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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: OCTOBER 18, 1966 Owner: Address Builder Address LOCATION OF BUILDING X9 065&;'A 9000 HOMEDALE BUILDERS. INC. 3017 LYNDALE AVENUE SOUTH MINNEAPOLIS, MINNESOTA 55408 No. 7449 Street ._._ MELODY DRIVE N. E, ______ Part of Lot Lot ____ 10 ,.._ Block 5 Addition or Sub -Division —141W Corner Lot —_ Inside Lot % Setback 35 _ Sideyard 10 and 25 Sewer IIevation _880.00 _WREAMUNdUrIIevation 883.00 TOP OF FOOTING To be Used as: DWELLING Front 46 Front — Type of Construction FRAME DESCRIPTION OF BUILDING Depth 24/28 Height 20 Sq. Ft. 1152 Depth Height . _ Sq. Ft. -- - Est. Cost _ 18 000 __ To be Completed SEWER LOCATION - 110' West of Manhole WATER LOCATION - 10' East of Sewer Cu. Ft. __23,040 Cu. Ft. In consideration of the issuance to me of a permit to :o7nstetbuilding des above, I agree to do work in accordance with the description abov�ott fo and in co with all provisions of ordinances of the city of Fridley. ,. In consideration of the payment of a fee of $ 26.00 1 permit is hereby granted to HOMEDALE BUILDERS, INC. 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 perm doer not cover the construction, hutallation for wiring, plumhing, gas heating, sewer or wafer. Be aura to ase the Building Inspector for separate permits for these hone. t APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S.NANE BUILDER ADDRESS ADDRESS OF BUILDING NO,/ �Z I-t7T_ STREET / PART OF LOT LOT 441 BLOCK ADDITI OR SUBDIVISI CORNER LOT INSIDE LOT SETBACK SIDE YARD„/li 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 as: f Front - D eptNLY Height` Sq. Ft. Cu. Ft. 'Front Depth Height Sq. Ft. Cu. Ft. a� Type of Constructi 71j4 zl-Estimated Cost To be completed % �'— The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declareg-,that all the facts and representations stated in this application are true and correct. DATE .�D ! _SIGNATURE (Schedule of Fee Costs can be found c l.` a 14 .' 4 iv, 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 ALTERATIONS, & REPAIRS TOTAL FEE �7$ �_ �j[ ROUGH FINAL Dept. of Bldge. Phone 560-3450 0 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 Owner Kind of Building Used as�'�� To be completed about Estimated Cost, Folding Permit No. G _ Permit No. �� DESCRIPTION OF WORK HEATING or VQWERPLAam, Hot Wa �WarmAir No r _ Trade Nam 7 Size NoA �� ✓ Capacity Sq. Ft. E.D.R�d'�- O �O BTU H.P. Total Connected Load—.3 Kind of Fu BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. RAY N. WELTER HEATING; CG7. Signer a65a7 CHaGAGG AVE. By MINNEAPOLIS 7. MINNESOTA <Z Business Phone No 7 C.& (REMARKS -OVER) Windows and D Width He'. No. of pane of 1 %:(( 1 Q 6,11 Width ft *- Height e and Area Lineal ft. I Area of crack eq. ft. Coef. Btu Infiltration 2y /I Glass!i 0 -fo Exp. wall �."? Net exp. wall ` Int. wall Ceiling 'a' / fii los— Floor G l Total Btu. d '14, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ir.' r Fl.l 8.ewl Room I Length p V Width Height FT Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack eq. ft. Coef. Infiltration'31 Glass Exp. wall Itr+ s (•• �' Net exp. wall Int. wall Ceiling Oro. tv Floor It�'i► f Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area r, —i Room I Lenath T1 ZZ4—Width' 9F j-_ Heitht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panne lights of crack eq. ft. fi • MTIONS 5;_56 � HEAT LOSS v DEPARTMENT/ OF BUILDINGS 4 I y MINNEAPOLIS. MM. Weatherstrips A.Guide a Guide Construction No. Insulation WindowsDoors Reference Out. Wall Int. Wall Ceiling Roof Floor d How Applied No I e ° No 19____ f' �► Windows and D Width He'. No. of pane of 1 %:(( 1 Q 6,11 Width ft *- Height e and Area Lineal ft. I Area of crack eq. ft. Coef. Btu Infiltration 2y /I Glass!i 0 -fo Exp. wall �."? Net exp. wall ` Int. wall Ceiling 'a' / fii los— Floor G l Total Btu. d '14, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ir.' r Fl.l 8.ewl Room I Length p V Width Height FT Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghte of crack eq. ft. Coef. Infiltration'31 Glass Exp. wall Itr+ s (•• �' Net exp. wall Int. wall Ceiling Oro. tv Floor It�'i► f Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area r, —i Room I Lenath T1 ZZ4—Width' 9F j-_ Heitht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of panne lights of crack eq. ft. fi Coef. Btu Infiltration Glass' Exp. Net exp. wall Int. wall (� Ceiling "' r++� Floor ,,�^ 1? Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area City of Fridley Application for Plumbing and Cas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 7 x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $—— New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .............. ........... Additional Fixtures .................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL —x$1.50 $ dko _ x .50 $ — x 2.00 $ a L&.Y Ua XLAua y. 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. Fridley, Minn 19 Owner ! a".Zj - Kind of Building Used as U To be completed about I.L.2 g Z4 7 Estimated Cost, $ 15 d— // 4,-,% Old—New. Building Permit No Permit No. Signe By Business Phone No ROUGH FINAL Description ..............................................$ TOTAL FEE $ 48 Y C Z Z W 7Z 1 0U' Z 0c� a O R N WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th _ • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures 7 x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $—— New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .............. ........... Additional Fixtures .................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL —x$1.50 $ dko _ x .50 $ — x 2.00 $ a L&.Y Ua XLAua y. 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. Fridley, Minn 19 Owner ! a".Zj - Kind of Building Used as U To be completed about I.L.2 g Z4 7 Estimated Cost, $ 15 d— // 4,-,% Old—New. Building Permit No Permit No. Signe By Business Phone No ROUGH FINAL Description ..............................................$ TOTAL FEE $ 48 City of Fridley, Minn. N9 9,259 BUILDING PERMIT Dates Mav 19, 1967 Owner: Homedale Blders Builder Ay B, C. Blacktop Co. Address _ 7677 Jackson St. N.E. Address 1308 Main St. N.E. LOCATION OF BUILDING NO. — 7449 XqWMelody Part of Lot Lot — 10 -__,.__ Block 5 -- Addition or Sub -Division ___..___3UCKMX 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 Ap2&alt D.__. riyewa Est. cost _X199.®0 To be Completed _ June 1. 1967 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 compliance with ah provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ - , 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. NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be am to no the Building Inspector for separate permits for them hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ® M E UILDER �. / C • ��G/1 T0� Cel ADDRESS I(0 7 7- cks oh) 67� AL E -ADDRESS 1-30,?- B2,4 /A S%-. LOCATION OF BUILDING STREET_ %Ai 6-4 f 1) L� PART OF LOT LOT /D BLOCK ADDITION OR SUBDIVISION9h, 22j. CORNER LOT INSIDE LOT SETBACK SEWER ELEVATION TOP OF FOOTING SIDE -YARD 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 t Sq. Ft. Front Depth Height Cu. Ft. Depth Height_ Sq. Ft. Cu. Ft. Type og Construction J ) Estimated Cost 114111;9..0-0 To Be Completed S/ �i (.(f?/� 2. s T 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 U / J� SIGNATUREffz:(�- (Schedule of Fee Costs can be found on the Re rse Side). PERMIT for Power Hants and Heating. Cool- ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of_ / Hie/sting Plants to be nstalle ltered—repaired Make, Oil fired ; Coal fired /�Dj ; Gas fired ; Gas Authorization No. Remarks 01 Y' (..42 .c 1.' 4 14�9 Approved Final Inspection 19_ Inspector Permit -40 & � Fee N° 4468 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., Owner Location a Kind of Building— How uilding How Occupied Work to be Commenced ' ,19jo To be Completed %"�'* Estimated Cost, $ Old -New, Building Permit No. Permission is hereby granted to �' to install—erect—use the material and devices described in the above statement. This permit is granted upon We express conditioh that the pers06 to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to Oe specifications set forth i the approved application for this permit on file in the office of the Inspector of Buildings. )�/ Inspector of Buildings - az 2M11 -7V SUBJECT PERM City of Fridley ®13196 AT THE TOP OF THE TWINS BUILDING PERMIT ft 1 RE69ZLNO 1 COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r � � SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/12/75 JOB ADDRESS 7449 Malodv Drive N.E- 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET Addition 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK j7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 28' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS "No Survey" agreement signed by neighbor. Provide a hard surface driveway. SEPERATE PERMITS REQUIRED FOR WIRING,, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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-1 672 6720 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, WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,972.00 2.49 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. $12.50 PLAN CHECK FEE TOTALFEE 14F 1 $14.99 'NATURE OF CO"CTO CTO AUTHORIZ ENT 1 TE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT C BLDG. INSP DATE SIG URE OF OWNER (IF OWNE UILDER 1 E) • ' :APPLICATION FOR. RESI'DLNTIAL., -ALTERATIONS OR ADDITION.BUILDING PEU1IT CITY OF FRIDLEY, MINNESOTA O ER' S NAr1E : N MAF BUILDER: ADDRESS: 7¢49 /y iA PbY _J�Q/ild' ADDRESS: NO STREET: �%1 L 0 ►� �l d 2 U� , - -- LOT: BLOCK: S ADDITION: ¢ 77/ CORNER'LOT: INSIDE LOT:, K SETBACK: SIMARD: Applicant attach to this form Tmo Certificates if Survey.of Lot and.proposed building location L.,awn on these Certificates. .DESCRIPTION OF.BUILDING To Be Used s: Front: Depth*: S Height Square Feet: Cubic.Fee't: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Woo�2�90�17 Estimated Cost:_ do, OD To Be Completed: —3 mo `S The undersigned hereby makes application fora 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: �� SEPT / SIGNATURE; .(See reverse Side For Additional Informw AGREEMENT owner of the property located at have no objection to the City allowing t the construction of a��, �� to be located at 4/� without the required certificate of survey that the t City ordinarily requires for all new construction. Sign ure -? w Address Date Witness e r� t 1 linc1 t�IO/!r)g1 J �1,/,l hi W.75 J /xp�l►�(r SL's 6E- Lvid '; .rv@tyny t .4ia�AliYjL lS3L, lJ .�r„Tesf,;,a ENGINEERING., INC. s�tt�P�t10 C -ti.! ,•r 4hain.favl sdtrner�:-i�t'la,► " • Eny neers Sur very. ors V 44q % 011 i® Moa' 1 �...._ .ice 01DENOTES IRON -- DENO'ES OQAINAGE ANO UTILITY F-ASEMENT i_OT lrj, aiLo: k_._.S% OE1.00Y r.1 AN OQ X *r" kDDI T I ON ANOKA COUNTY / hereby cerrliry. that hire is a ti -ye curd carred r7wrsentol a/'o 5m-yey �6arm4-ie5 47h6 46*A- dme'l.bed 4F4, and of°t /rxo n ap('a/l trralda , h` vrw. . and olt rmb/e mumchmmh , f, "j , fnw ar w scud land As 5wye ed I tt fw Jens a�' 1eperkc._ A.D 19 14. SUB UR BAN ENGlNEEWING , INC. En?nrerS _fr svr,T fo ,:;;. 46 SUBJECT PERM, ' City of Fridley o 19825 l AT THE TOP OF THE TWINS BUILDING PERMIT _ ' r RECEIPTNo. `y COMMUNITY DEVELOPMENT DIV. /�� r PROTECTIVE INSPECTION SEC. 1 � i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ,j 1 612-571-3450 910-F15 4/11/89 JOB ADDRESS 7449 Melody Drive N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 5 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Daniel Price 7449 Melody Drive N.E. 786-5436 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 Finish basement; install bathroom and fireplace 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan 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$4 000 $2.00 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- $63.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $65.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG )NSP SAT SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEII IOW [ ] ADON [ ] ALTER Legal Description: R-1 AND R-2 Building Permit Application Effective 5/1/88 Owner Name & Address: e.e. . v, , r ( 2 I C C S * 5 4 LW E Tel. # � M- W 3G Contractor: Tel. # Attach to this application, a Certificate of Survey of the lot, with the pr posed construction drawn on it to scale. Li PJM AMM: Length Width Height Sq. rt. GRRAGE AMM: Length Width Height Sq. Ft. DDDR AREA: i length Width Hgt/Ground S/q. Ft. 07MR: 1- , AI i T 1.A. S S `eta - L f i -a �2caef -t- ALL L f Corner Lot [ ] Inside lot p4 Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ Y4 04� Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: 4//ff -VIr APPLIC M: .c.c.s -c Tel. # FLZO— 5 VA? ' Permit Fee $ v4 State Surcharge $ 2.y& SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ (Aso u STIP MATICNS: CITY USE CONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] q.r G& �3oa CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL ` RATE TOTAL �/,/G, - / Job Address 7r-/0 / AI C �/l e' d - � :P? 4 Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tei. #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 $ 1Q.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application a true and correct. • Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn. All Others/Repairs and Alterations OWNER a Kis I 1% of Value of Appliance or Work $ .�j / \ ` T � FoL, N &-M KIND OF BUILDING BU5� ILCaa�� It COMMERCIAL/INDUSTRIAL USED AS 18 of Value of Appliance or Work $ TO BE COMPLETED ABOUT $® ESTIMATED COST State Surcharge $ .50 OLD - NEW BUILDING PERMIT NO. PERMIT NO. V cD TOTAL FEE $ Reinspection Fee ($15.00) $ DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date Trade Name Size No. Final Insp. Date Capacity Sq. Ft. EDR BTU HP Approval for Permit Total Connected Load Kind of Fuel •fir-- --�.. ti a MINIMUM FEE FOR ANY HEATI G PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed Byy Tel. No. Fill out back side for stack verification on replacement furnaces CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (�) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU connected _ Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company _ Signed By Da to CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE m New Fixtures $ 5.00 m Future Fixtures d 3.50 u Old Opening, New Fixture $ bD $ Water m 4.00 �+ Blow Off Basin $ 5.00 $ •.ci �qj �' $ u to $4 $ 5.00 Hydraulic valve Heater •N d m Sump or Receiving Tank S 5.00 $ G�►i°+ 7.00 4 $ 5.00 Gas Range $4Cx 10.00 $ Gas Dryer $ u 5 Back Flow Preventer Required. � m fa oC .4 0 °ui g 41 W $ 5.00 •$ oto) 1s of value of Fixture or Appliance $ State Surcharge $ .50 u TOTAL FEE ci s lec Base - 1st 2nd 3rd 4th (R) C Future Connection Opening Connected with Sewer (*) a New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic valve $ 5.00 $ Sump or Receiving Tank S 5.00 $ water Treating Appliance $ 7.00 $ Hot water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. YesTyp( ) No ) ® $ 5.00 •$ ALL OTHAS AND/OR REPAIRS AND ALTERATIONS 1s of value of Fixture or Appliance $ Reinspection Poe $ State Surcharge $ .50 ($15.00) TOTAL FEE l" Effective Date May 1. Job Address �7 � � (/�L' (O(/�(g �Z ") i� � ! P" 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 trh-is�applicAion are true and correct ( Fridley, Mn.l�a..-.��cc..e . 19cL OWNER ___U L K k L I r 2 l< KIND OF BUILDING t- [ej t k c USED AS " TO BE COMPLETED ABOUT ESTIMATED COST ,,/` OLD - NEW BUILDING PERMIT NO. PERMIT NO. /024/12— Company�,�Lu.� Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date n� APPROVAL FOR PERMIT ° %T416- MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT P City of Fridley3 0 41 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r i NUMBER REV DATEP AGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/27/94 P JOB ADDRESS 7449 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 10 5 I Melody Manor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel Price 7449 MElody Drive NE 780-5436 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 El ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof house & Garage (18 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,350 $.68 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 $33.00 Fire SC $1.35 PLAN CHECK FEE TOTAL FEE $35.03 SIG URE OF NTRACT AUTH JEDAGENT (DATE) WHEN PROPER] VALIDATED THIS IS YOUR PERMIT BL ]NSP DATE S,GNATARE OF OWNER 0F OWNER BUILDER] IDATEI NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstiuctionAddress:�`�� Legal Description: % o � /0 3/,k S LLt Z Owner Name & Address:- �— CA I ., tc t 15co—t as a" e Tel. # Contractor: "'f" C MN LICENSE # Address: Tel. # 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: / Z1S Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks c> Type of Construction: Estimated Cost: $ 30 Approx. Completion Date: (cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 10 -2 `7 -9 ` APPLICANT: 7 - Tel. #Q'U- sem( 3 USE ONLY Permit Fee $ 33. 00 Fee Schedule on Reverse Side Fire Surcharge $ ..001 of Permit Valuation (1/10th%) State Surcharge $ ° $.50/$1,000 Valuation SAC Charge $ per SAC Unit License Surcharge $ $5.00 (State Licensee! 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 [ l TOTAL $ STIPULATIONS: SUBJECT NO. City of Fraley Z2;5r68 4__ AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC.®� NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ,j 612-571-3450 910-F15 11/17/97 f' JOB ADDRESS 7449 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. lO 5 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel Price 7449 Melody Drive NE 780-5436 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house & garage 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. 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 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 $5,000 $2.50 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- $99.75 Fire SC $5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION .01 PLAN CHECK FEE TOT FEE Af -1-l' // 1 107.25 A OR OR AUTHORIZED AGENT IDATEI "FER 7ZUR EN OPE ALIDAT BLD INSP THIS I$ YQ R PERMIT BATE �iF OWNER BU4DER1 IDATEI NEW [ ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER 4 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: - ( 2 (C F Tel. # $'O - 5 -Ll 3 Contractor: Ci''�`� MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: C--210 1'110 9....,._C� l A4d - I Construction Type: (% X/ Estimated Cost: $ f ,0&10 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: / APPLICANT: Tel. # 7D Cr�� V-5 c(� 16 STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ S700 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 1 �% STIPULATIONS: SUBJECT PERMIT NO. City of Fridley 28997 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. `v ______ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE 1 . � r"'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �'""J 612-571-3450 910-F15 3/11/99 JOB ADDRESS 7449 Melody Drive NE 1 LEGAL BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1LOTNO. 10 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Dan Price 7449 Melody Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tabor & Sons Inc 10547 Terrace Dr, Blaine, MN 55434 789-4902 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 j] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage (26 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 I 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,228 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 $74.75 Fire SC $2.23 PLAN CHECK FEE TAL FEE —azidA L i c_= C $5,/0 $83.09 SIGNATURE OF CON• ACTOR OR AUTHORIZED AGENT IDATEI HE PR LY VA ID TED THIS1§,YOUR PERMIT G. M5 gAtE S,GNATURE OF OWNER SIF OWNER BUILDER, IDATEI NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 41 0 oa� ConstructionAddress: �% t/ �e%d y Legal Description: S; 9 /ems e Owner Name & Address: �^ �/' jt ? �/y 1 rIdi? Tel. # Contractor: bor r- Sa c, S ZSQ MN LICENSE # Address: S -Y Y Tel. # 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 Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: 0 -) Tel. # % SS IS�Z CITY USE ONLY Permit Fee $ 941 S Fee Schedule on Reverse Side Fire Surcharge $ �-,� _ 0?3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ 0 0 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ J Not Necessary [ ] TOTAL s-.63,oig STIPULATIONS: SUBJECT PERMIT N .. _ City of Fridley 3 075 AT THE TOP OF THE TWINS BUILDING PERM i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. LG1 f PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 L f\ NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910 -FIS 6/20/00 10B ADDRESS 7449 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 5 1 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ACCAP 7449 Melody Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Knapper Construction 5028 County Rd 5 NE, Cambridge, MN 55008 763-444-9472 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 O NEW ❑ ADDITION 121 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement Bedroom 12' x 12' Egress windows in basement bedroom 9 CHANGE OF USE FROM TO STIPULATIONS For stipulations see attached plan. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,000.00 $6.00 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- STRUCTI THE PERFOR N E OF CONSTRUCTION 209.25 Fire SC $12.00 PLAN CHECK FEE TOTALFE Licenae F.4 25 . SiGN4T FCD hACT RIZEDAGENT ,DATE, P OPER IDATE T IS IS Y R PERMIT 01 BLD ,NSP OAfj S,GNATURE OF OWNERin OWNER BUILDER, ,DATE, NEW [ l Effective 1/1/2000 ADDN- [ ] CITY OF FRIDLEY (763) 672-3604 BldnAnsp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ` V P Legal Description: Owner Name & Address: /C �° Tel. # Contractor. 2b&&4 lele <` MN LICENSE # Address: S09 R- Ceu,,01.,, At. -5" Tel. # X47 Sryy—%�V / /.44/,* 5:$r A0 9' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 'V±j Ap Ot^- DESCRIPTION OF IMPROVEMENT LIVING AREA. Length Width / Height Sq. Ft �T GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length - Width /10'0 Hgt/Ground �2Sq. Ft �� OTHER: ,��), , � ; ,vcC/y �s � � ��al�eov� , �� c�/e �C 7t®% s Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE:® APPLICANT: Tel. # CITY USE ONLY - Call (763) 672-3604 for Permit Fees if mailing in application Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ 409 001 of Permit Valuation (1/10th%) State Surcharge $ 6,40 $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ .�� $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ TOTAL $ STIPULATIONS: �r 1�i�• i.7 TY OF' FRIDLEY INSPECTION DIV. 131 University Ave NE idley, MN 35432 33-572-3604 'LUMBING Effective On Jan 1, 2001 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Iew Fixtures $ 7.00 Ad Opening, New Fixture $ 4.00 Leer Dispenser $ 5.00 Now Off Basin -$7.00 '.atch Basin $ 7.00 Rain Water Leader $ 7.00 sump/Receiving Tank $ 7.00 Water Treating Appliance, :. $10.00 Water Heater -Electric $ 7.00 fJ Water Heater- Gas" $10.00 Gas Range' $10.00 Gas Dryer $10.00 —� Baric Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture di -Appliance State Surcharge a� TOTAL. FEE �L�'`—'v '.The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations -stated in this application are true and correct. 2003 -Owner 22311 NORRIS LAKE ROAD ANOKA; MN 55303 - Building Used As Q2h%Ut Estimated Cost �7 PERMIT NO., 13772 PLUMBING COMPANY ` 1` `�` , TEL NO. SIGNED BY ApprovedBy Rough -In Date , Final Date %ANY QLUMBINCJGA$ PERMIT �,L�S THE S 50 TAT �RGHARGIr COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE