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L l 01 City of Fridley, Minn. BUILDING PERMIT N® .7019 Date: A 1,0– owner: Address Address Lot __ BlockAddition or Sub -Divisiod 7:�&n Corner Lot _. Inside Lat — G/ SetbacZg�k Sideyard �� 641SSewer Elevation �� % ` 1 a —_4pgWd&0on Elevation 7d, q a TGi' or l-oa rl iV & DESCRIPTION OF BUILDING To Used Te�yrwpeof jnstruction;r'5�jLd(29,e In consideration of the issuance to me of a permit to const the proposed work in accordance with the description above set ordinances of the city of Fridley. In consideration of the payment of a fee of $ 1 -Ca _' the building Is hereby granted to I agree to do provisions of the to construct the building or addition as described above. This permit is granted upon 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, Miimesota regardiig location, construction, alteration, maintenance, repair and movhig of buil�n�s writhe dty limits and this permit may be revoked at aqy� �pon violan of any of the provisions of said Building Inspector NOTICE: Sh permit does not ewer tie construction, habWen for wiring, plumbing, nee heating, sewer or wabr. Be sure to sea the Building inspector for separate permits for these hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, KDWSOTA CLEMRON, INC. Owner's Name Builder Address Address 3619 Benjamin St. N. E. . LOCATION OF BUILDING e No. StreetPart of Lot Lot Block Addition or Subdivision � Corner Lot Inside Lot P--' Setback 43'--0 Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: Type of To be Completed DESCRIPTION OF BUIIDING V. v Sq. Ft. /; ' 5 2 Cu. Ft. Front,,► Depth Height_' Sq. Ft. 'C4 �Cj Cu. Ft. timated Cost <ZO 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 re sentati stated in this aDDlioatioVaare true and correct. ,� _ `V (A Schedule of Fee Costs can be found on the Reverse Side.) City of Fridley, Mi BURDING PERIMT 0, e • ►�a�.�l/' -AAAA.� nunclex 69::C- - lL Address Address O TIO TL-WILQING No. 72s/ Street Pakt of Lot Lot -y� _ Block Addition or Sub - Corner Lot _ Inside Lot Se _ Sideyard Sewer Elevation Z 9 ?-�2 Fam&Man Elevation 4 U In consideration f issue the proposed work in rdance ordinances of the city of Fridley. SCRIPTION OF BUILDING Depth Heig Sq. Cu. Ft. 20 Depth Height . Ft. Cu. Ft. OL 19 Est. __ To be Completed me of a permit to the description abov I above I agree to do with of l provisions of 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 Bart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. F _ P 1 Building Inspector NOTICE: IMs perm* does not cover the construcdon, hwtaMon for vAr1n& pl=*Ing, gas hafts, ewer or water. Be sun to as the BWMIng Inspector for separate perms for these Nara. 9e,""i City of Fridley, Minn. N° 7709 BUILDING PERMIT Date: June 4. 1965 owner: .fig• Grannes Budder ClemrongInc. Address 2351 Melody Drive N. E. Address 701 Columbia Blvd. LOCATION OF BUILDING No. 7351 street Melody Drive N. E. Part of Lot Lot Block Addition or Sub -Division . Corner Lot — Inside Lot Setback Sideyard Sewer Elevation — — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft Cu. Ft Type of Construction Estcost W.600.00 To be Completed Storm Damage Repair: Rebuild on existing foundation. In consideration of the issuance to me of a permit to cons building described ab gree to do =posethe proposed work in accordance with the description above fo and in com ovisiona of d. the city of Fridley. In consideration of the payment of a fee of $—I=—, permit is hereby granted to ClemronInc, 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 location, construction, alteration, maintenance, repair and moving of buildings within the city limit two permit may be revoked at any time upon violation of any of the provisions of said ordinances. Alen Jensen Building Inqxctor NOTICE 7bb poem don not emu the eoedeuefla, duhMen for vAtbe, phmbie8, on hating, awa or water. Be wre to ne tho eotidieg Deter for separate permits for then hang. OWNER'S ADDRESS No 1 . APPLICATION FOR BUILDING PEPMT CITY OF FRIDLEY, MINNESOTA tOCATION OF BUILDING r W of Lot. Lot Block Addition or Subdivision Corner Lot Inside Lo t Setback Side Yard.,/: �cn SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two.Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front r-apth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. .Cu. Ft. p® Type of Construction Estimated Cost /- p -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 statedinthis application are true and correct. jSchedule of Fee Costs can be found on the Reverse Side). w ` 01 • w 53.00 Future !'!(tura Opening wy 52.00 New Fixture, Old Opening ~ u $2.00 Catch 912in • u x Nator I Macer Neater - ~ '�• $5,.00 100;000 STV 14 H y M Nater Softener w A u �' Old Building x Itoator U Heater - x C w 1, 8 •N N b S N N N N o i� r u' o a Q in :9Q% W w r9 x q es Lec 2:,d , )rd' (R) - N cure Connection Opening Connected with Suuor (•) - Ilaw Fixture, Old Opening Natur PARTIAL, RATE SCHEDULE PLWLBING FIXTURE RATES; NO. RATE TOTAL I%UT-Z er F Lx cure s x 53.00 Future !'!(tura Opening >1 52.00 New Fixture, Old Opening ~ x $2.00 Catch 912in • x $5,00 I Macer Neater - to 99,000 BT1J, x $5,.00 100;000 STV to 1990000 BTU x 510,00 Nater Softener ' New Ground Fun Old Building x 55,00 Electric Nater Heater - x $5,00 .GAS FITTI\'G FEES; ' 13t ) fixtures )JdLtLGna1 rlxtures :Cas Range to 199,000 BTU REPAIRS d ALTERATIONS ri rs t am oo each add. $100.00 or fraction State Surcharge TOTAL Fre $5.00 52.00 i i 97-84-416051 Job Address .. � F,�� n-riwg= Department of Buildings City of Fridley I Tal, 1571-3450 Tile undersigned hereby makes application for .a permit for the wo speoified agruoing•to do all work in strict accordance with the CI and rulings of the Oapartmaht of Buildings, and hereby declare# tt the facts and rsprgauntations stated in this application ace true Fridley, K.%,11-25-77 , OWNER Tnhn Vaal a KIND OF BUILDING frame - USED AS TO BE C014PLETED ABOUT 12-2-77 � ESTIMATED COST OLD - 1W4 UUILDING PERMIT NO, PE(Y1IT 110. Compcan MINN&ASCO Signed By' Tel. No, (iOUGII (NSP. Date , FINhL INSP. Data ' APPROVAL FOR PERMIT MIIIINUM FEC FOR ANY PLUMBING PERMIT 19 17.50 SUBJECT MIT NO. City of Fridley- 16 0.21 PAT THE TOP OF THE TWINS BUILDING PERMIT '. , NO.COMMUNITY DEVELOPMENT DIV.PROTECTIVE 5REEIPT INSPECTION SEC.�/ 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/26/80 JOB ADDRESS 7351 14elody Dr. N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 3 1 Melody Manor 2nd Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kent Small 7351 Melody Dr. N.E. Fridley 55432 784-2681 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install a built-in fireplace a heatalater # 3 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. Wood/Metal 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 R-1 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,400.00 $1.20 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTAL FEE a oil $16.20 SIGN URE FCONTRACT RORAUT H0 IZEDAGENT (DATE) HEN P QP LID ED THIS IS- YOUR �PERMIT S16NATUTIE OF OWNEFMfF OWNER BUILD RI (DATE) BLDG INSP GATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEW41TS (New, Alterations, Additions, or Repairs) OWNER: — ee,T- g f l BUILDER: ADDRESS: 7_3s/ ADDRESS: TEL NO: XgE 7� 2�SI .�� sir r��e TEL NO: .Construction Location ' STRI,T NO: '73S-1 STREET: LOT: 1 � BLOCK: 3 ADDITION: Corner Lot: Inside Lot: •Ae,- Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION 1w-sfy f l &',Lr -#J r ont: Depth: Height: l ft�a�re 4� 3a34z, Square. Feet_ Cubic Feet: Front: Depth: Height: Square -feet: Cubic Feet: Type of Construction: �)O' d �b 716-1 Estimated Cost: $ M 410-0 Zb Be Cbrapleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie 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 t -it all the facts and representzitions stated in this application are true aryp corre t. DATE: a-,- SIGNR'.CURE : a A Stipulations: City of Fridley AT THE TOP OF THE TWINS sueJEcr BUILDING PERMIT PERMI 192A9 r � COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. F ; i CITY HALL FRIDLEY 55432 't.—A j 612-571-3450 ECEIPT N NUMBER 910-F15 REV, DATE 10/22/87 PAGE OF APPROVED BY JOB ADDRESS 7351 Melody Drive N.E. 1 LEGAL DESCR. LOT NO, 17 BLOCK 3 TRACT OR ADDITION SEE ATTACHED Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kent Small 7351 Melody Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Normandale Services Route #1, isanti, MN 444-6118 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 j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 281 x 14' Deck and a 12t x 14' Screen Porch 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan wpr Before digging call lags¢ S�pARA`�t PERMI�� -080010-86��R AMD 0 TELEPHONE - Ei.E� b Rik n REC�l1IREO ?d 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 60 DAYS, OR IF CONSTRUCTION ZONING SQ. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $5,050 SURTAX $2.53 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISION F ANY OTHER ST TE OR L�CAL LAW REGULATING CON- STRUCTI OR THE PER RUCTION. PERMIT FEE $56.50 SAC CHARGE LAN CHECK FEE TOTAL FEE MAONST r $14.13 $73.16 SIGNATURE OF CONTRACTD AGENT 'WHEN PROPERLY V I ATED THIS IS YOUR PERMIT BLDG INSP ATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] ADDN. [ ] ALTER. [ ] Construction Address: Legal Description Owner Name & Addess: Contractor: Address• c City of Fridley �R-1 AND R21 Building Permit/ /,, Application 'q U,C An, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Effective 4/1/86 Tel. # 3:3g; - Tel. Tel. # -94L'-611 `i LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width /`� Hgt/Ground 'I" q. Ft. � p® 2�(All za-330.IL -z- OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $� l� Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: / APPLICANT: Tel. - U U Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ a Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ �•$.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering ka $ Agreement Necessary [ ] Not Necessary [ ] a �v s° (4 G a -1.o® S(n:s-Ci SUBJECT O. City of Fridley 27805 AT THE TOP OF THE TWINS BUILDING PERMIT �NO. `L .......COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 . � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY j 612-571-3450 910415 9/16/98 JoRgelSAN dyxHxx 7351 Melody Dr NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 17 3 1 Melody Manor, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale Kukielka 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Master Remodeling Inc 32 10th Ave S Hopkins 55343 932-9311 20012916 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 O ALTERATION xQ REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house & garage (20SQ) Tear-off; Reside 9 CHANGE OF USE FROM TO STIPULATIONS Reroof - Underlayment must comply with the State Building Code. Reside - Call for building wrap inspection before covering. 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,714.00 $.86 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- $56.75 Fire SC $1.71 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE Lice SC $5//00 $64.32 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT (DATES EN ROP VA IDAT BL 'NSP IT �)O I 6G/� HIS IS R P:71, pAI S.GNATURE OF OWNER, if OWNER BURDERI IDATEi JUN -16-1998 11:39 FROM CITY OF FRIDLEY TO 932 1 61NI'V e�s,V. SNEW N �ffective I/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ 1 SINGLE FAMILY AND DUPLEXES R-1 AND R -Z �' 3 BUILDING PEMT APPLICATION ConstructionAddress 7 351 /V e a , 1-0-/2/ oz ff bP4t- Legal Description: Owner Name &Address: Tel. # 7 Contractor: L--1- '� SIM! ftdh MN LICENSE #_ 2 o D LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach PPERM, a Certificate of Survey of the lot, with the proposed constriction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. �� x �O sg�ar � �; � g,�t►''9' Construction Type: '1'e'ar of -r /.Ae- 47eT �Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Tei. # 93� -9g? 1/ TOTAL $ �o q• 3Q STIPULATIONS: Gr, Permit Fee $ �• ! S� Fee Schedule on Reverse Side Fire Surcharge $ �% .001 of Permit Valuation (1/10th%) State Surcharge $ $.500$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ E-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 $ �o q• 3Q STIPULATIONS: Gr, CITY bF FRIDLEY INSPECTION DIViSION ✓Z ``�� �/�j 7 %��r�'� 6431. LYniversity Ave NEr'�-;r��) �: r�� Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE R OWN Effective On January 1, 2000 Residential Rate TOTAL Furnace Shell nd Duct Work, Burner - BUILDING USED AS c0�5� Also acem Furnace $ 30.00/� ( ent -Fill Out Back) ESTIMATED COST �Z Z O PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ g Circle ne ) ( ) No. of Heatin nits (Steam) Hot Water arm Air Gas Dryer $ 10.00 $ Trade Name Size No. 7 S o BTU HP EDR * r Co itioning - All Sizes $ 25.00 $ a 5 ^ Fuel �� _Total Connected Load y5 5? All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name �,,A ,✓ I T Zvi Size No. 1% of Value of Appliance or Work $ BTU�� . 004) HP EDR Commercial/Industrial O � V��/',e0'6 15 7 1.25% of Value of Appliance or Work $ SS • U 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 _ representations stated in this application are true and correct. TOTAL FEE $� MOMEENMYCENTER DATE �— O' `AD "=2MAVE. N. #128 PLYMOUTH, MN 55447 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGESigned i 9 4 o REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved ByRough-In Date Final Dat written permission from adjoining property owner. 4 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE .Fridley, MN 55432 672-3604 !/ _ �— Lia APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Oki Opening, New Fixture 3�Si*l e <----- -Uri U ' ` Shower C $ 5.00 .Drain :. .. Floor O a= Gas Range er=Auto.Wash : >>::. Water Heat Sump/Receiving Tank GasStories Elec Basement $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas" $10.00 Gas Range" $10.00 Gas Dryer" $10.00 Floor I Type $15.00 r' Floo 2 Floor Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Oki Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas" $10.00 Gas Range" $10.00 Gas Dryer" $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ _50 TOTAL FEE $ 20- W JOB ADDRESS _5A0&-&!5 ©WIJ15L d e- Wi'.J 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. 1�130 KUKIELKA, DALE 2ZXV 7351 MELODY DRIVE NORTHEAST FRIDLEY, MN 55432 Owner (763) 785-7821 Building Used As ( JA °° l Estimated Cost T "� PERMIT NO. ` ' • PLUMBING SIGNED BY Approved By "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A MINIMUM SIZE 9 SQ INCHES. CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 November 7, 2001 Mr. Dale Kukielka 7351 Melody Drive NE Fridley, MN 55432 Re: Final Inspection at 7351 Melody Drive NE Contractor: Home Energy Center & Norblom Plumbing Dear Mr. Kukielka: Permits were issued on November 9, 2000 and November 14, 2000 to install a furnace, air conditioner and water heater at your address. During the inspection on November 9, 2000 the following corrections were noted which must be completed before the permits can be finaled and the work approved: 1. Size furnace vent connector and common flue per manufacturer's specifications and GAMA tables. 2. Provide firestop at floor. 3. Provide approved flue cap. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the mechanical work authorized by these permits. As of this date, no inspection has been called for. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. SUBJECT P City of Fridley 313 4 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION 1 . � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By L 612-571-3450 910415 8/25/00 JOB ADDRESS 7351 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED OEscR. 17 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Dale/Jennifer Kukielka 7351 Melody Drive NE 763-785-7821 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Home Remedy Inc 26516 Vickers St NE, Isanti, MN 55040 763-780-4030 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20086880 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW Cj ADDITION 0 ALTERATION 0 REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Construct a 10' x 5'8" Entry 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS WARMING REQUIRED FOR: HEATING Before digging call forWIRING PLUMBING AND SIGNS all utility locations 4540002 REQUIRED BY LAW 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 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 $13,000 $6.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $223.25 Fire S $13.00 PLAN CHECK F TOTAL F E Lice $5.00 $2 .75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN PR P ALIDAT D T IS IS YQUR PERMLT BL INSP DAZE S-GNATURE OFOWNERIIO OWNER BUILDERI IDATEI NEW I ] Effecf f�12-000 ADDIS! [yam CITY OF FRIDLEY (763) 572 04 Bldg I n s p ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION j!�� Construction Address: Legal Description: _ — --- - --- Owner Name & Address: Tel. # G/? •7�5• %�� / Contractor: MN LICENSE#20Gt�G8cg0 Address: ;266,1 1//4/ .y S ST. /Y /SAsS�T/� 11W S.SO D Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ 4.9'4M vo 50 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 04 APPLICANT: iV/>md►sr Tel. # //,r •9�, - lVaS'D CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $, ��.3.�✓r Fee Schedule on Reverse Side Fire Surcharge $ /3, 00 .001 of Permit Valuation (1/10th%) State Surcharge $ C. Sb $.50/$1,000 Valuation SAC Charge $ �� $1100 per SAC Unit License Surcharge Driveway Escrow Erosion Control Park Fee $_�. OU $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: PLUMBING RESIDENTIAL APPLICATION City of Fridley P N ber Received By Date Received NOTE: IF PROPERTY IS NOT OWNER/OCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT. ® c r d! 0 :5 � IVAP 0) �o�'�/�� DATE YOUR E-MAIL ADDRESS SITE ADDRESS 9, o/ S -O df %ca dy 0 ov I THE APPLICANT IS: (CIRCLE ONE) OWNERCONTRACTOR NAME ^f & i e !< �-/lfl�c PROPERTY OWNER/ ADDRESS -g 5-1 ,0 : s, TENANT CITY_ _ t -'I?' r1L >� STATEZIP PHONE # NAME LICENSE # ADDRESS „f ' d9/ d%i✓ CONTRACTOR a 00 STATE 2!2'd � rtda?d ZIP SSW 72 PHONE #_ SD' 11 kg2 -:2G 9 FAX# fJ L O L-9 YS 0 PERMIT TYPE SINGLE FAMILY TWO FAMILY TOWNHOUSE TYPE OF WORK ❑ NEW ❑ REPLACEMENT / VO4/moi' DETAILED DESCRIPTION OF WORK 0�4- 11V A -MOR �y £7'"esf- Cww" Z, iy W 1? -r /-,v VLA -.--jt a r,4d!2 0 o' CA -ex /A&gov S' �� r�L Z•Jari - C,47 Cm c."Iq FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED 1.4V, WT/" FIXTURES: (INDICATE TOTAL NUMBER OF EACH) BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15) DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION WATER METER OTHER .gyp 7� 5 Permit Fee $ MINIMUM: $15.00 or 5% of cost of the improvement -whichever is Plan Review $ greater on work less than $300 Surcharge $ .50 TOTAL DUE $ 62 Make checks payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT - NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in a rdancs with the approved plan in the case of all work which requires review and approval of plans. �A�os2 NAME OF APPLICANT �- ,d C��' ` DATE Please type or print SIGNATURE OF APPLICANTi/t_ /1z "��'F„ , 1�'LEAS€'nNOTE S�PARATE PERMt'TS AIDE R�QUIRED-Fdlt BU�'�ING� El.>:C�R)GAL, � ! C RK fi�5� �� `'�� �' �i � f Z .. }3. ..C`: .FF .f, .,3., ca2:?•.. .'wb".£.o w�.. cam`. ,1'�%.-. .L. a' U I T UI- 1-KIULET UUMMUNITY DEVELOPMENT DEPARTMENT 6431 UNIVESITY AVENUE NE, FRIDLEY, MN 55432 11D ���5 (763)572-3604