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PRE 2010 DOCSCity of Fridley, Miry- N° 8921 BUILDING PERMIT Date: JULY 12, 1966 Owner: Builder HOMEDAA EJ, PjLDE�S_..,_, Address Address 7000 Humboldt Avenue Minneapolis, Minnesota LOCATION OF BUILDING No. 7424 Street MELODY DRIVE N.E. Part of Lot Lot _ 20 Block 4 Addition or Sub -Division MELODY MANOR, 4TH ADDITION Corner Lot _ X _ _ _ Inside Lot Setback 351 Sideyard . 1 and 18 Sewer Elevationevation 881.22 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: DWEL?�TNG t 32 GARAGEt 2_ Type of Construction 24 Height 20 Sq. Ft. 768 Cu. Ft. 2..4 24 Hei#t 10 sq. Ft, 528 cu. Ft. 5.28 To be Completed SEWER LOCATION - 83", Notof Manhole ion Ballet Blvd. WATER LOCATION 9' hof Manhold` a In consideration of the issuance to me/of a ermit to construct the building described above I agree to do the proposed work in accordance with des tion above set forth and in compliance with 21 p�ovlsions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 26.00 permit is hereby granted to HOMEDALE HIMMERS to construct the building or addition as described above. This permit is granted upon the express oondition that the peon to whom it is granted and his agents, employees and workmen, in all work done i4 around and upon said building, or any part thereof, shaII oonform in all respects to the ordinances of Fridley, Minnesota locatton, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at arW time upon violation of any of the Pm of said ordinances. CLARENCE BELISLE NOTICE: Ub pwmit dea not emu tbo eontwe8on, hwagation for wW& plumbing, gas bony, mm or wanr. Be aura to ago the BuNing Iwpoator for aparato pamiM for dmn Naw. APPLICATION FOR BUILDING PERMIT CMR OF FRIDLEY, MINNESOTA r" OWNER'S I' 1IL1 DI' / ADDRESS ADDRESS LOCATION OF BUILDING NO, STREET PART OF LOT LOT r� BLOCK J/1ADDITIO OR SUBDIVISION � CORNER LOTPffiNSIDE LOT SEWER ELEVATION VATI01QN �/ • �- Applicant attach to this form Two Certificates of Survey of Lot'and proposed building location drawn on these Certificates. )i., DESCRIPTION OF BUILDING To be used as; Front ,, Depthmg=�I_Height Sq. Ft. Cu. Ft. ndl Front-- Deptheight_z_n Sq. Ft._--�L Cu. Ft. Type of Construction �� Estimated Cost - 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 SIGNATURE 6~ (Schedule of Fee Costs can be found on the Reverse Side). �� Date: City of Fridley, Minn. 'N9 9596 BUILDING PERMIT Zan. 16, 1968 Owner: Homedale Blders Builder Same Adm _ 5217 Wayzata Blvd . Address Same LOCATION OF BUILDING No. 7424 _ Street _ _ Meloy _ _ ....._.... Part of Lot Lot _ 20 __ Block 4 — Addition or Sub -Division _-Melody Manor 4th Adda Corner Lot — x Inside Lot _ _ Setback 35' �_ Sideyard — Sewer Elevation 878.22 F&MONOW 401ARM 881..22 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 32' Depth 24 ' Height 28' Sq. Ft, 768 Cu, Ft. Garage Front 201 Depth 22' Height 10 ' Sq. Ft. 440 Cu. Ft. Type of Construction Frame Est, cost ----$ 9 0. 000 __ To be completed SEWER LOCATION 83' North of Manhole WATER LOCATION - 93' North of Manhole 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. /V_ .0 - � i% In consideration of the payment of a fee of $ 39 , 00 permit is hereby granted to Romedale Blders 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 ordinanc�eisngof Z hin 'thedty limits gandthislpermit array berevo�ked aeraantion potre�nva�ngclea, o ofof tide P visions of said ordinances. Official Building MNWMW Ga.sterland NOTICE: fids permit does sof cover the construction, Installation for whing, plumbing, gas heating, sewor or water. Be a- to no the Building Inspector for separate permits for these Rome. APrL CXf'YG •I + OR 1.1111 ,D ANG C:.tiy OF Y':oL''_Y-' Pi;NN' zSCT'A 01MI R `S NAME fi`s 't i�ER ADDRESS ADDRESS LOCATION OF BUILD%;{G 170.� . �STREET � _PART OF LOT LOT_ J- ® BLOCK � ADDITION 0 SULD :VI:SION CORNER LOT INSIDE LOT SETBACKSIDEaYARD SEWER ELEVATION FOUNDAT.ION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTIC4 OF BUILDING. To Be Used Ad: a - ,,� Front— Depth_,- Height '0 Sq. Ft. �� : Cu. Ft. Front Depth___,gr Height / Sq. Ft.�� Cu. Ft. ..m. y Type of Construction Estimated Cost ;w4ygr 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. G DATE /i`� e SIGNATURE dSchedule of tee Costs can be found on the Reverse Side). ;4&4b6 . G Lard Plonf?, 1'* RYhmt;y C5 kE Uff y/m f v its 37, ENGINEERING, INC. (;V"l tr AOLffiA:,%jl SL4, c I J 4;da Filymeers, Surveqw-6 penatificate og sux2vevy f o -v HOMEDALE BUILDERS "Oaf" all -r"y C':�-L N^ -"r -.NZ) 'J" Lc, 10"'y ANoQ 41' L\O-jTlC,,-j - `-c-eq �,4fe vol, Me, di J�V. 4,ufn -,r of i !osd A, AS --;,L,, - re yed ine 0. u$ Aj D, Nleq 30c) "lool ��a v 7ila.�. 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 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 6.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE $ Dept. of Bldgs. Phone 560-3/490 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. i Fridley, Minn- Owner �� '9�- ice, �d'9y- �.., rte- % 3 `.�b-✓� __i Kind of Building„ �'✓w' �� Used as s To be completed about If Estimated Cost, $_ L.'K o Old -(New uilding Permit No. S i Permit No. �Y O DESCRIPTION OF WORK HEATING or PO PLANTS—Steam, Hot Water,arm Air-, o Trade Name` C Size No Capacity Sq. Ft E D.Rf�„=' �` BTU H.P. Total Connected Loa �� f' ��` - Kind of Fuels` BURNER — Trade Name = r �� Size No- �e Capacity Sq. Ft. E.D.R. rte_' BTU H.P. (REMARKS- VER a By 4637 CHICAGO Ays. fMlHMMAPE)LI1 i i f as Business Phone No `' City of Fridley Application for Plumbing and Comas Ming Permit Dept. of Bldgs. Phone 560-3480 DESCRIPTION OF WORK Number, Kind and Location of Fixtures W I Y ps Z O103 Z s3 C9 <3 �� w �� ? �O • P • N WATER HTR. GAS ELEC. Base 1st 1 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE City of Fridley: I 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 tr4e and correct. 190 Owner Kind of Used as To be completed about Estimated Cost, $ PLUMBING FIXTURE RATES:RATE TOTAL Old—New. Building Permit Nc Number Fixtures ...................... TO, x $2.00 $ l a Si! Future Fixture Opening x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ " New Ground Run Old Bldg. ............ x $3.25 $ ROUGH Electric Water Heater a $2.00 $ FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... -3 x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE a2 Permit N Business Phone No_ X of I_ SUBJECT City of Fridley F-RECERIEPJN� AT THE TOP OF THE TWINSBUILDING PERMIT r 6L _____ COMMUNITY DEVELOPMENT DIV. 47e,7,y 3• r PROTECTIVE INSPECTION SEC. i 1 CITY HALL FRIDLEY 55432 ,•; NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/4/80 JOB ADDRESS 7424 Melody Drive N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 4 Melody Manor 4th Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Suzanne Halm 7424 Melody Drive N.E. 784-7052 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors 295 Highway #55, Haenel, MN 478-6001 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 Install soffit and face 8 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRINC4 HEATING, PLUMBING AND SIM% 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 1 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 COMPLIED $1,376 $J68 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR OR THE PERFORMANCE OF CO SRU N. $9.00 DI U,G(-3 7 PLAN CHECK FEE TOTAL FEE - "Jd Rj X, $9.68 SIGNATURE OF CONTRACTOR OR AUTOrORIZED AG (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT V 1 DA VE SIGNATURE OF OWNER 0F OWNER BUILDER)) IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: /HCl G'IJILDER: '12f'1.�-,..�,��> ADDRESS: ADDRESS: ,. i- 17 TEL NO: % 7¢ .-: 2- TEL NO: G 67 Construction Location STREET NO: STREET: LOT: d''(/ BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. e DESCRIPTION OF CONSTRUCTION 1 , Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square -Peet: Cubic Feet: Type of Construction: 'Ib Be Cbmpleted: j - o 0 Estimated Cost: $ (> 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 wark 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 applica i are true and correct. DATE: SIGNA`.CURE. Stipulations: q, oo �C F SUBJECT PE City of Fridley 6564 AT THE TOP OF THE TWINS BUILDING PERMIT-ReeETIT r T NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. PROTECTIVE f 1 ; � NUMBER REV DAT /16/98 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 -61L30CA 108 ADDRESS 7424 Melod Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 4 IMelodyManor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bill & Sue Holm 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Brunn Construction Co, Inc. 1209 Old Hwy 8, New Brighton 633-5458 4016 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 CK ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Family Room & Deck Addition (14' x 20 Each) 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WAR1641ING Before digging call for all utility locations 454.0002 SEPARATE PERMITS REW FOR �EQt��ED BY LAW .WIRING, HEATING, PLUMBING AND SWK 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 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 COMPLIED 22 522 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT —$7475* �� f $11.26 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. $324.75 Fire SC $22.52 PLAN CHECK FEE TO" O L FEE J O • '6 License 5.0 363.53 SIGNATu CONTR*t#bW67MTHORIZEDAGENT IDAT I EN ROP R VALI D THIS IS YOUR PERMIT i �j f! W 4 J ,PV -► SGNAT EO WNER LDERI IDATEI WLUt INSP DATE F NEW [ ] ADDN [ ] CITY, OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Tel. # Effective 1/1/98 Contractor.• -,,,, ( �c ,,, '1 Y�n� lv� . e - . MN LICENSE # b l Address: 20`2 L� .� ) V 2::2 bliz��> EA -cc, ►-::2 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF 11\1PROVEMENT - /m00%/ : c� Length � Width Height Sq. Ft. ZFD Width Height S . Ft. "�i ' ''�• zo Length � q Length Lj � Width 7 _ ' Hgt/Ground Q� Sq. Ft. -srz. V Construction Type: Ap ed Cost: $ (Fee Schedule on Back) „ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:AC/9)a:'APPLICANT: Tel. # (d3 �r�S STIPULATIONS: 16 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ . 5 .001 of Permit Valuation (1/10th%) State Surcharge $ % $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 [ J Not Necessary [ ] TOTAL $ STIPULATIONS: 16 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1998 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater –Electric $ 7.00 Water Heater – Gas** $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 0c) State Surcharge $qq .50 TOTAL FEE $h /• S�0 2 1 I JOB ADDRESS .//2'l �1 �CP•�r The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ., *7—v .1998 1 Owner V'flily) yltJ ^a r Building Used As jW w G1// Estimated Cost d� PERMIT NO.r PLUMBINCOMP �l�'�/ r�-'�'-- SIGNED Y TEL N0. 700eG - :?Ifld Approved By Rough—In Date Final Date —/) _ y MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS -7�A RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) ,1998 Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST , x � � PERMIT N0. � 12 *Air Conditioning - All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge TOTAL FEE $ .50 170 MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Bumer Trade Name, BTU HP Size No. EDR HEATING COMPANY , fV v C Signed By Approved By FILL OUT BACKSIDE FOR REPLACEMENT FURNACE Rough -In Date VERIFICATION ON Tel No. (O\Z_ f rs s TT IS Final Date Remarks: List ALTERATIONS Being Done: KW�JA- AAA AAA i -m Yv E--XTeVA Bz HEATING CO: Signed By: Date: 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 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: KW�JA- AAA AAA i -m Yv E--XTeVA Bz HEATING CO: Signed By: Date: r SUBJECT - PE City of Fridley 2 8 6 9 3 AT THE TOP OF THE TWINS BUILDING PERMIT �57.2®_3CGQ NIDEVELOPMENT DIV. o. PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED By x'-.11 CITY HALL FRIDLEY 55432 L J` 612-571-3450 910-F15 1.12/2/98 JOB ADDRESS 7424 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 20 4 Melody Manor I 4th SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE William Holm 784-7052 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350 73rd Ave NE Fridley 55432 502-4777 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION jk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows with pocket inserts 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. 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 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 $5000 $2.50 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 $99.75 Fir/1C $5.00 PLAN CHECK FEETOT F E Licen .25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEo EN R VALIDAT His IS VO R PERMIT Bl iNSD gAtE S,GNATURE OF OWNERdF OWNER BUILDER, iDATE) r NSW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Ij BUILDING PERMIT APPLICATIONA(OR 01-11 10 ConstructionAddress: _ Legal Description: 0 Owner Name & Address: (,tjj aLd& &JM _ 7TUL./ Zqjj4,hf,/� Tel. #ice/— Contractor: T�,`e��,'��`Qnn� jn„Qou1 Q • , MN LICENSE #0DyQ[�, Address: lt�Pt �.�•—�—.��td(,�., SSy Tel. # Std L027 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF RY[PROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 4(1(sn d4U 25 WZ &�-t LA -4 U:a6d Construction Type: Estimated Cost: $ S, Oji (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 14130 APPLICANT: Tel. # ffSL/-c9 CITY USE ONLY Permit Fee $ R •'j Fee Schedule on Reverse Side Fire Surcharge $ • Do .001 of Permit Valuation (1/10th%) State Surcharge $ a•so $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S.j $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 [ ] as TOTAL $ Ila STIPULATIONS: SUBJECT City of Fridley 31530 AT THE TOP OF THE TWINS BUILDING PERMIT f 1 , O COMMUNITY DEVELOPMENT DIV. 16 __ _ r � PROTECTIVE INSPECTION SEC. 1 1 � NUMBER REv DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910415 10/26/00 JOB ADDRESS 7424 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 20 4 Melody Manor 4th Addition SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE William Holm 7424 Melody Drive NE 763-784-7052 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal By Andersen 350 73 Avenue NE, Fridley, MN 55432 612-502-4777 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20130983 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION? REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 7 window inserts within existing openings B CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Permit Inspection Cards Will Be Mailed TO Homeowner To, Post 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 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 COMPLIED $7,420 $3•71 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- F e SC $7.42 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $153.25 PLAN CHECK FEE TOT L FEE Lice C $5 169.38 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE, 14=70isp HE ty P R.Q P VALID TE HIS IS YOUR P RMIT S,GNATURE OF OWNER,IF OWNER BUILDER, [DATE. BATE NEW[ ] Effective 5/10/99 ADDN [ ] CI'T'Y ®F FLEY ALTER (] SINGLE FAMILY AND DUPLEKES R-1 AND R_2 BUn DING PERMIT APPLICATION Construction Address: ---T q a y Legal Description: Owner Name & Address: ave �\()i yr '.1 Tel. # to Contractor: RENEWAL BY ANDERSEN MN LICENSE # 350 -73RD AVE. NE Address: rRIDLEY, MN 55432 Tel. # Attach ( 612 ) 502-4777 of the LICENSE #20130983 lot, witi. LL1V lJiVyV�V.. VV1�JLL4\ LLVu ..ati..0 Vu 1L �J scale. DESCRUY-UON OF IW-ROVEMENT ' LIVING AREA: GARAGE AREA: DECK AREA: Length Length Length Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ = $ DATE: 1j) - a 0 - CU APPLICANT: O.r�, �� '; S Tel. # �(� 3 cI ,� - to OH 4 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ ►53�� $ CITY USE ®NLY 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 [ ] TOTAL $ 1(q 38 STIP TIONS:` o1/lo'a 004 cnY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR L-tfei.uvc U1 Jail 1, 21JW PLUMBING FIXTURE RATES NO. RATE TOTAL JOB AD New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater - Gas" $10.00 Building Used As Gas Range"* $10.00 1 Gas Dryer"' $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required (0jYle-s—( ) No Type $15.00 PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY �o-�71TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By � Rough -In Date Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED GAMMON VFNT- VENT r.QNNFCTQR AND CQMR1ISTIM AIR VFRIFICATIQN When replacong replacingan Pxosfina 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The PxoSt=nn cnmh i-tinn air is sized and installed to meet the current codes and manufacturers specifications. Yes () No( ) When required to ongt-ll a naw romhnstinn air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When anstallonn a ne4•s yonting systam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 Sim /Cnmmnn Vent and Vent Connartnr 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: Signed By: Date RECD APR 16 2007 APPLICATION # 07- C30-5 CITY OF FRIDLEY 2007 LOAD LBUT MODIFICATION PERMIT JOB ADDRESS: - q Mewby tic- &1E DATE: 4 fro -o-1 MATERIAL TO BE HAULED: _bj mx s � BEING HAULED BY: ern c. i4cL5 P i - t -o kig- PERMIT REQUESTED BY: -fy-b yr cv..w jgc DATES OF DELIVERY: q piles -o-r - (Up To 3 Days) THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER AXLE TO FIVE (5) TONS PER AXLE OVER THE FOLLOWING DESIGNATED ROUTE: IV A)F-- ot, --;7,3 & -j-0 -56 W4 .4 0, C q� NOTICE: This permit is valid only for vehicles enroute to construction address during the hours of 8:00 am to 5:00 pm. See Resolution # 01-2004 and State Statute Section 169.87 0 SignatuKe of Applicant PERMIT FEE: $25.00 RECEIPT # ISSUED BY: Copies Given o Po ' e [ ] & Engineering [ ] Building BUILDING Permit No:: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE Y UR I ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER XONTRA TOR PROPERTY OWNER/ NAME: TENANT ADDRESS: ' CITY ST PHONE: CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE 3 E -V 5�TE ADDRES /rte / v C/ CITY00 " ST,� ZIP WITH APPLICATION Pg NE PAX PROPERTY TYPEGLE FMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF DRAIN TILE ❑ DECK ❑ SIDING fHER Plo 11SWIMMING POOL TYPE OF WORK: EW ❑ ADDITION ❑ MAINTENANC AIR ❑ REMODELING DESCRIBE WORK BEING DONE: Pa yd� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used 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 ❑Yes ONo 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 BASEV ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: N TOTAL JOB VALUATION $ �HF 1,x,9 60 FEE OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ $ $QT. $ St'o See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks Davable to: Citv of Fridlev Attach 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 wor hi requires r ew an;M ,rova�l Sof plans. /� SIGNATURE OF APPLICA� /%C�`�PRINT NAME & X