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PRE 2010 DOCSCity of Fridley, Minn.. X? 8708 BUILDING PERMIT Date: March 15, 1966 Owner: Builder Homedale Builders Address - Address 3017 kndale Ave. S. LOCATION OF BUILDING No. 7462 street Melody Drive N.1;. Part of Lot Lot 28 _ Block 4 Addition or Sub -Division . MAI QCLV man sir,. 11th corner Lot _ Inside Lot — x Setback 351 — Sideyard — 10 t Sewer Elevation — -- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling Front 401 Depth 2001 Height 201 sq. Ft. 1o032 cu. Ft. 2Q h),0 Front Depth height Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost 116,000 _ _ To be Completed 6/15/66- In consideration of the issuance to me of a permit to co Mtruct the building described above I agree to do the proposed work in accordance with the description ab forth and in compliance with aft provisions of ordinances of the city of Fridley. a In consideration of the payment of a fee of $ 21.00 , permit is hereby granted to Homedale Builders, to construct the building or addition as described above. This permit is granted upon the express condition that the peon to whom it is granted sad his agenffi, employees and workmen, ffi all work done in, around and upon said building, or any part thereof, shall conform in all respecffi to the ordinances of Fridley, Minassota reg gg location, construction, alteration, maintenance, repair and moving of buildings within the dty limiffi andthia permit may be revoked at any time upon violation of any of the provisions of said ordinancxaa. NOTICE, 'llda permit don net eowr the eenhwa m, kdalstim for r mh& plumbing, an 6adeg, awe, or waMr. Be sure to no the BuNding inpeator for aparale permlh for tiaa Bemt. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS ADDRESS LOCATION OF BUILDING NO,ZYSTREET 5PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION�o t,/ CORNER LOT INSIDE LOT_g::f' SETBACK 13 SIDE'Y 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: C FrontDepth eight Sq. Ft. Cu. Ft. - Type of Constructi To be completed j Front Depth Height Sq. Ft. Cu. Ft. Estimated Cost /®®� 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). Y6--� ^ '+ 3-,7--11,3 City of Fridley, Minn. N° .9195 BUILDING PERMIT Date: April 21, 1967 Owner: _ Erwin J. Kish Builder — Sussel Co. Address 7462,Melody Drive Address 1850 Como Avenue LOCATION OF BUILDING NO. ._._F462 Street Melody Drive —_ _ part of Lot Lot — 28 Block 4 Addition or Sub.Division _____ Melody Manor 4th Addn . Corner Lot --- Inside Lot X_ _ Setback _ _ Sideyard Sewer Elevation -- —.-- Foundation Elevation To be Used as: Garage Front -- Front _ Type of Construction Frame DESCRIPTION OF BUILDING 20 Depth 22 Height 440 Depth _ _ Height Est. Cost $1300.00 Sq. Ft Cu. Ft — Sq. Ft Cu. Ft — To be Completed 60 Days In consideration of the issuance to me of a permit to c6nstEkct the Fb7d above I agree to thwork in accordance with the description above set rth anBance with provisions of ordinances of the city of Fridley. J,, In consideration of the payment of a fee of $ 7.00 ,permit is hereby gran to Sussel Co. to construct the building or addition as described above. s 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: Ibis poi nit does not cover the constwcdon, hwtalWon for wig, phunbinB, Bp hag, sower or water. Be wre to as the Building hupector for separate pormhs for these Bans. APPLICATION FOR BUILDING PERMIT CITY OF FRI.DLEY, MINNESOTA OWNER s NAMES W_ 2,„�:1�, BUILDER S'0.ice ed� ADDRESS c® ADDRESS k6_'0 GQA,11®,_ya_rj_, LOCATION OF BUILDING. NO. / 42- STREET�PART OF LOT LOT 2- S' BLOCK - �. ADDITY OR SUBDIVISION �- CORNER.LO ^INSIDE LOT, � SETBACK SIDE -YARD SEWER.$LEVATLON FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used ": .DESCRIPTION OF BUILDING Sq. Ft. �Ztl&_ Cu. Ft. Front Depth.. Height Sq. Ft. Cu. Ft. Type of Construction', A4 Estimated Cost. / ® 6 To Be Completed The undersigned hereby makes application for 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=_ 11,67 SIGNATURE (Schedule of 4e Costs can be found on the Reverse Side). 1 � � i)OQIVQ-2 4-1sE?V, /VA4 OHS Sb (70/Y d0 N�►®� ci b,3Zv WOb� 1 $' -LV truS ?JG?NbO-:;p lMD2�1� fv Iv1®N S s b '7 ,ctcl-atd ®?Jd '30 IS W®a►� r� Lbtr.L Ol S bz:;) =1O 'a®I S -z-orir'no Ha llv\ cy®s.iv°-)O-) 1-1 eZOA iw �b n1 _ -J- „g/ si'aog 13� . so OOG, 117/ d`rt7 t-� oV/1 LInaNO--) Z Of -�Vv"-j Jl�-� °I/ -L -p dOhVW A(7079vv 3d A.L v32iv 'N,aaV g ®® 2 / •&(Jl Av'®7-evv 3n'IVA sssuaav Nools ZZ x oZ hsl �- N1Md- �Z 3ZIS HWvN 10-I -55;7Z/ — v�L 53 - t -9915051 � . Ci�'1► c� �i�l�� • • Applic;azion for Plu; i,3 moGI MS �S F0 :41U I�er�is Dopt. of Bldga. phone 5: -3M - DBSCs IPT1Oli O: V10111: • La�ati� ' 7L62 ALodv ibis - Numb.?. XLtde1d Lccr:lc,= of Fixtures _ I= K • 0 WATf� Mr�1. ,,, r� ,n �olv2 � 3Jv V e+ I Z ► e It 4As ftff� ij`' � 1� 3 M,s• c � i �1ilVv _ton B3:e I I E 1:: 2 red .� 3:d • FL`�•e cer.:cct.en clir,e!r.. I ---- Sewer Q t W6'W rusura. Old 0'e-s.inSs cccrpool PARTIAL RATE SCHEDULE City of Fridley:. The undersigned hereby makes application for a permit for the work he specified, a, eeing to do all work in strict accordance with tt:e Cit? Ord!r.: a::d ruling of the Department of Ruild..Imp, and hereby declares that all the 1 and represcrtations stated !a :.►:is appUcadon are true ared co:r"t' , j ridley, Ziiaa 6-14-76 19 Owner ErAn 4sh ' Kind of Building framo Uccd as D To be completed about 6-21-76 Estirrated Cost. $_ in -nn Permit ti'a. %9 Old—Iftr. Building Permit No. • - LUM. s a riXTU:'.E RATES: 110. RATE TOTAL ' Signed Number Fixtures sees • _._--- x $'-'.40, $ -- �tln..: s� Future Fixture opening e e . • e • • • • • • x 51.50 S , -- By. Susln%rs Pts.,re N%MEGASC0 few Fixture Old Oprning s s s e• s• s X Catch Basins as • • e so see • • • • e • . ♦ • .�..r x $3.25 _--� , «'ater )[eater 11:p to 99.000 BTU, • • • • x $3.00 $ ROUGH • New Ground Run Old BW9. • s • : • .:. _ x 13.25 S E:.etrte Yla:er I:"We e . • s : 53.00 S FINAL+ .W— t`- % S PITTING FEES: RO. RnTrtt TOTAL Z )st3Fixtures ... ee... •.ee.•.e•• x32.00 Y , Additional Fixtures ............... .---•--- x + .75 $ - Gu Rana to 199.000 BTU ...... s . e •• —•--r--- x S540 L.._ . ALTERATIONS—RAU1 fo Coda ,50 State S=chawge 1 . flescri;.tlOn • .. • . • .. • .. • • . • i s e es• •' • ...• .. • • e.. • ... e CDass W Surehavgo .500 TOTAL FT:c: SUBJECT MIT NO. City of Fridley 17205 AT THE TOP OF THE TWINS BUILDING PERMIT . r R O. � • _ COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/22/83 JOB ADDRESS 7462 Melody Drive N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 28 4 Melody Manor 4th. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Erwin Kish 7462 Melody Drive N.E. 784-1255 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 El ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 16' Storage Shed Behind Garage 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 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 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,000 $,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- $17.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $18.00 SIG Y E i ACTOR OR THORIZED AGENT . DATEI WHEN PROPERLY IDATED THIS IS YOUR PERMIT T WNERIIFO BUILDERI ID EI BLDG iNSP SATE CITY OF FRIDLCY Effective Aug. 1, 1981 ' APPLICATIVI FOR RESIDENTIAL BUILDIi;G PEMITS (New. Alterations, Additions, or Repairs) e OWNER: �/� �/ ° .BUILDER: ADDRESS: 4 2 r? �i-� �11V ADDRESS: SA -_ TEL k0:` y / TEL 110: Construction Location STREET NO: STREET: LOT: BLOCK: ADDITION: t� LU aj CJ 1Z 77-� Corner Lot: Inside Lot:_ Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTMI CT ION Front: Depth: Height: Square Feet: " Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ �o b RAPv Type of Construction: ,, I Estimated Cost: To Be Cbrnpleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE P.EVF.RS E SIDE OF SFIEET . 2be undersigned hereby males 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: P SIGNIITUIE : Stipulations TV SUBJECT PE City of Fridley 2 7 8 8 2 AT THE TOP OF THE TWINS BUILDING PERMIT R COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 3 r PROTECTIVE , CITY MALL FRIDLEY 55432 NUMBER REvGATE PAGE OF APPROVED By 1 612-571-3450 910-F15 9/21/98 JOB ADDRESS 7462 Melody Dr NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28 4 Melody Manor, 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Erwin Kish 55432 SE 784-1255 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 O NEW ❑ ADDITION ❑ ALTERATION Ck REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage (30SQ) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,571.00 $1.29 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TO ALFEE $78.61 up OFCON! RAcrORORAUTHORIZE Nr IOATEi ENP OP VAa0TTHIS IS UR PERv 'C r SIGNATURE OF 0WNER0f NER BUILD, sOAT 9LOG go - pAfE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: % 4/, -22- L,124-- J- D D V D R Legal Description: ) / Owner Name & Address: �� / �✓ _% S /7 Tel. # Contractor:'/, MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Len Width Hgt/Ground�^ Sq. Ft. Estimated Cost: $ Driveway Curb Cut Width Needed: (Fee Schedule on Back) Ft. + 6 Ft = Ft x $ = $ DATE:/ APPLICANT• ` Permit Fee $ . 95— Fire Surcharge $ • s% State Surcharge $ /..� SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL . STIPULATIONS: Tel. #.2 S'� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] SUBJECT PE City of Fridley 21216 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 16_ COMMUNITY DEVELOPMENT DIV. . v PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910415 2/27/92 JOB ADDRESS 7462 Melody Drive NE t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 28 4 Melody Manor 4th.. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Erwin Kish 7462 Melody Drive NE 784^1255 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 Reroof Dwelling (18 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be.2nd layer but not 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 60 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 1 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 $936 $,50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $25,00 Fire SC $.94 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $26.44 NA URE OF CONTRACTOR ORA=T IDATEI WH PROPS L A D IS IS YOUR PERMIT A . i iNS QATE SiGNAATTUCRE�OF OWNER OF O E iDAT i NEW [ ] , Effective 1/1/92 ADDN (] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: `7-7// 4 -�, 179 Z-/ 2 ,4,► �C� f mac' � r M Owner Name & Address: A( W) �% sly Tel. # Z q #'/fib Contractor: MN LICENSE # Address: Tel. # men, ,—/ ---2- Attach 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 -el"' Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: pis sP= Corner Lot [ ] Inside Lot [ J Ft. Yd Setback Type of Construction: Approxi) Completion Dater Driveway Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ L913 Ft x $ (Cos an as*) mag DATE: APPLICANT: r Tel. # i f-4 Permit Fee $ Fire Surcharge $ State Surcharge $ D �Ces SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J Building BUILDING $ See Back Page for Fee Schedule Permit No.�� Inspections RESIDENTIAL APPLICATION Fire Surcharge Received By: ' 763-572-3604 CITY OF FRIDLEY $— DaCIMAAY 2 763-502-4977 FA11X__ $ $5.00 (State Licensed Residential Contractors) SAC Charge $ EFFECTIVE 1-1-09 Curb Cut Escrow $ DATE'�� . -�-�J YOUR E-MAIL ADDRESS Erosion Control SITE ADDRESS ;7 $450 Conservation Plan Review THIS APPLICANT IS: ❑ OWNER ge6NTRACTOR $ PROPERTY OWNER/ NAME: L�rJ 1 $Agreement TENANT ADDRESS: q" A eld _CITY Ti STATE IP S F Q , I Make checks payable to: City of Fridley Attach PHONE: CONTRACTOR 1 NAME: w i11 -rLi G / D lC SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILYMEW CONSTRUCTION SIZE ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH EMOOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER 11 ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ErrAAINTENAN E/REPAIR —EfREMODELING 10 /,, DESCRIBE WORK BEING DONE: "l D O (� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING❑ HOUSE ONLY o 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: 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: (USIN 997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ T 65% of Building Permit Fee Fire Surcharge $ q5 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 $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $Agreement necessary ( ) Non Necessary ( ) Total Due $ F Q , I Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City o Idley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and wMrl to start without a permit on site; that thew rk will be in accordance with the approved plan in the case of all h re tew and approval of plans { n l r l SIGNATURE OF APPLICAN PRINT NAME_ J M CD&V DATE CITY OF FRIDLEY INSPECTION DIVISION Effective On May 10, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work JOB ADDRESS OWNER�� Rate TOTAL t' ��; BUILDING USED AS L�'�- C $ 30.00 $1 X30 ` ESTIMATED COST PERMIT NO. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units / Circle One (Steam) (Hot Water (Warm $ 10.00 $ Trade Name �Z— Size No. BTU 7Oz 0-,t- _HP EDR $ 25.00 $ Fuel /LJTotal Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. HEATING CO /U Signel 096 DATE Ai 1 Rough -In Date (V CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (--5-'No ( ) 2. Is free from rust or deterioration Yes ( -)No ( ) 3. Has no foreign objects lodged within Yes (--j"No ( ) 4. Is securely supported Yes (-)No ( ) 5. MIeets all current Code requirements for size and total BTU's connected , f Yes (--)No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's X0,5 7. Has a liner been provided for water heater Yes (--J'No ( ) 8. Has combustion air been provided for water heater Yes �-YNo ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: : T L)ir i kiDLEY INSPECTION DIV 6431 University Ave NE ; =ridley, NIN 55432 763) 572-3604, FAX (763) 571-1287 i ..4 �Y. • i. . APPLICATION FOR PLUMBING AND GAS F1M- NG PERMIT tt1RK Nl1MRFR r]F Fixrt iazFc Tn iai=.iht_QYALLED ON FAr`N:t=i nOR Litt:(, wc: u.:.ioII Uu,. PLUMBING FIXTURE RATES: a 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 () Nc 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 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE 140 JOB ADDRESS i(".;2, i. lv,,,r- :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. Owner Building Used As Estimated Cost S'Voe p PERMIT NO. I j PLUMBING COMPANY SIGNED BY TEL NO t 3 Approved By Rough -In Date Final Date 9; .50 . r MINIMUM FEE FOR AW PLUMBINGIGAS PERMIT IS $20.00 $ 94o Z) PLUS THE $.SQ STATE SI,IRCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A: COMMON VENT INFO ON BACK SIDE .2063 >` Wi.=<;z:t: Wash a o0r "liv.. FI Au t0. Oj_' Gas i, yy star Heater Stories L t'<<< U Shower _ "(%,. Tra Aran A ' i,;>'>:? Ran Gas Elec -,.. 2:.. «.> Washer a :>> Basement vr..i;• it:,-Y:::.uf., MINES �. J: •`?:ti:?;:.:>} F%.t4.. -y '):`9` -r:ti •?in•.�../i. :n}. ::v+1'Y:%: `. Y. - Floor 1 '! rJ : =^:fir .. n: -0L iv:5)-. - ;v J .�-�: x...e. ?S,Ls..•: v: L.. r.. - �� .2<,. v , =i:•: ;•r.•}n..:. •�•�.Y' _ .. ')• ♦.:?-5.:....0 .}l.: �L.S-.:.. .. r ....r.v,i-�,Lhfr�:: :::. tiii Floor 2 -r:::=-i'?,:....... �-,3<-.:; ��:•-r ;Fj.:: L=.{ii'v( . av-':`•)ri?+':'. •<ri:nti:: '•:}4J �.'.<ti' ::}�Ci::y::�.+ry�79.' �?F is C:i �i{nQk7+ :..x •sr::<i:`:.. r. >::;�. .,,;:::<::<• �,N..�••-�?�L,:.r :«��:... J:. Floor 3 f v. .l•: .. ....... .K .v . •rf - Floor � "11=11 n%?�?N1 'i0.-'<::S.`•J� I tv'j• PLUMBING FIXTURE RATES: a 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 () Nc 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 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE 140 JOB ADDRESS i(".;2, i. lv,,,r- :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. Owner Building Used As Estimated Cost S'Voe p PERMIT NO. I j PLUMBING COMPANY SIGNED BY TEL NO t 3 Approved By Rough -In Date Final Date 9; .50 . r MINIMUM FEE FOR AW PLUMBINGIGAS PERMIT IS $20.00 $ 94o Z) PLUS THE $.SQ STATE SI,IRCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A: COMMON VENT INFO ON BACK SIDE .2063 THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON UENZ VENuONNFCIOR ANN COMBI MST,113NAIR VIERIECATIQf�! When raplacina an exisfina ftm=, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and ftrestopped where required. Yes () No ( } The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (} No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft.appliances. Yes() No ( ) The exerting name 4ati®n aiw is sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When required to laski0 a am nomhusgamAkit will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( } When install ng a n= venfinQ j%y3t2 , the undersigned hereby verges that it is a fisted assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat ApplAnc-e #3 Tvpe. BTU Input _ Fan Assisted or Nat "k bW "Applinces Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height It Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By. Date : I� CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 May 18, 2004 Ms. Harriet Kish 7462 Melody Drive NE Fridley, MN 55432 Re: Final Inspection at 7462 Melody Drive NE, Fridley Contractor: Lindman Plumbing Dear Ms. Kish: A plumbing permit was issued on July 2, 2003 to install a water heater at your address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 7462 MELODY DR NE PIN : 113024120051 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 28 BLOCK 4 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO. 200401421 DATE ISSUED: 08/26/2004 VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL RANGE WITH FLEX LINE AND NEW SHUT-OFF VALVE. # A/C UNITS 0 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 204 APPLICANT CENTERPOINT ENERGY/1VIINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304- KISH ERWIN J & HARRIET G 7462 MELODY DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law feguWleg cons ction or the performance of construction. AvvlicanDate 1 Bldg HEATING PERMIT MINIMUM FEE 15.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 1016443 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer I: *Air Conditioning -All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR 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. $ HEATINGCO_��i1��1/�LI�� Z�--tIZI !�v//�9/1t��G1YO �b 1-'2 I//� $1�, 51-, *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Signed_Z2� ,Zr A�� Tel #-Z/N FAX # Date dy, 6� Ye t z�l/�y //;v Q � /2u) 5A °�� Vw �a Approved by Rough -in Date Final Date � � JOB ADDRESS by Fee Total �--- Owner $35.00 $ Building Used As_'�°!��1 ✓� $10.00 $ ESTIMATED COST PERMIT NO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $25.00 $ BTU HP EDR Fuel Total Connected Load $ Burner Trade Name Size No. BTU HP EDR Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR 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. $ HEATINGCO_��i1��1/�LI�� Z�--tIZI !�v//�9/1t��G1YO �b 1-'2 I//� $1�, 51-, *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Signed_Z2� ,Zr A�� Tel #-Z/N FAX # Date dy, 6� Ye t z�l/�y //;v Q � /2u) 5A °�� Vw �a Approved by Rough -in Date Final Date � � FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :