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PRE 2010 DOCSCity of Fridley, NUmn. BUILDING PERMIT N° (5:9::23:) Date: 9 — r� Owner: Builder — Address _ Address 10 F 'BG No.. Street _ -711CP of Lot Lot ti_ Block �— Addition or Sub DiytC7 Corner Lot Inside Lot711' Setback Sideyard - - e Sewer Elevation ____ — Foundation Elevation DESCRIPTION OF BUILDING To Used I Front Depth Height Sq. Ft. Cu. Ft.Z t Depth Height Sq. Ft. Cu. Ft Type of etion Est ""o be Completed ..— In consideration of the issuance to me of a permit to construct the building described above, I agree to do =Prom= work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. 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 anypart 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 viof any of the provisions of said ordinances. ,--, - A / Building Inspector NOTICE This permit does not cover the construction, butallation for wiring, plumbing, gas heating, sewer or water. Be sure to we the BuiMing Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name 4 �� Vh OtY►.A Builder *' e Address Address / 7 agr LOCATION OF BUILDING No. / !Street&Q: (@ 06�%P'e Part of Lot Lot Block Addition or Subdivision . 14 � 1� , Corner Lot Inside Lot Setback r Side -Yard J0 0 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Tobe used as; Front DepthY-4 Height Sq, Ft. Cu. Ft. Front JLV Depth % h K Height Sq. Ft. Cu. Ft. Type of Construction 1-4 Estimated Costs 000 --6-� 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. Q � DATE® IGNATURE 0. (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures 2 9 j z � & W iz + + WATER HTR. GAS EIEC ccp LL C V Q 3 UG Ua UO Base 0 Z 1st 2nd 3rd 4th Future Connection Openings Connected with I Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... �L x $1.50 $ ®• —<d Future Fixture Opening ................ x 1.20 $ % y0 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ Dept. of Bldgs. Phone SU 44--7470 Location-- 3 ,/ / I'Ll eG O .D y D/2. 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 fact and representations stated in this application are true and correct. , Fridley, Minn JUN 2 6 196-2 19— Owner /i/- //-4 (' / % / 1' . /,? L 17.E S. Kind of Building Used as __v A/ To be completed about Estimated Cost, $ Old—New. Building Permit Permit No. signs 4NDON PLUMBING CO. By Business Phone No ROUC;H_ `% — ^ 6s, FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ l D Gas Range to 200,000 BTU .............. x 2.00 $ , REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $tel ya aM 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 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� 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 $_Zd5 ROUGH FINAL Dept. of Bldgs. Phone SII 4-7470 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, Alin A ! ' '®CO 19 — Owner Kind of Building Used as To be completed about y`r 111962 , Estimated Cost, $ a� �ewuilding Permit No.Permit No. DESCRIPTION OF WORK HEATING meter, Warm Air—No— Trade Name d��9^�O Size Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load / Bind of Fue BURNER — Trade Nam Size No-- Capacity Sq. Ft. E.D.RI � BTU H.P. / GEO. SEDGW4CK HTG. & AIR-COND. CO vrlr f��f® 1001 Xenia Av. S. J/ Minneapolis 16, Minn. Signe By a 4 2 2M Business Pho No (REMARKS -OVER) Ddb 3 fit° 6c HEAT LOSS1 CUL.ATIONSk DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Construction N Guide Windows Doors Reference Out. Wall Int. Wall Ceiling es No I e No 19____ yeC Fl.Z- V Room I Length Width /4 Height Windows and Doors—Crackage and Area Gi Width Height No. of Lineal f . Area No. of pane of pane lights of crack eq. ft Y 7V Y C C-4 i� AJC tel/ 6 ddv If !� Coef. Bt Infiltration Coef.1 Btu Infiltration �1 Glass Glass -6 0 Exp. wall Net exp. wall 6`'r d, Exp. wall 9 Int. wall Net exp. wall Floor 16 IreE-well. l Ceilin Floor <- ( °� f Total lftu. Windows and Doors—Crackage and Area i t Width No. of pane Height No. of Lineal ft. Area otp/ane lights of crack eq. ft. !� Infiltration L Coef.1 Btu Infiltration �1 Glass Exp. wall -6 0 Exp. wall Net exp. wall Net exp. wall 9 Int. wall Ceiling Floor Total 15tu. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pan_p llghta of crack eq. _ Coef. F Btu Glass Exp. wall x-_- Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area D . Insulation Roof Floor Kind How. Applied Fl. oom Leng Widt Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area C No. of pane of pane llghts of crack sq. ft. Coef. Btu 1117 Infiltration Glass S -Z Exp. wall (' Net exp. wall 0 Int. wall Ceiling 70 Floor Total Eku. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room ( Length 6 —Width Heigh Windows and Doors—Crackage and Area Width Height No. of Lineal Yt. Area No. of pane of pane ug of crack eq• ft. S7rz I� Infiltration Glass ' / 1 Exp. wall Net exp. wall !p'% ff 11 ZS7� -3 Int. wall Ceiling tom• a SCJ `�. �j Floor Total Btu. 7.2- Required sq. ft. E.D M. or sq. ins. W.A. Leader area 101 Windows and Doors—Crackage and Area i t Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. /' Coef.1 Btu Infiltration L (g Glass �1 Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. � 7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn. PURRING PEP:MIT Date: June 28,, 1965 Clark J. Thielmann Builder Address 7391 Melody Drive Address —2 7 f= Hills Pr - Pemton, Inc. N° 8052 LOCATION OF BUILDING No. 7391 Stmt- Melodtr Drive N. Part of Lot Lot 21 _ Block i_ Addition or Sub -Division -Melody Manor } 2nd • Add. Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING �! eJaI lM Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction t.Z&s 'O - To be Completed Storm Damage Repair; Rebuild 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 abo forth and in compliT with ill provisions of ordinances of the city of Fridley. \ \ a n . �/ J In consideration of the payment of a fee of 110 , permit is hereby granted to Cobert W. Bacons Pemtom, 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, 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. Allen Jensen NOTICE: Tis perm* den Ret emu the eendmedw, Inshgaden ter VA%& pianbin& on 6eaft, sewn or wafer. Be sae to see the &dMb* her for separate pemdts for thea *ams. APPLICATION 'FOR BUILDING PERMIT OITY GF FRIDLEY - MIIJNESO'fA OWNER"' S NAMEL.A BUIL'DER CWT LM A ® ��. ADDRESS -1 3 - ® < V G ADDRESS Zu la -S, LOCATION OF BUILDING No.of { ` azStreet ` Part' of Lot _•_ LOT BLOCK ADDITION OR SUBDIVISION SV PAIQf d PD Corner -tot side L Setback Side yard SEWER`ELEVAT,& PbUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates6 . bESCRI�IOI�.'0�' BUILDING � . To be use s: L -ont Dept Height Sq. Ft. Cu. Ft. Front - Depth Height Sq Ft. Cu. Ft. Type of Construction M @,u i �..h Estimated Coat 00 Z, D-ts _ To be completed ,rills `�(�� _� Pt'P9Qz X The undersigned hereby makes .,application'-fora'permit for the work hereriri''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 S SIGNATURE (Schedule of Fee Costs can be found on the Reverse ^Side). YJ 0 .,OFFICE OF THE CITY MANiAGER CITY OF FRIDLEY MEMO N0. DS -324 Respond by: Fri. 1/23 MEMIORANi3UM FROM THE CITY MANAGER cont. to: TO: DIRECTOR OF PUBLIC WORKS DATE: JANUARY 22, 1976 ;E: ACTION REQUEST BY CLARENCE THEILMAN, 7391 MELODY DRI 784-3641 - Mr. Theilman called and indicated that a snowplow has damaged three bushes on his property. He said the same thing happened three years ago when one bush was damaged. Please see that appropriate review - is made and a personal contact is made with the gentleman after 4:00 PM to resonably solve the problem. Thank you for your assistance. NMQ%ms 1/26/76 - Contact has.been.made regarding damage to the.shrubs. . We will investigate the problem to see if the shrubs are on public or private property; in any eveny, replacement will have to take place in the Spring.* RNS/jm 5/12/76 - Reference property reviewed; shrubs are on public right of way. The property owner has been infomed the City of Fridley cannot be responsible for shrubs planted on public right of way and it was suggested they be removed and/or replaced in a new location. We have suggested to him that if he wants to pursue the matter, he can file a claim and we will forward it on to our insurance company, however, it was stressed that the City is not responsible for damage on public rights of way. . RNS/jm MEMO TO: Richard N. Sobiech, Public Works Director MEMO FROM: Ralph Volkman, Superintendent of Public Works DATE: January 30, 1976 SUBJECT: Action Request By Clarence Theilman, 7391 Melody Drive I have gone out with Art Olson and looked at the damage that was done to the shrubs at the above referenced address. They were damaged by the snowplow but only because they are planted only 3 feet off the curb line. I contacted Mr. Theilman and he indicated that he would turn in a claim to the City. I am going to send him a copy of the ordinance. RV/as Respectfully submitted, 1. (� RALPH LKMAN, Superintendent of Public Works OF CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Rate TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ Ger $10.00 $ "Air Conditioning - II Sizes $ 10.00 $ thers/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work Commercial/Industrial 1 % of Value of Appliance or Work State Surcharge TOTAL FEE JOB ADDRESS 1—ml 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this applicati nn a e true and correct. —10 ,199 �• •� � - / '%iIL�ULI�WILW� BUILDING USED ;Z.. P ESTIMATED III/ • �X DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load $ .50_ Burner Trade Name Size No. BTU HP EDR Richmond & Sons Elec., Inc. dba. Golden Valley Mg. & Air Cd HEATING COMIPA YIl n SIR) lVPO Rrnariwau MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Signed 1 Approved By - Crystal. thPd 55429 "':�TdlNo. C Rough -in Date Final Date Apr' FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE I CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY ,• . �.�(''� , �..tii'• `�:P •, air !.i< Signed By Date 11 SuBJECT PERMIT NO. City of Fridley �11 AT THE6Wj2.T3g64 BUILDING PERMIT V e >: _____ _ Vj COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. F � I = '—.1 CITY HALL FRIDLEY 55432 ..J NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 10 6/98 JOB ADDRESS 7391 Melodv Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 21 3 Melody Manor 2nd Addition SHEET .2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clark Theilmann 784-3641 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Four Seasons Roofing & Rem. LLC 7930 Univ. Ave NE Fridle 55434 795-9410 20138780 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ox REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (30 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the 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 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 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 $2571 $1.29 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. UC ION OR THE PERFORMANCE OF CONSTRUCTION $74.75 File SC $2.57 PLAN CHECK FEE AL FEE Licens C$5.0/7/83-61 S-GNATuRE OT CON' CTORORAUTNOAIZEOAGENT iDAiE, E P Y VA ED THIS IS YOUR PERMI S-GNATURE OF OWNEROF OWNER BUILDER, ,DATE, -NSP A,nArE 11 Effective 1/1/98 _ _ .. ; [ 1 :, .. • ,..CITY OF FRIDLEY [ ] SINGLE VAMILY -AND DUPLEXES R-1 AND R-Z �IA 13UILDING PERMIT APPLICATION ..21luctionAddress: 1., ... _ Mame Address: �` ��=tl� �� Tel. 'r # tor: ?u �_� �� LIZ IP9 �.; i /,,, [_�C. MN LICENSE #_ /.�' lintuer3��-r� /�✓G' �lJf Frid��cr Tel.# 796�9�1U., Aftacli -ro thWIpplication, a Certificate of Survey of the lot, with: the;";proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT _N " A1' + A: Length ` ' Width Height Sq. Ft. E AREA: Length '° Width Height Sq. Ft. ' AREA: I.engtli`' Width H t/Ground Sq. Ft. tion rlype: Estimated Cost: ♦ s,�, (Fee Schedule on Back)' „ :y Cu.'b Cut `Width Needk., ii ��Ft + 6 Ft — Ft x $ f��.,./1 APPL`XCA 'Tt Tel. #,17q-5 .. rt '�✓. tx hvF .� y A : CTTY USE ONLY .Fee Schedule on Reverse Side Permit Valuation (1/10th%) Surcharge $$:301$1,000 Valuation C Chargeper SAC Unit 771 ♦.. t�ti��,'' Surcharge (State Licensed Residential Contractors} ' c tivay Escrow 'A"' or'Alt. "B" Above ' j.,1,011 Control `$ ' X4,$450.00 Conservation Plan Review ZFCe Determined by Engineering _ i•tlahi Charge* �'t'Agreement Necessary [ ] Not Necessary At TOTAL $ r a f+y s t�t� XA.# a Yyyo _°� a�� tt t - : � t �'�• � '�.vF iv , ',� .'S'�T ��1��d• ��6� r1,, , .' . _'!PULATIONS ....v•, t ., SUBJEtt R City of Fridley 32720 AT THE TOP OF THE TWINS BUILDING PERMIT a' i0. >r �_____ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. • j 1 NUMBER 11Ev DATE PAGE 0: APPROVED BY i ��"' �•� CITY HALL FRIDLEY 55432 -__•� L 612-571-3450 910-F15 6/21/02 JOB ADDRESS 7391 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Clark Theilmann 7391 Melody Drive NE 763-784-3641 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK jJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 17' x 14' Shed 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING SEPARATE PERMITS Before digging call for REQUIRED FOR: all utility locations WIRING HEARNS, 454.0002 MOM AND SIGNS REQUIRE® BY LAW SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED1 r)QQ 75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT s 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 PLAN CHECK FEE TOTAL FEE 56.25 AT OFC 'RACTO OR AuT iDATE. PR LY VALID ED THIS IS YOUR PERMIT q� Gi �iQ K46 S.GNATURE OF OWNER F WNER U�LDER� 1OATE1 S F1ATE NEW [ j CITY OF FRIDLEY Effective 1/12002 ADDN (j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 r BUILDING PERMIT APPLICATION Construction Address: "73?/—,06/-v a4 Vs2 6o/El�sr Legal Description: Owner Name & Address: 47ghv /in.Q,UA./ Tel. # Z& 3 -7S -+-F6`-1 Contractor. GAIhr< MN LICENSE # Address: SS 732 Tel. # 71, 2-R-47564/ 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 GARXGE AREA: Length ' Width /4' Height 7 Sq. Ft DECK AREA: Length Width Hgt/Grround Sq. Ft OTHER: Cai�A/ti6/� G *-erdlc- 151-e J 7-0 GOOV® �it,ST��CTIc�ti o� Construction Type: "00 0 Estimated Cost: $ /5-00• Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE:�� APPLICANT: a�z � �� Tel. #.76.3 -794- 76 4/ 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 $ 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'Engineedng Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 66 '25 STIPULATIONS: i Land P/onnuy 1 6875 •Rghwoy 'SCS NE. Lwx1 S,cweyaxl 501A kshny ENGINEERING, IN C. c/w/ L "Imrlpal I SIImel d•606e Ehy,feer,y Engineers • Surveyors cey tsfiCzte of ou3rTe few - E 6 M DEYELOPXMT CO. NOTE ,r 883•' 1, EI&VA6118 51.ewn are er.peaca JAI Flrs+ Cl.ot- sl• 2.5 44. ♦la.va 'gre�nd elev, of gi-ou rd 4D house Cor -Mer -5 884+7 , a el, 88�-- 40 O DENOTES IRON — unio'TE 5 DRAINAGE UTILITY EASEMENT LOT Q1 BLOCK 3 MELODY MANOR 2.M ADDITION (;Anoka Coun}x – Min"ra.0+4) / hww y Ca14 y owt *6 K o /w and Wife f npmsenfohioh "f e sr�rrrtf �i'11 r daw►da�es �'1br abenr aCxi+►brd load, end aF1yt /avhav yl �o� dri�'dd s , /kinin , w daft risible oirnaahmgn1s , it -my. fnw or wn- rWd /aad. As surveyed fit OW 1/rs - obit Av r i I A.0. 11-0. SUB URBAN ENGINEERING ,, INC. • s fr Sura SCALE 1"- 30' CITY.OF FRIDLEY INSPECTION D1ViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 -1 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Fuffens goy I,.. (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range. . Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Indus#rial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $ 0. $ 10.00 $- $10.00 $10.00 $$10.00 $ $ 25.00 $ State Surcharge TOTAL FEE MINIMUM FEE FOR'ANY HEATING/COOLING%VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 $ fid. Effective On January 1, 2000 JOB ADDRESS 7�9� �F�v�i� �R /lz' OWNER BUILDING USED AS ESTIMATED COST PERMIT N0..�->' DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_1 Circle One (Steam) 40Eof Wate (Warm Air) Trade NameSize No. -S9® BTU HP EDR Fuel f� C� Total Connected Load i /Y;a Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE � 299' 03 HEATING CO �c Signed TEL # 91.2 %�' 5 9% Approved Rough -In Date Final Date a�3 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 IQ No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes O 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 W No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yesk)' 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 ,04 No ( ) When installina 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 k) 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 W 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 HEATING CO: �c c - Signed By: Date: 2-2-03 JIJL-IP-?t3E�� 14:-7 CenterPoirt Minnegasco 612 3221 5550 P.01/01 (JiGj°!7WORKSHEET nfire House Center Point Energy Minnegasco cl� 700 W Linden, MinrlsWolls, MN SS403 Ph6net 612.121.5564 Printout ceartified Ca ACCA to meat all r uimments of Manual J 70th Ed. y wrrgi'vtst�f� Right•SuMoRvuiden0ai'•'S9.13ia0R30573 2003-Jul•1014;19;41 C:Wty 00eumonWWnghtwill H'AACIMI melody.rw Page 1 TOTAL P.01 VIPMUAL J: ftn ea. 1 Name of room Entire House whole hovae 2 Lerg,01,15 p 0wall 120.0 k 128.0 t; 3 R.. oirnengJp 4 24.0 x 40 O ft 4 Ceiinys Cwwlt Option so ftl d 6.0 h hGWe0W TYPE OF CS HIM Area Load (6tuh) Area Load (Stu hj Amp Area EXPOSURE NG Ht® CtgAl Mfg CIO (M lttg CIA HIB Gig HV CIO 5 Grose 3 12C 0.1 2.4 1024 _"' `**• 1024 •••• "'° "4A" •'•' "•• *"• EXOOSet1 b 14A 4$.0 9.0 128 ` "' 126 •••• ••" "^ •`"' °°°° '"'^ walls and a ISA 11.3 0.0 age °'•• '•" 006 *." •°^ °»° •'-• •••• •»• party ions d 0.0 0.0 0 ••*• ^*• 0 «.. .... ,... .«. •... .... e 148 13.0 2.6 G 0 «-° �'• ^•• ••°• *+°• ^•• f 158 6.7 0.0 0 ..., •°� 0 6 Windmi and a 2A 42.6 •' 200 0530 *" 200 8550 '«• »» •°•• giros doo,e b 0.0 •" 0 0 •°'_ 0 0 '°'• '"• `*•• heating C 0.0 '• 0 0I 0 0 •"^ ••"" •"-A d[ 0,0 9 0 0 0 fA4ndawe and No"33.4 6®8 20 "» 666 •"° "^ glaesOwrs NEMW 0.0 * 0 C -«- 0 •°•+ •... Cooling E!W 8".4 -' 14624 16C °'°° 14924 T21"^ South SDA 100820 "" 10�Mots 0.0 ..0O *^" 0Othardoo!s a 10R 20.6 8.5 1210 335 42 1210 $50 b 0.0 0.0 0 0 0 C 0 0 OA 0,0 0 0 0 0 0 0 a Net a 12C 8.1 2A 702 9334 '872 782 6334 1672 exposed to 14A 45.9 9.8 120 $675 1260 128 $075 1260 *abs and 0 ISA 11.3 0.0 096 10000 0 age 10080 0 I partitions d 0.0 0,0 0 0 0 0 0 0 I s 148 13.0 2.0 0 0 0 0 0 0 TSB 6.7 0.0 0 0 0 0 0 0 10 Ceiiin,g a 160 79 39 580 1603 3745 080 7003 3745 b 0.0 10.0 0 0 0 0 c 0.0 0.0 0 0 0 0 0 0 d 0.0 0'0 0 0 0 0 0 0 e C0 0.0 0 0 0 0 0 0 1 0.0 C.0 0 0 0 0 0 0 11 FWts a 21A 22 0.0 950 20740i 980 2074 p (No;e. rppn7 D 0.0 0,0 0 0 0 0 0 0 perimeter o 0.0 C 0 0 J 0 0 0 0 Is d�apl. d 0.0 C.0 0 0 0 0 0 0 for slap a OA 0.0 0 3 0 0 O 0 floors) t 0.0 ao 0 0 0 0 0 O 12 Infiltration a 1 29 5 3.8 742 7128 911 242 7126 011 13 Subtotal IossgG+®, •11+12 »'• 46034 "" •`°° 46954 •°" °*'° ••» •°►+ --« Less externa: heating ••» 0 ••-• "**° 0 .... .°» ...° «» Less transfer .... 0 ,°.. ..» 0 ..« ..•. .«. ..» 1151-Totef Heating redistribution •'^ 0 ••+• •»• 0 .••. •°°• .... .,.. °... 14 Dud loss 15 °' 7320 150/4 Me "" °I '••' ' '°°' �Peopie 56!82 - 56192 .... •», ^.. .... .... '9 Int, galnz, 300 4 ^" 1200 4 »•• 1200 »•• •-« Appl. @ 1200 1 •""• 1200 1 '•» 1200 '••' 17 Subtol RSM gen=7+e..+12•°8 Yt'° «°. 29045 ••'° '*•• 28846 "�° �» •'•• *^^ Less external coding •^• •+•• 0 •••• °«- 0 .... .... ... °•a. Less transfer ••°• ••» 0 +..• ..» 0 .... »» .°.. .... Cooling redistribuvn ••-• •••• 0 -... .... 0 ,.,„ .... °., .... 18 OJot gain p° ,,., 0 ON ,... 0 "9 Total RSH galne(17+16)•PLF t.90 ••» 20645 1.00 29846 ^« t �*�• 20 A$ requlrCd (int) °°'° 1436 1436 -1 1436 1436 �"" •*"+ Printout ceartified Ca ACCA to meat all r uimments of Manual J 70th Ed. y wrrgi'vtst�f� Right•SuMoRvuiden0ai'•'S9.13ia0R30573 2003-Jul•1014;19;41 C:Wty 00eumonWWnghtwill H'AACIMI melody.rw Page 1 TOTAL P.01 Building BUILDING Permit No.: QrYr -IVa V- Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D*W'di U L 2007 DATE '7 -- _;2. ® 0? YOUR E-MAIL ADDRESS SITE ADDRESS e t 0,4 Dia THIS APPLICANT IS: ❑ O ER CONTRACTOR PROPERTY OWNER/ NAME: Ch4c &;1M4 TENANT ADDRESS: CITY STATE ZIP / l� PHONE: 76 3 °— 7 — .?6 7 / CONTRACTOR NAME: RICKS ROOFING & SIDING INC SUBMIT A COPY OF STATE LICENSE #,�� pr, r, r_I F; �Jr= IANB AVENS I YOUR STATE LICENSE ADDRESS: AIEW BRIGHTON, MN 5511 CITY STATE ZIP WITH APPLICATION PHONE,�+6 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED AKMDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR MODELING DESCRIBE WORK BEING DONE: L/>_), 010 L, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. 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 4Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & Q CGJ e'�4�'1>� TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS / ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ C1 OCCUPANCY TYPE Permit Fee $ gal, Ac:;, See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ a,6(0 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = fix $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 1 AS, 7'1�— Make checks savable to: Citv of Fridlev 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 whill requires review and approval of plans. / '] �y SIGNATURE OF APPLICANT dE' - PRINT NAME .Serol stl G1yl�ldl Bl DATE J —` / `2-407