PRE 2010 DOCSCity of Fridley, Minn.
BUILDING (PERMIT N? =5982j
Date:
FOmer: Builder
Address _ — _ _ Address
IILDING
No. __ Street _._ _ Part of Lot
Lot Addition or Sub -Division r
Corner Lot __. Inside Lot Setback _� _ _ _ Sideyard
Sewer Elevation ____ Foundation Elevation
DESCRIPTION OF BUILDING
To ' Used a1�` ,s
Front _£+ '_ Depth j Height Sq. Ft. +� /� Cu. F't.
Prong 0110—Depth " Hight � q. Ft. 0 Cu. Ft. �40
Type of traction Est. Cost t<Fz To be Completed —
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
theproposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the City of Fridley.
X
In consideration of the payment of a fee of $� permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violan of any of the provisions of said
ordinances. I.ft � A
Building Inspector
NOTICE:
This permit does not corer the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to we
the Building Inspector for separate permits for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name A,y Builder 1,
Address Address73
LOCATION OF BUILDING
No. Street C �0 Part of Lot
Lot �Block A dition ors division #L
Corner Lot Inside Lot Setback 3,I -Side -Yard- /®
SEVtiTER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be used as:
Front; Depth Height
sq. Ft. YV 17Cu . Ft.
FrontDepth Height
Sq. Ft. Cu. Ft,.
Type of Construction Estimated Cost
To be Compl
0
The undersigned hereby makes.application for a permit for the work
herein specified, agreeing to do all work in strict accordance with
the City of Fridley Ordinances and ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DATE SIGNATURE
_ "
(Schedule of Fee Costs can be found on the Reverse Side).
. o � ems`.••
City of Fridley
Application for Plumbing and Cas F'itti'ng Perndt
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
Number Fixtures ......................� x $1.50
Future Fixture Opening ................ 2 x 1.20
New Fixture Old Opening .............. x 1.00
Catch Basin ............................ x 3.25
Water Heater (Up to 200,000 BTL) ...... x 2.00
New Ground Run Old Bldg. ............ x 3.25
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ...................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATE TOTAL
— x $1.50 $ /- -SoD
X .50 $
— x 2.00 $
DepL of Bldgs. Phone SII 4-7470 / ry
Location :2/ 6 ' / �y ® D SJ
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the faci
and representations stated in this application are true and correct.
Fridley, Minn JUL 121962
Owner / �'/G L e
Kind of Building
Used as -4;) 40
To be completed about �^ L
Estimated Cost, $ r
Old—New. Building Permit No.
.'�%d Permit No. (�
signeld 0 N DO C' L R�! "; 11! C C 0.
By
Business Phone No
ROUGH b -
FINAL
Description ................................................ $
TOTAL FEE $ OED.42 2M
a
Z
•
•
WATER HTR.
C�
z
�O
F
N
GAS
ELEG
Base
1st
l
2nd
3rd
4th
• Future Connection Openings
Connected with
I
Sewer �
New Fixture. Old Openings
Cesspool �
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
Number Fixtures ......................� x $1.50
Future Fixture Opening ................ 2 x 1.20
New Fixture Old Opening .............. x 1.00
Catch Basin ............................ x 3.25
Water Heater (Up to 200,000 BTL) ...... x 2.00
New Ground Run Old Bldg. ............ x 3.25
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ...................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATE TOTAL
— x $1.50 $ /- -SoD
X .50 $
— x 2.00 $
DepL of Bldgs. Phone SII 4-7470 / ry
Location :2/ 6 ' / �y ® D SJ
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the faci
and representations stated in this application are true and correct.
Fridley, Minn JUL 121962
Owner / �'/G L e
Kind of Building
Used as -4;) 40
To be completed about �^ L
Estimated Cost, $ r
Old—New. Building Permit No.
.'�%d Permit No. (�
signeld 0 N DO C' L R�! "; 11! C C 0.
By
Business Phone No
ROUGH b -
FINAL
Description ................................................ $
TOTAL FEE $ OED.42 2M
Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
STEAM or HOT WATER SYSTEM
RATE TOTAL
8.00 $
5.00 $
5.00 $
2.50 $
8.00 $
2.00
$
5.00
$
5.00
$
2.50
$
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
dl -
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES: NO RATE TO L
1st 3 Fixtures ...................... x $1.50 $
Additional Fixtures ................ x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
XAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE
Dept. of Bldgs. Phone SU 4-7470
City of Fridley: 10,
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 �an rect.
Mi
Fridley, nn JUL 1 I Mi 19 _
Kind of Building
Used as
To be completed about
17 1992
®o
Estimated Cost, $
ew uilding Permit No. � Z ---permit No. &
DESCRIPTION OF WORK
HEATING
, Warm Air—No007�
Trade Name �C �l�ld�2�
Size No/a5'o1;Z
Capacity
Sq. Ft. E.D.R" -2W ` BTU H.P.
Total Connected Load 4::G1• 4—/_ Kind of Fuel &d
BURNER — Trade Name
Size No `
Capacity
Sq. Ft. E.D.F3/6` BTU H.P.
(/
GEO. SED WICK HTG. & AIR-COND. CO
1001 Xenia AV. S.
Minneapolis 16, Minn.
Signe
By
4 Z zM
Business Phone ro—
(REMARKS-OVER)
' ,qe„°I➢' ,'� : �' .+E° f "B' a /4":� J�,'.w .'
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AY,�, .s`Y? Bo'�
_... ".G �cvi r S 'O pO L4
'Y
lY36
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of.pane lights of crack eq. tt
�` by17 v
4/6 V ,
N
HEAT -LOSS CALCULATIONS
DEPARTMENT OF BUILDINGS
�` MINNEAPOLIS. MINN.
Weatherstrips
A.S.H.V.E,
Construction No.
Insulation
L r 4 % _
-2,a�-
Guide
Total Ttu.
Exp. wall
, ! Y-
�: q
Windows
Doors
Reference Out. Wall
Int. Wall Ceiling
Roof Floor
Kind How.
Applied
Yes—No
I Yes—No
19—
Ceilin '�:
A F1.( Room Length ~ Width
"' Height
Fl.� Room Length .0 Width
Height "
.;:",
;f'a
i
Windows and boors—Crackage and. Area
Windows and Doors—Crackage and Area
Width Height No. of Lineal f . Area
No. of pane of pa liights of crack eq. ft.
p
Width
of pane
Height No. of Lineal ft. Area
ofppana lights of crack eq. fL
}No.
CoeC Btu.
Coef. Btu
Infiltration"
72:
�'�� i
Infiltration
Glass 'S
Exp. wall
Net exp. wall '' • °
Int. wall
Ceiling _t 0
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 _ ' A��-,�� Room I Length 1. , Width e a Height �t
Windows and Doors--Crackage and Asea
Width Height No. of Lineal ft. Area
No. of VaLne of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall A
P
Net exp. wall,
Int. wall
Ceiling f P t/ A f, � .
Floor I I
Total Btu. IL- k11/1 . "m
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room JLength I Width Height''
Windows add Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq, ft.
16 P-4 0
ICoef.1 Btu
Infiltration
Glass
Exp. wall
Net exp. i
Int. wall
Ceiling
Floor
Total Btu.
ft. E.D.R. or sq. ins. W.A. Leader of
Glass c.. • � ��.': �
Exp. wall` m
Net exp. wall ;_ ' Z, c a
Int. wall
Ceiling,.
Floor
Total Btu. d
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.i Room I Length Width Height
Windows and Doors—Crackage and Area
a
g
Width Height No. of Lineal ft. Area
Noe of pane of pane light! of crack eq. ft.
ay
/�'
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of.pane lights of crack eq. tt
�` by17 v
Coef. Btu
InfiltrationGlass
Coef.
Btu
Infiltration
Net exp. wallw"
Int. wall
Glass
L r 4 % _
-2,a�-
Total Ttu.
Exp. wall
, ! Y-
�: q
Net exp, wall
Int. wall
Ceilin '�:
It
Floor
Total Btu.
a
Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
Fl ' 7t i3. -,-k Room I Length p ,v" Width r `
Height': °
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of.pane lights of crack eq. tt
�` by17 v
Coef. Btu
InfiltrationGlass
"- e
Exp. wall
Net exp. wallw"
Int. wall
Ceiling �" r'�.t "' 0� e F Lw
L r 4 % _
Floor
Total Ttu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,
a
��'•1 9 _ 'Q . .
HEAT LOSS. CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No.
Guide
)VA ws I s Reference Out. Wall Int. all Ceiling Roof Floor Kind
es o es —+ 0 19
�.
Y F1.1 ' Y Room I Length ) V Width ,dam° Heieht II FI_I Room I Lena
Windows and Doors—Crackage and Area
1 ,r•-
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
qNo.
r
Coef. Btu
Infiltration
Coef.
Btu
Infiltration
Btu
Infiltration
+`
,'r
Glass
Ceiling
a
Glass
Exp. wall
Exp. wall
5-1Net
3
exp. wally
Net exp. wall
�.y ;
Int, wall
✓. „
Int. wall
Ceiling
fL X �'
ae
:" "",z_
Floor
Total Btu. 4 -""
t a'
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I 'Fl -1 L , Room I Length 17 Width j ,'Height
Windows an Doors—Crackage and At�ea
1 ,r•-
Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
qNo.
r
Coef. Btu
Infiltration
Glass
Coef.
Btu
Infiltration
Int. wall
Ceiling
t
Glass
Exp. wall
�-
3
Net exp. wall
64
,�
✓. „
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l 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
� �
MINNEAPOLIS. M.
Insulation
How. Applied
th 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 I
FI.) Room ( 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
Date: JUNE 18, 1965
DONALD STARK
City of Fridley, Minn.
BUILDING PERMIT
7S -
N? '7955
Builder Dalberg Bldrs, Inc.
Address 7340 Melody Drive N. E. Address 7472 Stinson Blvd.
LOCATION OF BUILDING
No. 7340 Street Melody Drive N. E. part of Lot
Lot 10 Block 4 Addition or Sub -Division Melody Manor, 2nd Addition
Corner Lot _ Inside Lot _ _ Setback Sideyard
Sewer Elevation — Foundation Elevation
To be Used as:
Type of Construction
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Est, Cost16 000 & 00 __ To be Completed
REPAIRS DUE TO STORM DAMAGE.
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 in compliance a& provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of It 10.00 permit is hereby granted to DALBERG BURS _
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, constructtion, alteration, maintenance, repair and moving of buildings
withing city limit Vus permit may be revoked at any time upon violation of any of the provisions of said
ordinan
ALLEN G. JE NSEN Building Inspector
NOTICEs
U& psrmh deet net eery the eondmeow, Wallatton for wMh& phnnbkB. ®a hsatk& sower or water. Be wre to sss
dto Botidln0 Inspector for sopuste pwmhs for then hens.
.. . y
4
APPLICATION FOR � PE1?MT.
_ CITY OF FRIDLXY # .LNESOTA
OWNER'S NAM
,WDRESS ` -
5
uib
No.. Part of Lot.�,_„
Lot Block Additions or Subdlvision _
Corner Lot Inside Lot Sets k Side Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to thi3 form, Two Certificates.,of. Survey of Lot add proposed -build
ing location dit�on ori these Certificates.
DESCRIPTION OF BiTILDING
r Tcr be used as :
Front Depth Je4 jftight_
/ �7— z1v
Sq. Ft. �ic� Cu. Ft.,
,Front Depth Height
Sq. Ft. Cu. F,t.
Type of Construction 0a Estimated Cost
_20..be _Cog et ed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to coo all work iii strict accordance with the City of Fridley Ordinances and
rulings ®f the Department' -of Buildings, and hereby declares that all -the facts and
representations stated in'this application are true and correct.
_0ebadale.of Fee Costs can be found on the Reverse Side).
r
IN
SUBJECT
City of Fridleyc7;761:
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
_
L PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY $$432
A. ,'' 612-571-3450
910-F15
9/9/98
JOB ADDRESS 7340 Melody Dr
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
4
Melody Manor, 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
JoAnn Stark 9 Same
784-4642
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Four Seasons Roofing & Remod 7930 Univ Ave NE -Fridley
-
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage 31S Tear -off
e
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Raalux Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
$2,656.00
$1.33
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-
$74.75
Fire C $2.66
U ON FORMANCE OF CONSTRUCTION.
Q
PLAN CHECK FEE
TOTA E
Li se C $5.
$83.74
5 GNA URE OF CONT TOR OR AUTHORIZED AGENT (DATEI
N P 0 V IDAT HIS IS PER IT�&
� I
INSP
DATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
IN
Effective 1/1:/98:
Name & Address: r Srffak : g346 X2.044 Tel. #_ /` 4- —1 414
MN LICENSE #_ r
Tel. # lg5—_9<61d ,
Attacli`to.thisxapplication, a Certificate of Survey of the h
lot, with the proposed construction drawn on it.to scale. r
-� DESCRIPTION OF IMPROVEMENT
fi
;:N AREA: Length ° F '.'Width Height Sq. Ft.
AftEA: Length .; Width Height Sq. Ft.
i� K AREA: I,engttitl`� ' Width Hgt/Ground Sq. Ft.
(r4 to
--,-ruction Type:&knfiy9..4:�oo Estimated Cost: $
(Fee Schedule. on Back)..
y Curb Cut 'Width Needed�� y``Ft 6 t = Ft x = $
z•I/
'
APPLICAll
ANT': Tel. #/-745-7
..�,
t
CITY USE ONLY
_
Fee �/ �� :<Fee Schedule on Reverse Side
:rcharge of Permit Valuation (1/10th%)
S,.%:,� Surcharge $ ,� . d�a'$:SO/$1;000 Valuation
SAC Charge $ `$1000 per SAC Unit
.00
L.iccnse Surcharge $ r $5(State Licensed Residential Contractors) Kz r
at )aa ror
n n �°• dwx
.::ticaay EscrowAlt. A or'Alt. B Above
wrK�
�� union Control $ °s� ;;4450.00 Conservation Plan Review
tt ,Fee Determined by Engineering ,
r iviain Charge $ Agreement Necessary [) Not Necessary [ ] r
TOTAL $ x
-
S'PII'ULATIONS.
r q,t u
`VC
OF FRIDLEY
SINGLE`Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
y
J.:�tructionAddress:
'CS.�r
Description:
Effective 1/1:/98:
Name & Address: r Srffak : g346 X2.044 Tel. #_ /` 4- —1 414
MN LICENSE #_ r
Tel. # lg5—_9<61d ,
Attacli`to.thisxapplication, a Certificate of Survey of the h
lot, with the proposed construction drawn on it.to scale. r
-� DESCRIPTION OF IMPROVEMENT
fi
;:N AREA: Length ° F '.'Width Height Sq. Ft.
AftEA: Length .; Width Height Sq. Ft.
i� K AREA: I,engttitl`� ' Width Hgt/Ground Sq. Ft.
(r4 to
--,-ruction Type:&knfiy9..4:�oo Estimated Cost: $
(Fee Schedule. on Back)..
y Curb Cut 'Width Needed�� y``Ft 6 t = Ft x = $
z•I/
'
APPLICAll
ANT': Tel. #/-745-7
..�,
t
CITY USE ONLY
_
Fee �/ �� :<Fee Schedule on Reverse Side
:rcharge of Permit Valuation (1/10th%)
S,.%:,� Surcharge $ ,� . d�a'$:SO/$1;000 Valuation
SAC Charge $ `$1000 per SAC Unit
.00
L.iccnse Surcharge $ r $5(State Licensed Residential Contractors) Kz r
at )aa ror
n n �°• dwx
.::ticaay EscrowAlt. A or'Alt. B Above
wrK�
�� union Control $ °s� ;;4450.00 Conservation Plan Review
tt ,Fee Determined by Engineering ,
r iviain Charge $ Agreement Necessary [) Not Necessary [ ] r
TOTAL $ x
-
S'PII'ULATIONS.
r q,t u
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX: (763) 571-1287
ADDRESS : 7340 MELODY DR NE
PIN : 113024240100
LEGAL DESC : MELODY MANOR 2ND ADD
LOT 10 BLOCK 4
PERMIT TYPE ELECTRICAL
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDITION/ALTERATION
PERMIT NO.: 2004-02034L;( 1
DATE ISSUED: 11/05/2004 ��11�"
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. WIRE FURNACE.
# INSPECTIONS 1
APPLICANT
SPARK ELECTRIC
2114 WASHINGTON ST NE
MINNEAPOLIS, MN 55418 -
OWNER
STARK JOANNE M
7340 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 presuqie 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 Date
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 40534
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX: (763)571-1287
ADDRESS 7340 MELODY DR NE
PIN 113024240100
LEGAL DESC MELODY MANOR 2ND ADD
LOT 10 BLOCK 4
PERMIT TYPE ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITIONAALTERATION
PERMIT NO.: 2004-02034 59
DATE ISSUED: 11/05/2004
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. WIRE FURNACE.
# INSPECTIONS 1
APPLICANT
SPARK ELECTRIC
2114 WASHINGTON ST NE
NIINNEAPOLIS, MN 55418 -
OWNER
STARK JOANNE M
7340 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 wort
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 Date
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 40534
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.