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PRE 2010 DOCSDate: MAY 24, 1966 City of Fridley, Minn. BUILDING PERMIT Builder HOMEDALE BUILDERS N° 8857 Address Address 3017 LYNDALE AVENUE SOUTH MINNEAPOLIS, MINNESOTA LOCATION OF BUILDING No. 7456 Street MELODY DRIVE N.E. Part of Lot Lot 27 Block 4 Addition or Sub -Division MELODY MANOR, 4TH ADDITION Corner Lot — Inside Lot _-__ X Setback 35 _ Sideyard 10 Sewer Elevation 881- 0 2QUWAKWElevation a84-0 TOP OF FOOTING DESCRIPTION OF BUILDING To be Used as: 27 DWELLING Front 40 Depth 24/30 Height 20 Sq. Ft, 1,080 Cu, Ft, 21,600 Front Depth Leight Sq. Ft. Cu. Ft. Type of Construction FRAME Est, Cost _, X16,500,00 To be Completed SEWER LOCATION 24' West of Manhole WATER LOCATION 14' West of Manhole In consideration of the issuance to me of a permit to the buidel bed above I agree to do the proposed work in accordance with the description ab ase rte sad "CoCOs/ ce with 21 provisions of ordinanc es, of the city of Fridley. �. _ In consideration of the payment of a fee of 8 22.00 , permit is hereby granted to HOMEDALE EWEN a 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 sad his agents, employees aad workmen, in all work done in, around and upon said building, or any part thereof; shall oanform in all respects to the ordinaaces gosP Fridley, Minnesota regarding pati t,�alat a 'time uponl�a�t4 n of aay of visions o said wiord a nc�e. dty limits and tt� WILLIAM H. SAND7N Building Inspector NOTICE Ob pmt den net cow the conshwWon, huftWon for rrie, plimbine, an hauls, ager or rrmr. Be am to an the BuRdW Wwp for aperete pmft ler f6sa Neem. ,. - 6 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER 4y ADDRESS ADDRESS ,_3�fl�.� LOCATION OF BUILDING N0. �% STREET PART OF LOT DDT, • BLOCK ADDI ON OR SUBDIVISION CORNER LOT INSIDE LOt ��SETBACR 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 as: v� FrontDepth4Height Sq. Ft.� - Cu. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction—, Estimated Cost To be completed The undersigned hereby makes applicationfor a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department'of.Buildings, and hereby declares that all the facts and representations stated in this application are true and correct, DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). Orpq Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 50.3480 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 ROUGH FINAL 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 pXe true and correct. 191 Owner 'IT Kind of Building Used as To be completed about Estimated Cost, $--.124 OldNew. uilding P HEATING orPOWER � Trade Name- PLANTS—Stearn, Hot Capacity 'Sgq.. Ft. E.D.RIJV BTU H.P. Total Connected Load %��� G 3 Kind of Fuel . G if BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N.WELTER HEATING CO. Signed 46632 01=1112.A.00 AV c 'R MINNEAPOLIS 7. MINNESOTA �,4z Business Phone No - City of Fridley Application for Plumbing and G, n Fitting Permit Dept. of Bldgs. Phone SII 4-7470 879.01 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location_ 756 Melody Dr PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: C RATE TOTAL Yl 12 $1.50 y Fb' Future Fixture Opening ................ 8C Z <� Z O < 3 �U' W (7'J aS 0 Z �U' O F N WATER HTR. GAS ELEC. Base x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x 1st $ Gas Range to 200,000 BTU .............. x 2.00 $ 2.00 conn 1 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings IEl Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... 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 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ 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 $ 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $Z?$E City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 12 Sep 66 19_ Owner Home d al e B ldr s Kind of Building Used as To be completed about 16 Estimated Cost, 10MC-New. Building Permit No ROUGH FINAL 4z aM • 00 Business Phone No Date: — Oct. 4. •, Duane Bangen City of Fridley, Minn. BUILDING PERMIT Builder Western Garages N° 948? Address 7456 Meldoy Drive — Address 3017 Lyndale Ave. No. 745 6 — Street Lot 27 —__ Block Corner Lot _ Inside Lot Sewer Elevation LOCATION OF BUILDING MMMIPX Melody _.._._ Part of Lot 4 -- Addition or Sub -Division — Melody Manor 4th Setback --- Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 22 t Depth 24' Height 10 Sq. Ft. 528 Ca. Ft Front Depth __ _ Height _ Sq. Ft. _ _ Cu. Ft. Type of Construction Frame Est. Cost __$1600 _ To be Completed 5280 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 c pliance with all provisions of ordinances of the city of Fridley. Inconsideration of the payment of a fee of $ 8;00 , permit is hereby granted to Western Coast. 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, aroundoa d upon said building, or any part thereof, shall conform in all respects to the ordinances of 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: Thts permit don not cover the construction, Installation for wiring, plumbing, gas heating, soarer or water. Be stn to see the Building Inspector for separate permits for these hems. CJ.iY O I'k.+.i):1'�1', i'1f�i:j.:SITA OWNER Is IdMIs���/ 7—/ -- -- ADDRESS LOCA .'10NIT OF BU LDINiG, 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:7 - Front Depth /FIeight11 Sq. Ft. �Cu. Ft.? � V� Front �e Depth - - height _ Sq. Ft. Cu. Ft. - - Type of Construction. � �-- - Estimated. Cost I= 6 01d, 06 To Be Completed /G The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in:' -this application are true and correct. / DATE('! ' � `� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). S'x't;EL"TM ��! �� 11 %�✓ PART OF LOT .�. %_ $LOCI: ADDITION OR SUiiMVTSION J���° �o� lZZ CORNER LOT INSIDE LOrT,A_..._ __.SE'►`BACY.._. b —_.,.a..,.._SIDE-�'AP.A SEWIEI'. FOUNDATION ELEV.—MON 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:7 - Front Depth /FIeight11 Sq. Ft. �Cu. Ft.? � V� Front �e Depth - - height _ Sq. Ft. Cu. Ft. - - Type of Construction. � �-- - Estimated. Cost I= 6 01d, 06 To Be Completed /G The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in:' -this application are true and correct. / DATE('! ' � `� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 53-84-S-915.51 City ®f Fridley Applicesmig fw r -k end Gm R10=9 Dept, of Bldgs. Phone 960-3430 DESCRIPTION OF WORK Locate Melody Drive 7456 N. E. Number. Kind and Location of Fixtures A p � Z ; F Z Q 8s �yy( �2 o '? v '•� u� N 7 v I N WATER MTII. GAS FLEC. Base 1st In 3taill Gas Gr ll 2nd 3rd 4th • Future Connection Openings * New Fixture. Old Openings Coanecled wi4b sewer Ct"p001 El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................. x $100 $ Future Fixture Opening ............. x $1.50 $-- New_ New Fixture Old Opening .....:.... . x $1.50 $ __ Catch Basin ...........:........ x $3.25 $ Water Heater ;Up to 99,000 BTU) - ... x $3.00 $ New Ground Run Old Bldg. ..... x $3.25 $ Electric Water Beater, .......... z $2.00 $ 3AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... • • • .... • • • x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU.. . x $5.00 $ City of Fridley., The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct Fridley, iliCinn 7-9-74 Owner Duane D. Bangen Kind of Building Frame Used as Res. To be completed about 7-16-74 Estimated Cost, $ 10.00 Old-- Building Permit No. Permit No. e Signed By - - Business Phone No ldINNEGASCQ ROUGH REPAIRS S ALTERATIONS—Refer to Code .50 State Surcharge Description ....... ,Install',Gas Grill $ 5.00 TOTAL FEE= 5.50 Class'A' Surcharge .50; 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 Job Address Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range �'e s Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 State Surcharge Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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. e Fridley, Minn. ( — 2S2_, 19_ OWNER KIND OF USED AS $" TO BE COMPLETED ABOUT $ .50 ESTIMATED COST NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Ai - o. Trade Name �� Size No. �— Capacity Se. Ft. EDR BTU /�/ HP Total Connected Load Kind of Fuel C� BURNER - Trade Name ��%/1�' Size No. Capacity Sq. Ft. EDR BTU HEP �o _ company ®U1���>UVuC3 r6rU• Signed By pi 9 CENTER 1)F11"� ���� n p ;;^°I Tel. No. �J6����G a� Fill out back side for stack verification on replac t furnaces CHIMNEY 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 Com pa ny Signed By Da to SUBJECT PERMIT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV tV //-- a 6tP r PROTECTIVE INSPECTION SEC CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/9/94 JOB ADDRESS 7456 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 27 4 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Duane Bangen 7456 Melody Drive NE 784-1614 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO George B. Johnson Contr. 5410 XXX Girard Ave N, Brooklyn Center 566-2351 1061 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RIOVINNY Residential 7 CLASS OF WORK a O NEW ❑ ADDITION O ALTERATION X REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 $1,750 $.88 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- Fire SC $1.75 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $41.00 PLAN CHECK FEE TOTAL FEE License SC $5.00 $48.63 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPE RL VALIDATED THIS IS YOUR PERMIT S.GNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLO I�NSP GATE NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 7/45—� �, — Legal Description: Owner Name & Address: Contractor: Address: Effective 1/1/94 MN LICENSE # 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft Yd Setback Side Yard Setbacks Type of Construction: if 1jaU SA Estimated Cost: $ Approx. Completion Date: (Cost on Back) Dri;7a�Curb Cut .Width Needed: Ft. + d Ft = Ft x $ — $ DA�� APPLICANT: Tel. # r -- Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ , b3 Im SUBJECT IT NO. City of Fridley 23902 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. Ir? • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 11/30/95 JOB ADDRESS 7456 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 4 1 MElndy Manor 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Builders & Remodelers Inc 3517 Hennepin Ave S Mi3ls., MN 55408 827-5481 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 NI REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 @@ 7'4'3 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8s $4.37 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- $149.75 Fire SC $8.74 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $167.86 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI AOPERL ALIDATED THIS IS YOUR PERMIT WHEN///P''/ A' V 81.0INSP I DATE _ SSG NATURE OF OWNER IIF OWNER BUILDE RIIDATEI Im NEW [ ] Effective 311/92 ADDNLTS [ ] SINGLE IYAM1LYITY ANDFFRIDLEY DUPL DUPLEXES R-1 AND R-2 ALTER [ ] `a Building Permit Application Construction Address:X 8/5t ��/dcic .i�� C gerdLFc� /L/n!- 63_%/d02 Legal Description: Owner Name & Address: X j-q� /%god, jp P" _Airr(ZT,19 A I ,'ry .Tel. #,s 776 Z�iU Contractor: MN LICENSE #X Address:rc ,�?YI7 ;/kAIA) Aii� A SIE Mh 09/ Tel. # x 9,77-S��/ 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: X Estimated Cost: $ x '9 % d, o d Approx. Completion bate: /a - F - 9 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $, DATE: //-.2 F7 9.- APPLICANT: Tet. # Pa 2-,rYaP/ Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow $ mod Park Fee - $ Sewer Main Charge $ TOTAL STIPULATIONS: $ 1676p . $" Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$19000 Valuation $700 per SAC Unit $5.W (State Licehsed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ j Not Necessary [ MR- 1t)5-7 Building $ BUILDING Permit Zig Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By:, --<7U 763-572-3604 Surcharge CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX EFFECTIVE 1-1-09 $5.00 (State Licensed Residential Contractors) DATE �0 — 19`0') YOUR E-MAIL ADDRESS SITE ADDRESS 7 N 9(om � L o,, ��, v S 2� a � l � SS 4 3 Z�- THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ Nom; U P O 4 A�J O K P1 N G° E iv TENANT _ ADDRESS: % 4 S (o rn E- �..ya `- � L� e i u� N rrY �; d�L�r STATE MK)ZIP S S 3 a $ PHONE: 7103 - Qa9 4 CONTRACTOR NAME: ST012M STATE LICENSE # a b 39-9 /o cDS,- EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: 1 FS -7 (p 14 tici Son P,&, 'SL., f f- a CITY w DOA (, 49ti STATE M)u ZIP 5 S 12 S INSURANCE PHONE (o S I - - (g % FAX % S I — 73 01>1- 1 Z 33 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH❑ ROOF 11 DRAIN TILE ❑ DECK SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION cL(� ❑ MAINTENANCE/REPAIR ❑ REMODELING n (� DESCRIBE WORK BEING DONE: 1 iP r— SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING�g 3 ❑ 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl []Soffit I. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project ❑ Other ❑ Fascia 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: THE 1997�U.JB C FEE SCHEDULE) TOTAL JOB VALUATION $ I D� I`e �' OCCUPANCY TYPE Permit Fee $ 4q 7, 4�— See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $$450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ n �7 Make checks payable to: City of Fridley Attach Sti mations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of 11 work which requires review and approval of plans. SIGNATURE OF APPLICANTPRINTNAME 'r Lo TTL DATE ,-�r Ian Building t 000 BUILDING Permit No.: Inspections See Back Page for Fee Schedule RESIDENTIAL APPLICATION Received By: 763-572-3604 Fire Surcharge CITY OF FRIDLEY e���a =V70 763-502-4977-, FAX EFFECTIVE 1-1-09 .0005 x Permit Valuation Minimum $.50 DATE � -"1 a/ - d S YOUR E-MAIL ADDRESS SITE ADDRESS 7 9 E(o m Uod ti bei ul t� P7 e- i r�.( £ter , �Yl t0 + sS Li 3 Z SAC Charge 1 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: P L d' A N tU fae w I; t2 ADDRESS:: ` N 5 (p ry) L I . v & V1� VOCITX F dZt`ck� STATE MO ZIP S a Z TENANT Conservation Plan Review PHONE: CONTRACTOR NAME: eTO 12 Vn -�uhc-AA- i �1 STATE LICENSE # V 3 Fse loDS- EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: Iii 7 (o I + Son R&, -LL,, Vu CITY W DOd STATE mto ZIP S S 1 2 S INSURANCE PHONE in S I - $ - 1(-9E_ FAX Z 33 PROPERTY TYPE FAMILY/NEW CONSTRUCTION SIZE 1 S '�R*INGOLE orFAMILY/NEW CONSTRUCTION STORIES_/ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION {� cC— ❑ M�AfNTENANCE//REnPAIR REMODELING �1 p❑ DESCRIBE WORK BEING DONE: 1 g ISR- O Y!- a SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT l ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: s✓inyl ❑Soffit I . Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 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: nPRING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ t 000 OCCUPANCY TYPE Permit Fee $ _2�5" See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 7 —.00 1 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ f; O U $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ R + 6 ft = ft x $21= $ Erosion Control $$450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be 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 on site; that the work will be in accordance with the approved plan in the case o 111 work which requires review and approval of plans. C SIGNATURE OF APPLICANT �4a4 _ PRINTNAME I -i ��cr1 L LATr cVn DATE V