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PRE 2010 DOCSCity of Fridley, Mian.. BUILDING PERMIT Owner: Builder Address Address r LOCATN f ILDING No. Street i Part of Lot Lot2 L2__ Block ddition or Sub -Division Corner Lot — Inside Lot Setback ��.� __._ Sideyar Sewer Elevation --. Foundation Elevation DESCRIPTION Of BUILDING N° 6389 T U 7 :C.'L/ J)'00- '45: Axe Front Depth Height Sq. Ft. �j Cu. Ft. t Depth Height Sq. Ft. Cu. Ft. truction Est _ �® To be Completed Type of ns 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 d in compliance with ail provisions of ordinances of the city of Fridley. / 01 A A ar— CSV In consideration of the payment of a fee of $ p��— , 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 violation of any of the provisions of said ordinances. Building Inspector NOTICE: Ibis permit don not ewer the construction, hntaWen for VArhm plumbing, on heating, rower or water. Bs sure to as the Building Inspector for aperate permhs for thea hens. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA owner I s Name do uil , A, 6 & Address jr '-_041. AAddress A457 7EL � LOCATION OF BUILDING No. / StreetPart of Lot Lot M Block Addition or SWAiv'isionkLk Corner Lotinside Lot Setback -Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey.of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING FA s sq. Ft ._ _, d£— cu. U U eight ZJ2 Ft. � eight sq. Ft. .a n Cu . Ft. 7d-6& Type of Construction Estimated Cost To be The undersigned hereby makes *plication 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.-' (Schedule of Fee Costs-canbe found on the Reverse Side). W . , Date: _ June 28, 1965 Donald Johnson City of Fridley, Minn.. BUILDING PERMIT Builder Ben Volke Address _ 7381 Melody Drive Adm 251 Rice Creek Terrace No 8040 LOCATION OF BUILDING No. 7381 Street Melody Drive Part of Lot Lot 1 _Block 2 Addition or Sub -Division Melody Manor Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. cost Wl 000:00 —To be completed Storm damage repair: Rebuilding In consideration of the issuance to me of a permit to construct ding described above I agree do the proposed work in accordance with the description above set in complianc/q/with 21w7rof crdiaances of the city of Fridley. /� ,/ In consideration of the payment of a fee of $ 10.00 permit is hereby granted to Hen Wolke 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 limits wis permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen Big Inspector NOTICES Uh perm@ don net Corer the Coafrudion, finfa tion for whdng, phmrhlng, gn hearing, sewer or water. Be sura to ao the Building Inpedor for apwaft pwmhs for thea itm& APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA r OWNER ' S NAME- DER ADDRESS / 'ADDRESS7-57�1tj '_4 0 P LOCATION OF BUILDING''- Na. Street Part of Lot F LOT BLOCK ADDITION OR SUBDIVISION VAM 40( Corner Lot Inside LOT Setback Side-YardC, "�� SEWER .ELEVATION FOUNDATION ELEVATI0N Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth _Height, Sq. Ft. Cu. Ft. Type of Construction Estimated Cost I 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 correct. DATE ,tet SIGNATUREe of Fee Costs can be found on the Reverse Side). p a 016 M • I City ®f FPedley Dept. of Bldgs. Phone SM -3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures �^ o�j - N E a • • WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th Future Connection Openings %loanvcna wun * Now Fixtum, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture Old Opening Catch Basin Water Heater (Up to 99,000 BTU) New Ground Run Old Bldg. Electric Water Heater GAS FITTING FEES: NO. x $2.00 $ x $1.50 $ X $1.50 $ x $3.25 $ X $3.00 $ x $3.25 $ : $2.00 $ RATE TOTAL Location- 7381 NE. Melody Drive City of Fridley: 879.01 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_ 1180, 15- 1969 19_ Owner Donald D, Johnson Kind of Building frame Used as residence To be completed about Deo • 19 • 1969 Estimated Cost, $10.00 Old-XNew. Building Permit No.—_ _ _ _Permit No. Signed • By_ Bus' Phone ROUGH FINAL 1st 3 Fixtures ......... . .... ...... .. x $2.00 $ Additional Fixtures ..... .............. x $ .,M $ Gas Range to 198,000 BTU .............. _—__7�_ x $5.00 $ 3.00 Replace 1 REPAIRS & AL'TERIITIONB—Refs to cod* Description .................................. .........$ TOTAL FEE $ 3.00 `D -1O9) -(o 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 $ G,""' GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ 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 $ o f ROUGH R VINAL 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. Fridley, Minn 19 — Owner Oct) I L_L_C Kind of Building Used as 20 Lk LL 1 1J To be completed about e J Estimated Cost, $ C=1 1 Old New. uilding Permit No. Permit No. oz 3 DESCRIPTION OF WORK HEATING e—,D\"WER-PZ.AIVZS Steffi �*�at Warm Air—No W Trade Name ( L L la -M sa (J Size No. I k -1-113 Capacity Sq. /Ft. E.D.R BTU H.P. Total Connected Load, 17 QT 6) Kind of Fuel BURNER — Trade Name w\b I L.L.ICkM &C�03 Size No ) i (-7 — O Capacity. (REMARKS—OVER) 42 2M Sq. Ft. E.D.R BTU H.P. GEO. SEDGWICK HTG. & AIR-COND. CO 1001 Xenia Av. S. Minneapo#is 16, Minn. Signed 11 K 1Z11 By O Business Phone No HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips, A.S.H.V.E. Construction No. Guide WindowsDoors Reference Out. Wall Int. Wall Ceiling Roof Floor —Yes—No I —Yes—No 19— 1 1 1 1 41f Kind IFI.1 `lael I'Ll I/A i Room iLength Width 11 11 1 Fl.I W "Room I Length 0, Windows and- oors—Crackage and Area Width Height o. of Lineal ft. Ai of pane I No. of pane lights of crack 41 f Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. 41, �-z X, 1-4 1 7- Coef. Btti Coef. Btu Coef. Btu Infiltration Infiltration Glass ,V4 V, ,- Glass Glass Glass J Floor Exp. wall Int. wall Exp. wall Net exp. wall Ti 77 Floor Int. wag Int. wall Ceiling Floor Total Btu. , 1: Required sq. ft. E.D.R. or sq. ins. W.A. Leader area # F1.1 'N A 6 Room I Lenath I "? Width Height Windows and Do6rs—Crackage and Area Width Height o. of Lineal ft. Ai of pane I No. of pane lights of crack 41 f Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft, `4 �-z X, 1-4 1 7- Coef. Btti Coef. Btu Infiltration Coef. Btu Infiltration Glass ,V4 Net exp. wall Int. wall Exp. wall y, Glass Net exp. wall Floor 7 4-1 Int. wall Exp. wall Ceiling Ti 77 Floor Ceiling Total Btu. -L Required sq. ft. E.D.R. or sq. ins. W.A. Leader area N FI -I i a Rnnm I Lonath 7--WiAth i 'a Heiaht V Windows an oors—Crackage and Area Width Height o. of Lineal ft. Ai of pane I No. of pane lights of crack 41 f Width Height No of Lineal ft. Area No. of pane of pane lights of crack sq. ft. `4 �-z X, 1-4 1 7- Coef. Btti Infiltration Coef. Coef. Btu Infiltration Exp. wall ,V4 Net exp. wall Int. wall Glass Glass Floor 7 4-1 Floor Exp. wall Net exp. wall Int. wall Net exp. wall Ceiling Int. wall Floor Ceiling Floor Height Windows and Doors—Crackage and Area Width Height o. of Lineal ft. Ai of pane I No. of pane lights of crack 41 f Width Height No. of Lineal ft. Area No. of pane of pane lights of cr4ack sq: ft. 1# -7 Coef. Btti Infiltration Coef. Btu Infiltration Exp. wall Net exp. wall Int. wall Glass Ceiling Floor Exp. wally Floor Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leads area i M I Pr'j Room I Lenath I Width 7 Height '?, Windows and Doors—Crackage and Area Width Height o. of Lineal ft. Ai of pane I No. of pane lights of crack 41 f 4, Coef. Btti Infiltration 77-Vil 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 R.11`1�'3 A R.,m I Lenath I f Width t ' 'Height Windows and Doors—Crackage and Area Width Height No f Lineal ft Area No.— of pane of pane lights of crack sq. ft„ kA Coef. Btu Infiltration Glass Exp. wall 4"1 Net exp. wall Int. wall Ceiling Floor Total Btu. hlTotal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 4, - 61m, . 2 AQW r. HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips. AS.H.V.E. Construction No. Guide Windows I DoorsReference 0 nt. Wall Ceiling Roof I Floor -Yes—No Yes—No 19— es_No Rnnm Length 4 ;., Width i Height ii F1.1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of plane of Dane lights of crack sq. ft. Width Height No. Lineal ft. Area Not of pane of pane lig to of crack sq. ft, T%. —A" lCoef. Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall Int. wall �t; ? Ceiling Glass Floor Exp. wall v, Net exp. wall Int. wall Ceiling Y Floor Total Btu. 1 ""4:yh Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fd"`Room I Length L)" Width 0 Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of plane of Dane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. —A" lCoef. Btu Infiltration Glass Coef. Btu Infiltration Net exp. wall Int. wall �t; ? Ceiling Glass Floor Exp. wall v, Net exp. wall Inc. wall Ceiling N Floor I Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area R-1 Rnnm I Length - Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of plane of Dane lights of crack sq. ft. lCoef. 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 Windows and I width I No. f pane I , MMEAPOUS. MINN. Insulation Kind How Applied Room I Length Width Height ors—Crackage and Area No. of ILineal ft. I Area �! Itichte . of crack SQ. ft. I 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. WA. Leader area I Rnom 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. M JCoef. j Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. VIA. Leader area F7_I Rnnm I Length Width Height Windows and Doors—Crackage and Area Width Height No of Lineal ft Area No. of pane of pane llg�* sq. ta of crack"t. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor I Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area u"r SUBJECT R IT PE�� -City of Fridley � AT THE TOP OF THE TWINS BUILDING PERMIT ' r RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. , �•••1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �•••' �.J 612-560-3450 910-F15 5/8/78 JOB ADDRESS 7381 Melodv Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 3 1 Melody Manor, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Johnson 7381 Melody Drive NE Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHIT CT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK 19 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Storage Shed, concrete slab base, wood construction, Masonite siding. 9 CHANGE QF USE FROM TO STIPULATIONS 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 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 Q - .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. 17,50 PLAN CHECK FEE TOTALFEE 10 $8.00 SIGNATURE OF T A ROR HORIZEDAGENT (DATE) W, EN PR P LY LI TED THIS IS YOUR PERMIT v 1, G INSP DATE SIGNATURE F OWN IIF OWN EVR BUILDER) ID TEI u"r OWNER Addre: I CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS NEW., ALTERATIO(dS, ADDITIONS, OR REPAIRS) No.: F)3a 1 LOT: _ �. 0 UILDER: ddress: el. Ito. Street: MtZ l-CjioY UV-,, BLOCK: _ ADDITION: k ct u vv 0Awco.. CORNER LOT: INSIDE IAT: L/ SETBACK: SIDEYARDS: Applicant attach 'to this form 7.%0o Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: X31 u2i�lG,ct. S� Front: f 7, Depth: Height: l a+v Square Feet:_ Cubic Feet: Front: Depth: Height: Square Fe t: Cubic Feet: y Estimated Cost:1149'MType of Construction Cor � ._. .5 To Bp- Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 'i t}'s application are true and orrect. See reverse side for addit:i1 of ..cation. DATE: U SIGNATURE: Stipulations: Q, �\' 4 .0 ) J V CITY OF FRIDLEY Effective May 1,.1990 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct"Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range • Gas Dryer a Air Conditioning (all sizes) All Others/Repairs and Alterations It of Value of Appliance or Work COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work RATE $ 20.00 $ 10.00 $ 10.00 $ 14.00 $ 10.00 State Surcharge TOTAL !L'E Reinspection Fee ($15.00) Rough Insp. Date Final Inap. 4-2_t,1' L Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard wit)tout wr►tten permission from adioinuiq nulldx,r. TO'PAL Job Address $ �'r Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 City of Fridley $ M. Tel. 8571-3450 $ 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. $ ) Minn. Z Fridley, _11!T_ OWNER KIND OF BUILDING USED AS $ TO BE COMPLETED ABOUT ESTIMATED COST $ .50 / z q OLD - NEW BUILDING PERMIT NO. PERMIT NO. �D(O•J(9 S DESCRIPTION OF rupwE/BURNER HEATING or POWER PLANTS, �Snteaam, Hot water, Warm Air- no. Trade Name/iK Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel j BURNER - Trade Name 1 � %�� Size No. 614 — Capacity Sq. Ft. EDR BTU ' NP SUBUR AN -AIR COMONING CO. Company _l 'J Signed By POI �? 2 Tel. No. 0 i r Fill out back side for stack verificat on replacement naces CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective Inlay 1, 1990 Job Address L -1 -- Department of Buildings City of Fridley Tel'. 1571-1450 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 Department of Buildings. and hereby declares that all the facts and representations stated in this application are true and correct Fridley. Mn. P - � 7, 19 rI OWNER KIND OP BUILDING �/�'�� USED AS TO BE COMPLETED ABOUT A N 4 U fi GI Wd t er y� NO. .aQN TOTAL oL0 NEW BUILDING PERMIT NO. 0 •1 O N p M pa 4' a $ 5.00 Heater BA41-1, Future Fixtures $ 3.50 $ Company Old Opening, New Fixture 21 $ �yy Beer Dispenser $ 4.00 $ d 0 ( rl L. vl Y $ Tel. No. H $ 5.00 $ Rain Water Leader $ 5.00 O O a M O a C a A 5 ow O a w ✓ N✓ u��s YI N � N � t o :as 'lec uJ u Water Treating Appliance $ 7.00 $ FINAL INSP. Not Water Heater $ 5.00 3 Date Gas Range $ 10.00 $ F0 Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT Back Flow prevent&[ Rsquared. . . Yes ( ) No ( ) Type $ 5.00 lot ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance S -GG $ 111N1NI14 FIX FOR ANY PLUMBING PERMIT IS $15.0 2nd PLUS THE $.50 STWE SURCHARGE State Surcharge $ .SU Reinspection Fee $ ($15.00) TOTAL FEE Ird • 4th (R) - Future Connection Opening Connected with Sewer (') - Now Fixture, Old Opening Water Effective Inlay 1, 1990 Job Address L -1 -- Department of Buildings City of Fridley Tel'. 1571-1450 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 Department of Buildings. and hereby declares that all the facts and representations stated in this application are true and correct Fridley. Mn. P - � 7, 19 rI OWNER KIND OP BUILDING �/�'�� USED AS TO BE COMPLETED ABOUT RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL oL0 NEW BUILDING PERMIT NO. p PERMIT NO. ®�Q New Fixtures $ 5.00 $ BA41-1, Future Fixtures $ 3.50 $ Company Old Opening, New Fixture $ 1.50 $ Signed By Beer Dispenser $ 4.00 $ d 0 ( rl Blow Off Basin $ 5.00 $ Tel. No. Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ ROUGH INSP. Oats Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ FINAL INSP. Not Water Heater $ 5.00 $ Date Gas Range $ 10.00 $ F0 Gas Dryer $ 10.00 $ APPROVAL FOR PERMIT Back Flow prevent&[ Rsquared. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance S -GG $ 111N1NI14 FIX FOR ANY PLUMBING PERMIT IS $15.0 PLUS THE $.50 STWE SURCHARGE State Surcharge $ .SU Reinspection Fee $ ($15.00) TOTAL FEE $ oq , 5-0 • SUBJECT PERM City of Fridley f '06382 AT THE TOP OF THE TWINS BUILDING PERMIT � ECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. / NUMBER REV. DATE PAGE OF APPROVED BY 1 /---1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/19/90 JOB ADDRESS 7381 Melody Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don/Mildred Johnson 7381 Melody Drive N.E. 784-2349 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gary Jansick Builder 6480 Squire Drive Fridley 55432 574-9679 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Res iden tial 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION O REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 241 x 171 Addition and a 12t x 171 Deck. 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Install smoke detectors on both levels of existing house. SEPARATE PERMITS REQUIRED FOR WARN,1 W!RiNG, HEATING, PLU? ,,I_IiNG AND SIGNS. Before digging call for all utility locations 454-0002 REQUIRED BY LAIN 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 ISTALLS 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 $22,150 $11,08 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 PROVISION OF!NY OTHEF1 ST TE OR LOCAL LAW REGULATING CON- CONSTRUCTION. $234.00 STRUCTIO O IHE PERFORMA CE OF LAN CHECK FEE TOTAL FEE re. SC $22,15 $267.23 SIG ATU EOFCONTRACTORORAUTHORIZEDAGENT (DATE, WHEN PROPERLY LID ATED THIS IS YOUR PERMIT BLDG iNSP f1AT SIGNATURE OF OWNER IIF OWNER BUILDERI IOATEI NEW [ ] Effective 8/16/90 ADEN R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: VF/ M e l o d y 1>-r . xd r - Legal Description: Owner Name &Address:g � M i t,4,r e � J o ky1 s o� Tel. # 7�`�- a 3f�9 Contractor: Cc7g-rV dGt Yl t5 i t4 Tel. 79 Tr h-o�. . f'ridbeL, - Mut - Attach to this application, a Certificate of Survey of the lot, with the prwposed construction drawn on it to scale. LIVING AREA: lenfth ail Width % • Height Sq. Ft. GAP -AGE AREA: Length Width Height Sq. Ft. DECK AREA: Length ! Width ! 7 ' Hqt/Grauurl Sq. Ft. Qo OMM• y I 83.0 -g -r x -!§0.�5 Corner lct [ ] Inside Int [�] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Cm pleti.on Date: Z'Z,I M0.06 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: P U APPLICANT: `(/�: C.� Tel. # S754-5;%,ZZ CITY USE ONLY Permit Fee .00 Fee Schedule on Reverse Side Fire Surcharge G .001 x Permit Valuation (1/10th �) State Surcharge $.50/$1,000 Valuation SAC Charge $ $600 per SAC Unit Driveway EscYrw $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Ckarge $ Agreement Necessary [ ] Not Necessary [ ] $ ��'�.a3 +,LlscTOM 3s.ad�a.a3 srIPUTATIONS: Z-J"w senor -c, orl- t cTo--s a,.3 0 Lri-0tA--S a9' Col'ST -i C. H* vs< 22 , /So -L ocw < U S. 06 21 x q —Le -100 Z3y.00 o land Pavwruulfihers- Oy 00 AlE. c�ds�yiny ,l pn/rs v INC. ��k�� 1 4�It� awl & AAU7 xl — Engineers Surveyon5 — cer0f ica to of owv►eT IoW s+m- M,L, Cory ls+A-m 6l(W of greV444 VjM&L corwars 204 I �j iron SOS Lair 2m, oLocK - WEL DY Maty R 24 APDMO v " fart !6 is o &W and =ffad -rprsoxofi w ire M."y grft d�irs e& &l6w AwtiA d &W, w d 'f'1k &.Nr,s, ..nd.n wsibk fiW w J�rm/s . fag nsrid,f�,d d eye gr AmLft '' Su8UROW WrYINEERm►s. INC. j UT Q3so; 409 on 3� Tmd Am m1 pe6setp ea; etP TTegs 0ee� ou QI , •,.,nm eaeodosd TTe 30 4900 etP UT ;0esetP uoj42e= 30 SUBJECT City of Fridley 2 6s, 71 AT THE TOP OF THE TWINS BUILDING PERMIT r ' , NO. COMMUNITY DEVELOPMENT DIV. I v PROTECTIVE INSPECTION SEC. �l 7/ r 1 � 444 NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 7-13-98 10B ADDRESS 7381 Melody Drive 1 LEGAL LOT yQ. LU BLOCK 3 TRACT OR ADDITION SEE ATTACHED DESCR. Melody Manor, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Johnson 784-2349 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Durabilt Associates, 7343 Ann Court, Eden Prairie, 55346, 938-9350, 3004 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 0 NEW O ADDITION 0 ALTERATION Lf REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Re -roof XXXXXX7.'X House & Garage (33 Sq) - tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 ] 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 $2,752 $ 1.37 WITH WHE SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOESIT P E'TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE 'ISION PERMIT FEE SAC CHARGE PR F g OTHER ST EOR LOCAL LAW REGULATING CON. $74.75 Fire SC $2.75 R C 1 R THE PERFORM E OF CONSTRUCTION. c- PLAN CHECK FEETOT FEE License Sc - .00 $83.87 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI OP VALIDA THIS IS YOUR PERMIT AA 7 - BLI)f INS P DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY. OF FRIDLEY . ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : I, Effective 1/1/98 'o6l I I .I Legal Description: Owner Name & Address: cid 1��' Tel. # Contractor: t o MN LICENSE # Address:. r _P,01AALF f� Teel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA:n Wid Hgt/Ground Sq. Ft. OTHER: �'-(L(t'77_73 - f L A� -,�Yz - Construction Type: Estimated Cost: $ (Fee Schedule, on Back) Driveway Curb Cut Width Needed: Ft. + Ft Ft x $ = $ DATE: �� APPLICI Tel. # TOTAL $ P-3 STIPULATIONS: CITY USE ONLY Permit Fee $ l `/ Fee Schedule on Reverse Side Fire Surcharge $ `7 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ , 0 0 $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 $ P-3 STIPULATIONS: SUBJECTRMIT NO. City of Fridley 3 2 7 5 2 AT THE TOP OF THE TWINS BUILDING PERMIT r � R v DEVELOPMENT DIV. TL .......COMMUNITY � Lfr r PROTECTIVE INSPECTION SEC 1 � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/3/02 JOB ADDRESS 7381 Melody Dr NN 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 3 Melody Manor, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tim Schwart, 7381 Melody Dr, Fridley, MN 55432 763-786-6542 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tim Schwart (same address) 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 B DESCRIBE WORK Reside shed & change shed roof line. 9 CHANGEOFUSEFROM TO STIPULATIONS 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 @@ @@ $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000.00 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR r- AW REGULATING CON- $38.75 Fire SC. $1.00 STRUCTIO THWPE ORF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 0.25 G 411 L E 91 C0N•R CTORO uTNORIZ GENT IDATE. EN OPE ALIDA E MIS IS YOUR PERMIT i S-GNATURE OF OWNERIiF OWNER BUILOERI IDATEI BLD NSP ! OATE NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [oCj SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: QVLORT Tel. 7&- 02 Contractor. s SQL/— MN LICENSE # Address: AILDTel. # j;;2A or Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: xcSidt �'fi`� JOP C111110Gt fyc® ��O/C-' uNE DG Construction Type: Estimated Cost:$ 00�— Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ ea DATE: '� ` �O U4� APPLICANT: Tel. # 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 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 byEngineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: T y jw V' LaridPb" ag(ilruulf 1,00, 687.5•H ocS' Ali. !ad Swwy i7 Mm ra//s 2/. .0115 kstl�g �I INC. ,r Yo CMI & opal ext 4�O�b — En ioeers Surve ors — y y c er0 : ica to of survey "v E+m M,u, Cory TS+— elcw eF grol( iv %UL&L lrOA stolel A, & ro h LOT* 20, BLOCK 3 WLCLDY MANOR 24 ApDMON /Qa►*by� Abu s o iw oad aw r reprrm &tea 7 of srey eft b��ies'('Ale . .i�v bd !o s,.ad 996 IAYI-A� SUBURBAN EMINaRIV6. INC. r /6` 5w.ni--�f-� .birnu�z3 atm i�}TM &Mmeowd azo3aq peaTnbaa aq TTTM Pa:onzlsuoo uaaq SRq 4T 1.....,- .-.. Y. T^ Taw-rn[+ Tn 7nv^1TTTnT=v"% W 0 C0,5- t, -)-,0q_36 NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADbm [ ] 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:I- 001 Legal Description: Owner Name & Address: g �L�"� Sc� v✓af Tel. # �°3� F�e = �O y2 - Contractor. r a it Q d WJ -S S- 1A MN LICENSE # 8C. — Z.0311 � 1 Address: 3 Z kr r. Tel. # 6,/ 2 ®7 Z Z _ -5-d1`4 -L- LIVING LMNG 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 rf f S-00 Construction Type: � S T'�AnYh Of �y, ,nei Estimated Cost: $ ` Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: S` APPLICANT: �� Tel. # Z> -7,L 2.> 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 $ 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 [ ] TOTAL $ � 3 STIPULATIONS: ® COMMERCE St. Paul, Minnesota 55101-2198 651.296.4026 FAX 651.297.1959 TTY 651.297.3067 4/6/2005 MINNESOTA DEPARTMENT OF COMMERCE LICENSING UNIT 85 - 7th Place East, Suite 600 St. Paul, MN 55101-3165 (651)296-6319 TEMPORARY BUILDING CONTRACTOR LICENSE Effective: 4/6/2005 BUILDER CORPORATION ISSUED TO: ID#20311514 DALE PATRICK KRINGLIE DBA: EGRESS WINDOW SYSTEMS 5932 53RD AVE S SUITE C FARGO ND 58104 Market Assurance: 1.800.657.3602 Licensing: 1.800.657.3978 Energy Information: '1.800.657.3710 Unclaimed Property: 1.800.925.5668 www. commerce. state. mn.us An Equal Opportunity Employer