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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: February 6, 1967 Homedale Builders Builder Homedale Builders &4("a / N9 9.13' Address 7000 Humboldt Ave. North _ Address 7000 Humboldt Ave. North Minneapolis, Minnesota Minneapolis, Minnesota LOCATION OF BUILDING No. 7436 •_____, get Melody Drive N.E. _ _ �_ Part of Lot Lot 23 —-- Block 4 Addition or Sub -Division -Melody Manor - 4th Addition Corner Lot —_ Inside Lot ___.XSetback 35'--- Sideyard Sewers evearon8 50 (5o' SW of MH) f M) Foundation Mevation DESCRIPTION OF BUILDING To be Used as: Dwellingz Front 40' Depth24'&30' Height 20' Sq. Ft 1,032 CtL Ft. 20.640 Garage Front 14' Depth Z4' Height 10' Sq. Ft 336 CtL Ft, 3,3 0 Type of Construction _FraMe Est. Cost A�.Z1` Q� aQSL_._.._ _ To be Completed ,7 �� a 7 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 r in compliance of ordinances of the city of Fridley. In consideration of the payment of a fee off$ 24.00 permit is hereby granted to Homedale Builders plus $100.00eweco� coil eebwlil&g 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 buil 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 corer the construction, Installation for whing, plumhing, gas homing, sewer or water. Be acre to no the Building Inspector for separate permits for these hems. APPLICATION FOR UILDING PERMIT CITY & FRIDLEY, MINNESOTA i OWNER'S NAJEt y�dl%/`S' BUILDER.;-, ADDRESS �� �.._Imo.o. ADDRESS LOCATION OF BUILDING NO'., 71�rTREET PART OF LOT LOT BLOCK ADDITION OR 'SUBDIVISION EL CORNER CORNER LOT INSIDE LOTSETBACK Sq SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used Ad: Lj Front yo Depth, X°!- 3 VHeight Sq. Ft. 7, Cu. Ft. k �� A w H e♦ O _ A Sq. Ft. ..42 Cu. Ft. 4 Type of Construction yP �iQ�� Estimated Cost To Be Completed Eti n� / , / 9 � 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 Departmep.of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. IM, 3- - - -- (Schedule of Fee Costs can be found on the Reverse Side). ,� Application for Power Plants and Heating, Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM It ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldge. Phone 560-3480 .ocation 7 �� � - ' City of Fridley: JLI� lk__� 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. + 19(0 L/ 9(00 Owner Kind of Building �_'z To be completed about ey-d Estimated Cost, wilding Permit No. �l Permit No. DESCRIPTION OF WORK HEATING or PTER PLANTS --.S am, Hot Wa •, Warm Air—l/ Trade Name Le_ZMA-1"_- �USize No- Capacity o Capacity Sq. E.D.R 177 7 BTU )/Z"' H.P. Total Connected Loa fO Kind of Fuel' �- Cz BURNER —Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) SAN' N. WELTER HEATINI C®' Signe MWa&+ &+ pLB '7. 1111! x.. 42 Business Phone No- -yr --12 K.3 / City of Fridley, Minn. 9263 BUILDING PERMIT Date: — MAY 19, 1967 Owner. Homedale Blders Builder A. B. C-.$.lacktop Cn_ Address __ 7677 Jackson St. N. E. Address 1308 Main St- N_ E. LOCATION OF BUILDING No. 7436 Street Melody �.. _ _ Part of Lot Lot ,_„23 --- Block 4 Addition or Sub -Division — Melody Manor 4th Corner Lot —_ Inside Lot Sewer Elevation To be Used as: Setback --- Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front _ _ Depth Height _ Sq. Ft Cu. Ft Front Depth Height _ _ Sq. Ft — Cu. Ft Type of Construction Asphalt Driveway Est. Cost _.$137. 00 _ _ To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above/ret /hfop�r �mpliance with ail provisions of ordinances of the city of Fridley. f/ In consideration of the payment of a fee of $5.� , permit is hereby granted to A. B . C a 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 permit does not cover the construction, Installation for whine, Plumbing, gas hating, sewer or water. Be sure to sa the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS 1p �, ' ,��} G S AJ S%; /°CI[ G ADDRESS /30o- M 79 //L LOCATION OF BUILDING NO. � STREET rL PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION 7!Za�e�i CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION 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 Depth Cu. Ft. Height Sq. Ft. Cu. Ft. _ Type of Construction R4 /!,!- estimated Cost 31 . 729 To Be Completed R TC.[ rue s � 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 application are true and correct. DATE j ® /o % SIGNATURE VU ' (Schedule of Fee Costs can be found on the erse Side . for Paor er Phuft mW Heating, Cooling, Ventilation. -A - e and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAV►TY WARM AIR: RATIC 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 3.0n 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) 9.00 $ over 199,000 BTU See Fee Schednls Capacity GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 200 $ Additional Fixtures x .75 $ Gas Range to 199,000 X$ 5.00 $ Capadty Sq. FL EDR- BTU Hip. AIR CONDITIONIIIG 7-74_P ! / U QL— FAN HEATING SYSTEM Be* Fes Schedule YEN T LATIAG SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH (SURCHARGE $_.50) FINAL 6 `ad - 71!�'- Dept. of Bldgs. Phone W-3490 City of Frldley: The undersigned hereby makes application for a permit for the work hereir 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 facts and representations stated in this application are true and correct. Fridley, Owner Kind of luilding Used as To be completed about Estimated Cost, Building Permit No. 19 _ Permit No. (�J DESCHIPTI0I1 OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Sim No Capacity Sq. FL ED.R BTU H,p. Total Connected Load Kind of Fuel BURNER — Trade Na+np Size No Capadty Sq. FL EDR- BTU Hip. Business ane N (REMARKS—OVRR) 0 !� SUBJECT PE IT NO. City of Fridley o 20224 AT THE TOP OF THE TWINS BUILDING PERMIT _ r � RECEI • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 1/3/90 JOB ADDRESS 7436 Melody Drive N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 23 4 Melody Manor 4th. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Greg Donnelly 7436 Melody Drive N.E. 7802976 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Metal Systems, Tic. 7410 West 114th.Street, Bloomington, MN 55438 9414272 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 11 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 1V x 171 Addition and a 1V x 121 Attached Deck- eck9 9CHANGEQFUSEFROM TO STIPULATIONS See notations on plan, Provide fire alarms on both levels of existing house. Provide combustion air to existing furnace, 1NARNNG SEPARATE PERMITS REQUIRED FOR Before digging .call for alf atility tocdi WIRING., HEATIN-Gv PLUMBING AND SIGNS. OOU2 all new roofs or tear -offs and replacement roofs, R���Jl.R�� BY State Code requires that 2 layers of 15 Ib. felt, .f��i LAW State mopped together, be installed to a point 24 inches up from exterior wall line., or the ase of other approved underlayment membrane. 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 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 $15 550 $7, 78 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- FORMANCE CONS �$17100SnC PLAN CHECK FEE TOTAL FEE /OF/ $178.78 9IGNATLYREOF NTRACTOR ORAUTHORIZED AGENT ATE) WHEN PROPERLY VAUQATED THIS IS YOUR PE IT BLDG INSP fjAT SIGNATURE OF OWNER( IF OWNER BUILDER) (DATE) NEW [ ] Effective 5/1/88 ADEN ] R-1 AND R-2 ALTER ] Building Plermi.t Application Construction Address: 3 6, /ii C /''%G o /-� Y C - Legal Description: 40 T a 3 /? /1C- © y Z/- 6g5 Owner Name & Address: 92 eo — as e c_. � Y Tel. # Contractor: •/� �%Ti�/ c � y s ;-�.� s% LsL� / Tel. # L lYAl1e s: < !( ��% G ✓ // �.L ,� �! (7 0✓zc K r 7`a 4 �� .�..5� 7 . Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: Length GARNZ AREA: length DEM AREA• Length / t -- O'T'HER: 2') I V AL-) - IN, 'Y Corner Lot [ ] Inside Lot [ Type of Construction: Width /7 Height Sq. Ft. oQ 7a - Width Height Sq. Ft. Width l v Hgt/Ground POO Sq. Ft. ly C��c � 210%1 - is1 sc444 Ft. Yd Setback Side Yard Setbacks Fstimated Cost: $ I -r <k^ % Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: / 2-1? % APPLIC M: !?% �—�� S 7 s Tt` s, G�c Tel. # Permit Fee $ 121,06 State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL Li STIPULATIONS: LR u Mil CMM USE ataat Fee Schedule on Reverse Side $.50/$1,000 valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by E=j; reri r7, Agr�ent Necessary [ ] Not Necessary [ ] (L, � � or- A6 d� r cea�tscate of r . 4. WM£OALE IYI n, NORt'N O DENOTES 120" - ` ,TES RM%AGE AO UTILITY EASEMENT gt�rc ��mtw6y, M., Awoe 4" ACO T ION r AWWA MNTY ec o kw s4w-" bder,i[s �'i% idr .bw:ded yrd end Ar As MW red ft 4r. psi ikrnbRir A,0. 4W _ NO, INS. r t cea�tscate of r . 4. WM£OALE IYI n, NORt'N O DENOTES 120" - ` ,TES RM%AGE AO UTILITY EASEMENT gt�rc ��mtw6y, M., Awoe 4" ACO T ION r AWWA MNTY ec o kw s4w-" bder,i[s �'i% idr .bw:ded yrd end Ar As MW red ft 4r. psi ikrnbRir A,0. 4W _ CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Raiff Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $16.00 $ 00 Back Flow Preventer Required. Yes ( ) No ( ) Type $ 5.00 ALL OTHAS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance Reinspection Fie $ State Surcharge ($15.00) TOTAL FEE Effective Date May 1, 1988 Job Address 14 6( Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct OWNER KIND C Fridley, Mn. A/oa'P' , 19—rCJ USED AS r E.SCd EA -1C D TO BE COMPLETED ABOUT ESTIMATED COST G2 5v TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company Qj Signed By " Tel. No. b4,:;L S 'J3 7 i FINAL INSP. 12/ Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PER�MIITEIS .00 PLUS THE $.50 STATE SURCHARGE u k w Water e H q p a ro a w � Heater W N 4 Y 0 3 O 'C e i7 x� 'U v ,� x� •.C•i c� a m y 3 p w m w c� w ao 3 c� c� O as lec En let 2nd 3rd 4th (R) a Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Raiff Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $16.00 $ 00 Back Flow Preventer Required. Yes ( ) No ( ) Type $ 5.00 ALL OTHAS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance Reinspection Fie $ State Surcharge ($15.00) TOTAL FEE Effective Date May 1, 1988 Job Address 14 6( Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct OWNER KIND C Fridley, Mn. A/oa'P' , 19—rCJ USED AS r E.SCd EA -1C D TO BE COMPLETED ABOUT ESTIMATED COST G2 5v TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Company Qj Signed By " Tel. No. b4,:;L S 'J3 7 i FINAL INSP. 12/ Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PER�MIITEIS .00 PLUS THE $.50 STATE SURCHARGE City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT 26425 COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 �.j 612-571-3450 RECEIPT NO. gy(010 NUMBER 910-F15 REV DATE 7/2/98 PAGE OF APPROVED BY JOB ADDRESS I LEGAL DESCR. LOT NO. 23 IBLOCK 4 TRACT OR ADDITION Melody Manor 4th Addn SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marcus 7436 Melody Dr 78-0-5073 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Sidin & R -48()4 20010277 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 Tear of 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES . AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED VALUATION SURTAX WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT S1.16 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- RUC N OR THE PERFORMANCE OF CONSTRUCTION. •74 75 Fire SC $2.33 7"� ` �F- PLAN CHECK FEE License SC $5.00 TOTAL FEE $83.24 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY BLDG INSP VALIDATED THIS IS YOUR PERMIT GATE SIGNATURE OF OWNER IF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION `J6 k X86 ConstructionAddress: 3Zo 41� if /0&/ /0 C Legal Description: Owner Name & Address: 6/0 r eA Contractor• )Wicja�le5�7 S,I�� •? Address: � � �� �i 6' �O cAc &- l clx LIVING AREA: GARAGE AREA: DECK AREA: OTHER: a 4"'I'joCjc��yiG 134124 Tel. # MN LICENSE # AL/Tel. #/�� 5��� K Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IAZPROVEMENT Length T Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. /9 q s4; `klSC 64 4— Construction Type: -Te c�'f - ® ye;r Estimated Cost: $ C�'a3 S (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ . DATE. APPLICANT: �C,�_ � � cl11.-( 61)d Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .33 .001 of Permit Valuation (1/10th%) State Surcharge $ /, l $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ ��, G�C� $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 $ CS3-C;Z� STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000 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 11/36 �Da. NE RATE SCHEDULE OWNER /®%L1214)� �4 4,e. Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace 34.40 BUILDING USED AS_ J?W_ZU4 ni �-- $ 30.00 (Side Vent . Fill Out Back) $ 0 ESTIMATED COST O ,jO PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) 2arm�Air) Gas Dryer $ 10.00 $ Trade Name r�tl-P— I &=-Yt. Size No. � BTHP EDR Air Conditioning All Sizes $ 25.00 $ Fuel %.&Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an ���� State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and S_ "W' ii 1i2. k% representations stated in this application are true and correct. TOTAL FEE gAn J06 "V f D.SU river City Sheet Metal, Inc. DATE—�✓�—DD 9928 Bluebird St NA MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEP QI „ids MN 55433 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE 754-214 Signed TEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough In Date Final Date ���'�� written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No The venting system is plastic/PVC and meets all current codes and manufacturer BTU Input specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly Fan Assisted or Nat and meets the current codes and manufacturer's specifications. This does BTU Input include AGA-GAMA Category I Central Furnace Venting Tables for fan Total Appliances assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes Vent Height and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed ft Diameter in Type To meet the current codes and manufacturer's specifications. Yes {) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date: COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION DR+'Vf?A When replacing an existing furance, the undersigned hereby verifies that the FXi DL, venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes A) No( ) The venting system is plastic/PVC and meets all current codes and manufacturer Length _eft specifications including sizing, length, number of elbows and termination. Yes () No �Q The undersigned also verifies that the replacement unit is a listed assembly Length ft and meets the current codes and manufacturer's specifications. This does Type include AGA-GAMA Category I Central Furnace Venting Tables for fan Length ft assisted and natural draft appliances. Yes ( No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes kj No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes �() No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes) No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type k/ ►v BTU Input4�� Fan Assisted or Nat Appliance #2 Type�v�I�ilP BTU Input -�-��- Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances -- Total Btu Input_ Common Vent Type YP Vent Height Diameter inches Appliance #1 Vent Connector Heigh ft Length _eft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: � Signed By: Date • • • -- - ■ "LOL - 1 II\�7rGli 1 KJIY UI V. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type NO. RATE TOTAL JOB ADDRESS_ Sf }W -F, A > OWA)i5L 13�LpJ —1- $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $,20.50 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 CAQUVETTE, LORRAINE 7436 MELODY AVENUE� NORTHEAST Owner FRIDLEY, MN 55432 (612) 780-3154 Building Used As4f Li A Estimated Cost TOO PERMIT NO. PLUMBING COMPANY Q K8L /V? FL-0M&1AJC, SIGNED BYTEL N0. 0 Z%' L7V33 Approved Byt Rough -In DateIse Final Date —�- "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. Urinal -•.ate-� "%LA1V1L Lm F% yr rIA I UMM Wash Shower Tray I U bt INS IALLED Floor rain ON EACH .. ....Auto. � ..�.. Washer Ga s Storie Water Heater Basement .«.�f .......:�.:.-.:.:...n:;..-•::.: Gas Elec Floor 1 Floor 0 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type NO. RATE TOTAL JOB ADDRESS_ Sf }W -F, A > OWA)i5L 13�LpJ —1- $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $,20.50 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 CAQUVETTE, LORRAINE 7436 MELODY AVENUE� NORTHEAST Owner FRIDLEY, MN 55432 (612) 780-3154 Building Used As4f Li A Estimated Cost TOO PERMIT NO. PLUMBING COMPANY Q K8L /V? FL-0M&1AJC, SIGNED BYTEL N0. 0 Z%' L7V33 Approved Byt Rough -In DateIse Final Date —�- "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.