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PRE 2010 DOCSCity of Fridley SUBJECT PPE 221BvILDING AT THE TOP OF THE TWINS D[RvIT i � • COMMUNITY DEVELOPMENT DIV. moi. -"'•-, f PROTECTIVE INSPECTION SEC. �lri ( pie/� � NUMBER REV. DATE PAGE OF APPROVED BY 11 � '••,'� CITY HALL FRIDLEY 55432 •••_� 612-560-3450 910-F15 7/3/73 JOB ADDRESS 7300 Memory Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 1 2nd Addition to Melody Manor. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mr. Arlyn W. Jordan 7311 Memory Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Martin Homes 6901 West Old Shakopee Road 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 [X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Construct 32' x 46' Dwelling and 24' x 24' Garage 9 CHANGE QF USE FROM TO STIPULATIONS Provide verifying survey before capping. Provide a hard surface drivewa SEWER LOCATION: 61' North of Sari; M.H. (N. Inv. 866.30) WATER LOCATION: 10' N. of Sewer Service Wye Elev. 866.73 TOP OF FOOTING: 870.00 Minimum REQUIRED FOR MIRING, SEPERAT E PERMITS SIGNS. yEATING, PLUMBING AND TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1472 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 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 $27,706 13.85 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. - 66.00 275.00 STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE O $354.85 SI NA�CONTRACTORO THORIZEDAGENT (DATE) WHEN PROPERLY- ATED THIS 15 YOUR PERMIT BLDG- INSP TE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: Ar wy, u Qr BUILDER• • ,�2 �� „ ® �" e S ADDRESS: 13////1%eyy/) P- �/,� ADDRESS: gD4A✓IeSfOl�/ NO: - STREET: LOT BLOCK: ADDITION:—Z �d ' % 71T� y an®�- CORNER LOT: 1XIINSIDE LOT: SETBACK: S.5- / SIDEYARD: / 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: Ia use_ Front: 2 z / Depth: �� � Height: Square Feet: Cubic Feet: i( -Z a e _ 1 e— Front:- "_Depth • � Cr / Height: Square Feet;_ Cubic Feet:_ a � r i Type of Construction: Pre- �,a-� F,,& rze Estimated Cost: $ �Z e7O To Be Completed: r-2040ber d / G% ?' � -- y The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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: _ — 2,2 73 SIGNATURE: (See Reverse Side For Additional Information. 7� PARTIAL RATE SCHEDULE G UVrr r WARM AIR: RATE TOTAL FUrnace Shell & Duet Work ... ... $10.00 $ Replacement of Furnace 6.00 Repairs & Alterations—up to $300.00 6.00 $- -- -- — Repairs & Alterations each add. $500.00 300 /MI=L WARM AIR Furnace Shell & Duct Work to 190,000 BTU .$10.00 C2, each add. 60.000 BTU .` 3.00 i Rephmement of Furnace 6.00 #_ Repairs & Alterations—up to SM.00 6.00 Repairs & Alterations each add. $500.00 3.00 STEAM or HOT WATER SYSTEM Furnace SheH & Lines—to 400 sq. ft. F.DR Steam 4.10.00 $.- Furnace Shell & Line --to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam A.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $---�-_ OIL BURNER—to 3 gaL per hour 6.00_—.— over 3 gal. per hour --See Fee Schedule vliAg BURNER top 40 195.0Q0 BTUJ b.00 $ IJCa over 199,000 VM See Fee Schedule GAS FITTING it NO RATE AL )� 1st 3 Fixtures % x$ 7.00Additional .M Fixtures Fixtures x .75 Gas Range Range to 199,0001 x$ 6:00 $ V AIR CONWRIONING 44.00 PAN luca=m ST57M aee Fee Bcb@dWbD_ ST51M S'�r x iL?EHA1TCaM It FAIRS TOTALTZZ 422750 Dept. of Bldgs. Phone 5904460 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 Ordinancev and ruling of the Department of Buildings, and hereby declares that all the fed and representations stated in this application are a and �J� Fridley, AGnn � � 1B�! Owner JO P 4 Kind of Building Used as -4r- `-�, To be completed about 7 `v % Estimated root, $ - -./_.0-0C7--------- Old—New. -0 - --Old—New. Building Permit No. __ Permit No. DZ8CHIPTION OF WORK REA77NG or POWER PLANTS --Steam, got Water. Warm Air— Trade Name Z"e'n no sire N I ©. 0,0'? ah Capacity--_. — Std. IM E.D.R BTU Hp - Total Connected Load Mad of Fue lzzr BURNER — Trade Na* Size No Capadty Sq. !t Emit BTV 3W_ i 6431 UNIVERSITY AVENUE NE �r �, j vim% Dear N,r. R.i.tter: V 560-3450 ANOKA COUNTY July 18, 1974 FRIDLEY, MINNESOTA 55421 s! � r Svc' � /69 So Re: Sw' oo at "6'730'1 a -son Street This letter is to reiterate our conversation of July 16, 1974 and to make clear this departments requirements for the swimming pool construction at the above address: As discussed, two (2) skimmers approved by.the National Sanitation Foundation will.e Provided. As discussed, foinlets*of approved design for fresh and/or repurified water will be provided. As discussed, a main drain of approved construction will be provided. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at.least two (2 times in 24 hours. This department recommends a turnover rate of; 8 hours. A deck, a minimtun of 3 feet wide and sloped away from the pool, must be provides: around the entire perimeter of the pool. The diving area will be acceptable provided there is no overhead �. obstruction. 7. A fence or other suitable baxrier, a minimum of four (4) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and elllatching devices which are capable of being locked. 8. An automatic chlorinator should beprovided with a suitable test kit. All electrical. and plumbing installations shall be inspected and approved by the City Inspection Department. �3. All electrical lines must be 10 - 20 feet or more away from the pool surface. 11. The pool fill spout must be air gapped or protected by a vacumn breaker. ming Pool Madison Street Page 2 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 111 times the pool diameter, shepards crook pole, must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approver contingent on final inspections and approval by the City. if any questions or problems arise from this letter, please feel free to contact no at 560-3450,.ext. 41. Sincerely, STEVEN J. OLSON Environmental Officer SJO/mh CC: Mir. Curtis A. Larson 6730 Madison Street N.E. 6A;�� May 30, 1975 0 LO M O cc w N • N M h O U) w z z LU J U. • H y Q LU 2 F— cc O z LU z w Q H cc LU > z I co • cc w z w U U U Mr. Arlyn Jordan 7300 Memory Dane N.E. Fridley, Minnesota 55432 Re: Swimming Pool at 7300 Memory Lane N. E. Dear Mr. Jordan: This letter is to reiterate our conversation of May 29, 1975�and to make clear this department's requirements for the swimming pool construction at the above address: 1. As discussed, two (2) skimmers approved by the National Sanitation Foundation will be provided. 2. As discussed, two (2) inlets of approved design for fresh and/or repurified water will be provided. 3. As discussed, a main drain of approved construction will be provided. 4. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6-8 hours. S. A deck, a minimum of 3 feet wide and sloped away from the pool, must be provided around the entire perimeter of the pool. 6. The diving area will be acceptable provided there is no overhead obstruction. 7. A fence or other suitable barrier, a minimum of four (4) feet high, that affords no external hand or foot holds and which is impenetrable by toddlers, must be provided around the entire perimeter of the pool. All gates and other accesses shall be equipped with self-closing and latching devices which are capable of being locked. 8. An automatic chlorinator should be provided with a suitable test kit. 9. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 10. All electrical lines must be 10-20 feet or more away from the pool surface. 4 3 i)0 Zoo 3 G ,� Swimming Pool 7300 Memory Lane N.E. Page 2 7 6 11. The pool fill spout must be air gapped or protected by a vacuum breaker. 12. Suitable safety equipment to include but not limited to a ring buoy and rope that is 13� times the pool diameter, shepards crook pole, must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming Pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from.this letter, please feel free to contact me at 571-3450, Ext. 41. . Sincerely, STEVEN J. OLSON Environmental Officer SJO/cks cc:Aquarius Swimming Pool Company 16900 Cedar Avenue South, Minneapolis, Minnesota V w SUBJECT PER City of Fridley 129'74 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. L _,-___ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r �. SEC. 1 . � CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY J 612-560-3450 910-1715 5-29-75 JOB ADDRESS 7300 MEMORY LANE E F 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 2 1 Melody SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arlyn Jordan, 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Acruarius Swimmincr Poo 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residence - Swimming Pool 7 CLASS OF WORK Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Swimming Pool 36 x 16 x 3'6" Walmanized Wood - Vinyl Liner 9 CHANGE OF USE FROM TO STIPULATIONS Approved for issuance, subject to final inspection and compliance to City Codes (Steven J. Olson 5-29-75) Also please refer to letter of May 30, 1975) TE- PERMITS REQUIRED FOR MIRING, G, PLUMBING AND. SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $5,200 $2.60 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- $30.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ti 1 $32.60 S1 REAO CONTRACTOR OR AUTHORIZEDAGENT (DATE) 011 of/7_qjl4el16 WHEN PROPERLY ))AL DATED THIS IS YOUR PERMIT 4,r�5-nn-�� BLDG INSP DAiE SIG ATU OWNERIIF O ILDERI IDd 'EI V w APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: Ll�iq � n r Gl & _BUILDER: a �i'Liv�•..' ., �5/ C�� — �— . 9A� DD S S • J ) ADDRESS: d ® Wt 0 Y i� J A RE : �Z�DQ � dQd U J c7 NO:. D 6 STREET: 114Zz_,4 z G LOT: BLOCK: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form 1%io Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Jlic/✓i'yi��i., o % Front: ��� Depth: Height: Square Feet: -5 %( Cubic.Feet:�� G'Oo �l 61 Front: Depth: Height: Square Feet; Cubic Feet: GiJ�yJ ✓/Z r Type of Construction:&�,�/�,,,& 6UOv� Estimated Cost: To Be Completed: a� ��% �G 7� The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stiict 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. G. DATE: -2 SIGNATURE: n ' (See Reverse Side For Additional Information.)' 0'�� �o t% 5 MEMO FROM: RICHARD N. SOBIECH Public Works Director SUBJECT: ❑ See attached MEMO NO. DC -154 DATE 6/10/77 WEEDS AT 7300 MEMORY LANE ❑ Review & take appro priate action w Review & comment n" ❑ Note & discuss with me 0 '� ❑ Work with v J CD ❑ Rush, immediate action desired Make reports, w/background material as complete as poss- ible. Make interim report if necessary. Lou-❑ Action completed, no z further review needed ❑ Further action necessary a ❑ See attached letter ❑ Interim report REMARKS: - REPORT BY:- 6/17/77 Please review the above address pertaining to land- scaping they have provided in their front yard. Apparently, there is quite an amount of weeds which are beginning to cause a nuisance in the area. Could. you please review and comment regarding the situation? COMMENTS: e w c..� �t A- e"'�l _-1L aims DATE: 9 SIGNATUR CIIYOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MINNESOTA 55432 . PHONE (612) 571-3450 May 8, 1989 Arlyn and Rebecca Jordan 7300 Memory Lane N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 7300 Memory Lane N.E. Dear Mr. and Mrs. Jordan: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 7300 Memory Lane N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Observed white car without plates parked in yard. Fridley City Code 123 requires that all vehicles must be currently licensed/street operable, or stored in an enclosed structure, or removed from the property. In addition, if the vehicle is currently licensed/street operable, it must be parked on a hard surface driveway or in a garage, as Fridley Zoning Code prohibits parking vehicles on lawns such that they are visible from any public right-of-way. Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about May 22, 1989, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-89-231 FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 20, 1990 Arlyn and Rebecca Jordan 7300 Memory Lane N.E. Fridley, MN 55432 RE: First Notice of Noncompliance at 7300 Memory Lane N.E. Dear Mr. and Mrs. Jordan: The City of Fridley has established a City Code for the purpose of promoting a pleasant and attractive suburban environment. A recent inspection of the property at 7300 Memory Lane N.E. revealed that not all Code requirements are presently being met. Listed below is an item which does not comply with the City Code: 1. Remove brush/tree branches located across property. (Stacked firewood may be stored in the side or rear yard if kept as a neat, orderly woodpile.) Your prompt attention in correcting this situation would greatly assist us in helping make Fridley a better place to live. An inspection will be conducted on or about July 2, 1990, to determine compliance. If you have questions or would like to discuss this, please contact me at 572-3595. Thank you for your cooperation! Sincerely, Steven Barg Code Enforcement Officer SB:ls C-90-371 SUBJECT 4a EPM City of Fridley 29911 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT . COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. / r PROTECTIVE � 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED Br 612-571-3450 910415 7/20/99 JOB ADDRESS 7300 Memor Lane NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 8 2 IMelodyManor 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven R. Berg 784-8270 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 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ) REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (29 Sq) 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 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 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 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 $2535 $1.27 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 $83.25 FiA SC $2.54 PLAN CHECK FEE T L FEE 7.06 OF CON'RACTOR OR TMOR4E0 AGENT iOATEi H N P Y VAL A D THIS IS Y UR PER XLU RE OF OwN A,I WNER OBu MATE, �p� r,ArE NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 6 Construction Address: 7 3 0 If-( 4 s) t Legal Description: Owner Name & Address: .5Tfv r,u it Tel. # ZT/,/-Va ?d Contractor: S -14-19f f- MN LICENSE # Address: 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 H G OTHER: 0 f � � n � ; 411,vG 4 � S ( Construction Type: Driveway Curb Cut Width Needed: Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $_ 53S Ft. + 6 Ft = _ Ft x $ DATE: 7' a O - � r APPLICANT: Tel. # CITY USE ONLY Permit Fee $ . -2S Fee Schedule on Reverse Side Fire Surcharge $ S .001 of Permit Valuation (1/10th%) State Surcharge $ /. 02 9 $.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: r V _Ab l8 Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE i �� C% V YOUR E-MAIL ADDRESS _ l SITE ADDRESS 3 ,^ ^ 00 ` v i� r LC, -r.\ e 1 v THIS APPLICANT IS: ❑ OWNER gCO14TRACTOR PROPERTY NAME: c OWNER/ ADDRESS: ^13 O �� `� � STAT>✓CYII�ZIPS� TENANT PHONE:_ (o ate. 0 - 001a � CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN 7INKEN SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE &TY "COON' `RAP.IDS sTATEMN zIP55433 APPLICATION PHONE 763 - 757 -- 6202 FAX 763---757--6701 PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK. ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 71 r!A ace v n QC PER MS 16B.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) Equipment Installed MFG: �y MODEL: u� ^ SIZE/BTU _1 000 MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _ _BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCf.WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 P Tl .1?RC1Jl;G ©RIT].�O 500�y..�!'.�.f ,f. Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ 35,65 State Surcharge = $ .50 Total = $ 3s, SO 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 of all work which requires review and approval of plans. SIGNATURE OF APPLICANT �• �' o }SIT NAME ROGER HOFFHEIN DATE ZdLexo `:` PL'EP'.1OTE 5 A City of Fridley Building Inspections' Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 From: unknown Page: 213 Date: 11/12t2008 1 2:48:11 PM From: City of Fridley To. -9524743748 Page: 213 Date: 11/12/2001;12,26:25 PM Building WATER OR SEWER Permit No.a4- l D 1 Inspections PERMIT APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat NOU 3 20 763-502-4977 fax I,M, Cr,VL APPLICATION DATE: - l `>ti ,' YOUR E-MAIL Af7DPgSS: 'Q /tom t A% -A, =vim -`-,, . THIS APPLICANT IS: 'A CONTRACTOR E3 OWNER _ JOB ADDRESS: _,.'�Gr wi['t► �u.,Q L_ Af . �. NEW CONSTRUCTION PERMtT # (IF APPLICAB#.E): PROPERTY NAME OWNER/ ADDRESS: CITY: STATE: ZIP: TENANT PHONE: CONTRACTOR SUBMIT A COPY OF NAME: •/ (?@PLO VAe _ ADD] SS: .0WP7 CYh . VrSCvTATFiZtP;a7 YOUR STATE LICLNSE PHONE: 1t. - CrLL PHONE: AND BOND _ STATE LIC; STATfi BOND: FXP: PE11MIT TYPE SEWER. CONNECTION PERMIT $50 WA i�GP0J,0C'k\tltl PERMIT $50 WATE SEWER L .E REPAIR PERMIT $40 ------------ ADD STATE SURCHARGE $.50 ' SAC CHARGE @ $1825 TOTAL OTHER CHARGES (1F AiPPI.,It'..,A,a3LL�) PAY TO UTILITY BILLING NEW WATER; METER COST SHE UTILITY BILLING SPECIAL ASSESSMENTS SIM FINANCE WATER TAP SEI; IiNGINEERIN0 NOTE: WATER METER REPAIR, INSP OR SMYr-OFF / WEEKENDS & HOLIDAYS $1.25 / HOUR -BILLED THIS IS AN APPLICATION DILA PIAMIT-NOT VALID UNTIL PROCESSED 1 hereby apply for a water or aewor (now connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work will be in confornlanco with the ordinanow and coda ofthe City of Fridley. 1 undcratand this. is not a potmit but only an application for a pormit w ,s not to Rt wiff t a permit. SIGNATURE OF APPLICANT: ((iq1� , PRINT NAMk�ku_y_" - �? DATEI -17-61 APPROVED BY; - DATE COPY GIVEN TO: U't # Y li1LL1 Ci City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, Mkt 55432 763-572-3604 FAX; 763-502-4977 III 14 r