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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: February 28, 1967 Owner: Address 13,2/// No 9144 Builder Homedale Builders 7000 Humboldt Ave. North Address Mtmeapul-is, LOCATION OF BUILDING No. .114.6.6_ _... Street Melody Drive ____, part of Lot — Lot _ 2R.._.__ Block 4 Addition or Sub -Division _ Melody Manor 4th Addition Corner Lot . Inside Lot — x Setback 351 _ Sideyard __ 10' Sewer Elevation — See Below _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Dwelling & Garage Front 7 Depth 24 Height 20 Sq. Ft. _888 Cu. Ft. 17,760 Front .14 . Depth 24 Height 10 Sq. Ft. 336 CtL Ft, 3,360 Type of Construction Frames_ Est. CostTo be Completed May 15, 1967 Sewer Elevation: 127' East of Manhole Water Elevation: 881.50' Top of Footing : 884.50' Water Stop Box Location : 137' East of Manhole In consideration of the issuance to me of a permit tosoM tmat the building d cribed above I agree to do the proposed work In accordance with the description abo 'e set fo and in p ance with a& provisions of ordinances of the city of Fridley. -, In consideration of the payment of a fee of $__22.00 , 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 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 regardinglocation, constructs alteration, maintenance, repair and moving of buildin within the d limits and on, city this permit may be revoked at any time upon violation of any of the provisions of d ordinances. NOTICE: This pormh does not cover the constrecdon, installation for whing, Plumbing, on heating, sower or water. Be sure to see the Building Inspector for aparate permits for these Nana. Ti, d "t APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS 'c5® EM r OCATION OF BUILDING NO, STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION gg- CORNER LOT INSIDE LOT /1" SETBACK S SIDE YARD P O SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificate's of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; �l FrontDepth_24/ Height ';0- Sq. Ft. 7ff Cu. Ft. 17 FrontC Depth��_Height /&51 Sq. Ft. Cu. Ft. Type of Construction ��.P Estimated Cost To be completed,/�, 1.�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 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 j SIGNATURE (Schedule of Fee Costs can be found on the Reverse • Y ` Application for Power Plants and Heating. Cooling, YeMilation.Refrigeration and �I Q Air Conditioning Systems and Devices J PARTIAL RATE SCHEDULE Dept. of Bldge. Phone 580-3450 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 $ P, 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 BTL) ....................... 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 are true and correct. / Fridley, � J, 56 19 Owner Kind of Building - � LIL-i' J22 1 `C Used as 64-i- L,L. (- E-- & t Q 41 To be completed about Estimated Cost, w-Auilding Permit No. Permit No. 3 g T3 DESCRIPTION OF WORK HEATING or PONM PLANTS -Steam, Hot WE., Warm Air— o% Trade Nam �J�J 66 �!Size No- .z:4)L Capacity Sq. Ft. E.D.R- 119 V-729 BTU H.P. Total Connected Load � T ?` Kind of Fuel " - BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N. WELTER HEATING COQ Sign NNEAPOLIS 7. MINNE Td-� a.,42 Business Phone No 6 7 Date: City of Fridley, Minn. BUILDING PERMIT May 19, 1967 R medale Builders 1 Af3 / N9 9262 Builder A. B. C. Blacktop Co. Address _ _ 76 cks on St. N. E. Address 1308 Main. St. N. E. _ LOCATION OF BUILDING No. 7466_ Street ._ xVxbftyx Melody Part of Lot Lot _ 29 _ Block 9 Lk_. Addition or Sub -Division Melody Manor 4th Corner Lot _ Inside Lot _ Setback Sewer Elevation To be Used as: Sideyard Foundation Elevation DESCRIPTION OF BUILDING Front _ _ Depth Height Sq. Ft. Cu. Ft Front Depth Height . _ Sq. Ft. _ _ Cu. Ft. Type of Construction As.2halt Driv�ewayEst Cost $85 .00 _ To be Completed — In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set fo ander compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 50 , 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 d ordinances. CLARENCE BEUSLE Building Inspector NOTICE: This permit does not cover the construction, h»filiation for wiring, plumbing, gas heating, sewer or water. Be son to use the Building Inspector for separate permits for these Mena. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER S NAME f/Yf Q G L- ll / L�L R5 BUILDER ( ��% GST SII C ADDRESS 9 7-:gckS O Y J J d,C_ ADDRESS 13 0 /v, LOCATION OF BUILDING NO. STREET L 0 PART OF LOT LOT BLOCK s/ ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SEWER ELEVATION SETBACK 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 Front Sq. Ft. Front Depth Height Cu. Ft. Depth Height_ Sq. Ft. Cu. Ft. Type of Cons tructionAspl( ,94-r R 161,4EWAY1 Estimated. Cost4fz,�,ID To Be CompleteduyE 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 SIGNATURE - 0 )&" - (Schedule of Fee Costs can be found on the PA verse Side City of Fridley, Minn. 1259 6431 University Ave. N.E., Minneapolis, Minn. 55432 BUILDING PERMIT Date: , —Nov embe•" . 1971 Owner:e i v rt -1 Echer Builder S- --Address _._ � F Me 1 o ar Drive N.E. Address Same LOCATION OF BUILDING No. _7466 Street _ Melody Drive N.E. part of Lot I.ot — 29 Block 4 ____ Addition or Sub -Division _Melody Marcor-4tb Addition Corner Lot __ _ _ _ Inside Lot _ _ R Setback Sideyard Sewer Elevation To be Used as: Foundation Elevation .......... DESCRIPTION OF BUILDING Garage Addition ____ Front 7 Depth 241 Height 10' Sq. Ft. _ 7 68' Cu. Ft. L 6801 Front . — Depth Height Sq. Ft. Cu. Ft. Type of construction — Frame Est. Cost _ $605,84 To be Completed Nov. 15, 1972 In consideration of the issuance to me of a permit to c ct the uil g described above I agree tp do the proposed work in accordance with the description above t fo A with a'll provisions of ordinances of the city of Fridley. �J� .50 State Surcharge In consideration of the payment of a fee of $ 6.00 —., permit is hereby granted to A1yinEicher 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 vpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. q / 1 a� �Buildlng Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to We the Building Inspector for separate permits for these items. i APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAM: Rei eh®r BUILDER ADDRESS: Tho &lode Drive ADDRESS: LOT: , 2 BLOCK: h4 ADDITION: Mslgdy ft= Lt& adatign CORNER LOT: INSIDE LOT: g SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed 'wilding location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: garage add]i *J an. —Front: 21 Depth: 210 Height:_ % Square Feet: 168 Cubic Feet: Front: Depth; Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: '$ I150_ To Be Comp el ted 1972 meather permitting. The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordanwith the City of Fridley Ordinances and rulings of the Departmen f `ildings, and hereby declares that all the facts and representati t d in this application are true and correct. It DATE: 11 15 71 SIGNATURE : 6;01 (See Reverse Side For Additional Information.3 ENGINEERING 7708 LAKELAND AVENUE I Scale I "= 40' 10 0 0 @ 110 07-4aw4ww GEOTECHNICS LAND SURVEYING P.O OSSEO, MINNESOTA PHONE (612) 425-2181 CERTIFICATE OF SURVEY For ALV1N EICHER Lo -r Z9, 5L-orv. 4 MELODY MANOR 4TH ROD%-r%O y At4oKA CouNT`( t MtNNrra-ra 40 Denote Iron Monument � ,` o�� 7FT kvt' Y _ We hereby certify that this is a true and correct representation of a survey of the boundaries of the land described above and of the location of all buildings thereon, and all visible encroachments, if any, from or on said land. As surveyed by me this ____– __1ZT H____ day of _ Noy._ ____ -- --- – —, 19_Z I . CASWELL and ASSOCIATES b File No. ____4485._ __ Book Page ZO Minnesota Registration No. ` -- 3 SUBJECT - City of Fridley (-ReeePT*a—�j 28 039 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. Cd5_A'3 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 9/30/98 JOB ADDRESS 7466 Melody Drive 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim & Jean Nickman 783-3706 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350 73rd Ave NE Fridley - 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 O ALTERATION xQ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace 4 windows in home with j2ocket inserts 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling. 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 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 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 2555 $1.28 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 SIS $2.55 PLAN CHECK FEE TOTAL FEE License SIGN A TUBE OF CON TRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY BLO -NST+ LIDATED THIS IS YOUR PERMIT OA TE SIGNATURE OF OWNER,6 OWNER BUILDER, IDATE, NEW "I 1 ` ADDN [ ] ALTER [L -K ConstructionAddress: -14 Legal Description: Owner Name & Address: Contractor: V CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION a Address: '20 A , r -p - Effective 1/1/98 Tel. # 31 OLP MN LICENSE # c-)uLi U_:?n Tel. # ? -7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. co Estimated Cost: $,� (Fee Schedule on Back) _Ft x $ = $ '4DATE: APPLICANT: Tel. Permit Fee DESCRIPTION OF EWPROVEMENT I L4 • `1 S Fire Surcharge $ a 5S LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground OTHER: '_ .o n0 A r Q 4 Wi nnA mA -A I �n Q� 07M 0 1 f 11 Hn nnn Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. co Estimated Cost: $,� (Fee Schedule on Back) _Ft x $ = $ '4DATE: APPLICANT: Tel. Permit Fee $ I L4 • `1 S Fire Surcharge $ a 5S State Surcharge $ ( as SAC Charge $ License Surcharge $ • 00 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL 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 [ ] h7l' STIPULATIO S:/r 1�1��c/� i�� 7e� /•� LG „/� y SUBJECT PE City of Fridley 29602 AT THE TOP OF THE TWINS BUILDING PERMIT i O. ` 46. DEVELOPMENT DIV. INSPECTION SEC. ry 7a PROTECTIVE CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/2/99 10B ADDRESS 7466 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED OESCR. 29 4 1 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Nickman - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 ®X REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 16' x 12' deck 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on plan. WARMING More digging call to all utility locations 454.0002 REQUIRED BY LAW, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 1800 cin 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 TMEAPFORMA E OF CONSTRUCTION PLAN CHECK FEEOTAL F 4 Z 6 -85 4TURE OF CON -RACT R OR AUTHORIZED AGENT ATE, N P OPER IOATE IS IS OUR P 1 BLD -NSP MATE S-GNATURE OF OWNEROF OWNER BUILDER. (DATE- NEW [ j Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 yw BUILDING PERMIT APPLICATION G O 0 0 Construction Address: �P Jk � R- ( Q (k4J 1Jd ' Legal Description: Owner Name & Address: J wo IJ t e- —7q ivlQt6 "�-- Tel. # Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length [ Width / �- Hgt/Ground 6 �� "Sq. Ft. /9.t A-1 Construction Type: VZO �� Estimated Cost: $4-1� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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: SUBJECT P , City of Fridley 2 9 7 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � ____ COMMUNITY DEVELOPMENT DIV. - PROTECTIVE INSPECTION SEC. r I � 3Y63 I NUMBER REV DATE PAGE OF APPROVED BY = I -'-'1 CITY MALL FRIDLEY 6512 612-571-3450 9W -F156/22/99 10B ADDRESS 7466 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 29 4 iMelodyManor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Nickman 783-3706 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Eagleview Const. Inc. 2937 174th Lane NW Andover 3- 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 O ADDITION O ALTERATION XX REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (20 S Tear -off 9 CHANGEOFUSEFROM 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 $1748 $,87 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- $1.75 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Zz License SC $5.03 $70.77 NATUR OF CONTRACTOR OR AUTHORIZED AGENT WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT LD .�N$A - ,IAT S-GNATURE OF OWNERoF OWNER BUILDER, MATEi NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 3 BUILDING PERMIT APPLICATION r w� Construction Address: /V &6e Legal Description: _ Owner Name & Address: d1 M i`u� -2 Tel. # 3 — 3 `70�- Contractor: 4� 60,1 - RL-. MN LICENSE # &'? t0 `13 Address: aGt i (7q h:'2 Z.� K). L0. Tel. # -7 5' 3 — 5-Y&2 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT 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: rj:�k4 -R g -Estimated Cost: $viv KQV Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: CpZz APPLICANT: Tel. # ��'� -S-Y14 CITY USE ONLY TOTAL $ r STIPULATIONS: Permit Fee $ 3, /S Fee Schedule on Reverse Side Fire Surcharge $ /, .001 of Permit Valuation (1/10th%) State Surcharge $` $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ a 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 [ ] Not Necessary [ ] TOTAL $ r STIPULATIONS: SuejEtT P City of Fridley 30439 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEI P T NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � 1 . T NUMBEA REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55/32 L J` 612-571-3450 914 415 10/25/99 JOB ADDRESS 7466 Melody Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 4 1 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim & Jean Nickman 783-3706 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Renewal by Andersen 350 73rd Ave NE Fridley 55432 502-4777 20130983 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION EK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 6 window inserts in home within existing openings. 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the house. permit Inspection Cards Be Wailed ToWill Homeowner To post 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3261 $1.63 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 $97.25 Fire SC $3.26 PLAN CHECK FEE TOTAL E Lice S $5.0 $1 .14 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi EN O ALIDA YOUR P MIT ZIs K-6S.GNATURE QA TE OF OWNEROF OWNER BUILDER, IDATEI,NSP NE* [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER DC] SINGLE FATMILY AND DUPLEXES R-1 AND R-2 ? p C(\ BUILDING PERMIT APPLICATION t Construction Address: 74 Co(p i o, C(11V S!542) Legal Description: Owner Name & Address: 5:m om NNU( oa �,vu cam,) T) Tel. # (012• • 3� dLP Contractor: RENEWAL BY ANDERSEN MN LICENSE # Address: 35073RD AVE. NE Tel. # FRIDLEY, MN 55432 ( 612) 5024777 Survey of the 1 LICENSE #20130983 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: r Estimated Cost: $ 3191 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICATNT:Aa'a Tel. # ta[a• 85S(•4P2Sq#/q;z Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee -Sewer Main Charge TOTAL STIPULATIONS:5�7 $C7709 $ 3a CI'T'Y USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: `e DATE / D ® YO�E-MAIL ADDRESS SITE ADDRESS 74 PAnduTHIS APPLICANT 1S: 0 OWNER 096ONTRACTOR I PROPERTY NAME: Mo. am OWNER/ADDRESS: Vl'PP CITY 'Cl STATEIP 5S 50) l TENANT I PHONE: j. CONTRACTOR NAME: M.P. PIPeWORKS2 lu SUBMIT A COPY OF STATE LICENSE # 3I XP DATE A® YOUR STATE ADDRESS: CITY EACM, MW5a%_3--z1P I: LICENSE WITH PHONE FAX = 13d0 ji APPLICATION PERMIT TYPE &SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK i PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _WATER PIPING _FLOOR —_ BATHTUBGAS PIPING a&F-D Cn UCEhm) _ SWINW ING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER ^_ KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _DISHWASHER_ WATER METER —OTHER j PERMIT. FEE PROTECTS, QR' <JIIQi . °.� jti ' :t.'s'' . t�T;li;. = �w� �. �a Number of fixtures @ $10.00 x $10.00 = $ I Permit Fee $ 06 _ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ j TOTAL DUE $ SU State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case all 0r w requ' ew and approval of pls. /� Li@481, SIGNATURE OF APPLIC PRINT NAME 6ZO DATE V Q( PLEASE NOTE;,' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building BUILDING Permit No: = / Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 0 : �t'4 763-50� 2ry-49977 FAX EFFECTIVE 8-19-09 DATEA6 -t;)& "-0 q [ YOUR E-MAIL ADDRESS C S ,CyV—,, SITE ADDRESS7gU(P THIS APPLICANT IS: ❑ OWNER IYCONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: -14b(o VAeW14 dZ CITY irY."(,Ljt, STATEM&ZIP TENANT PHONE: CONTRACTOR NAME: Svs SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: 9� S I t 3 r } S CITY STATE ZIP INSURANCE PHONE `10 LN 3 -• 169 LJ FAX PROPERTY TYPE CkINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECKSIDING ❑ OTHER 11 SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: PC- - Sect, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT 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: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ZinylAlin ❑Soffit ADDITIONS. & PORCHES SUBMIT: um m/ - 11Trim 1. Site Plan/Survey showing the existing structures ❑ Other l J�F° U40413. ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ $ OCCUPANCY TYPE Permit Fee$ , �,$— See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ v .001 times the total job valuation Surcharge $ 2 .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 $ .-2 _ 4 Make checks Davable to: Citv of Fridlev Attach StiDulations 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 ermit 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 all w hic xquires review and approval of plans. q A SIGNATURE OF APPLICANT PRINT NAME (&44 ,(' _DATEAO��% C' t