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PRE 2010 DOCSA151& V City of Fridley, Minn. N9 9977 BUILDING PERMIT Date: — Oct. 10, 1968 Owner; AMALuM AnthoM Pazik Builder _.,_,_ Clemron Inc. Address Address 4411 Central Ave. N. E. LOCATION OF BUILDING No. 7401 Street __.. Melody Drive —_ Part of Lot Lot _23 ___ Block 3 ____ Addition or Sub -Division . Melody Manor 2nd Addn. Corner Lot ._ x Inside Lot — Setback 35' —_ Sideyard -- Sewer Elevation 876.25 4aw. 879.25 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 26' Depth 39Height 20' Sq. Ft. 1014 Cu. Ft. 20,280 Garage Front 271 Depth 211 Height 10' Sq. Ft. 67 Cu. F't. 5670 Type of Construction Frame Est. Cost __$27, 000.00___ To be Completed WATER LOCATION 46' S. W. of Manhole SEWER LOCATION - 61' S. W. of Manhole In consideration of the issuance to me of a permit to cons ct the building described above, I agree to do the proposed work in accordance with the description aboa orth in?PT all provisions of the city of Fridley. � �� � - - _ - Sever Connection In consideration of the payment of a fee of $ 3Y.00!, , permit is/ iereby granted t, Clemron, 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 ronform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buil within the city ts and this permit may be revoked at any time upon violation of any of the provisions of d ordinances. NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sun to see the Building Inspector for separate permits for these (tome. 9 f APPLICATION FOR BUILDING PERMIT CITY OF FRIULEY, MINNESOTA OWNER'S NAME . BUILDER ' ADDRESS ADDRESS , LOCATION OF BUILDING N0. ! A STREET PART OF LOT LOT BLOCK ADD ON OR SUBDIVISION CORNER LOT r/ INSIDE LOT SETBACK SIDE -YARD /® -/j 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 To be used as; � a Front -O Depth,2Height Sq. Ft. Z22 11Z Cu. Ft. Front ��% Q Depth g -a Heighfg /,D Sq. Ft. 5:� Cu. Ft. Type of Construction Estimated Costa,-'7zxAg25g ,e A To be completed The undersigned hereby makes application fora 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 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). ®y 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 -Q �� 1Aw, Owner C `G iel /Vi rt -d N. Kind of Building r��� Used. as ' To be completed about r PARTIAL RATE SCHEDULE Cost, $ o�09 Permit No. " 0p P N WATER HTR. GAS Et EG Base I Signe , r Future Fixture Opening .:: _ ...... ' x $L60 At A New Fixture Old , Opening ....... x $1.60 $ Business Phone No,, _W Catch Basin-,-. ...... ...::: ....... x $3.25 $. f lst / .` x $3.0D ,. Neter • Ground Run OldBldg. x $3m $ ROUGH �s s ElectricWaterHeater X. $2.00FIN$ AL C �. GAS FITTING FEES:: NO. RATE TOTAL 2nd lat 3 Fixtures . , .. ................. .. x $2.00 0 - Additional Fixtures, ..................... x $ .76 g e = 3rd 4—th1-7 Future Connection Openings-. * Now i bdure, Old ning� Connected witi-7 S®w0P Ce�spG r E] ®y 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 -Q �� 1Aw, Owner C `G iel /Vi rt -d N. Kind of Building r��� Used. as ' To be completed about r PARTIAL RATE SCHEDULE Cost, $ � o •'0W° Permit No. " PLUMBING FIXTURE RATES: NO. ` RATE Old—New. Building Permit Number Fixtures :.:........... ......... x $2.00 $ I Signe , r Future Fixture Opening .:: _ ...... ' x $L60 At A New Fixture Old , Opening ....... x $1.60 $ Business Phone No,, _W Catch Basin-,-. ...... ...::: ....... x $3.25 $. f Water Heater- (Up to 99,000 BTU) ...... / .` x $3.0D ,. Neter • Ground Run OldBldg. x $3m $ ROUGH �s s ElectricWaterHeater X. $2.00FIN$ AL C �. GAS FITTING FEES:: NO. RATE TOTAL lat 3 Fixtures . , .. ................. .. x $2.00 0 - Additional Fixtures, ..................... x $ .76 g e = Gas Range to ],$9,000 BTU x $5.00 ¢ r REPAIRS & ALTERATIONS—Refer to Code e t Description t - TOTAL FEE $_'Z' ,.$ - 6 Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SM -3450 GRAVITY WARM AIR: RATE TOTAL Location— Furnace ocation Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............$10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam . .... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water ............. .... 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE T7L 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE ° ROUGH FINAL City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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- '0 ' 0 , 19�� Owner Kind of Building/ Used as "L-,14 To be completed about Estimated Cost, $ c� Old a wilding Permit No. Permit No. DESCRIPTION OF WORK HEATING orPOWE team, Hot Water Warm —No Trade Named Size No Capacity Sq. Ft. E.D. BTU P. Total Connected Loa Kind of Fue BURNER — Trade Name Size Capacity. Sq. Ft. E.D.R-aefg��govz) BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING Co Signed 4isIa!7 GMfGi4"e By I tIM& Af"OUE 7. MINNE80TA CgIDD42 Business Phone No-����� 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 .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam . ....$10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ....................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,0 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE 1st 3 Fixtures x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 .......... x$ 5.00 $ AIRCONDITIONIN FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH Lj C) P FINAL Dept. of Bldga. Phone SW -3450 6, 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. / 111) Fridley Minn '0-- — . Owner Kind of Building.�� Used as To be completed about Z& Estimated Cost, $ 170 Old—kov�Buiiding Permit No. Permit No. DESCRIPTION OF WORK HEATING or P team, Hot Water, Warm Air—No Trade Name �i��j �� /� 2 �' Size No-�� Capacity r Sq. Ft. E.D.R BTU H.P. Total Connected Load Rind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H P. REMARK— R) N. WELTER KEATING CD - 463 -7 D•4637 Bp0Ll8 7. MINNEeOT'S as Business Phone No SUBJECT IT NO. City of Fridley 20555 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir COMMUNITY DEVELOPMENT DIV. __ _ r PROTECTIVE INSPECTION SEC. -7-7 CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/6/90 JOB ADDRESS 7401 MElody Drive N.E. 1 LEGAL LOT NO 23 BLOCK 3 TRACT OR ADDITION SEE ATTACHED Melody Manor 2nd Addition DESAL. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al Hoeschen 7401 Melody Drive N.E. 786-1256 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N,E, 784-2543 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 J] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof; Dwelling (19 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roofingcan be 2nd layer but not 31dd Install ridged ay g galvanized valleys. 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 STALLS 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 $950 $,50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FIR OVIS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 STRUC ION R THE PERFORMANCE CONWREUCTION. PLAN CHECK FEE TOTAL FEE IF 666666 $,95 $26,45 SI A RE OF CONTRACTOR OR AUTH6RI2 GENT (DATEI HE PROPER Y TE HIS IS YOUR PE IT r BLDG INS qA E SIGNATURE OF OWN EROF OWNER BUILDER) IDATEI NEW [ ] Effective 8/16/90 ADEN [ ] R-1 AND R-2 AIM [ ] Building Permit Application legal Description: • - Z. -n- i:r. i=- X*)It 777-7037 Tel. Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. =CST OF IlKEIMEMM L17MG AMM: length Width Height Sq. Ft. GAMI GF AMM: length Width Height Sq. Ft. DECK AMM: length Width Hgt/Ground Sq. Ft. On=: Corner lot [ ] Inside lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Re- - /z�W®J/f,f= -Z-Z Estimated Cost: Approx. C mpletion Date: /f s em. .•.se. Driveway• - CpeZIs Desired: + 61 See Back Page DATE: /& Ayp APPUCANT , /d*X7 _Tel. # 7W- Z4L460 Permit Fee $ 00 Fire Surcharge $ 9's State Surcharge $ �� SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TO►rAL $ 1--)- 61. CITY USE ONLY Fee Schedule on Reve se Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT AwER City of Fridley 27 441 AT THE TOP OF THE TWINS BUILDING PERMIT r 1.i COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. I NUMBER REV DATE 18/27/98 PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 7401 Melody Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 3 1 Melody Manor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al Hoes Chen 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. America Building Contr. Inc. 12233 Nicollet Ave S. Burnsville 55337 707-6959 201418 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 :Rk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) 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 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 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 1 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 $1920 K96 $.96 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- Fire SI;, $1.92 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $62.25 PLAN CHECK FEE TOTAL FEE Lice $5.0/ '$70/13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI _,00EN ROP ALIDATED is IS Y UR PERMIT SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI 'Y OF FRIDLEY TO 7079925 P.01/02 btrect:ve 1/1/98 CITY OF FRIDLEY kMILY AND DUPLEXES R-1 AND IL-2 .DING PERNUT APPLICATION Pelovtl -or., � �6 Tel. # MN LICENSE #� Tel. # ipplication, a Certificate of Survey of the City of Fridley roposed construction drawn on it to Scale. CUSTOMER RECEIPT OPER: TUROK OC DRAWER: 1 DATE: 8/27/98 00 MPT: 0005578 MEMON OF EWPROVENMW DESCRIPTION QTY AMOUNT TP TM FE144ITS-BUILDINS 1 874.75 BP CK Width Height Sq. Ft. FIRE SURCHARGE F 1 82.25 FS CK SURTAX 1 81.12 SU CK Width Height Sq. Ft. LICENSE SURCHARG 1 85.00 H2 CK PERMITS -BUILDING 1 874.75 BP CK Width Hgt/Ground Sq. Ft. FIRE SURCHARGE F 1 82.25 FS CK SURTAX 1 81.12 SU CK LICENSE SURCHARG 1 85.00 W CK PERMITS -BUILDING 1 874.75 BP CK L 4y e6 FIRE SURCHARGE F 1 82.25 FS CK SURTAX 1 $1.12 SU CK Cost: $ LICENSE SURCHARG 1 85.00 H2 CK PERMITS -BUILDING 1 862.25 BP CK ( ee cheduie on Back) FIRE SURCHARGE F 1 81.92 FS CK SURTAX 1 8.96 S1 GK 't. ♦ Ft t x o $ LICENSE SURCHARG 1 85.00 Fr CK AMERICAN BUILDING CONTRACTORS Tel. # BP #27438, 7399 MELODY DR BP #27439, 7381 LYRIC LN NE BP #27440, 7420 MELODY C O Y BP K7441, 7401 MELODY DR TIME: 15:14:31 TOTAL CHECK 8319.49 ee Schedule on Reverse Side 01 of Permit Valuation (1/10th%) owuc aurcnarge 3 - —t (,� 1.5031,0 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ _ d $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 $ D' L021 . STIPULATIONS: SUBJE& PMAMIT City of Fridley 0115 AT THE TOP OF THE TWINS BUILDING PERMIT r I COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f � � PROTECTIVE I � I *'--" � CITY HALL FRIDLEY 55432 � "'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F158/24/99 JOB ADDRESS Drive 7401 Mel dy Rxixd I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 3 Melody Manor 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al Hoeschen 786-1256 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors Co Inc 9060 Zachary Ln N Maple Grove 55369 425-4737 2535 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 ®x REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 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 $9000 $4.50 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 $167.25 fPire 9.00 PLAN CHECK FEET07TAEE Licens C 5.0 75 SIGNATURE OF CON"RACTOR OR AUTHORIZED AGENT IOATE,N P DP ALIDAI THIS I R P RM l/ BLDG NSP' MATE SIGNATURE OF OW NER,iF OWNER BUILDER. -,DATEI NEW [ ] Effective 1 / 1 /99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �P lr BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Tel. # Contractor: TWIN CITY EXTERIORS CO., INC. MN LICENSE# 2535 Address: 9060 ZACHARY LANE N MAPLE GROVE, MN 55369 Tel. # 612-425-4737 Attach to this application, a Certificate of .Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: Permit Fee We' OIL? 9APPLICANT:��, �J`i Ini. ,%L JTel. # 612-425-471 Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1050 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 [ J Building MECHANICAL Permit No 3- M Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat fffq)d-ARR 2-0 763-502-4977 FAX EFFECTIVE 1-1-08• DATE o YOUR E-MAIL ADDRESS V_ri,jaY ro.& :5",A b a-naZP - enliNP . (pvn SITE ADDRESS -150OAM Dr THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: +- Ge -50 -her, ADDRESS:-IglfJl M2Qocl+t A'• CITY } iicileJ STATE WZIP55;432 OWNER/ TENANT PHONE: '163--796-1256 CONTRACTOR COMPANY NAME: f5kbuldlpa NOTE: SEPARATE CITY CONTACT PERSON: KMSGL Ld r4 RArK`t_ STATE LICENSE # EXP DATE LICENSES ARE REQUIRED FOR GAS AND HVAC. ADDRESS: IZRO-S Osbar^A_3td_ #LE CITY STATEMN ZIP 32 - SUBMIT COPY OF BOND PHONE -163-'184-bIDO FAX -T1a3 --164 - 4694 ANDINSURANCE PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORI'i er wjv.A j bej fWA4. ao-a LiL� ted AAW aro !�/e . PERMS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL:355CAy042D60 SIZE/BTU 601000 MFG: MODEL: 2e(v_AP 1a1 DZ4 SIZEBTU 24.000 MFG: MODEL: SIZEBTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR $35.00 $C FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $ ] 0.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 -NW4ffAE e PRO f1R " i1 , y ._.. Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ _ _ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ " OR Number of fixtures @ $25.00 1 x $25.00 = $ 25. DO _ _ Number of fixtures @ $35.00 1 x $35.00 = $ 35.00 State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ 60. 50 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical 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 which requires review and approval of plans. SIGNATURE ANT -a-vK- PRINT NAME �(rf5etndrw fierce DATE APPROVED BY ' ` DATE 1 ON City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Fill Building $ BUILDING Permit No.: 113 b $ 65% of Building Permit Fee Fire Surcharge $ Inspections Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ CITY OF FRIDLEY DateUDi:J U L 0 201 DATE L>� ® YOUR E-MAIL ADDRESS lASQX\CLdis) a7 to IAC pC. SITE ADDRESS M -e 0tC L&4 _bt 1 Erosion Control THIS APPLICANT IS: ❑ OWNER *;NTRACTOR Park Fee PROPERTY OWNER/ NAME:R1 W© -P Sewer Main Charge ADDRESS: n CITY STATE ZIP TENANT $ PHONE: _!(P'3 ^ 2 as NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 r STATE ZIP WITH APPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NEI _ 651-264-4%7% PROPERTY TYPE ❑ TWO FAMILY/NEW G — ❑ ADDITION ❑ GARAGE/SHEDINDOINS PERMIT TYPE C3 BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: 10VEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE. S r 1 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SK Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT RF_MODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: E3 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 I. Site Plan/Survey showing the existing structure ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USIN/�G, THE.1"7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ tOa 0 4 — OCCUPANCY TYPE Permit Fee $ 1 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 $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ T'i��ZLA Make checks payable to: City of Fridley Attach Sti 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 conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an application for a permit d work is not to start without a permit; that the work will be in accordance with the approve plan in the case of all work whi requires a ew and app=ME&_To� SIGNATURE OF APPLICANT V1S�h� DATE a