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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: - August 17, 1967 Homedale Blders Builder Address 5217 Wayzata Blvd. Address Same Same LOCATION OF BUILDING N9 9403 No. 7497 Sit Melody Drive _ — part of Lot Lot —I _ Block 5 Addition or Sub.Division _____ Melody Manor 4th Addn Corner Lot _ Inside Lot $ Setback 35' —_ Sideyard _ 7-13' Sewer Elevation ___ 885 -55 —99&ZM MOM 888.55 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 40' Depth 24/30 Height 20 Sq. FL 1032 Cu. Ft. 20640 Garage, Front 20' Depth 24' Height _-10' Sq, Ft 480 CtL Ft 4800 Type of Construction Frame Fat Cost _ $19.,,50Q___ To be Completed Nov. 15, 1967 SEWER LOCATION - 16' East of Manhole WATER LOCATION - 6' East of Manhole 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 ford compliance with aft provisions of ordinances of the city of Fridley. �� In compliance //t In consideration of the payment of a fee of $--A3AQ ___., permit is hereby granted to Romedale Bldg to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE Building Inspector NOTICE: This permit does not cover the construction, Insu atlon for wiring, Plumbing, gas hearing, sewer or water. Be core to coo the BuNing hupector for separate permits for these ilea. b 4 OWNER'S NAME ADDRESS APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA BUILDER D D R Y ,.� LOCATION OF BUILDING N0._ / T�STREET Aj/ PART OF LOT _ LOT BLOCK �� ADDITION OR SUBDIVISIONS 11!% ryr�, 7` CORNER LOT INSIDE LOT SETBACK SIDE -YARD 7— SEWER —SEWER ELEVATION ,ry6--- �� TOP OF FOOTING �W— Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these two certificates. / DESCRIPTION OF BUILDING To be Used as: Front Depth Vllaz9 , Height Sq. Ft. `?, Cu. Ft. Front ' Depth Height Sq. Ft._ d RIP Cu. Ft. Type of Construction �/�/� Estimated Cost To Be Completed/ The undersigned hereby makes application for ,a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and 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 (Schedule of Fee Costs can be found on the Reverse Side). S City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Pho a -3480 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location- PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ....... .............. —� x $2.00 Future Fixture Opening x $1.50 TOTAL New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ �,' Zri R e't pz ta�}z O J (9 0 Z �O • f • W WATER HTR. GAS EIEC. Base x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 1st 2nd 3rd 4th • Future Coaaec3ion Openings e New Fixture. Old Openings I Connected with Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Number Fixtures ....... .............. —� x $2.00 Future Fixture Opening x $1.50 TOTAL New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ 3 New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ Z 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, Owner Am a Kind of Building X0 '' •' M Used as Tobea Estimate Old—Ne ROUGH FINAL 'revA d2 Business Phone No- — �-:3 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN $6432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 672-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner – Also Replacement Furnace $ 20.00 $ Rp Gas Piping (Needed with new furnace) $10.00. $ Gas Range $ 10.00 $ Gas Dryer $10.00 $ *Air Conditioning – AD Sizes $10.00 $, /01 v; All OthereMepairsA Alteratlons (LIST ON BACK) 1% of Value of Appliance or Work $ Commemial/industrial 1% of Value of Appliance or Work $ State Surcharge $ .50 ELUS ME &SO RM IURCHARGEi REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission tom adjoining property owner. Q,AJ�•� W C JOB ADDRESS__ The undersigned hereby makes application for a permit for the work heroin 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. ,1893 OWNER-,�� BUILDING USED AS ESTIMATED COST a PERMIT NO. DESCRIPTION QF FURWACE AND QR BBUDNER No, of Heating Units r CI r I ',4* (Steam) (Hot Water) arm Ai Trade Namel,w—dm � � b ye Size NozgeAE4,W BTU ��P- s EDA Fuel �.,� f 1- nected Load oOs, 06® Burner Trade Name s Size No. BTU FfP EDR ISE w -A CENTER %C� $7'D HEATING COMPANY 14505 - 21ST AVE. NO. #222 FLT MUU I R, M11 WORM it Signed By 4--��, Tel No,I�Z L Approved BhJLRough–In Date Final Date-1/��; FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHID KAT AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: I. Has been carefully examined Yes (✓) No ( j' 2. Is free from rust or deterioration Yes (i/,( No ( ) 3. .Has no foreign objects lodged within Yes (,� No ( ) 4. Is securely supportedYes (✓) No ( ) S. Meets all current Code requirements for size and total BTU's connected Yes ( No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's A p Remarks List Alterations Bein4 Done: HOME ENERGY CENTER HEATING COMPANY Signed By Date 14505 - 21 ST AVE. NO. #222 PLYMOUTH, MN 55447 D4c HEAT TRANSFER CALCULATIONS HEAT LOSS: +75 o INSIDE — 20 OUTSIDE + 75 ° INSIDE HEAT GAIN: + 95 ° OUTSIDE SQ. FT. COEF. BTU's SQ. FT. COEF. BTU's 1. GLASS 1/- , 90 mnso 1. GLASS N 25 E/W :F6 75 72AVO S �G 40 1 -,Kb 2. DOORS _ 4000/ ea. 90®0 2. DOORS _ 300/ea. X00 3. CEILING 3. CEILING 12" 3 12" 1 9 4 9 2 6 os z) 5 6 /a.srD 3 ,61 v 3 8 3 4 4. WALLS 4. WALLS 3" ,A® 4!i9 7 3" 3 lata 11/2" 10 11/2" 4 5. BSMT 5. PEOPLE 600 a- fe00 Below grade &.5,2? 5 r Walkout 10 6. APPLIANCES 2500 6. Subtotal 7. Subtotal 7. TOTAL 8. TOTAL 8. FURNACE SIZE 99. A/C SIZE T o✓ 9. FURNACE MODEL A/C MODEL ��Ad� t -I I T Ur r-MIULCT INOrMUIIUN L) IV. 6431 University Ave NE Fridley, MN 55432 572-3604 tnective un uanuary t; lyuj APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS � ? New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work In strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader :$ 7..00 199y Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner f_e4a- Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Building Used As Gas Range $10.00 Gas Dryer $10.00 Estimated Cost c 6 PERMIT NO. Back Flow Preventer Required ( )Yes O No Type .$5.00 PLUMBING COMPANY Reinspection Fee $30.00 SIGNED BY ��<s� TEL NO.��/J ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I% of Value of Fixture or ApplianceA Approved By Rough—In Date Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE 0 sumcTMIT NO. City of Fridley 2 6 ?15,, AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. v------ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 1 � NUMBER REV DATE PAGE OF APPROVED BY ; CITY HALL FRIDLEY 55432 "'' 612-571-3450 910-F15 6/19/98 JOB ADDRESS 7497 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo Dunbar 7497 Melody Drive NE 784-4983 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and call for inspection before covering. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,000 $2.50 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. $99.75 Fire SC $4.50 PLAN CHECK FEE TOTAL FEE $106.AF 51 NATURE OFCON�'r\gJ�QROR�AUTHORIZED AGENT IDATEI N P PERLY VA ATED THIS YOUR PERMIT 9 PP �� SIGNATURE OF OWNER IIF OWNER BULLDERI IDATEI "Bl. INSP BATE 0 NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 7-1112 %i%Z-Lo0V ,Of VZ -- Effective 1/1/98 C(� �b�a Legal Description: Owner Name & Address: 1 � y. �l Al Tel. # 784/ Contractor: G j— MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER:�S /.'Oz #%L( T Construction Type: cS � � �' `S / �%/ OVQ Estimated Cost: $ 6 ar�c� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 9Z1 9 '2�- APPLICANT: /`-' Tel. # % CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 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: l06 9� ra SuBjECT IPEWIT Nb. -. City of Fridley (. 30816 AT THE TOP OF THE TWINS BUILDING PERMIT f R i 6. _____ COMMUNITY DEVELOPMENT DIV.®; iT LV INSPECTION SEC. PROTECTIVE 1 ; � CITY HALL FRIDLEY 55432 NUMQER REV DATE PAGE OF T11OVFD BY 612-571-3450 910-F15 4/11/00 JOB ADDRESS 7497 Melody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marylee Dunbar 7497 Melody Drive NE (763) 784-4983 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Window & Door Co 3938 Meadowbrook Rd, St Louis Park, MN 55426 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 933-6300 City 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Q ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace windows 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. Permit I spnection Cards Will 1133e aAalled To Homeowner To Post SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING. TYPE OF CON T. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 @ $2,417 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT `1'1.21 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 TOTAL FEE C is nse $86.88 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI r H PROPERLY VALIDATED THIS IS YOUR ERM IT 4 OG INSP l_a S-GNATURE OF Ow NER,IF OWNERSUILOERI IDATEI ra NEW[ ] AbDN f ] .ALTER S 1NGLE CITY OF Effective 5/10/99 ~ 3 3 BOLDIN AND DL�TpID � _ rn ConstruG PE T APP R 1 AND R-2 ction Address: 7Y9`7 LIGATION Legal Description: A kI (�� ..N� � 22 Owner Name & Address: Contractor: Imo. Address: Tei # MN LICENSE # Attach to this a L a lot, with the Prpplsed on, a Certificate of Tel. /I oposed constriction drawn ra Survey of the %7` jla ' wn on it to scale. DESCRIPTION OF V,D,.ROVE�. � Gn'ING AREA: Len GARAGE AREA: Length — Width DECIC AREA:Width Height OTMR: Lenge �_ Height Sq. Ft. �. Width Sq. Ft. 119t/Ground . Construction T /� Sq. Ft. —� Type: p Driveway Curb Cut. lstunated Cost: $ 6� Width Needed: Ft DATE: ` + 6 Ft = a �Ft x $ _ A'PLIC — $ ANT: Tel. # Permit Fee CITY USE ONLI, Fire Surcharge $ $ Fee Schedule g �+ � ule on Reverse Side State Surcharge,001 of Permit Charge Valuation ) (1/10th '000 Valuation License Surcharge e $ _ $1050 g $ per SAC Unit Driveway Escrow $5.00 (State Licensed $ Erosion Control $Alt. �� Residential Contractors) Park Fee $450 00 Co Alt. „B„ Above Mai Sewer $ nervation Plan Review n Charge $ Fee Determined b Agreement y Engineering TOTAL Necessary [ ] Not Necessary ] $ STIPULATIONS: cq3 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 ) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1999 PLUMBING FIXTURE RATES: 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** NO. RATE TOTAL Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 JOB ADDRESS y� dsZ j �� e )7 �- 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. 1999 Owner421 • r Building Used As r� Estimated Cost PERMIT NO. PLUMBING COMPANY Reinspection Fee $42.00/Hr SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough—In Date Final Date State'Surcharge $ .50 MINIMUM FEE OR ANY PLUMBING GAS PERMIT IS $20.00 TOTAL FEE $ A6-5_0 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC. SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. f .e UNOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 March 16, 2001 Leo Dunbar 7497 Melody Drive NE Fridley, MN 55432 Re: Final Inspection at 7497 Melody Drive NE Contractor: Owner Dear Mr. Dunbar: ,% A plumbing permit was issued on April 2, 1999 to install three bathroom fixtures at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee paid covers the inspector's time to make sure the fixtures were installed correctly. If you would like the fixtures finaled out, please contact us within 30 days to arrange the inspection. If we do not hear from you, we will expire the permit and note that no inspections were called for. Any questions can be addressed to me at (763) 572-3603. Sincerely, DAVE N N Buildin pector 01 SUBJECT P NO. City of Fridley 32665 AT THE TOP OF THE TWINS BUILDING PERMIT P RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. ` r PROTECTIVE 1 t NUMBER REV DATE PAGE OF APPROVED BY = CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/6/02 10B ADDRESS 7497 MElody Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 5 1 Melody Manor 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo/Marylee Dunbar 7497 Melody Drive NE 763-784-4983 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wellington Windows 3938 Meadowbrook, St Louis Park, MN 55426 952-933-6300 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 B DESCRIBE WORK Replace 4 windows within existing openings 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling. per Section 310.9.1.2 of the 1997 Uniform Building Code. l"it Inspection dards Will Be Mailed TO flMeowner T Post SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG_ UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3250 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 $3.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 PLAN CHECK FEE TOTALFEE City License $102.13 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP OAtE S.GNATURE OF OWNERJF OWNER BUILOERI 'DATE I 01 CITY OF FRIDLEY Effective 1/1/2002 6431 University Ave NE R-3, COMMERCIAL & INDUSTRIAL Fridley, MN 55432 BUILDING PERMIT APPLICATION (763) 572-3604 CONSTRUCTION ADDRESS `�a GAG Zoning Legal Owner & Address Leo li v Tel# W) GO —Vl� CONTRACTOR & ADOREpSS Tel T_;P) 73J-43� oi`- IV S X Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New []-Addition [] Alteration -Describe OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT v Tel # Ll.) - ei5 `! 0 Date G VALUATION -... Sq. Ft. x $- Cost/Sq. -Ft.- = Valuati,,on..-.$ ) Sq. Ft. x $ Cost/Sq.,Ft. Valuation.--. $ ) =.g Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes (]No Performance Bond Amount $ See Reverse for Schedule Received []Yes Permit Fee $ a� Plan Check $ Fire Surcharge $ State Surcharge $ • SAC Charge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TOTAL $�:M:T []No PERMIT FEES See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1200 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $15.50/foot ATTACH STIPULATIONS (D CITY OF FRIDLEY PERMIT .: 2004-00637 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/04/2004 572-3bU4 YAA: ( 7(33) 571-12137 ADDRESS : 7497 MELODY DR NE PIN : 113024110051 LEGAL DESC : MELODY MANOR 4TH ADD : LOT 1 BLOCK 5 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 3,100.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE FOUR WINDOWS WITHIN EXISTING OPENINGS. APPLICANT WELLINGTON WINDOW & DOOR CO 3938 MEADOWBROOK RD ST LOUIS PARK, MN 55426 (952)933-6300 OWNER DUNBAR LEO LAVALE 7497 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 regulaga&constru¢tion or the performance of construction. Bldg DaO BUILDING PERMIT FEE 97.25 FIRE SURCHARGE 3.10 STATE SURCHARGE, VALUE 1.55 TOTAL 101.90 PAID WITH CHECK # 73324 PRIM inspect,® nc IV's To�� a�lled Domer To Post CITY OF FRIDLEY0 0 �r (� 1 / 1 2004 6431 University Ave NE R-3/COMMERCIAL/INDUSTRIA.L/PU13LIC/INSTITUTIONAL l Fridley, MN 55432 BUILDING PERMIT APPLICATION (763) 572-3604 FAX (763) 571-1287 CONSTRUCTION ADDRESS b4r Zoning Legal Owner & Addres CONTRACTOR & ADDRESS Architect lz�,eCRe_P TYPE OF WORK , H-*ew Tel# (-V) Tel# ( 2) Reg.# Engineer Reg.# BUILDING CONSTRUCTION ] Add}_tion, , [] Alteration-Dgscribe OFC. AREA: Length Width WHSE AREA: Length OTHER AREA: Length Height Width Height Width Height Sq. Ft. Sq. Ft. Sq. Ft. APPLICANT 0 / �C�f + :::::p Tel # 57�g'493dODate VALUATION Sq. Ft. x- $ - Cost/Sq. Ft. = Valuation $ ) a o Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ `% 10 Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No I PERMIT FEES --- ---- ---- Permit Fee $ See Fee Scheauie on Keverse Plan Check Fire Surcharge $ b $ State Surcharge SAC Qargge .-,& $ �•� $ Park Fee $ Spec. Assessments $ 65% of Building Permit Fee .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1350 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] Curb Cut -Escrow $ feet x /foot TOTAL $ ,ATTACH STIPULATIONS I