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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: July 6s 1965 Owner: Builder HOMEDALE BUz D B c Address 7435 Melody Drive N. E. Address 3017 Lyndale So. ,-:2 ;-29-7 �F N° 5114 14 LOCATION OF BUILDING No. Z 35 Street Melody Drive N. E. Part of Lot Lot 12 Block ____ i`' Addition or Sub -Division Melody Manor, 4th Addition Corner Lot _ Inside Lot —. X: Setback 35 Sideyard 10 Sewer Elevation To be Used as: Foundation Mevation DESCRIPTION OF BUILDING Duelling Front 46 Depth 28 Height 20 Sq. Ft. 1152: cu. Ft 23040 Front Depth height Sq. Ft. Cu. Ft Type of Construction Frame Est. Cost $l6sQQ9 0Q-- To be Completed New Dwelling 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 all provisions of, ordinances of the city of Fridley. p A In consideration of the payment of a fee of $ 24.00 , permit is hereby granted to Homedale Bldrs. Paul Burger, 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 wiord nthe city limits and permit may be revoked at any time upon violation of any of the provisions of said Allen Jensen Building Inspedw NOTICE Ub pendt don net cover the construction, bmte(Iation hr wletag, plumbing, gas heating, seven or water. Be suns to see the Betiding bwp*c1or for separates permits for these home. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA. OWNER'S NAME'' BUILDER ADDRESS ADDRESS LOCATION OF BUILDING No. � Street L fart of Lots Lot /p- Block t�r Addition or Subdivision Corner Lot_ --__.___Inside Lot 4 Setback Side -Yard Z,U SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates: of.Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Fron Depth Height Sq.. Ft. �I Cu: Ft. Front Depth Height Sq. Ft..- 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:herehy declares that all the facts and representations 'stated in this application are true.and correct: DATE /�sr SIGNATURE (Schedule of Fee Costs can be found on City of Fridley SUBJECT ®13655 AT THE TOP OF THE TWINS BUILDING PERMIT r ',.T N O. `y _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION �9357 r SEC. 1 � i CITY HALL FRIDLEY 55432 j NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 17/20/76 / JOB ADDRESS 7435 Melody Drive N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 5 Melody Manor 4th Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Joe Lewandowski 7435 Melody Drive N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Western Construction Co. 6950 Wayzata Boulevard 7 -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 Construct a 261 x 24' Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. 1NARNO NU NE -ELECTRIC EOWIRED BY- AI SEPERATE PERMITS REQUIRED FOR WIRING. HEATING, PLUM13ING AND SIGNS. •-IMPORTANT- "b fn THE FRIDLEY ENGR. DIVISM REGARDING CURB REMOVAL. AND REPLACEMENT. AT DRIVEWAY OPENINGS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Pram 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 R-1 624 6240 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG.aUNITS OFFSTREET PARKING 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $4,x-7.60 $2.30 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- $24.96 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. p PLAN CHECK FEE TOTAL FEE $27.26 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR7 PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL ALTERATION, ADDITION, OR REPAIR BUILDING PERMIT OWNER'S NAM: BUILDER: 1,611 ADDRESS j /' ADDRESS .�Sfp NO :. `7A,I,3,�__ STREET: A 16 L U 8 U !� LOT: BLOCK: ADDITION: ))) (� L- u J L/ iJ? -X'6 kL CORNER LOT: INSIDE LOT: Ll SETBACK: SIDEYARD: 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: Front: ,� Depth: Height: df Square Feet: Zp,,2 Cubic Feet: Front Depth: Square Feet; Cubic Feet: Height: Type of Construction: _;,, �_ Estimated Cost: $ '��/ f2° w� 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: (Seg Reverse Side For Additional Information.) q a3; I a Phone: iaReenwood 3-8352 ' J'p5�•��ll A. y.E"'l.'a'lrO��iV'S�i� e.%Y. A�tLEIGH C. SMI'T'H 74-35 ALi lod y Drive gr 3lf, Fridle 1vJ' rrtrl. Registered Professional Engineer and Land Surveyor } , 2030 East Wayzata Boulevard Wayzata, 1Vlinnesota PLAT OF SURVEY OF PROPERTY OF The >Kn U ti S a yr e -,c). / described as follows-� D T .1 Z. 0 1�1 A .� Scale: 1 inch. 30 feet.. -' - � � f ` Y 1 1 kms. CERTIFICATE OF LOCATION OF BUILDING,,,' CERTIFICATE OF SURVEY I hereby certify that on 19,9^5 I I hereby certify that on�� • �� 19sL-� I made a survey of the location of the building surveyed the property described above and that the on the above described property and that the location above plat is a correct representation of said survey. of satdp�building is correctly shown on th�e�,°fbove plat. f 3uilding BUILDING Permit Na inspections RESIDENTIAL APPLICATION Received By: 76,3-Z72-3604 .0005 x Permit Valuation Minimum $.50 $ •c?� CITY OF FRIDLEY Date Rec'd: —AA9 ` / _ G �j $1550 per SAC Unit (Plans to MWCC for determination) )ATE / YOUR E-MAIL ADDRESS ;ITE ADDRESS ! • `' '-p2I } F i iI /U i HIS APPLICANT IS: - D OWNER CONTRACTOR PROPERTY OWNER! NAME: + i< t A , ' TENANT CITY. 2 i C= '-f' STATFi� ADDRESS:_ • 7 < j .`� ✓L� E1066, ,L PHONE: I&LSf '- 72/2 -7 0 6 6, CONTRACTOR NAM>: SUBMIT A COPY OF STATE LICENSE # L/ ZTLf 7 471 EXP DATE 3-31 — 2-007 YOUR STATE LICENSE ADDRESS: 7,3344-7 ., C /v 0 � 1— -T CITY P Z STATE' `'" S*� -7e-,) WITH APPLICATION P �`3 G: •i 74iFAX 7 PROPERTY TYPE GIME FAMILY >4! E=k",sriq,Z» SIZE Sri a D TW CONSTRUCTION STORIES PERMIT TYPE O ADDITION D GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING /M'OTHER ❑ SWIMMING POOL )ee-m e,AC•L TYPE OF WORK: D NEWDITIaN ❑ [3MAI1NMANCEIREPAIR REMODELING DESCRIBE WORK BEING DONE:_ A£-44 Ve lr� 4�/� TI.�r�Fr� 1 /5/-r. # b V � ,P%'Ai SIZE OF IMPROVEMENT 3 7,5 --go' LENGTH Z WIDTH l3DIGHT Sq. Ft3 ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES O HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: D DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural mwnbers to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O Vinyl ❑Soffit ADDITIONS. & PORCHES cr tRhaT• ❑ Aluminum ❑ Other D Trim I. Site PlanMurvey showing the existing structures D Fascia and proper project WMIDOWS 2 Two sets of construction plans IN EXISTING OPENINGS ❑Yes DNo LOCATION OF WINDOWS 3• Energy Calculions OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF ALL FEES ARE BASED OTAL JOB VALUA Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due Y-ALUAFIVIN, LNULU (USING WffE 1997 U.RC FEE SC LABOR AND MATERIALS: TYPE $ - •� 65% of Building Permit Fee $ 001 times the total job valuation $ 2i .0005 x Permit Valuation Minimum $.50 $ •c?� $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= 8x$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ L 9A 0, G i Make checks payable to: City of Fridley 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 work wh�h�,rzv��roval of plans.��%%SIGNATURE OF APPLICANPRINT NAME ( �L ►✓%+ T DATE a - d T0♦s0-ESL-69L -4u -110 eTT:OT 90 1b1 des F SUBJECT P City of Fridley 30150 AT THE TOP OF THE TWINS BUILDING PERMIT EIPT NO. COMMUNITY DEVELOPMENT DIV. � SEC. f � PROTECTIVE INSPECTION 1 . � ! CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY l 612-571-3450 910415 9/1/99 10B ADDRESS 7435 Melody Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 5 iMelo-dy Manor, 4th Addn.SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Weib e 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Suburban Exteriors 970881_,q232 498A a 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 O NEW 0 ADDITION 0 ALTERATION 99X REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (29 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2535 $1.27 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 $83.25 Fire SC $2.54 PLAN CHECK FEETOTAL FE Licens $5.00 $9 6 SIGNATURE OFC TOR OR AUTHORIZEDENT IDAiEI EN OPER (DATE S IS Y R PERMIT r Bl0 INSP MATE SIGNATURE OF OWNER,IF OWNER BUILDERI IDATEI F NEW[ ] ADDN ALTER Effective 5/10/99 tr o q 6 ( [ ] CITY OF FRIDLEY [ SINGLE FAIVMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: '' tl Legal Description: _ e L L�_& r� z� .0 Owner Name & Address: P ��! )q 35 ri°� eL° UE 7 f Contractor: LIRA AAA L. MN LICENSE # , Address: Cj � ®i Q °Z Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn, on:itlo: 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: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ a9 DATE: f j �i i APPLICANT: .� „� Tel. # �� 3 CITY USE ONLY �j Permit Fee $ c� ��T Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ %, % $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ _ 5 QQ $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 $ STIPULATIONS: 5290 fq%%2® , a OU -S A-8 CITY OF FRIDLEY INSPECTION DIVISION-� Effective On January 1, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-,604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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. HEATING COMPANY DEPENDABLE INDOOR AIR QUALITY. INN 2619 COON RAPIDS F30ULEVARD Signed By:_:D,- =L '� 2 �,a P s. "tel No. ' 0 Approved By Rough -In Date Final Dat 7-7 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS TIC e 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 $366- representations stated in this appiicatl ce true and correct (Side Vent -Fill Out Back) Gas Piping (Needed with new furnace, $10.00 $ Ll but not replacement) OWNERS 1 {(1 Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ II \\ ESTIMATED COST , ICS i U PERMIT NO. I �' *Air Conditioning - All Sizes $ 25.00 $ JS 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 Wat (W�Ai* Trade Name 1NMe_i I 7S -Ln ndCtrc!(Size No. Commercial/Industrial BTU So, Obc> HP EDR 1.25% of Value of Appliance or Work $ Fuel A[c c c•.� Total Connected Load A'A o j v State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ -Ise) MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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. HEATING COMPANY DEPENDABLE INDOOR AIR QUALITY. INN 2619 COON RAPIDS F30ULEVARD Signed By:_:D,- =L '� 2 �,a P s. "tel No. ' 0 Approved By Rough -In Date Final Dat 7-7 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: HEATING CO: Signed By: Date: 00ij4Z1« LiE'�C zi- 4.iAf I Ez e_c>' t -1!&1,7I I C�EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: L Has been carefully examined Yes ( "o ( ) 2. Is free from rust or deterioration Yes (,-)-No ( ) 3. Has no foreign objects lodged within Yes �.4-No ( ) 4. Is securely supported Yes (L)—wo ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes P"o 6 Has total heating BTU's of�0 All other BTU's 9 TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes (f -"o ( ) Remarks: HEATING CO: Signed By: Date: 00ij4Z1« LiE'�C zi- 4.iAf I Ez e_c>' t -1!&1,7I I elA00— G1YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 March 23, 2001 Brian Sabby 7485 Melody Drive NE Fridley, MN 55432 Re: Final Inspection at 7485 Melody Drive NE Contractor: Dependable Indoor Air Quality Dear Mr. Sabby: A mechanical permit was issued on July 15, 1999 for the installation of a furnace and air conditioner at your address. According to Section 305(a) of the 1991 Uniform Mechanical Code, a final inspection shall be performed on the mechanical permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the appliances were installed correctly. We also need to check for the installation of combustion air, vent and connector sizing. If you would like the installation inspected, please -contact us within 30 days to arrange the inspection. If we do not hear from you we will expire the permit and note that no inspection were called for. Any questions can be addressed to myself at (763) 572-3603. BuilditA Inspector DJ/mh Building $ a S BUILDING Permit No.` Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By,6'� ;_ 763-572-3604CITY Surcharge OF FRIDLEY Dc'd t DAT 30 0e) YOUR E-MAIL ADDRESS �SC�,`1dQ( L�D�T G%C • C.C�iY1 SITE ADDRESS —19 C J� $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ THIS APPLICANT IS: ❑ OWNER °AONfRACTOR $ PROPERTY OWNER/ NAME: MCi'n $ ADDRESSn CITY STATE ZIP TENANT Agreement necessary ( ) Non Necessary ( ) Ito to -� —792) JWROLo 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— STATEZIPWITH WITHAPPLICATION PHONE License #20130983 ❑ SINGLE FAMILY/NEI 651-2-4777 PROPERTY TYPE ❑ TWO FAMILY/NEW C ❑ ADDITION ❑ GARAGE/SHEDWINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:❑ EW ❑ ADDITION INTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE.. t SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT la. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit AD DiTI_n_NS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Phm/Survcy showing the existing structurc ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 14,000— OCCUPANCY TYPE Permit Fee $ a S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 0 .001 times the total job valuation Surcharge $ 00 .0005 x Permit Valuation Minimum $.50 License Surcharge $ 510 $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 $ _, Make checksayable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be 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 r a petmi 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 w requires ew and approval of plans. r SIGNATURE OF APPLICANT NT NAME OdC% V1S� Y\� DATI� 0 C 05 Building MECHANICAL Permit No.: 0J7-©JJSU Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 dMCAu L 19 200 CITY OF FRIDLEY DATE sI 1 k C> m YOUR E-MAIL ADDRESS SITE ADDRESS U 35 1 \ ck &A 1)(L ,e_ THIS APPLICANT IS: ❑ OWNER 15CO4FRACTOR PROPERTY NAME: Thr ye-f-ay,s OWNER/ TENANT ADDRESS: -i 43s Me ( Oct ny Fr ; cl iSTATE rn NziPS� PHONE:Iye 3 - A -a - Li 0 LO CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN 7INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY ''COW—RAPIDS sTATEMN zIP55433 APPLICATION PHONE 763 - 757 -- 6202 FAX 763--757--6701 PERMIT TYPE )9[SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW �QEPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK � i CA i -� 10 h 40— Y' PER MS 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) 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: u ��t.� DoZ� SIZE/BTU Z�Tcv� MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU —C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCTWORK $10.00 GAS PIPING $10.00 —VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ a5',00 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ ;(5, sv THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT � NAME ROGER HOFFHE IN DATE (D O City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: UVWIVIIIJ Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE 9 `a YOUR E-MAIL ADDRESS 1 \ (i) C( jde e P113 41Ef SITE ADDRESS (Y)EW(-ti Le- THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY Nom: —2 OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR COMPANY NAME:S (� SUBMIT A COPY OF CONTACT PERSON: U v\C STATE LICENSE # EXP DATE,_����. YOUR STATE LICENSE WITH J`(,_ ADDRESS:i%CI S C( CrrY.S 7 Lc � STATE P1 1UZIP 5,) APPLICATION PHONE (D 3 , 7 U - I FAX (P 3 _N - PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK ❑ NEW 13REPLACEMENT )�<TERATION/REMODEL DETAILED DESCRIPTION OF WORK (?X ) D Gl C/y PER MS 1613.665 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, ' replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost $300 = $15.00 abor 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: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $15.00 RANGEIOVEN $10.00 _GAS AIR TO AIR EXCHANGEER $15 FIliEPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 UNIT HTR $10.00 _GAS _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 PERMTT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ .0(9 Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ 1__��_� .5 0 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 a�I wpr e�which . utres review and approval of plans. SIGNATURE OF APPLICANT I (� PRIM NAME Ct J • SP V I eAl l t-DATE `2� I - PLEASE NOTE: SEPARATE PERMITS ARE RE UMM FOR BUILDING; ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.