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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N© s 315 y Date: st '~ -W= Vor P 1. w " Owner: Builder -- Address Address w O TION F BUILDING No roe Street Lot ` Block Addition or Sub -Division Corner xzb Inside Lost Setback Sideyard � ' Sewer Elevation _ __ _ Foundation,. Elevation DESCRIPTION OF BUILDING To Used Front L` ., ' Depth fleight .2 -to-" Sq. Ft. Cu. t Depth eight - Sq. Type -W Construction _.. Est. Cost 1� 1'a` lie Completed - In consideration of the issuance to me of a permit to construct the building described above I agree . to do the proposed work in accordance with the description above set fortYt and is compliance with afl 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 br addit%as described above. This permit is granted upon the express condition that the person to whom it iso 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 violatiCsn of any of the provisions of said ordinances. A " �1 NOTICE: TN9 permh den not eowr the condruction, huh Wen for rrblea, phm+bieo, gn hearing, awe or wbr. Bo sure to ae time Whiiag hopeftr for aparate permhs for thea items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S IMME 0za't-"P_A'(�'7_BUILDER ADDRESS�� �]� / ADDRESS LOCATION OF BUILDING No. 3� Street Part of Lot oe Lot Block Addition or Subdivis on,� Corner Lot Inside Lot Setback .3�� Side-Yar SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Ze Depth Height CO" Sq. Ft. i/�4 Cu. Ft. Front Depth Height S . Ft. Cu. Ft. Type of Construction Estimated Cost Z, � To be Completed The undersigned hereby mares 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. SiGNATVM (Schedule of Fee Costs can be found on the Reverse Side). I 41 Application for Power Plants and H ' App eating, Cooling, Ventilation. ReFngerahon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 90,490 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. IDR 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 t5:40_0 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $r Additional Fixtures ................ x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $1 ROUGH FINAL -3 •� nnnt_ of RldeL pltona RV L.7d70 i. City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner 1990 Kind of Used as To be completed about -Z_ /ce—l/ Estimated Cost, $ (//D02 Old --99Q, Building Permit No. /<-d Permit No. aD;-P DESCRIPTION OF WORK HEATING or POWER steam, Hot Water, Warm Air—No� Trade Name ,s—��� Size Capacity. Sq. Ft. E.D.BTU H.P. Total Connected Load — 1iJ s Kind of Fuel., BURNER — Trade Nam ` Size No�l Capacity Sq. Ft. E.D. �� BTU H.P. SUBURBAN IIIA 1iM & SE4'7ET METAL 8419 CEN 1 ER DRIVE N. E. Signe MINNEAPOLIS 21, MINN, By 67 .Z!r42 2M Business Phone No (REMARKS—OVER) HEAT LOSS CALCULATIONS Weatherstrips H. Guide Windows. Doors Reference Out. —NoNo 19,- ® - Room I Lenstth2/';F71 DEPARTMENT OF BUILDINGS Construction No. Int. Wall Ceiling Roof I Floor Z _ 4 s,�/ IIeight el. 11 / Windows anif Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq_ ft. Width Height. No. of _Lineal tt. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. wive Infiltration Coef.1 Btu Coef.1 Btu Infiltration 5L Glass ® Glass Exp. wall Net exp. wall Exp. wall Floor ®®�� ,® Int. wall ® c7 Ceiling Ceiling Wow, .3 Floor �® Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room length Width Height / Windows and Doors—Crackage and Area width Height No. oL Lineal ft. Area No. of vane of pane lights of crack Coef. 1 Btu Infiltration Glass 2.1 - Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Fader area F1.1 Length y ( Width Windows and Doors—Crackage and Area width Helght No. oL Lineal ft. Area No. of Wane of pane lights of crack ea. ft. Coef.l Btu Infiltration Glass Exp. wall Net exa. wall !M Floor , Total Btu. e "Required sq. ft. E.D.R. or sq. ins. W.A. leader area Y;/ yy ✓ A ROSEVILLE, MINN. Insulation Kind -- o Applied Reem l Lenath .P�v yrrena �/Heisth � inflows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq_ ft. Width Height. No. of _Lineal tt. Area No. of pane of pane lights of crack eq. ft. 6 laieev Coef. Btu Infiltration Coef.1 Btu Infiltration Exp. wall Glass y 5L Glass ® "� Exp. wall Floor Int. wall Net exp. wall Int. wall ® c7 Ceiling Floor Floor Total Btu. :Required sq. ft. / F7_I '.R. or sa. ins. W.A. Leader area Room I Lenath 9 ^ / Width /'J_/ Heistht 52 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq_ ft. Width, Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. tt° 6 laieev Coef. Btu Infiltration 6; V Glass O ire Exp. wall Glass y Net exp. wall zv o� Int. wall Ceiling iq Floor Total Btu. a Required sq. ft. E.D.R. or sq. ins.. W.A. Leader area l t .--.I. M.tth is i 14.;& t0-/ Window -s and Doors—Crackage and Area Width, Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. tt° 6 laieev Coef-I Btu Infiltration a Glass y ,� 4700 Exp. wall Net exp. wall Int. wall Ceiling 7 Floor Total Btu. City of Fridley Application for Plumbing and Gas Fitting Perndt Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK �� Number, Kind and Location of Fixtures Location r, City of Fridley: J 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 applie do are true and correct. /'\ FrAley, Minn.c�-/1 -3- 1900 Kind of Building Used as To be completed about PARTIAL RATE SCHEDULE Estimated Cost, .$ iii = i uiUy' 8`dZ t�3Z ~ O RATE Z Z i WO • R • N WATER HTR. GAS ELEG Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x o� $ �'o $ 3 cog o� CS Water Heater (Up to 200,000.BTU) ...... z� x 2.00 $ ROUGH �-3 �' C� ' New Ground Run Old Bldg. ............ x 3.25 $ FINAL GAS FITTING FEES: RATE TOTAL _ Base s x $1.50 U $ .//-6- /Additional Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd 4th • Future Connection Openings Connected with * New Fixture, Old Openings I Sewer ❑ Cesspool ❑ City of Fridley: J 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 applie do are true and correct. /'\ FrAley, Minn.c�-/1 -3- 1900 Kind of Building Used as To be completed about PARTIAL RATE SCHEDULE Estimated Cost, .$ C 6 1 PLIIMBING FIXTURE RATES: NO. RATE TOTAL Old Ne ding Permit No Pe No. Number FixturesC1 ...................... � x $1.50 $ 16 Signe o Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ Business Phone No Catch Basin ............................ x 3.25 $ 8 Water Heater (Up to 200,000.BTU) ...... z� x 2.00 $ ROUGH �-3 �' C� ' New Ground Run Old Bldg. ............ x 3.25 $ FINAL GAS FITTING FEES: RATE TOTAL _ lot 3 Fixtures .......................... x $1.50 U $ .//-6- /Additional Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 42 4M City of Fridley, Minn. BUILDING PERAUT Date: June 22, 1965 Owner: Gordon Starkey Builder Address 7330 Melody Drive Address .20® -7,-- N° '7988 Dalberg Builders, Inc. 1121 80th Ave. N. E. LOCATION OF BUILDING No. 7330 Street Melody Drive N. E. Part of Lot Lot 11 _ Block 4 Addition or Sub-Dividon Melody Manorl. 2nd. Add. Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation _ Foundation Mevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est Cost X12,000.00 To be Completed Storm Damage Repair Just the shell left. Repair present house In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work ffi accordance with the description above se in compliance a'll provisions of ordinances of the city of Fridley. �� 12 "7 ,2 D . In consideration of the payment of a fee of10�___- 00 , permit is hereby granted to_Dalberg B4ildi 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 paw thereof, shall conform in all respects to the ordinances of Fridley, Minnesota negardi l oi mco � evoked at anytime upon tionn off any of provisions of saiand moving of d within the dty limits and ordinances. Allen Jensen Building motor NOTICE: This pwmh dos sof em m the cosfrudim, hdaihtflen ler whtng, plm h gas heetho nwer or wafer. Be am to we the MAW les sdw for aepm" permha for these hens. 4 M APPLICATION FOR ING PERMIT ti CITY OF FRIDLEYO NNESOTA r7 .7 OWNER'S NAME c"-uJ BUILDER ADDRESS ADDRESS Z�j LOCATION OF' BING No. 0---�a Str` eat Part of Lot�,�, Lot — Block Addition' or SubdlWi9ian Corner Loe Inside Lot *b k ­---Side-Yard SEWER' ELEVATION _FOUNDATION ELEV'&ION Applicant attach to thi9 form, Two Certificates of. Survey of Lot and proposed`buildow- ing location drawn on these Certificates. DESCRIPTION OF BtILDING J To be used as: Prront Depth _Height Sq. Ft. -_ Ft.. �- R- ---Depth -—Height ,Sq. Ft. Cu. Ft. Type of Construction :..,.. Estimated Cost ly tee e The undersigned hereby makes application for a permit for the work herein specified, agreeing'to do all 'work ift 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. Le" of Fee Costs can be found on the Reverse Side). City of Fridley, Minn. N° 8062 BUILDING PERMIT Date: June 28, 1965 per; _Joseph Bow Builder Nilsen Erickson, Inc. Addren? 0 Melody Drive N. E. Address 7639 W. 14: h Street LOCATION OF BUILDING No. 7330 street Melody Drive N. E. Part of Lot Lot 11 _ Block 4 Addition or Sub -Division Melodg Manor, 2nd Add. Corner Lot Inside Lot _ _ Setback — Sideyard Sewer Elevation ` Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling Front Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Constriction Frame Est Cost $n,9500.00 To be Completed Reconstruct Storm damage repair In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $10,00 , permit is hereby granted to Nilsen Erickson, 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, Minnesotarega��gg location, construction, alteration, maintenance, repair and moving of buildings within the city Emil zms permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen Building Inspector NOTICE Uh permit don rw eowr the construWan, brdaWan foe wkk& plumbing, gn haft, sewer or wder. Be an to we the Bu"Ing Inspector for sopmte permit for thea hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME "� i��� BUILDER' /11.5,re ADDRESS �;E Ty 1 ol__' ^ ADDRESS %� 3:211 LOCATION OF BUILDING Street Part of Lot .—..-... L( R�ADDITION OR SUBDIVISION i Corner Lot Inside LOT Setback Side -Yard SEWER ELEVATIpNFOUNDATION ELEVATION Applicant attach to this form tWo Certificates of Survey of Lot and proposed building location drawn on these bettificatesl To be used as; DESCRIPTION Oi BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction _dAw G' Estimated Cost. -44- °` � 2 To be completed /jam, _ �-- _-- 1 - .�_ 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. DAPI;U � ,________SIGNATURE. (Schedule of Fee Costs can be found on the Reverse Side). vC) 131111116 SUBJECT PERM® City of Fridley 213r AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � NUMBER REV. GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J` 612-560-3450 910-F15 5/22/73 JOB ADDRESS 7330 Melody Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 4 1 McLlody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gordon Staikey 7330 Melody Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dalberg Builders Inc. 1121 - 80th Avenue N.E. -7-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 EX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Make recreation room out of present basement 12' x 22' 9 CHANGE OF USE FROM TO STIPULATIONS FOR WIRING& �RNIiT� ���u1R'�D �.+dO NG AND SIGNS• g.PIER i� �pTINGti P' 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 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. 60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,200.00 • 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- 15.00 STRUCT PERFORMANCE ONSTRUCTION. PLAN CHECK FEE TOTALFEE 15.60 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ATE) WHE PROPERLY VALIDAT D THS YOUR PERMIT �. s BLDG ]NSP DATE SIGI. URE OF OWNER IIF OWNER BUILDER) (DATE) 131111116 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME• BUILDER• ADDRESS: 3�� //3-Y.�.P ADDRESS: NO:. 3�0 STREET:_ LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: 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; '4 "e @ '& AZ -S Front: Depth: Height: Square Feet: Cubic Feet: Front; Depth: Height: Square Feet; Cubic Feet: Type of Construction; Estimated Cost: $ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stfict 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. s DATE: _ 22- 3 —'�_)3 SIGNATURE: (See Reverse Side For Additional Information.) � r r City of Fridley AT THE TOP OF THE TWINS sue�EcT BUILDING P E R M I T NO. 26 51 Ir?RECEIPT r � _ COMMUNITY DEVELOPMENT DIV. Tr PROTECTIVE INSPECTION SEC. 1 = r I CITY HALL FRIDLEY 55432 , 1'j 612-571-3450 O� � [/ NUMBER 910415 REV DATE 7-8-98 PAGE OF APPROVED BY JOB ADDRESS 7370 Melodv Drive I LEGAL DESCR. LOT NO, 1 7 BLOCK 4 TRACT OR ADDITION Melody Manor 2nd Addition SEE ATTACHED SHEET 2 PROPERTY OWNERMAIL ADDRESS ZIP Dave Fenni�g PHONE Lis O 38780 786-5472 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Four Seasons Roofing & Remodeling, 7930 University Ave Fridley, 55432, 795-9410 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 KesSE Oi eIItlal 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Remove & Replace (27 Sq) roof - tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION $2,251 SURTAX $1.12 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- S CTIO OR THE PE FORMANCE OF CONSTRUCTION. $74.51 Fire SC. $2.25 Q C70 j PLAN CHECK FEETOTAL License C $5 0 FEE 2.88 O O ACTOR OR AUTHORIZED AGENT IDATEI SIGNATURE OF COO N P OPE ALIDAT BL.G�SP �� ,THIS I R PERMIT = z-: i C DATE SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY. OF FRIDLEY . ALTER [ ] j SINGLE FAMILY •AND DUPLEXES R-1 AND R-2 I� BUILDING PERMIT APPLICATION ConstructionAddress: 76 M e/ ot J tiB !) r - Legal Description: Owner Name & Address: A 6 r= e - to Q i 4 Tel: #-2%2-- d/22, Contractor: ons ® cL g roo lLICENSE # JO 13_ � `7q9�-* � 8 780 Address:. (l t is i + Tel. # / 9J gq10 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: 110 a/ygye- d-, Construction Type:R@A� h d. fg,, P Estimated Cost: $ (Fee Schedule, on Back).. Driveway Curb Cut Width Needed: Ft: +-6 Ft = Ft x $ _ $ DATE:. 7- J9 APPLICANT: Tel. # CITY USE ONLY Permit Fee $ W,Fee Schedule on Reverse Side Fire Surcharge _ $ �� ,..001 of Permit"Valuation (1/10th%) State Surcharge $ �_ $.50/$1;000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ _ . 00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ '' -Agreement Necessary [ ] Not Necessary TOTAL $ C.' • D� STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 F631572-3604 FAX: (763)571-1287 ADDRESS : 7330 MELODY DR NE PIN : 113024240101 LEGAL DESC : MELODY MANOR 2ND ADD : LOT 11 BLOCK 4 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PE N0.:2004-01279 DATE ISSUED: 08/06/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL FURNACE (WARM AIR, RUUD, 75,000 BTUS) AND AN AIR CONDITIONER. # A/C UNITS I # FURNACES 1 # GAS DRYERS VALUE (FOR MINIMUM CALC) APPLICANT SUPERIOR CONTRACTORS INC 612142 AVE N CRYSTAL, MN 55422 OWNER GREWE FRANCIS & SUSAN 7330 MELODY DR NE FRIDLEY, MN 55432 0 # GAS RANGES 0 4000 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 p6rform3ance of construction. Bldg HEATING PERMIT MINIMUM FEE 0.00 FURNACE SHELL/DUCT WORK 35.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 60.50 PAID WITH CHECK # 16721 SEPARATE PERMITS REOLURED FOR WORK OTHER THAN DESCRIBED ABOVE. 1 . -` CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater e4# 4a 01 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS Fee Total ,D� ' I Owner �1'�' $35.00 $ M:10 Building Used As W�'y $10.00 $ ESTIMATED COST ���� PERMIT NO 6;M i $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units t Circle One (Steam) (Hot Wate (Warm Air Trade Name 7P00 Size No. a $25.00 $ BTU HP EDR Fuel Total Connected Load $ Burner Trade Name Size No. BTU HP EDR Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR 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. $ "50 HEATING $ (0. '!�b *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City y FAX # r y°.T-k I ® R (fo ti7R Arm AJ -c- Tel # 532 - e zl9l Date 9 Y'C4( FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved b Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes;(/ No( ) The venting system is plastic/PVC and meets all current codes and manufacturer 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 FLJRA1ft'f,6' BTU Input 000Fan Assisted r NaL Appliance #2 Type ff� BTU Input ®®� Fan Assisted o a Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input IL,40a Common Vent Type Vent Height /do Diameter 7 inches Appliance #1 Vent Connector Height ft Length -5 ft DiameterLin Type 64 Appliance #2 Vent Connector Height ft Length —ft Diameter in Type C 4 -Ass e - Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) 4 (2% Ac's A HEATING CO: (521 ®R, toe &A)RX- Signed By: Col's Date : ie -7 V0Y s •, CITY OF FRMLEY PERMIT NO.: 2004-01290 Vy) 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 08/09/2004 571-36U4 VAX: (763) 571-1287 ADDRESS 7330 MELODY DR NE PIN 113024240101 LEGAL DESC MELODY MANOR 2ND ADD LOT 11 BLOCK 4 PERMIT TYPE ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL AN AIR CONDITIONER. # INSPECTIONS 1 APPLICANT R & D ELECTRIC 18477 KRYPTON ST NW ANOKA, MN 55303 FlYN-0-ull GREWE FRANCIS & SUSAN 7330 MELODY DR 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 # 3872 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. - V CITY OF FRIDLEY PERMIT NO.: 2005-00045 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/18/2005 763 572-3604 FAX: 763 571-1287 ADDRESS : 7330 MELODY DR NE PIN : 113024240101 LEGAL DESC : MELODY MANOR 2ND ADD : LOT 11 BLOCK 4 PERMIT TYPE : PLUMBING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION $ 0.00 # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE 0 # NEW FIXTURES (EXIST OPENINGS) 3 # GAS WATER HEATERS 0 # GAS DRYERS 0 # GAS RANGES 0 # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) 0 # WATER TRMT APPLIANCES 0 APPLICANT PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) 0.00 0.00 ANDERSON JAMES PLUBING INC. 5525 AMBASSADOR BLVD. PLBG FIXTURES (EXIST OPENINGS) 30.00 ST FRANCIS, MN 55070 WATER TREATMENT APPLIANCE 0.00 (763) 753-2734 WATER HEATER - ELEC 0.00 WATER HEATER - GAS 0.00 GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS 0.00 0.00 0.00 OWNER GREWE FRANCIS & SUSAN 7330 MELODY DR NE STATE SURCHARGE, PLBG FLAT 0.50 FRIDLEY, MN 55432 TOTAL 30.50 PAID WITH CHECK # 7816 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violatr ancel the provisions of any other state or local law regul; i�i,nng co struct'on or the performance of construc on. Applicant Date Bldg Ins p % A AD SEPARATE PERMITS�REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On Jan 1, 2000 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT ' MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL --7'2 JOB ADDRESS 3 ?0 N6L'0J f)P, i y New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture 3$1600.®0 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 13 —,200,S Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner :5u 6 T H 0/44 15d �J Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer*" $10.00 Estimated CoPERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBINGC AN AI"6 ��O� �(� a )�& 4 Reinspection Fee $47.00/Hr SIGNED B4U TEL NO 6-153 -,�l 3q ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 TOTALFEE 5U� PLUS THE $.50 STATE SURCHARGE 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 verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer 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 manufacturers 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: Building BUILDING Permit No.: D� -° l `iCj Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE Y-,. Z - O S YO -MAIL ADDRESS SITE ADDRESS CJS . THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: n^ TENANT ADDRESS: Sa- 0 CITY STATE ZIP PHONE: 7—1 z-- 6 E7 CONTRACTOR NAME: " a "C -z— C/& p /,v C - STATE LICENSE # dL 001'6 5 )�4 EXP DATE ` Oct SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 6lD /S CITY " STAT&e%,P 03 WITH APPLICATION PHONE t; Z G FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR Q REMODELING DESCRIBE WORK BEING DONE: D SIZE OF IMPROVEMENT 0 S� LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• 3. Proposed floor plan List of structural members to be used PROPOSED HEIGHT: 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 7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ ) See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ 001 x Permit Valuation (1/10%) License Surcharge $ ^ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ ,y Agreement necessary ( ) Non Necessary ( ) Total Due $ 71. L 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 which es re and approval of plans. �/ -4 C A&WI DATESIGNATURE OF APPLICANT PRINTNAME /l