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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N. 6080 Date: Owner: Builder Address Address ING No. StreetP of Lot _ Lot _ _ Block �I► Addition or Sub -Division Corner 02 _ Inside Lot — "'� Setback __�_ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING Top Used a ' Front Depth _ . Height nV , Sq. Ft _Cu. PLL Front Depth freight �&Tosq. Ft. Cu. Ft. w. Type of ction" + �►� Est. be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with ail provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 01, Xt'--,,-.permit is hereby granted to 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 conform in aII respects to the ordinances of Fridley,3*+n^ta location, construction, alteration, maintenance, repair and moving of buildings city limitsr�a d�this permit may be revoked at any viola]hof any of the Provisions of said l d: NOTICE: M permit does not corer the construction, hatellation for wkbt& plumbing, gas haftg, ower or crater. Be sun to see the Building impactor for separate permits for thea items. - r , APPLICATION FOR BUILDING PRUM CITY OF FRIDIEY, NOTA Owner Is Name *_-LO Address Address LOCATION OF BUILDING No. Street ,�I/Part of Lot LotBlock Addition or Subdivision r Corner Lot _______Inside Lot L=:::=S-etback Side -Yard '� _ SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING i� To be used as: Frontes epth-z Height — ��- Sq. Ft. �/�� Cu. Ft. Front,_ --1,J-- Ae� Depth -V -> He ght Sq. Ft.Cu. Ft. Type of Construction�timated To be Completed _ e AM, 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 r sen/ i stated in this avrl.iaation are true and correct. /�� -� (A Schedule of Fee Costs can be found on the Reverse Side.) Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace .................. ; .......... 5.00 $ Repairs & Alterations—up to $500.00 ................. 1 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 $ 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�'T 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, Minn C� • l O 19 b Owner�� Kind of Used as To be cc Estimated Cost, $ !N% � f Old ew uilding Permit No. 4� G a Permit No. --a c� DESCRIPTION OF WORK HEATING or WER PLANTS Steam, Hot Wa Warm No. Trade Name ` Size No Capacity Sq. Ft. E.D.R BTU �J H.P. Total Connected Load 0 Jof Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING CO. Signed LI / t_: By M111NF-APaLIS 7. MINNESOTA 4 z 2M Business Phone No_ City of Fridley Application for Plambing and Gas F•rtting Permit Dept. of Bldgs. Phone SII 4-7470' n DESCRIPTION OF WORK Number, Kind and Location of Fixtures I_ SCHEDULE 'Estimated Cost, $ z h x> �� YC z Z "� Z Ei ou�j PLUMBING FIXTURE RATES: w e z z • P • N WATER HTR. GAS ELEC. $1.50 3• Signed � Future Fixture Opening ................ vi�.vF- 1.20 �O � Y. t S <3 dna �9 0O Catch Basin ............................ x 3.25 $ U 7 iti Of 2.00 $�Q 1 New Ground Run Old Bldg. ............ x 3.25 $ ROUGH FINAL GAS FITTING FEES: NO. RATE TOTAL % 1st 3 Fixtures .......................... x $1.50 $ Base Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer ❑ New Fixture, Old Openings Cesspool ❑ City of Fridley: n 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, 1Vlinn �, "' • '�-% 17 194- Owner &a�F Kind of Building Used as To be completed about PARTIAL RATE SCHEDULE 'Estimated Cost, $ Building Permit No Q Permit No.° PLUMBING FIXTURE RATES: NO. RATE TOTAL Old—New. /� 5�1�.�.� 141 Number Fixtures ...................... x $1.50 $ . D O Signed —�� .a Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening x 1.00 $ Business Phone No. Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... z x 2.00 $�Q 1 New Ground Run Old Bldg. ............ x 3.25 $ ROUGH FINAL 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 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................ . TOTAL FEE $ / d QjDo42 2M 7-59 City of Fridley, Minn. BUILDING PERMIT Date: _ June 3, 1965 N? '7688 Owner: Gagne XWoneg Builder D. W. Harstad Co., Inc. Address 7399_Me1oejy Drive N. E. Address 201 Hm. #6,5 w. F. LOCATION OF BUILDING No. 7399 Street Ke__ & Drive N. E. Part of I:ot Lot 2 _ Block 3 Addition or Sub -Division Kelocly Manors 2nd, Addition 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 Fast. Cost 3 * 7DO...0_ To be Completed Storm Damage Repair: Rebuild to Pipe -Storm Condition In consideration of the issuance to we of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set and in conWilance with 21 provisions of ordinances of the city of Fridley. v, In consideration of the payment of a fee of $ 10,00 , permit is hereby granted D. W. Karstxd Co., Inc • to construct the building or addition as described above. This permit is granted upon the express c andition 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 regassgg location, construction, alteration, maintenance, repair and moving of buildings within the city limil T= permit may be revoked at any time upon violation of any of the provisions of said ordinances, Allen Jensen Buuaing inqmtor NOTICE Ibb pandt does no eotnr the candmdbn, hwaMon for wkbq, phunblnB. Bes huffing, sewer or water. Be sure to we the Bvild6ta hmpedw for spm to pwaft for thea Ruta. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MUMSOTA OWNER'S NAME Y've IVWCe,=,�z BUILDER ADDRESS 73 9!j _44mo T goele, ADDRESS LOCAnoN OF BUILDING No. Street Part of Lot LOT atock. ADDITION QR SUBDXSIbN ^ � Cornet Lot Inside LOT Setback Side -Yard SEWER ELEVATION _— _ -- FOUNDATION ELEVATION Applicant attach to.this form Two Certificates of.Survey of Lot- and proposed building location drawn on these Certificates. DE CRIPTION OF BUILDING To`'"... used as ; S E /� %' �► `� Front Dept Height Sq. Ft. Cu. Ft. Front . Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed The undersigned hereby-malces application for a.permi't 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 SIGNATURE (§chedule .of•Fee Costs can be found.on the Reverse Side). Cary of Fridley '�+}} 9�0Y Arij �� an f r1 ,� timed C"; C";Z1w0 Dept. of Bldgv. Phony 560-3430 DESCRIPTION OF W OR1t /7 C� 7 • H e 1( o dle` Number, Kind wnd Location of Fixtures L� • Fkawo Co=ccflou Opanings "� 4W" """ Sewer New Fixture. Old Openings Ccsspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............:.... x $2.00 $ Future Fixture Opening ............. x $1.50 $ _ New Fixture Old Opening .....:.... x $1.50 Catch Basin .................... x $3.25 $ t Water Heater (Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Boater....... .... x $2.00 S 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... • • ...... • , • • x $2.00 $ . Additional Fixtures .................. x $ .75 S ■MENNNI',s3miMa J�vw • Fkawo Co=ccflou Opanings "� 4W" """ Sewer New Fixture. Old Openings Ccsspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ............:.... x $2.00 $ Future Fixture Opening ............. x $1.50 $ _ New Fixture Old Opening .....:.... x $1.50 Catch Basin .................... x $3.25 $ t Water Heater (Up to 99.000 BTU) .... x $3.00 $ New Ground Run Old Bldg......... x $3.25 $ Electric Water Boater....... .... x $2.00 S 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ...... • • ...... • , • • x $2.00 $ . Additional Fixtures .................. x $ .75 S 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 l�� 2 Z 19,.. Owner Kind of Building 0 Cw Used as I ev To be completed about r� ^ l ,L ^ 7 9 - Estimated Cost, Old—New. Building Permit No. Permit Iqo. Signed p c By mc��% I�y/Li�<r_� Business Phune No- S 41,C' d5 o ROUGH Gas Range to 199,000 BTU .............. x $5.00 6 REPAIRS &c ALTERATIONS•--Refor to Code .50 State Surcharge .Description .............. a ..... 0 .. a.... . .. .....g TOTAL FF.E $' �� 97-84—h16051 I%;,TION FOR PL.PINNG AND GAS FIT•rII•IU llI:t�•11T — " ' '1 dl M G/ 61a CeC 11edCCr Job Address 7399 Melody Drive ,i pr u a u " r. ,� 1 ' I Ir Department of itu1191ggg q �I to 3 a C. a L •-, m N a A b u M t« u t a s O ;&s :lac city of rrldley, Tel. 11571-3.150 f — The undoral9nad horeLy naked application f..r a %arm f:.r thi work heraln "� --- •- I i I specified agreeing Lo ia'all work in strict t.ccr i�nca with, tl,r City CCd(:a and rulings of the Gel:arunent of B.ulding;, acd rerrtj dc,:larei. tt-at all tiro faeLu a,rd rei,rda.r•,tattons scared in cote jI, ,tcattc aro truo and c,trucr "•1t ! i 01•INER Maloney _ L_ R) w t'utute Lrmcc Lion Gpanirg 4 G ;r,ectCd with Sewer KIND OF IIUILLII;G frame Luta, Old 01:entn7 ! Water USED ASres. TO BE COHPLETEO 1.L:;Ur PART �n1 PAR l I AL tit L SL- C -79 ), ESTIRATL;D COS,r 40.00 ;'l.U!IHINI� hIXIUItL WES; t1G RATE TOTAI. OLD - tlEHl BUILGI1K; N-1,1111 tic, f£f� 'I :,,;• : Ihu,:,ct I tAtUrea j NLutr. fL„turo x $3.00 61.enin3 x $2.00 $ •�/ Itee VIA t.rta, Old Oper,I., CoRr[,atty x $2.00 $ Cat'll Basin x $5.00 $ Stgne.i By '{ Nacer Ilaater - to 95,000 6111 x $5.00 160,000 8111 to 1$9,0 0 BTU x $10.00 $ Watar S,.ftenar �I x $7.00 $ 11tw Gtuund Kin Old Buildir°7 x $5.00 $ ROUGH INSP. Glacttto Hater Ileeter x $5.00 $ Oa to 1. As 1 11 rlr,c PEES; tr„ FINAL 111SP, 1%t 1 t1AtUreS x 53.00 $ Data 1t.1,II t 1 onal f to tures x $1.00 $ r," I LIZ, he,,.1. to 199,006 BTU x $).0.00 $ hP1'RUVAL F•OR PElipliT 1E:11,1IItti 4 ALTERATIONS I'I:st $100.00 ea.h .d.1, 1100,00 or fraction $2.00 $ � MI111MUll VIA: flirt 1.11Y PLUJ:uIU.; PL:fu;ITS I $7.50 PLUS 1.50 511.TB 6UR00.hGC Stara Surcharge $ ,50 , TOrt,L ILL: $ 8.00 Iu:IUSI•L'CTIGrJ F'l:[: � ppppppp,-, SUBJECTP O. City of Fridley -17 668 AT THE TOP OF THE TWINS BUILDING P E R M I T r CEIPT NO. i tr ______ COMMUNITY DEVELOPMENT DIV. f r PROTECTIVE INSPECTION SEC. A o NUMBER REV. DATE PAGE OF APPROVED BY L CITY HALL FRIDLEY 55432 _--- ,��',,, j, J ` 612-571-3450 910-F15 8/20/84 JOB ADDRESS 7399 Melody Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gayne Maloney 7399 Melody Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D.W. Harstad Co., Inc. 7101 Hwy. #65 N.E., Fridley, MLS 571-8221 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 X 8 DESCRIBE WORK Convert a 3 season porch to year around use. 9 CHANGE OF USE FROM TO STIPULATIONS Insulate walls, to R-20 and insulate ceiling to R-38. SEPERATE PERMITS REQUIRED FOR WIRING. HEATING. PLUMBING AND SIGN& 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2, 5O0 $1.25 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 ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - $38.50 R CTIW OR T E PERFORM CE OF CONSTRUCTION. V �G � AN CHECK FEE TOTAL FEE f�'�_ Zr� $39.75 GNATURE OF CONTR TOR OR AUTHORIZED 4GENT IDA EI WHEN PROP RL V L ATED TH IS YOUR PERMIT BLDG )NSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ City of Fridley / Effective 4/1/84 ADDN. [ �R-1 AND R-2 ALTER. [�" Building Permit Application Construction Address: Legal Description: Z-437 224 ISS C=6neu- Owner Name & Address : �.4��✓E �� `'^�� ; Tel. # Contractor: %� / �e:►°ca �� i�� Tel. # SZ/- z Address: C 2 � 4 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: e.y" Corner Lot [ ] Inside Lot [ Ft. Yd. Setback _ Side Yard Setback Type of Construction: A1 Estimated Cost: $ ZS'ao _ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: 2-0 APPLICANT: Tel.7 41 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• CITY USE ONLY $ �,� Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ 0 �� $.50/$1,000 Valuation $ $425 per SAC Unit ' $ Fee Determined by Engineering Agreement Necessary [ J Not Necessary [ $ 3" � 9 �� SUBJECT P_ City of Fridley 19i18 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. �y-------� INSPECTION p /- r � � PROTECTIVE SEC. i CITY HALL FRIDLEY 55432 /"'�•� NUMBER REV. DATE PAGE OF APPROVED BY .-_- L 612-571-3450 910-F15 8/14/87 JOB ADDRESS 7399 Melody Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. and Mrs. Maloney same 784-3480 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Manion c s. Master Reroofing 781-7228 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 Reroof dwelling 9 CHANGE QF USE FROM TO STIPULATIONS Can be two layers, but not three, 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,040 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. $38.50 PLAN CHECK FEE TOTAL FEE - 'f�}'7 $40.01 GN RE F CONTRACTOR OR AUTHORIZED AGENT (DATE) » W EN PRO E (DATE THIS I$ OU P M. BLDG INSP QA TE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW City of Fridley Effective 4/1/86 R-1 AND R-2 Building Permit Application [ ] ADDN. [ ] ALTER. GARAGE AREA: Length Construction Address: Legal Description:_ Owner Name & Address: Contractor: Address: Z 0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. $� Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback of Construction: ®ecoType Estimated Cost: $ Approx. Completion Date: `7• — / I Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: g7 APPLICANT: Tel. # Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS• CITY USE ONLY Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ ?03 f $.50/$1,000 Valuation $ $ 525 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ r CITY OF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 1 -' The undersigned hereby makes application fo permit for the work herein Rate TOTAL 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 $20. . 00 $ representations stated in this application are true and correct, % ,1993 $10.00 $ f' OWNER AI $ 10.00 $ BUILDING USED AS %Z $ 10.00 $/ ESTIMATED COST • PERMIT NO..�� $ 10.00 $ DESCRIPTION OF FURNACE ANQ OR BURNER $ No, of Heating Units / Circle One (Steam) (Hot Water) arm Air) Trade Name Size No. BTU 'HP EDR $ Fuel Total Connected Load Residential Furnace Shell and Duct Work, Burner – so Replacement Fuma -� Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning – Ail Sizes All Others/Repairs do Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercial/Industrial 1% of Value of Appliance or Work Effective On January 1, 1993 State Surcharge x50 Burner Trade Name Name Size No. � 7�—Z= S v BTU �HP EDR /J TOTAL FEE JJ HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS 115.00 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 ByTel No. Approved By Rough–in Date Final Date 7 &.'1. 7 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 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 ( ) S. 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 Signed By Date 411','. M SUBJECT City of Fridley 277438 AT THE TOP OF THE TWINS BUILDING PERMIT r • _ COMMUNITY DEVELOPMENT DIV. ----- r I � PROTECTIVE INSPECTION SEC. �1V NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/27/98 JOB ADDRESS 7399 X lodv Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 3 IMelodyManor 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gayne Malone 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. America Building - 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 [lX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 27 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must =comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2251 $1.12 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. $74.75 Fire SC 2.25 PLAN CHECK FEE TOTA EE 8 .12 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N P OPER 00 K_JFALIDATjqMHIS BLDIVINSP ISR AR DATE SIGNATURE OF OWNER OF OWNER BUILDER$ IDATEI M I AUG -25-1998 t J ADDN 1� [ ] ALTER [ ] ConstructionAddress: Legal Description: Owner b Contract Address: 09:16 FROM CITY OF FRIDLEY TO CITY OF FRMLEY SINGLE FAMMY AND DUPLEXES R-1 AND R-2 BUMDING PERMIT APPLICATION 7079925 P.01%02 k-rrective Vll'3t3 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Driveway Curb Cut Width DATE: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: 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. Estimated Cost: $ 00 cz (Fee/ c edule on Back) 1e�te Ft. +6 t= /�Ft x� S _ $ $ / • 7S Fee Schedule on Reverse Side $ 07' c?l .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1000 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 [ ) $..a C4. l� CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacem7�A Gas Range � �j _ Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1TO' of Value of Appliance or Work Commercial/Industrial 1.25 jo of Value of Appliance or Work Rate TOTAL $ 30.00 $ $ 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. OWN BUIL Effective On January 1, 2000 ESTIMATED COST PERMIT NO. 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 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE it Si Approved By A� Rough -In Date Final Date /-46-01 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date -ITY OF FRIDLEY INSPECTION DIV. 3431 UnivereWAve NE =ridley, MN 55432 763) Sit -3604 o. v a ?o 3Zc0i Effective On Jan 1. 2002 WZ0 0 APPLICAZ NSI FOR PLUM613010 AND GAS FITTING PERWr 'LUMBING FIXTURE RATES: NO. RATE TOTAL D view FLxtum }Id Owing. New Fixture leer Dispenser Now Off Basin 'mtch Basin >- lain V*dw Leader AiumptReceiving Tank Valor Treating Appltancs Valor H-Elechic Val Heater- Gas -3M Dryel— I Row Preventer Required )Yes ( ) No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 jOB ADDRESs --7379 M e-l®p y Dr rV d' The undersigned hereby makes aWticaftn for a pem* ibr do t or k herdn specilled aping to do all w * in stridaomdance with the city CO&S and rulings of the Building Division, and hereby dares that all the facts and repmentaSons sued in this application are true and correct Oum. kj ft (A fv- r Auav--1 ,20 Handing Used As Estimated Cost CV ® — PER162T NO. $15.00 PLUMBING LO ZZZ toInspectian Fee $47.00/Hr SIGN TEL NO. J1 OTFIERS ANDlOR REPAIRS AND ALTERATIONS FAX# e® S-% q 7 1.5.'0 of Value of Facture or Appliance '� • ®� � J L N Appmved ByRaugmn Date Flnai Date .State Surcharge .�1} WSO le TOTAL FEE S Zo • 5-c) PLUS THE 0 STATE S1JEEOR ANY R4 1 DE rASP IT [S :OMBUSTIt}N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABID~ 6-A. COMMON VISIT INFO ON BACK SIDE