PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: _._. May 11, 1967
Owner:
Address
Builder Romedale Builders
Address 5217 Wayzata Blvd.
N9 9232
LOCATION OF BUILDING
No. 7432 Street — Melody Drive part of Lot
Lot 22 —.__ Block 4 Addition or Sub -Division . Melody Manor 4th Addn .
Corner Lot ._ Inside Lot x Setback 35 w_ Sideyard .__ 10'
Sewer Elevation 879.29 _ 882.29
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front 40' Depth 24/30 Height 20' Sq. Ft 1032 ca. Ft.
Front Depth _ _ Height ._ Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost __. $18, 000 __ To be Completed July 15, 1967
SEWER LOCATIONS- 80' S. W. of Manhole
WATER LOCATIONS- 70' W S. W. 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 aboveAet Xorth and in cum ante with a'll provisions of
ordinances oY the city of Fridley.
i
$100.00•
In consideration of the payment of a fee of $ 31.00 , permit is hereby granted to Homedale Bldefs .
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 d
ordinances.
CLARENCE BELISLE
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sun to we
the Building Inspector for separate permits for these item.
Ple_4AI qte^'
APPLICATION FOR BUILDING PERMIT
q'
CITY OF YRIDLEY, MINNESOTA
OWNER'S NAME
ADDRESS ADDRESS
LOCATION OF BUILDING /
N0. STREET ��'��-C�/ ,F PART OF LOT
— V
IAT BLOCK ADDIT1014 OR SUBDIVISIO
CORNER LOT INSIDE LOT_ )� SETBACK c STDE-YARD /d
SEWER ELEVATION 9 .9,q FOUNDATION ELEVATIOft ��a • _
��J - D / T
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these C rtificates
-�dx&
DESCRIPTION OF BUILDING
To be used as:
Front L ® Depth 'P Height
Sq. Ft. /� ,j ' _Cu. Ft.
Front Dept _Height
Sq. Ft. Cu.'Ft.
v0
Type of Construction �► Estimated Cost_% rA® f—
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 Degartmerit of Buildings,. and hereby
declares that all the facts and representations stated'in'this application
are true and correct.
DATE SIGNATURE
(Sched le of Fee Costs can be found on the Reverse Side
��e �71 y
City of Fridley, Minn. N9 9368
BUILDING PERMIT
Date:-•1gloy-22 July 25, 1967
Owner: Homedale Blders Bider A. B. C. Blacktop Co.
Address Address 1308 Main S t . N. E.
LOCATION OF BUILDING
No. 7432 ____ Street _ Melody _ _ Part of Lot
Lot 22 Block 4 Addition or Sub.Division ._Melody Manor 4th
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 Asphalt Drive Est Cost $90.00 _ To be Completed
In consideration of the issuance to me of a permit to construct building described above I agree to do
the proposed work in accordance with the description above set fo -compliance with 21 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of a 5.00 permit is hereby granted to A • B. C.
Blacktop Co. 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.
CLARENCE BELISLE Building Inspector
NOTICE:
'This pennh does not cover the construction, installation for wiring, pleinbing, gas heating, sewer or wafer. Be son to no
the Building Inspector for separate ponnUs for these bona.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
I- C &2&1) e gS
BUILDER
ADDRESS-70-&O-)�Qm1604n
- ��_
ADDRESS /),Q - AA/4)
37.
/�r►
LOCATION OF BUILDING
NO. STREET EI- O, c PART OF LOT
LOT Z� BLOCK ADDITION OR SUBDIVISION o
CORNER LOT INSIDE LOT
SEWER ELEVATION
SETBACK SIDE -YARD
TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
To be Used as:
DESCIPTION OF BUILDING
Front
Sq. Ft.
Front
Depth Height
Cu. Ft.
Depth Height_
Sq. Ft. Cu. Ft.
Type of Cons truction_AS4G? Estimated C �'/) • ja
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 ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this applicaticn are true and correct.
DAT SIGNATURE e
I ly
(Schedule of Fee Costs can be found on the Reverse Side).
M
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 .................. 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
5.00
$ 4---"
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
$ 4---"
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
$ �!�®
ROUGH
FINAL
Dept. of Bldgs. Phone 560-3480
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.�� 19e
Owner�������������
Kind of Building
Used as���L�/V�
To be completed about ZT d Z& /
,—
Estimated Cost, $ �J
Old ew Building Permit No. Permit No. �3L60
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water,arm —No /
Trade Name �� z f; Size No—Z611401
Capacity Sq. Ft. E.D.R.® BTU H.P.
Total Connected Load 4V -j' 9WZ Kind of rue
''
BURNER — Trade Name Size No-
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
sib a N: `�lVELTF �•..1 � 'T -I w„+
Go
By AVE. •
MAPQLIS i511"
X42 Business Phone No-�� Odd
City of Fridley
Application for Plumbing and Gas titling Pwndt
Dept. of Bldgs. Phone 560-3,
P�'e
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
3
7
��
4_
12z
in
;�
YZ
o�
New Fixture Old Opening ..............
p
O�
5z
Uvi
W
ox
<3
q�
dna
w
o
�Sn
Z
z
�O
•
F
•
N
WATER HTR.
GAS
EI.EG
Base
x $3.25
$
Electric Water Heater
a $2,00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ...... ...................
x $2.00
$
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
1st
2nd
3rd
4th
• Future Connection Openings
* New Fixture, Old Openings
I
Connected with
Sewer �
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures .............. .......
6 x $2.00
$
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.50
$
Catch Basin ...... .....................
x $3.25
$
/
3 64)
Water Heater (Up to 99,000 BTU) ......
/ x $3.00
$
New Ground Run Old Bldg . ............
x $3.25
$
Electric Water Heater
a $2,00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ...... ...................
x $2.00
$
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
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.
Owner
Kind of
Used as
Tobea
Estimate
Old—New. Building Permit No ( ;t- Permit No. ✓/`�'
Signe
By
j�0�
Business Phone No
ROUGH Po' u 'o
FINAL
Description .............................
...................
TOTAL FL',
1)
p o-? 3 i
City of Fridley, Minn. 9819
BUILDING PERMIT
Date: July 8, 1968
Owner: _ Gary Titus Builder Western Coat ..Soy_
Address --L4-32— 7432 Mel. adv Driy Address 1017 lr mdalP Ave S.
LOCATION OF BUILDING
No. 7432 Street __ Melody Drive part of Lot
Lot _.._ 22 .__ Block 4 __ Addition or Sub -Division ._ Melody Manor 4th Addn..
Corner Lot — Inside Lot _ Setback -- Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front — 22,' Depth 20' Height . SQL __ Sq. Ft. 40 Cu. Ft. 5280
Front Depth Height ___ Sq. Ft. ._ _ Cu. Ft.
Type of Construction Frame Est Coat _ $1400.00 -_To be Completed 60 Days
In consideration of the issuance to me of a permit to construct the buil ' g described above, I agree to do
the proposed work in accordance with the description above set forth and comp ante wi a'll provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $--9. 00 , permit is hereby granted to Western Const. Co.
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or anypart thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Official
BuildingZappmbu
NOTICE:
This pen* does not cover the construction, testallaMon for whiny, plumbing, gas heating, sower or water. Be sun to too
the Building Inspector for separate permits for these items.
M
r
APPLICATIOP.,FOR BUILD.INP ,PERMIT
CITY 7: FRIDLEY#.MT1=S0TA
OWNER'S NAME
ADDRESS 3 _ _ _ `ADDRESS%%� .�
ON 9F BUhb=G
NO.- STREET --
LOT 2�?_ BLOCK 4 A %DITTON OR SU$DIVISTON -
CORTiER LOT INSIn* Lft'y" SETBACK ST$EYARD
SEWER E4VATIbN P' SOP OF FOOTING
Applicant attach to this foie Two"bd tificates •ot Surveysof-Lot and proposed
building location drawn on these Certificates.
DESCRIPTION. * 6F,'.$UILDING' . "
To Be Used As* m
Square. ;Feet �_. Cubic Feet
Frout , Depth• Height
Squa feet Cubic Feet
Type of Construction Estimated Cost l7 d* ®- C 0
7
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 �4- S-21-_ -�
(Schedule of Fee Costs can be found on the Reverse Side).
D co
A r �
SUBJECT
City of Fridley
WRECKING (�b
o" 7 4 9 3
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r
RE
�
`� ____�_ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I CITY HALL FRIDLEY 55432
L"'K. ".j
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
1 910-F15
5/11/84
JOB ADDRESS 7432 Melody Drive N.E.
1 LEGAL
LOT N0.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
22
4
Melody Manor 4th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gary Titus 7432 Melody Drive N.E. 786-2023
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.
6 USE OF BUILDING
Garage
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE Cj REMOVE
8 DESCRIBE WORK
1 x 201 Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Clean area of all construction debris.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$15.00
S I G N A RE OFC (DATEI
"- HEN PROPERLY L ATED THIS IS YOUR PERMIT
bROAUTHORIZEDAGENT
BLDG NSP t)ATE
SI NATURE OF OW R IIF OWNER BUILDER) ATEI
Effective Aug. 1, 1981
City of Fridley
w�u�T
Permit No.
AT T14 TOP O/ ng TWW4
rP
L •
WRECKING PERMIT APPLICATION
Receipt No.
:
t r'L-------- COMMUNITY O[V[LOPMENT OIV.
1 i potOT[cTra Pie tcTo" WT.
CM HALL /INDL9V 594P
NU
MM
R9V.
O►TE
PWE OP►►PROVED
Br
goo
Job Address
3 *- ^eLod SLI-jF,
Legal
LotNo.
Block No.
Tract or Addition
Des c.
Z 2
/W (=c.0j) 1W AW0,2 y7 nl
Property Owner I Address Phone
l'r U3 -L m ce-oo D e l V ?Y6 ,- L0 23
Contractor S� Address Phone
Description
Front
Depth
Height
Sq. Ft.
of Bldg.
2 1- 1
20
b T-J,
o
No. of Dwelling Units
Taxes Paid
Tax Receipt No.
Estimated Cost of Wrecking
=ToBe Completed
Utilities to be Notified and date Services Disconnected
Mpls. Gas OD. N.S.P. Northwestern Bell Tel. Co.
Engr. Dept. Cust. Bus. Of c. Bus. Of c.
372-4850 330-5540 332-4112
Date Date Date
Wrecking Fees: $1.25 for each 1000 cubic feet or fraction
For structures which would be impractical to cube, the fee
shall be based on the total cost of wrecking such structure
at the rate c $ each $500.00 or fraction.
MINIMUM s $15.00 No State surcharge on Wrecking Permits.
Approved By Water & Sewer Department:
All Bills Are Paid Services Are Disconnected
The undersigned hereby makes application for a permit to wreck the building
described above, agreeing to do all work in strict accordance with the City
Ordinances and rulings of the Department of Buildings, and hereby declares that
all facts and representations stated in this application are true and correct.
Contractor
/_1s
Date
1
�I Mi n Oft ce 571 6066
®IJfmYR■ 111 -- 16875 w,gnwarNo 65 n E
ry
Nf91NL'ct/fIN1t� i MuuMahc ta:nne5ata 55437
�_- �.. INC-----------
1[!o,
8906510
'„ u 6 Mu,uapai fny✓vn,nR a x.41 T -t -c a Lendtin,larttnfi 0 Land PlGAn g 01 GiM RM,1
' Burnfy„ 1e. Mmnenrte 55337
�®
Mortgage frown Survey for GARY r T
1 T V S
b�O �
� o
0 z:
A I
i
obehofeS iron mo1)urY1enf kr
OA
=I
LOT 2-2-/ BLOCK 4, MELODY MANOR 4"'ADD.
This is o true and correct representation of a survey of the boundaries of the land above described and of the
location of all buildings, if any, thereon, and oil visible encroachments, if any, from or on said land. This +urvey +
mode only in connection with a mortgage loon now being placed"
props ty and no liability is assumed
except to the holder of such mortgage or any other interest acquired by the r oson of such mortgage. It is
understood and agreed monuf7 s ho a been p)ac d for the purpose al a lishing t lines or boundary
corners. Dated this day of�=/rA. D- 10 . ../
7 SUBURB#N E INFER G, INC.
Enginnee*#'% Surveyors
Not Pub.ished. All Rights Reserved
SUBJECT
PERT17
City of Fridley
1111
9:2
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BNF
612-571-3450
910-F15
51184
JOB ADDRESS 7432 Melody Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
22
4
Melody Manor 4th Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Gary Titus 7432 Melody Drive N.E. 786-2023
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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 22' x 22' Garage and Remove Existing 22' x 20' Garage
8 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.
66
Driveway Escrow:
WA RIN0
SEPERATE PERMITS REQUIRED FOR WIRING.
�e�flte diggirl� call Kcal utilities
Etc. P�.U�I1�IIdG ��� �lGl_�S�
TELEPHONE - ELECTRIC - GAS HEATING,
,REQUIRED BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Wood NFrame
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$2,400
$1'20
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-
$35.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$39.70
SIGNA URE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
'11a WHEN PROPERL(A I DATED HIS IS YOUR PERMIT
L
7ERIIF
BLDG )NSP PATEA
SiQrNATURE OF O OWNER BUILDER) (D
NEW
City of Fridley Effective 4/1/84
ADDN. [ ] �R-1 AND R-2
ALTER. [ J Building Permit Application
Construction Address:
32 /NC=LO® V(5®T ZZ 0/-0C"/- 4L ry�Copy
Legal Description:y
Property Owner/Address: C; A� �. �� Ta S "' V3 2 M60,0y �OV4 Tel. # 7ff6 r?�23
Contractor: �iSi- A;o+y MA301VAy mac. CtA w1u, i!s Tel. # ?y- /-3s
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length �- r
Length
DESCRIPTION OF IMPROVEMENT
Width
Width -2 -
Width
Height
Height S %
Hgt/Ground
Sq. Ft.
Sq. Ft. �
V99
Sq. Ft. _—
Corner Lot [ ] Inside Lot �XC] Ft. Yd. Setback 0AFf' Side Yard Setback
Type of Construction: Wo� � �'M ---- Estimated Cost: $ O� owo my 0,1b
*404 E 9F 'eee u'V rr.
ON NEW FOWJ'Dinj N
Approx. Completion Date: �iyG��+ C /9�/ �s�N6 r0601A
/tiF1:E2 �At.$
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: / e Back Page/for Explanation
DATE:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT: Tel. L°Z3
CITY USE ONLY
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Nece _]
a.VAn cj aY 440 0_
a16.0 &
")0. ?0
n4 a
S14,10 U
W&WAAk
�IMu5Otfice 57160E
® USURSAW Mww poles, y ne 6b N E
pSIfslEfiflf;i9as Mvvoeapoln, A4nnesots 55432
'A --- �_ Iroc.� ------
$Guth Ott,c! B468510
®_ 1101 pol Rosd
® t7, d t M,,vuapor Fflpro •rung • �.ol T-nnF a Land iurwruW Is Land Plantunt B,unswlle. M,n mta 55]37
MM -TIT
Mortgage Loan Survey for GA !lY S
b
i
i
6-�
� O
1D �
Scale /"=3C'
.�
o De n o tes Iron m0n1ArP) Cnf
r• 0 �
w�V
En
LOT 2-2-, BLOCK 4, MELODY MANOR 4-DADD.
This is a true and correct representation of a survey of the boundaries of the land above described and of the
location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey ,s
mode only in connection with o mortgage loon now being placed on the props ty and no liability is assumed
except to the hotder of such mortgage or any other interest acquired by the r ason of such mortgage. It is
and«stood and agrec•ci_9plrnonumeR4 have been plat/d for the purpose of a lisping l�t lines or boundary
corners Dated this �� day of .'�• ' A. C_ !9 66i R /
Sl`ISUk5ikid E INEERIN'6, INC.
Engine s Surveyors
I
Nnt Puhllchpri All Rmhts Reserved
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1991
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB
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
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance _
a
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.
Owner -A k,
Building Used As 'D wt" LZ.;1-A_' -6
Estimated Cost
PERMIT NO. I6,
PLUMBING COMPANY Q ,/_ IS Ke 6 G�
SIGNED BY .�-� ll®� TEL N0.
Approved By 4d Rough -In Date Final Date �(s
State Surcharge .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
TOTAL FEE PLUS THE $.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Effective On January 1, 1991
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 (Ntteded with new furnace)
Gas Range
Gas Dryer
Rade TOTAL
$ 20-00
$10.00 $ io,ob
$10.00 $
$ 10.00 $
"Air Conditioning - All Sizes $10.00 $
All Others/Repairs & Alterations (LIST ON BACK)
I% of Value of Appliance or Work $
CommerclaUlndustrial
1 % of Value of Appliance or Work $
State Surcharge $ .50—
TOTAL FEE $--.2!0 —.So
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.
JOB ADDRESS ') `13a
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 application are
true and correct.
OWNER Jh w
BUILDING USED AS
/e -D'S ,1991
ESTIMATED COST I's ac , C) 0 PERMIT NO.—`
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water)arm Air)
Trade Name OLA,ro.&� Size No. Cau fl .
BTU (o o , oo G HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU I HP EDR
HEATING COMPANYQa .,�1-P A�L y �'a �✓fi� /L
Signed By l I Tel No. qa'4 -a (, S L
Approved By Rough -in Date Final Date &�� 6 /
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CRIMMY 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
( j
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