ _G e--V+v�,q y. M eG11, SIGNED BY Q" TEL N0.6' 3G _ & e ... =. Rough—In Date Trial Date State Surcharge ,50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT is TOT $ p PLUS THE $ 50 STATE SURCHARGE I01, **COMBUSTION AIR ,. HAt PROVJ@ED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. NAM 11"Ouffl, q PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures Old Opening, New Fixture_ Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work In strict accordance with the city codes $ 5.00 and rulings of the Building Division, and hereby declares that all the facts $ 7.00 and representations stated In this application are true and correct. $ 7.00 $ 7.00 oZ ,1995 $ 7.00 $10.00 Owner $ 7,00 / $10:00 Building Used As NO vett $10,00 C. $10.00 Estimated Cost b7B ° ° `' PERMIT NO. �� I $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or. Appliance 00 PLUMBING COMPANY _ _G e--V+v�,q y. M eG11, SIGNED BY Q" TEL N0.6' 3G _ & e ... =. Rough—In Date Trial Date State Surcharge ,50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT is TOT $ p PLUS THE $ 50 STATE SURCHARGE I01, **COMBUSTION AIR ,. HAt PROVJ@ED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. SUBJECT PERM City of Fridley ? 9717 AT THE TOP OF THE TWINS BUILDING PERMIT 1 7 � l _ COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC. r � ®� V F � NUMBER REV DATE PAGE OF APPROVED BY �--'1 CITY HALL FRIDLEY 55432 1'' 612-571-3450 910415 12 12/95 JOB ADDRESS 7311 Melodv Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 1 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Giedlinski 7311 Melody Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodelers 8729 Central e NE, Blaine MN 55434 784-2646 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 g❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Finish basement 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERM PSS IRE® FOR WIRING, HEATIIN'G, PLUMBING AND TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $10,000 $5.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE P OVISIONS OF ANY OTHER STATE OR LOCAL, LAW REGULATING CON - Fire SC $10.00 RUCTION OR THE P FOR NC OF CO RUCTION. $162.25 PLAN CHECK FEE TOTAL FEE I License SC $5.00 $182.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ?1 WHEN PROPERL ALI ATED THIS IS YOUR PERMIT -SLOG SP DATE SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE) 4 i �.ttu,.rave; TAt/5P� ADM 07 '0 OF FRIDLEY SINGLE, FAMILY AND 1 UPUP At•:S KA AND R -i IBulU Ting i"Crrnit Appiication �l/rail li1L'1lllll �� utu c+.Z. � Legal De-scriplion. Owner- Name s Adldwss_ lP'.�� Attach to this application, a Cerfificate'of Survey of the lot, with the proposed construction &awn on it to Scale. i7 USCItIMON t1.F'- IMPROVEMENT' LIVING YII Cs' A,l PA : t .crrgtla - ....... _ ._—Witf9 h _. . w.. B iei,ht moi• Fri. _ GARAC`r1< AKlsA: Length Width Height Sq. FL DECK AREA: I�e�nSth - Width HgLtCrotmd "q.' p't. Cornet' 14t [ ] Imide Lo)t ( I Ft. Yd Setback Side Yard- Setbac _ Tnx of Const; uction: �......_ _ _ Cosi: 0_ .. AIVrox. Completion bate_ J ' (4-7,0 t on ?qac ) I'3rt Crit +� W'tltlt YWdyr,/9// !/ dam. 1 }' � l = DATh:/-.%- APPLICANT:�---�y�y(��_V Permit lex $ %62, Z f Fire Surclaar ;c State; Surehne —7' SAC Charge � - License Surcharge $�� Driveway Escrow Erasion Con(rol $----- - - Park Fee $ Sewer IAain C'liar ge- $ TOTAI. &I 91111ULATIONS: CITY __USC -ONLY Fee ScheAule on Reverse Side .001 of Pauli! Valuation 011(kh a) $.501$1,OW Valuadon — Tel. lI`. _ ;1'40 $800 per SAC Unit $5.00 (State I censcd ResidC dial Con(1•"dacm-s) Alt. "A" or Alt_ "ti" Above $454.00 Conservation Plata Review Fee Determined by Engineering, Agi-ccrrc.lyt Necessary j i Not Neves -,wry [ i CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 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/COOLINGNENTILATION REFRIGERATIONIAIR 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 � � f S� s �'�r �- 5� -� G'� 4, Signed By Tel No. % YZ pct ZY Z Approved By 44 Rough—In Date Final Date FILL OUT BACK SID FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS '2311 Q C , RASE 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) /�� �a� ,1995 Gas Piping (Needed with new furnace) $10.00 $ Cr OWNER e_ 1' s Gas Range $10.00 $ ' BUILDING USED AS ge S., evc Gas Dryer $10.00 $ ESTIMATED COST (,� 0 o . �'� PERMIT NO. e *Air Conditioning — All Sizes $ 25.00 $ 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 $ s `�50 Burner Trade Name Size No. BTU HP EDR TOTAL FEES MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATIONIAIR 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 � � f S� s �'�r �- 5� -� G'� 4, Signed By Tel No. % YZ pct ZY Z Approved By 44 Rough—In Date Final Date FILL OUT BACK SID FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATI The undersigned hereby verifies that the existing chimney or stack: 1. 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 O 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: 7 leliH,s a / l e lvrvvv HEATING CO: Signed By: Date: sueJEcr P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT (1�� r RECEIPT NO. 0. • COMMUNITY DEVELOPMENT DIV r � � PROTECTIVE INSPECTION SEC 1 � � NUMBER REV DATE PAGE OF APPROVED By /"'1 CITY HALL FRIDLEY 55432 J4.1', , 1'' 612-571-3450 910-F15 6/10/97 JOB ADDRESS 7311 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Giedlinski 7311 Melody Drive NE 786-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Donnelly Windows Inc 2519 E 25 St, Minneapolis, MN 55406 722-4200 20092971 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 O MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit/Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install ventilation to meet the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 @ $4,300 $2.15 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 99.75 Fir SC $4.30 RUCTION OR THE PERFORMANCE OF CONST CTION PLAN CHECK FEE TOT EE c $50 111.20 SIGNATURE OF CONTRACTOR OR AUTHORIZED lD TEI EN O BL G INSP VALIDAT THIS I$UR PERMIT -/4 DATE _ SIGNATURE OF OWNER,IF OWNER BUILDERI IDATEI NEW (] Effective 8/1/95 ADDN (] CITY OF FRIDLEY ALTER () SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application e?63 Construction Address: 73 Legal Description: -166, (-jedhaski• — Owner Name & Address: 1Ohn G►edhnskj' Tel. # 75.6-/ai3 Contractor: Do nn e.l . i j -,e% r rAc • — MN LICENSE # mTel. # `7aa-V-u6 Address: .75-19 e'_ �s s•r 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: RpoEstimated Cost: $ q- a -Do ®® Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ft 0 `1 _ APPLICANT—� Tel. # a a'Z ?D� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY $ q 9.7 s Fee Schedule on Reverse Side $ 4.30 .001 of Permit Valuation (1/ 10th%) $ $.50/$1,000 Valuation $ $850 per SAC Unit $ 0 0 $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 [ ] TOTAL $ C12 STIPULATIONS: P SUBJECT MIT N City of Fridley-( 2 9 9 63 AT THE TOP OF THE TWINS BUILDING P E R M I T r • COMMUNITY DEVELOPMENT O ___PROTECTIVE INSPECTION SEC. r CTL/ 70 1 � � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910 -FIS 7/29/99 JOB ADDRESS 7311 Me ody Dri 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 3 Melody -Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Giedlinski & Mary An7R6-121-9 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO American Bldg. Contr. 12247 Nicollet Ave S. Burnsville -55337 - 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 U REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (31 Sq.) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with theState Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $2709 $1.35 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CH GE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• $83.25 Fir4C $2.71 STRUCTI OR THE ERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT L EE --' % moi' Lice $5 0 .31 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT iDATE, EN O V ID T THISU IT S,GNATURE OF OWNER .,F OWNER BUILDERI iDATE, BLD .NS- FATE P ADDN [ ] CITY OF FRMLEY ALIER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 F BUILDING PERMIT APPLICATION 43m ConstiuctionAddress: '-1-3:7,11 j)jt_ Q_ Legal Description: Owner Name & Address:6-jiem/Amgi 41L -Y A6W _KI!6 1 Tel: # La]7_ ?B6-17-13 Contractor: (x"!11(_ bQ I eQIA dfVrL_ , 9 jS MN LICENSE #_7_0 I (o Address:_Z1 M 1C�ot.C1i & �DS',F Tel. # L2I7. _201 6159 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVFAIENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. 3 %� DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER Construction Type: fZ60r, Estimated Cost,:_Z- 2 7 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ _ $ DATE: APPLICANT: Tel. # Za? 6Rs Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ Sap Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review TOTAL STIPULATIONS: I %A i Y Ur I-RIULLY INSPECTION DIViSION Effective On May 10, 1999 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 RATE SHEDULE C - Residential Rate TOTAL OWNER � 1h 10 au -'e �� r IsLL5�,l Ctwyrurnace Shell and Duct Work, Burner - BUILDING USED AS1 Also Replacement Furnace $ 30.00 $_ (Side Vent . Fill Out Back) ESTIMATED COST � 'Lm PERMIT NO. �c;- Gas Piping (Needed with new furnace, $ 10.00 $_ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade Name Size No. "Air Conditioning •All Sizes $ 25.00 $ BTU HP EDRFuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work AAQ SVty 1- $ OZ. Z BTU HP ED R Commercial/industrial Q is uj r,c l 1.25% of Value of Appliance or Work $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts' and TOTAL FEE representations stated in this application are'true and correct. $_ s� MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATINVGC � 1 ► I(�l �i S�'2t?- ( c_LVt(+ , REFRIGERATION/AIR CONDITIONING PERMIT IS�2$100 LUS THE 5.50 STATE_SURCHARGE Signed DATE 3 �' REINSPECTION FEE $47.00/Hr "Air Conditioners can not be placed in a side yard without Approved By Rough -in Date Final Date written permission from adjoining property owner. 4 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: 1 ) New b. �u C 1*) A)&) �� vx+ I� HEATING CO: Signed By: Date: CI ni TEY AND STACK 3 RMCATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes O 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: 1 ) New b. �u C 1*) A)&) �� vx+ I� HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** NO. RATE TOTAL Gas Range`* Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge S _50 TOTAL FEE $ czo •S U JOB ADDRESS. r 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. /0 — a.5 , 2006 Owner Building Used Estimated Cost �� G� PERMIT NO. PLUMBING COMPANY / bLv� , SIGNED BY TEL N0. '26 3— N / 3 Approved By Rough -In Date Final Date ` `��� O COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verges that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an 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: Date : City of Fridley SUBJECT 3 1 4 9 2 AT THE TOP OF THE TWINS BUILDING PERMIT r • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE F NUMEERDATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 171 10/18/00 JOB ADDRESS 7311 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 1 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Giedlinski 7311 Melody Drive NE 786-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tom Jackson Contractor 2066 Cornel Dr, Mounds View, MN 55117 786-5174 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20192858 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION I j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Main Floor Bathroom Remodel 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR: WIRING HEATING PLUMBINd AND SIGHS 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 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 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 $7,000 $3.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $139.25 Fire SC $7.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE OTAL E �� '}( !�►�+-� �� Licenppea $5.00 $ 4.75 SIGN A TORE OF CON TRACTOR OR AUTHORIZED AGENT IDATEI EN ROPEZIDATEDXHIS IS YOUR PERMIT B�0 IN$p fIA1E S-GNATURE OF OWNEROF OWNER BUILOERI IDATEI 01 NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTERS SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: /�d,�( Legal Description: ' Owner Name & Address: r" Tel. # 21?,- _42-1 2 Contractor: / �� �% �; �< 2> MN LICENSE Address: ;Q 6, -c Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT / , -, Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing In application Permit Fee $ g. Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge STIPULATIONS: $1100 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 '/ 01 SUBJECT PE R City of Fridley 3069 0 AT THE TOP OF THE TWINS ? BUILDING I L D I N G P E R M I T 1-790 : _ COMMUNITY DEVELOPMENT DIV. v INSPECTION SEC. rr � PROTECTIVE i CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF AVPROVED BY 612-571-3450 910415 2/29/00 JOB ADDRESS 7311 MELODY DRIVE NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 1 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Giedlinski 7311 Melody Drive NE 786-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tom Jackson Construction 2066 Cornell Dr, Mounds View, MN 55112 786-5174 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20192858 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION C. ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Basement finish 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 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 1 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 $10,000 $5.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $181.25 Fire SC $10.00 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA FEE Licens $5.0 $201.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN ROPE ALIDA E IS YOUR PERMIT 1,000rer . ///THIS SIGNATURE OF ONINEPIIF OWNER SUILDERI IDATEI BL 'NSP OAIE I '/ 01 NEW I l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 R-2 r, b BUILDING PERMIT APPLICATION r_11w Construction Address: % �// /fO �e�� D/e' — �i�� �✓/,� �. /l eo Legal Description: Owner Name & Address: CJA61j Tel. # Contractor: /c �i��.�ST MN LICENSE #fie Address: - - 6 �4 & /0'-/l // Aaz<2-b s /� ec'c';' 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 .-V Br Width c2 !Z Height j( Sq. Ft Col GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Lengthy—_ Width H' gtt/Ground Sq. Ft OTHER: (M f10/ 1-71-) C Construction Type:Estimated Cost: $ fes, Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $-- DATE: — DATE:. O APPLICANT _alb_ Tel. #�� 6S'/ CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ . �1J� Fee Schedule on Reverse Side Fire Surcharge $ /0,00 .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control $ $1100 per SAC Unit $ 5a C50 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above Park Fee $ $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ o2 0 t7 STIPULATIONS: SUBJECT P NO. City of Fridley 33165 1 AT THE TOP OF THE TWINS BUILDING PERMIT a• ------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r E NUMBERDATE f7i PAGE OF APPROVED By I = x_11 CITY HALL FRIDLEY 55432 763-571-3450 910-F15 10/14/02 JOB ADDRESS 7311 Melody Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 3 1 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Giedlinski 7311 Melody Drive NE 763-786-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renaissance Exteriors 2556 Hwy 10, Mounds View MN 55112 763-780-2000 20220285 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 O ADDITION O ALTERATION REPAIR O MOVE ❑ REMOVE X 8 DESCRIBE WORK Replace windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all exterior openings. 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT $1,300 $.65 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- $47.90 Fire SC $1.30 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA EE 17 �' � JO����' • License$5.00 4.85 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN00P%ALIOATE HIS IS YOUR PERMIT SIGNATURE OF OW NEROF OWNER BUILDERI IDATE, BLD NSI' op FIATE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: '731N1e1oNj N. Legal Description: Owner Name & Address: , 'hf% Gt fea L+n SKS Tel. # -76-S -79C -12 t3 Contractor.=oksswfce lrbs)r�or5 MN LICENSE# 20220ZP5 Address: (0 Mcwnks 01CQ M14 551Q Tel. # If 3-7E61 Z01110 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: �ca$4- \,)MU()ous Estimated Cost: $ 11V O , O Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ -=$ DATE: `-ILf-oz APPLICANT: ca.Tel. # 763' 79' Call (763) 572-3604 for Permit Fees if mailing in application or 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 Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $%� 9D $ 1,30 CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: ITY OF FRIDLEY BUILDING INSPECTION Effective 4/1,/2004 V .53 3431 University Ave NE 9 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION L 763-5723604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 9 JOB ADDRESSI�- D RATE SCHEDUL FOR Total Residential Owner Furnace Shell and Duct Work, Sumer & f also Replacement Furnace $35.00 $ Building Used As T Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST3cco - 00 PERMIT NO --,.Gas Range Gas Dryer $10.00 $ $10.00 $ *Air Conditioning -All Sizes $25.00 $ All Other Repairs or Alterations (List on Back) } 1% of Value of Appliance or Work $ A Minimum Fee $15.00 for Residential or 5% of cost of Y Improvement whichever is greater on work less than $300.00 5 Commercial/industrial/Institutional r 1.25% of Value of Appliance or Work (List on Back) $ Minimum Fee $35.00 for Commercial/industriaVinsiitutional YState Surcharge $ .50 TOTAL FEE $ 35,9D7 REINSPECTION FEE $50.00/HOUR *Air Conditioners cannot be placed inside yard without written approval T from adjoining property owner - copy to City r` N FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE IL CE DESCRIPTION OF FURNACE AND BURNER # of Heating Units I Circle One (Steam) (Hot Wate (Warm Air Trade Name �ti v l�Co 2 �� - U� Size No. BTU ` S I COD HP EDR Fuel- . Total Connected Load Sumer Trade Name BTU HP Size No. EDR 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 tn,e and correct. CENTERPOINT ENERGY HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed e Tel #763-757-6202 FAX #'763-757-6701 Date I 30 Approv Rough -in Date Final Date do, d -Id101 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 plastWPVC and meets all current codes and manufacturer No ( ) specifications including sizing, length, number of elbows and termination. Yes ()o The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( No { ) The existing combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes ()o No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes } No ( ) When installinq a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include RGA-GAMA Category I Central Furnace Yes No ( ) Venting Tables for fan assisted and natural draft appliances. 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 r rg&ma9.- BTU Input lojro-�- Fan Assisted or Nat F�-- Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Taal Btu Input Common Vent Type fie-- Vent Height LA' Diameter 2-- inches Appliance #1 Vent Connector Height �� ft Length 3` 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) CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed By:�AAD,S�;� d —Date _ �9 �Gt/�Gt' [G11.9J.SL 01 A31G I NA A0 A, To WON -1 CF: T T 00OF-LE-88H Building $ BUILDING Plan Review Permit No.: � Inspections Fire Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY Date Rec'd: -� DATE YOUR E-MAIL ADDRESS SAC Charge SITE ADDRESS Curb Cut Escrow THIS APPLICANT IS: ❑ OWNER -CONTRACTOR Erosion Control PROPERTY OWNER/ NAME: h - e J ,I'S ,, Park Fee TENANT ADDRESS- `f' "C O Ls Qr,'yt M CITY_ -Fr, =y STATiNZIP PHONE: 763- 796 _ 12 / 3 Total Due CONTRACTOR NAME: e c H e S 0-.s, STATE LICENSE # O EXP DATE 3 iJ N , ! d Y SUBMIT A COPY OF YOUR STATE LICENSEADDRESS: �gD r , o r ITY St rr, �- I STATE - ZIP -WITH APPLICATION PHONE 615- 1- 6 q 6 - 3 YO 9 FAX PROPERTY TYPE fr8INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH +B -ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION rMAINTENANCE/REPA�InR ❑ REMODELING DESCRIBE WORK BEING DONE: +C,, d i -s 04- re rz,a SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING HOUSE ONLY NUMBER OF SQUARESfAL ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl []Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 TOTAL JOB VALUATION $ SSI 1 (R) FEE OCCUPANCY TYPE Permit Fee $ Plan Review $ Fire Surcharge $ 1,600 Surcharge $ ko License Surcharge $ o C) SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge Total Due _$ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work wh' qu' es review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME_ 1 a ei i/n N n l DATE VD C4 Building - $ / 61-1- , A5 T BUILDING Plan Review Permit No.:�,?AndZ —0/97/ Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-572=3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ 5 c` DATE YOUR E-MAIL ADDRESS $1675 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS $ ft + 6 ft = ft x $21 = $ THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: !I is N Fee Determined by Engineering TENANT ADDRESS: �[s 10.49-1 CITY STA�IPSS3Z Total Due PHONE: %gym 3 — ^ Make checks payable to: City of Fridley Attach Stipulations CONTRACTOR NAM& WO'C71�eA,, 0 X D�Su �x7Z92 i 01� S �s✓c. STATE LICENSE #_oid�o2 %(o SO EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 90�/ % S. > �� �- CITY aa�� �.N al STATOAT r.Sd iy WITH APPLICATION PHONE 3' -793 (t2-1 FAX ?63" 283 ^ PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYINEW CONSTRUCTION STORIES PERMIT TYPE DITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW J �DMON ❑ MAINTENANCEIREPAIR ❑ REMODEL G DESCRIBE WORK BEING DONE: A& SIZE OF IMPROVEMENT 2-C IS LENGTH /8 WIDTH 12-' HEIGHT S . Ft..2I6 ROOFINGi / 13 HOUSE ONLY NUMBER OF SQUARES "1 ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: E ❑ DETACHE7/6'5's 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, nyl ❑ Aluminum ,1!offit //� ❑ Trim �' ADDITIONS. & PORCHES SUBMIT: L Site Plan/Survey showing the existing structures X ❑ Other ¢:Fascia and proposed project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LACATION OF WINDOWS OF. 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE OF /AI ,+tl�d , 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 THf 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $� /-Mt. 4M- OCCUPANCY TYPE Permit Fee $ / 61-1- , A5 T See Back Page for Fee Schedule Plan Review $ /' . 8/ 65% of Building Permit Fee Fire Surcharge $ q', P tD .001 times the total job valuation Surcharge $ 4h, a 3 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ 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: City 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 application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whiq requires review and approval of plans. , SIGNATURE OF APPLICANT O 1 PRNT NAME /S,U/C, A . &et/LJW-4 DATE (PI2 Building BUILDING Permit No.: 20 t6b DW Inspections RESIDENTIAL APPLICATION Received By: MOOR 763-572-3604 CITY OF FRIDLEY DatR'd hi( DATE 0? 3 -5V 1w / 0 YOUR E-MAIL ADDRESS 1Q50krdd@ ? e -n(2 k V C SITE ADDRESS 1D6 0-c $ S, CSU THIS APPLICANT IS: ❑ OWNER OCONTRACTOR $ PROPERTY OWNER/ NAME:'(Y Ia ( t S In $ -,III Cl ADDRESS: TATE—_-XII'ZI TENANT $450 Conservation Plan Review p /- 4� 3 ' -' 13 $ Fee Determined by Engineering PHONE: Dc� NAME: Renewal By Andersen $ CONTRACTOR SUBMIT A COPY OF STATE LICENSE #_ 1920 County Road "C" West Make checks payable to: City of Fridley Attach YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 t STATE ZIP WITH APPLICATION PHONE License #20130983 O SINGLE FAMILY/NEI 651-264-4777 PROPERTY TYPE O TWO FAMILY/NEW G PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED❑ DRAIWS ❑ BASEMENT FINISH ❑ ROOF N TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW O ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: o'co R CM V\C -c .-'JS u�)1, ✓` SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT• GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS. O Vinyl ❑Soffit /ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structure ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WIND WS 3. Energy Calculations IN EXISTING OPENINGS OYes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 S I 'i 1 S 5C0 — OCCUPANCY TYPE Permit Fee $ 1 • * 5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 4.510 .001 times the total job valuation Surcharge $ -+.a$ .0005 x Permit Valuation Minimum $.50 License Surcharge $ S, CSU $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =S Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ a -7 Make checks payable to: City of Fridley Attach 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 conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approve plan in the case of all w��k hich requires review and approval of plans. SIGNATURE OF APPLICAN' 7 PRINT NAMEA 0uCCk. DATE 7