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PRE 2010 DOCSCity of Fridley, Minn- N° 8727 BUILDING PERMIT Date: March 22, 1„966 Owner: Homedale Builders Builder Homedale L3gQders Address Address 3017 Landale Ave. S., Mpls, LOCATION OF BUILDING No. 3442 — street Melody Drive N. E. Part of Lot Lot 24Block li Addition or sub -Division - lady Mannr- 11th Corner Lot _ inside Lot g setback 351 -__._ Side -yard 1 n l Sewer Elevation �% °� 12 6 ---94=601an Elevation 8 9 21 62 to1' 0 P, l=oot<4ee DESCRIPTION OF BUILDING To be Used as: MwIling Front 461_ Depth Ph 1-2 t Height —2Q! Sq. Ft. _].,3 52 Cu. Ft. 23v 12� Front Depth Height Sq. Ft. cu. Ft. Type of construction Frame Est cost —ii "0-- To be completed 613-5166 I l ck lo ea54 v 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 rth and liance with a�l provisions oP ordinances of the city of Fridley. It 0 In consideration of the payment of a fee of S 24-0-Q _, permit is hereby granted Homeddle to construct the building or addition as described above. This pelt is granted upon the express condition that the pers:�di, to whom it is granted and his agents, employees and workmen, in all work one noupon said buidley, loc�withinthedLyta3an pert may be revoked at ai�► time upas violation of any of the provisions of said ordinaac�s. ALLEN G. JENSEN Building mor NOTICE: 'Mob parm8 does no cora da conshwWon, Mstallatien hr vrmb& plumbing, on handno, www w wd w. Be sura to as the Bdldleo [We r for spm to psnWft hr these Bane. APP€,ICMON FOR BUILDING PE WT CITY OF FRIIDLEY, 14IIMILISOTA OWNn"s am -4000, R ADDRESS ,..ADD:` ��.►�., LO"tm NF bfLDIM NO.,�„• STRR T PIWT OF L07 LOT,BLOCK A DITICS AOR SIM ON ,; Pjfd#4 CORD LOT INSIDE LOT AOSETBACK SIDS -YARD / SEWER ELEVATION- FOUNDATION =VATII* Applicant attach to this form Two 'Certif datefd 0 Survey Ot Lot and proposed b-jilding locatien drawn on these Certificated& To he used asi rront P, t1h :...,�.Cd. rt..` - . �'roxL t?ep�h� Height Sq. Ft, C** Type of Construct n : ,,i...—., Estimated Cost To be. aapleted ®ilele 4 The undersigned hereby mares application for .a peretf for tX% Vork herein specified, agreeing to do all work in strict accordance with t%,@ City of Fridley Ccdivances and rulings of the ;,epartfltd€t of Buildjqp, and hereby deelares that all the facts and representations V*Ated ft th1s application are true and a orrect . ,i/ / - i i 0 (Schedule of`Fee Costs can be found on the Reverse Side)*' City of Fridley, Minn. BUILDING PERMIT Date: Oct. 25, 1968 owner: _ Stanley Paulson jr, Builder Address 7442, Melody Drive Address Same Same X75-( NT 9999 LOCATION OF BUILDING No. 7442_ Street - Melody Drive __ —_ Part of Lot Lot 24 Block 4Addition or Sub -Division ..._Melody Manor 4th Corner Lot --- Inside Lot Setback -- Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Qarage Front 16' Depth 24' Height 10' sq. Ft. _ 384 Cu. Ft 3840 Front Depth __ _ Height — Sq. Ft. — Cu. Ft. Type of Construction __ Frame �t. Cost _$1250.00 __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 set forth and in compliance with a'll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $__ . 00 _.., permit is hereby granted to Stanley Paulson 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. _�.,E Building Inspector Clarence Belisle NOTICE: This permit doss not cover the construction, Installation for wiring, Plumbing, gas heating, sower or water. Be sun to am the Building Inspector for separate permits for thea Moms. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OW -NM Y S NAME ��,{ V BUILDER ADDRESS ADDRESS LOCATION OF BUILDING NO. STREET a,) LOT BLOCK ADDITION OR SUBDIVISION�el ' COR -'\M LOT INSIDE LOT SETBACK SIDEYARD SEWER ELEVATION TOP OF TOOTING Applicant attach to this form T-fnpo Certificates of Survey of Lot and proposed building location drawn on theso Certificates. DESCR.TF'I' i ON OF BUILDING To Be Used As: r r r, vc Front____x Depthy' Height square feet Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction Estimated Cost '-15r/�'��, To Be Completede�L2 /D , J 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 iu this application are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse side.) &,a# q q-, -/ - W SUBJECT P City of Fridley2009 Iff AT THE TOP OF THE TWINS BUILDING PERMIT i � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 = � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/5/89 JOB ADDRESS 7442 Melody Drive N.E. I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 24 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Stan Paulson 7442 Melody Drive N.E. 784-7934 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Bxunn Construction Co. Inc. 1209,01d Hwy 8, New Brighton 55112 633-5458 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 C2 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct.an 1V x 171 Four Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS Seenotations on plan. SUARATE. PERMITS. REQUIRED- FOR WIRING, IDEATING, PLUM04 AND SIGNS. Before digging call fbr all utility 1,mlions 454.0002 REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 $6,550 $3.28 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- $90.00 STRUCTION O THE PERFORMANCE OF CONSTRUCTION. PL N CHECK FEE TOTAL FEE ($l�✓� q�� --� $93.28 SIGN URE OF CONTRACTOR OR AUTHORIZED AGENT / (DATE) EN PROPERLY VAL14ATED THIS IS YOUR PE MLT SIGNATURE OF OWNER OF OWNER BUILDER$ (DATE) BLDG iNSP OpT NEW [ ] AD [ ] AL'I'T [ ] R-1 AND R-2 Building Piermit Application Construction Address: Legal Description: Effective 5/1/88 Owner Name &Vis: Tel. # Z Contractor: .-;-zr Tel. # Attach to this application, a Certitfcate of Survey of the lot, with the proposed comtnicticn drawn on it to scale. I ncaw" arT OF II�RD fl' LIVnfG AREA: Length P Width _L Height _�� Sq. Ft. 16 GARAGE AM: Length _ Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTS: i'0 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated fit: $ � Approx. Cm pletion Date: e 9 �0 Proposed Driveway Width If NOW Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: �' a ,.� -8`9 APPLICANT: Tel. # / 3 Permit Fee $ 90-W State Surcharge $ SAC Charge $ Driveway Fscr w $ Park Fee $ Sewer Main Qsarge $ 70M $ � STIPUTATIMS,l.i � 3,,• 4 101207? QTY USE Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering I wry [ ] Not wry [ ] Sky � (J ld Plint?IIV ( bkl ),vw,•yr.hl So�l> le<Irri,� 1A!ldlq Cr71 075 • /lonvy'Pt§ &E. ENGINEERING INC. Ahmw'4 St6,seF4-��6 Encyineers Surve ff.5 certificate E survey f®: N®MEDALE BUILDERS i, 60 ®-0 , t o CDENOTES IRON ----DENOTES DRAINAGE AND UTILITY EASEMENT L07141BLOCK A. MELODY MANoR 4T" ADDITIoN ANOKA COUNTY ` /hereby cerfqry A4ol flus ts o bw Q►rd mrrtcf rtprtsenfohn o su'rey q0ft�� qr* 18iear ai�AW4YW,*d �C'/k lacabor, a�'aU bwld07yj , /kieav , mid ad/ nslb/r vxroaJ,mmls , ifay, jivn ar almid load. As wrra�yed 6th mit 1hs.== A.a r SW URBAN ENWNEEX/NG, INC. F fr •Sur , �� hy - 11 d11 %.iclt'l j0 I S'.1021 :r0 X800 P9313MT381 1A LCCLIVe Auy. i, 17th c CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address 7442 NL IVle 1 ody O r i ve -�C)'00 Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00,-(. j� Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ 10.00 Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Vec 89 * Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn.4 19_ Stan 1'a u (son #784-7934 All Others/Repairs and Alterations OWNER 19 of Value of Appliance or Work $ Frame KIND OF BUILDING xe S COMMERCIAL/INDUSTRIAL USED AS 4 "¢c 89 1% of Value of Appliance or Work $ Ta BE COMPLETED ABOUT ESTIMATED COST 750.00 State Surcharge $ .50 yyNLW��Y OLD - �BUII,DING PERMIT NO. PERMIT NO. TOTAL FEE Reinspection Fee ( $15.00) $ �� "® DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date "Direct Trade Name Perfection Wal I Htsize No. VASV-730 Final Insp. ['��1 Date en _ Capacity Sq. Ft. EDR BTU3Q,000_ HP Approval for Permit 'Vd t . gas Total Connected Load Kind of Fuel C BURNER - Trade Name Size No. Capacity Sq. Ft. EDR - BTU HP MINIMUM FEE FOR ANY HEATING PERMIT IS $A:00 - Company PLUS $.50 STATE SURCHARGE Signed By. Attach stack verification form with replacement furnace p its Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. 7010 W. Linden Avenue 700 W P. --O. Box 1165 Minneapolis, MN 55440.1 a r,;� R I 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 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 () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance ls() 0 State Surcharge .50 TOTAL FEE $ i JOB ADD 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. �l- '1991 Owner Building Used As k c� Estimated Cost .PERMIT NO. loci 171 PLUMBING COMPANYAttn: Judy *t,iegasee #342-5326 700 W. Linden Avenue SIGNED BY P 0 ROX 1165 TEL N0. Minnenpolis, MN 5544--D-11,65,J) �� Approved By -��— Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15 00 PLUS THE $.50 STATE SURCHARGE 01 SUBJECT P City of Fridley 215 21 AT THE TOP OF THE TWINS BUILDING PERMIT R 1 _ COMMUNITY DEVELOPMENT DIV.�� PROTECTIVE INSPECTION SEC. f r i 1 I NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/31/92 JOB ADDRESS 7442 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 24 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Stan Paulson 7442 Melody Drive NE 784-7934 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Giertsen Co. 860 Decatur Ave N, Golden Valley 55427 546-1300 1796 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 [I ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 31 x 281 & 4tx lgt Addition to Garage; Repair roof 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. WARw1N� Before digging call tot all utility locations 454'Ofl02 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING" ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $40 $20.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT tDOO PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- /,%PLAN UCTICJ4 OR THE PERFORMANC OF CONSTRUCTION�/3/ `(% $349.50 XXXXai Fire SC, $40.0 CHECK FEE Lice se SC $5.00 TOTALFEE $414.50 SIGNATU§k OF CONTRACTOR OR AUTHORIZE AGENT (DATE) EN PROP VALI TED THIS IS YOUR ERMIT �. G2 BL G INSP Oa TE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI 01 NEW [ j ADDN ( ] ALTER [ ] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Legal Description: Le, I Z Effective 3/l/92 Owner Name & Address: Sf�h� c� �� /�� r Tel. # % 71,5 4 Contractor:. G e,,��tt S�ij MN LICENSE # Address: -�'C D �(/�'_ � U �� Tel. # �� L/ l Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length_ Wim Height �' Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: / \ 0 D �� l u c _� �L i Zy S&C / fit. 6 0 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: CJ ov Approx. Completion Date: /o/ z `7 7 -Zr Side Yard Setbacks Estimated Cost: $ �D� opo°Z� (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $ DATE: l '? '-- APPLICANT: Z Tel. # c� 0'0 Permit Fee $ Jrj ;'Fee Schedule on Reverse Side Fire Surcharge $ ��°� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $' $700 per SAC Unit License Surcharge $ 5-,60 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ) TOTAL STIPULATIONS: $ 4 11.50 DATE TESTED ADDRESS 74Q bL O OV OCCUPANT SOLD BY MAKE SERIAL NO. P IINND HEATING TEST RECORD THERMOSTAT''�� VALVE—((1u3ce LIMIT 13M l 6,3 LIMIT SETTING FAN SETTING PILOT TYPE IGNITION MODEL A PILOT TIMING CITY �� OWNER �4 A L INSTALLED BY MODEL CZ �� ( bC � INPUT 1 VENT SIZE TYPE OF LINER 1y� 1V LINER SIZE FILTER SIZE NUMBER WIRING Ns': TEST TAG -%J LIGHTING INST:�!4 JOB NO. 4 13 PRESSURE 3 INPUT CFH —_ ?5 STACK TEMP. 950 PERCENT CO2 ® ° PERCENT OZ 5<9 PERCENT CO 010 COMPANY TESTING r \ CSI �� NAME OF TESTER ) j in FORM 235 (REV. 11/92) CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 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 `f 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 $ 20.00 $ �� representations stated in this application are true and correct. /6 1993 Gas Piping (Needed with new furnace) $10.00 $ �� (Lie, 0 OWNERS a Gas Range $ 10.00 $ BUILDING USED AS�� Gas Dryer $ 10.00 $ ESTIMATED COST V I PERMIT NO._��` ` L *Air Conditioning - All Sizes $10.00 $ DESCRIPTION OF FURNACE AND OR B 11, RNER All Others/Repairs.& Alterations (LIST ON BACK) i% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot ate a Air) Trade Name SI No. Commercial/Industrial BTU 7 U HP EDR 1% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE ' HEATING COMPANY FRED VOGT & COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION 326 G RHAM AVE ST LOUIS PK 55426 REFRIGERATIONAIR CONDITIONING PERMIT IS X15.00 Signed By L Tel No. 929-6767 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Approved By 69C Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ........_.... .. .. .._�._... .... .. .......__ _....... ... ....... �:. ......... ... _.-...._._..�._�..... __. ... �...-.. .. -.�..�v.tvc�:.lflo:�ubW)UtN.+tBw::•.u: iiitv�f �.�, l s aq._.�.... .. .. .., R Remarks List Alterations Being Done:' HEATING COMPANY Signed By Date FRED VOGT & COMPANY CHIMNLY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes 4Cj No ( i 2.. Is free from rust or' deterioration Yes (pc) No ( ) 3. Has no foreign objects lodged within Yes (y No ( ) 4. Is securely supported Yes (,e) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (C>I) No (.) 6. Has total heating BTU's of All other BTU's 7j�, 000 &1akn 14 der TOTAL BTU's Zj!-, p 0 0 Remarks List Alterations Being Done:' HEATING COMPANY Signed By Date FRED VOGT & COMPANY Building BUILDING Permit No.:0 Inspections RESIDENTIAL APPLICATION Received By. ff 763-572-3604 CITY OF FRIDLEY Date Rec'd: Ji , r"*,6� DATE d ' �-•' ef-I SITE ADDRESS 75 THIS APPLICANT IS: YOUR E-MAIL ADDRESS ❑ OWNER <�SCCONTRACTOR PROPERTY OWNER/ NAME: ZPlif n �``-� ADDRESS: CITY STATE ZIP TENANT — PHONE: Fire Surcharge CONTRACTOR NAME: .001 times the total job valuation Surcharge STATE LICENSE # 20276, 3:7 6, EXP DATE -3- 3/--0 SUBMIT A COPY OF `35ZX> 11.1k"r Cl- D{ CITY I4mkV,- r STATFir SIPS YOUR STATE LICENSE ADDRESS: SAC Charge WITH APPLICATION PHONE 12-5i9, 7Z2 FAX ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE $ ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS $450 Conservation Plan Review ❑ BASEMENT FINISH -ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER $ ❑ SWIMMING POOL Agreement necessary ( ) Non Necessary ( ) TYPE OF WORK: ❑ NEW ❑ ADDITION . '9�� Make checks payable to: City of Fridle Attach Stipulations ❑ MAINTENANCE/REPAIR ODELING DESCRIBE WORK BEING DONE Re, -0--e' HEIGHT Sq. Ft. SIZE OF IMPROVEMENT LENGTH WIDTH ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 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 ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 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 $ (OCC OCCUPANCY TYPE Permit Fee $/- �``-� See Back Page for Fee Schedule Plan Review $ — 65% of Building Permit Fee Fire Surcharge $ 10,06) .001 times the total job valuation Surcharge $ .6-' 00 .0005 x Permit Valuation Minimum $.50 License Surcharge $�j , By $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 $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ . '9�� Make checks payable to: City of Fridle Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit an ac ozowledge 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 fo ermit 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 Zwomt,5ch r , e +' d approval of plans. / f` SIGNATURE OF APPLIC PRINT NAMCAII,, Y 1'C k'�l DATE �G E' Building PLUMBING Permit No.: 007 - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY z OF FRIDLEY D i 2W DATE i X11 YOU/ E-MAIL ADDRESS t t� ® w+ I` 50-0Z Cc t4 SITE ADDRESS 7�� ' cc - /✓/ r ILIO . THIS APPLICANT IS: WNER ❑CONTRACTOR PROPERTY NAME: ADDRESS: CITY `J�> (� STATEZIP OWNER/ TENANT PHONE: Z X93" T - X30 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE ANGLE FAMILY ❑TWO FAMILY ❑TOWNHOUSE ❑ NEW L 4PLACEMENT TYPE OF WORK: DETAILED DESCRIPT ON OF WOPK 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 betwe $30 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) SINK/LAV DRAINS SHOWER _ WATER PIPING —BATH _FLOOR _ —GAS PIPING (vEw cjrr ucEmm) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ _ WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 X$ 0. 0=$ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 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 f Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application forarmit and or 's not to start without a permit; that the work will be in accordance with the approved plan in the case of all w e and approval of plans. v f�7/I � DATE � ®SIGNATURE OF APPLICANT PRINT NAME M City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: 'U Inspections PLESIDENTIAL APPLICATION Received By: 763-572-3604CITY O F' LEY D � 763-502-4977 FAX EFFECTIVE 2-19-09 DATE1 - 16 YOUR E-MAIL ADDRESS SITE ADDRESS %1�1ia roti 0 ii Ir Fo— 103 (ic THIS APPLICANT IS: ❑ OWNER ]CONTRACTOR PROPERTY NAME: rl O -A -k- t.i V1 A % OWNER/ R/ ADDRESS: --7,f 'f a '(a-�fA ZV CITY FP-, A (c STATE !ate ZIP S a— NT PHONE: 7 L3 - I �3 7p.� (o ,? � � L CONTRACTOR COMPANY NAME: `L V Lr C SUBMIT A COPY OF CONTACT PERSON: IR I YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: k.) rf is r-1 CITY r ,@-i 41,44 STATE M "ZIP C s 43 APPLICATION PHONE f 2 l FAX PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: El NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �H I. I to f > �� -� '� �� a8 u► +� A , .n A .iw rj c �- FEES ARE BASED ON 5 10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG:'� r +r 1- +1 i MODEL: 3 S S C A J 04.4. 0V 0 SIZE/BTU & 0 i a Qy MFG: [_ &- e- r- MODEL: I a & a r- Q U a y SIZEMTU Q TO +'1 MFG: MODEL: SIZE/BTU ,LAIC $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHA GEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 FURNACE $35'.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $1 .00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a uilding 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 APPLIC�NT 1 ti . ~p PRINT NAME C �X ` J DATE Or b ' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977